Posted on July 31, 2009 in Breast, Gynecomastia
Gynecomastia is the medical term for enlargement of the male breast and is a common problem. During puberty it is normal for boys to have some breast development. This is usually limited and resolves within 10 to 18 months. A variety of things such as medications, hormonal imbalances and genetics can influence the continued growth of breast tissue. However, in the majority of cases there is no apparent cause for this growth.
Like in the female breast, the male breast contains a variable combination of glandular and fatty tissue. The distribution and quantity of this tissue will determine the type treatment necessary. A detailed evaluation is first performed to exclude the above mentioned causes and if a patient is near puberty several months of observation may be requested to see if the growth resolves. In those patients that require treatment, the options will include ultrasonic liposuction, surgical removal of the gland and or excess skin, or a combination of these procedures.
In those patients whose skin quality is good and have predominantly fatty or diffusely glandular breasts, ultrasonic liposuction can be curative. When there is a focally dense area of breast tissue behind the areola, direct surgical excision with a small incision in the lower half of the areola is the treatment of choice. If there is also a significant amount of skin then skin removal to shape and tighten the breast is required. The goal of treatment is to remove a sufficient amount of breast tissue to minimize pain and recurrence but yet allow for a normal postoperative breast appearance.
For more information on the treatment of Gynecomastia in New Jersey or any other cosmetic surgery procedure, please contact us at The Robert Zubowski, MD Center for Plastic & Reconstructive Surgery in Paramus New Jersey at 201.261.7550
Posted on July 27, 2009 in Office News
Since our plastic surgery center was featured on the Real Housewives of New Jersey, an interesting thing has happened: more people seem to be thinking about undergoing cosmetic surgery themselves!
A recent study by the American Society of Plastic Surgeons confirms the correlation between reality television and an increase in procedures. The study looked at more than 2000 college women and showed that when people watch cosmetic surgery on reality television, it creates a more favorable attitude towards this type of surgery and a decreased fear of the risks associated with it.
Part of the reason is that these shows increase the average American’s knowledge of the procedures available. And seeing the consultation and surgery right from your living room somehow decreases the fear of actually having those procedures yourself.
As a plastic surgeon who takes great pride in helping my patients improve the way they look and feel, I only caution you about one thing: the ultimate responsibility of helping patients understand both the possible risks and the rewards of cosmetic procedures needs to remain in the hands of your plastic surgeon, not television.
When Real Houswives Theresa Guidice decided to share her experience of breast enhancement on national television, we were happy to be a part of the segment and to educate the public. But Theresa’s health and well being remained our top priority.
For those of you familiar with the show, Theresa is doing very well and she is extremely pleased with her newly enhanced breasts. She’s recently launched her own line of clothing and accessories call TG Fabulicious. And she is expecting her fourth child in September. We wish her and her family all the best!
Posted on July 23, 2009 in Body, Tummy Tuck
Patients often come for consultation regarding fullness in their abdominal mid section. This can be a result of a previous pregnancy, age or fluctuations in weight. Through hormonal influence, these factors will control the amount and distribution of body fat as well as skin and connective tissue laxity of the abdomen. Diet and exercise can help provide contour to these areas but only to a point. If you decide to further improve your appearance in this regard there will be a variety of surgical options available to you.
Abdominoplasty, or Tummy Tuck, is designed to remove the lax skin and fat of the abdomen and tighten the weakened abdominal wall. There are a variety of modifications of this procedure which are adapted to the patients specific problems and concerns. Some patients may only need skin removal while others may need fat removal and tightening of the abdominal muscles. Still others may only require muscle tightening.
Patients who present for consultation will undergo a thorough history and physical examination and have a treatment course specifically designed to address their unique problems. It is not uncommon for patients to come into the office expecting, for example, to have liposuction only to discover that their lax skin will become more lax if it is not tightened with a tummy tuck.
My role as the Plastic Surgeon is to outline and explain the options with their advantages and disadvantages so patients are well informed regarding the procedure that is right for them.
For more information on Tummy Tuck in New Jersey, please contact us at The Robert Zubowski, MD Center for Plastic & Reconstructive Surgery at 201.261.7550
Posted on July 15, 2009 in Skin Care
If you are looking to improve your skin tone and texture and to decrease fine lines and wrinkles with no surgical downtime, then read more about our product of the month.
Introducing Journee by Neocutis. The most complete day cream for all skin types.
Fragrance free and non-comedogenic, Journee will help to minimize the signs of aging using a unique mixture of human growth factors to revitalize the skin and smooth fine lines and wrinkles. Protects from free radical damage with potent antioxidant blends of green tea extract and stabilized forms of vitamin C and E. Glycerin and sodium hyaluronate provide hydration to the skin. Microfine zinc oxide and octinoxate provide broad spectrum UVA/UVB sun protection (SPF30).
It’s our 1 minute summer skin saver!
For more information on our Skin Care Products and Minimally Invasive Rejuvenation Program please contact us at The Robert Zubowski MD Center for Plastic & Reconstructive Surgery. 201.261.7550
(image of skin care product, aligned right)
Posted on July 10, 2009 in Office News
While women are more likely to choose some form of cosmetic intervention, the idea is catching on with men. According to the American Society of Plastic Surgeons, the top five male cosmetic surgical procedures in 2008 were nose reshaping; eyelid surgery; liposuction; gynecomastia or male breast reduction surgery; and hair transplantation. At the Robert Zubowski MD Center for Plastic and Reconstructive Surgery in Paramus, NJ we’re seeing a somewhat different preference order. Here, the most popular elective procedure for our male patients is liposuction. Target areas are love handles, saddle bags, or excess abdominal skin caused by dramatic weight loss. Bariatric surgeons often refer their patients to New Jersey’s Robert Zubowski MD Center for Plastic and Reconstructive Surgery for post-surgical liposuction in this area once the patient’s weight loss has stabilized, as the final transformational step. Liposuction is an excellent option to sculpt, shape and tone the body, creating a harmony and balance in the trunk area that only a lucky few are born with.
The second most popular plastic surgery procedure for men at the Robert Zubowski MD Center for Plastic and Reconstructive Surgery in Paramus, NJ is gynecomastia. This surgery appeals to men of all ages with enlarged breasts, from teenagers, to seniors, who no longer want to suffer embarrassment and ridicule. Often, they go to great lengths to conceal their chest, foregoing beach parties or sports events, such as swimming, that requires them to go topless. Gynecomastia, is a very straightforward procedure, and when performed by a skilled board-certified plastic surgeon, can produce life changing results in terms of self-confidence and quality of life.
Finally, our male patients are requesting blepharoplasty or eyelid surgery. In today’s competitive dating and job markets men are catching on to the fact that the more desirable ageless appearance is easily obtained through eyelid surgery.
For more information on these and other procedures, please contact us at The Robert Zubowski MD Center for Plastic & Reconstructive Surgery in Paramus, New Jersey 201.261.7550
Posted on July 9, 2009 in Breast, Breast Implants
Over the past several weeks I have received numerous comments on my appearance on The Real Housewives of New Jersey and continue to be amazed at the number of people who have seen the episode. I am frequently asked what it was like to do the show and be with the housewives. I can honestly tell you that they were all very gracious and actually quite knowledgeable regarding breast augmentation. The consultation wasn’t nearly as hectic as it seemed and surgery went off without a hitch. Theresa was lovely and was one of our best patients. She went on to have a fabulous result and is immensely happy with her new breasts.
For more information on Breast Augmentation in New Jersey or Breast Implants in New Jersey please contact us at The Robert Zubowski MD Center for Plastic & Reconstructive Surgery at 201.261.7550
Posted on July 3, 2009 in Face, Rhinoplasty
Whether you chose to change something about your eyes, your breasts or your tummy, any plastic surgery can help you gain confidence and improve self esteem. But there’s one procedure above all the others, says Dr. Zubowski, that can truly have life-altering affects—and that’s rhinoplasty.
“The nose is the central part of the face,” explains the Cleveland Clinic-trained doctor who is also board certified in both plastic and general surgery. “If there are any deformities to it, people can become very self-conscious and that definitely impacts one’s life. I see it all the time in our ‘before’ and ‘after’ pictures. The ‘before’ picture oftentimes looks like a mug shot or a driver’s license photo. But in the ‘after’ photo, I usually see someone smiling and self confident. In that one photo, you can really see the change in self esteem. It’s a surgery that can very significantly influence one’s life.
“I take a lot of time with my patients discussing with them their expectations and showing them what the surgery will do,” continues Dr. Zubowski. “The nose can be a particularly tricky area to work on. Although a patient may be unhappy with it, it’s something that gives her an identity, so she doesn’t want it changed too drastically. In the past, I found that people would tear a picture out of a magazine and say they wanted this or that celebrity’s nose. But now my patients want their nose, only better. That’s the kind of medical success I strive to give all the people I operate on—artistic results that correct problems yet still look natural.”
For more information on Paramus New Jersey Rhinoplasty please contact us at The Robert Zubowski MD Center for Plastic & Reconstructive Surgery in Paramus, New Jersey at 201-261-7550.
Posted on July 2, 2009 in Eyelid Surgery, Face
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The goal of any surgical procedure, and especially that of eyelid surgery or Blepharoplasty, is to achieve a natural, well rested appearance without the stigmata of surgery. Sagging skin and wrinkles of the upper eyelid can give the appearance of fatigue and age well beyond one’s years. At The Robert Zubowski MD Center for Plastic & Reconstructive Surgery in Paramus, New Jersey, upper eyelid surgery can restore youthful volume and smooth contours that are so vital to a natural and youthful look. Under local anesthesia and sedation (or general anesthesia) an incision is made across the eyelid within the eyelid crease to remove excess skin and fat and improve youthful contour. Sutures are placed which are then removed within several days, leaving an incision which is practically undetectable.
Lower Eyelids
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The techniques for lower eyelid surgery are varied and today are tailored to the patient’s specific anatomical changes. We all age somewhat differently; some with excess fat deposits resulting in puffiness to the lower lids, some with skin redundancy and others with skin wrinkles or dark circles. Still others have a combination of the above.
Options for lower eyelid rejuvenation include removal or redistribution of fat deposits through concealed incisions within the eyelid, removal of skin redundancy by excising a small sliver of skin just below the eyelash margin, tightening lax muscle tissue and ironing out fine wrinkles with light laser or chemical peels. There are even non-surgical options for patients with minimal aging changes which include a combination of peels and fillers to tighten loose skin and fill tear trough depressions.
For more information on these and other Plastic Surgery procedures, please contact us at The Robert Zubowski MD Center for Plastic & Reconstructive Surgery of New Jersey 201-261-7550.
