DRG Cosmetic Surgery

Products And Services

• Breast Augmentation

  Breast augmentation has given women throughout Miami Florida, the United States and from numerous countries around the world added confidence in their appearance. Breast Augmentation is one of the most frequently performed procedures in the United States today according to the American Society of Plastic Surgeons (ASPS). Breast implants enhance the size and shape of the breast by adding firmness and fullness while improving body image and self esteem. Breast Augmentation can be performed to enlarge smaller breasts, balance breasts that are asymmetrical, or restore fullness and volume that has diminished with age or as a result of pregnancy or weight loss. Breast Implants are also used for reconstructive purposes. Breast Augmentation Consultation The following is a review of the information you discuss personally with Dr. Sam Gershenbaum regarding possible breast enlargement or augmentation. Remember, each person’s surgery will receive very close special attention and individual thought, planning and care. The initial consultation is extremely important to review the patient’s medical history, goals and expectations as well as build mutual trust and rapport. Numerous before and after photos are reviewed. The procedure is explained and the alternatives discussed. The breasts are examined to ensure that expectations can be met, as well as to review the surgical plan, implant size and incision/scar placement. An ideal candidate for routine breast augmentation generally will have all the breast tissue above the inframammary crease (the crease under the breast) and the nipple in the middle of the breast. If the breast tissue and/or nipple is at the level of the inframammary crease or lower, a breast lift may be needed. The procedure performed under general anesthesia, As an additional option, fat grafting can be used in addition to breast implants to improve shape, symmetry, improve cleavage or as additional soft tissue coverage for those with thin skin and tissues. Fat grafting is also frequently used for corrective breast implant procedures or revisions to aid in the cover of rippling, improve fullness in areas above the implants or cleavage, improve proportions or symmetry. Fat grafting, by itself, may also be used for those who choose not to have breast implants but would like to have improved breast shape and fullness or improve asymmetry. Dr. Gershenbaum will review all these options during your consultation. Types of Breast Implants Allergan’s Natrelle Inspira Collection of smooth, round cohesive gel implants have 5 profiles from Low, Low Plus, Moderate, Full and Extra Full. There are three levels of firmness of the gel or cohesivity. Natrelle Inspira Responsive is cohesivity level 1, the softest with 84% upper pole retention Natrelle Inspira Soft Touch is cohesivity level 2 with 91% upper pole retention Natrelle Inspira Cohesive is cohesivity level 3, the firmest, with 97% upper pole retention Allergan’s Natrelle Saline Implants are smooth and round and come in low, moderate and high profiles. Allergan had a recall where most of their textured implants have been discontinued due to their association with the rare occurrence of Breast Implant Associated Anaplastic Large Cell Lymphoma ( BIA-ALCL). BIA-ALCL is not a breast cancer, but rather a type of non-Hodgkin’s lymphoma which is a cancer of the immune system. In most cases, BIA-ALCL is found in the capsule and in fluid around the implant. For more information on BIA-ALCL, click on link below. https://www.breastimplantcancer.org/blog/allergan-implant-recall/ Allergan Confidence Plus Warranty: Lifetime free implant replacement for ruptured or deflated implants. Lifetime free replacement of implants and up to $7500 in treatment for BIA-ALCL. For up to 20 years up to free implant replacement for late seroma of textured implants and up to $1000 to rule out BIA-ALCL.For 10 years up to $3500 for rupture of silicone implants. For 10 years up to $2400 for deflation of saline implants for the cost of $200 insurance. For 10 years free implant replacement for capsular contracture with silicone implants. For 2 years up to $2000 for capsular contracture with silicone implants.

  Link: Breast Augmentation

• Breast Implant Revision

  Breast augmentation surgery remains one of the most popular cosmetic procedures around the world with the vast majority of patients thrilled with their new proportions. With the millions of women who have had breast augmentation, there are many who require exchange of outdated silicone gel implants, some others with a ruptured implant in need of replacement and those who simply wish to change to a different size. There are also many women requiring additional surgery to correct any one of a number of breast implant problems or complications. Unsatisfactory results may be from one or more of several problems associated with breast augmentation including: capsular contracture (thickening, firmness, contraction and/or calcification of the layer of tissue around the implant) malpositioned or displaced breasts implants poor or unnatural shape asymmetry synmastia (implants too close or joining in the midline) obvious rippling or wrinkling deflation inappropriate size implant placed poor scars firmness from excessive overfilling of saline breast implants Asymmetry or malposition of the inframammary crease Breast implant revision expert, Dr. Sam Gershenbaum in Miami, Florida has developed a reputation for correcting breast implant problems and has achieved acclaim for his natural appearing breast augmentation results on first time patients. It is important to understand that every plastic surgeon will have, from time to time, a patient who has a complication or a result that is less than satisfactory which requires a “touch up” or reversion surgery. Don’t be too quick to blame the surgeon. There are many factors and variables in surgery and in healing. It is important to realize that there is always some degree of unpredictability in the final outcome of the healing process. It is usually beneficial and appropriate to follow-up and continue care with the plastic surgeon who performed the original surgery and work through any problems or complications. Obviously, anyone who experiences a complication or poor result wishes to have the problem resolved immediately. However, working through these problems may take extended periods and will require time and patience. Frequently, it is appropriate to wait any number of months after the problem or complication before moving ahead to correct the problem. Lack of confidence, obvious poor judgment, or failure after two or more procedures may encourage one to seek a second opinion or an alternate plastic surgeon. Correction of Asymmetry Dr Gershenbaum points out that large number of women have significantly asymmetric breasts, and it is important to take into account the original shape and symmetry prior to any surgery. Breast sizes and shapes vary, as well as position of the nipple-areolar complex on each breast. Some breasts may be higher or lower than the other, or the asymmetry may be due to posture or curvature of the spine. Most people also have differences in width, shape and projection of the boney rib cage from one side to the other which translates into asymmetry of the breasts. Many women do not realize their asymmetries until discussed during their consultation. Conscientious and meticulous surgeons will make every effort to make the breasts as symmetrical as possible, however, original asymmetries will prevent perfect symmetry. At times, asymmetry can even become more noticeable/obvious following breast augmentation. If pre-operative asymmetry is significant, two different size breast implants may be used to accommodate two different size breasts, thereby improving the asymmetry. If one’s asymmetry involves different amounts of breast projection or width from one side to the other, there are also options to use two different breast implant profiles from low to midrange to high. Fat grafting alone or in conjunction with two different size or profile implants may also be incorporated to improve symmetry. When asymmetry involves differences in shape or position of the nipple, it may be wise to choose smaller size breast implants, with a more conservative change in size so as not to accentuate the asymmetry. In those patients who have one nipple significantly lower than the other or one breast hanging or drooping more than the other, some type of lift for that particular side may be considered along with the breast augmentation. Careful planning before the initial surgery best helps to produce optimal results. It is also important to understand that complete healing and the final result after breast augmentation surgery truly takes several months – approaching one year – and what may be unsatisfactory to a patient after surgery may be something that will improve or resolve over time. Do not be too quick to insist that the surgeon correct a problem or concern when more time is recommended. For example, a patient happy with the left breast noted the right breast implant placement appeared too high and requested it to be corrected.

  Link: Breast Implant Revision

• Breast Lift Surgery

  An internationally renowned surgeon, Dr. Sam Gershenbaum is known throughout Florida for his outstanding ability to create beautiful, shapely breasts. At his Brickell Riverfront Surgery Center in Miami, he performs breast lift surgery for discriminating patients. A breast lift, or mastopexy, is a surgical procedure designed to perform the same role as a properly fitting bra, namely supporting the breast in an uplifted position – revealing more fullness, shape, and cleavage. A breast lift generally removes only excess and loose skin, as compared to breast reduction, which reduces the amount of actual breast tissue besides skin reduction. The breast lift procedure can also correct enlarged areolas, as well as correct asymmetry. Dr Gershenbaum reports many women from Miami and across the country have chosen to undergo breast lift surgery, particularly those whose breast shape and contour does not fit their self-image. Body image is an important part of feeling good, desirable, and normal. Most women compare themselves to a cultural idea of beauty. Commonly, women with sagging breasts and breasts with loose, stretched skin are dissatisfied with their physical appearance. These changes can be a result of genetics, pregnancy, weight loss, and aging or any combination thereof. An ideal candidate for a breast lift procedure, or mastopexy, is someone who is uncomfortable with the amount of loose skin and sagging of her breasts. An ideal breast lift patient is also free of any complicating pre-existing medical conditions including heart disease, hypertension, diabetes, skin/connective tissue disorders, etc. Breast Lift Consultation The initial consultation is extremely important to review the patient’s medical history, goals, and expectations, as well as build mutual trust and rapport. Numerous breast lift before and after photos are reviewed at our office in Miami, Florida. The breast lift surgical procedure is carefully explained and the alternatives are discussed. Many patients are choosing to incorporate an absorbable mesh across the base of the breast before incisions are closed. This absorbable mesh slowly absorbs over one to one and a half years and leaves behind a stronger collagen network to help further support the breast in the elevated position. Understand that each patient has different breast contours, sizes and different expectations and requests. No one procedure can be expected to fulfill each individual’s needs. A complete evaluation reviewing expectations and a physical examination is needed to determine the best choice of procedure(s) for each individual patient. The breast lift surgical plan, as well as the incision/scar placement, is reviewed. It is also important to understand that breasts are naturally asymmetrical. Every effort is made to make the breasts symmetrical and as close as possible to the desired size. However, no guarantees as to the exact size, shape, or symmetry can be made by any plastic surgeon. Prospective patients are encouraged to speak with previous patients about their breast lift surgery and result while Dr. Gershenbaum and his staff are always available for questions. Following the initial consultation and after appropriate time for reflection and decision-making, an appointment is scheduled for routine preparation and informed consent. Additional questions and concerns regarding the breast lift surgery may also be addressed. Routine blood analysis, a mammogram, and medical clearance are required prior to surgery Standard Breast Lift Surgery Miami breast lift surgeon Dr. Sam Gershenbaum uses a “keyhole” pattern or “anchor” shaped incision. The incisions made during breast lift surgery extend in three different directions: Entirely around the areola (the pigmented area around the nipple) From the areola in a vertical direction down the crease under the breast Horizontally along the fold or crease under the breast extending for a variable length Breast lift surgical procedures are performed under general anesthesia at our state-of-art outpatient facility Brickell Riverfront Surgery Center in Miami, Florida. Local anesthesia with intravenous sedation may also be used in some circumstances. Depending on which breast lift technique is used, the surgical procedure could take anywhere from two to five hours. Prior to breast lift surgery, the lines of incisions, the new nipple location, and remainder of the surgical plan is outlined on the breasts and reviewed with the patient. After speaking with the anesthesiologist, the patient is brought to the operating room. Once the patient is asleep, the surgical incision areas are infiltrated with lidocaine and a medication to reduce bleeding. Dr Gershenbaum always spends the extra time to confirm all the markings and measurements using a “tailor-tack” technique before making any incisions.

  Link: Breast Lift Surgery

• Breast Reduction

  Miami breast reduction surgeon, Dr. Sam Gershenbaum combines modern technology with vast experience to offer the best breast reduction surgery in Florida. His two year plastic surgery residency at the University of Medicine and Health Sciences, Des Moines Iowa afforded Dr. Gershenbaum with a massive 60 breast reduction cases to perfect his skills. And now, after 30 years in practice, patients from all over seek out Dr. Gershenbaum for his exceptional results. For many women, the size, shape, and contour of their breasts do not fit their self-image. Women with unusually large, sagging, or uneven breasts are dissatisfied with their physical appearance. Some experience pain and discomfort due to the weight of their breasts and the pressure of bra straps on their shoulders and neck. Excessively large breasts can affect posture, limit physical activity and exercise, and make it difficult to find properly fitting clothes. Ungainly stares and rude comments may further promote a feeling of self-consciousness, limiting confidence and adding psychological strain to the physical symptoms. At our Brickell Riverfront Surgery Center in Miami, Florida, we routinely perform breast reduction or reduction mammaplasty to reduce and lift overly large and sagging breasts to a more comfortable size and shape. Breast reduction surgery improves body contour, reduces pain, and increases comfort in daily activities and exercise. Breast reduction is generally performed on women who have fully developed breasts, but occasionally, it is necessary in teenage girls who suffer from the physical and psychological symptoms of overly large or asymmetric breasts. Patient satisfaction with breast reduction is exceedingly high, and a great majority of women who have had this procedure wish they had had the procedure earlier. An ideal breast reduction candidate is uncomfortable with their large and/or asymmetric breasts. Patients must also be free of medical conditions such as heart disease, hypertension, diabetes, skin/connective tissue disorders, etc. If pregnancy is planned for the “near” future, it is best to wait until well after breast-feeding is complete. Breast Reduction Consultation The initial consultation is extremely important to review the patient’s medical history, goals, and expectations, as well as build mutual trust and rapport. During the initial consultation with Miami breast reduction surgeon Dr. Sam Gershenbaum, you will review numerous before and after photos from previous breast reduction procedures. The procedure is explained in complete detail, and treatment variations are discussed to meet your particular needs. Dr. Gershenbaum also uses this consultation to get to know his patients, developing a level of patient-surgeon trust that he feels is necessary for a comfortable surgical process. A complete evaluation reviewing expectations and physical examination is needed to determine the best choice of procedure(s) for each individual patient. Careful discussion as to the requested final breast cup size is important to best meet those expectations. Once agreed upon between the patient and Dr. Gershenbaum, this plan, along with incision/scar placement will be discussed in detail. All breast reduction patients are also offered the option to use an absorbable mesh to add additional long term breast support and shape. One of the issues with breast reductions and lifts is the skin and soft tissues ability to maintain the elevation and shape of the breast over time. Much of this will depend on the size and weight of the breast, along with the variable thickness and quality of the dermis. Also, gravity is a constant force that will weaken breast tissue’s structural integrity and elasticity over time. GalaFLEX is a synthetic mesh, much like absorbable suture material, that slowly dissolves in the body over 12 to 18 months into water and carbon dioxide. GalaFLEX absorbable mesh acts like an internal bra that supports the internal breast tissues and is secured to an elevated position on the chest wall. As the mesh dissolves, it is replaced by the body’s natural collagen and elastin fibers to create a scaffold that is two to four times stronger than would be if no mesh were used. This new tissue scaffold support can provide more lasting long term shape and support. It certainly does add cost to the surgery, but Dr. Gershenbaum uses this absorbable mesh routinely and highly recommends it if possible. Prospective patients are encouraged to speak with previous patients about their experience, surgery and results. Dr. Gershenbaum and his staff are always available for questions. Following the initial consultation and after appropriate time for reflection and decision making, an appointment is scheduled for routine preparation and informed consent.

  Link: Breast Reduction

• Butt Implants

  Butt Implants (Gluteoplasty) Many men and women are dissatisfied with the size, shape and contour of their buttocks. Underprojected, flat and/or sagging buttocks do not fit their ideal self-image. Body-image is an important part of feeling good, desirable and confident. For many, this surgical procedure can dramatically affect the quest for a beautiful body. Butt Implants Miami - Dr G Cosmetic SurgeryButtock implants, also known as gluteal augmentation, gluteal implants or gluteoplasty, is a surgical procedure designed to add fullness and projection to the underprojected or flat buttock area. The definition and contour of the buttocks is due to the size and shape of the surrounding tissues. Excess and localized fat deposits of the hips, waist, lower back and upper thighs may obscure the definition and shapely contour of the buttocks. Frequently, liposculpture of any combination of the hips, waist, low back and upper thighs is done simultaneously with buttock implants to enhance the shape and contour of the buttocks. For those who have excess sagging of the skin or folds of the buttocks, a buttock lift from above, or a local skin excision from the crease below, may be desirable. This is usually reserved for more extreme cases with the understanding that more extensive scarring will result. Generally, these scars are easily hidden within the bikini, bathing suit or undergarment lines. An ideal candidate for buttock implants (gluteoplasty) is a man or woman dissatisfied with the underprojection or flat appearance of their buttocks who is free of any complicating pre-existing medical conditions including heart disease, high blood pressure, diabetes, skin/connective tissue disorders, etc. Butt Implant Consultation The initial consultation is important to review the patient’s medical history, goals and expectations as well as build mutual trust and rapport. Before and after photos are reviewed, the procedure is carefully explained and the alternatives discussed. Each patient has different buttock/gluteal contours, projection and sizes, as well as different expectations and requests. No single procedure can fulfill every individual’s needs. A complete evaluation and physical examination is performed for each individual patient to ensure that expectations can be met as well as to determine the best choice of procedure(s) and the size and shape of the implants to be used. The surgical plan and the incision/scar placement are reviewed. Every effort is made to accomplish the desired set of goals, however, no surgeon can guarantee exact size, projection and contour of the buttocks. Prospective patients are encouraged to speak with previous patients about their surgery and results. Dr. Gershenbaum and his staff are always available for questions. Following the initial consultation, and after appropriate time for reflection, an appointment is scheduled for routine preparation and informed consent. Additional questions and concerns may also be addressed. Routine blood analysis and medical clearance is required before surgery. Gluteoplasty Surgery Miami Butt Implants Before & After Photos - Dr G Cosmetic SurgeryThis procedure involves inserting a soft, high grade, solid silicone, implant into the muscular space of the buttock area. To the touch, it has the feeling and consistency of a flexed muscle. Unlike breast implants, after this procedure is properly completed and healed, there is no reason to require additional surgery. These implants can be round or oval and come in a variety of sizes. A consultation and physical exam is needed to determine the appropriate size and shape for individuals. The butt implant procedure is performed in our state-of-the-art out patient facility in Miami under general anesthesia. Epidural (spinal) anesthesia may also be used at times. This surgical procedure takes approximately one and one-half to two hours to perform. Liposculpture and/or lifting procedures can add an additional one to three hours or longer. The surgical plan, including implant placement and liposculpture, is outlined prior to surgery. While in the sitting position, it must be assured that the implant is positioned above the weight-bearing area. After speaking with the anesthetist/anesthesiologist, the patient is brought to the operating room. After asleep, local nerve blocks, combined with a medication that shrinks blood vessels and capillaries to reduce any bleeding, are instilled. A 5 to 7 cm incision is made vertically in the midline between the upper aspect of the buttocks. A “pocket” or space is created under each gluteal muscle of the buttocks corresponding to the plan outlined on the skin. The implants are then inserted. Prior to the closure, a long acting anesthetic is poured around the implants, which dramatically reduces post-operative discomfort. The incision is closed with sutures below the level of the skin to avoid cross hatching and suture marks.

  Link: Butt Implants

• Liposuction

  At the Cosmetic Surgery Center in Miami, liposuction brings contour and youthfulness to many areas of the body and face. Dr. Sam Gershenbaum utilizes tumescent liposuction with many other procedures, including facelift and abdominoplasty, performed at our cosmetic surgery center in Miami, Florida. Liposuction, also known as liposculpture, can be used for the removal of large or small amounts of fat to add shape and contour to the body, taking years off a patient’s appearance, and helping you live a healthier lifestyle. Liposuction is an approach to body contouring that removes excess subcutaneous fat through tiny incisions. Liposuction can be used alone or in combination with other procedures for cosmetic, posttraumatic, or reconstructive surgery. The distribution of fat is determined by three factors: heredity, metabolism and diet. Heredity determines the location and number of individual fat cells, which are fixed and unchanged after puberty. Metabolism and diet may increase or decrease the amount of fat in each cell, however it will not affect the number of fat cells or their distribution. At the Miami Center facility, located in Brickell, we use liposuction for the most precise removal of fat deposits, because it is the only proven way to reduce fat in localized areas of the body. There is no way to “spot” reduce or selectively diet away specific areas of localized fat. With liposuction, the actual fat cells are removed, making the procedure permanent. As a result the body will always have less fat in the treated areas. If weight is gained following this procedure, the remaining fat cells will enlarge along with the other fat cells throughout the body, however, your body will retain these improved proportions. Liposuction is suitable for patients with minimal to moderate fat accumulation that is not correctable by restrictive weight loss, dieting, and exercise. Liposuction is not a substitute for weight loss, although it has been reported, perhaps anecdotally, to have the beneficial side effect of stimulating patients achieve better weight control. The ideal candidate for liposuction has localized areas of excessive fat and otherwise normal body weight and good skin elasticity, and is also free of any complications or preexisting medical conditions, including heart disease, hypertension, diabetes, skin/connective tissue disorders, etc. Improvement in technique at our Miami center has made liposuction possible to treat patients of all ages. Liposuction is not successful in treating generalized obesity. Patients who are generally overweight, but who exhibit unsightly bulges of fat, are also candidates for treatment of these areas. Because liposuction does not reduce the amount of skin present, the best results are obtained in those patients with good skin tone/elasticity because their skin readily contracts to the newly contoured frame. Pleasing and satisfactory results can also be obtained in older patients with somewhat less skin elasticity. Those patients with more skin laxity, or poor elasticity may benefit from or require removal of the excess skin to achieve intended results, as would be the case in an abdomen with hanging loose skin or abdominal “apron” In Miami, liposuction is now nearly as common for men as for women. The areas commonly treated are: Abdomen (Abdominoplasty) Calves and Ankles Hips and Waist Chest – Male and Female Flanks and Back Arms Inner, Outer, Anterior Thighs Under the Chin/Double Chin Area Buttocks Face Knees In a related procedure, fat augmentation or transfer can be used for cosmetic purposes. These fat cells can be harvested to be used for cosmetic augmentation and contouring of different areas of the face, including the brow, cheeks, jaw line, and lips. It can also be used in the tops of the hands, and to aid in the correction of body contour defects. Fat may also be frozen and saved, to be used later, until desired results are obtained. The buttocks are also a common area for fat augmentation. Liposuction Surgery in Florida Through tiny incisions, no more than the width of a pencil eraser, a tiny stainless steel tube or “cannula” is used to sculpt the fat in treated areas. The small cannula reduce trauma and allow greater precision and control. At our facility in Miami, we use a method known as tumescent liposuction, a state-of-the-art technique in which large volumes of saline with local anesthesia and medications are used to reduce bleeding. Tumescent liposuction allows the removal of more fat with less bleeding. It is a safer procedure, producing superior results. Because diluted anesthesia remains in the fat after liposuction surgery, postoperative discomfort is greatly reduced and easily controlled with medications.

  Link: Liposuction

• Tummy Tuck (Abdominoplasty)

  In Miami, as well as in the rest of the United States and across the world, it is especially important to look your best. Abdominoplasty or “Tummy Tuck” is a surgical procedure that removes excess skin and fatty tissue from the abdomen, as well as tighten the underlying musculature. A tummy tuck performed by Dr. Gershenbaum from our Miami cosmetic surgery center will tighten stretched, wrinkled skin, creating a firmer, flatter abdomen and narrower waistline. Protruding abdomens or those with loose, wrinkled, or hanging skin and fatty tissue, causes distress to thousands of people. Weak abdominal muscles, weight fluctuations, pregnancy, and surgical scars can wreak havoc on our lower midsections. For many people, this area does not respond well to diet and exercise and surgical measures are needed, in this case a tummy tuck. Tummy Tuck Overview Abdominoplasty, or a tummy tuck, is not a substitute for weight reduction and it is not meant as a treatment for obesity. The ideal candidate for a tummy tuck has relatively normal weight with weak abdominal muscles and excess skin and fat of the lower abdomen. Loss of skin elasticity, which frequently occurs with slight obesity in older patients, or extreme fluctuations in weight, can result in loose, stretched, hanging skin, as well as fat in the lower abdomen. These conditions can be improved with this procedure. If stretch marks are a problem, only the marks on the excess or hanging skin will be removed. Abdominal wall hernias and/or abdominal scars can sometimes be complicating factors that may also be corrected during tummy tuck surgery. Tummy Tuck Consultation At our Miami, Florida cosmetic surgery center, emphasis is placed on a thorough initial consultation. During the first visit, Dr. Sam Gershenbaum, will review the patient’s medical history, goals and expectations, as well as build mutual trust and rapport. Before and after photos from previous abdominoplasty procedures performed by Dr. Gershenbaum will be reviewed. He will examine the patient’s abdomen and will create a treatment plan to meet individual needs. Liposuction of the hips, waist and/or flanks is often performed at the same time as abdominoplasty, enhancing the waistline and back for optimal results. “Mini” Abodminoplasty In selected cases, Dr. Gershenbaum may recommend a less extensive “mini” or “modified” abdominoplasty. These procedures can be individualized to treat, conditions such as loose muscle tone without excess skin and fat. The procedure can also treat excess skin and fat without loose muscle tone. A “mini” abdominoplasty usually treats conditions or problems isolated to the lower abdomen. In these cases, an incision around the belly button (umbilicus) may not be necessary. The abdominal wall and muscles may be tightened depending on the requirements of the patient. Prospective abdominoplasty patients are encouraged to speak with previous patients about their surgery and results. Dr. Gershenbaum and his staff are always available for questions about abdominoplasty at our Miami, Florida center. Please contact the Center for Cosmetic Surgery and Hair Restoration to schedule an appointment today! About the Tummy Tuck Surgery Every tummy tuck performed at our Miami, Florida cosmetic surgery center is performed with the utmost care and latest techniques. Abdominoplasty, or tummy tuck surgery generally takes between two and three, hours plus additional time for liposculpture, if performed. The line of incision and areas for liposculpture are outlined. After speaking with the anesthetist or anesthesiologist, the patient is brought to the operating room. Once asleep, medication is administered to reduce bleeding. Tummy Tuck surgery also results in a scar around the belly button (umbilicus), as this is made free to allow removal of the excess and loose skin. During a tummy tuck, skin and fat are separated from the abdominal wall, by a transverse incision across the lower abdomen to the lower portion of the rib cage. The underlying abdominal wall and muscles are tightened with sutures (stitches), which provide a firmer and flatter abdominal wall, as well as a narrower waistline. The elevated skin is then lowered and the excess removed. The belly button (umbilicus) is then repositioned to its normal location. Prior to closure, a long-acting anesthetic is administered along the muscle wall and incision, which dramatically reduces post-operative discomfort. The abdominoplasty incision is closed with sutures predominantly below the level of the skin to avoid cross-hatching and suture marks. A light dressing and elastic binder is then applied.

  Link: Tummy Tuck (Abdominoplasty)

• Mommy Makeover

  Mothers give everything to their children… including the appearance of their bodies, both during and after pregnancy. Motherhood changes everything and some women experience huge changes to their bodies and cannot seem to reverse the process. Muscle tone in the abdominal area is often lost and women gain weight and stretch marks in a variety of areas. They may also experience saggy breasts and other adverse effects of pregnancy. Regaining an ideal shape is possible with what is known as the “Mommy Makeover.” Mommy Makeover Overview This special makeover is a combination of a number of procedures at once. Women can customize the process in order to address their specific needs, but most combine a tummy tuck with breast augmentation to get the full desired result. The abdomen and breasts are the most affected areas after pregnancy and they can both be tightened and fixed in order for the woman to look the way she did before she gave birth. Some women also add liposuction to the list to get rid of excess fat in various areas to return their body to its original, pre-pregnancy shape. Mommy Makeover Consultation The best way to find out if you are a candidate for the makeover is to schedule a consultation with your doctor. If you want to return to your pre-pregnancy body and you have been unable to do so on your own with diet and exercise, you might be a good candidate. You also need to be at least 21 years of age and in good health. Your doctor will evaluate any health conditions you might have and recommend the procedures that will best suit your desired results and body type. Mommy Makeover Surgery Once you have chosen your procedures, you will schedule the surgery. The tummy tuck procedure will remove fat and excess skin and tighten the abdominal muscles. Muscles will be sewn together to correct protruding abdomens and this can also improve stretch marks. Breast augmentation places implants inside the breast tissues to restore volume and improve overall symmetry. Some mothers also include a breast lift with this procedure to decrease sagging issues. Liposuction can be done in a variety of areas where the woman may have excess fat from weight gain during pregnancy. These tough areas include the stomach, thighs, buttocks and other regions. There are a variety of liposuction techniques that can be considered. Mommy Makeover Recovery Recovery from this type of makeover varies based on what procedures are chosen and the overall health of the person involved. No matter what combinations are completed, you can expect a significant recovery period. These are major procedures that need to be taken seriously during recovery. Most patients will stay overnight at the facility and can expect swelling and pain. The next few days at home need to be spend resting and recovering. It may be a week or longer before you can go back to work and longer still before you resume all regular activities. Mommy Makeover Complications As is true with any major surgery, there are possible complications that go along with these makeovers. The procedures are considered safe, but occasionally, patients have issues with bleeding, loss of tissues, scarring, infection, numbness and other such items. The best way to avoid complications is to follow your doctor’s recovery instructions and notify your doctor if anything doesn’t seem right. The Mommy Makeover is a great way for women to get their pre-pregnancy bodies back after having children. The procedures can be customized for each individual in order to address the specific issues the woman is dealing with after pregnancy. At Dr. G Cosmetic Surgery, we are experienced in Mommy Makeover procedures and we invite you to consult with us on what this treatment, and our other services, can do for you. Mommy Makeover Procedure Photo Gallery Check out Dr. G’s work in our Mommy Makeover photo gallery filled with a vast amount of before and after images. If you’ve been considering undergoing a mommy makeover cosmetic procedure, come to our Miami cosmetic surgery center and contact Dr. G and his staff today to schedule a consultation. Mommy Makeover Miami Although pregnancy brings with it a variety of body changes, becoming a mother is probably one of the most rewarding life experiences a woman can have. The changes a woman’s body undergoes during pregnancy and her ability to regain her pre-pregnancy shape depends greatly on genetics. However, women who have not been blessed with the ability to bounce back on their own now have another option, a Mommy Makeover with Dr. Sam Gershenbaum, who is an award-winning, board certified, plastic and reconstructive surgeon in Miami, Florida. Each Patient is Unique A Mommy Makeover consists of a set of procedures specifically tailored to meet the needs of the patient. Dr. Gershenbaum and his staff know that each patient is unique; therefore, not every patient will need the same procedures in their Mommy Makeover plan.

  Link: Mommy Makeover

• Facelift

  Miami’s facelift expert, Dr. Sam Gershenbaum, brings state-of-the-art techniques and experience to every facial surgery procedure at the Brickell Riverfront Surgery Center in Miami, Florida. A facelift can improve the most visible signs of aging by sculpting, lifting and tightening the deeper structures and foundation of the face and neck, restoring deficient volume and removing skin excess. As we age, the effects of gravity, sun exposure, weight fluctuations, volume loss, smoking, heredity, and the daily stresses of life begin to reveal themselves in our faces. Facelift surgery can bring youth back to a patient’s face. In youth, the face is firm and smooth due to good skin elasticity and proper positioning and volume of normal facial fat. As we age, skin elasticity and connective tissues weaken, facial fat compartments and underlying bone volume diminish causing prominent skin folds and deep creases. Jowls also become prominent along with fat deposits, loose skin with vertical bands in the neck. A facelift won’t stop this aging process, but it can “turn back the hands of time.” A facelift (technically referred to as Rhytidectomy) is designed to restore facial volume, tighten and repair lax musculature, sculpt away areas of undesirable fat and reduce the laxity and the heavy wrinkles and folds in the face and neck. It will also improve the contour of the jaw and necklines. A face and neck lift procedure works to restore the “triangle of youth” Generally, as can easily be seen in any fashion magazine, a youthful face ideally has high cheekbones, a full cheek and defined jawline. These three attributes shape what is commonly referred to as the “triangle of youth” with the base of the triangle aligning with the full cheekbones and the point at the chin. As we age, this youthful triangle gradually becomes inverted. It is now well understood that facial aging, in simple terms, is due to a combination of skin’s loss of collagen and elasticity as well as facial volume loss of bone and fat. Studies have shown that multiple areas of facial skeleton undergo bone resorption and changes in shape as we age. Studies have also revealed that the face has multiple deep fat compartments. These fat compartments, generally full in youth, diminish in volume over time. As facial bone and fat volume diminishes with age, the overlying skin, no longer full and supported, becomes hollow, loose and sags. Analogy can be made of the change in appearance from a grape to a raisin. As the internal volume of a grape diminishes and shrinks, the once firm and plump grape skin shrinks and wrinkles. Volume restoration, especially fat volume restoration is often a very important step in facial rejuvenation. The idea is to restore that “facial triangle of youth”. Depending on each individuals exam, volume may be restored to hollow and volume depleted areas of the temples, orbits of the eyes, around and under the eyes, the midface, cheeks and lips in conjunction with the facelift procedure. This volume restoration is most often accomplished with one’s own fat. A facelift will not, however, completely remove every fold, line, and wrinkle. There is limited improvement around the eyes and with fine lines of the facial skin. A facelift alone will not improve “smoker’s” lines around the mouth or a poor and damaged skin complexion. Other options exist to treat these problems, including CO2 Smart Skin Fractional Laser resurfacing treatments, dermabrasion, and chemical peels. At our new state of the art Brickell Riverfront Surgery Center in Miami, many facelift procedures are combined with a forehead or brow lift, upper and/or lower eyelid surgery, and possibly “cheekbone” (malar) augmentation. Frequently, chin implants are placed to improve the profile proportions of the jaw line and increase the projection of the chin. These additional procedures may be performed at the same time and in combination with facelift and neck lift surgery or as independent procedures at a later date. Facelift Techniques It is important to realize that there are numerous facelift techniques. These range from superficial skin re-draping and fat contouring procedures to more extensive procedures of tightening of the deeper connective tissue layer of the muscles known as the SMAS ( superficial muscular aponeurotic system ) along with tightening the muscles in the neck called a platysmaplasty ( repairing the pair of platysma muscles of the neck ). With all of these techniques, the facial skin is elevated, to varying degrees, and the excess removed. Understand that a youthful face is not created by simply elevating and pulling on skin. Correcting and shaping the underlying foundation of muscles, connective tissues and fat compartments to recreate that “triangle of youth” is the key component before removing the excess skin and closing without tension.

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• Neck Lift

  As we grow older, the neck is one of the first places where we tend to show our age. Many people feel they develop fatty jowls as they age. This is sometimes referred to as a “turkey wattle” and is caused by creasing under the neck. This can make us look older than we feel. With a neck lift, the appearance of the neck is enhanced, because the skin and neck muscles are tightened. This works to improve the contour of the jaw line as well as the appearance of the neck itself. Often, a neck lift is performed in conjunction with liposuction or a facelift, but it can be performed on its own as well. Neck Lift Consultation During a neck lift consultation, Dr. G will discuss the goals of the surgery as well as rejuvenation options. He will also ask about any medical conditions or drug allergies you have, current medications you are on, and any past medical treatments you have undergone. Dr. G will also evaluate your general health status and make sure you are healthy enough for the procedure. The surgeon will examine and measure your face and take “before” photos and then discuss his recommended course of treatment. During the consultation, he will discuss the likely outcomes, the anesthesia that will be used during surgery and any risks or possible complications. During the consultation, be sure to ask any questions you may have. Neck Lift Surgery The procedure generally takes two to three hours. During surgery, small incisions are made behind the ears and under the chin. Through those incisions, excess fat will be removed, usually through liposuction, but it can be done through surgical excision as well. The neck muscles are then tightened, and sometimes a small section of the platysma muscle is removed. After this has been completed, the skin is replaced and is pulled taut. The incisions are then sutured closed. Any excess skin will be removed. Recovery After Neck Lift Surgery Dr. G will provide you with detailed information for your post-surgical care, and he will tell you when a follow-up appointment should be scheduled. Right after the procedure, your neck will be bruised and it will feel tight and numb. The bruising will go away in four or five days, but the tight and numb feeling may remain for several months. After surgery, you will need to keep your head elevated above your heart in order to minimize swelling. Make sure not to twist or bend the neck excessively, and do not apply ice to the bruising, as this can compromise blood flow. The amount of time needed for recovery varies from person to person. Potential Neck Lift Complications Possible, but unlikely, complications and risks associated with neck lifts include bleeding, temporary hair loss along the incisions, facial asymmetry, a rare nerve injury that could cause weakness in your lower lip, hematoma, scarring, or infection. There is a low risk of deep venous thrombosis.

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• Brow Lift

  On many occasions, individuals make an appointment with Dr. Sam Gershenbaum at Dr. G Cosmetic Surgery Center in Miami, FL., to discuss the possibility of correcting heavy-looking upper eyelids through plastic surgery: However, frequently, it is the drooping or sagging of the brow itself that causes the eyelids to appear heavy. This drooping brow also causes an individual to appear overly tired. The Importance of Choosing an Experienced Plastic and Reconstructive Surgeon As an experienced plastic and reconstructive surgeon, Dr. G knows that in some situations, performing an upper eyelid surgery alone will only exacerbate heavy looking upper eyelids. Frequently, an individual needs a forehead lift (brow lift) to correct this problem. Some patients choose to have a combination procedure (upper eyelid surgery and a forehead lift). Both of these procedures provide long-lasting results (approximately 10 years). The Forehead Lift Individuals who have a pronounced descent of their eyebrows may benefit from a brow lift. A forehead lift is a plastic surgery procedure that Dr. Sam Gershenbaum regularly performs at his cosmetic surgery center in Miami. A brow lift is designed to return the brows to their original position. For a female, the ideal brow is gently curved with a slight arch above the superior orbital rim. For a male, the eyebrow should be straight and located just slightly above the superior orbital rim laterally. Dysport® and BOTOX® Cosmetic Treatments Vs. a Brow Lift One of the first parts of the face to begin showing signs of aging is the forehead. Initially, glabellar creases (vertical wrinkles) develop between the eyebrows, followed by horizontal wrinkles across the forehead. At the onset of these forehead lines and wrinkles, neuromuscular paralyzing agents, such as BOTOX® Cosmetic and Dysport® can be used; however, neither of these treatments is permanent. Furthermore, these paralyzing agents cannot address the wrinkling that occurs over the bridge of the nose. Additionally, as an individual continues to age, the brow itself begins to descend. When the descent is mild, Dysport® and BOTOX® Cosmetic can be used to treat forehead wrinkling and lift the eyebrow; however, these products are just a temporary fix. At some point, the results achieved with Botox may become difficult to see: This is when a brow lift should be considered. What Causes the Forehead to Show Signs of Aging? Gravity, the continuous use of the forehead muscles, smoking, genetic influences, sun exposure, fluctuations in weight and loss of skin, and muscle tone all contribute to the changes in the elevation of the brow. Who Should Consider a Brow Lift? Men and women who notice that they appear tired, older and/or sullen may want to consider a brow lift. Forehead lift candidates must have realistic expectations, be physically healthy and wish to improve the appearance of their forehead. Issues that a brow lift can address include: Forehead wrinkles Frown lines Furrowed or bunched skin above the nose Low-hanging eyebrows that need an arch Sagging brows that encroach upon the upper eyelid Asymmetrical eyebrows Any other type of eyebrow abnormality How Old Are Most People Who Choose to Have a Brow Lift? The majority of Dr. Gershenbaum’s patients in Miami choose to have a brow lift once they reach their late 40s. Ultimately, the goal of a forehead lift is to elevate the brows back to their natural position and smooth the lines in the forehead. While no procedure can ‘stop the clock,’ altogether, there are many cosmetic procedures and plastic surgeries that can ‘turn back the hands of time’ to provide individuals with a more youthful appearance. Does Insurance Cover Brow Lift Surgery? In the event that the drooping of the eyebrows is so severe that excess skin accumulates over the eyelashes and obscures vision, a patient’s insurance may reimburse him or her for a portion of the cost of a forehead lift. An Initial Consultation at Dr. G Cosmetic Surgery Center in Miami During an initial consultation for a brow lift, Dr. Gershenbaum will want to know about all previous procedures, surgeries and/or treatments the patient has had. Dr. G will want to know what the patient would like to accomplish with a brow lift. He will also ask whether or not the patient smokes, drinks alcoholic beverages and/or participates in recreational drug use. The patient should bring a list of the medications he or she takes on a regular basis (dosage and frequency) as well as a list of any herbal supplements and/or vitamins taken regularly. Providing Dr. Gershenbaum with accurate information related to the use of these products is extremely important because smoking, drinking alcohol as well as taking certain drugs, medications, vitamins and herbal supplements can increase the likelihood of excess bleeding, and bruising.

  Link: Brow Lift

• Rhinoplasty

  Miami’s facial surgery expert, Dr. Sam Gershenbaum, brings state-of-the-art techniques and experience to every nasal surgery procedure at the Brickell Riverfront Surgery Center in Miami, Florida. Nasal surgery, or rhinoplasty, is popular among men and women who are dissatisfied with the size and/or shape of their nose. Being such a prominent feature, the nose may be the most defining characteristic of one’s face. Septorhinoplasty corrects both cosmetic concerns and septal deformities causing airway obstruction. Septoplasty, alone, may be performed to correct a deviated septum causing airway obstruction. Dr. Sam Gershenbaum routinely performs rhinoplasty, septorhinoplasty and septoplasty at Brickell Riverfront Surgery Center in Miami. Typical reasons for rhinoplasty include: Decreasing or increasing the size Removing a hump Narrowing the nose and tip Increasing or decreasing projection Correction of a crooked nose or deformity Correction of a hanging or drooping tip Correction of airway obstruction Conditions requiring rhinoplasty may be a result of natural genetic causes, birth defects or traumatic causes. Dr. Gershenbaum also routinely performs corrective rhinoplasty and septorhinoplasty for patients unsatisfied with their surgery performed elsewhere. Frequently, patients who desire rhinoplasty are concerned that their nose appears too large or out of proportion to their face. The nose and chin are important balancing features of the profile, and can often affect one’s appearance. A small, flattened or receding chin may also be a contributing factor to a patient’s unbalanced or “unattractive” profile. Chin augmentation or a chin implant may be considered and discussed at the time of the nasal surgery consultation as this procedure is frequently performed at the same time as rhinoplasty to improve and balance facial proportions. Cosmetic improvements and correction of deformities of the nose can be corrected by adding to, removing, reshaping and/or rearranging bone and cartilage. Each person’s nose is different requiring a complete understanding of nasal anatomy, along with a full armamentarium of procedures and techniques to formulate a specific surgical plan. Bone and cartilage can be filed, shaved, cut and trimmed along with a vast number of suturing techniques to reshape cartilages of the nostrils and tip. More often, precise cartilage grafts are trimmed and shaped to provide added contour and support to the dorsum, tip and nostrils for cosmetic as well as functional repairs. Cartilage for repairs are most often harvested from the nasal septum, however, can also be taken from ear and rib cartilage as well. At times, soft tissue fascia and/or dermal-fat grafts can be used as well for corrections along the dorsum. On occasion, allograft donor dermis and cartilage can be used as well. Techniques Dr. Gershenbaum routinely performs both closed rhinoplasty and open rhinoplasty procedures depending on the needs of the patient. Rhinoplasty and septorhinoplasty can be accomplished through a closed technique, where incisions are made inside the nose only. Dr. Gershenbaum performs closed nasal surgery with more minor rhinoplasty procedures, such as removing a nasal hump, narrowing the nasal bridge or adding simple cartilage grafts to support the nostrils or add conservative projection to the tip. For more extensive rhinoplasty and septorhinoplasty procedures, Dr. Gershenbaum prefers an open approach, in which an incision is also made across the columella (the skin bridge between the nostrils), which connects the internal incisions. The open approach provides unparalleled exposure and accuracy with greater predictability in results. The performance of each suture technique, cartilage shaping and graft placement is visualized. The resultant scar is near imperceptible. Dr. Gershenbaum has never had an issue or complaint about the few millimeter columellar scar in all his years of practice.

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• Botox

  Want to reduce lines and wrinkles? BOTOX® treatment is fast, painless and non-surgical. Satisfaction is high and its popularity is exploding. After a single, short visit for BOTOX® Cosmetic at our Miami center, your face will look years younger. Purified Neurotoxin Complex is a protein produced by the bacterium Clostridium botulinum. BOTOX®, or botulinum toxin, is a nerve impulse “blocker.” It binds to the nerve endings and prevents binding of the chemical transmitters that activate the muscles. BOTOX® Cosmetic usually take full effect within one to two weeks. Treatment will lasts from four to six months, and results may vary for duration and degree of improvement. The nerve endings will usually grow new connections to the muscle at sites that have not been exposed to BOTOX® Cosmetic. Therefore, treatment must be repeated approximately every four to six months. At times, repeat injections between two and three weeks may be necessary. BOTOX® Cosmetic has been recognized by the American Academy of Neurology, the American Academy of Ophthalmology and the Nations Institute of Health as a safe and effective treatment for various muscle spasm disorders around the eye. More recently, BOTOX® Cosmetic has been safely used in thousands of patients for cosmetic enhancement. The most common cosmetic uses for BOTOX® Cosmetic involve temporary improvement in glabellar frown lines (lines between the eyebrow) and excessive “crow’s feet” (lines/wrinkles between the eye and temple area). BOTOX® Cosmetic may also be used to temporarily improve excessive forehead lines/wrinkles. More recently, BOTOX® Cosmetic has been used to reduce vertical lines around the mouth/lips and vertical lines/bands in the neck area. The goal is not to completly eliminate these lines and wrinkles, but to significantly reduce weakening of the involved muscles. Results vary from patient to patient. As with the administration of any medication, there are potential side effects. Miami plastic surgeon Dr. Sam Gershenbaum has been administering BOTOX® injections since its inception. Side effects are usually temporary. They include ptosis (drooping of the upper eyelid), which can generally be reversed with prescription eye drops. Other potential, but temporary, side effects include bruising, rash or irritation around the injected area, difficulty in closing the eyelids and brow ptosis (drooping of the brow) in those treated for horizontal forehead lines.

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• Dermal Facial Fillers

  This is the newest Dermal Filler available. It is a hyaluronic acid, which is a natural complex sugar found in all living cells, and one of the major components of the dermis connective tissue matrix. Hyaluronic acid retains water like a sponge, absorbing more than 1000 times its weight, helping to increase its volume and density. JUVEDERM™ is a smooth injectable gel that will improve wrinkles or folds. Results are smooth and natural; everyone will notice but no one will know. This product comes in two strengths: ULTRA – for less intense areas and lips, and ULTRA PLUS – to correct deeper wrinkles and folds. JUVEDERM™ has a high degree of cross linking –, with HYLACROSS TECHONOLOGY promoting duration of six months or longer. There is less discomfort with this product and patients notice the natural look and feel it brings. For optimal results we recommend the layering method. One or two syringes are done per area and patients return a month later for another syringe. Results will last even longer! After several months, the diminished lines and wrinkles will slowly begin to reappear which is the best time to touch up and layer additional JUVEDERM™ . Replenishing the JUVEDERM™ before it is all gone, will maintain a more youthful and vibrant appearance. For more information about Juvederm injections in Miami Florida contact board certified plastic surgeon Sam Gershenbaum today. Restylane® Injections Restylane® Injections Restylane® is a natural filler used to correct wrinkles and facial folds by restoring volume and fullness to your skin. Restylane® is completely safe and injections are relatively painless. Made from hyaluronic acid, a natural substance that already exists in the human body, Restylane® virtually eliminates the potential for allergic reaction. It also lasts twice as long (six months) as other fillers, such as collagen. Patients can expect temporary redness and swelling around the area of injection, but this will subside within two to three days. Restylane® injection is fast and painless. In fact, many people have Restylane® injections during their lunch hour. You can enjoy the results immediately. To experience the benefits of Restylane®, contact Dr. Gershenbaum in his Miami location today! Perlane® Perlane® restores volume and fullness to the skin, correcting moderate to severe facial wrinkles and folds, such as the lines from the nose to the corners of the mouth (nasolabial folds). After treatment, there might be some swelling, redness, pain, and bruising. This will normally last less than seven days. Although rare, red or swollen small bumps may occur. If the patient has had herpes, an injection can cause an outbreak. In rare circumstances, the doctor may inject into a blood vessel, which can damage the skin. To avoid bruising and bleeding, Perlane should not be used if the patient has recently used blood-thinning or anti-clotting drugs. Those who are pregnant, breastfeeding, or under 18, shouldn’t use Perlane®. Q : What is Perlane® used for? A Perlane® is used to smooth moderate to severe facial folds and wrinkles such as the lines from the nose to the corners of the mouth (nasolabial folds). Perlane® generally lasts for about 6 months. It has been found to be a safe dermal filler that restores volume and fullness to the skin. Sculptra® Sculptra® is an enduring treatment approved by the FDA for restoration and/or correction of the signs of facial fat loss, or lipoatrophy, in people with human immunodeficiency virus. It is the first FDA-approved product of its kind for this condition. Facial fat loss, or lipoatrophy, is the loss of fat beneath the skin, which can result in sunken cheeks, indentations, and hollow eyes. Sculptra® is a safe, synthetic, and biocompatible material injected below the surface of the skin in the area of fat loss. It provides a gradual and significant increase in skin thickness, improving the appearance of folds and sunken areas. No skin testing is required. Sculptra® has been safely used outside the United States since 1999 in more than 150,000 patients under the trade names New-Fill™ and Sculptra®. Sculptra® is an injectable product that restores and corrects the signs of facial fat loss by replacing lost volume. Sculptra® provides an increase in skin thickness, helping to create a more natural facial appearance in those with facial lipoatrophy. Sculptra® is composed of poly-L-lactic acid, a synthetic material. Sculptra® is not made from human or animal sources and does not require a skin test. Poly-L-lactic acid (PLLA) is a biocompatible (does not harm the body), biodegradable (able to be broken down by the body) material that has been widely used for many years in surgical products. The effects are long-lasting; they were shown in a clinical study to last for up to 2 years after the first treatment session.

  Link: Dermal Facial Fillers

• Laser Skin Resurfacing

  Laser Skin Resurfacing Cynosure’s Smart Skin Fractional CO2 Laser is the most advanced laser for skin resurfacing. Laser skin resurfacing removes the layer of skin marked by wrinkles, acne scars, or dark pigmentation, to reveal the healthy skin just beneath the surface. Many factors, including sun exposure, smoking, heredity, and other lifestyle factors, effect how quickly skin ages. Laser skin resurfacing erases these telltale signs of aging. Dr. Gershenbaum will consult with patients to decide if laser skin resurfacing is the best skin care method for a particular skin type. Goals will be discussed, as well as what should be expected from treatment. Laser skin resurfacing uses a carbon dioxide laser to remove the outermost layer of skin by vaporizing skin cells. This method of skin resurfacing has become popular because of its precision and dramatic results. Laser skin resurfacing is reserved for patients with light or fair skin compexion. After the procedure, skin will be red and swollen and require several weeks of healing. Sun exposure should be avoided until healing is complete. Contact Dr. Gershenbaum’s practice in Brickell, Miami to discuss your options for laser skin resurfacing. SmartSkin CO2 REJUVENATE AND RESTORE YOUR SKIN Over the years signs of aging appear to your skin as a result of exposure to the sun (photoaging) and the effects of gravity and natural aging. The texture, tone and pigmentation of your skin can be affected, often resulting in unwanted wrinkles and fine lines, sun spots and larger pores. This look of premature aging can negatively impact how we feel about our appearance and how we are perceived by others. The good news is that new advancements in laser technology provide the means of rejuvenating and restoring your skin to a more youthful, smoother look. SmartSkin laser fractional resurfacing, the latest advancement in laser skin renewal, optimizes your treatment outcome while minimizing your recovery time. SmartSkin CO2 Laser Skin treats the following: Reduces Wrinkles Treats Brown Spots Improves Skin Irregularities Smooths and Treats Uneven Pigmentation Treats Dark Undereye Circles Reduces Pore Size Rejuvenates Hands and Neckline For more information on how this state-of-the-art treatment can change your life, please call our office for an apppointment at (305) 933-1838.

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• Laser Hair Removal

  Never think about having to shave, tweeze, or wax again. Say hello to lasers, and goodbye razors! Our laser hair removal in Miami system offers a lasting solution for unwanted hair. Cynosure’s laser treatments target and destroy the hair cells responsible for hair growth by emitting a gentle beam of light that passes through the skin, to the hair follicle, where it is absorbed. Upon absorption, the energy is transformed into heat, which will disable the follicle, while leaving the surrounding tissue unharmed. You can expect to see a gradual decrease in the hair thickness and in the amount of hair present. In addition, you may also see a decrease in stubble, rashes and ingrown hairs! LHR PROMOTION Buy 1 area and get 2nd area half price Frequently Asked Questions Does It Hurt? How does Laser Hair Removal work? How long does a treatment take? How many treatments are required? How will my skin look after a treatment? I was out in the sun, is it okay to get treated? Is it permanent? Is there any pre-treatment? What body areas can be treated? What post-treatment is necessary? Please contact Dr. G Cosmetic Surgery for laser hair removal in Miami Florida.

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• HYDRAFACIAL

  Everyday your skin is exposed to free radicals-unstable molecules like pollution, sun, and stress which damage the vital skin cells like collagen and elastin that keep you looking fresh and young. We provide the best HydraFacial MD® in Miami, resurfacing & hydrating your face for a younger & rejuvenated look. One of the most damaging free radicals is the sun’s rays. UVA rays have the same strength, every days, all year long. Antioxidants counteract free radical damage by trapping and containing them, preventing further damage to the skins cells. The HydraFacial MD® utilizes some of the most powerful antioxidants to revitalize and protect your skin. Healthy Skin For Life is not just improving your appearance, but actually restoring youthful, healthy skin. Skin health is a lifestyle, requiring monthly maintenance and the right treatment for every skin type. Works on all skin typesthe-process Shows immediate results Has no downtime or discomfort Targets specific skin concerns Provides an alternative to invasive procedures

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