our blog
google plus

Tag Cloud
abdominal liposuction About Face Program acne adipose stem cells Alameda County Medical Center allergan American Academy of Dermatology American Sleep Apnea Association American Society of Plastic Surgeons anesthesia Angelina Jolie anti-aging april bad habits bbbl photofacial BBL before-and-after photos Belotero black friday bladder blepharoplasty body contouring botox botulinum toxin breast implants bride brow lift brown skin spots calm Center for Disease Control Center for Disease Control and Prevention cheek lift chemical peel chin chin implants Christmas cleansing collagen Colorescience conference consultation contourTRL crow's feet dark circles dermal fillers diet Discount DNA Domestic violence Dr. Oz droopy eyelids dysport enhance eyes excessive sweating exercise eye bags eyebrow lift eyebrows eyelashes eyelid surgery eyelids facelift facetime facials fat banking fat cells fda-approved food Food and Drug Administration fountain of youth genes genetics glycemic index green tea polyphenols gynecomastia habits hair removal hairline hands healing Health Savings Account healthy aging hiding scars holidays house calls huffington post hyaluronic acid hydroxy acids hyperhidrosis ice packs infographic injectables Isagenix jawline Juvederm Lamai Walker laser hair removal laser therapy latisse lauren papagno lesion removal lip enhancement liposuction lipotripsy lips liquid facelift makeup May medical facial melatonin men Michelle Garber micro laser peel migraines mitochondrial DNA mom mother Mount Sinai multivitamins myths nasal surgery natural facial expression natural makeup nature neck neck lift neck liposuction neuromodulator new jersey nose job Novato nutrition obstructive sleep apnea Office hours otoplasty parents patient care staff pillar procedure podcast powered rasp profractional reconstructive plastic surgery Recovery red eyelids Restalyne Restylane Silk retinol A retractor revision rhinoplasty rhinoplasty rhinoplasty before and after photos rhytidectomy rosacea saggin skin sagging skin salicylic acid scalpel scar sciton self confidence septoplasty septorhinoplasty skin skin cancer skin cancer awareness month skin clarity skincare skintyte Sleep sleep apnea sleep breathing disorder sleep deprivation smile lines smoking snoring spa SPF 30 spider veins staff stanford university stem cells suction elevator sun sun damage sun exposure sunscreen supplements surgical hammer Sushruta Samhita tanning tanning salons teenagers teens The American Society for Aesthetic Plastic Surgery The NipTuck Coach tissue fillers TMD TMJ top plastic surgeon treating migraines trends trust ultra high frequency tools undereye puffiness upper eyelid contour UV rays varicose veins veins vitamin A vitamin C vitamin D vitamins vlog voluma Walgreens wedding weight loss weight management wrinkle minimizer wrinkles xeomin yoga YogaGirlsWorld younger looking YouTube zinc oxide


dr. michael r. macdonald website



Your Look, Your Way:
A Guide to Cosmetic Surgery


we're always looking for ways to stay young and exercise actually keeps your DNA young

How Exercise Keeps Your DNA Young

TIME.com stock photos Weight Loss Health Exercise Weights

Elizabeth Renstrom for TIME

A new study reveals how exercise may be another way to combat aging

To stay young, you have to keep your cells young, and what dictates a cell’s age is its DNA. Too many cycles of dividing can trigger the aging process, until eventually the cell peters out and stops dividing altogether.

But now researchers have found that exercise can help keep DNA healthy and young. In a small study published in the journal Science Advances, Anabelle Decottignies, from the de Duve Institute at the Catholic University of Louvain in Brussels, and her colleagues found that just moderate-intensity physical activity helps hold back cell aging.

They studied a specific part of DNA that keeps track of how many times a cell has divided. Each time a cell divides, it copies its DNA (which is packed into chromosomes) and this section of the chromosomes, called telomeres, gets shorter. In the study, Decottignies identified a molecule that’s responsible for directing this telomere-shortening. Until this work, not much was known about how the chromosomes controlled this DNA snipping process. Decottignies recruited 10 healthy people to ride stationary bicycles for 45 minutes and took a muscle biopsy from each of their legs before and after the cycling session. She also measured blood levels of muscle function with lactate, which muscle cells produce when stressed.

Based on analysis of these samples, the researchers found that a compound called nuclear respiratory factor 1 (NRF1) regulates the production of a factor that in turn controls the shortening of the telomeres. Exercise boosts levels of NRF1, which protects the telomeres from being snipped away. “Think about NRF1 like varnish on nails,” says Decottignies. “You cannot change the nail, but you can change the varnish again and again. What you’re doing is refreshing and replacing the old section with new protective molecules at the telomeres.”

With each bout of moderate exercise, she says, the protection to the telomeres is refreshed, thus helping the DNA, and in turn the cells, to remain “younger” and hold off the aging process. “The protection is constantly renewed upon exercise,” says Decottignies.

Other evidence supports the connection between exercise and its effect on telomeres. NRF1 is also part of the pathway that’s activated during starvation; some studies have indeed hinted that a fasting diet may help cells stay biologically young and not divide as frequently.

In the study, the team didn’t actually measure whether the 45 minutes led to longer telomeres, but that’s a focus of future studies. For now, the findings provide strong support for a way that exercise may keep us young by keeping our DNA young.


A Surprising Reason Olympic Athletes Might be getting botox

When the Rio Olympics kick-off this weekend, France’s Pauline Ferrand-Prevot may be thanking a very unusual source of inspiration as her reason for being there: Botox.

The 24-year-old multidiscipline bicycle racer (which means she does road, cross-country mountain biking and cyclo-cross) is crediting the injections as helping her get rid of pain in her sciatic nerve in her hip. She reportedly received injections in June, then two more before she prepared to leave for Rio.

“I have no more pain,” Ferrand-Prévot told L’Equipe. “With an injection, you can not ride for three days, you can not race for 10 days. [Botox] is not prohibited and the next day, you can train.”

According to Cycling Weekly, she had tried to alleviate her discomfort via physiotherapy and osteopathy, changing her bike position and a cortisone injection—but, so far, Botox seems to be working in her favor.

“Jacky Maillot [France’s team doctor] told me one of his colleagues is a specialist with this problem,” Ferrand-Prévot said. “After injection of botulinum toxin, I felt it was much better.”


How to achieve the perfect pout 

How To Achieve The Perfect Pout

Lip AugmentationWhat do Jennifer Lawrence, Scarlett Johansson, Jennifer Garner, and Kylie Jenner all have in common? The perfectly plump sexy pout that women of all ages are seeking. Lip augmentation procedures are currently a highly publicized and trending treatment thanks to these celebrities. Kylie Jenner's lips alone overtook social media with her #KylieJennerChallenge, allowing us to now be more comfortable talking about these procedures. In the age of the selfie and duck faces, we are additionally much more aware of the appearance of our lips. This has, in all senses of the phrase, created a perfect storm. It is no wonder that a record number are seeking lip enhancement procedures. Popularity has grown amongst men as well who, most commonly, request Brad Pitt’s full lips. In 2015, the American Society of Plastic Surgeons claimed the number of lip implants grew by double-digits with a total of 27,449 procedures performed, an astonishing one every 20 minutes. This is over a 40% increase since 2000 and the demand is continuing to grow.

What traditionally consisted of patients with lip deficiencies from aging, ablative procedures or congenital abnormalities, now consists of a much younger age group that desire full, well-defined lips with enhanced volume and shape. While there are multiple permanent and non-permanent options for lip augmentation, the most commonly performed and requested today are synthetic dermal fillers, the most popular of which are the hyaluronic acid (HA)-based fillers. HA is typically present in body tissues, such as the skin and cartilage and is, therefore, relatively safe when used appropriately by a trained healthcare professional. These fillers include, but are not limited to, Restylane, Juvederm Ultra, Ultra plus, Voluma, Prevalle Silk, Perlane, and Belotero. Restylane Silk and Juvederm Ultra XC, however, are currently the only two fillers approved by the FDA for lip enhancement. Others can be used off-label per your healthcare professional. These fillers generally last 6 months to one year, therefore, touch-ups will be required to maintain the desired appearance. Properties of fillers such as stiffness and viscosity, and surgeon preference are taken into consideration when choosing a filler. The benefits of the HA fillers are they allow improved control and gradual filling of the lips. Contour irregularities or bumps from the material can be massaged out and even reversed with hyaluronidase, a medication that when injected dissolves the gel. It is important to remember that this is not a fool proof procedure. Risks include bruising, swelling, bleeding, and can lead to further complications if injected inadvertently into a nearby blood vessel.

When is lip augmentation the right choice for you? If you desire a fuller lip or feel self-conscious about the appearance of your lips, you should seek out a consultation. There are many available options, so it is important to do your homework. Obtain a consultation by a board-certified Plastic Surgeon who is trained in the safe use of these fillers, be open and honest about your desired lip, and you will be well on your way to that perfectly full and plump pout.


6 in-office procedures you had no idea guys were getting

6 In-Office Procedures You Had No Idea Guys Were Getting

When we talk about the anti-aging space, we have a tendency to sway it in a more “feminine” spin—but the numbers don’t lie. More and more men are getting procedures, and more and more of them are coming in earlier than ever before, according New York oculoplastic surgeon Joseph A. Eviatar, MD. “Men have discovered that there are nonsurgical options for treating their face, so they are coming in at a younger age,” he says. Here’s what else he’s seeing:



 The Top Three

“By far, the top things men are coming in for are injectables for the face and body contouring such as CoolSculpting,” Dr. Eviatar says. And when it comes to body contouring, men have two specific areas they want to target: love handles and abs. "We explain that we can tighten the skin and get better definition for those who work out. These non-invasive procedures are driving people in more than liposuction." He also adds that, as expected, hair loss is another big concern, “but patients are still not as aware about the alternatives to major surgery such as SmartGraft or micro pigmentation."





Right now, there’s a big interest in jaw improvement and Dr. Eviatar says that has to do with both the introduction of Kybella, which allows for an injection treatment to reduce the double chin, and the fact that patients are now aware there is filler that can make the jawline look stronger. “Men’s faces can be optimized with a stronger jawline, and the way the eyes and brows look without necessarily making them look younger.”




Nonsurgical Procedures

Dr. Eviatar says the overarching trend for men is nonsurgical procedures. “Men, in general, tend to think more about surgery because they do not want to be bothered as often about maintenance visits, but do not understand that nothing, including surgery, gives a permanent result. They are realizing that injectables can give long-term results (one to two years),” he says. “Men can age and look good with wrinkles, but what they realize now is that there are in-office procedures such as injectables that are not related to wrinkles, but rather how good they look, such as a masculine cheekbone, jawline, and brow position so that their lids don’t look heavy. As they realize that all of this can be done nonsurgically in many cases and may only require yearly maintenance, these procedures become more appealing.”


Anything That Helps Them Look More Awake

One of our biggest beauty problems also hits the other sex: “Men are increasingly terrified of looking tired and having bags under their eyes,” Dr. Eviatar says. “They feel like there is increased pressure from younger competitors at work and they don’t want to be the guy at work who is thought of as not being up to speed because he is old and looks tired. So, the rejuvenating procedures are different in that they are more about making the face look its best, as opposed to making them look younger.”




Bridal Beauty

Women aren’t the only ones who want to look good in their wedding pictures. “When you think about it, men have the most to gain from facial injections because women can use hair style, makeup and other culturally accepted fixes to improve their appearance whereas men have quite few. Young grooms that want to look good can have the jawline and nose they want nonsurgically.”




“Brotox” Off-Label

Another injectable on the list, Dr. Eviatar says that the common term of “Brotox” has been a marketing tool, but men are just starting to learn about the subtle improvements they can get that go beyond targeting wrinkles. “Botox is still being used suboptimally for most men in that there are benefits of using Botox in the chin and jawline, which is off-label, and also with brow shaping, which is not associated with wrinkling.”



Plastic Surgery consultation tips

Plastic Surgery Consultation Tips

Plastic Surgery Consultation TipsPlastic surgery consultation is an opportunity for patients to evaluate potential surgeons and to learn more about their options, benefits of each surgical maneuver, and possible risks and their appropriate contingency plan should they occur.

Meanwhile, Beirut plastic surgery experts share their tips on how a patient can get the most of his/her consultation.

Things To Bring

The general rule of thumb is to bring along your medical history information, which ideally includes medical problems that run in your immediate family. It is important to note that elective plastic surgery is only reserved for patients with no healing problems and other conditions that can lead to undue risks.

It is also ideal that you bring all your medications, including vitamins and supplements, into the office.

If you are considering having tummy tuck or other form of body contouring surgeries, it may be helpful that you wear or bring along your favorite or usual clothing, swimwear, and undergarment. This will allow your plastic surgeon to make the best effort to position the scars beneath your clothes or undies.

Questions To Ask

Write down all your concerns, particularly in terms of patient safety, preparations, possible risks, downtime, and wound care. Remember, there is no such thing as a silly question.

Your plastic surgery consultation is also an opportunity for you to learn about your doctor’s qualifications. A good rule of thumb is to choose someone who is board certified and is doing the sought procedure on a regular basis for a minimum of five years.

Don’t be afraid to ask “difficult” questions such as your doctor’s complication rate (he must provide you a percentage or estimation) and his contingency plans should problems arise during or after surgery. Beware of anyone who displays “arrogance” by saying that his surgery is risk-free.

Know Your Financing Options

Take note that all elective plastic surgeries are not covered by health insurance, so you have to look for other financing options such as your personal savings, bank loans, credit cards, etc.

Bear in mind that choosing your surgeon should not be solely based on price; however, stay away from someone whose fees are way lower than the average.

To avoid financial troubles, most doctors agree that you should have available funds twice as much as the actual cost of your surgery. This will serve as your contingency money should you experience longer recovery and more time off work.


five ways to speed up your recovery from plastic surgery

Five Ways to Speed Up Your Recovery from Plastic Surgery
Five Ways to Speed Up Your Recovery from Plastic Surgery

By Dr. Kamran Azad

Cosmetic procedures are exciting experiences for most patients, as it is a time to welcome new, positive changes in one’s self. After surgery is complete, patients are anxious to return to normality and be able to enjoy these changes. Many patients want to accelerate the recovery process, so they can return as quickly as possible to their normal daily life. Patients have the potential to significantly impact their recovery process, as one of the main variables affecting the length of recovery is how well they listen to and follow their physician’s recommendations. The following five tips are a few things every patient can do to increase their odds of a successful recovery.


If you experience pain after the procedure, it is important to take the medicine prescribed by your physician. Many patients will attempt to be “strong” and push through the pain, but it is important to control pain by staying ahead of it and not letting it catch up to you. Blood pressure can increase as a result of pain, and in some cases this could lead to more bruising, which delays recovery time. Additionally, it is important to avoid over-the-counter medicines that could affect blood clotting for at least two weeks after your surgery, such as aspirin, Motrin, vitamin E, or herbal medicines. Tylenol is often a safe alternative; however, it is always best to consult with your surgeon before taking any over-the-counter medication. When taking prescription pain pills, it is important to drink lots of fluids. Pain pills can cause constipation, and to counteract this it is important to stay hydrated and move around frequently.


Get plenty of rest in the first day or two post-surgery; however don’t continuously lie around and do nothing. Even if you don’t feel like going out for a long walk, taking a walk around your house or going outside for some fresh air is much better than doing nothing. Moving helps the body heal, and may also reduce pain. It also helps reduce your odds of constipation, which is a common side effect of prescription pain medication.


Surgery may require one to wear a compression garment; this varies based on the type of procedure, but can be required for up to 8 weeks with a tummy tuck or liposuction and 1-2 weeks for breast augmentation and breast lift. Compression garments help control swelling and bruising by compressing the tissues, which helps the body reabsorb accumulated edema fluid. It also helps with contouring by preventing wrinkling of the skin and enhancing skin retraction. Pressure has often been shown to improve the appearance of scars, and the compression garments may make the scar softer, flatter, and less visible.


Many cosmetic patients are anxious to return to their regular workout routines, however, it is important to do so in a safe manner that will not jeopardize the surgery results. For the first 48 hours, it is important to not be too active. To speed up recovery, it is important for the patient to avoid rigorous exercise for the first 8 weeks. The time will vary based on the type of surgery performed. Working out raises blood pressure, and elevated blood pressure can increase bruising and bleeding which leads to inflammation and swelling. Patients who engage in vigorous workout regimens too soon after surgery can experience serious complications, such as re-opening of incisions, which can result in worse post-operative scars. Even if the patient thinks they are ready, it is very important to stay out of the gym until one has completely healed, as it could significantly delay recovery time more than if the patient had adhered to their activity restrictions.


Avoidance of smoking is a given for any of my patients. I generally advise smokers to cease smoking 8 weeks before an operation, and just because the surgery is over does not mean they are clear to light up again. Smoking significantly delays the healing process, and can lead to serious complications during recovery. Nicotine causes blood vessels to constrict, making them smaller and decreasing the blood supply to the tissues. Blood clots are more common in people who smoke. Tissues that are not receiving an adequate blood supply may not heal correctly, which increases the occurrence of complications. This will delay the recovery process, and ideal results for which the surgery was intended might not be achieved.

Every surgery is different, and the healing process will vary based on the type of surgery one undergoes. The recovery process is customized to each individual patient, his or her health, and their reaction to the surgery. It is very important to follow your surgeon’s post-operative instructions to ensure a healthy and speedy recovery that allows your body to heal properly, and provides you with ultimate results.


Everything You Need To Know About Vitamin C

If you're here, you already know that vitamin C is good for you. Maybe you take it orally (Glossier HQ is continually on an Emergen-C kick, just to be safe). Or perhaps you found a serum that really suits you. Either way, you're doing your skin and body some definite good.

But what kind of good? In the interest of some useful, back pocket happy hour conversation (but also, you know, understanding why you're actually slathering your skin in stuff), here is a laundry list of things vitamin C can do for you. Besides stave off scurvy. But yeah, it does that, too.

Defends against free radicals
Vitamin C is an antioxidant, which is good news. To get sciencey about it, vitamin C can donate electrons in order to neutralize free radicals created in skin after oxidative stress. Oxidative stress = sun damage. So while vitamin C can't protect skin like an SPF can, it can minimize the damage you can't see.

Boosts collagen production
Very exciting news: Vitamin C is one of the factors in stabilizing and creating collagen molecules, meaning that it's one of the most reliable anti-aging ingredients on the market. Some research also shows that vitamin C can also increase the quality of the collagen created in the body. So while topical (and drinkable) collagen aren't necessarily doing you any good, your Amazon-sourced vitamin C serum's been pulling double duty.

Reduces brown spots
Because vitamin C can aid in skin's ability to heal itself, it should be your go-to when looking to reduce red and brown spots. Add to that its anti-inflammatory properties (of interest if you're struggling with acne or rosacea), and even-toned skin is in your very near future. You already knew you were preventing damage with it; but now you're also fixing it post facto.

A quick note before we proceed to the fun part (product recommendations!): Vitamin C sounds simple, but there are actually several different kinds of vitamin C to be aware of. Ascorbic Acid is the most common when it comes to skincare—it absorbs the quickest and has the highest potency when applied topically. Magnesium Ascorbyl Phosphate (MAP) is another water-soluble derivative of vitamin C that can be effective in lower concentrations. Then there's Ester-C, a trademarked form of vitamin C that's been amped up with Calcium Ascorbate. This one comes with a lot of claims, but not a whole lot of data backing up. When in doubt, look for Ascorbic Acid. That's really the one you want.  Dr. Mac carries a great one called Vita C and E with fuerilic acid.

Regardless of which version you choose, any vitamin c product will destabilize when it comes into contact with the air. Remember what we said about oxidative stress? This is the downside of losing those electrons. Of course, all this means is that you should keep an eye on your packaging. Buy small bottles so you can use it all before it expires. Also look for opaque glass or plastic containers with a pump or some other air-restrictive device so you get the most for you money.

Photographed by Tom Newton.


The Side of Your Face That Will Always Look Older

Contributing Writer

Which is the older-looking side? (Photo: Getty Images)

Whether you realize it or not, every time you get in your car, you’re fielding ultraviolet A (UV-A) radiation through the windows and windshield. The sun’s UV-A rays are responsible for premature aging and wrinkles, as well as skin cancer and cataracts. Although all the windows in your car offer some protection, not all the windows are created equal — which may result in skin damage you’ve never even thought about, according to a new study published in JAMA Ophthalmology.

According to lead researcher and ophthalmologist Brian Boxer Wachler, MD, he noticed something interesting in one of his patients, which spawned the idea for his study. “I was evaluating a patient with keratoconus and I noticed her age spots on her left cheek,” he tells Yahoo Beauty. “I found many studies that found more skin cancer on the left side of the face compared to the right side of the face. In Australia, where people drive on the left side of the road, it’s just the opposite — there is more skin cancer on the right side of the face.”

Since the UV-A protection of cars in the United States differs across models, Boxer Wachler decided to measure the radiation entering vehicles through the windshield and the driver-side windows in 29 automobiles from 15 automobile manufacturers. The cars dated from 1990 to 2014, with an average make year of 2010.

As it turns out, a car’s windshield seems to block roughly 96 percent of the UV-A radiation while you’re driving, whereas the car’s side windows block only around 71 percent of those damaging rays. Only 14 percent of cars (four out of 29) had side windows that shielded more than 90 percent of UV-A radiation.

Boxer Wachler says that side-window protection was super variable. “There was no relationship between high-end cars and low-end cars for side-window UV protection — in other words, many more-expensive cars had just as poor side-window UV protection as more-affordable cars,” he explains. “We also found tinted windows do not guarantee full UV protection, since a number of tinted windows had low UV protection.”

Boxer Wachler says he hopes this study will “fill in the blank” as to why doctors see more skin cancer and cataracts on the left side of the face in the United States, because of lower UV protection on average in driver-side windows. Interestingly, doctors and researchers have long been noticing that more skin cancers and cataracts tend to appear on the left side of the face — right where a car’s driver would be exposed to more UV-A radiation.

Dermatologist Orit Markowitz, MD, director of Skin Cancer and Pigmented Lesions at Mount Sinai Hospital, has also noticed the trend in left-side skin issues. “Cars are better equipped today than they were years ago to block some of the harmful rays,” she tells Yahoo Beauty. “But there is a clear history of driver versus passenger [skin damage] for many patients, affecting the location of their skin cancers and photo damage.”

We know that UV-A damage is extremely harmful. “These are the rays used in tanning beds, and they’re more linked to aging, wrinkling of the skin, and skin cancer than UV-B,” Markowitz says. “Hence, why medical light therapy is mostly limited to narrow band UV-B. When UV-A rays come in contact with the skin, they start altering DNA, and this alteration can continue years after exposure.”

Boxer Wachler says he hopes automakers recognize UV-A protection as a “potential public safety issue for millions of drivers” in the United States and would recommend better blocking of those harmful rays.

What does this mean for you? Don’t forget that you’re still exposed to dangerous UV-A light through windows — and even ones with UV protection are not catchalls. “It would be prudent to consider having an aftermarket fully UV-blocking clear film put on your car’s side windows to protect you and children in the back seats.” If you want to check your car or home’s UV protection, Boxer Wachler says you can contact his office for a free UV tester.

Lastly, just think of this study as another friendly reminder to always apply sunscreen each morning — well before you hit the road.



Exercise and Plastic Surgery: How Soon is Too Soon?

Exercise and Plastic Surgery: How Soon is Too Soon?

After undergoing an emergency appendectomy a few years ago, I was frustrated lying prone for far too long and couldn't wait to get back to my stress-busting workouts. When my doctor gave me the go-ahead and said I could take short walks in my neighborhood, I was surprised at how long it took me to circle the block. What was previously a 5 minute brisk walk turned into a 40 minute trek that left me physically exhausted, but because I followed my doctor's orders I was able to build up my endurance over time without experiencing any complications.

Surgery certainly takes a toll on the body and though light exercise shortly after surgery is often the prescribed course of action, strenuous exercise too soon afterwards can lead to complications, both minor and major. Dr. Andrew Ordon, suggests following doctor's orders since certain factors like the patients’ age, condition and the specific surgery performed need to be taken into consideration and the ideal return-to-exercise schedule for one person isn't necessarily the right fit for another, even when the same surgery is performed.

Most plastic surgeons recommend their patients wait four to six weeks or so before building up to their previous fitness regimens and light exercise is often advised to help the healing process during the recovery period. Though it differs from patient to patient walking is usually the first step taken in recovery followed by machines like the elliptical, then impactful aerobic activity and finally resistance training such as weights.

Dr. Larry Weinstein, agrees, adding there's usually no need to stop exercising or slow down your usual fitness routine before plastic surgery, but if you dive in too quickly or strenuously afterwards you could suffer the consequences. Dr. Weinstein says, "Walking is very helpful in avoiding clot formation or venous emboli, but no vigorous exercise can help you heal faster post-surgery." It can actually hamper healing, so he advises against it to prevent the following complications:

  • Rhinoplasty: nose bleeding
  • Facelift: swelling, delayed healing, bleeding, fluid collections
  • Tummy Tuck: hematomas, bleeding, wound separation
  • Breast Augmentation: displacement of a breast implant, if beneath the muscle

"The rise in heart rate and blood pressure are deleterious to all surgeries in the early postoperative period. Working out too soon can cause increased swelling, bruising, fluid collections, (which can lead to infection), wound breakdown, and the need for revision surgery," adds Dr. Ordon, which is why he strictly advises patients to lay low for variable periods, depending upon the surgery performed. That being said, stimulating circulation through walking or other low impact exercise can help prevent certain complications of both the lungs and legs. Stretching can help enhance blood flow and a general feeling of well-being whereas yoga can have meditative and restorative benefits for the mind, spirit and body.

Dr.’s Ordon and Weinstein are both members of the American Society of Aesthetic Plastic Surgery (ASAPS) and place patient safety first in their surgical practices. The better shape you're in before surgery the better your recovery period and the results. Dr. Weinstein encourages you to follow your plastic surgeon’s recommendations to a T and advises against rationalizing your way to any strenuous activity too soon or you're asking for trouble. As Dr. Ordon says, "Ultimately, compliant patients who follow instructions enthusiastically do the best." And isn't that why you signed up for surgery in the first place.


10 Rhinoplasty Facts You Never Knew

10 Rhinoplasty Facts You Never Knew 10 Rhinoplasty Facts You Never Knew

1. Demand for rhinoplasty is growing. In 2015, according to ASAPS stats over 145,000 people headed to plastic surgeons for nose surgeries.

2. It’s not just cosmetic— it often corrects real issues. “Many patients have breathing issues from a deviated septum or large turbinates - the portion of the nose which heats and filters air when you breathe,” explains board-certified plastic surgeon, Dr. Peter Neumann, “Men and women seek corrective and aesthetic procedures in equal numbers and across all age groups.” It’s not necessarily about vanity— it’s a surgery with potential to really help people stop or reduce suffering from trauma, injury, or breathing difficulty.

3. It probably won’t change your voice if you go to the right, experienced doctor. “Some doctors will tell you that your voice may change due to rhinoplasty – if done correctly that is NOT true!”

4. Computer-generated noses aren’t what good doctors produce. There’s a lot of talk in the plastic surgery field about using computer simulations to best model a ‘new’ nose for a patient, but Dr. Neumann says that the human touch is always best. “Computer-generated results offer little value since humans are not computers. Always make sure that your surgeon is well trained, understands your wishes, and is well versed in the art of rhinoplasty.” The surgeons Pre and Post-operative patient pictures can be a reliable guide their capabilities.

5. It’s more affordable than you think. Rhinoplasty won’t cost you a brand new car or a down payment on a house. According to ASAPS stats the average cost of a nose surgery in 2015 was a relatively affordable at $4,806.

6. The surgery itself only takes 1-2 hours, and recovery is mild to moderate. “Surgery takes between 1-2 hours, under anesthesia and patients are required to wear a small cast for up to 5 days. We rarely if ever use packing anymore and are able to do surgery without the discomfort of packing. It’s an old technique that is very rarely used and most patients don’t want it.”

7. Winter months see the most demand for rhinoplasty. According to Dr. Neumann, rhinoplasty recovery is generally easier and quicker in cold weather. There’s also an uptick in vacation time, allowing patients who don’t want to take additional time off of work or school to undergo a rhinoplasty at this time.

8. You have to steer clear of aspirin, Advil, and other drugs for a while. Sounds counter-intuitive to stop taking pain-reduction drugs, right? It turns out steering clear of these ordinary helpers may actually speed recovery, “I require that all patients stop medication that could lead to bleeding such as Aspirin Advil, Motrin, Aleve, and Vitamin E. We start all patients prior to surgery on homeopathic herbs such as Bromelain and Arnica Montana, which hasten recovery and decrease swelling and bruising quickly.”

9. Sleeping with 2 pillows after surgery is a good idea. Keeping your head elevated post-rhinoplasty is a good idea to reduce nighttime swelling. The two pillow technique is one of the easiest and most effective ways to help keep recovery time on track in the first few days following a rhinoplasty procedure.

10. Technique for men’s and women’s rhinoplasty varies. You may think a nose job is a nose job, but when it comes to rhinoplasty, it’s almost entirely art. The angle and slope of a man’s nose is different from a woman’s, and many experienced plastic surgeons will choose angles that feminize a woman’s nose.