While the experience of giving birth and having a child can be a wonderful and rewarding one, the reality is that pregnancy and breastfeeding can cause significant unwanted changes in the body. These may include sagging breasts and enlarged areolas, less definition in the waist, sagging and pockets of fat in the abdomen, and stretch marks. While some of these may improve over time, such as stretched or sagging skin and loose muscles, the simple fact is that the body never fully returns to its pre-pregnancy state.

Fortunately, plastic surgery can help to restore a more youthful contour to the breasts and abdomen. There are several procedures available which are often referred to collectively as the “mommy makeover” or post-maternity breast and body reshaping. These include the breast lift, breast reduction, tummy tuck and liposuction. A mommy makeover does NOT require general anesthesia; in most cases, there is no issue with performing a mommy makeover with local anesthesia and a little sedation to make you relaxed here at our New York City office.

Breast Lift

Following pregnancy and breastfeeding, many women experience unwanted changes in the breasts including sagging, decreased volume, uneven breasts, drooping nipples and stretched or enlarged areolas. These changes can be improved with the breast lift. Also referred to as mastopexy, this surgical procedure removes excess skin and tightens the supporting tissues to restore a more youthful and uplifted shape to the breasts. The breasts will appear more elevated and firmer following surgery. In addition, enlarged areolas may be reduced in size if necessary. For women desiring larger or more fuller breasts, the breast lift can be combined with breast augmentation with implants. Conversely, breast reduction may be performed with the breast lift for those seeking a reduction in breast size.

Breast Reduction

While most women experience a reduction in breast size leading to sagging after pregnancy and breastfeeding, some women are left with breasts that remain larger than desired. For these women, breast reduction surgery can help by returning the breasts to their smaller, pre-pregnancy size. This can help to relieve symptoms commonly associated with large breast, including pain, rashes, breathing problems, improper posture, skeletal deformities, and poor self-esteem. Breast reduction is a surgical procedure in which excess fat and glandular tissue are removed and the remaining skin is tightened. The result is smaller, lighter breasts that are more proportionate to the rest of the body.
It should be noted that women who are planning to breastfeed in the future should postpone the surgery as many of the milk ducts leading to the nipples are removed.

Tummy Tuck

Pregnancy often takes its greatest toll on the abdomen, where stretching and weakening of the skin and muscles in the abdomen and waist can lead to loose skin, less definition in the waist, and stretch marks. These unwanted changes are often resistant to even the best attempts at diet and exercise.

Abdominoplasty, more commonly known as a tummy tuck, can help by restoring a flatter, more toned appearance to the abdomen and waist. This surgical procedure removes excess skin and tightens the muscles of the abdominal wall. This may be combined with liposuction to address areas of fat in the abdomen or flanks.

For patients planning a future pregnancy, it may be recommended that surgery is postponed as future pregnancy can diminish the results of the tummy tuck.

Liposuction

For some women, pregnancy leaves them with pockets of fat in the lower abdomen and decreased definition in the waistline that cannot be improved with diet or exercise. In addition, women who have undergone a C-section are often left with an area of fat that hangs over the surgical scar. In these cases, liposuction can help by removing excess fat from the abdomen, buttocks, hips, thighs and/or waist. Liposuction can sculpt the body after pregnancy for a slimmer, more contoured shape.

Several newer methods of liposuction exist today which generally offer benefits over traditional liposuction. These include ultrasound-assisted lipectomy (UAL) and suction-assisted lipectomy (SAL), both of which involve the injection of a special fluid into the treatment area prior to the removal of fat. Incisions made for liposuction are very small and inconspicuously placed so that the resultant scars are undetectable. Through these incisions, a small tube called a cannula is inserted to break up the fat which is then suctioned out.

Before and After Mommy Makeover Photos in New York

*Individual results can vary 

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How to Choose a “Mommy Makeover” Surgeon in New York

If you’re thinking about undergoing a Mommy Makeover, we feel that it’s vital to choose a surgeon who you’re comfortable, and one who owns his own surgical center. Dr. Miller prefers using his own Joint-Commission Facility for Mommy Makeovers, as this center experience lower infection rates than traditional hospitals. Additionally, Dr. Miller can guarantee that any patients who use his Manhattan surgical center will be treated by a board-certified anesthesiologist.

During the recovery period, patients can stay overnight in our post-operative recovery room, stay in a local hotel, or go home with one of our private duty nurses. Contact our NYC facial plastic surgery center today to learn more about the Mommy Makeover and other body procedures! Additionally, you can visit plasticsurgery.org to learn more about the Mommy Makeover.

If you’re like many men and women, you may be dissatisfied with the appearance of your body. This is particularly true if you’re in your mid-30s or older, especially here in New York City.

Stress, bad eating habits, long work hours, and lack of exercise may contribute to the reduction of muscle mass and loss of body definition. These factors also may lead to an increase in fat accumulation in areas like your stomach, waist, love handles, thighs, butt, and more.

It can be difficult to improve your body shape because, at some point, the combination of age and an inefficient or slow metabolism can render all your efforts at weight loss and fat reduction ineffective.

That’s why our plastic surgeons offer patients who come to Gotham Plastic Surgery in New York City from far and wide our unique BodyBanking® procedure. This innovative method of body contouring, combined with our MuscleShadowing® technique, can transform your body into a sculpted, natural-looking powerhouse.

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Before and After Body Banking

*Individual results can vary

Dr. Philip Miller, a plastic surgeon in New York, NY, prides himself on giving patients comprehensive care, both before and after their procedures. Rhinoplasty is one of the most common forms of plastic surgery for both medical and aesthetic purposes. To ensure you experience the best results, this rhinoplasty guide will walk you through what to expect and how to care for yourself after surgery. Our team will discuss these instructions with you after your surgery and make sure you have everything you need. We look forward to sharing your journey and guiding you through the care and healing process.

WHAT TO EXPECT AFTER RHINOPLASTY SURGERY

Although rhinoplasty is a straightforward procedure, we recommend having another adult with you on the day of your procedure to take you home and care for you after you’ve successfully completed surgery. You should also plan to have someone stay with you the first night in case you experience any discomfort or serious side effects. Although it is rare, if you experience any serious discomfort or unusual symptoms, be sure to seek immediate medical attention.

For the first few days after your surgery, it is important to avoid touching or jarring your nose. Keep your head elevated at all times (even when you’re sleeping) the first night. We recommend sleeping in a comfortable reclining chair or propped up in bed to aid the healing process. To alleviate any discomfort and reduce natural swelling around your nose and eyes, use cool compresses during the first 48 hours after surgery. Gently drape a washcloth soaked in cold water across each of your eyes in twenty-minute intervals. You may switch out the cloths as often as needed to keep the area cool and comfortable. After the first few days, you will begin to see and feel great improvement.

While every risk after rhinoplasty surgery cannot be eliminated, there are some things you can do to minimize certain risks:

1.) Protect Your New Nose: Be Careful

Your new nose after a rhinoplasty surgery will be in a protective cast for the first week. It goes without saying that once the cast is removed, you should take great care to guard your nose against any trauma or impact.

2.) Sleep With Your Head Elevated

In the first few days after your nose job, try to keep your head slightly elevated and avoid contact with your pillow or other objects.

3.) Avoid Strenuous Activity

It takes 3-6 weeks to fully recover from a nose job. Even when you’re feeling better during this time, you should avoid strenuous activity or anything that presents a risk to your new nose after a rhinoplasty surgery.

MAINTENANCE AND DAILY CARE

Daily care and maintenance are simple and straightforward. Your nurse will review these steps with you after surgery, and our team is available in person or over the phone to answer any questions that arise throughout your journey.
Check out the video below as New York surgeon Dr. Philip Miller explains the proper post-operative care after a Rhinoplasty.
For Week 1:

For Weeks 2-3:

1. Use a cotton swab soaked in hydrogen peroxide to gently clean the suture lines inside your nose three times a day. After cleaning the stitches, coat the area with Vaseline to keep the skin supple. The stitches inside your nose will dissolve on their own as your skin heals.

2. When bathing and showering, be sure to keep the tape and splint on your nose dry. We recommend baths as opposed to showers. You can take a shower on your second day after surgery provided that you keep the area dry. Avoid getting water or bath products on the skin near your nose as it may irritate the surgery site. Only use gentle shampoos and cleansers for the first few weeks after surgery.

3. You may experience some minor bleeding or seepage around your sutures as the skin heals. However, if bleeding persists more than ten minutes, or if it is accompanied by fever, severe pain, swelling or infection, be sure to contact our team immediately.

4. We will bring you back to the office to remove any external stitches seven days after surgery. If you do not have external stitches, we will let you know when we need to see you again to remove the tape and split supporting your nose.

5. After the tape and splint are removed, be gentle with your nose for the next few weeks. Be sure to wash your face twice a day with mild soap to reduce the natural build-up of dust, oil and dirt on your skin.
For Weeks 2-6:

WHAT POST-SURGERY SYMPTOMS ARE NORMAL?

Don’t worry, some side effects are completely normal following surgery. This does not mean anything is wrong, but be mindful of your symptoms. Discuss any changes with our team or call if your side effects seem abnormal. These are the types of mild side effects you may expect after surgery:
Swelling – Most swelling should subside after two to three weeks, but it may take up to three months for swelling to completely dissipate. In the first few days, swelling may increase and your nose may still appear swollen after your splint is removed. Don’t be alarmed, this is all part of the healing process.
Discoloration – Discoloration and bruising may appear around the surgery site. Some patients will experience light, yellow bruises while others may see deep blue and red marks. This will vary by person, but should not be accompanied by extreme pain.
Numbness – As your nose heals, you may experience numbness, tingling or mild discomfort and itching.
Bleeding – Bleeding may occur from time to time, but it should stop quickly. Apply light pressure near the bleeding and wait. If bleeding lasts longer than 10-15 minutes, please contact our office.
Depression – Some patients feel a mild depression or disappointment after cosmetic surgery while swelling is going down and the healing process is taking place. It may take two to three months for your nose to fully heal, so be patient with yourself and your body during that time.
Eye Glasses – If you wear glasses, talk to your nurse about how to protect your nose from changing shape due to the pressure of the glasses. You may wear your glasses while your nose is still splinted, but they should be supported or suspended from your forehead or cheeks for six weeks after the splint is removed. Contact lenses are typically safe to wear two weeks after surgery. Your nurse can discuss options with you to ensure your vision is not impaired during this time.

RESTRICTIONS

For the first two weeks, avoid exercise or strenuous physical activity, pulling clothing over the face, blowing and rubbing your nose, or any large facial gestures (such as yawning or vigorous chewing). You should also use a baby toothbrush on your upper teeth for the first two weeks after surgery. Try to avoid driving, contact sports, and swimming. To learn more about rhinoplasty, visit ncbi.nlm.nih.gov

IN SUMMARY

Healing varies from person to person, but is often a mild and quick process. No matter what your experience is like, our team is here for you every step of the way. All visible healing should be completed after four to six weeks, but you may still experience changes throughout the first year after surgery. We’re here for you. Don’t hesitate to reach out to Dr. Miller today to schedule your rhinoplasty in New York.

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Dr. Philip Miller offers several outstanding FDA-approved volume enhancers, including Voluma, Ultra, Ultra Plus, and Volbella from Juvéderm, which is the number one selling collection of hyaluronic acid fillers in the United States. Each product in the Juvéderm filler collection adds volume to different areas of the face and is recommended to lift your cheeks, smooth smile lines, or plump your lips. Juvéderm’s subtle results look natural and are long-lasting.
Dr. Philip Miller, MD, FACS specializes exclusively in facial plastic surgery and nonsurgical cosmetic treatments in New York. He has over 20 years of experience and is recognized as an expert in facial rejuvenation procedures, such as Juvéderm. Dr. Philip Miller has been featured on Discovery Health, TODAY, CNN, ABC, Forbes, and Elle BAZAAR, and he is frequently invited to share his aesthetic techniques with medical peers at national facial plastic surgery meetings.

What is Juvéderm®?

Which Juvéderm treatment is right for you? Here is a brief introduction to the Juvéderm products offered by Dr. Philip Miller.

Juvéderm Voluma™

Voluma is an injectable gel that is applied to the cheek area to correct age-related volume loss in adults who are over the age of 21. Voluma is a non-surgical cheek filler that beautifies the skin by restoring lost volume, lifting loose skin, and reshaping the cheeks. The Voluma™ results may be experienced for up to two years.

Juvéderm Vollure

Vollure is injected into facial tissue to correct moderate to severe facial folds, such as nasolabial folds and smile lines, in adults over the age of 21. Juvéderm Vollure goes deep into the layers of the skin to add volume to smooth lines and folds.
Vollure is applicable for moderate to severe folds, lines, and wrinkles. It is an excellent treatment that provides outstanding results for men and women for up to 18 months.

Juvéderm Lip Collection

Juvéderm Ultra and Juvéderm Volbella are two formulations in the Juvéderm line that are ready to meet your unique needs. Ultra adds fullness to lips, and Volbella adds subtle volume and softens vertical lip lines. Dr. Phillips offers two Juvéderm lip options so that his patients can walk away with the exact look that they are seeking.

Juvéderm Ultra and Ultra Plus

Ultra and Ultra Plus are FDA-approved for injection into the lips and the perioral area for lip enhancement and augmentation in adults over the age of 21. Ultra Plus includes the addition of lidocaine for added comfort during the injection. Both Ultra and Ultra Plus add fullness and plump naturally thin lips or lips that have thinned due to age. This treatment is perfect for individuals who want plump lips and for those who desire the restoration of volume that has been lost due to age. Ultra and Ultra Plus last up to one year.

Juvéderm Volbella™

Volbella is FDA-approved for lip augmentation and for the correction of perioral lines in adults who are over the age of 21. It is known as the best choice among non-surgical treatments for the subtle beautification of the lips and the reduction of fine lip lines. Volbella provides refreshed, natural-looking lips that match each patient’s unique facial structure. Dr. Miller customizes each treatment to match the patient’s desired outcome. Volbella treats vertical age lines from around the lips and adds beauty to the face and kissably-soft definition to the lips. Volbella lip treatments are affordable and accessible, plus they require no downtime and last up to 12-months.

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What to Expect During the Dermal Filler Procedure

During your facial filler treatment in New York, Dr. Miller will follow your prescribed treatment plan and will complete a series of injections, which may include adding lift and shape to your cheeks, filling in lines, wrinkles and folds, replacing lost volume to your lips, or adding new fullness to your lips. To ensure that the filler injection is evenly distributed and that you walk away with smooth, natural results, Dr. Philip Miller may gently massage the area. He will determine the number of doses that he must inject to achieve your desired results, and he may apply ice to reduce swelling and redness.
Your Juvéderm results will be immediate and long-lasting. The treatments are comfortable, and the recovery period is minimal. If you have Voluma injections, you will notice an immediate increase in facial volume and a gentle lifting of your cheeks. Voluma, Ultra, Ultra Plus, and Volbella™ results are immediate and will depend on the treatment that you have completed and on the treatment plan that is created by Dr. Miller during your consultation.
Touch-up treatments every nine months, 12 months or 18 months are recommended to maintain Voluma, Ultra, Ultra Plus, and Volbella by Juvéderm. Dr. Miller will provide you will follow-up procedures to ensure that you keep the look that you love.

What is the Recovery Like?

The recovery is mild and may include mild bruising and swelling, which can be covered with makeup and usually fades within 24 hours.

What to Expect During Your Juvederm Consultation

Dr. Miller’s NatraLook® Experience ensures every patient achieves their desired results. During your Juvéderm consultation in New York, Dr. Philip Miller will review your medical history and complete a full examination. After examining your facial anatomy and determining the health of your skin, he will offer you the best, personalized treatment options and will describe the benefits of the Juvéderm procedure that he has recommended. Dr. Miller will discuss your aesthetic goals and will provide you with an individualized treatment plan that will help you to achieve the look you desire.

The Ideal Juvéderm Candidate

The ideal candidate is over the age of 21, in good mental and physical health, and has realistic expectations. The ideal dermal filler candidate may also desire quick, long-lasting results with minimal downtime.

Juvéderm Cost

The cost of Voluma, Ultra, Ultra Plus, and Volbella treatments by vary depending on the areas being treated and the number of injections that are needed. We work with each patient’s budget to help them achieve their desired results whenever possible.

To learn more about dermal fillers and how to have a successful treatment, visit ncbi.nlm.nih.gov

FAQ

Q. Am I an ideal dermal filler candidate?

A. You may be an ideal candidate if you are older than 21 and are healthy with realistic expectations. Dr. Miller may recommend Juvéderm if you want to add fullness to your cheeks or lips or conceal lines and wrinkles by restoring lost volume.

Q. What should I expect at my consultation?

A. During your consultation, you will meet privately with Dr. Philip Miller. He will listen to your cosmetic goals and desires and he can provide you with an affordable Juvéderm treatment plan. Dr. Miller will share before and after photos with you and will provide you with a treatment plan that is customized for you.

Q. When can I return to work?

A. No downtime is required after a dermal filler treatment. You can return to work immediately after the treatment. Mild bruising may be experienced, which is typically resolved within 24 hours.
Dr. Philip Miller, MD, FACS specializes exclusively in facial plastic surgery and nonsurgical treatments, such as Voluma, Ultra, Ultra Plus, and Volbella treatments in New York, New York. Call us to request a consultation with Dr. Miller or schedule an appointment online. We look forward to meeting you!
Next, read about Kybella.

Wrinkles and volume loss are some of the most common signs of facial aging. As people age, their skin naturally produces less collagen and elastin, resulting in fine lines, loose skin, and hollows in the temples, cheeks, and under eyes. Philip J. Miller, MD, FACS, located in New York City, offers a wide range of minimally-invasive solutions to wrinkles and volume loss, such as injectable neuromodulators and dermal fillers.

Botox® — or Botulinum toxin

Unlike popular fillers or “volume” treatments such as Radiesse, Restylane, or Juvéderm that boost or inflate an area where there is a wrinkle or depression, Botox relaxes the muscles pulling on the skin to form the wrinkle. Botox is superior to dermal fillers for minimizing frown lines, horizontal furrows on the forehead known as surprise lines, and crow’s feet around the eyes. It can also be used around the lips, on either side of the nose, or on the bands of the neck.
Other advantages of Botox are that it causes no allergic reactions so no test dose is required, and there is no recovery period required after the injection. Finally, those with needle anxiety can relax because the needle used for Botox injections is finer than a strand of hair.

Dermal Fillers: Restylane, Radiesse, Juvéderm

There are pros and cons to each volume enhancer. Which one is right for you? Here is a brief introduction to the products.

Radiesse

Radiesse is a longer lasting method to reduce the appearance of facial lines and folds. The injectable product can last for a year or so and has shown little to no allergic reactions or other side effects attributed to other injectable methods. One of the most recent FDA-approved products for the treatment of facial “deflation” or wrinkle reduction that we offer at our Manhattan office, Radiesse, consists of calcium hydroxylapatite (a derivative of human bone) mixed into an easy-to-use-gel foam.
Studies have shown that Radiesse remains soft for long periods of time when injected into the soft facial tissue. This is the preferred treatment for nasolabial lines, which are the wrinkles or furrows that form from the side of the nose to the side of the mouth.

Restylane and Juvéderm

Known as the most common injectables, Restylane and Juvéderm, last 6-8 months. They are made of a purified form of hyaluronic acid, a material that is naturally found in the body. Restylane and Juvéderm work well for lip enhancement and as brow and fine wrinkle solutions. Some options available include Juvéderm Voluma, Vollure, and Volbella, as well as Restylane Lyft and Kysse.

To learn more about dermal fillers, visit www.fda.gov

Volume Enhancement

Sagging skin is not the only consequence of aging. Not only does facial skin sag with time, but facial fat also deflates similar to a balloon stuck with a pin. Before realizing the role of deflation in the aging process, we’ve done facelifts to pull the loose skin. Sometimes the results are good, but sometimes the skin looks stretched and unnatural. Two solutions to the deflation problem are Sculptra and fat injections.

Sculptra

Sculptra works much like a seed. After it is injected, it looks great for a day. Then, the volume goes down by the next morning. Over the next weeks or months, your body stimulates collagen volume in response to those “seeds.” The result is a gradual and increased inflation of depressed or hollow areas. 2 or 3 treatments are often necessary. Sculptra contains poly-L-lactic acid and is injected into the face after it has been anesthetized with a cream.

Fat Injections

Fat injections use your own fat from the inside or outside of your leg or your belly to provide volume enhancement to the face. Fat is harvested, washed with saline, and reinjected into the areas of the face that need inflation. There is some controversy regarding how long transplanted fat survives. As a result, you should be prepared to received multiple treatments. Also, fat injections produce the best results when combined with surgical procedures; they cannot be used alone to cure all facial aging problems.

Intense Pulse Light Therapy/PROLITE

Specifically designed for patients suffering from rosacea and other skin discolorations, Intense Pulse Light Therapy (IPL) or ProLight Facial technology helps eliminate redness and pigmentation discolorations from sun damage. The treatment is performed by a gentle light pulse that is delivered to the skin over several 15 to 30-minute treatments which are administered in three-week intervals.
Between 4 and 6 treatments are necessary to achieve desired results. Diminished (or disappearing) redness, dark spots, and discolorations occur as well as reduced pore size. Equally beneficial is that little or no bruising occurs with this treatment, and there is no recovery period.

Before and After Photos

*Individual patient results can vary 

Contact our New York-based Professionals.

Contact Dr. Miller and his team of skin specialists in New York to learn about the latest and most effective wrinkle treatments. Before recommending treatment, Dr. Miller will work will you to create a customized treatment plan through the NatraLook® Process. Utilizing various injectables, Dr. Miller can restore facial volume, reduce deep wrinkles, and help rejuvenate and lift the face.

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Next, read about Juvéderm.

Fine lines and wrinkles, which are usually the first visible sign of aging, can make people feel older and less attractive. They can also give a false impression that a person is angry, sad, tired, or fatigued when they actually are not. Botox® injections are a safe and simple non-surgical solution to reduce or eliminate fine lines and wrinkles. Dr. Philip Miller is a double board-certified facial plastic surgeon in New York, NY, who helps countless patients look younger using Botox.

What is Botox?

Botox is an FDA approved neuromodulator treatment for frown lines and crow’s feet. It works by blocking nerve impulses to the facial muscles responsible for certain fine lines and wrinkles called dynamic wrinkles. The medication is administered via injection in 3-4-month intervals. Following Botox injections, the skin appears smoother and less wrinkled.

The Botox Injection Procedure in New York City

The procedure starts by making the patient as comfortable and relaxed as possible. No IV sedation or anesthesia is required. After the skin is cleaned and prepped using a special solution, a tiny needle is inserted into muscles beneath wrinkled areas and Botox is administered. Total procedure time lasts approximately ten minutes. The procedure is best performed by an experienced physician who understands the aging processes of the face.

The Recovery Process

In most cases, patients are allowed to immediately return to activities as normal. It is possible that temporary bruising may occur near the injection site. Patients who wish to cover bruising may easily do so using makeup. Smoother, less wrinkled skin may be seen in as little as 24-48 hours and may last up to 4 months.

Good Candidates for Botox Injections NYC

Healthy men and women who want to look more youthful by improving the appearance of their fine lines and wrinkles are good candidates for Botox injections. A positive mindset and realistic goals are also important qualities of a good candidate.

Botox Before and After Photos

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Consultation with Dr. Miller

A consultation with Dr. Miller includes the following:

• A thorough medical history review
• A physical examination of your face, in which Dr. Miller may take pictures for review
• A discussion regarding goals, expected results, and alternative treatment options

Dr. Miller will also answer any questions and address any concerns you may have.

Manhattan Botox FAQ

Q. Will people be able to tell that I have had an injection?

A. Botox injections should always be administered by a board-certified physician with extensive experience with cosmetic treatments. A physician who knows how to perform the procedure can do so without any noticeable signs occurring afterward.

Q. Are results permanent?

A. The results of neuromodulator treatments are temporary. They do last longer in some patients than others and can be maximized by caring for and protecting your skin after the procedure. Also, non-smokers generally experience longer lasting results.

Q. Is there anything I should avoid doing after the procedure?

A. Pressure may move the medication from its intended area. For this reason, you should avoid the following:

• Rubbing or massaging the injected area for six hours after the procedure
• Bending, kneeling, or stooping excessively for twenty-four hours after the procedure

You should also avoid drinking alcohol for 24 hours.

Q. Is Botox FDA approved?

A. Botox is the only FDA approved treatment to improve the appearance of frown lines between the brows and crow’s feet lines.

Q. What is in Botox?

A. Botox contains botulinum toxin type A, a toxin produced by the bacterium Clostridium botulinum. As previously mentioned, the toxin blocks nerve impulses to the facial muscles.

Q. Can men use Botox?

A. Clinical studies have shown that Botox can be effectively used by men and women. As the trend amongst men having plastic surgery continues to increase, so does the popularity of Botox injections in the male patient population.

Q. At what age should I start Botox injections?

A.  There is no set age to begin using Botox injections. The decision to receive treatment is an individual one. Some of the factors that may influence your decision include the following:

• Your aesthetic goals
• Your skin quality
• The progression of aging

The opinion of the physician treating your condition is also very important.

Q. What is the difference between Botox and fillers?

A. There are two types of wrinkles. Dynamic wrinkles are those that occur due to the use of facial muscles. Static wrinkles are those that are seen when the face is at rest. Botox treats dynamic wrinkles while static wrinkles are treated using fillers. By filling in the wrinkled skin with gel, fillers help the skin appear full and plump.

Q. Can Botox injections be combined with other procedures?

A. Botox Injections can be combined with other procedures, including but not limited to the following:

• Chemical peels
• Laser treatments
• Microdermabrasion

And, in some cases, fillers may be combined with Botox as well. The combination of procedures can be a great way to enhance facial appearance and maximize results.

Q. How many times can I have Botox injections?

A. There is no limit. However, treatments should be spaced out over the course of 3-4-months and should only be administered by an experienced, qualified physician.

Q. Does Botox ever stop working?

A. Patients generally do not develop resistance to Botox. However, it is important to space out injections to avoid muscle atrophy.

Q. When should I think about having surgery?

A. Patients looking for a permanent fine line and wrinkle solution may find one in any of the following procedures:

• A face or neck lift
• A brow lift
• Eyelid surgery (blepharoplasty)

The decision to undergo surgery is an important one that should be made based on your goals and discussions with a board certified plastic surgeon.

Q. Can I get Botox injections if I am pregnant?

A. Women who are pregnant, hoping to get pregnant or breastfeeding should not get Botox® injections.

Q. Are Botox parties safe?

A. Botox should only be administered in a medical setting by a trained and experienced board-certified physician.

Q. How do I know if Botox injections are right for me?

A. The best way to definitively know is to make an appointment with Dr. Miller. His knowledge and experience will help determine if Botox injections are the right treatment option for your condition.

Q. Can I discuss other treatment options with Dr. Miller?

A. Of course! Dr. Miller has over twenty years of experience in facial plastic surgery. He will gladly go over any and all available treatment options with you.

Q. Will Dr. Miller take before and after photos?

A. If you would like before and after photos for comparison purposes, Dr. Miller will take them for you.

Q. What should I bring to my consultation appointment?

A.  You should bring the following:

• A list of medications you are currently on
• A list of medications you are allergic to
• A list of questions and concerns

If you would like to bring photographs for comparison purposes, you may do so.

Schedule a Botox Appointment in New York City

Dr. Miller has helped thousands of patients using Botox injections in his New York City office.  For more information, visit medlineplus.gov or contact us online to make an appointment.

Next, read about buccal fat removal.

*Patient results may vary

Improving one’s appearance and body image can significantly impact self-confidence. For individuals with skin color loss, or de-pigmentation, medical corrective tattooing can help. De-pigmentation may occur for a variety of reasons. Medical procedures, trauma, burns, congenital anomalies, and skin diseases can all lead to pigmentation irregularities. While many scars and skin abnormalities can be improved with medical treatments and surgery, skin color may still need to be addressed in order to recreate a “normal” appearance.

Understanding Skin Camouflage and Scar Camouflage

Skin camouflage and scar camouflage refer to the process of tattooing the skin using different shades of flesh tone pigments with the goal of disguising a scar or pigment irregularity. This form of medical or paramedical tattooing is considered a specialized form of cosmetics. You may find it referred to by a number of other names, such as Corrective Pigment Camouflage (CPC), Skin Repigmentation, Scar Camouflage, Corrective Camouflage, Skin Camouflage, Skin Color Tattooing, and Camouflage Tattooing. Scar and skin camouflage requires a specialist with a thorough understanding of the science behind pigments and the physiology of human skin and tissue, as well as advanced knowledge, training, skills, and experience in cosmetics and an artistic eye for color.

Candidates for Skin Color Repigmentation

Not all individuals with scars or skin abnormalities are candidates for skin repigmentation. The best candidates are generally those with scars that meet the following criteria:

• Healed. Scars should be healed, at least 9 to 12 months old, with stable color and no be still be healing and premature tattooing may lead to additional skin damage. An experienced, reputable medical tattooist will not work on scar tissue prematurely. If you are wondering whether you may be a candidate for skin color repigmentation, your physician may be able to advise you.

• Smooth, flat appearance. Issues with skin texture generally cannot be addressed with camouflage tattooing. For this reason, bumpy or raised scars may not be appropriate for treatment. The best scars for treatment are smooth and relatively flat. There are treatments available which may be able to first improve the skin texture before undergoing camouflage tattooing.

• Free of dark edges. Scars with dark edges or borders may be indicative of post inflammatory hyper-pigmentation (PIHP) resulting from trauma or surgery. Increased hyperpigmentation and wider, darker borders may result from the camouflage tattooing process, though this tends to be more common among those with darker skin tones.

Some skin and pigment abnormalities are not good candidates for treatment with skin color repigmentation. These include port wine birthmarks, spider veins, freckles, age spots, under-eye circles, hyperpigmentation, and unstable vitiligo. These conditions may be improved with other treatments such as laser therapy, sclerotherapy, or chemical peels. A consolation can help to determine the best treatment for you.

Candidates for camouflage tattooing must have realistic expectations and understand that treatment cannot completely restore the skin to its pre-injured state or fully erase the scar or abnormality. The goal of camouflage tattooing is to improve upon color differences to help disguise the imperfection. Patients who spend time tanning may not be satisfied with their result as the tattooed skin will not darken like the surrounding skin when exposed to sunlight or tanning booths. The results of camouflage tattooing take time and may require more than one session.

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