Immediate Reconstruction and Delayed Reconstruction
Many patients prefer to undergo breast reconstruction at the same time as their mastectomy. Immediately after the mastectomy is completed, the breast reconstruction surgery begins. Advantages of immediate reconstruction include less scarring, the possibility of fewer surgeries, and the ability to awake to a “reconstructed” breast. Women who undergo immediate reconstruction commonly experience fewer psychological issues, including depression, than those who undergo delayed reconstruction.

Unfortunately, not every breast cancer patient will be able to undergo immediate reconstruction after having undergone a mastectomy. Patients who need radiation therapy or chemotherapy may benefit from waiting to undergo breast reconstruction until their treatments are completed. Some patients decide to delay reconstruction because the treatment of the cancer itself is their number one priority.

Breast Implant Reconstruction
There are two types of breast implant reconstruction: one-stage reconstruction and two-stage reconstruction. Seventy percent of breast reconstruction patients undergo breast implant reconstruction.

One-stage reconstruction (direct-to-implant reconstruction):
When a patient is a candidate for one-stage reconstruction, the breast implant is inserted immediately following the mastectomy without the use of tissue expanders.

Two-stage reconstruction (tissue expander-to-implant reconstruction):
Two-stage reconstruction is much more common than one-stage reconstruction. During this process, tissue expanders are placed at the time of the mastectomy (or later on for patients who choose delayed reconstruction). The tissue expanders are filled as much as possible during their placement. The expanders will be further expanded once the incisions have healed. This process stretches the skin so that an implant can be placed. This process can take months to complete. Once the skin has been stretched enough to form a pocket to hold the implant, the expander can be surgically removed, and the breast implant may be placed.

DIEP Flap
The DIEP flap procedure uses skin and fat from the lower abdomen to reconstruct a breast after mastectomy. Because the skin below the belly button has a similar feel to breast tissue, it is an ideal choice to replace missing breast tissue. A benefit of the DIEP flap procedure is that it is similar to a tummy tuck in that it flattens the abdomen. This procedure offers patients a quicker recovery time, less discomfort after surgery, a lowered risk of hernia, and a more natural look and feel of the reconstructed breast.

Breast Reconstruction Considerations
Bergen County plastic surgery patients have many considerations when undergoing breast reconstruction. Some of the considerations include nipple reconstruction, implant type, and autologous breast reconstruction. The many forms of breast reconstruction and revision surgeries can be a lot to consider. Our skilled, compassionate staff are happy to answer any questions you may have during your breast reconstruction treatment process.

While cancer may have robbed you of your natural breasts, Bergen County breast enlargement and breast reconstruction plastic surgeon Tzvi Small can help you restore the shape and appearance of your breasts after mastectomy.

Contact Tzvi Small, M.D., F.A.C.S. Today
To learn more about Bergen County breast reconstruction, please contact Dr. Tzvi Small today.

Fortunately, patients of the Bergen County plastic surgery practice of Dr. Tzvi Small can take years off of their facial appearance through brow lift surgery. Brow lift is an often ideal solution to forehead wrinkles and creases, providing a smoother, more youthful look to the brow area that can last for years. As with all procedures performed by Dr. Small, brow lift patients emerge from surgery looking natural and rejuvenated, their beauty enhanced rather than reinvented.

For the residents of Bergen County, brow lift results of the most surpassing standard are no more than a few office visits away.

The Brow Lift Procedure

Conceptually, the brow lift is a relatively simple procedure. Over time, the muscles responsible for expression in the brows become somewhat weaker, leading to sagging and drooping in the forehead area. Simultaneously, the skin loses some of its natural elasticity and fullness, which results in visible wrinkling and furrowing. While wrinkles and sagging skin are not unique to the brow, they are most readily apparent in that vital landscape just above the eyes.

The complexity of the procedure lies in the choice of techniques to perform the surgery. On one hand, Dr. Small can perform endoscopic brow lift, which is minimally invasive and well-suited to patients who simply wish to refine the appearance of the forehead. On the other hand, more dramatic results are only possible through open brow lift surgery, which requires more substantial incisions through which Dr. Small can remove excess tissue and tighten the underlying musculature. In either case, Dr. Small’s surgical skill and artistic eye will result in the smallest, most discreet incisions possible and results that look entirely natural.

For the finest results possible in facial plastic surgery, Bergen County residents can rely on the expertise and experience of Dr. Tzvi Small.

Recovery from Brow Lift

It must be understood by patients that brow lift surgery is a serious, invasive procedure that does require a healing period. Patients should expect about a week of downtime, after which they may return to work and normal activity. More strenuous activity such as rigorous exercise should be avoided for at least a couple of weeks.

During the healing period, brow lift patients should keep their heads elevated, even when sleeping. Side effects such as bruising, itching, tenderness, numbness, and redness are common after brow lift; however, these side effects generally fade within a week of surgery. Dr. Small may prescribe medication to control pain.

Although the full results of brow lift usually become apparent after a few weeks, recovery depends heavily on how closely patients follow Dr. Small’s post-operative instructions. Patients who follow these directions carefully can often accelerate the healing process substantially compared to those who don’t.

Contact Dr. Tzvi Small Today

If you would like to learn more about brow lift surgery and whether you are a suitable candidate for the procedure, please contact Dr. Tzvi Small at Bergen Plastic Surgery today.

Breast Implant Revision Candidates

You are a good candidate for breast implant revision if you are in good health and are dissatisfied with the results of your breast augmentation surgery. Even with the best surgical techniques, breast implant revision may be required for a number of reasons, including weight gain and weight loss, size of the implants, and rupture of the breast implant. In the treatment of capsular contracture or double-bubble deformities, breast implant revision surgery may be required. If you are unhappy with the size, shape, or feel of your breast implants for any reason, you may benefit from breast implant revision. Our esteemed Bergen County breast augmentation surgeon, Tzvi Small, can help patients achieve shapely feminine contours.

Breast Implant Revision Candidates: Physical Changes

The natural breast tissue is affected by weight gain, weight loss, and age. One of the most common reasons for weight gain in women is pregnancy. After the birth of the child, weight loss occurs, which also affects the breast tissue. In addition, breastfeeding can significantly affect the breast tissue. During pregnancy and breastfeeding, there is often an increase in breast tissue. Once a woman is no longer pregnant or breastfeeding, there may be a decrease in breast tissue. This can change the look and feel of the breasts, which may lead some women to feel dissatisfied with the look and feel of their breast implants. One of the most common issues that affect women as they age is sagging breasts. Some women are under the misconception that breast implants prevent breasts from sagging, but this is not true. Sagging breasts may require breast lift surgery along with breast implant revision surgery. While physical changes are natural, they do not have to keep you from having the contours you desire.

Breast Implant Revision Candidates: Implant Size

The most common reason for breast implant revision surgery is implant size. If you feel that your breast implants are too small or too large for your body frame, you are a good candidate for breast implant revision. The majority of our Bergen County breast implant revision patients desire larger breast implants. During your examination, we can help you determine the size of breast implants that will best suit your individual contours.

Breast Implant Revision Candidates: Rupture

Rupture of breast implants can occur from normal, everyday wear and tear of implants. Other causes include implants that are overfilled or under-filled, defective implants, or an excessive wrinkling and creasing of the implant that may cause premature wear. It is crucial to undergo breast implant revision surgery immediately after an implant has ruptured. If a ruptured breast implant is left in the body for too long, scar tissue surrounding the deflated implant can make implant revision surgery more difficult.

Contact Dr. Tzvi Small, M.D., F.A.C.S. Today

To learn whether you are a good candidate for breast implant revision, please contact Dr. Tzvi Small, M.D., F.A.C.S. today.

Patients may be a good candidate for an arm lift if their skin has lost some of its elasticity due to aging or weight loss, and they are unhappy with the appearance of their arms, but are otherwise in good health. Patients who are still losing weight, or who plan on continuing to lose weight should reach their goal before considering the procedure.

What is an Arm Lift?

An arm lift is a surgical procedure that reshapes a patient’s arm through liposuction and skin tightening surgery. Arm lift surgery is ideal for patients who have undergone significant weight loss and have drooping or excess skin. There are two types of arm lifts techniques; the surgical approach depends on the extent of loose skin to be removed.

The Two Types of Arm Lift Surgery

• Mini Arm Lift – When a Bergen County body contouring patient undergoes a mini arm lift, also known as a partial or minimal incision arm lift, a small incision is made in the armpit. From that small incision, the arm is sculpted in small amounts through the liposuction process and a small amount of skin may be excised. Following the procedure the arm is carefully wrapped to allow healing with excellent results. Mini arm lifts are ideal for patients who have lost a moderate amount of weight, or a moderate amount of muscle tissue due to aging. Patients who have lost dramatic amounts of weight or muscle should consider an upper arm lift for more effective treatment.

• Upper Arm Lift – An upper arm lift, also called brachioplasty, is a procedure that is ideal for patients who have had a dramatic loss in weight resulting from a change of lifestyle or bariatric (weight loss) surgery. Patients who have lost significant muscle tissue due to aging may also be good candidates for brachioplasty. During an upper arm lift, an incision is made near the elbow, and runs along the bottom of the arm to the body. Excessive fat is successfully removed with liposuction, and then the excess skin is trimmed and secured back in place. After surgery, the newly tightened skin heals to the arm’s reconstructed contours, ensuring beautiful, natural results.

What to Expect After Surgery

As with most surgeries, patients may experience initial tenderness and sensitivity, as well as some swelling and bruising. A wrap or compress may be used during the first few weeks of recovery to aid in the reduction of swelling to help the skin to heal evenly over the arm’s new shape. Flexibility will be limited for the first week, but will return quickly, with patients generally regaining full mobility within six weeks.

Learn More about Bergen Plastic Surgery

For more information about arm lifts or the other top-quality plastic surgery treatments we offer, please contact our plastic surgery center in Bergen County. Dr. Small and our skilled staff are looking forward to providing you with superior, personalized care.

What is a Brow Lift?

Brow lift surgery is an excellent choice for patients seeking to renew their facial appearance. The upper portion of our face contains hundreds of muscles that create the delicate movement of our eyebrows and forehead. Over time, these muscles can weaken and sag, creating the effect of an angry or tired appearance. A brow lift allows Dr. Small to carefully tighten the forehead muscles and remove excess fat and tissue to sculpt the forehead. The skin and tissues are placed higher up on the head to heal, resulting in added “lift” to the facial features.

Benefits of Brow Lift Surgery

Brow lift surgery is a popular procedure because of the many advantages it offers to patients. A brow lift is an effective treatment for drooping brows, heavy eyelids, and deep furrows on the forehead and between brows. It can also alter the placement of eyebrows and correct uneven brows. In addition to treating many cosmetic issues, a brow lift also features these benefits:

• Attractive, natural looking results
• Creates an invigorated, youthful appearance
• Results last for 10 years or more
• Reduces tension in forehead muscles
• Minimal incisions and scarring
• Can be performed in combination with other procedures, such as face lifts or eyelid surgery

Risks of Brow Lift Surgery

Complications associated with brow lift surgery are rare, but patients should be aware of possible risks prior to undergoing any surgical procedure. To avoid surgical side effects such as infection, excess scarring, or adverse reaction to aesthesia, it is essential for patients to only visit a board-certified, experienced surgeon. Brow lift procedures at our Bergen County facial plastic surgery center are performed by Dr. Small, who brings years of specialized surgical training and expertise to our patients. Although highly uncommon, risks of brow lift surgery include hair loss at the incision site, and difficulty moving forehead muscles or brows.

Learn More about Bergen Plastic Surgery

Dr. Small and our friendly staff are ready to help you achieve the facial aesthetics you’ve always wanted. For more information on how we can transform your appearance through a brow lift or any of our other beautifying plastic surgery procedures, please contact our plastic surgery center located in Bergen County at your convenience.

Pregnancy, breast feeding, losing a significant amount of weight and the effects of aging can leave breasts sagging and stretched out. For many women, a breast lift can help. Women with smaller breasts may see the best results from breast lift, since smaller breasts are naturally lighter than larger breasts and therefore more likely to retain their breast lift improvements longer.

At our Bergen County plastic surgery practice, Dr. Tzvi Small is skilled in performing breast lift surgery. Dr. Small can evaluate your individual situation and advise whether you are a good candidate for breast lift.

Breast Lift Candidates

Generally speaking, the best breast lift candidate is a woman who:

• Is an adult, over age 18.
• Has breasts with lower volume and stretched skin, causing them to droop.
• Is in good physical and emotional condition.
• Is not pregnant or breastfeeding.
• Does not plan on becoming pregnant in the near future.
• Is not planning on losing excessive amounts of weight.

Common Breast Lift Conditions

Candidates for breast lift may be looking to correct one or more of the following conditions:

• Stretched breast skin
• Enlarged areolas
• Breasts that are elongated or low
• Nipples that point down
• One breast that is lower than the other

Wait Until After the Baby

Women who are planning on having children in the future might want to wait to have breast lift surgery. Pregnancy can stretch the skin of the breasts, causing them to sag. Therefore, it is often best to wait until after you are done have children to undergo a breast lift, as the results of the procedure are more likely to last longer than they would if you became pregnant or were breastfeeding again.

Be Realistic

It is also important for women who are considering breast lift to keep realistic expectations for the results of their surgery. While breast lift can achieve amazing results, even the most skilled surgeon may not be able to achieve unrealistic results. Also, you should know improvements that can be achieved through breast lift are not permanent. As time goes on, the natural effects of aging and gravity will continue to affect the size, shape and placement of your breasts.

Contact Our Bergen County Plastic Surgery Center

If you are considering breast lift to improve the shape and size of your breasts, you should be sure to hire a surgeon who is experienced in the procedure. Bergen County breast enlargement surgeon Tzvi Small has helped clients look and feel better through breast lift. Contact Dr. Small today to schedule a personalized evaluation to help determine whether you are a good candidate for breast lift.

Some parts of your body you can really take for granted. For instance, you may not realize just how much your upper eyelids can affect your appearance until the sagging and drooping finally does hit you. Similarly, you may not think about the gradual appearance of loose skin along the neckline until it appears later in life as a result of advanced age. This brings us to the chin. Sometimes you forget just how prominent or problematic the chin can be. That’s why many people visit our Bergen County plastic surgery center.

About Chin Reshaping Surgery

Chin reshaping surgery refers to various methods of adjusting the shape and contour of the chin. In some cases, this may mean adding volume to the chin in order to enhance its appearance. In other cases, this may mean reducing the structure of the chin to make it less prominent. During your Bergen County facial plastic surgery consultation, we’ll let you know which option is best for your needs. Chances are, you can probably guess which is right for your needs already.

Best Candidates for Chin Reshaping Surgery

The best candidates for chin reshaping surgery are people who have chins that are either too prominent or not prominent enough. In some cases, people can undergo a chin augmentation surgery rather than undergoing a nose job. The increase in chin size will draw prominence away from the nose. And, obviously, it’s important that patients be in good overall health so that surgery is not a dangerous proposition.

How Chin Reshaping Surgery is Performed

The chin reshaping procedure will vary based on the needs of the patient. Your Paramaus, NJ cosmetic surgeon can go over the exact surgery with you in full detail. Let’s just go over the basics below.

If a patient has a weak chin that could be enhanced in size or shape, a chin implant will be placed. This will be inserted through a small incision underneath the chin or through an incision placed in the pocket inside your lower lip. These facial implants come in many different shapes and sizes to meet patient needs.

If a patient has a chin that is too large or prominent, then some of the chin structure will be shaved and removed. This is accomplished through the same incisions mentioned above.

Recovering from Chin Reshaping Surgery

After chin reshaping surgery, patients will experience some swelling and discomfort in the chin area. The face will feel especially tender, though this will subside with time. It’s important that patients refrain from any strenuous activity for a few weeks. If the incision is placed inside the mouth, we will suggest a rinse for you to use to prevent infection.

Other Considerations to Keep in Mind

Chin augmentation is a very popular male cosmetic surgery. Many men who undergo chin reshaping usually have other surgeries performed as well for a full makeover. We can discuss this with you in more detail during your visit to the practice.

Learn More About Facial Plastic Surgery

As you can see, chin reshaping surgery can have a very positive impact on your appearance. If you would like to learn more about chin reshaping surgery and your many other options for effective aesthetic enhancement, be sure to contact our Bergen County cosmetic surgery practice today. The entire team here is eager to discuss these matters with you in more detail.

Not everyone is born with a perfectly proportioned body. There may be some parts of your figure that you wish were better contoured. That’s not uncommon, actually. Many people wish that they could enhance their figure or improve their appearance in some fashion. In order to improve body contour, one of the best things that you can do is meet with a Bergen County plastic surgeon. One particularly popular option for body contouring surgery is breast reduction surgery.

About Breast Reduction Surgery

Breast reduction surgery is a body contouring surgery that is performed in order to reduce excess tissue and volume of the breasts. This is a helpful surgery to perform after a woman has lost a lot of weight. It is also commonly performed on women who naturally have breasts that are disproportionately large for their frame.

Ideal Candidates for Breast Reduction Surgery

The best candidates for breast reduction surgery are women who have breasts that sag too much or breasts that are extremely large. In the latter instance, women with breasts that are very large often experience back pain, shoulder pain, and neck pain due to breast size, and they often find shopping for clothes that fit properly to be quite difficult. Though it may seem antithetical, it is possible to combine a breast reduction with Bergen County breast enlargement, which improves overall shape and contour.

How Breast Reduction Surgery is Performed

A breast reduction surgery is performed much like a breast lift surgery. Traditionally there is an anchor-shaped set of incisions made (one incision around the areola, one incision along the crease where the breast meets the chest, and one incision connecting these down the center curve of the breast). Through these incision, excess tissue is removed.

Tips for Recovery from Breast Reduction Surgery

After you undergo breast reduction surgery, be sure to follow the instructions of your Paramus, New Jersey plastic surgeon. In general, you will want to ensure that you have transportation to and from the surgical center since you will not be in any state to operate a vehicle. You will want to get plenty of rest and stay well-hydrated. Refrain from all strenuous physical activity for a few weeks to ensure that you heal properly.

In that first week, swelling, discomfort, and soreness are all common. Most pain can be managed through the use of recommended pain medications. Any undue pain should be reported to us so we can address it as soon as possible. You will return to our practice after about a week so that your healing progress can be monitored and any sutures can be removed.

Other Important Issues to Note

You will be given a surgical bra to wear after your surgery, and it’s important that you keep it on for a few weeks after the breast reduction has been performed. This will ensure a better shape and improved recovery. Prior to your surgery, you will be asked to quit smoking and refrain from alcohol consumption. It’s important that you continue to refrain from both of these activities as they can both have a negative effect on your healing.

Learn More About Breast Enhancement and Aesthetic Surgery

As you can see, it’s important that you follow all instructions for breast enhancement surgery. If you would like to learn more about this and other breast enhancement options, be sure to contact our Bergen County cosmetic surgery center today. We look forward to meeting you in person and discussing your aesthetic goals in greater detail.

Many people are doing their best to lose weight and get healthy, and for good reason. Medical research shows that being obese or morbidly obese significantly increases your chances of developing major health problems, including heart disease, strokes, high blood pressure, diabetes, and certain kinds of cancer. After losing a lot of weight, many people visit with a skilled Bergen County plastic surgeon. After losing that weight, you are bound to face a few aesthetic issues.

Loose Skin and Weight Loss – A Common Occurrence

As you gain weight, your skin will stretch out to a certain degree to accommodate the added girth. When you lose this weight, however, your skin will only be able to shrink back around your frame only so much. This is natural and part of the nature of skin laxity. The only way for you to improve your overall body contour is to undergo surgical body contouring. When you meet with a plastic surgeon in Paramus, NJ, your surgical treatment will be completely customized to your needs and body contouring wishes. Let’s do a brief rundown of the various surgeries that will be performed as part of the post-weight loss body contouring procedure.

Body Sculpting Surgeries After Major Weight Loss

There are many different Bergen County body contouring

surgeries that can be used to address matters related to the torso and the extremities. One of the most common surgeries performed is the tummy tuck (abdominoplasty). This surgery is specifically performed to target the abdominal area, removing any loose or sagging skin of the lower stomach area. In addition to the tummy tuck, there are also surgeries that will revise the overall tone and appearance of the arms, the thighs, and the buttocks as well. Each of these may involve varying levels of liposuction, which will remove problematic spots of excess fat that do not respond to diet or exercise.

Breast Enhancement Surgeries After Major Weight Loss

The chest can be affected a great deal by losing a lot of weight. That’s why many women and men undergo breast reduction after major weight loss. On women, the surgery is very similar to the breast lift in that both will remove excess skin and improve the overall appearance and firmness of the breasts. On men, the breast reduction surgery will help improve the overall appearance of the chest, making it appear less feminine and better contoured. In addition to those surgeries, women will sometimes undergo breast augmentation to help ensure their breast look better shaped and proportioned.

Facial Surgery Procedures After Major Weight Loss

It may surprise you, but it is not uncommon for facial plastic surgery procedures to be performed as part of a weight loss surgery treatment. The face can be affected quite drastically by weight loss, particularly the neckline and the jowls. There are lifts that can be performed to enhance the neckline and the lower face area. In addition, traditional facelift surgery and other options may be used to give you a refreshed and rejuvenated appearance after weight loss.

Learn More About Body Contouring After Weight Loss

As you can see, undergoing cosmetic surgery after major weight loss is an ideal way to improve your overall appearance. If you would like to learn more about body contouring after major weight loss, be sure to contact our Paramus, New Jersey plastic surgery center today. Our entire team looks forward to meeting with you and discussing these matters in greater detail.