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1016 5th Avenue, New York, NY 10028, Ph: (212) 535-2300

Planning Your Augmentation Surgery

Making Choices: Planning Your Augmentation Surgery

When you make the decision to move forward with breast augmentation that is just the first of many decisions you have to look forward to. There are a number of choices involved with this surgical procedure, from what type of implants you want to where you want the implants placed. We have the basics of augmentation surgery to help you make those tough decisions and ensure a procedure that meets your expectations.

Implant Options

Patients can choose from three basic types of implants: saline, silicone or cohesive gel implants, also known as gummy bear implants. Each type of implant has its benefits and drawbacks:

  • Silicone Implants: less costly and require a smaller incision, but they also tend to be associated with a higher rate of breast rippling and if the implant ruptures, the evidence is visible almost immediately
  • Saline Implants: tend to look and feel more like natural breast tissue, but require a bigger incision to place and require regular MRIs to ensure no rupture or leakage has occurred
  • Cohesive Gel: innovative silicone implants that hold their shape better than all other implants and tend to have a more natural look and feel

Each of these implants come in a range of shapes and sizes to accommodate every profile and desired result. You and your plastic surgeon should work together to determine which implant is the best choice for you.

Incision Location

The placement of your incision will be based on the type of implant you choose and your personal aesthetic goals. Choices include:

  • Around the areola, the dark pigment that surrounds the nipple
  • In the breast crease, where scarring will be hidden in the natural folds of the skin
  • In the armpit, used for saline implants that are filled after they are placed in the breast tissue

No matter where your incisions are located, Dr. Sherman will ensure that any visible scarring after the procedure is minimal. In most cases, thanks to skin pigment or natural skin creases, your scars will not be easily noticed and will definitely be hidden under a bikini or underwear.

Implant Placement

You will also get to choose where your implants are placed. For some patients, that placement is directly in the breast tissue. For others, the implants are placed underneath the pectoral (chest) muscle. The decision on placement will be determined by a number of factors, including the chest width, your age and your profession. For example, body builders will frequently choose to have implants placed above the muscle to avoid an irregular appearance during weight lifting.

Anesthesia

Breast augmentation is generally performed on an outpatient basis with the choice of either general anesthesia or local anesthesia with sedation. The right type of anesthesia for you will depend on your medical history, the specific procedure you are going to have and the placement of the breast implants. Usually patients that have the implants placed under the pectoral muscle do better with general anesthesia.

Making the decision to have breast augmentation is just the first in a long series of choices you will need to make to ensure you get the best possible results from your procedure. Fortunately, Dr. Sherman will work with you to help you make each decision to ensure your outcome meets your expectations. To learn more or to schedule your consultation with Dr. Sherman, contact his Fifth Avenue office today at 347-434-2060.

What to Expect from Plastic Surgery Consultation

What to Expect from Your Consultation

Your consultation is often your first opportunity to meet with your plastic surgeon to discuss your procedure and the surgeon’s credentials. This appointment is a pivotal time for you to determine whether this surgeon is the right physician for your specific needs and surgery. By preparing for that initial consultation, you can use that time to assess the qualifications of the surgeon and decide whether this is the professional you want to work with throughout the plastic surgery process.

 

Preparing for Your Consultation

It is a good idea to spend some time preparing for your consultation so you can make the most of that time with your surgeon. First, research your procedure so you are confident of the procedure you need to meet your aesthetic goals. Second, research your surgeon to determine whether this is the professional with the training, expertise and experience to handle your procedure best. By doing some of your basic homework ahead of time, you can hone in the specifics of your surgery to ensure a constructive consultation that will offer you the best results from your procedure.

 

In-State versus Out-of-State Consultations

Consultations can be performed both in-state and out-of-state. In-state patients can simple call our office and schedule an appointment with Dr. Sherman at his Fifth Avenue office. Out-of-state-patients can get instructions to submit photographs prior to their phone consultation that Dr. Sherman can review and use to provide non-local patients with all the information necessary to prepare for their surgery. When traveling from out-of-state for surgical procedures, you will also meet online or over the phone with our staff to help you book your travel arrangements and make appropriate preparations for your surgery and recovery process.

 

Questions to Ask

When you arrive for your consultation, you should have a list of questions that will help you determine whether this particular plastic surgeon is the best choice for your specific needs. Some of those questions might include:

 

  • How long have you been practicing plastic surgery and where did you receive your education and training?
  • Are you certified by any reputable boards or organizations?
  • How many of my particular procedures do you perform each month?
  • Do you have before and after photos of previous patients that I could look at?
  • Why do you recommend this particular plastic surgery procedure for me?
  • How are my questions and concerns handled by your office?

 

The right questions during your consultation will give you all the information necessary to decide whether this particular surgeon is the right choice for you. The consultation should also provide you with ample information about your procedure, as well as comprehensive post-operative instructions to make your surgical procedure as safe and successful as possible.

 

Moving Forward

Once you feel comfortable with your choice of procedure and surgeon, your consultation should help you move forward to the next step in the plastic surgery process. This could entail actually scheduling your surgery, taking care of necessary pre-operative testing and preparing for your surgery day based on your physician’s recommendations. Proper preparation for your procedure will make a profound difference in how successful your surgery actually is.

 

Dr. Sherman understands the importance of that initial consultation and will take the time necessary to answer all your questions and ensure you have sufficient confidence to move forward with your procedure. A successful partnership with your surgeon is the beginning of a safe and successful procedure and Dr. Sherman strives to build that partnership at your very first meeting. To learn more, contact Dr. Sherman’s office today at 347-434-2060.

male breast reduction new york

Restore Your Confidence with Male Breast Reduction

Gynecomastia is a common condition in which the male breasts grow and develop. While this is rarely a serious medical concern, gynecomastia can takes its toll on a man’s self-esteem and confidence level. Because of the emotional damage gynecomastia can cause, men often seek breast reduction to restore their masculine body contour and their confidence. Dr. Sherman offers male breast reduction surgery at his 5th Avenue office to help men coping with this condition achieve a new body profile and a new lease on life.

Causes of Gynecomastia

Gynecomastia most commonly occurs during the pubescent years, between the ages of 12 and 15. When it occurs early, it almost always resolves on its own over time. However, some men may find the condition does not improve and they must seek treatment to create a proportionate appearance to their chest contour.

There are a number of reasons why gynecomastia might develop:

Hormonal Fluctuations – Hormonal changes explain why so many young men develop the condition during puberty. However, hormone fluctuations can occur at other times of life as well and have been known to contribute to gynecomastia in adult men also.

Health Conditions – Some health conditions can lead to enlarged breasts, including hypogonadism that causes low testosterone levels, hyperthyroidism, kidney and liver failure, and some types of tumors. Treatment of the health condition may reverse the gynecomastia as well.

Medications – Prescription medications such as those used to treat prostate problems and AIDs, heart medications, antidepressants and anabolic steroids can all contribute to gynecomastia. Fortunately, these cases can often be reversed by simply stopping the medication.

Street Drugs and Alcohol – Specific culprits include heroin, amphetamines and marijuana. Excessive alcohol use can also contribute to gynecomastia.

Surgical Treatment Options

For men that do not see their gynecomastia reverse on its own, by treating a medical condition or stopping a medication, surgical treatment may be the next viable solution. Dr. Sherman offers two different techniques for performing male breast reduction today:

Liposuction – The introduction of both power-assisted liposuction (PAL) and ultrasound-assisted liposuction (UAL) have made male breast reduction via this procedure much more effective. The new techniques allow for less invasive removal of even dense male breast tissue that did not respond well to traditional liposuction techniques in the past.

Surgical Excision – Surgery to remove excess breast tissue is much less invasive today, with a single incision around the areola typically used for the procedure. This eliminates visible scarring after surgery and minimizes the amount of discomfort and downtime after the procedure.

Both liposuction and surgical excision can usually be performed on an outpatient basis using local anesthesia. Recovery from these procedures is generally less than one week.

Some patients will opt to combine liposuction of the breasts with liposuction of other areas at the same time. By sculpting multiple areas in a single treatment, men can enjoy more dramatic results with just one round of anesthesia and one recovery period.

Is Male Breast Reduction Right for You?

The decision to have male breast reduction is a personal one that should be made between a man and his plastic surgeon. If you are unhappy with the size or shape of your breasts, contact Dr. Sherman’s office at 347-434-2060 to find out if breast reduction surgery is the right choice for you.

Skin Care Spring to Summer

Skin Care Transitions from Spring to Summer

With the summer season about to arrive comes the eager anticipation of a busy social season in the great outdoors. Summer is often the time for major events like weddings and reunions, as well as small gatherings of friends around a pool or barbecue. If your skin needs a little help getting into the summer swing of things, we have a few tips to help your skin care transition from spring to summer so you can put your best face forward throughout the season.

 

The Winter Toll

New York winters take a tough toll on the skin. Harsh wind and freezing temperatures combined with forced heat when you head inside leaves skin dull, dry and lifeless by the time spring rolls around. Cold air can lead to skin redness and irritation, while drier air means suppleness may be stripped from your complexion. In order to greet the summer with renewed, refreshed skin, a little extra TLC may be needed.

Exfoliation is an excellent way to get your skin ready for summer by stripping away those dead outer skin cells that are interfering with your natural radiance. Chemical and laser peels are an effective way to provide full skin exfoliation at the precise depth you need to get your summer glow on. These treatments are performed on an outpatient basis by Dr. Sherman and can be tailored to your specific needs and desired results.

 

Changing Climate, Changing Skin Care

Over the winter, it is likely you switched over to rich emollient cleansers and lotions to pack some hydration back into your dried-out skin. Once summer arrives, you will probably need to switch up your skin care to accommodate the hotter temperatures and humid air. Look for lighter, oil-free formulations that will give your skin just enough moisture without causing breakouts or that greasy appearance. Consider switching from your usual foundation to a powder variety or go foundation-free for the season and sweep a little bronzer over your skin for a sun-kissed look.

 

The Importance of Protection

Sun protection is essential all year long, but it becomes even more imperative during the summer months when you spend more time outdoors. With many sunscreens on the market today, it can be difficult to know which one will give you the best protection. Opt for a formulation with an SPF 30 or go a bit higher if you plan to spend a significant amount of time in the sun. Look for a label that promises “broad spectrum” or “full spectrum” protection, since these products will protect you from both UVA and UVB rays. Apply before you go outdoors and every two hours if you are outside for an extended period of time.

 

Getting Ready for Big Events

If you have a big event coming up this season, now may be the time to give your appearance that little extra enhancement to boost your self-confidence. Dr. Sherman offers injectable treatments like Botox and dermal fillers that can mask a host of imperfections and significantly turn back the clock on your skin. In addition to smoothing away fine lines and wrinkles, these procedures restore youthful volume to areas like the cheeks, plump up the lips or add definition to the jawline.

Now is the perfect time to shape up your skin care program in anticipation of the upcoming summer season. With these tips in mind, you can rest assured this summer will be your most beautiful. To learn more about any of these treatments, contact Dr. Sherman’s 5th Avenue office at 347-434-2060.

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Give Your Girls the Boost they Need!

The breasts undergo changes over time, which might include alterations to their size, shape and position on the breast. These changes can impact your self-confidence and make you look older than your feel. If you are unhappy with the changes you have seen to your body contour, perhaps a breast lift is the right solution for you. There are a number of potential benefits associated with breast lift surgery today.

Restoring a Youthful Body Profile

Sagging breasts, a common problem after pregnancy and breastfeeding, can give an aged look to your body. The problem can also lead to skin irritation if there is too much skin friction in the breast crease due to heavy, hanging breasts. A breast lift or mastopexy can restore your breasts to their youthful position on the chest and give you a more youthful body profile overall.

Bringing Proportion Back to the Breasts and Buttocks

When breasts begin to droop, the entire proportion of the body’s curves can be thrown off. Reversing the sag can bring proportion back to the body, particularly between the breasts and the buttocks. This newly balance proportion can make a difference in how you look, how you feel and how your clothing fits.

Improved Self-Confidence

When your breasts start to sag, the changes to your appearance can directly impact your self-confidence. You may start dressing differently in an effort to hide the changes to your breasts. You may even stop wearing some types of clothing, such as bathing suits, completely. These changes can even prevent you from participating in activities you once enjoyed, due to embarrassment about your appearance. A breast lift can help restore your self-confidence and make you look forward to wearing those figure-hugging fashions once again.

Ability to Change the Size of the Breasts at the Same Time

A breast lift is primarily used to change the position of the breasts, not their size. However, you can opt to have breast augmentation or breast reduction at the same time as your breast lift to further enhance your results. Because the procedures can be performed together, you only have to worry about one dose of anesthesia and one recovery period.

Breast augmentation typically uses synthetic implants to create size and fullness to the breasts. Implants come in a wide range of sizes, shapes and materials, allowing us to customize your breast augmentation to your specific needs and desired results.

Breast reduction is a surgical procedure to reduce the size of the breasts by removing excess skin and tissue. Liposuction may also be used during the procedure to eliminate isolated areas of fat that are interfering with your breast contour. Breast reduction can do more than change the look of the breasts; it can also eliminate uncomfortable symptoms like back and shoulder pain that frequently come with large, heavy breasts.

If you are unhappy with the appearance of your breasts, perhaps now is the right time to do something about it. Breast lifts are usually recommended for women that are finished having children, since pregnancy can alter the results. The procedure may be performed alone or in conjunction with other breast procedures, a tummy tuck or other types of body contouring. Dr. Sherman performs breast procedures on an outpatient basis in most cases and patients can usually return to regular activities within 1-2 weeks.


To learn more about your options in breast lift surgery, contact Dr. Sherman’s Manhattan office today at 347-434-2060.

Rhinoplasty or nose reshaping surgery

Finding Balance in Rhinoplasty

Rhinoplasty or nose reshaping surgery is one of the most performed plastic surgery procedures today. Enhancing the size, symmetry or appearance of the nose can offer dramatic results in terms of facial balance and proportion. Dr. Sherman has performed countless rhinoplasty procedures in more than 30 years of practice and is well-versed on what it takes to create natural and beautiful results to the central focal point of the face.

Facial Balance in Thirds

To evaluate the overall balance of the face, we divide the face into thirds. The top third consists of the forehead, brow and eyes. The middle of the face includes the area under the eyes, the cheekbones, and the nose. The lower third encompass the mouth, chin, and jawline.

To ensure an aesthetically pleasing balance to the face, all three of these portions need to be in proportion and alignment. Since the nose is at the center of the face, it tends to get the most attention when things don’t appear to be in perfect symmetry. While the nose is indeed often the culprit, adjustments to other areas of the face might affect the appearance of the nose as well.

Nasal Imperfections Affecting Balance

There are a number of concerns involving the nose that could throw off the overall proportions of the face:

  • A large bump or concaving in the bridge of the nose
  • A nose that is disproportionately long or wide
  • A drooping or bulbous nasal tip
  • An asymmetrical nose or uneven nostrils
  • A deviated septum that results in a crooked line to the nose

The good news is that any of these specific concerns can be effectively addressed using a rhinoplasty technique offered by Dr. Sherman. However, before nose surgery is undertaken, you need to discuss other potential facial imperfections that if corrected, could change the appearance of the nose as well.

Other Procedures to Consider

Some patients may think it is their nose that needs to be fixed when in fact it is another facial feature that is throwing their appearance out of proportion. The most common culprit in this scenario is the chin. When the chin is weak or recessed, it can make the nose appear even larger. For this reason, Dr. Sherman often performs a chin implant at the same time as rhinoplasty to ensure the proportion of the entire face in a single surgical procedure.

Another area that might be exaggerating the disproportion of the nose is the cheekbone. When the cheekbones lack definition, it can make a large nose look even larger. In these situations, Dr. Sherman may recommend the use of dermal fillers in the cheek areas or even under the eyes to smooth and add definition to that area while correcting the shape and size of the nose through surgery.

About the Procedure

Dr. Sherman usually performs rhinoplasty on an outpatient basis at his Manhattan office. The procedure may be done with local or general anesthesia, depending on the specific procedure to be performed and whether other procedures will be done at the same time. Dr. Sherman may perform rhinoplasty as a closed procedure, which means the incisions will be located inside the nasal passages. Some patients may require an open approach, which involves a small incision across the tissue that separates the two nostrils.

Because correction of the nose may be a complex procedure that involves other facial features as well, it is important to select a plastic surgeon that highly skilled and experienced in various aspects of facial surgery. Dr. Sherman performs all types of facial enhancement, ensuring his patients get just the procedure they need to achieve their aesthetic results. To learn more about your surgical options, contact Dr. Sherman at 347-434-2060.

Feel Comfortable in Your Own Skin

cosmetic rejuviation procedure patient
Spring may be here, but you wouldn’t know it by looking at your winter-worn skin. The harsh winter climate can take its toll on your complexion, resulting in dry skin, uneven texture and tone and other significant skin issues. If you are ready to brighten your look for the new season, Dr. Sherman has a number of options in reconstructive skin repair to rejuvenate your skin and refresh your appearance. With many choices to consider, you are sure to find the treatment that fits your needs and desired results perfectly.

Repairing the Damage

The skin is the largest organ of the body and one of the most vulnerable to damage. Sun exposure, cold temperatures and even the simple passage of time can leave their marks. Some of the damage you might see includes:

  • Fine lines and facial wrinkles
  • Dull, uneven skin tone
  • Hyperpigmentation, including brown spots, freckles and melasma
  • Shallow scarring from acne or chicken pox
  • Skin laxity

No matter what your skin concern might be, Dr. Sherman can help you address it using one of his safe and effective skin rejuvenation techniques.

Choices in Reconstructive Skin Repair

Dr. Sherman offers the following skin repair treatments at his Manhattan office:

Laser Peel – This procedure uses laser energy to remove outer layers of skin cells, revealing softer, smoother skin underneath. A laser peel can be customized to your specific needs, with deeper peels offering more dramatic, long-lasting results. Lighter peels can be used to refresh the complexion without discomfort or downtime. After discussing your concerns and cosmetic goals, Dr. Sherman will help you determine the best laser peel for you.


Chemical Peels
– Chemical peels offer the same exfoliating benefits of a laser peel, but use chemical solutions instead of laser technology to achieve their results. There are many different types of chemical peels available, which allow us to select the formulation that will work best with your specific skin type and condition. Chemical peels also come in a variety of depths, with lighter peels offering more superficial results without downtime and deeper peels providing dramatic results that can last for many years.

Injectable TreatmentsDermal fillers and Botox injections can be used to address specific signs of aging like facial creases and loss of facial volume. Botox is specifically designed to relax wrinkles on the upper portion of the face while dermal fillers are better suited to creases around the nose, mouth and chin. Some formulations are now smooth enough to provide youthful volume in areas like the cheeks, under the eyes and along the jawline as well, addressing mild facial laxity and creating a rejuvenated facial profile.


Scar Repair
– Dr. Sherman also provides scar repair for patients that are self-conscious about residual scarring from acne, chickenpox, injury and surgery. Different types of scars will require different treatment techniques to produce the best results. Dr. Sherman is experienced in a variety of techniques to help his patients achieve smoother, clearer skin.

Spring has arrived, but if you are not feeling the season due to dull, damaged winter skin, a rejuvenation procedure may be the solution. Contact Dr. Sherman’s office today at 347-434-2060 to find out which skin treatment is the right choice for you.

Best Candidates for a Facelift

Say Goodbye to Telltale Aging Signs

Best Candidates for a Facelift
No matter how many wrinkle creams we use or how careful we are about protecting our skin from the sun, the effects of aging are bound to catch up with us sometime. When that does happen, the good news is there are many effective ways to turn back the clock today. While non-surgical treatments can effectively catch those lines and wrinkles before they get to deep, some patients find that the only way to truly reverse the aging process is with plastic surgery. Introducing the facelift, a surgical solution that comes in different shapes and sizes so we can customize your surgery to your specific needs.

Explaining the Facelift

A facelift is a surgical procedure that removes sagging skin from the face, firming and toning the mid and lower face for a more youthful facial profile overall. This procedure has evolved considerably, now offering much more natural results than ever before. With a variety of techniques to choose from, you can rest assured Dr. Sherman can tailor your surgery to your specific concerns and desired outcome.

A facelift may be performed alone, but is often combined with other procedures to enhance the results in a single surgical session. Procedures frequently performed in conjunction with a facelift include eyelid surgery, a brow lift or a neck lift.

Best Candidates for a Facelift

Most of Dr. Sherman’s facelift patients are between the ages of 40 and 70. This procedure offers the best results for:

  • Non-smokers in relatively good health
  • Individuals with significant skin laxity and pronounced facial creases
  • Patients with signs of aging around the cheeks and mid-face
  • Those with skin laxity around the jawline, giving the appearance of jowls or a double chin
  • People with facial fat and tissue that has displaced, contributing to an aged appearance

Types of Facelift Procedures

Dr. Sherman offers two different techniques in facelifts. The proper technique for you will be determined by how much correction you need and other factors. Dr. Sherman will discuss your medical history, concerns and aesthetic goals to help you choose the best procedure for you. Options include:

Traditional Facelift

– This procedure is generally performed under IV sedation and local anesthesia to avoid the risks associated with general anesthesia. Most patients can have this surgery as an outpatient procedures, although there may be situations where an overnight in a hospital is preferred. Incisions for a traditional facelift typically run along the hairline and around the ears, with care taken to ensure all visible post-procedural scarring is minimal.

Through the incisions, Dr. Sherman removes excess skin and repositions the underlying muscles and tissue to ensure a natural result. As the skin is redraped over the face, facial creases are smoothed away and the facial profile becomes firmer and more youthful.

Short Scar Facelift

– This procedure is considered less invasive than a traditional facelift, featuring smaller scars and a shorter recovery period. The short scar facelift technique has been utilized by Dr. Sherman since 2000, so he has ample experience in this procedure. This is a good option for patients that require slightly less correction and do not want the scarring and extended recovery period of a traditional procedure. Short scar facelifts can be performed on an outpatient basis using anesthesia and IV sedation.

Incisions for a short scar facelift tend to be limited to the inside of the ear and the area behind the ear. In patients that require additional correction, Dr. Sherman may extend the scar to the side-burn area and behind the ear. Through the incisions, Dr. Sherman is able to remove sagging skin and firm up the entire facial profile.

What You can Expect after Surgery

After facelift surgery, you can expect to have some bruising and swelling around the incision sites. These side effects will resolve on their own with a few days to a week. Oral pain medication can be used to manage any post-operative discomfort for the first few days. Ice packs may also be recommended to limit swelling and bruising. You may be advised to sleep with your head in an elevated position to reduce swelling as well.

Most patients are back to regular activities within 2-3 weeks after a traditional facelift. A short scar procedure may get you back in action a bit sooner. The recovery time allows for healing of the area so that when you venture out into public, you don’t have the telltale signs that you had surgery performed.

Some patients wonder if they need a surgical facelift or if they can achieve satisfactory results with less invasive injectable treatments. A careful combination of dermal fillers and neuromodulators like Botox, known by some as a liquid facelift, can offer dramatic results with less discomfort and downtime than a surgical procedure. At the hands of an experienced plastic surgeon, these injections can smooth and firm the skin, while restoring youthful volume to areas like the cheeks, jawline and under the eyes.

While an injectable treatment might fit the bill with patients with earlier signs of aging, those with more pronounced skin laxity and facial creases will likely obtain better results with a surgical lift procedure. In addition, injectable treatments only last for a few months before touch-up procedures are required. A surgical lift may last as many as 10 years before age and gravity take their toll and require additional procedures.

Only you and your plastic surgeon can determine whether a surgical facelift is right for you. Your surgeon will take into consideration your overall health, medical history and other factors that could indicate surgery might not be the best option. If you determine that a surgical facelift is the best choice, your surgeon will advise you on the best procedure for you, based on the amount of correction you need and the results you are hoping to achieve.

When it comes to surgical facelifts, Dr. Sherman is one of the best in the Manhattan area to offer this procedure. To learn more or find out if a facelift is right for you, contact Dr. Sherman’s office today at 347-434-2060.

One Size Does Not Fit All: Facts About Breast Augmentation

Breast augmentation is one of the most performed plastic surgery procedures, due to its excellent results and high patient satisfaction rate. However, those results are dependent on a number of choices that must be made prior to the procedure, including implant size. When it comes to breast surgery, one size does not fit all. Choosing the right size for you will make all the difference in how happy you are with the outcome of your surgery.

One Size Does Not Fit All: Facts About Breast Augmentation

Making the Breast Augmentation Choice

Choosing breast augmentation is a highly personal decision that should be made between a woman and her plastic surgeon. This procedure can create curves and better proportion to the female body overall. Women that have breast augmentation surgery often find their clothing fits better after their procedure. They also often enjoy increased self-confidence in their appearance, which can trickle into every aspect of their lives.

Dr. Sherman sees many breast augmentation patients in their 20s and 30s at his 5th Avenue office. Some have never been completely satisfied with their curves, while others wish to reverse the toll childbirth and nursing have taken on their breasts. However, it is not uncommon for Dr. Sherman to perform breast augmentation on women in their 40s and even beyond in some cases.

Implant Options

There are three basic implant options to choose from today and each one comes in different shapes and sizes to customize to your unique body proportions:

Saline – Consisting of a silicone shell filled with a sterile saline solution, these implants require smaller incisions because they can be filled after they are placed in the breast tissue. However, these implants tends to have a higher rate of rippling and if they rupture, the change will become apparent on the outside of the breast almost immediately. These implants are not used often by Dr. Sherman, since there are other good options to choose from. However, patients between the ages of 18 and 21 may consider saline implants, since silicone and cohesive gel implants are not approved for patients younger than 22.

Silicone – Also crafted of a silicone shell, these implants are filled with a silicone substance that tends to look and feel closer to natural breast tissue. Silicone implants come in a variety of prefilled shapes and sizes to accommodate every patient’s body size and proportions. If these implants rupture, the result is less likely to be noticeable on the outside of the breast. For this reason, patients with silicone implants are advised to have regular MRIs to ensure the implant remains intact.

Cohesive Gel Implant – Known also as the “gummy bear” implant, these products have a similar texture to the gummy bear candies. The implants tend to be somewhat firmer and better able to hold their shape than traditional silicone implants. Cohesive gel implants were approved by the FDA for use in the U.S. in 2012. Dr. Sherman was one of the first plastic surgeons in the country to use the Allergan Natrelle 410 shaped gel implants, and is considered an expert in this type of implant today.

Choosing the Right Size for You

Choosing the size of your implants will be determined by a number of factors:

  • Current breast measurements
  • Breast base width
  • Frame size
  • Current height and weight
  • Chest and should width
  • The quality/elasticity of your skin
  • Your desired results

Implants are measured in cubic centimeters (cc’s) rather than cup size. This can be confusing for a woman that knows what cup size she is currently and what cup size she thinks she might like to be. However, Dr. Sherman can help you determine the best size implant for you based on your visualization of cup size. In addition, Dr. Sherman offers innovative technology that allows you to “try on” your new breast size before your surgery even begins.

“Trying On” Results

Dr. Sherman offers Crisalix 3D simulation that allows you to see what your results will look like before your surgery. The technology is available on his website and requires simply completing your profile, sending in three photos and requesting a consultation. The Crisalix application will turn your photos into 3D imaging that can be altered based on the procedure you choose. By actually visualizing what your breasts will look like prior to your procedure, you can have peace of mind in knowing you are making the best decision for you.

What is Profile?

In addition to size, implants come in a variety of profiles that indicate the amount of projection they will give the breast. Moderate profile offers minimal projection, while high profile offer ample fullness and projection. Moderate profile implants are often recommended for women with wider chests, although not all patients will be satisfied with the lower projection these implants offer. High profile are typically preferred by most of our patients and offer the advantages of superior lift and cleavage.

Placement Matters

A final choice you will be making prior to your breast augmentation surgery is the placement of the implants. Implants can be put above the pectoral muscle, just under the breast tissue. They can also be placed underneath the pectoral muscle. The choice of placement may also impact the size of the breast implants you choose. Dr. Sherman can help you take this factor into consideration, after recommending the best placement option for you.

Are You Ready for Breast Augmentation?

Breast augmentation is a major decision, since the implants can remain in the chest for many, many years. It is best to make good choices prior to your initial procedure to avoid potential revision surgeries to change the size or type of implant originally placed. Once you know you are ready for breast augmentation, you will need to work closely with Dr. Sherman to determine which implants will work the best to give you the results you want now and over the long-term.

If you are ready to move forward with your breast augmentation, the next step is to schedule your personal consultation with Dr. Sherman to discuss your options. Contact our Manhattan office today at 347-434-2060.

Get Ready for Summer with Lipo

With bathing suit season nearly right around the corner, now is the time to start thinking about getting that winter body summer ready. If small deposits of fat are getting in the way of your ideal body contour and your self-confidence, perhaps liposuction is the solution you need to get ready to greet the warm weather months in style. Dr. Sherman is uniquely qualified to perform your liposuction procedure in New York City, with the experience and expertise necessary to promise you the best possible results.

Get Ready for Summer with Lipo

What is Liposuction?

Liposuction is a surgical procedure that removes isolated areas of fat from nearly any area of the body. Commonly used on problem spots like the midsection, hips and thighs, the procedure also offers good results around the breasts, back, upper arms and even the neck. With a variety of liposuction techniques to choose from today, your body contouring procedure can be tailored to your unique needs and desired outcome.

Liposuction is generally recommended to patients that have achieved a healthy weight but have focal areas of fat that have not responded to their diet and exercise efforts. This procedure is not used for weight loss and will usually not be performed on patients that have a body mass index (BMI) that indicates the person is overweight or obese. Patients should also be in reasonably good health with proper expectations for their procedure and a willingness to adhere to a healthy lifestyle after surgery to ensure the results are long-lasting.

Liposuction Options

There are a number of different types of liposuction techniques Dr. Sherman offers:

Tumescent Liposuction This proven method of liposuction involves the injection of a liquid into the fat pocket that makes it easier to target the fat cells in the treatment area. In addition, the fluid has lidocaine and epinephrine in the mix to serve as an anesthetic and minimize bleeding during the procedure.

Ultrasonic Liposuction (UAL) This procedure uses ultrasound technology to emulsify fat cells in the treatment area, making them easier to remove. The technique offers excellent results for the patient with less trauma to the body and a shorter recovery time.

Power-Assisted Liposuction (PAL) PAL features a vibrating cannula that effectively loosens fat cells in the treatment area to make them easier to remove. Benefits of PAL include a more efficient procedure with smoother results overall.

The right liposuction procedure for you will depend on a number of factors, including the area to be treated, the amount of fat to remove and the desired results of the patient. Dr. Sherman will advise you on the best procedure for your needs before treatment, so you can properly prepare for your upcoming surgery.

What to Expect from the Procedure

Liposuction is usually performed on an outpatient basis at our office-based facility on 5th Avenue. The procedure may be done using local or general anesthesia, depending on the size of the treatment area and the preferences of the patient. The procedure may take anywhere from 30 minutes to two hours, depending on the area to be treated and the amount of fat to be removed.

Most patients are able to go home a few hours after liposuction is completed. Results will become evident as the treatment area heals and will be permanent as long as a healthy weight is maintained after surgery.

If you are looking for a way to greet the summer season with renewed confidence, perhaps liposuction is the right choice for you. To learn more about this procedure, contact Dr. Sherman’s Manhattan office today at 347-434-2060.

Schedule your consultation today

If you would like to meet with Dr. John Sherman to discuss your options, please contact our practice today. Dr. Sherman will be happy to answer your questions and talk with you about procedures that may be right for you.

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New York plastic surgeon John E. Sherman, MD, FACS offers breast augmentation, breast reduction, facelift, nose surgery (rhinoplasty), ear surgery (otoplasty), tummy tuck (abdominoplasty), and a wide range of other plastic surgery procedures and cosmetic treatments. Dr. Sherman treats patients in the New York area. Patients from other areas of the U.S. and throughout the world travel to New York for plastic surgery with Dr. Sherman. Photos of actual plastic surgery patients are available in the plastic surgery before and after photo gallery. Dr. Sherman is a top NY Breast Augmentation doctor on RealSelf.

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