Breast reduction surgery is one of the top five reconstructive procedures in the U.S. according to the American Society of Plastic Surgeons.It can have a dramatic effect on the lives of women who are embarrassed by the large size of their breasts as well as those who have physical discomfort because of them.
Like many plastic surgery options, the specific technique selected for breast reduction will depend on individual factors, but the most common method involves making incisions, and removing excess breast tissue, fat and skin through them. While it is impossible to perform a breast reduction safely without any residual scarring, at our office we are careful to help minimize scarring by making the smallest incisions possible and removing the majority of excess breast fat through liposuction.
Your breasts are too large in proportion to your body frame
You have back, neck or should pain caused by the weight of your breasts
One breast is larger than the other
You are embarrassed by the size of your breasts, and the attention they get
Your breast size restricts your ability to perform certain physical tasks and/or exercise
If you are considering breast reduction surgery, the first step is a detailed consultation. At our office, we will ask about your desired breast size as well as anything else about your breasts that you would like to be improved. We evaluate by taking measurements as well as photographs. The size and shape of our breasts, the quality of your skin, and the placement of the nipples and areolas are carefully evaluated before we determine the exact surgical procedure that will be used.
Breast reduction can be performed at any age but I usually recommend waiting until breast development has stopped.Childbirth and breast feeding can also have significant effects on the size and shape of breasts, so that is also something I routinely discuss with patients who may want to undergo the procedure before having children.If someone also plans on losing a significant amount of weight, I may recommend putting off breast reduction surgery until that weight goal is achieved since breasts sometimes become smaller with weight loss.
For all of you who have noticed that more women than men seem to be plagued by wrinkles around the mouth, we finally know why. And at the Robert Zubowski MD Center for Plastic and Reconstructive Surgery we’d like to share the information.
A recent study published in the November/December 2009 issue of the Aesthetic Surgery Journal reports that gender-specific differences in the skin that surrounds the mouth account for more and deeper skin wrinkling in females than males. The aim of the study, according to its lead author, was to obtain new insight into the observation that women wrinkle earlier and more severely than men. Understanding the reasons for these differences might lead to better ways to treat this common sign of aging in women.
The study found several factors contributing to this phenomenon: women’s perioral skin contains fewer sweat glands and fewer sebaceous glands (microscopic glands in the skin that secrete sebum, a substance that lubricates the skin) which could influence the natural filling of the skin. Women’s perioral skin also contains fewer blood vessels then men’s, which could accelerate the formation of wrinkles. And finally, in women, the closer attachment of the muscular fibers surrounding the orifice of the mouth to the skin may cause an inward traction promoting deeper wrinkles.
At Paramus, New Jersey’s Robert Zubowski MD Center for Plastic and Reconstructive Surgery, we’re continually investigating new treatments to combat the signs of aging, not only in women, but in men as well. Only when these treatments have a proven track record of efficacy will we introduce them into our northern New Jersey practice. Our current non-invasive procedures for these types of wrinkles include Botox ®, injectable facial fillers such as Restylane®, Radiesse®, Juvéderm™, as well as procedures such as dermabrasion, chemical peels, and laser skin resurfacing.
This article concentrates on probable results of microdermabrasion, how the treatment is performed, circumstances when microdermabrasion is not suitable for patients and after-effects of the procedure.
Same, effective, non invasive methods of improving skin health are hard to fine. But laser skin resurfacing manages to combine effective skin strength with a generally harmless procedure.
Laser hair removal can help a patient who has too much hair, or one who simply wants to get rid of their excess body hair. This article will discuss who is an ideal candidate for this procedure.
This article describes the differences between saline and silicone breast implants. It also explores the question of which type of implant is best and whether implants are safe. The issue of breastfeeding is covered.
Liposuction removes fat from your body. You should know what happens during liposuction, the risks, the alternatives, and the cost. It is particularly important to have a board-certified plastic surgeon. The best alternative to liposuction is accepting your body, eating right, and exercising.
A facelift may help a woman whose face looks prematurely old. A woman may also need to slow down the aging process as much as possible for professional or personal reasons. It’s important to have realistic expectations, and to understand the options about the different surgeries that can be done.
There is no question that there has been great progress in minimally invasive and non-surgical procedures to help you look younger. But if you’ve developed jowls and a double chin, and your face is lined with deep creases, the time may be right for a full facelift.
Non-surgical rejuvenation treatments certainly have an important role: they may help delay the time at which a facelift becomes appropriate.They may also complement the results of surgery at some point.But these treatments cannot achieve the same results as a facelift.
First: a caveat.A facelift is NOT right for everyone. The first and perhaps most important criteria is a realistic attitude.A facelift will not change your fundamental appearance, nor will it stop aging altogether, although techniques we’ve perfected may last more than a decade.
The ideal candidate for a facelift has good facial skin elasticity, is in good physical health, is psychologically stable and a non-smoker.
At the Robert Zubowski MD Center for Plastic and Reconstructive Surgery, a facelift is a highly individualized procedure.Essentially, it consists of lifting skin away from the fat and muscle underneath it.Excess fat is removed, and the tissue and skin is re-secured. For some people, a facelift may also involve a combination of procedures to help erase that double chin, for example, or eliminate the bags under your eyes.Every person is different, and we work with them – and computer programs -- to make sure that they know what to expect once they are fully healed.
We also take the time to help ensure that the facelift you are considering is being done for the right reason: for yourself – not to make a partner appreciate you more or to fit an idealized vision of what you should look like.
Getting a facelift will smooth out wrinkles, remove fine lines around your eyes, correct that saggy chin – results you will see in the mirror each day. If your facial features don’t reflect the energy and spirit you feel, a facelift may be the right move to turn back the hands of time and feel better about yourself.
A study published in the online edition of BMJ (British Medical Journal) supports what we’ve intuitively known for years--looking younger than your age has significant consequences.
At the Robert Zubowski MD Center for Plastic and Reconstructive Surgery in Paramus, NJ, we were especially interested in the research. Nearly 1,800 Danish twins participated with volunteers asked to guess the age of random photos of twins. Researchers following the twins for seven more years, concluded that perceived age seemed to be related to survival, with the younger looking twin living longer. Another finding: a connection between perceived age and physical and cognitive ability.
At the Robert Zubowski MD Center for Plastic and Reconstructive Surgery we believe that looking in the mirror and liking what you see goes a long way in building a healthier, happier, more productive life.
Many times patients arrive at our Paramus NJ center with the idea that they want to make an appearance improvement, but don’t know how to begin the transformation. Our practice coordinator, Ann Carbone, can make suggestions about which procedures can best address your concerns.
Then, during our consultation, I will lay out your options in detail. We’ll go over the pros and cons, any risks or complications, and what you can reasonably expect to accomplish. In addition, before leaving our Paramus NJ center, you will be invited to take a few minutes to watch an informative plastic surgery video.
Many times patients believe that looking younger involves facial features alone. While facial appearance is a major factor, we now have in our armamentarium a number of minimally invasive procedures capable of giving you a more youthful shape as well.
Helping to turn back the hands of time begins with scheduling a consultation. For your appointment, please contact Ann Carbone, our practice coordinator at 201-261-7550.
Laser resurfacing is a relatively new treatment for reducing facial wrinkles and skin irregularities, such as blemishes, acne scars, or skin discolorations.
The technique directs short, concentrated pulsating beams of light at irregular skin. Laser skin resurfacing removes skin very precisely, layer by layer. This popular procedure is known by several other names, including lasabrasion, laser peel or laser vaporization.
Are You A Candidate For Laser Resurfacing?
If you have fine lines or wrinkles around the eyes, mouth or on the forehead, scars from acne, or non-responsive skin after a facelift, then you may be a good candidate for laser skin resurfacing.
If you have active acne or if you have very dark skin, you may not be a candidate. This technique is also not recommended for stretch marks.
What Can You Expected During Laser Resurfacing?
Laser resurfacing is performed on an outpatient basis, using local anesthesia (pain relief at the site of the procedure) in combination with orally- or intravenously-administered sedative medications.
Wrinkles around the eyes, mouth or forehead may be treated individually, or a full-face lasabrasion may be performed.
A partial-face lasabrasion takes 30-45 minutes and the full-face treatment takes 1-1/2 to 2 hours.
For more information on this and other procedures, contact our office at 201-261-7550
Enhancing or maintaining a youthful appearance has always topped the list as one of our favorite new year’s resolutions. Just two weeks into the New Year, we have already received a record number of inquiries.
For those in their 30’s a 40’s, there seems to be a continued interest in smaller, less evasive plastic surgery procedures, which can often produce dramatic results.
If you are considering a procedure, and would like to feel more comfortable about what the results will be, The Robert Zubowski MD Center for Plastic and Reconstructive Surgery in Paramus, New Jersey, offers you an on-lineVirtual Makeover toolthat lets you see the results of the surgery – right from the comfort of your home.
Patients can simply come here to our website, upload their photo, choose any number of procedures and sample the results in seconds.
Patients can see, among other things, what they’ll look like with a facelift, a new nose or fuller lips. They can see before and after images side by side, and all in the privacy of their home. It’s very enlightening, and also a lot of fun. And it’s absolutely free.
If you like what you see, or have any questions, please do not hesitate to contact our office or plan for a thorough review of treatment options that are right for you. Happy New Year and here’s to the new you!
f you’ve blamed your ancestors for your facial wrinkles, think again. At New Jersey’s Robert Zubowski MD Center for Plastic and Reconstructive Surgery we’ve learned that chronic stress like divorce, or taking antidepressants, even weight change, can also promote aging. A study revealed this in Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons.
The study followed several identical twins who you would expect to age at the same rate. The research showed that a divorced twin looked two years older than his or her married, single or widowed sibling. Other contributors included the use of antidepressants and weight. In those twins less than 40 years old, the heavier twin was perceived to be older. Over 40, the heavier twin looked younger. Researchers noted that losing abnormal amounts of weight not only has unhealthy consequences, but promotes facial aging.
At the Robert Zubowski MD Center for Plastic and Reconstructive Surgery, we continually introduce programs to help you look your best. While regular facial massages from our expert massage therapists may not eliminate all your wrinkle producing stressors, it’s a good start. At our Paramus, NJ center we believe a good skincare program, supported by our medical grade skincare products, fosters a refreshed appearance. We also offer Botox®, and the most effective, longer lasting facial fillers for non-invasive facial rejuvenation. And, when surgery is the best solution to reverse your facial aging, we can provide you with a customized plan.
We hold regular complimentary Saturday breakfast seminars, where you can explore options. Pre-registration is essential since attendance is limited. To learn about how we can help you “turn back the hands of time” and for the date and time of our next seminar, please contact Ann Carbone, our Paramus, NJ Practice Coordinator at 201-261-7550.
The number of people having cosmetic plastic surgery has tripled since 1992, according to the American Society of Plastic Surgeons. Breast augmentation has increased 53 percent and liposuction 31 percent. Today, plastic surgery is not just for the rich and famous; increasingly it is seen as a common intervention to basically normal bodies.
And the average age of the patients continues to drop. The ASPS reports the average age of patients has dropped from 34 to 17. In 2008, 219,000 cosmetic procedures were performed on patients 13 to 19 years of age, and almost 39,000 were surgical procedures such as nose reshaping, breast lifts, breast augmentation, liposuction and tummy tucks.
More young people are having plastic surgery than ever. In a 2008 study commissioned by the American Society for Aesethic Plastic Surgery, men and women ages 18 to 24 had the highest approval rating for cosmetic surgery.
What used to be reserved for adults and cosmetic purposes, slowly creeped into the world of those under 18. It’s critical that we take extra care with younger patients considering procedures.
All teens still need to undergo a full consultation with a specialist to make sure they are in a good state of physical and mental health before they go under the knife. In some cases, the teen simply isn’t mature enough to handle the potential side effects and risks associated with the surgery, and may not have realistic goals about the outcome.
If you are interested in learning more, schedule a consultation by contacting Anne Carbone at the Robert Zubowski M.D. center for Plastic and Reconstructive Surgery, 201-261-7550
You may be among the scores of plastic surgery patients accustomed to compliments about your “ageless” countenance. If the acclaims have stopped and you’ve noticed facial sagging and a flabbier neck, maybe it’s time for a redo.
With improved surgical techniques, a properly performed facelift can last longer than a decade. At the Robert Zubowski MD Center for Plastic and Reconstructive Surgery in Paramus, NJ, we routinely perform primary and secondary facelifts.
Reasons for a do-over are as diverse as the personalities of the patients who request them. But at our Paramus, NJ Center, many of our patients cite two reasons most often. The first is obvious. Time marches on, and after years of enjoyment, age has caught up with the initial benefits of the procedure. The other reason is that the patient was never happy with the original results.
Some plastic surgeons perform the same procedure in the same manner on every patient, not taking into account the physical uniqueness of each face. Others may not properly evaluate the underlying musculature, working with it to provide a longer lasting result. And still others may simply tighten the face and thin the neck to give a less natural, “wind swept” look. With over 20 years of experience in plastic surgery and general surgery (we are board certified in both), we’ve developed an artistic eye that allows us to customize each patient’s facelift.
At the Robert Zubowski MD Center for Plastic and Reconstructive Surgery, we counsel patients that undergoing a facelift is not the final step in their facial rejuvenation. That’s why we include post-surgical lymphatic drainage massages in the procedure’s cost. Our skincare department can develop a home care program thoughtfully built around medical grade skincare products that will hasten your recovery and keep the compliments coming for years to come.
This week, democratic leaders in the Senate unveiled their proposal for overhauling the health care system, which included a new 5% tax on elective cosmetic procedures. Senate Democrats argue that the tax, which was a surprise addition to the sweeping 2,074-page bill, will generate $5.8 billion over the next 10 years to be put towards the bill's estimated $849 billion price tag. However, the American Society of Plastic Surgeons (ASPS) and the American Society for Aesthetic Plastic Surgery (ASAPS) oppose this tax as discriminatory, arbitrary and ineffective. What’s at stake? • This is a discriminatory tax. According to the Aesthetic Society Annual Statistics, 91% of all cosmetic procedures are requested by women • This will not have considerable consequences on the wealthiest patients but, as usual, affects the middle class. Working women, soccer moms, and scores of others who carefully save and budget to improve their appearance and self esteem will be penalized for doing so. • Procedures such as breast reduction that have been cited in the literature for improving self esteem and quality of life would be taxed as well • This provision places physicians in the role of tax collector and holds physicians liable should an individual fail or refuse to pay the tax. Is that the relationship you want with your medical provider? "Medical care should not be used as a tool to fix broken finances," said Dr. Robert Zubowski. "As doctors our first concern always needs to be patient health and safety." Please help us stop this silly and penetrative tax. To find your State Senator please click here: http://www.senate.gov/general/contact_information/senators_cfm.cfm We urge you to personally inform the government that you are against this tax – together we can fight for your right to no government interference in medical care and stop this discriminatory measure against women!
Brow lifts are becoming extremely popular procedures – especially among patients between the ages of 40 and 70. After all, those unwanted furrows and deep creases are among the first signs of aging – and for most people, erasing them can be a fairly simple procedure. Now – there may be a double benefit.
A new study in Plastic and Reconstructive Surgery®, the official medical journal of theThe American Society for Aesthetic Plastic Surgery (ASAPS), found that these procedures don’t only have a cosmetic purpose: they may also help cure migraine headaches, permanently.
The study was based on the concept that migraines are caused when a person’s trigeminal nerve branches are irritated. When the muscles around these branches are incapacitated, the headaches stop, which is why some patients find relief from the “freezing” effect ofBotoxtreatments, and could find permanent relief in an endoscopic forehead lift.
At our practice, brow lifts are performed while the patient is sedated with the help of local anesthesia.
The ultimate result is a dramatically more youthful, energized appearance. Brow lifts can be performed alone or in conjunction with other procedures like afaceliftoreyelid surgeryto provide total face rejuvenation.
Although most patients electing to have brow lift procedures are over 40, candidates may also include younger people who suffer form aging signs, such as drooping eyebrows. Typically, bandages from a conventional forehead lift may be removed within two days of surgery. Full recovery can be in as little as two weeks.
There are certain things you should find out before placing yourself in the hands of a plastic surgeon. We, at the Robert Zubowski MD Center for Plastic and Reconstructive Surgery, in Paramus, NJ, urge anyone considering aesthetic improvement to seek answers to the following questions:
Is your surgeon board certified in plastic surgery and how experienced is he?
Dr. Robert Zubowski holds board certification from the American Board of Plastic Surgery (ASPS), the only board recognized by the American Board of Medical Specialties (ABMS), to certify doctors in the specialty of plastic surgery. Dr. Robert Zubowski has been in practice for over 20 years, having received his training in plastic surgery at the world renowned Cleveland Clinic Foundation. He is also board certified in general surgery.
How thorough was your initial consultation?
Consultations at the Robert Zubowski MD Center for Plastic and Reconstructive Surgery are not constrained by the clock, but rather by how long it takes to present your options and answer all of your questions.
Where will your surgery be performed?
Dr. Zubowski has privileges at ValleyHospital in Ridgewood, NJ.However, most of his surgeries take place at Surgicenter, a fully accredited ambulatory care facility with overnight accommodations, located within the Robert Zubowski MD Center for Plastic and Reconstructive Surgery in Paramus, NJ.
What are the support staff’s credentials?
Dr. Zubowski has assembled a surgery unit team of experts, with whom he has worked for years. Specialists include a board certified anesthesiologist, registered nurse, and technicians dedicated to plastic surgery cases.
Do you have a good rapport with your plastic surgeon?
You can meet your surgeon and his entire team, and tour both the center and Surgicenter during one of our complimentary breakfast seminars.Please phone Ann Carbone, our practice manager, to pre-register and reserve a spot.
September 29, 2009 @ 08:16 AM — by Robert Zubowski
Patients considering facial cosmetic surgery can now experience a greater comfort level with their decision. The Robert Zubowski MD Center for Plastic and Reconstructive Surgery in Paramus, New Jersey, is pleased to introduce a new Virtual Makeover tool that lets you see the results of the surgery before you undergo the procedure.
In this economy, many people are looking for a competitive edge in the workplace, and looking better can go a long way. Yet, many patients are reluctant to go ahead with cosmetic surgery. They are not necessarily put off by the cost , but because they may be nervous about what they will look like after the surgery is complete. Our new virtual makeover tool takes care of that issue. Patients can simply go to our website,
upload their photo, choose any number of procedures and sample the results in seconds.
Patients can see, among other things, what they’ll look like with a facelift, a new nose or fuller lips. They can see before and after images side by side, and all in the privacy of their home. It’s very enlightening, and also a lot of fun. And it’s absolutely free.
If you like what you see, or have any questions, please do not hesitate to contact our office. The next step may be to learn more at our next complimentary aesthetic seminar September 26th, where you can visit our center, meet us and learn more about what we do to make sure you know what to expect.
September 22, 2009 @ 07:44 AM — by Robert Zubowski
While most respected plastic surgeons will tell you that a blepharoplasty, or cosmetic eyelid surgery, is the gold standard for eye rejuvenation, there are other non-surgical alternatives that, for some patients, provide impressive, long lasting results.
Patients at the Robert Zubowski MD Center for Plastic and Reconstructive Surgery often remark that signs of facial aging are first noticeable around their eyes. Typically, they notice skin becoming thinner and less elastic, descending brows, or perhaps receding or enlarged upper eyelids. Sometimes the bones around the eyes appear more prominent as well. For patients who are beginning to show these early signs but are not ready for eyelid surgery, or for patients who dismiss surgery altogether, injectable fillers and Botox® may be the answer.
At our Paramus, NJ center many of our patients elect to be treated for their aging eyes with certain hyaluronic acid (HA) fillers: Juvéderm® and Restylane®. They both work extremely well in the tear trough area, or hollow under the eyes. We’re also using Botox® to erase crow’s feet, smooth frown lines at the brow, and treat related facial lines.
We’ve been using HA fillers at our Paramus NJ center since 2005, soon after the first one received FDA approval. For an in-depth look at HA fillers as related to improving the look of aging eyes, there’s an interesting article in the August 2009 issue of the Aesthetic Surgery Journal.
Today at the Robert Zubowski MD Center for Plastic and Reconstructive Surgery we are providing total eye rejuvenation which can include a take-home treatment, Latisse®, to give luxurious thicker, longer and darker lashes.
All of the treatments can last up to nine months, and without any downtime or uncomfortable recuperation. They are wildly popular. For more information, or to schedule an appointment, please contact Ann Carbone, our practice manager.
For patients interested in tightening facial and abdominal skin without the discomfort and downtime associated with invasive plastic surgery procedures like facelift and tummy tuck, The Robert Zubowski MD Center for Plastic and Reconstructive Surgery in Paramus, New Jersey is pleased to introduce the new Sciton SkinTyte skin firming and tightening procedure.
This new revolutionary, non surgical skin tightening treatment that increases skin firmness - without invasive cosmetic surgery -- is now available at our office.
Sciton SkinTyte, thermally targets dermal regions in the skin, initiating the body's natural healing process and prompting the production of collagen. It's very effective for areas of the body where gravity and age have taken a toll and is most commonly used to treat loose, sagging skin on the abdomen, jowls and neck. With minimal down time and discomfort, this skin firming treatment is ideal for anyone seeking a less invasive (and more cost-effective) way to tighten loose skin along the neck, jaw line, and stomach.
SkinTyte not only activates collagen during the procedure but, as the body continues to heal, collagen continues to be produced and skin becomes progressively firmer.
If you are interested in learning more, please do not hesitate to contact our office.
Call it another legacy of the baby boomer generation. Cosmetic surgery is surging. People are lining up for laser surgery to make their skin look younger, Botox injections to eliminate crow's feet, breast enhancements and reductions for aesthetic and health reasons and liposuction to eliminate unwanted body mass.
The baby boomer generation is young at heart, more active and involved, and they want their faces and bodies to reflect this youthfulness. So they are undergoing plastic surgery in record numbers – for a variety of reasons.
A recent study by the American Society of Plastic Surgeons shows that many are turning to plastic surgery to gain a competitive advantage in the workplace. The most popular procedures are (relatively) low-cost, noninvasive and have the added benefit of reduced recovery times that won’t keep patients away from work so long that their jobs are on the line. Though the popularity of procedures varies by age, what follows are definitions for some of the most common cosmetic surgery treatments:
Botox The No. 1 noninvasive procedure for patients 30 and older, Botox is a botulinum toxin that is injected into wrinkles, lines and creases in the face or neck to reduce their appearance. The toxin works by blocking nerve impulses, temporarily paralyzing the muscles that cause wrinkles, to give the skin a smoother appearance.
Chemical Peel Phenol, trichloroacetic acid or alpha hydroxy acid is applied to the face to remove the skin’s damaged outer layers and smooth the uneven textures caused by blemishes, wrinkles and variances in pigmentation.
Laser Skin Resurfacing This treatment directs the light from a laser onto wrinkled, sun-damaged and stretch-marked skin to improve the skin’s appearance. Its use has shown the highest increase among noninvasive cosmetic procedures for men and women since 2005.
Hyaluronic Acid An injectable filler, hyaluronic acid products such as Restylane and Juvederm are used to soften skin folds and reduce wrinkles, smile lines and crow’s feet. The treatment lasts about six months.
Liposuction Although this is definitely invasive, it is the most popular surgical procedure for people ages 20 to 59. Liposuction, a.k.a. lipoplasty, is used to slim and reshape body areas by removing excess fat deposits.
Here in New Jersey at the Robert Zubowski, MD Center for Plastic and Reconstructive Surgery in Paramus we’ve noticed a growing trend. Maybe it’s prompted by your children’s back to school preparations, but in mothers of all ages, September seems to trigger an expression for self-improvement like enrolling in local college courses, joining a health club, or looking into physical improvement through aesthetic rejuvenation treatments. Many of us have decided it’s high time to do more than talk about what we would like to change about our face and/or body.
What people find beautiful about themselves, according to the American Society or Plastic Surgeons and the American Society for Aesthetic Plastic Surgery, changes with age. Their recent survey indicates that in their 20s, 30s, and 40s, people seek a fit, well proportioned body, while those in their 50s and 60s really want youthful skin. When considering which part of their body concerned them most, survey takers in their 30s named their abdomen/hips. And the most popular choice of 20-somethings, surprisingly, as well as those in their 40s, 50s and 60s, was the face.
At Paramus NJ’s Robert Zubowski, MD Center for Plastic and Reconstructive surgery, we offer patients numerous aesthetic options, ranging from non-invasive treatments such as Botox®, injectable fillers, and skin treatments, to more aggressive surgery procedures.
An easy way to begin your transformation is by calling the Robert Zubowski MD Center for Plastic and Reconstructive Surgery to learn when our next complimentary aesthetic seminar will take place. Our informal breakfast meetings will provide you with an opportunity to meet us, visit our center, and learn more about the protocols we have set in place to assure safe, effective aesthetic results. Since party season is only a few months away there’s no time like now to get started.
Dr. Robert Zubowski is a renowned plastic surgeon who has been addressing the cosmetic and reconstructive needs of women, men and children for more than 20 years. He completed his general surgery residency at New York Medical College and an additional residency at the prestigious Cleveland Clinic Foundation, He has served as an associate professor of Plastic Surgery at New York Medical College and as the plastic surgery specialty director of the Cleveland Clinic Foundation Alumni Association, where he is also an adjunct staff member. He is a former associate director of plastic surgery at Ridgewood’s The Valley Hospital and holds a Certificate of Advanced Education in Cosmetic Surgery from the American Board of Plastic Surgery.
Dr. Zubowski is also co-founder of the New Jersey chapter of Image Reborn, a non-profit support group for breast reconstruction patients and he works pro bono for Interplast, traveling to Third World countries to perform reconstructive surgeries for children born with birth defects.
Dr. Zubowski is a member of the American Society of Plastic Surgeons, the American Society for Plastic Surgery, the American Medical Association, and a Fellow of the American College of Surgeons. He has appeared as an expert on numerous news and talk shows including The View and Fox News, and was recently featured in a segment of The Real Housewives of New Jersey. He was also was voted Bergen County’s number one plastic surgeon by the Bergen Record.
More than one hundred thousand women undergo face lift, abdominoplasty, and breast reduction surgery each year. And while the temporary discomforts of a procedure have long been the price to pay for beauty, new cutting-edge technology, now available at our center, is changing all of that.
The new surgical device is called the PlasmaBlade. It not only causes less bleeding by 60 percent, but patients have fewer bruises and less discomfort. The Robert Zubowski MD Center for Plastic and Reconstructive Surgery is one of the few plastic surgery centers in New Jersey to use this innovative surgical device.
Our patients are experiencing less swelling and bruising than those patients who underwent a traditional facelift, abdominoplasty, and breast reduction — and better outcomes overall.
If anyone is interested in learning more about the PlasmaBlade, I would be happy to answer any of your questions, right here in the comment section of our blog.
Many people have told me through the years that “position is everything”. Nothing could be truer at the Robert Zubowski, MD Center for Plastic & Reconstructive Surgery in Paramus New Jersey. Part of the process to ensure the ideal operating environment for Dr. Zubowski is planning what postion patients will be placed in for their procedures. It is a common misconception that all surgeries are performed while patients are lying flat on the operating room table. In fact, although they start off that way, many patients are turned during surgery to various positions, ensuring Dr. Zubowski a perfect operating field. This may occur many times during the procedure. At the Robert Zubowski Center, we work as a closely bonded team that knows exactly what Dr. Zubowski needs to obtain the optimal results. This is done with strict attention to detail, ensuring patient safety. It is no small task.
If you would like more information on our anesthesia services at The Robert Zubowski, MD Center for Plastic & Reconstructive Surgery please contact us at jandeeanesthesiology.com/.
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.
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!
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.
Many of us approaching the prime of our life will eventually begin to reflect some of our life experiences on our skin in the way of wrinkles. While some of us where these lines as a kind of badge of honor many others wish to reduce or erase these signs of age.
As the skin of the face ages there are several things that take place which can accentuate wrinkles. We begin to loose fatty tissue and therefore volume in our face which tends to have a deflationary effect taking one from an appearance of youth, which typically has a more rounded facial appearance to an elongated or skeletonized look. This coupled with a generalized thinning of the dermal layer of skin and weakened elastic fibers contirbutes to wrinkling. The severity of any one of these processes will determine the most effective treatment or combination of treatments.
If there is significant soft tissue laxity and deflation then a Facelift may be the first course of treatment to remove this laxity and help restore volume which will begin to soften the wrinkles. This may then be followed by Skin Resurfacing with either a Laser or Chemical Peels to further iron out any remaining fine lines. To the extent that some of these lines persist, sof ttissue fillers such as Radiesse, Restylane or Juvaderm will often lend further improvment.
In patients who don’t have significant skin laxity, skin resurfacing combined with fillers and botox (to weaken the muscles pull on the skin) may be all that is necessary to achieve a succesful rejuvenation.
The best way to determine which treatment is right for you is to consult with a board certified plastic surgeon who will be able to help guide you through your options.
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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.
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 consultaion 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.
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.”
Our next seminar will be held on Saturday, September 26, 2009 at The Robert Zubowski, MD Center For Plastic Surgery located on One Sears Dr. Ste. 1 in Paramus, NJ.
If you would like to attend please call the office at (201)261-7550 as seating is limited.
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 smoothe 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
pre-op
post-op
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.
Over the past weeks, I have received a number of inquiries as to what it is like working with Dr. Zubowski in his New Jersey Plastic Surgery Practice. I can honestly say, Dr. Zubowski is one of the most exacting surgeons I have ever worked with as an anesthesiologist. He sets extremely high standards for himself and those that work with him. This results in all members of Jandee Anesthesiogly striving to maintain the highest caliber of anesthesia care with emphasis on eliminating the side effects commonly associated with anesthesia. Dr. Zubowski, more than anyone, pays close attention to the outcomes and experiences of his patients. This attention requires us to keep practicing at the very highest level. We constanly pay attention to the small details that impact our patients experience, as does he. As time goes on, I plan on discussing specific details in this forum.
New Jersey breast augmentation patients can now choose between saline or silicone implants. After careful consideration of your personal desires and of course a discussion with your surgeon, your decision will be easier than you think. Today, when given a choice, 9 out of 10 women worldwide, outside of the U.S. choose silicone gel filler.
It is important to know that both saline and silicone filled implants have an outer shell or cover made of silicone. Various types of silicone have been used for years in many other medical devices such as pacemakers, heart valves and artificial joints. Because silicone is used in so many life-saving medical devices, it has been extensively studied for decades.
Two key differences between saline filled and silicone filled implants are the material that fills the implant and the technique used to implant them during surgery.
Saline implants are filled with salt water which is naturally occurring in the human body. During surgery, the empty implant shell is placed in a carefully designed pocket under the breast area and then filled with saline solution to achieve the desired result. On the other hand, silicone filled implants are pre-filled before being placed and therefore their volume cannot be adjusted during surgery. Surgical adjustments are made by changing the size of the silicone implant.
Today there are more options than ever before for Breast Augmentation in New Jersey. Ultimately, it is up to each women, along with her surgeon, to decide what implant option will provide the most natural look and outcome desired. The key is to strive for natural looking enhancement.
At our New Jersey plastic and reconstructive surgery practice, Botox Cosmetic continues to be our most frequently requested minimally invasive procedure. Botox works by restricting muscle action, evoking a relaxation response when injected into a targeted muscle. Botox is extremely effective in soothing skin creases and wrinkles in the area requiring cosmetic intervention. Botox treatment carries no downtime, and over the three to six months post-treatment, patients realize even greater results. Since the effects are transitory Botox sessions are typically required no sooner than every three to six months.
We, at our New Jersey practice, like countless plastic surgery centers across the U.S. have discovered that Botox has many virtues with few minor side effects (transitory bruising and numbness at the injection site). Rarely, immunity to Botox’s advantageous effects can occur if used more frequently than prescribed. However, at the Robert Zubowski MD Center for Plastic and Reconstructive Surgery of New Jersey, none of our patients have experienced this problem. We credit these outcomes with out diligence in following recommended treatment guidelines.
In addition to cosmetic applications Botox is used to treat axillary hyperhidrosis( excessive sweating of the hands, feet, and/or under the arms), and drooping of the eyelids and corners of the mouth. In June 2009 the FDA approved Dysport (Reloxin), a cosmetic injectable alternative to Botox. It’s expected to be available this summer.
I have used Latisse for the past 4 months and I am excited to show you my fabulous results. I am so happy with my new, luscious and incredibly long lashes. I simply applied the product before going to bed - it was that easy. I began to notice results in 6 weeks and now have the eyelashes I always wanted without having to apply mascara. Try it, you’ll love it!
New Jersey breast augmentation for teens have accounted for an increasingly larger percentage of patients undergoing breast surgery in recent years. At the Robert Zubowski MD Center for Plastic & Reconstructive Surgery many teenagers seeking breast augmentation do so to correct breast asymmetry – a condition where one breast is larger than the other. Using adjustable implants, Dr. Zubowski can equalize the breast size and shape to improve appearance and minimize physical awkwardness.
Surgical reduction of very large breasts can eliminate back pain often associated with excessively large breasts and can help teens overcome both physical and psychological burdens associated with excessive breast size.
In order to achieve the best results with either of these procedures, Dr. Zubowski recommends that teens delay surgery until breast growth is complete. In this way, the long term results will be more stable with less possible need for revision.
The Real Housewives of New Jersey Plastic Surgeon Dr. Zubowski.
Take a sneek peek at next week’s episode of The Real Housewives of New Jersey when Teresa consults with Dr. Zubowski about her interest in breast augmentation.
You can radiate "bling" on your wedding day with a little help from the professionals at the Robert Zubowski, MD Center for Plastic and Reconstructive Surgery in New Jersey. In addition to all the proven surgical techniques our center also specializes in non-invasive and minimally invasive modalities. Best of all, they can take years off your true age, are easy on finances, and provide long-lasting results well beyond the honeymoon.
Schedule an appointment about a month prior to your event. Should your attendants want the royal treatment too bring them along. After a detailed evaluation Dr. Zubowski can customize a treatment plan.
If the goal is a brighter, healthier complexion our licensed aesthetician will perform a comprehensive analysis. Laser treatments can erase dark spots, smooth wrinkles and fine lines, decrease acne scars, improve texture, and more. Combination modalities, such as microdermabrasion and a chemical peel realize amazing results. Also, ask about a photofacial.
Many mothers of the happy couple (and grandmas, too) opt for laser hair removal, a miraculous no-fuss treatment that eliminates embarrassing facial hair. Oftentimes a liquid face lift may fit the bill. It consists of three to four vials of Radiesse to revolumize the cheeks and decrease nasolabial folds and marionette lines. Restylane and Juvederm also address nasolabial folds and marionette lines, as well as adding youthful fullness to age-related thinning lips. Then there's Botox, everyone's favorite no-downtime standby, treating crow's feet and frown lines. And speaking of Botox, have you heard about Latisse, a product created by the manufacturers of Botox? Apply it to your upper lashes daily and in eight weeks you'll have lush, longer, darker movie star eyelashes.
Finally, in preparation for the big day remember to schedule an appointment with our makeup expert who can recommend products and demonstrate application to complement your cosmetic work.
For more information on New Jersey Skin Care as well as other Mommy Makeovers and Bergen County Botox and fillers please contact us at The Robert Zubowski, MD Center for Plastic & Reconstructive Surgery.
Developed by Allergan, Natrelle is a collection that gives you the choice of either silicone gel-filled or saline-filled implants. According to the manufacturers, Natrelle offers the broadest range of safe and high-quality options for breast implantation. Schedule a consult now to discuss Natrelle with Dr. Zubowski!
We think you’re special and deserve to be treated that way. Join our complimentary VIP CLUB and we’ll prove it!
We believe our patient compliments deserve to be shared. In fact, you can do us a favor by reaping tangible rewards by alerting your friends and relatives to our years of experience in aesthetic cometic surgery.
Here’s how it works: Fill out a few of our VIP cards (obtain these from our office or print the one below) and pass them on to your aquaintances. When they hand us a card at their initial consultation, we’ll reward you with a $50 gift certificate, which can be applied to any of our procedures, services, or products. There’s no restrictions on how many patients you can refer. That means you can accumulate an unlimited number of certificates just by spreading the word about what we do best: help you achieve your aesthetic goals.
Now that’s the kind of membership program everyone can enjoy, so please don’t forget to take several VIP cards each time you stop by or print the card below.
For those patients interested in learning more about surgical and non-surgical alternatives, feel free to join us at one of our complimentary breakfast seminars to be held at our center on one of the following dates:
March 7, 2009 April 4, 2009 May 16, 2009 September 19, 2009 October 17, 2009
November 21, 2009
They will all start promptly at 10:30am. If you or someone you know are interested in attending, please call the office at 201-261-7550 to reserve a seat as seating is limited. Hope to see you there!
Patients are more apprehensive about experiencing nausea and vomiting after surgery and anesthesia than any other side effect, even pain. At the Robert Zubowski Center, our efforts are directed at minimizing, and even eliminating, nausea and vomiting for all of our surgical patients.
Minimizing these and other side effects commonly associated with surgery and anesthesia is complex and begins the moment patients are scheduled for surgery. All of our patients are treated as "high risk" for developing nausea and vomiting. Our anesthesia techniques are highly specialized and have been developed specifically to minimize nausea and vomiting in our patients. Medications are continuously infused to our patients throughout surgery for this purpose. Although expensive and labor intensive, all of our "board certified" anesthesia staff feel strongly that patient comfort is of the utmost importance and perform these techniques. The medications used are highly specific and chosen based on the individual patient and procedure being performed.
In the unlikely event nausea develops after surgery, a member of the nursing staff is always present and ready to treat our patients.
"Your incredible staff is a testimonial to the phenomenal respect and appreciation you must have for the contributions they make to the Zubowski Center. Having worked all of my life for many bosses, I know that harmony in an office does not occur by chance. As great as you are a surgeon, your personnel provides all of the finishing touches that make your office so different."
"Thank you so much for your excellent care. The procedure was stress free thanks to all of you. I have recommended your office to many of my friends."
"Thank you all for being so kind, thoughtful, caring, and warm. I appreciate all of your help. Thank you very much."
"Thank you so much for your professionalism and care. My SmartLipo session was, if you can believe it, an interesting and comforting experience. The results are more than I expected. You are truly gifted by God. Your staff members are a caring and friendly group of people. You have a patient in me for life. I will refer patients to you whenever possible. Thank you, also, for the beautiful plant. May you and your practice be continually blessed."
"I just wanted to say a big THANK YOU for the amazing job you did on my surgery. I am so happy with the results. You've completely changed my life! And thank you for the flowers. They help brighten my everyday. Again, thank you, thank you, thank you!"
"Thank you for a very gratifying experience. Your expertise and caring was extremely reassuring. Thank you for the precious plant arrangement. It was a pleasure to meet all of you."
"Thank you for being such a wonderful doctor and person. From the moment I met you, I saw understanding and caring in your eyes. Thank you for taking such good care of me during my surgery. It was an important surgery to me both physically and psychologically and you treated both with a plethora of knowledge and understanding. Thank you for your expertise, skill, and for all you did to make my surgery so successful."
"I just want to say that everyone working for Dr. Zubowski is wonderful and so caring. Thank you so much for taking such great care of me!!"
"With the amazing skills and talent that Dr. Zubowski possesses, he has changed my life in the most positive way imaginable. There are not enough words of gratitude that I can express to you. Thank you so much for making my life happier than I ever thought possible."
If, after years of disciplined dieting and exercise, you realize that your body could still use some improvement, it may be time for SmartlipoTM."It is a revolutionary minimally invasive laser liposuction tool that shapes and contours by melting localized smaller areas of fat without the need for suction, as with traditional liposuction, while also firming droopy skin. SmartlipoTM is not meant to take the place of Vaser® liposuction or tumescent liposuction, which Dr. Zubowski also performs. Rather, it is ideally suited to vaporize smaller stubborn or hard to reach areas of fatty pockets and can be used as a stand alone technique or as an adjunct to traditional liposuction when larger areas require treatment.
According to American Health and Beauty magazine, since its recent introduction SmartlipoTM rapidly rose to become the most popular new aesthetic procedure of 2007-and for many good reasons. First, it allows slender people with body shape issues who previously could not have liposuction, to now be appropriate candidates. Second, it is accomplished using local anesthesia rather than general anesthesia which is required for traditional liposuction. Third, since the laser coagulates small blood vessels as it very gently and precisely moves along there's less bruising and swelling, thus typically resulting in a more rapid healing and recovery time. Fourth, SmartlipoTM simultaneously firms collagen to produce tighter, more youthful skin. Over the course of several post-treatment months SmartlipoTM continues to stimulate this new collagen growth, an essential building block of a youthful appearance. And finally, since this technique relies upon a small cannula whose tiny fiberoptic tip can easily be inserted under the skin to introduce the laser, any post-treatment scars are nearly imperceptible. Another plus: most patients report experiencing little or no after pain, and any discomfort can often be managed with Tylenol.
"We're getting excellent results from SmartlipoTM on specific areas of the face such as the chin, as well as the neck, underarms, saddlebags, inner and outer thighs, and the abdomen," explains Dr. Zubowski.
Patients who have facial areas treated with SmartlipoTM, will be sent home wearing a chin and neck support which can be discarded after one week. A compression garment should be worn for three weeks following treatment of body areas.
Weddings bring out the best in us, and while the spotlight rightfully shines on the nuptial couple, why shouldn't their mothers share it too? "We've created Mothers of the Bride and Groom Makeovers for the mature woman who needs facial rejuvenation that is commensurate with the signs of aging specific to her," explains Dr. Zubowski, "today we have an entire armamentarium at our disposal. We may suggest an aggressive surgical approach to treat the advanced signs of aging, or wherever possible, recommend non-invasive methods for patients who require less dramatic but impressive results."The aggressive makeover may include a combination of surgeries, such as a facelift, blepharoplasty, and/or browlift, depending upon the patient's problem areas. "Often a woman in her late 40's or 50's may notice jowls for the first time or a `turkey neck.'" A facelift corrects the jawline, the so-called `turkey neck', and the marionette lines. Dr. Zubowski stakes his reputation on achieving natural looking results that don't announce surgical intervention.
Many women who require a facelift need a blepharoplasty as well to put the face in harmonious balance. While some require both an upper and lower blepharoplasty, others may only need one. Cosmetic eyelid surgery is often the treatment of choice for those who are continually told they look tired or weary. An upper lid blepharoplasty corrects the hooding of the upper lids. "It is one of the most straight-forward of all facial cosmetic surgery procedures," notes Dr. Zubowski. Patients who appear to have dark circles under their eyes often can correct them through a lower blepharoplasty. Here a small incision is made behind the lower lashes to remove prominent pillows of fat, and if a hollow is underneath the bulging fat, it can be filled at the same time. A forehead lift or browlift is used to restore the area above the eyes. The forehead is smoothed and the eyebrows are raised to recreate a more youthful appearance.
For those individuals who are not quite ready for surgery, or can't spare the post-operative recovery time, there's always BotoxTM. "Our non-surgical minimal-downtime makeover includes its use, as well as the latest dermal fillers including Restylane®, RadiesseTM and JuvédermTM, depending on what the patient would like to accomplish," he adds. The non-surgical makeover also includes a professional facial performed by our licensed aesthetician, and a lymphatic facial massage performed by our licensed masseuse.
All of the procedures are accomplished in Dr. Zubowski's state-of-the-art center, SurgiCenter, a fully accredited outpatient surgery suite.
To make sure you'll be ready to put your best face forward on your children's wedding day, either of these makeovers ideally should be scheduled about three months leading up to the big day.
Botox®, a purified protein that binds to a muscle's nerve endings, causes a relaxation response to soften wrinkles. This injectable continues to enjoy enormous popularity as a temporary solution to the early signs of facial aging. "We've been using it since it was first approved by the FDA for cosmetic purposes," says Robert Zubowski, MD.
Botox can soften forehead lines, frown lines, and do something that surgery alone can not accomplish: erase crow's feet. "The procedure takes just a few minutes in the office, is relatively painless, and for three to six months afterwards, patients will enjoy its results." Botox injections may be safely repeated indefinitely.
At The Robert Zubowski M.D. Center for Plastic and Reconstructive Surgery Botox is acquired from the highly reputable proprietary manufacturer, Allergan. Prior to undergoing any medical procedures, especially Botox, Dr. Zubowski recommends that patients verify both the credentials and the reputation of the administering physician. "It makes sense to get a referral from someone whose opinion you trust before you schedule a Botox session. We can achieve significant improvement, even for deep wrinkles. However, on occasion, some of these wrinkles may still be present." Dr. Zubowski may then suggest another kind of injectable called a filler to alleviate any residual crease.
Radiesse® is a safe, FDA-approved dermal filler that restores a natural, long lasting, youthful look by restoring facial volume as well as correcting smile lines, nasolabial folds and wrinkles around the nose and mouth. It is made of unique calcium-based microspheres suspended in a natural gel that is injected into the skin through a simple, safe, and minimally invasive procedure. The results are immediate and may last a year or more in many patients. No pre-testing is necessary and a single in-office session may accomplish the patient's goals.
Sometimes a combination of non-invasive treatments can significantly and quickly rejuvenate an aging face. Botox and a filler, such as Radiesse®, Restylane®, Juvederm, or collagen, followed by either a microdermabrasion session, a glycolic peel, or a photofacial treatment can manage minimal age related facial changes and postpone surgery for some individuals.
Sagging breasts that have lost as much as a cup size, and a tummy too obvious for tucked shirts are common complaints of young mothers. Dr. Zubowski notes that the two problem areas for young women of childbearing age are the breasts and tummy. "Pregnancy and child-bearing exact an aesthetic toll. People mistakenly believe that because of pregnancy and nursing the size of the breasts increase, but for many women, the opposite is true. In addition, abdominal muscles stressed and stretched during pregnancy produce the paunch-like look that causes women much emotional distress."
Some patients, seeking to regain the breast fullness they had pre-baby, want to improve upon nature, increasing their cup size further. Other patients may require a breast lift as well for more youthful breasts. During your tummy tuck, Dr. Zubowski will repair the separated muscles, remove any excess belly fat, and if needed perform liposuction at the hips and/or waist for better contouring.
A Mommy Makeover holds several advantages for the appropriate candidate. There is only one surgery session, one recovery period, one downtime-about two weeks--and a single operating room fee.
Surgery is performed in our on site fully accredited facility "SurgiCenter". Within the center is an equally impressive recovery center where you will remain post-operatively, while under the watchful eyes of a registered nurse who is specially trained in caring for plastic surgery patients. Once back home a registered nurse will visit you to answer any questions or concerns and check on your incisions. Within a week of your surgery you will receive the first of three lymphatic massages, designed to reduce swelling and promote faster healing. "We do everything we can to make your entire experience a good one that is not only comfortable, with the least amount of stress, but also lives up to your surgical expectations," he says.
What do you see when you look in a full length mirror? Most people, especially women, can point out more than a few facial or body "flaws."
For the past 13 years Dr. Robert Zubowski has been helping people to enhance and improve their aesthetic appeal. "Most people have some knowledge of what plastic surgery can accomplish for them. However, not until we sit down to discuss their options can they really grasp its strengths and limitations. You need both an open mind and realistic expectations." According to Dr. Zubowski perfection is a relative term: realistic expectations plus the surgeon's skill is the equation for a successful outcome.
Computer imaging is one tool the center uses to give patients a better idea of what their surgery can do. "We use it for a facelift, blepharoplasty, rhinoplasty, browlift, chin and cheek augmentations, and skin resurfacing," he explains. Patients are encouraged to study their image and discuss it with family members.
Many patients decide to have plastic surgery in preparation for a special event such as a class or family reunion, a wedding, or a job interview. Dr. Zubowski suggests having the surgery at least eight weeks prior to the big event. At his center, surgeries have a wait time of about three weeks. "Some procedures take another three weeks to heal, so it's smart to plan."
Patient education is a major focus at Dr. Zubowski's center. When patients phone for a consultation brochures will be mailed to them. On the day of their appointment and just prior to the consultation they will be invited to watch a videotape about their procedure. "The extreme makeovers we see on TV are great, but plastic surgery is just one major contributing factor to the entire makeover." In addition to cosmetic surgery, dental work is often done, a hairstylist and makeup artist are brought in, and an intensive diet and exercise program is followed for several months.
"We can create a more youthful you," he says. "Most people don't have the time to commit to an extreme makeover." Plastic surgery, depending upon the procedures chosen, usually requires recuperative downtime of anywhere from a few days to three weeks.
In his experience, most patients have exaggerated ideas of the pain associated with their surgery. "Their pain is usually not as problematic as they anticipated," he says.
Even the bravest of us experiences surgical related trepidation. That's why it's important to put yourself in the hands of a plastic surgeon that is both skillful and understanding. "Fear is, in large part, related to the unknown," says Robert Zubowski, MD. "Fear rises from the perception rather than the reality. That's the major reason why we hold our complimentary monthly cosmetic surgery seminars."
In Dr. Zubowski's experience even the most fearful patients do extremely well in one-on-one situations. "Individuals at the seminars can be as anonymous as they choose while learning surgical details." Another option: dial up the center's coordinator, who will be glad to address any of your questions or surgical concerns. "The more questions you ask the people who will be responsible for providing your care, the more comfortable and less fearful you'll become," says Dr. Zubowski.
Request a tour of the surgical facility and meet the people who will be taking care of you. "We encourage potential patients to drop by because we're proud of our state-of-the-art center" he says. Prior to its opening, Dr. Zubowski practiced elsewhere in Paramus for over a dozen years.
"A large part of feeling comfortable is being familiar with your surroundings and the people who will be taking care of you," he says. "My hand-picked team, whom I've worked with for years, are all truly empathetic professionals who will do all they can to make you feel comfortable and secure."
Finally, Dr. Zubowski encourages all potential cosmetic surgery candidates to speak to other patients for a real perspective of what to expect. "We have a large roster of volunteers. Many of my patients enjoy sharing their experiences. No matter how brave you may be, nervousness before surgery is to be expected."
But helping the patient stay calm doesn't end with the surgery. "We send an experienced plastic surgery nurse to your home to change your dressing." This service is included for facelift, tummy tuck and body lift patients. "We've discovered that the post-surgical patient is less anxious if our nurse makes house calls and that's why we also offer in-home care for other procedures as an option."
On the day of your surgery Dr. Zubowski, his board-certified anesthesiologist, and other members of his staff will be there to guide you through the process so that you won't feel like you are "floating." Says Dr. Zubowski, "Once they see the results, what I hear most often from my patients is `why did I wait so long?'".
Cosmetic surgery has gone main stream. Just review the latest statistics from the American Society of Plastic Surgeons (ASPC). Over 10.2 million cosmetic surgery procedures were performed in the U.S. last year, an increase of 11 percent over the previous year. Reconstructive plastic surgeries also yielded impressive numbers, coming in at more than 5.4 million in 2005.
“The obvious popularity of cosmetic surgery only emphasizes the fact that patients need to be educated before they commit to a procedure,” says Robert Zubowski, MD.
While general surgeons, dermatologists, and other physicians, even gynecologists, are performing aesthetic procedures, Dr. Zubowski cautions that, as with all medically related issues, using a true specialist makes absolute sense. In the case of cosmetic surgeries he stresses the importance of seeking a board-certified plastic surgeon with advanced training in aesthetics. Dr. Zubowski, fellowship trained in plastic and reconstructive surgery at the prestigious Cleveland Clinic, is continuously cited as a “Top Doc” by various rating organizations. He also advises patients to thoroughly check the credentials of their prospective surgeon. “During your initial consultation you should inquire about your surgeon’s educational background,” he says. You can also obtain additional information by looking him up on the AMA Physician Finder Website.
Being completely comfortable and familiar with the procedure you are contemplating goes a long way in building a rewarding doctor-patient relationship. Asking your physician to communicate what he feels he can achieve for you is a basic consideration that should be discussed during the initial consultation. At The Robert Zubowski MD Center, surgery candidates are mailed a packet of informative brochures pertinent to the contemplated procedure, so that on the consultation day the patient is better prepared to discuss it with the doctor and/or members of his medical team. Another helpful medical information site is located at (www.kosmix.com). Information from your surgeon, his brochures and reliable website sources will help you avoid unwanted surprises on the day of your surgery.
During the consultation it is also important to find out where your surgery will take place. For safety’s sake you deserve to have it performed in a fully accredited facility such as SurgiCenter, which carries AAAASF and Medicare accreditation.
It’s also essential that you inquire about who will be in the surgery room assisting your surgeon, and the type of anesthetic to be administered. Dr. Zubowski has assembled a team of specialists who only handle plastic surgery cases. He works with the same board-certified anesthesiologists that he has for years. Experience tells. Surgeon and anesthesiologist, along with tenured specially trained nurses and operating room technicians, create a symbiotic environment that is both beneficial and safe for the patient.
If you are considering a breast augmentation you’re not alone. According to the American Society of Plastic Surgeons 254,140 women opted for breast augmentations in 2003. Since many continue to say they don’t like the shape and/or size of their breasts, those numbers may increase in the future. “While most breast augmentation patients want to be larger, all of them want natural looking breasts,” says Robert Zubowski, MD, medical director of The Robert Zubowski M.D. Center for Plastic and Reconstructive Surgery in Paramus. Dr. Zubowski specializes in breast surgeries, facial rejuvenation surgery, and body contouring.
Having breasts that are in proportion to his patients’ body is an overriding concern, especially for the mature, usually more conservative woman, he says.“If she’s an A cup and wants to be a D, it’s my obligation to let her know that such a significant change in size may not be realistic.”
While Dr. Zubowski uses computer imaging, he believes an even better way to make a visual impression on the patient is through studying “before” and “after” photos of similar pre-surgery size breast patients who have undergone breast augmentations. “Seeing the comparative change often helps patients to make a proper size decision,” he says.
Other surgery decisions to be discussed with your surgeon include where the incision should be made. Dr. Zubowski’s surgical approach is to make an incision either in the fold of the breast, the areola, or in the under arm area. “My patients equally request that the incision be made in the areola or in the breast fold,” he says. “These sites give the most direct access and precise route to place the implant.” The areola is probably the best choice for patients who may also require a mastopexy or breast lift.
Women seeking a primary augmentation must have a saline implant but that may change within the next few years to include silicone material as well. As to shape, Dr. Zubowski most always uses an implant that is smooth and round as opposed to tear-shaped and textured. “The smooth, round implant doesn’t adhere to the skin and sits in its pocket, providing a more natural look,” he explains.
As part of the surgery Dr. Zubowski uses an implant sizer, a tool he’s been relying upon for years to help insure higher patient satisfaction. This disposable implant allows the surgeon to get a good idea of what the breast will look like once the permanent implant is placed. “It allows us to compare our results with the “after” picture that the patient approved. If it compares favorably, we can then proceed. If not, we’ll try another sizer.” The ultimate implant size, however, is based on the amount of breast tissue the patient has, her skin condition, and width of her pre-surgery breasts.
For more information on breast augmentation, other cosmetic rejuvenation procedures, or to schedule a consultation, please contact Ann Carbone, the center’s practice manager, at 201-261-7550.
Sciton SkinTyte
Call it another legacy of the baby boomer generation. Cosmetic surgery is surging. People are lining up for laser surgery to make their skin look younger, 
Here in New Jersey at the 
New Jersey breast augmentation 
