Posted on November 16, 2011 in Botox, Dr. Zubowski, Non Surgical Procedures
As an injectible, Botox®, has helped turn many a plastic surgery skeptic into a proponent. In my opinion, Botox® bears a lot of the credit for calling attention to how, with little fuss and minimal time spent in offices like the Robert Zubowski MD Center for Plastic and Reconstructive Surgery in Paramus, NJ, anyone can avail themselves of safe, effective anti-aging medical technology. Today, many folks who might not consider plastic surgery or are not quite ready for an invasive procedure, yet wish to realize some visual transformation, are choosing Botox® and other facial injectible fillers such as Radiesse®, Restyalene®, and Juvéderm®.
The next generation of cosmetic interventions could revolutionize our field, while reaching many people, who, for a variety of reasons, have refrained from trying aesthetic procedures altogether. One new product, for example, a needleless, topical botulinum toxin type-A wrinkle gel is now undergoing clinical trials with the ultimate goal of being approved by the U.S. Food and Drug Administration (FDA), to treat wrinkles at the corners of the eyes, commonly known as crow’s feet.
According to the American Society of Plastic Surgeons (ASPS), an initial study examined 270 patients with moderate to severe wrinkling around the eyes. The study concluded that the new botulinum toxin gel worked to improve crow’s feet for 89 percent of the study participants. If approved, the drug would be administered only in doctors’ offices.
As with all new protocols, this latest tool against facial aging would only be introduced into our practice at the Robert Zubowski MD Center for Plastic and Reconstructive Surgery after having been carefully evaluated by us for its safety and efficacy. However, it seems to hold promise.
In the meantime, for more information on the numerous ways to help you realize your cosmetic enhancement goals, please contact Ann Carbone, our Practice Manager.
Posted on March 21, 2011 in Body, Botox, Breast, Breast Implants, Breast Reduction, Brow Lift, Dr. Zubowski, Eyelid Surgery, Face, Facelift, Fat Injections, Gynecomastia, Rhinoplasty
Oftentimes people suffer the worst situations but use them to make a change that positively impacts on their self-esteem, giving them the confidence to start over. No example could be stronger than the patients who arrive at my office with a heavy heart because of a failed marriage, a dissolved business partnership, getting a pink slip, or losing a loved one. Instead of dwelling on their misfortunes, they choose to give themselves a fresh start that will improve their looks—and their outlook. The first step? A consultation at the Robert Zubowski MD Center for Plastic and Reconstructive Surgery, in Paramus, NJ.
These patients don’t want a timid makeover. Some have thought about cosmetic enhancement for years without moving forward.
A number of my female Breakup Makeover patients typically request breast surgery. Depending upon what they don’t like about their breasts, they may choose breast augmentation surgery, a breast reduction, and/or a breast lift (mastopexy).
More mature men and women want to see significant facial improvement, and request a traditional facelift which addresses the mid-face and neck regions. Combined with eyelid surgery (blepharoplasty) and perhaps a touch of Botox® in the forehead area and at the corners of the eyes, these procedures can erase 10 to 15 years from one’s face.
Finally, at the Robert Zubowski MD Center for Plastic and Reconstructive Surgery, many of these “fresh start” individuals want to have movie star bodies. Fortunately, today, using the latest liposuction techniques in a cautious, safe and skilled manner, we can give them the well-proportioned physique that dieting and exercise, no matter how stringently followed, can’t achieve.
For more information on how we can custom design your Breakup Makeover to lighten your step—and your heart–please contact Ann Carbone, our Practice Administrator. I’m certain that you will find her most helpful in guiding you.
Posted on March 1, 2011 in Botox, Face, Facelift, Latest News, Liposuction, Non Surgical Procedures
I often see attractive, mature people wearing turtlenecks. Some take this fashion statement to the extreme wearing sleeveless ones in summer. Are they hiding an unsightly neck which is too heavy, has fat pockets, and/or banding, some of the more unbecoming signs of aging. Fortunately, many such individuals decide to explore cosmetic surgery options so that they can improve their self-esteem–and expand their wardrobes.
The ideal solution for a sagging neck is a full facelift, which includes tightening the neck muscles, or a lower facelift. Truth be told, the neck is the most difficult part of a facelift. That’s why it’s important to choose your surgeon wisely. At the Robert Zubowski MD Center for Plastic and Reconstructive Surgery, we routinely perform these surgeries and we encourage you to review pictures of our results. After practicing as a board-certified plastic surgeon for more than 25 years, I’ve amassed quite a collection that catalogues our typical results.
Thanks to progress in plastic surgery techniques and products, depending on how the neck presents, there may be other options. At the Robert Zubowski MD Center for Plastic and Reconstructive Surgery we are continually exploring and investigating innovative ways to give our patients the safest and best results. For example, at our Paramus, NJ center we offer Botox®, the wonder injectable, to temporarily erase deeper neck bands. Results last from three to six months, often increasing with each subsequent treatment.
A heavy neck with slight pouching may respond to liposuction, a minimally invasive procedure that we perform, as with most of our surgeries, at our on-site state-of-the-art fully accredited Surgicenter. Results can last years provided there is no significant weight gain.
If you would like to schedule a consultation about your aging neck, or find out more about another cosmetic enhancement please contact our Practice Administrator, Ann Carbone.
Posted on February 1, 2011 in Body, Botox, Breast, Breast Implants, Breast Reduction, Brow Lift, Dr. Zubowski, Face, Facelift, Liposuction, Tummy Tuck
One reason I chose to specialize in plastic surgery was my belief that aesthetic enhancements significantly improve my patients’ quality of life.
Continuous advances in plastic surgery create real benefits for patients. Today, the results are more predictable, involve less post-operative discomfort, and more rapidly return patients to their regular routines.
Even with improved techniques, some candidates still reject plastic surgery. For them, we are able to offer a host of injectables and Botox® that achieve gratifying results. We’re also using a number of liposuction applications that sculpt the body, face and neck. Liposuction procedures can be accomplished without general anesthetic in our office procedure rooms. By the way, for your safety and convenience, the majority of our surgeries occur at Surgicenter, our fully accredited surgery suite located at the Robert Zubowski MD Center for Plastic and Reconstructive Surgery in Paramus, NJ.
Many of my patients have asked my opinion of bridalplasty (multiple pre-wedding day aesthetic procedures), a concept popularized by a TV show where brides-to-be compete for their wish lists of plastic surgery procedures. Their goal is to walk down the aisle looking like the girl of their own dreams. It is my genuine belief that any form of cosmetic enhancement: invasive, non-invasive, minimally invasive, or even skin treatments, should not be undertaken lightly. Competing to win plastic surgery enhancements trivializes the procedures and sends the wrong message.
At the Robert Zubowski MD Center for Plastic and Reconstructive Surgery I have in-depth discussions with all patients about their aesthetic goals and any risks involved. Their psychological reasons for effecting a change must be sound. Making subtle changes to produce a natural result that will improve a person’s self-esteem is my primary goal.
If you’d like to present yourself in the best light on any day with our help, please contact Ann Carbone, our Practice Administrator.
Posted on September 15, 2010 in Body, Botox, Breast, Dr. Zubowski, Face, Facelift, Laser Hair Removal, Liposuction, Media Appearances, Microdermabrasion, Non Surgical Procedures, Office News, Tummy Tuck
Summer has come to a close and I am looking ahead to the holiday seasons. In fact, some of my patients have come up with a novel way to insure that they will be at their personal best for the upcoming rounds of parties, meetings and events. They’re giving the love of their lives (and themselves) a cosmetic enhancement makeover.
At the Robert Zubowski MD Center for Plastic and Reconstructive Surgery, we’ve designed a Couple’s Refresher that includes the cosmetic enhancement procedure which each partner desires. Before scheduling your Couple’s Rejuvenation consultation, it’s important to discuss with your partner your desire to provide this long lasting gift of self-improvement and empowerment, along with gauging his or her enthusiasm for this project.
The process moves forward with a dual patient consultation, during which we’ll discuss the advantages of couples getting procedures within months of each other, including a discounted surgery rate. I’ll explain what each patient can realistically expect from their respective procedures. We will stagger the surgeries so that while one partner is healing the other provides post-surgical home care and later can reverse roles. The American Society for Aesthetic Plastic Surgery (ASAPS) recommends that anyone considering an aesthetic surgery procedure carefully weigh not only the benefits, but the risks of the procedure as well. Since we welcomed our very first patient through our doors nearly 25 years ago, we routinely go over these two critical factors at every initial consultation at our Paramus NJ center.
At the Robert Zubowski MD Center for Plastic and Reconstructive Surgery we believe that an educated patient is oftentimes the most satisfied. That’s why we have created a packet of information relevant to the procedures that interest you. You will receive this informative material prior to your initial consultation.
To learn more about our Couple’s Rejuvenation program or to schedule a consultation, please contact our Practice Administrator, Ann Carbone at 201 261-7550.
Posted on June 9, 2010 in Botox, Face, Latest News, Non Surgical Procedures
Many teens undergo treatment with Botox to prevent wrinkles down the road. One widely quoted teen who had her first Botox injection at age 15, said she did it because she didn’t want to look “haggard and ugly” by the time she was 25. It’s definitely time for a reality check: Botox is not a preventative treatment but a corrective one. Both parents and teens need to recognize this.
In addition to the fact that most of these teens are getting Botox injections with misguided expectations, there’s a big problem with their obsession for looking better than everyone else, and peer pressure. As more teens undergo these treatments, they think it’s the cool thing to do, and they feel they have to do it in order to fit in. These teens don’t have wrinkle issues – they have low self esteem – and Botox is not going to solve their problem in the long run.”
There is a place for plastic surgery for young people in certain circumstances. Botox injections for wrinkles in most young people is unwarranted and potentially dangerous.
Posted on May 5, 2010 in Botox, Face, Non Surgical Procedures, Rhinoplasty
Injectables have become quite the rage lately – and not just for getting rid of wrinkles. A growing number of my patients are asking about injectables to fix their imperfect noses. They have their plusses, but are only appropriate for certain flaws.
Non-surgical nose jobs use a number of different types of injectables, including Botox and Restylane, to help reduce minimal irregularities in the nose. Some of the injectables have only a temporary effect, while others will last longer. That’s good in case the patient doesn’t like the outcome. The downside is that injectables have to be repeated to maintain the desired effect. In some cases, they will last for only a few months, and that can be costly and inconvenient. (more)
Injectables are great to “test drive” a new look. They can help fix a low wide bridge, or an over-prominent tip of the nose; they can also help smooth out bumps in some patients. But Injectables will not straighten out a crooked nose, nor will they lift a droopy tip, and most important for some patients, they will not resolve any breathing or snoring problems.
Rhinoplasties – or nose jobs — will remain the gold standard of fixing many noses until researches come up with injectables that are more permanent. In our offices, we have made many advances in rhinoplasties, and can often correct some flaws by simply adding or removing just a little bit of cartilage. We don’t always recommend a full rhinoplasty anymore. We look at the problem, and do what we can to create a nose that makes the whole face look better.
Posted on September 22, 2009 in Botox, Non Surgical Procedures
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.
Posted on June 18, 2009 in Botox, Non Surgical Procedures
The success of Botox® mirrors the efficacy of the injectable itself. In the seven years since the FDA approved it for treating frown lines Botox Cosmetic have become household words among those seeking to erase wrinkling between the eyebrows, forehead lines, and crow’s feet. Our Paramus NJ practice at the Robert Zubowski MD Center for Plastic and Reconstructive Surgery reflects the latest survey on Botox® Cosmetic by the American Society for Aesthetic Plastic Surgery (ASAPS).
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.
For information on this and other service please contact us at the Paramus office of the Robert Zubowski MD Center for Plastic & Reconstructive Surgery 201-261-7550.
Posted on August 12, 2008 in Botox, Non Surgical Procedures
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.
