Staten Island & NJ Plastic Surgery Articles

Body Contouring after Major Weight Loss

Edison, NJ – If you’ve recently had a major weight loss, either through bariatric surgery or through diet and exercise, you’ve probably noticed quite a bit of excess, sagging skin. You worked hard to lose the weight, so don’t let that extra skin hold you back.

“Plastic surgery can help you gain back the confidence you might have left slip away when you were overweight,” says plastic surgeon Dr. Andrew Miller. “Diet and exercise, or bariatric surgery, can help you lose weight. But it can’t do anything about the excess skin that is left over after a dramatic weight loss. But plastic surgery can help. It not only removes that excess skin, it also improves the shape of the underlying tissues.”

Known as body contouring, it can include several procedures. Depending on the areas most effected by your weight loss, you may need a facelift, breast lift, tummy tuck, lower body lift, medial thigh lift and/or an arm lift.

Plastic SurgerySurgeryBefore undergoing body contouring, your weight must have stabilized. For most people, that will be around 18 months following the weight loss. This is important because additional weight loss could lead to more excess skin, while weight gain can affect the results of surgery.

How do you know if you’re a good candidate for body contouring? The experts at Associates in Plastic Surgery offer the following tips:

  • You should be at a stable weight for at least six months. If you are looking for the best results, wait between 18 and 24 months after your weight loss to have the procedures performed. This will allow your skin to naturally shrink as much as possible on its own, and allow your weight, nutrition and exercise habits to become stabilized in your life.
  • You should be in good overall health. Diabetes, heart disease and other medical conditions can create issues during and after surgery. Be sure to get cleared for surgery from your primary care physician.
  • You should have a healthy diet and lifestyle. Deficiencies in protein intake can impeded healing, as can smoking. Smoking not only slows down your body’s ability to heal, but can increase the chance of serious complication during surgery and recovery. Quit smoking at least six weeks prior to your surgery.
  • You should be in good mental health, with a clear understanding of what plastic surgery can accomplish. Surgery can offer beautiful results, but your body will not be “perfect” nor will it look like what it did prior to the weight gain.

The Procedures – What to Expect

A lower body lift will reshape the abdomen, waist, hips, thighs and buttocks. An incision will be made in the back of the hips, going around to the front of the thighs. Loose skin and underlying fat tissue will be removed from below the incision. The remaining tissue will be stretched and smoothed.

A tummy tuck will remove any excess skin or fat in the stomach area, and can also remove stretch marks or extra skin in the lower abdomen. The abdominal muscles will be tightened using permanent sutures, and the belly button will be repositioned and brought out into its normal position. Sutures typically span hip to hip, but the scar will run along the bikini line, easily hidden.

Liposuction is used to contour your body and is typically used in conjunction with other procedures. Tiny incisions are made in the location where the excess fat will be removed and a cannula is then inserted. Suction will remove the fat into a vacuum-like hose. A compression garment will then be worn during recovery.

A breast lift can improve the look of sagging breasts, and can be performed in conjunction with a breast enhancement or reduction. The incision varies, depending on the amount of excess skin to be removed, as well as the position of your nipples. The breast will be reshaped and positioned and the nipple and areola are also repositioned. It is also possible to alter the size of the areola by removing skin around the perimeter of the areola. The remaining skin will be tightened and closed, ensuring the proper support is given to the newly shaped breasts. Most surgeons will also use skin adhesives and surgical tape to help support the skin.

The upper arm is a common area in which to remove excess fat. Aging and weight loss can leave the upper arms looking flabby, but an arm lift can contour the arms to look more youthful. As with a breast lift, the incision will depend on the amount of skin to be removed, but are typically placed on the inside or back of the arm. If you have additional stubborn fat that you’d like removed as well, liposuction can also be done in the area.

A thigh lift will tighten and tone your thighs, offering a more well-proportioned look. You’ll need to meet with a plastic surgeon to determine the type of thigh lift that is right for you.

The most popular is an inner thigh lift that works best on patients with a moderate amount of skin and fat to remove.

A vertical thigh lift is more appropriate if there is a significant amount of fat to remove. The incision will go from the groin to the inner knee, so the scar will be visible on the inner thigh.

An outer thigh lift requires an incision from the groin to the hip. A spiral thigh lift is a newer procedure that involves an incision along the buttock fold.

The type of procedure(s) that will be best for you will be determined after a consultation with a plastic surgeon. Together, you and a qualified surgeon can discuss your goals for after surgery to decide which procedure(s) will offer the results you desire. If more than one procedure is decided upon, your surgeon will be able to advise in what steps those should be taken to ensure the best results.

You’ve worked hard to lose the weight – you shouldn’t have to work hard to hide the excess skin that results. Schedule your consultation today.
© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links

Breast cancer awareness month

breast cancer

Edison, Warren, and Marlboro N.J.October is breast cancer awareness month which is a national campaign to increase the awareness of the disease. “Every woman should be properly informed and know the correct way to monitor themselves to hopefully detect breast cancer at an early stage.” says Dr. Shain Cuber a breast augmentation specialist in New Jersey.   According to an article in the Huffington post  a woman born today has a one in eight chance of being diagnosed with breast cancer in their lifetime.  Women that are considering breast augmentation often have concerns related to the risks of surgery, the healing process, and the safety of their breast implants.

One question that should be asked is about the ability to detect breast cancer after breast implants are placed. For many that have breast augmentation, the protocol can be a little different to ensure that you are thoroughly evaluated. The goal of this article is not to scare a prospective patient, but for education purposes.   Breast augmentation does not block the ability to detect future breast cancer. Several studies have tried and failed to turn up any link between breast implants and breast cancer. An additional concern that some women have is that mammography may miss some breast cancers in women with implants. This, too, is largely unfounded. There are just some different screening methods to be aware of.

To begin with the breast implants can compress the remaining breast tissue, making it more difficult for some radiologists to read. However, studies still show that mammograms are an effective way to screen for breast cancer in women with breast implants. If you have breast implants, there are steps to take to make your mammogram reading more effective.

First, locate a facility that performs mammograms on many women with breast implants. This can be done by calling radiology locations and asking the staff if the radiologists have a large amount of experience performing and reading mammograms of women with breast implants. It is important to know that the clinic obtains special mammogram views in addition to the standard mammogram images to better evaluate the breast tissue with the implants in place.

Also, speak up about your breast implants at your appointment.  When you make your appointment and again when you arrive at your appointment, tell the staff that you have breast implants. Lastly if there are any changes in your breasts, be sure to inform your doctor promptly. He or she will talk with the radiologist to decide whether additional imaging is needed. “Most importantly, stick to your annual mammogram schedule and continue monthly breast self-exams, as they are the most effective strategies for early detection of breast cancer.” says Dr. Cuber, a top breast surgeon in New Jersey.

Breast cancer is most curable when detected early, which is the purpose of better awareness throughout the community. With a good screening regimen, there is no reason why one can’t have and enjoy breast implants without worrying about detecting cancer if it occurs.




Non Invasive Procedures

Edison, Warren & Marlboro, NJ - It seems like every time we turn around a new procedure is being offered that gives wonderful results. While some of these procedures are actually good, many of them do not live up to the hype. Patients typically call the office after seeing a new procedure on Dr. Oz or another daytime talk show. “The important thing to remember is that most of these show appearances and internet postings are advertising by the company making the device in order to sell it,” says Dr. Andrew Miller, a top facial plastic surgeon in New Jersey. It is not a scientific study to determine if the procedure really works.


It is fine for people to get excited about a new product offering wonderful results. More and more, patients are looking for newer procedures that are minimally or non invasive. Advertising companies know this fact and will play to it when marketing a new product, so it is vital to have a plastic surgeon you can trust to give you proper advice. “We often wait at least two years before buying a new laser or other product to see how the long terms effects play out,” says Dr. Miller who also specializes in CoolSculpting. “We also bring in the equipment and try it out on the staff or relatives to make sure it works. Then you can be sure you will be undergoing a worthwhile procedure.”

Having said that, there are several minimally or noninvasive procedures that have had great success. To begin with, let’s say you were not happy with the aging appearance of your face, but did not have time for a surgical recovery. A great combination of procedures can be performed to significantly rejuvenate the face. The fraxel laser is a non ablative laser that can improve skin texture, brown spots, and fine lines. Botox can remove active wrinkles of the brow or crow’s feet. Fillers such as Juvederm, Radiesse, and Voluma can fill hollows and lift up the cheeks. A photofacial can remove little blood vessels. Taken all together, these procedures can provide awesome results without down time. discusses some other non invasive procedures. 

A great noninvasive procedure for the body is CoolSculpting. CoolSculpting is a nonsurgical method of removing fat by freezing the area. This procedure is based on research done at HarvardMedicalSchool, and has been on the market for four years, so its results are proven. The best part is that there is no preparation, anesthesia, or downtime, and people say it is actually relaxing to go in for 4-8 hours of quiet time away from their hectic life. CoolSculpting is recommended for the tummy, waistline, and inner and outer thighs, and has been shown to have great long term results.  There are several articles that discuss Coolsculpting and one can be see in

 So be sure to consult a reputable plastic surgeon about all the possible noninvasive procedures out there, which ones work, and what would be best for you.



How Long will My Plastic Surgery Last?

Staten Island, NY – Plastic surgery can be expensive. The average breast enhancement is $3,500, while a tummy tuck will run in the neighborhood of just over $5,000. So before you invest in a procedure, just how long can you expect the effects of your surgery to last?

Plastic SurgeryFor many patients, a facelift is like turning back the clocks to a fresher faced self. But will that last?

“A facelift can typically last around 10 years,” says surgeon Dr. Andrew Miller. “But the results and length those results last depend on several issues. Skin quality, changes in weight, and things such as whether the patient is a smoker or has spent a lot of time in the sun.”

The answer to how long the effects of a facelift will last are different for everyone. The facial tissues will remain tighter than pre-surgery, but the results will fade some over time as you continue to age. How long until that happens depends on the procedure you have done and the skill of your surgeon, along with genetics and lifestyle factors. But with the right procedure, you should be able to enjoy your results for well over a decade.

How about a breast enhancement? How long will your implants really last?

Breast enhancement continues to be the number one cosmetic procedure, and for good reason – the results can last for decades. That’s right – for some women, breast implants won’t need to be replaced for 25 years! Still, others may need theirs replaced after just a few years. The average length of time before patients should replace their implants is around 10 years.

After 10 years, an implant can develop hairline fractures and start to harden at the surface. Through normal activity, the implants can move and shift over time, wearing down and leading to needing to be replaced.

As for a tummy tuck, patients who continue to maintain a healthy diet and exercise routine can enjoy their results for years and years. Gravity and aging can have some effect on your results, but they should be minimal. However, if you gain or lose a significant amount of weight after surgery, your results will be altered.

Tummy tucks should be performed after a woman is finished having children. Most doctors recommend waiting at least 6 months after your last baby to ensure your body has had plenty of time to recover from pregnancy and childbirth.

While results will be different for everyone depending on the type of surgery they choose and the surgeon performing the surgery, most plastic surgery procedures will last for many years, making them well worth the initial investment.
© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links

Plastic Surgery Overseas – Worth the Risk?

Edison, Marlboro, Warren, NJ – Traveling overseas to have a cosmetic surgery procedure can be a tempting option. Plastic surgeons in other countries often offer cheaper prices than doctors in the United States. While plastic surgery is often very costly, the potential savings could have some major downfalls and risks. It is important and beneficial to fully understand the dangers of getting plastic surgery done overseas.


There is a growing trend to go overseas for procedures that include breast augmentation, liposuction, and buttock implants at a hugely discounted rate. However there are several dangers involved with tourism surgery. Doctors often may not be fully trained to do these types of surgeries so complications are not uncommon. There also may be a higher risk for bacterial infections with many facilities having unclear sterilization techniques. In some cases patients have been hospitalized after returning back home to the United States. Unfortunately there have been a number of women whose surgeries resulted in the loss of their lives due to complications.

As reported in the NY Daily News, one woman traveled to a Doctor recommended by friends in the Dominican Republic expecting to undergo a Tummy Tuck at an extremely discounted rate, and ended up losing her life on the operating room table. Reports by Huffington Post also released information regarding another incident involving the former Miss Argentina 1994, Solange Magnano, who died from a pulmonary embolism complication during a gluteoplasty procedure to enlarge her buttocks.

While many foreign surgeons are quite skilled, they don’t always go through the same type of training as American doctors. Verifying the type of training a surgeon has received can be quite a challenge. Besides the risk of being treated by an inexperienced or unqualified cosmetic surgeon, the chances of receiving surgery in an ill-equipped facility are also very real. “Liposuction and many other cosmetic procedures are major surgeries that can result in serious injury or death if performed incorrectly or in unsanitary conditions,” says Dr. Shain Cuber, a top plastic surgeon in New Jersey.  When patients consider cosmetic procedures inside the U.S., it is possible to interact with doctors and nurses prior to a surgery. In overseas surgery you do not get to meet the surgeon or see the surgical facility until you are on the ground in a foreign land. You may find the facility unsuitable to your liking in some way, or the surgeon may have an off-putting bedside manner. At that point, it is too late to reconsider without sacrificing a great deal of time and money.

Cosmetic surgery tourism comes with a long list of potential problems that surpass any financial savings that you might think you have found. “Foreign countries sometimes use implants that haven’t been approved by the FDA. This means they can be a lower quality and not up to the standards we are accustomed to in the United States,” says Dr. Cuber, who specializes in breast augmentation. One other major problem that can occur is that if you develop complications or are unsatisfied after you return home you will not have access to the surgeon who did the initial procedure. You will now have to find a surgeon who’s willing to correct the problem, pay the additional fees, and spend even more time recovering. Partly for legal reasons, some U.S. doctors may be reluctant to correct complications from abroad. Revision surgery for botched cases can end up costing far more than the original procedure and unfortunately U.S. malpractice laws don’t apply in other countries.

Another complication to consider is that flying can have an affect on your body negatively if you have just undergone surgery. The American Society of Plastic Surgeons does not recommend flying for 10 days after rhinoplasty, breast enhancement, facelift or liposuction because of the risk of blood clot formation that could result in a life threatening pulmonary embolism.

This article is not meant to imply that one should never consider cosmetic surgery in a foreign country. It is just vital to do your homework first. When all is said and done, you must think wisely that just because you may be saving a few dollars you do not want to take a big risk when having plastic surgery overseas.

Can Breast Implants Impede Cancer Screening?

Edison, NJ – Have you long considered the idea of breast implants, but are worried that implants might impede breast cancer screenings? This can be a common concern among plastic surgery-minded women who also have a history of breast cancer in their families. But do they really need to be concerned?

According to the NJ plastic surgeons at Associates in Plastic Surgery, there’s no cause for real concern, as long as you take a few precautions.

Annual mammograms should begin at the age of 40. The average age of a woman receiving breast augmentation surgery is 34. So even if you’ve already had a boob enhancement and have yet to experience your first mammogram, there’s no need to fear.

Breast implantFirst, it’s important to remind whomever is doing you mammogram that you have implants. To get the images needed, the breast is flattened during a mammogram. Implants can prevent the breast from flattening, and make it more difficult to see the breast tissue. But that can be solved by taking additional images during the mammogram.

“If your technician is aware of your implants prior to your mammogram, they will be prepared to get all of the images they need for a clear view,” says Dr. Shain Cuber. “The implant will need to be moved out of the way to get a better view. It’s also recommended to have a mammogram right after you get your implants. That way, your doctor has a place to start from for all future tests.”

Some women who have already had implants may be avoiding mammograms out of fear that they may damage the implant. Flattening you breast sounds like an implant accident waiting to happen, right?

Dr. Cuber assures that implant ruptures caused by mammograms are extremely rare. The benefits associated with a mammogram far outweigh any potential risks to your implants.

And many mammography centers around the country are embracing new 3D technology that provides even greater detail and is ideal for women with implants.

Some may also wonder if there is any connection between breast implants and breast cancer.

According to the American Cancer Society, studies have found no connection between breast implants and breast cancer. However, a 2011 study by the Food and Drug Administration discovered a possible link between breast implants and anaplastic large cell lymphoma.

ACLC is a very rare cancer that affects the immune system that can develop in various parts of the body. ALCL is diagnosed in around 1 in 500,000 women a year, but ACLC in the breast is found on only 3 in 100 million women a year. There are only 60 cases of ACLC among women with breast implants worldwide.

Researchers haven’t yet determined how a breast implant could affect a women’s risk for developing ACLC or if a certain type of implant, either saline or silicone, results in a higher risk. The connection has yet to be clearly defined, and is still being researched.

It’s extremely important once you have had implants to get an idea for their new look and feel. Women should be performing breast exams every month to look for changes in their breasts, and women with implants will need to get a feel for their new breasts in order to better detect any potential changes.

For self-exams, breast implants can actually be a bit of an advantage because the implants tend to push the natural breast tissue to the surface. That means you might be able to find a lump easier.

Women should begin performing breast self-exams in their 20s. It’s important to be familiar with the look and feel of your breasts so that you can report any changes you find to your doctor immediately. Changes do not necessarily mean you have cancer, but breast cancer is easiest to treat in its earliest stages.

Performing a monthly breast exam is important for all women, with and without implants. If you have implants, it might mean your approach to your self-exam might change slight.

First, it’s important to discuss with your surgeon how you can determine what is breast tissue and what is the implant. Then you’ll be able to tell if any changes you feel are simply the new implant, or a change in your actual breast tissue.

It’s best to perform a self-exam while lying down because it allows the breast tissue to spread out. This will make it easier for you to find any lumps or bumps.

Using the pads of your fingers, thoroughly examine each breast. Use your fingers to make small circles up and down your breasts, allowing yourself to feel the tissue at each location. For women with implants, it’s important that you press firmly at the edges of the implant to check for changes in the tissue.

Avoid using too much pressure. As you get used to self-exams, you’ll discover the areas that need slightly more pressure. Ask your surgeon to walk you through how to best perform a self-exam once your breast implants have healed.

Once your physical exam is finished, do a quick mirror check. Place your hands on your hips and examine your breasts for chances in size or shape, as well as texture. Look closely at your nipples, as well to notice any changes in size or how they are positioned. Also check for any discharge when the nipple is squeezed.

Next, feel your armpits for any strange lumps.

Call your doctor if you notice any new bumps, dimpling, puckering, skin discoloration, swelling, redness or changes to the nipple.

If you’re considering breast implants and have a family history of breast cancer, discuss this with your surgeon prior to the surgery. He or she can explain how to properly perform self-exams and what you’ll need to discuss with a mammogram technician post-surgery.

Breast implants can add increased confidence for women of all ages and stages of life. And when combined with a proper screening regimen, should have no negative impact on breast cancer screenings.
© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links

Celebrity Mommy Make-Overs


Edison, Warren & Marlboro, New Jersey – Most people don’t really understand how much pregnancy can take a toll on a woman’s body.  From celebrities to stay-at-home moms, most every woman struggles with losing the baby weight and getting their body back to where it was pre-baby. “Patients see famous people having babies and looking great afterwards, so they want the same thing for themselves,” says Dr. Shain Cuber, a top plastic surgeon in New Jersey.

Women’s bodies can change drastically after giving birth; most likely, the breasts will change shape, get smaller and more droopy. This can be corrected by a combination of breast augmentation plus mastopexy, which can replace the lost fullness and lift the breasts to the pre-pregnancy position.  Articles have hinted that celebrities, like Victoria Beckham, have been rumored to have breast augmentation to lift and firm their breasts after having babies.

In addition to breast surgery liposuction and tummy tuck are important components to a mommy makeover. Pregnancy stretches the abdominal muscles and creates extra skin. A tummy tuck can help a woman regain the flat abdomen she once had before pregnancy, and celebrities have no problem having that procedure as well.

The pressure the majority of these celebrities face on a daily basis forces them to get back into shape faster then most.  Some celebrities are so private and they don’t want it to be public knowledge that they have gotten plastic surgery after having children. There are certain celebrities that don’t mind if anyone knows, like Patricia Heaton, from the TV sitcom, “Everybody Loves Raymond.”  The mother of four comfortably speaks about her plastic surgery, from getting a tummy tuck to breast augmentation and lift from her breasts working overtime for feedings.  Heaton states in an article that “plastic surgery is like the big elephant sitting in the Hollywood living room. Everyone does it and apparently, no one is supposed to talk about it.” said Heaton.

Even though Hollywood standards may be unattainable for the average person, many women are choosing cosmetic surgery to improve their own bodies. It is important not to try and necessarily copy what you hear coming out of Hollywood. Articles often describe how a celebrity had a tummy tuck at the same time as childbirth, when in general, this is not recommended. After delivery it is best to wait 3-6 months for the body to go completely back to normal. Then when you are back to your baseline state a great improvement can be attained, and the tissue is more ready to undergo surgery.

“So even if you are not a celebrity and you feel like exercising is just not enough to get your body back after pregnancy, plastic surgery is a great way to get results,” says Dr. Shain Cuber, who also specializes in liposuction.  It is vital to contact a highly experienced plastic surgeon to discuss your goals after pregnancy. Undergoing a procedure that is tailored to you and is performed in a safe environment should give great results.

Is There Such Thing as the Perfect Breast?

Edison, NJ – A London-based plastic surgeon has found what he believes are the perfect breast proportions, according to a formula he created that is backed by public opinion.

breast ImplantAccording to Dr. Patrick Malluci, this ideal breast have an ideally placed nipple meridian, which he believes to be 45 percent of the breast lying above the nipple, and 55 percent below. That would mean the nipple would appear to point upward at approximately 20 degrees. Dr. Malluci believes this creates a “beckoning” breast.

So who has these “scientifically perfect” breasts? Kate Middleton, Duchess of Cambridge, and Scarlett Johansson are two of the celebrities who fit Dr. Malucci’s formula.

Dr. Malucci formulated a hypothesis that that the size of the upper and lower portions of the breast, relative to each other and the nipple, hold the key to determining the perfect breast. In his hypothesis, the perfect breasts are only slightly smaller in the upper breast than in the lower.

To support his hypothesis, he then asked 1,300 people to rank four differently proportioned breasts. An overwhelming 87 percent of respondents chose the breasts with the 45:55 percent ratio.

Dr. Malucci’s findings are interesting because often, women visit their plastic surgeon’s office looking for breast implants, only thinking about what the breasts will look like while they are clothed. Fuller tends to be better – the more your breasts fill out that little black dress, the better. Or so many may think.

But Dr. Malucci’s study shows women what the ideal can truly be, and encourages that rather than looking just for fullness, women talk with their surgeon’s about the overall aesthetic look of the breast, both to fill out clothes and in the naked form.

“So what does this study actually tell us?” says Dr. Shain Cuber, who performs NJ breast augmentation procedures. “The perfect breast enhancement isn’t just about size, it’s also about shape. In our culture, we always tend to think bigger is better. But what we as plastic surgeons should be focusing on with our patients is reaching the ideal proportions.”

Dr. Malucci’s study interviewed people of all ages, races, genders and cultures, and the response was overwhelming that no matter what size of breast the respondents were shown, their ideal fit into the 45:55 proportion.

Dr. Malucci has been using this formula in his procedure for years, and has encouraged other surgeons to follow suit. And he points out that this isn’t a recent phenomenon. If you take a look through art history, many artists have chosen the same proportions for their subjects.

He believes that this formula gives both women and their surgeons something to strive for to achieve the best surgical result.

© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links

Do You Suffer From Boot Bulge

Edison, NJ – Fall has arrived, which means skinny jeans and fashionable boots. But for women who have larger calves, it means something else – boot bulge.

NJ Plastic SurgeryBoot bulge is a phenomenon known to women with large calves, who struggle zipping up those knee-high boots during the fall and winter.

But there is a solution. Just as you can turn to liposuction to help rid you of that muffin top that doesn’t seem to go away, you can also use the procedure to rid yourself of boot bulge.

That’s right, women are now turning to Edison plastic surgeons to help them fit better into their stylish boots.

But the procedure won’t work on women whose calves are comprised of mainly muscle – there has to be some fat in the area to remove. But for some women, the calves are an area that might not respond as well to attempts at weight loss. The calves can be a tough area to work out, so for women with stubborn deposits of fat, liposuction can be a solution.

However, NJ plastic surgeons advise women to undergo the procedure months before they hope to fit into those boots. While for most women, it may take four months or so to see the results, for some women, it can take up to 10 months for some women to be fully recovered and see the end results from the procedure.

While liposuction is a common procedure, patients will be put under anesthesia and should be in good overall physical health prior to surgery. Patients should be at or near their ideal weight. The procedure itself will take between one and one and a half hours to complete.

After surgery, patients will be required to wear compression stockings for approximately two months to assist with swelling. Swelling may persist for several months following surgery.

If you’re tired of boot bulge and want to indulge in fall fashions, consider scheduling a consultation with the surgeons at Associates in Plastic Surgery.

© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links

How to Talk to Your Friend About Her Plastic Surgery

Doctor and patientStaten Island, NY – Do you have a friend who has recently updated his or her appearance, but you aren’t sure if you should mention it or not? Plastic surgery is becoming more popular, so chances are, at some point, this situation might come up. But is it a good idea to mention your friend’s breast augmentation before she brings it up?

“In most cases, patients aren’t shy about talking about their procedures,” says Dr. Andrew Miller, a top Staten Island plastic surgeon. “But it can be a delicate subject – you know your friend had a rhinoplasty, but hasn’t mentioned it. Is that because she doesn’t want to talk about it, or because she’s waiting for you to notice?”

Have you had previous conversations with the friend about plastic surgery? If you’ve ever voiced concern or disapproval about cosmetic surgery, your friend may not want to discuss it with you out of fear of being criticized for his or her decision.

“Deciding to undergo a cosmetic procedure is a very personal one,” says Dr. Miller. “Often, we don’t’ realize how much people are actually bothered over certain parts of their appearance. One of the best aspects of my job is getting to see the increase in self-esteem my patients experience after their surgery. To you, your friend may have seemed fine before – even beautiful. But even a small correction to one’s appearance can make a world of difference in their self-confidence.”

What should you do if you’re pretty sure your friend had a tummy tuck, or a nose or breast job, but hasn’t mentioned it?

Dr. Miller suggests you begin the conversation by complimenting their renewed confidence and happiness. This can spark a conversation about what has led to their now always present smile.

But some patients may want to keep their decision to undergo surgery to themselves. Dr. Miller recommends not pressing the subject with your friend.

“You may be fairly certain your friend had surgery,” says Dr. Miller. “But that doesn’t mean you should point it at the next time you see him or her. Even as adults, we all have insecurities – and one of those can be admitting that we feel insecure. Especially for successful men and women, admitting we think we have a fault can make us uncomfortable.”

And that’s where a good plastic surgeon comes into play. It’s the job of Dr. Miller to make sure his patient’s end up with results that are as natural as possible. And that means that unless your friend is going from an A cup to a D cup, you shouldn’t be able to tell right away if she had surgery at all. A great surgeon will leave you wondering “did she or didn’t she?”

So what’s the bottom line?

Part of making people feel comfortable is removing that taboo that has often been associated with plastic surgery. The more people talk about it, the more the stigma begins to fade away. But, you should never press your friend to discuss something he or she doesn’t want to. So our best answer is, unless it’s a very close friend or you’ve had previous discussions about surgery, stick to praising their increased confidence and happiness, and save the surgery talk for if and when he or she brings it up.
© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links.

Marijuana and Man Boobs?

Edison, NJ – Gynecomastia is a condition that causes men to have enlarged breasts. It affects anywhere from 25 to 40 percent of men aged 25 to 45, but can affect up to 60 percent of men over the age of 50. It some cases, it may be genetic, but in most it is caused by a hormonal imbalance.

Male breast reductionAnd some are now wondering, could marijuana use lead to the condition?

When a male’s body sees a dip in testosterone levels, and estrogen levels begin to overpower, the body will respond by creating excess breast tissue. Some believe that chronic marijuana use leads to lower testosterone levels.

Animal studies found that the active ingredient in marijuana did seem to cause a decrease in testosterone levels. Human studies have not provided answers that are as straight-forward, however. But the Mayo Clinic does list marijuana use in their list of habits that could lead to gynecomastia.

Because the use of marijuana has been illegal, studies to determine its relationship to gynecomastia have typically had very small sample sizes. However, now that many states are seeing the drug legalized, researchers may be able to increase their studies and determine more conclusive results.

According to the American Socity of Plastic Surgeons, cosmetic surgery to correct gynecomastia was the fifth most common procedure for men. In 2012, it actually increased 30%. And the legalization of marijuana in many places around the country leads some plastic surgeons wondering if the demand for the procedure will increase even further.

The first study on the subject was performed in the 70s, and there is very strong evidence pointing to lower testosterone levels in marijuana users, and even that heavy use of the drug could delay puberty in male users.

While the studies have not been conclusive, it does appear that a link between the two is very likely. And many plastic surgeons are now adding cannabis use to their list of questions to discuss with patients before surgery. So, if you are a male seeking surgery to correct your gynecomastia, don’t be surprised if your surgeon not only asks about your cannabis use, but also encourages you to discontinue its use.
© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links.

Huffington Post Listed Reasons Against Surgery – Here’s Why You Shouldn’t Listen to Them

Plastic SurgeryEdison, NJ – The Huffington Post recently published an article titled “4 Good Reasons To Never Get Plastic Surgery.” In the article, the author tried to dissuade people from choosing surgery to change their looks. Dr. Andrew Miller explains why this article might be misleading.

1. It’s pricey

“It’s true that cosmetic procedures aren’t cheap,” says Dr. Miller. “But that’s for good reason. Plastic surgeons are highly trained and skilled, and the work they do is meticulous. It’s our job to take the youth and beauty that you feel on the inside, and manifest that to the outside world. And ours isn’t an easy job. We always aim to ensure our patients look as natural as possible, and that takes precision and dedication to continuing our pursuit of knowledge. You get what you pay for, and you should want the best.”

But the price you pay for the surgery is small compared to the improvements it can make in your life. Dr. Miller and his colleagues at Associates in Plastic Surgery not only help patients look beautiful, they help them gain back confidence that might have been lost.

The national average for a tummy tuck is $5,278. But for a woman who finds herself excited to wear a bikini for the first time since the birth of her children, that can be considered a small price to pay for the renewed self-confidence.

2. It can be addictive.

“There are always extremes in every part of our culture,” says Dr. Miller. “Sure, there are people who we might consider addicted to plastic surgery. But that percentage is very, very small. The majority of patients seeking breast augmentations and other cosmetic procedures simply want to look and feel their best. Using this as an argument sounds more like a scare tactic.”

The article used the example of patients with body dysmorphic disorder in their discussion of addiction. We’ve discussed BDD before, and know that it only affects around two percent of the population. That’s a very tiny population.

But, BDD is a serious disorder that plastic surgeons should be aware of. It’s one thing to go in every few months for a Botox refresher. It’s another to see a doctor every few months for major surgeries.

“The truth is, the number of people who become addicted to plastic surgery is very small,” says Dr. Miller. “The vast majority of patients we see are people who simply want a refreshed look, and a tummy tuck or other procedure is enough. There are very rarely patients who come back for endless more procedures. But, a patient might have a tummy tuck and love the way she now looks. She might then want to come back and see us for a breast lift or another small enhancement. Pursuing another surgery doesn’t mean she’s addicted.”

3. It’s risky business.

Plastic surgery is surgery. There’s no getting around that. But, when performed by a licensed and well-trained surgeon, in a licensed medical clinic, there is very little to worry about.

We’ve all heard horror stories of terrible things happening to people who’ve chosen to undergo a cosmetic procedure. But in most of those cases, there is one thing linking them – someone who wasn’t trained in plastic surgery performing the procedure.

There are some complications and side effects that can occur after surgery, which is why it is important to be honest with your physician and follow all after-care instructions given. In very rare instances, patients can experience issues the article discussed, such as nerve damage, unsightly scarring, blood clots or infection. But those cases are extremely rare.

“As with any big decision in your life, you should be sure to research,” says Dr. Miller. “Do your due diligence to be sure the surgeon you plan to see has plenty of experience performing the procedure you are looking for. And don’t be afraid to ask for testimonials to be sure former patients are happy with their results.”

4. You might be unhappy with the results.

“One of my favorite parts of this job is getting to see the joy on people’s faces when they see their results,” says Dr. Miller. “There are some patients I’ve worked on who never thought they could look as good as they do now. It’s my job to take the beauty that is lying hidden inside and manifest it on the outside.”

And that’s another reason why you should pick your surgeon carefully and always ask to see before and after results. Be wary of a surgeon who doesn’t want to share photos of his patient’s results with you.

Patient’s also need to have a realistic expectation going in to surgery. You may decide to have an arm lift because you admire Kelly Ripa’s toned biceps. But that doesn’t mean you’ll leave your surgeon’s office looking like Kelly.

If you’ve had plastic surgery and are unhappy with the results, there are options to correct that surgery. Sometimes, less qualified surgeons don’t have the experience to know all of the tricks of the trade. Every face is different, which means that sometimes there is more nuance to a procedure than in others.

The article used this statement to dissuade readers from plastic surgery:
“A Norwegian study found that adolescent girls who underwent cosmetic surgery were more likely to show symptoms of anxiety and depression, which researchers concluded, means cosmetic surgery won’t fix any underlying mental health problems which drive you to it.”

That’s true – if you suffer from mental health issues, changing the way you look on the outside isn’t the solution to your problems. And plastic surgeons are trained to help their patients understand what can be achieve through surgery and to explain that there are limits to what surgery can accomplish.

“If a surgeon suspects that any sort of mental illness may be behind the patient’s desire to undergo plastic surgery, it’s in both of their best interests not to go through with the surgery,” says Dr. Miller. “We can recommend mental health experts that can offer the type of help these patients truly need. Plastic surgery is not a cure-all, and it’s very important for patients and potential patients to understand that. It can’t change who you are, or help you change your life. And surgery should never be sought out to please someone else.”

The article ended with this “So, love yourself…”

We couldn’t agree more. We think everyone should love him or herself, and if a bit of plastic surgery can help you achieve that, then we are here to help.


© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links.

Hair Transplants

Edison, Warren, Marlboro N.J – Hair loss can be a sensitive subject for people who have experienced it.  It can affect how one feels in social situations and lessen confidence in some situations.  A hair transplant can help increase this confidence by simply reestablishing a new hairline. One important feature about this particular procedure is that it uses your existing hair.  The hair is usually harvested from a different area of the scalp such as the back of the head. It is then implanted in the balding area to create a new hairline.

New advancements in hair restoration have allowed both men and women to regain the appearance of a fuller head of hair. Not only does a hair restoration procedure help individuals to regain a sense of their youthfulness, it can also help build their confidence.  Just look at some of the celebrities such as Mel Gibson, Brendan Fraiser and Elton John.  These men have to keep up with their appearance for their careers.  “However when considering a hair transplant, it important to remember there are limits to what can be done with your existing hair and reducing the appearance of baldness,” says Dr. Andrew Miller a facial plastic surgeon in New Jersey.


According to the American Society of Plastic Surgeons, hair transplant surgery typically has a high success rate. The most common type of hair transplanted is a Follicular Unit. This is a natural grouping of hair that will look very natural after transplantation. There is always a chance that a few of the hairs won’t survive, and usually, right after the procedure, the transplanted hair may fall out. But after a couple months it will start to grow and look very natural.  According to the recovery from this type of procedure depends on the extent of the surgery.   Most patients report mild pain, numbness and soreness.  This is easily controlled with pain medication.

There are other uses for hair restoration such as an eye brow transplant and eye lash restoration. Your eyebrows provide definition and expression for your face. Whether sparse as a result of injury, plucking, illness, or heredity, the effects of missing brows can be significant no matter what your gender. “While many people may get by with the eyebrow pencil or tattooing, it is possible to transplant your own hair to create natural eyebrows that last forever,” says Dr. Miller, who also specializes in eyelid surgery in New Jersey.  Eye lash restoration can make your lashes fuller and more natural than using extensions or false lashes.

Its always best to do your research and to be knowledgeable of any procedure your are considering.  Meet with a few different doctors and have a list of questions to ask.  This way you have the  best chance of a great outcome.


Will My Cup Size Be Affected by a Breast Lift?

plastic surgery breastEdison, NJ – A study published over the summer in the Plastic and Reconstructive Surgery, the official journal of the American Society of Plastic Surgeons found that, on average, women’s cup size decreased by one size after a breast lift. But why might that be? Dr. Shain Cuber, a top NJ plastic surgeon, explains more.

“This finding is important for patients, as well as plastic surgeons, to understand,” says Dr. Cuber. “The effects of the breast lift result in a better fit when wearing a bra, and is not an indication of a true loss of overall breast size.”

The study followed women who had a breast lift at an average age of 47. None of them had breast augmentations or reductions of any significance. Researches took into account weight gain and other factors that might affect bra size.

The women followed in the study reported an average decrease of one cup size, and none of them reported a change in the type of bras they purchased.

So if a breast lift is supposed to only do just that, lift the breasts, with no significant removal of tissue, why would a patient’s cup size decrease? The researchers believe it is because most women don’t actually wear the correct bra size to begin with, and after surgery, they discover a better bra fit and more comfort.

The researchers found that most women who experience sagging breasts may find more comfort by wearing a bra that is a bit looser, hence their bigger cup size before surgery. So once the breasts have been lifted, women may find that a smaller cup size is actually more comfortable for them.

“This is really important for us as physicians,” says Dr. Cuber. “One of the most important parts of our job is to manage patient expectations. Being able to have this conversation before surgery can help us avoid upset patients after surgery. We can help our patients understand their true cup size.”

It is important to note that the women followed in the study were all on the lower end of normal body weight scales and were at least a C cup prior to surgery. Findings might be different for smaller breasted women or heavier women.

© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links.

Be Sure Your Plastic Surgery is Performed by a Plastic Surgeon

Staten Island, NY – Imagine this scenario – you decide it’s time for a tummy tuck and visit the office of a doctor who advertises he performs them. But right before you agree to have him perform your surgery, you find out that he isn’t a plastic surgeon at all, and in fact, had no experience in plastic surgery prior to deciding to begin offering surgeries.

plastic surgeryDoes that sound crazy? Unfortunately, it’s all too true. Your doctor may be licensed by the state, but his or her specialty may not be anything even close to plastic surgery. But that fact doesn’t stop many from making the lucrative jump into the field of cosmetic surgery.

Checking to see if you surgeon is licensed is an important step when selecting a surgeon. But are you checking what the surgeon’s specialty actually is?

More physicians are turning to cosmetic surgery to boost their revenues, and have beautiful clinics that lead patients to believe they are highly skilled cosmetic surgeons. And with more surgeries being performed outside of hospitals and in surgery centers, it’s even easier for these physicians.

The New York Times reported on this phenomenon two years ago, and if anything, the field is getting even more crowded with these non-plastic surgeons.

“Patients need to take on a buyer beware mentality now, unfortunately,” says Dr. Andrew Miller, one of the best plastic surgeons in NY. “It’s not uncommon these days for patients to unknowingly receiving a breast augmentation from someone whose specialty is not in actual cosmetic surgery. And that means you may be in the hands of someone who doesn’t have the needed expertise to expertly perform your surgery.”

Only four states require that physicians list the areas in which they have received their specialty training. In every state except for Texas, California, Louisiana and Florida, physicians aren’t required to.

But why is this so important? A physician whose specialty training is in plastic surgeon spent at least 3 years after medical school in a residency in plastic surgery and then passed extensive exams. Physicians in say gynecology have dedicated time to learning the ins and outs of gynecology, but not in plastic surgery. Both physicians went to medical school and took the extra time to become specialized, but only one has the unique knowledge that comes with experience in the plastic surgery field.

But the United States currently does not have any laws that require physicians to only practice in the specialty field associated with their training. And sometimes, that can leave you with less than ideal results.

You may think anyone who can perform surgery is qualified to perform your plastic surgery procedure, but that’s just not true. There are unique challenges associated with the field, such as where and how to place incisions to minimize scarring.

But what is even more important is ensuring that your surgery is performed in a location that is equipped for surgery, and the complications that can arise from surgery. While complications are rare, plastic surgery is still surgery and emergencies can arise. While it might seem convenient to have a facelift performed in a medspa, be sure that location has all the necessary equipment needed should a complication occur.

“You may be seeing a doctor who is an expert in his or her chosen field,” says Dr. Miller. “But that doesn’t mean he is an expert in plastic surgery. It’s true that there are weekend continuing education courses where physicians can learn to give Botox injections or even breast augmentations. But do you really want your surgery performed by someone who learned the skill in a weekend, or by someone who has dedicated his career to perfecting his craft?”

© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links.

24hr Breast Augmentation

Edison, Warren, & Marlboro NJ -  Breast augmentation is a very popular plastic surgery procedure, and can significantly improve the appearance of a woman who is unhappy with her breasts. When undergoing surgery, it is important to determine what size the patient would like to be and make the best implant choice possible to accomplish that goal. Sometimes this process can be difficult. There is another subset of the population that refuses to have surgery, but still wants the look of a breast enhancement. Some things are used like push-up bras or silicone pieces that go inside the bra, but they are not ideal solutions. A newer procedure has been performed which can help both situations – deciding on the proper size and enhancing without surgery.  An article on  describes this new procedure called the Cinderella boob job, which is a 24 hour breast augmentation has become an overnight sensation.

water splash

This procedure is an injection of saline into the breasts to enlarge them. This results in a temporary enhancement, and then the next day, the breasts deflate back down to their normal size.  “This procedure is becoming more utilized because it is done with a distinct goal in mind,” says Dr. Shain Cuber, an experienced breast augmentation surgeon.  “We can measure how much fluid is injected to give the breast a certain shape, and then the patient can tell if that is the sized implant they would like. Then the patient knows she is getting the size she wants.”

People may also have this procedure done to enhance themselves for that one great party or night out in a great new dress. They are happy to do it because there is no surgery involoved, no down time, and no incisions with this procedure. There is no need to worry about what is being injected because it is only saline. Your body absorbs it with no problem. “Patients come in the same day they are going out and feel great about their appearance for that night with no recovery,” says Dr. Cuber, who also specializes in  tummy tuck surgery.

Another article on smart beaty through the  American Society For Aesthetic Plastic Surgery, talks about the safety of the procedure. Despite how popular it has become, not all surgeons agree with the saline breast augmentation.  Although it is not a risky procedure, some surgeons are worried that the skin of the breast will stretch and alter the shape of the breast when they go back down to the original size. The only side effect that has been seen is some minor bruising.  

This procedure may not be for everyone.  Permanent breast augmentation with implants is still a great procedure, taking about two hours to perform under anesthesia. Saline and silicone are the two most widely used implant styles for breast augmentation.  As always, it is best to consult with an experiened and board certified plastic surgeon to see which procedure would be best for you.   

Bodybuilding Implants Increasing in Popularity

Edison, NJ – Have you spent hours upon hours in the gym, trying to get a beefed up look, but to no avail? Sometimes, even with the most dedicated diet and exercise regimens, our bodies just don’t respond the way we think they should. But with body building implants, you can get the look for which you’ve been working so hard.

sport man doing exercicesIt’s true – from pectoral implants to gluteal implants, a visit to a plastic surgeon can give you the beefed up look you want. More bodybuilders are turning to plastic surgery when the usual methods of weightlifting, diet and other exercise just can’t build the bulk they want.

For some people, genetics or other issues can get in the way of achieving the physical appearance they work so hard for in the gym. While in the past, some may have turned to the use of anabolic steroids to quickly build muscle mass, the side effects and dangers associated aren’t worth the temporary increase in bulk.

The most common areas bodybuilders want to enhance are the chest, calf, bicep and buttocks, but there are other custom implants that can be used to provide definition in other areas of the body. But why would a bodybuilder turn to implants?

In some instances, a person may simply peak at a certain point, and no matter how much additional exercise or dieting is done, the body does no longer responds. Others may have genetics that simply don’t respond the way the person would like. In these cases, implants can be the only way to add the bulk the person has worked hard to achieve. It can be frustrating spending countless hours at the gym and carefully monitoring your diet without getting the bulk and definition you want, but now with these implants, you can quickly see the improvement in physique.

Associates in Plastic Surgery specializes in calf implants, pectoral implants and bicep implants.

For some, even with strenuous exercise, it can be hard to develop the definition they desire in their calf muscles. Through a hidden incision made behind the knee, a silicone implant can be inserted, providing the size the patient desires. While it may be tempting to ask for the largest implant size available, it’s important for the patient and doctor to look at the overall picture and choose the right sized implant to provide a natural look. The ideal should always be a result that simply looks as if the patient has spent hours working on that particular muscle in the gym.

Bicep implants give the appearance of having spent hours in the gym working out the arms. Just as with calf implants, it’s important to take into account the overall look and size of the patient in choosing the correct sized implant. A soft, solid silicone implant will be inserted through an incision in the underarm. The incision will be made so that it will not be easily seen.

For some, the chest is considered the centerpiece in bodybuilding. And for those who have spent years attempting to have the perfect one to no avail, pectoral implants are a wonderful solution.

A solid, silicone implant will be placed beneath the muscle through an incision hidden in the armpit. No scar will be visible on the chest. These tend to be the most natural feeling bodybuilding implants because they are placed beneath the patient’s own muscle.

After surgery, patients will wear compression garments to aid in recovery and minimize swelling. Activity should be restricted in the first couple of weeks following surgery to ensure complete and proper healing. Patients can typically return to the gym within four to six weeks after surgery.

For bodybuilding implants, silicone implants are used. They are soft and flexible, so they will feel real to the touch. But most important, they are safe for patients. Bodybuilding implants are made of solid silicone, so there is no fear that silicone gel could leak into the body.

Once place, there is very little likelihood that the implants will shift. The placement of the implants will ensure minimal scarring and as little interference as possible with the function of the particular muscle. Patients are encouraged to follow all directions as given by their surgeon to ensure proper healing. Exercise can resume once the implant has fully healed.

While most people can develop the physique they long for through proper diet and exercise, there is a small percentage who simply cannot. Whatever the cause may be, cosmetic surgery can now help. If you’ve been working hard in the gym, but can’t get the definition you’ve been working so hard for, consider consulting with a plastic surgeon today.

© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links.

Safety in Plastic Surgery


Edison, Warren & Marlboro, New Jersey – Anesthesia is an extremely important part of undergoing any type of surgery. Even though finding an excellent surgeon may be on the top of your list when doing research, making sure that your surgical facility is well equipped in case of emergency should be just as important. This is especially true of surgery performed in a non-hospital setting like most plastic surgery. Surgeons that have their own surgical center usually have strict regulations in place regarding safety and preparation for any problems. “Surgery centers that properly screen patients and have extensive safety measures in place are for the most part as safe as a hospital setting,” says Dr. Andrew Miller, a facial plastic surgeon in New Jersey.

With the recent celebrity loss of Joan Rivers, out patient surgery centers have come under closer scrutiny. Mrs. Rivers had multiple plastic surgery procedures in her life and her age has never stopped her in the past. But it is extremely important that every time she came in for a browlift or facelift, she get fully evaluated and cleared for anesthesia, even if she was completely fine the last time. Also, ensure the facility is fully prepared for any emergency that might come up.

On an interview with Anderson Cooper a few years back, Melissa Rivers shared that she had staged a plastic surgery intervention for her mother on their TV show on WE, her daughter was concerned about her mother’s endless amount of surgeries.  Dr. Oz has stated when he had spoken to Joan Rivers about her surgeries she had stated that “she was not afraid of having plastic surgery, but worried about having more anesthesia.”

Anesthesia is generally not something to be worried about, as long as proper clearance is obtained. This might only involve some bloodwork and an EKG, but sometimes more extensive tests are needed. Before having a surgical procedure, your surgeon and anesthesiologist will ask you an abundance of questions, relating to your past and present health, as well as the medications you are currently taking. It is helpful for the patient to have a list prepared with all medications and previous surgeries, which in turn gives anesthesiologist a better understanding of how to administer the proper drugs.

“Our surgery center is both accredited by the AAAHC and Medicare certified, which means we adhere to the strictest safety precautions“ says Dr. Miller who specializes in rhinoplasty in New Jersey.  We also choose our patients carefully and fully train our staff in all emergency procedures so that if something comes up, we will be ready. So don’t let fear get in your way of having that plastic surgery procedure you have been thinking about. Just do your homework, discuss any concerns with the surgeon you choose, and relax and be ready to have a beautiful outcome!

Kelly Ripa: Botox Changed My Life

Edison, NJ – Can Botox actually change your life? For talk show host Kelly Ripa, it seems maybe it has.

Botox injectionRipa was a guest on the Bravo show “Watch What Happens Live” recently when she made that claim to host Andy Cohen. Cohen asked Ripa about her beauty routine and favorite products. Her response was a simple, one word answer – Botox.

The 42-year-old Ripa has been hosting a morning talk show for 12 years, and knows that she needs to look her best in front of the camera. While she hasn’t had plastic surgery yet, she is very open about her Botox use.

In an interview with Elle, Ripa said “Every seven months or so my eyelid skin rests on my eyelashes. So I feel like it makes my makeup artist’s life easier, and it makes my eyes look a little more open on TV, which is where I happen to work right now.”

Her openness about all aspects of her life, including her use of Botox is one of the things that makes her so lovable to her audience.

“Kelly Ripa is a wonderful example of a beautiful, confident woman,” says Dr. Andrew Miller, a top plastic surgeon in NJ. “Women relate to her because she seems down-to-earth and real, but they also want to look like her. From her ageless face to her fabulous arms, she’s someone many women want to emulate. And women love that she’s not afraid to admit she needs a little refresher ever now and then.”

Ripa has also had Botox in her armpits, something many opt for to avoid excessive sweating. Once used only by celebrities when they were hitting the red carpet, more people are turning to Botox use when antiperspirants don’t seem to work well enough.

When injected into the underarms, Botox works to temporarily block the chemical signals that stimulate the sweat glands. And that means there will be no sweating in the area that is treated.

While Ripa isn’t shy about admitting her love of Botox, she has said the key to looking your best is moderation. And that is true not just for Ripa, but for everyone.

And Botox is a great way to maintain your youthful look. Many people may think more intense plastic surgery, such as a facelift, is required to takes a few years off their look. But Botox can achieve that in no time at all.

Botox is a relatively simple, non-invasive way to smooth lines and wrinkles on the face, restoring your look to one that appears happier and more youthful. Botox works to reduce the activity of the muscles that cause your brow to wrinkle and furrow and cause crow’s feet. It works beneath the surface of the skin to reduce the appearance of those lines that can age you.

But the best part about Botox is that, when done by a trained plastic surgeon, can be injected in a relatively short appointment and with touch up appointments every few months, you can maintain a more youthful, natural looking you.

© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links

Plastic Surgery to Look Like a Caricature of Yourself?

Happy young womanEdison, NJ – How far would you go to look like your picture perfect self? For one woman, that ideal was a caricature of herself that was drawn when she was 15 years old. And she loved it so much, she has since spent more than $200,000 to look just like the drawing.

Krystina Butel loved the exaggerated look in her caricature so much, she has said she was actually jealous of the image on paper. So she decided to have plastic surgery to look more like the girl in the picture.

That included breast augmentation, lip injections and teeth whitening. She has had five breast enlargement surgeries to get a look similar to in the caricature of herself. But that’s not all. Butel has also had Botox and even sought out the help of a tattoo artist to turn her nipples into hearts.

While her nipples were not visible in the caricature, Butel said she pictured them that way when she looked at the drawing, and found a tattoo artist who could make her vision a reality.

Butel has perhaps taken her fancy of her caricature a bit too far, many might say she even has become obsessed with the image. She claims the image was so glamorous and everything she wanted to be, and that looking at the image lets her know what additional work she needs to have done to look just like the caricature.

One might think spending $200,000 would be enough, but Butel says she is not finished with surgery. She is planning additional Botox, lip implants and even more breast enlargements.

“One of the best things about being a plastic surgeon is helping people realize their dreams,” says Dr. Andrew Miller. “But some people take those dreams too far and they become more of an obsession. And that is when we start to worry. We want people to feel as beautiful on the outside as they do on the inside, and part of our job is to make sure patients have realistic goals and expectations.”

While it isn’t uncommon for patients to bring in a photo of a celebrity to show their surgeon what type of nose or lips they’d like to emulate, it’s not often that surgeons see patients who want to look like themselves…just an extremely exaggerated version.

“We encourage our patients to look at celebrities with other features similar to theirs,” says Dr. Miller. “Often, that can be a great jumping off point to explain the look that they’d like, and for us to use as a visual in our consultations. We’ve heard about people wanting to look like Barbie and Ken and even Justin Bieber, but this is the first I’ve heard of someone wanting to become a caricature of themselves!”

© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links

What You Need to Know About Thigh Lifts

Thigh LiftEdison, NJ – Fall is just around the corner, which means skinny jeans and boots are not far away. If you want to look your best in those skinny jeans, consider a thigh lift.

Very simply, a thigh lift removes excess fat and skin to give you a smoother, slimmer look. We all know that working out and eating properly are the keys to maintaining the best body we can. But what happens when all that diet and exercise just can’t seem to target one specific problem area?

Plastic surgery can be your answer in cases where stubborn areas just don’t seem to change, no matter how hard you work. And sometimes, a significant weight loss can leave excess skin that won’t go away without surgery.

If you’re looking for a more proportionate look, a thigh lift might just be your solution.

But first, it’s important to understand what a thigh lift cannot do. If you have a significant amount of fat you want to remove, a thigh lift cannot do that. Only liposuction will be able to remove those excess at deposits.

Thigh lifts are best on patients with loose, excess skin. There are a few different types of procedures, based on where your problem area is.

An inner thigh lift specifically targets the inner thigh, hence its name. It is used for people who do not see the results they desire after diet and exercise, as well as those who have reduced skin elasticity due to the aging process or excess weight loss.

An incision will be made where the thigh bone and pubic area meet. Excess skin will be removed, and the remaining skin will be tightened, offering improved contour to the patient’s legs.
A bilateral thigh lift will tighten the skin on the front and outside of the leg. The incision is typically made to be hidden by the lower edge of a swimsuit. The excess skin will be removed, and then the remaining skin will be lifted up and attached, effectively tightening it on both sides of the leg. This procedure is very effective for patients who have excess skin due to extreme weight loss.

A medial thigh lift removes excess skin from the upper part of the inner thigh.
Patients who are unhappy with the shape of their legs often request this procedure. The incision will be made along the groin into the back crease of the buttocks. Excess skin will then be removed and the remaining skin is lifted.

To determine which of these procedure can provide you with the look you desire, schedule a consultation with one of the best plastic surgeons in NJ by calling Associates in Plastic Surgery. Good candidates for a thigh lift:

  • Have a stable weight
  • Have excess tissue in the thigh area
  • Are healthy and have no medical conditions that could interfere with surgery or recovery
  • Have a positive and realistic idea of what surgery can accomplish for them
  • Are committed to a healthy lifestyle.

According to the American Society of Plastic Surgeons, the average cost for a thigh lift is $4,459. This fee does not include anesthesia, operating room fees or other related expenses.

After surgery, dressings or bandages may be applied and many surgeons will use a compression garment to minimize swelling and offer support. Tubes may be placed under the skin to assist with draining excess fluid and/or blood. Sutures used to close the incisions will generally dissolve within four months. Outside sutures will be removed in one to two weeks.

Patients should typically plan to take a week off of work to recover fully. During the recovery period, patients should be in a standing or reclining position to aid healing. Slight bruising and swelling can last for up to a month, and most patients will recover and return to all normal activities within four to six months after the procedure.
© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links

“Botched” Displays Bad Plastic Surgery for Public Consumption

surgeryEdison, NJ – Millions of patients undergo plastic surgery each year. And the vast majority are thrilled with their results. But there are a few patients who end up with a botched procedure.

That’s exactly what a new docu-series on E! is highlighting. “Botched” features celebrity plastic surgeons Dr. Paul Nassif and Dr. Terry Dubrow as they meet with patients who had bad plastic surgery.

The show is clearly catching on, because not only is it E!’s highest rated docu-series to date, but the network just ordered a second season of the show.

So what will viewers see if they tune in? The first season featured more than 20 surgeries, covering a range of procedures and patients. They include:

  • Human Ken doll Justin – You’ve probably seen him before, and we’ve certainly talked about him before. Justin has had more than 100 surgeries to turn himself into a living version of a Ken doll. He came to the doctors looking for better abs, and had even designed his own implants. The surgeons turned down his request for surgery, however.
  • Alicia had a breast augmentation after the birth of her child. The results was implants that were too large and gave her the appearance of having what the doctors called a “uni-boob.” Despite it being a difficult procedure to perform, the doctors were able to correct it.
  • Michelle was a patient who, after a car accident, had a nose job to repair the damage. But the result was not what she wanted, so she underwent additional surgeries hoping to correct it. She had undergone a total of six surgeries before finding the doctors.
  • Janice Dickinson proved that even supermodels aren’t immune to bad plastic surgery. She visited the doctors to have her 30-year-old breast implants removed.
  • Renee had received butt implants that were not only visible, they could actually be moved and flipped over while still in her body. In her case, however, the doctors chose not to operate on her after she admitted she suffered from Body Dysmorphic Disorder.

Season 2 will be more of the same, with plastic surgery patients desperate to correct surgeries they received to feel better about themselves.

Revision plastic surgery, while rare, should only be performed by experienced surgeons. These are specialized procedures and it takes a very well-trained surgeon with the skill and eye to positively correct these bad procedures.
© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links

Plastic Surgery can help with Headaches!

Edison, Warren, & Marlboro – The perks of plastic surgery are well known, but in fact, it can do more than simply provide a youthful appearance. Studies have shown that it may be possible for certain plastic surgery procedures to relieve headaches which would be good news to many people. Tension headaches and migraines involve nerve endings and trigger points in the face that are misfiring, resulting in chronic pain. This pain may be alleviated with Botox injections in the forehead or a even a Blepharoplasty, otherwise known as an eyelid lift.

botox head

When someone is tired, stressed, or overly focused, these feelings are expressed through the face. If you stare at a computer screen all day, or are overly expressive, there may a lot of facial movement, including raising the eyebrows or scrunching them together.  This constant movement of the forehead muscles connects to the back of the neck through a tendon sheath and together results in a tension headache. The treatments of tension headache include Advil or Botox. As stated in the article by Everyday Health,  Botox has a toxin in it called botulinum which is used to relax the muscles in the face. With the forehead being relaxed, the possibility of developing a tension headache is much decreased, and this result can last for 4 months. “If you are a chronic sufferer of tension headaches, then Botox is a great treatment,” says Dr. Andrew Miller, a top plastic surgeon in New Jersey.

Migraine headaches can be worse then tension headaches. They can last up 72 hours and affect a person in many ways including as extreme head pain, light/noise/odor sensitivity, dizziness, or an upset stomach. Many treatments have been undertaken, but none are foolproof. There is a newer theory that an upper eyelid lift can deactivate the “trigger nerves” which causes most migraines. An eyelid lift consists of the surgeon making a horizontal incision in the crease of the eyelid and removing excess skin. The incision is the key factor here because it destroys the trigger nerve that causes the migraines. This procedure does not apply to everyone with migraines but according to this article migraines were eliminated in 51.3 percent of the patients with many more having a significant reduction in symptoms.”

“There is no better feeling then to make someone feel good about themselves and look physically more comfortable,” says Dr. Miller who also specializes facelift surgery. Resolution of a headache will also make everyone around you more relaxed as well because no one is in a good mood when a headache flares up. While these are not 100% methods of resolving headaches, there is a subset of patients that they work nicely on, so it is worth it to discuss them with your doctor.


Evidence Shows Botox Helps Depression

The sad young womanEdison, NJ – You may think you only need to visit a plastic surgeon’s office if you’re looking for a breast augmentation or other procedure to change your looks. But did you know a plastic surgeon just might be able to help you beat depression?

It’s true – more studies are showing that Botox might actually help patients who are suffering from the disease.

“People think Botox is only for smoothing wrinkles and lines on the faces,” says Andrew Miller, one of the best plastic surgeons in NJ. “But researchers at the Hannover Medical School in Germany have found that even a single injection can ease symptoms associated with depression.”

One of the professors leading the study, Professor Tillmann Kruger, spoke at the 2014 American Psychiatric Association’s 2014 Annual Meeting to present the study’s findings.

We express emotions through our facial muscles. Then, those muscles send signals to the brain that reinforce those emotions. But using Botox can stop that from happening.

“We see a lot of patients reporting better moods after receiving Botox injections, and now this study proves that it can do much more than make patients look younger,” says Dr. Miller.

The study in Germany enrolled 30 patients who all suffered from chronic or treatment-resistant depression. Patients were then randomly assigned to receive either a single Botox injection or a saline injection.

Six weeks after the injection, the patients who had received the Botox injection showed a 47 percent decrease in their symptoms versus just a 9 percent decrease in the placebo group.

The theory of our facial expressions not just communicating our feelings to the outside world, but also intensifying them dates back to Charles Darwin. Darwin believed that our facial expressions send cues back to our brain and that an act such as frowning could actually make us angrier. Quite simply, our emotions don’t start out as emotions, but simply as thoughts. But then our physical response to those thoughts can then magnify how we feel.

Two additional studies have shown similar results.

The latest was published in the Journal of Psychiatric Research. In that study, 17 or 33 patients experienced a 50 percent decrease in symptoms, and 27 percent of the group reported their depression went into remission. The improvement remained throughout the 16 weeks of the study.

M. Axel Wollmer, a psychiatrist at the University of Basel in Switzerland, stated that Botox works because it “interrupts feedback from the facial musculature to the brain, which may be involved in the development and maintenance of negative emotions.”

So how does Botox work?

Very simply, Botox stops muscle movement. Once injected, it works to make the skin relax. Visible lines and wrinkles disappear and the medial eyebrow can be lifted. It is administered using a very fine needle and is not painful. A topical anesthetic will be applied to the injection area before the shot is received.

The American Psychiatric Association estimates that 10 to 25 percent of women and five to 10 percent of men will develop some sort of major depression disorder at some point in their lives. Symptoms include:

  • Feeling helpless
  • Irritability or anger
  • Loss of energy or appetite
  • Insomnia or excessive sleeping
  • Feelings of guilt or worthlessness
  • Loss of interest in activities
  • Sad or anxious feelings
  • Suicidal thoughts

Depression carries a high risk of suicide, and as the recent death of Robin Williams has shown us, no one is immune to these feelings.

It may sound crazy, but the research has shown that one simple injection of Botox can lead to a reduction in depression symptoms. Dr. Eric Finzi is a dermatologist in Maryland who led one of the studies and who is pioneering the use of Botox in America.

Finzi believes, like Darwin, that we can control our emotions to an extent by taking control of our facial expressions, which is exactly what Botox does. Botox keeps the muscle from firing.

While these studies show patients with depression can see their symptoms lessened, Botox is not yet approved by the Food and Drug Administration for this use. And that means it isn’t covered by insurance, either.

The effects of the Botox can last several months and one injection can cost around $400. Patients will need to receive several injections throughout the year to maintain their results.

Some detractors believe this use of Botox needs more research before it is put into wide use. Many believe that patients exhibit a reduction in their depression symptoms mainly because they feel better about themselves when they look in the mirror thanks to what Botox is primarily used for – reducing lines and wrinkles.

But whether the results are simply from liking the reflection in the mirror more or from a true change in their disorder, the use of Botox to treat depression is an interesting topic to keep an eye on.

To learn more about Botox, schedule an appointment today, 732-490-8328.

© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links

Curves Are Back In Style

scarjoEdison, Warren & Marlboro, NJCurves are back and ready to be embraced!  Nowadays, many women who were not blessed with natural curves are turning to plastic surgery for just that type of enhancement. In times past, we were constantly shown on TV or in magazines, super skinny models with no curves or booty at all.  Women were told that this is what you are supposed to look like, even if it was unattainable.  Well what may have been true in the past seems to be changing over time. “Lately, many women have come into the office looking for procedures such as breast augmentation and buttock enhancement, to enhance or achieve the curves they desire,” says Dr. Shain Cuber, a top plastic surgeon in New Jersey.

Just a few short years ago, celebrities with curves were told they needed to lose weight in order to be viewed as beautiful and obtain certain roles in Hollywood. However, the media now seems to be embracing fuller figured celebrities more and more.  Kim Kardashian talks about her figure in an article about celebrity curves, stating that she is basically not a skinny girl, and is happy with her curves. She feels that her curves help define who she is and that her confidence will hopefully help other women to embrace their  as well. Since the world is starting to accept curvy women more and more, there are several plastic surgery procedure that can help women wanting more curves to obtain them.

“The Brazilian butt lift is a great way to improve that hourglass shape in a surgical setting,” says Dr. Cuber, who also specializes in tummy tuck surgery. In this procedure fat can be removed from heavy waist or hips, processed, and transferred into a specific area over the buttocks to create a fantastic figure. Obviously breast augmentation can be carried out to enhance the curves above the waist. A combination of the two procedures will result in a tremendous hourglass shape.

The women who desire a butt like Kim Kardashian or Jennifer Lopez, can finally achieve that look by the different plastic surgery procedures that are now available. In the media, Scarlett Johansson definitely brings curvy back into style.She is not afraid to embrace her curves, and jaws drop when she walks down the red carpet. Some even say that she is today’s Marilyn Monroe. Even if you aren’t born with curves or large breasts, plastic surgery is a great way to achieve the figure most desired.  Stick figure days appear to be gone because the curves are beautiful. Whether you were born with a natural hourglass figure, or you have had some plastic surgery enhancements, curves are back.

Skinnies Promise Instant Lift, But Is It Too Good to Be True?

Plastic SurgeryEdison, NJ – Do you watch the NBC show Shark Tank? If you are a regular viewer, you know there are some products that seem too good to be true. One of the products introduced this year probably left many people thinking that very thing.

Skinnies Instant Lifts, patented by husband and wife team Nick and Penilopee Lerosa, are marketed as “clear adhesives that instantly smooth cellulite & lift sagging skin.” Essentially, they’re like a giant piece of tape that pulls the skin taut so that unsightly cellulite seemingly disappears in an instant thigh lift.

The company makes Skinnies for many parts of the body, including the thighs, arms, tummy, back, breast and even the face. Want a facelift but don’t want the downtime associated with it? Skinnies promise an instant result.

But are these claims too good to be true?

“Certainly pulling on the skin will cause it to look more taut and firm,” says Dr. Andrew Miller. “But using tape or any sort of adhesive can create an uneven look, and what happens if the tape begins to come off? This might seem like a good quick fix in the beginning, but I don’t think it is all it is hyped up to be.”

And it seems like perhaps the reviews are mixed, as well. A quick look at Amazon reviews shows several purchasers who claim the tape isn’t as easy to use as the product advertises, doesn’t stick as well, and is uncomfortable – both during wear and when removing.

But the bigger question should be, do you really want to have to apply tape to yourself every time you want to wear shorts or a sleeveless shirt? And how can you possibly hide the tape that is used to provide the instant facelift?

If you’re looking for a more permanent solution, there is only one answer – and that involves a visit to a plastic surgeon.

Scheduling a consultation with a plastic surgeon will help you determine what procedure might be best for you. Perhaps you only have a bit of pesky cellulite that, despite your best dieting and exercise practices, just doesn’t seem to go away. Then liposuction might be the answer for you.

Only a visit with a qualified plastic surgeon can help you pinpoint the areas you wish to change, and develop a treatment plan that can help you look your best. Don’t rely on a piece of tape to do the trick, when the best trained plastic surgeons are just a phone call away!

© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links

Life after Divorce, Starting a New Chapter.

Warren, Edison and Marlboro, NJ - People seek out plastic surgery for all different kinds of reasons.  They may not be happy with their appearance or just trying to recapture the look of their youth.  Some people after going through a life altering experience may seek some kind of physical change. Divorce can fall into this category. Couples that have been married for a long time might find it hard to get the confidence they need to jump back into the dating scene. “Dating can be uncomfortable, especially if you have not done it in a while,” says Dr. Shain Cuber a Breast Augmentation specialist in New Jersey.  During marriage, you get very comfortable with that one person, and when a divorce happens, a person’s confidence can be affected while going through this trying time.  Plastic surgery whether it is a small or large procedure can have the ability to boost one’s confidence and get them up out of the house to start a new and happier life.

Across the country, plastic surgeons are offering discounts for divorced women. Similar to a “Mommy Makeover”, they are calling them “second-chapter” packages.  Some people may think this is exploiting vulnerable women, but it is really just trying to help them look and feel their best.  ABC interviewed several men and women who received plastic surgery post-divorce and discovered a few recurring themes among these individuals.  According to divorcees, plastic surgery provided them with confidence they may have lost following their break-ups.

After a divorce, there is usually a need to get back into shape, but many may need that motivation to do that. “Joining a gym may provide that motivation but also having a rejuvenating procedure such as liposuction or a tummy tuck can provide a little more self esteem and motivate one to get back into shape,” says Dr. Cuber, who also specializes in mommy makeover surgery.

Women are not the only ones making an effort to improve themselves.  According to the American Society of Plastic Surgery, men account for more than one million procedures in 2013. When a man gets divorced, he can especially feel like he needs to look younger so he might attract a new companion. Therefore, facelifts are a growing procedure that men are seeking out after divorce.  Since society can tend to be judgmental, a rejuvenated and natural appearance can make a man feel more relaxed when entering the dating world again.

Some people may think that undergoing plastic surgery to look great would be a nice type of revenge.  However, most surgeons will caution against making any impulsive decisions following a major life event, whether the patient is asking for big procedure or even a smaller one like tattoo removal. It is suggested that recent divorcees take at least a little time after the divorce before seriously considering plastic surgery.  Time that may allow them to assess their intentions and motivations and to make sure that it is truly what the want. Then plastic surgery can be undertaken for what is it designed for – a nice, natural improvement of yourself.Divorce


Why You Should Quit Smoking Before Plastic Surgery

No SmokingEdison, NJ – We all know that smoking is dangerous, but the effects of tobacco use impact far more than just our lungs. Carbon monoxide introduced during smoking affects our tissue and the nicotine found in tobacco products can cause blood vessels to restrict, limiting the amount of oxygen that can get to the rest of our body.

This is why it is essential that patients hoping to undergo plastic surgery quit smoking well before any procedure takes place.

“I recommend that any tobacco-using patients stop their habit several weeks before surgery,” says top plastic surgeon Dr. Andrew Miller. “Continuing to smoke right up until surgery can result in complications and issues after surgery. Smokers can face longer healing times and worsened scars.”

There are several ways tobacco use can affect a plastic surgery patient.
• Smoking compromises circulation, which can cause the skin to breakdown during or after surgery.
• Tobacco use can impede healing, taking longer or impeding the process.
• Smokers have a higher rate of post-op infection.
• Impaired healing can lead to issues with scarring, including skin loss and flap necrosis.

Because of these very serious complications, some plastic surgeons will refuse to perform surgery on patients who smoke. Others will require patients to commit to giving up smoking for several weeks prior to surgery. And this can be even more important depending on the type of surgery you choose.

Many surgeons do not like to perform facelift procedures on smokers because the effects of the habit restrict blood flow so much. In a facelift, especially, surgeons rely on good blood flow in those tiny capillaries to help with healing. But if those have been impaired due to smoking, it makes healing that much harder.

“During a facelift, the tissue is actually lifted up from the surface,” says Dr. Miller. “The blood supply becomes extremely important because it will already be greatly decreased during the procedure. Smoking just further reduces the supply of blood, which can then lead to dying skin and unsightly scars.”

It is important to remember that this applies not just to smokers, but to users of nicotine in any form, even the patch. Nicotine is the primary instigator when it comes to restricting blood flow, so patients should not think they can stop smoking but instead switch to the patch or nicotine gum. The use of any products containing nicotine should be suspended until given the okay by your surgeon.

But why should you be so concerned about the amount of oxygen in your blood during surgery?

To accomplish your plastic surgery goals, the surgeon will move skin and/or other tissues around. And that will mean also altering blood supply to different degrees. Some blood vessels will be divided to move the skin around to create the best look and shape. This is especially true in tummy tuck procedures that rely on a flatter outcome.

If, during these procedures, the correct amount of oxygen isn’t getting to the area, the tissue could heal improperly or die completely.

Many candidates for surgery may claim that they have never experienced issues in healing before. But plastic surgery is much different because the tissues are moved to new locations and the blood supply is altered. Complications from plastic surgery procedures are much higher than in other procedures.

But if you still don’t think it’s important to stop smoking before your surgery, consider this story from a plastic surgeon in Detroit.

Dr. Anthony Youn was performing a standard breast lift on a patient when her nipples began to turn purple before his eyes. He knew that this was a precursor to the nipples falling off altogether.

Dr. Youn had to use leeches to save his patient’s nipples. The leeches worked to drain the excess blood, helping the skin return to its normal pink color.

But now Dr. Youn, and plastic surgeons like him, are being even more serious when they talk about the dangers of smoking with their patients. Smoking before or after a breast procedure could cause your nipples to turn black and fall off. And the consequences are just as serious with other procedures.

Some plastic surgeons take the issue of smoking so seriously, they will even refuse to work on smokers. We’ve heard stories of plastic surgeons asking their patients to sign contracts stating that they won’t smoke for a certain period of time before and after surgery. Other surgeons show their patients graphic images of what can happen when people lie and tell their surgeon they stopped when in fact they didn’t.

“In truth, we have no way of knowing if a patient truly quits before surgery,” says Dr. Miller. “We have to take their word for it. But in many cases, as soon as surgery begins, we can tell if they’ve been lying. In other cases, we don’t realize it until the recovery stage. Patients wonder why they are taking longer than planned to heal, or why their scars look worse than they thought they would.”

© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links.

I Can Get Liposuction Where?

Edison, NJ – When you think of places to receive liposuction, you probably think of areas such as the tummy, thighs and bottom. But did you know liposuction can be used to remove stubborn fat from many areas of the body, including the knees, arms, cheeks, jowls and even the male breast?

Plastic Surgery“Liposuction is a great tool for patients who have stubborn pockets of fat that just don’t respond to diet or exercise,” says Dr. Shain Cuber. “As women begin to age, they may notice more fat beginning to accumulate in their thighs and knees. And when too much fat is in the knees, the leg can look disproportionate. While maintaining good eating and exercise habits is the best way to try to prevent this from happening, in some cases genetics simply outweighs our best habits. And that’s where liposuction can help.”

Liposuction of the knee will involve an incision through either the knee or the groin. A groin incision can also address unwanted thigh fat and create less swelling while a patient is recovering.

Because the knees don’t contain large pockets of fat, the procedure works more to contour the knee. That means it needs a skilled surgeon to perform the procedure correctly. When done right, after the swelling goes down, patients will have beautiful results. Recovery generally takes a few weeks.

Remember several years ago when Demi Moor re-emerged in the spotlight, looking better than ever? One of the things people raved about were her killer legs. And rumor has it part of what made her legs look so great was liposuction of the knee.

Have you noticed drooping jowls as you age? You may have thought only a facelift could correct that problem, but liposuction could be a great solution.

“Some people aren’t comfortable with the idea of plastic surgery, but want to do something to reverse the effects of aging,” says Dr. Cuber. “For those who aren’t ready for a facelift yet, liposuction can remove fat from the chin, cheeks and jowls.”

There are many benefits to having liposuction over a facelift, such as no need for anesthesia and its possible side effects, a quicker recover time and lower cost. But one of the best benefits is that liposuction can often give a more natural appearance than a facelift can.

For women, they may wish to combine liposuction with laser resurfacing or a chemical peel to achieve the best look possible. And men prefer liposuction over a facelift because there will be no noticeable scars as there would be from surgery.

Women also experience excess fat in their arms as they age, and liposuction is a great remedy for that. For women who don’t want an overly muscular look that can be gained through exercise, liposuction can help to give the arm a thinner, healthier appearance.

Through the work of a skilled surgeon, women can achieve more contoured arms with minimal scarring.

And liposuction is a great option for men who suffer from pseudo-gynecomastia. Pseudo-gynecomastia is an excess of fat tissue in the breast which leads to an enlargement of the male breast. True gynecomastia is enlarged male breasts caused by excessive glandular breast tissue and is rare.

Liposuction is very effective for patients suffering from pseudo-gynecomastia. In true-gynecomastia cases, the breast tissue is often too dense and fibrous to penetrate and then move through the cannula during liposuction.

Men will generally see about a 50 percent improvement after liposuction. In some cases, liposuction may be combined with laser telescopic surgery to achieve the best results.

If you’ve noticed stubborn pockets of fat that don’t seem to respond to exercise or diet, consider scheduling a consultation with a plastic surgeon to see how liposuction may be able to help you.

© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links.

Botched Attempt at Beauty in the News Again

Edison, NJ – It seems like more often we hear about people cutting corners when it comes to beauty. And unfortunately, that can have disastrous results.


CNN recently reported a story on Apryl Brown, a hairstylist who almost died after receiving filler injections from a client.

Brown had always dreamed of having a fuller bottom, so when a client of hers explained that she could offer silicone fillers for a cheap price, Brown jumped at the chance to improve her look.

In 2004, Brown received four injections into her buttocks at the home of the woman. In 2010, Brown found herself close to death on a hospital bed.

She had contracted a staph infection from the silicone injections that left her body shutting down and her limbs dying. Brown survived, but over the course of 27 surgeries, she lost her hands, feet and some flesh around her hips and buttocks to amputation.

In an even more tragic case from 2011, a woman died after receiving what she thought were silicone injections. The 20-year-old British woman came to the United States after seeing an advertisement for low cost body enhancements, performed by a Philadelphia singer. Padge Windslowe injected the woman in a Philadelphia hotel room and the woman later died from a pulmonary embolism linked to silicone injections she received in her buttocks.

Windslowe was already in police custody for another botched procedure, from which a woman ended up in intensive care with silicone in her lung.

While these stories are severe, receiving injections from an unlicensed person can lead to serious complications. Most are drawn to the allure of looking their best, but without the hefty price tag they assume accompanies a visit to a plastic surgeon.

And now more surgeons are seeing patients to repair damage that has been done by botched at-home procedures or overseas procedures.

“Unfortunately, cosmetic fillers can be purchased online,” says Dr. Andrew Miller. “That leads many to believe they can perform the injections on themselves or others. But more often than not, these people have no idea what they are receiving, and there is much more to it than simply using a needle.”

There are 21 fillers approved by the FDA and all must be administered by a medical provider or under the supervision of a physician. But none of these fillers are approved for people to inject themselves.

As we know all too often, many people believe if they see it on the internet, it must be good. But Miller advises that if it seems too good to be true, it probably is.

“These fillers can cause so much harm for several reasons,” says Dr. Miller. “First, recipients often don’t know what the fillers are actually made of. But they also don’t know how and where to properly inject, either.”

Patients can be left with pain, redness, swelling and permanent scars after receiving injections from someone who doesn’t regularly perform these procedures. And Dr. Miller warns that even if someone claims to be a medical professional, such as a nurse, never allow someone to inject you if they offer to do so in a location other than a licensed medical facility.

“Asking someone to come to their home or another location should be a huge warning sign,” says Dr. Miller. “No respectable licensed and trained nurse or physician would work out of their bedroom or garage.”

Self-injected fillers have been tested after patients seek out the help of actual plastic surgeons. Rather than being an actual dermal filler, Brown’s was bathroom caulk. We’ve reported on the dangers of this before, including one woman who injected herself with cooking oil in an attempt to get the look she wanted.

To avoid injecting your body with potentially harmful materials, patients interested in improving their look should be sure to only visit a licensed and skilled plastic surgeon, such as Dr. Miller and his team at Associates in Plastic Surgery.
© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links.

Is Looking Young the Key to Winning Elections?

business womanEdison, NJ – Are Botox, dermal fillers and other small nips and tucks helping politicians stay ahead of the game?

The big players in Washington D.C., unlike Hollywood stars, don’t want to look younger. Rather, they want to look well-rested and like the best representation of themselves. And that means some regular Botox or even a facelift to remove the lines that lead to politicians looking angry or sad, strengthen a weak jawline or correct drooping eyebrows.

“It’s no surprise that more politicians are visiting the offices of a plastic surgeon,” says Dr. Andrew Miller, a top surgeon in New Jersey. “People want to trust their politician, and a lot of our trust is based on how a person looks. If they come across as looking mean, or sad or tired, we might not be as willing to cast our vote in their favor.”

But too much plastic surgery can work against them, so for many politicians it can be a delicate balancing move to get achieve just the right look. That’s why Botox and dermal fillers are popular.

Crow’s feet, laugh lines and the other lines that creep up on our faces can make us look tired, sad or sometimes even angry. And for politicians, that can be a turnoff for their voters.

Botox can stop muscle movement, causing the skin to relax so those lines disappear. It can also effectively lift a patient’s eyebrow by weakening the muscle that pulls it down.

Dermal fillers can also soften creases and wrinkles, while enhancing the contours that are created from aging.

Combining the use of Botox with a dermal filler is referred to by some as a “liquid facelift” because it can offer some of the benefits of a surgical facelift, but without the downtime.

That’s a perk that is especially important for busy politicians. Not only are politicians’ schedules hectic, not allowing downtime to properly recuperate after surgery, but they can’t be seen in photographs with bandages on their faces.

But Botox and dermal fillers can be injected in a short time, even over a lunch break, and offer more immediate results.

And looking good has never been more important as we are now on a 24 hour news cycle with high definition televisions showing every tiny line, wrinkle and blemish.

© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links.

Keeping Up With the Kardashians – Through Plastic Surgery?

Edison, NJ – When you think of reasons that may cause you to go into debt, does trying to look more like your favorite celebrity come to mind? That’s exactly why one UK woman has spent more than $30,000 on plastic surgery, clothes, spray tans and hair extensions.

Plastic SurgeryTwenty-four-year-old Claire Leeson says she was bullied when she was in school, but after finishing school, friends told her she bore a bit of resemblance to reality star Kim Kardashian. Leeson began watching Keeping Up with the Kardashians in 2009 and became obsessed with looking like the star.

In addition to looking a bit like Kim, Leeson realized the two had the same number of siblings, who argued about similar things. Leeson was struck by Kim’s beauty and desired to be more like her.

She started her Kim transformation by having her teeth whitened. That didn’t give her the final look she wanted, so Leeson visited a plastic surgeon for breast augmentation. She took pictures of Kim with her to her surgeon’s office to show him the result she wanted.

“It’s not uncommon for people to bring along photos of their favorite celebrity to their consultation,” says top plastic surgeon in New Jersey Dr. Andrew Miller. “It’s our job as plastic surgeons to help our patients get close to the results they desire, but to counterbalance that with realistic expectations. Not every patient already bears a resemblance to Kim Kardashian, so getting breast implants or a Brazilian butt lift might transform their body, but it can’t make them look like a completely different person.”

In addition to the plastic surgery, Leeson has spent thousands more on clothing, hair extensions and even a butt pad to enhance her behind. She acknowledges that the pad is a temporary solution and hopes to make it more permanent through surgery one day soon.

“Kim Kardashian and other celebrities have put the buttocks in the spotlight,” says Dr. Shain Cuber. “The bottom area isn’t easily enhanced through just diet or exercise, so we see many patients who want a behind like Kardashian’s seeking out a Brazilian butt lift or buttock implants.”

Leeson has expressed an interest in a Brazilian butt lift, which begins with liposuction. A surgeon will harvest fat from other areas of the body, typically the waist and hips, and then use that to sculpt and shape the buttocks area. If there is remaining fat, it can be frozen and used for repeat injections in the future.

Leeson acknowledges that her desire to become more like Kardashian has put her in debt.
“I’m in major debt,” she has said. “I say that I’m going to pay them but as soon as money comes in, I just think about getting my Kimmy on.”

Leeson has become a bit of an internet celebrity thanks to her Instagram account, where she recreates some of Kim’s more famous shots. And she also receives some work as a Kim impersonator.

© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links.

Racism and Plastic Surgery

Edison, Warren, & Marlboro NJ - Cosmetic and reconstructive surgery can often be a positively life changing experience in many ways. “It can be a physically, mentally and emotionally rewarding process for patients of all size, shape, race, age and gender,” says Dr. Andrew Miller, an eyelid surgery specialist in New Jersey. Plastic surgery should, in general, be performed to enhance an aspect of a patient’s appearance. However, some patients feel like they have no other choice than to undergo plastic surgery to live a happy and normal life. Many people are the victims of racism and this occurs regularly all over the world. Some of these people think that if they change their appearance to look more American, life as they know it will be more pleasant.  No one wants to wake up everyday feeling miserable and wondering whether or not they will be taunted and tormented that day.  Just ask Hao, who now goes by Leo. An article on explains his story of racism, bullying and plastic surgery.




Leo is a Chinese man who is emotionally scarred from bullies who taunted him just for the simple fact of being Chinese.  He was just one of three Chinese students in his class, which made the bullying even worse.  He started making racist comments himself to try and fit in, but that did not last long because he grew more and more uncomfortable in his own skin.  In order to avoid his constant bullying, he decided to make drastic changes in his appearance with plastic surgery.  Over $16,000 later, and a name change, Leo feels like he has gained the confidence, happiness, and equality he always wanted.  With fuller eyes, a longer straighter nose, a stronger jaw and a confident stance, he appears to look much less Chinese.

Leo is not alone in his feelings. Last year another popular story made the headlines, when Julie Chen (a CBS host) had her eyes enlarged and her Asian features diminished, because of racist comments that were communicated about her.  Even though she was happy with herself, she felt the need to undergo plastic surgery to improve her appearance for her occupation.  She has flourished on TV and just by looking at her, you can see the confidence she has acquired with a simple smile.  This article on Business gives the reader a detailed explanation of her story.

Plastic surgery is popular in the United States, but it is booming in Asia.  The most popular procedure in Asia is an eyelid surgery procedure called double eyelid surgery.  Although popular, it does cause a lot of controversy because the main reason it is being performed is to look more American and be accepted. “The primary reason to have plastic surgery is to enhance one’s features, not necessarily change one’s appearance to a different nationality,” says Dr. Miller, who is also an experienced rhinoplasty specialist. “But as long a result will look natural on a particular patient, I would be happy to help someone feel more confident and avoid bullying if necessary.”  

If you or someone you know is interested in cosmetic surgery for any reason, it is important to have a consultation with a highly experienced plastic surgeon. The surgeon can give you an honest opinion on whether a particular procedure can be performed and give a natural result.

Plastic Surgery – A Small Nip/Tuck or Complete Overhaul?

seniors coupleEdison, NJ – The stigma surrounding plastic surgery has faded away and we are seeing more people flocking to their surgeon’s offices. But at what point does a patient’s desire for a small overhaul become something more?

It seems like almost every day we hear of someone undergoing plastic surgery procedures to look like someone else. While it’s not uncommon to take a photo of a favorite celebrity to a consultation to show what they hope their rhinoplasty could look like, some patients use plastic surgery to totally change their look.

Would you undergo cosmetic surgery to change your ethnic look? We’ve heard of Asian celebrities and others undergoing eyelid surgery to gain a more Western look, but one Brazilian man has reversed that trend.

Wishing to protect his identity, he only goes by the name Xiahn, but he has such an interest in Korean pop culture that he has spent more than $3,000 trying to look more Korean. The naturally blonde-haired, blue-eyed Brazilian dyes his hair and wears dark contacts, and reportedly has undergone 10 procedures to get the Korean look he finds so appealing.

His desire to look like someone else isn’t isolated. Penny Brown, an Australian woman, has a fascination with cartoon character Jessica Rabbit. Brown admits that she has been obsessed with the character since she first saw the movie Who Framed Roger Rabbit at age 5.

And that led the 25-year-old to a plastic surgeon for breast augmentation to increase her already ample bosom from a 34H to a 36O. But that might not be enough for the pin-up model, who claims she’s not sure if her breasts will ever be large enough.

Examples like this lead some to wonder why someone might desire to completely change their look. And it can send warning flags to a qualified and well-trained plastic surgeon.

“One of the things any reputable surgeon should discuss with his patient is why the patient is choosing surgery,” says Dr. Andrew Miller, one of the best plastic surgeons in New Jersey. “A wonderful thing about being a plastic surgeon is helping our patients gain back confidence they had lost. But we also discuss with patients that the goal of plastic surgery should never be to change who they are, rather it should be about embracing their inner beauty and helping to manifest that on the outside. When we see people seeking to totally change who they are through surgical procedures, we become worried.”

From looking like Barbie or Ken to Justin Bieber, Superman, or even just to look better in their “selfies,” some in our image obsessed culture are taking things to the extreme to look more like the perfect self they have envisioned.

“Desiring a nose that more closely resembles Nicole Kidman’s or a bottom that is as curvaceous as Jennifer Lopez’s isn’t cause for concern in most cases,” says Dr. Miller. “And neither is wanting to look more beautiful. But each patient and their surgical choices should be looked at on a case by case basis. While most people simply use their favorite celebrity as a jumping off point to explain to their surgeon the look they desire for themselves, others take it a bit too far by wanting to change their entire look. I always talk extensively with my patients to understand why they want the surgery, and to help them understand the limits of surgery.”

Dr. Miller and surgeons like him work hard to help their patients gain the beautiful look they desire, while ensuring that desire hasn’t reached a potentially unhealthy obsession.
© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links.

There Are Limits to Plastic Surgery

Edison, NJ – Making the decision to have plastic surgery is one that should not be made lightly, but rather with all facts properly researched. And one important thing for all patients to consider is that there are limits to plastic surgery.

SurgeryIf you’re making the decision to go under the knife in hopes of becoming a completely new person, most surgeons will stop you in your tracks.

“Surgery should never be chosen to change who you are,” says top cosmetic surgeon in NJ Dr. Andrew Miller. “Surgery cannot change who you are, but can only slightly alter the way you look. You won’t become a different person once the bandages comes off, and you won’t even look dramatically different. Rather, a good plastic surgeon works with you to simply bring out a bit more of your inner beauty.”

Likewise, if you are undergoing a major procedure to please someone else in your life, Dr. Miller will caution you against it. He and his staff at Associates in Plastic Surgery urge each of their patients to choose a cosmetic procedure because it is something the patient wants, and not something someone else in his or her life has encouraged. A new nose or larger breasts can’t correct a relationship that is troubled.

If you think plastic surgery will shave years off of your appearance, you might want to think a bit harder before opting for a facelift. While facelifts can do wonders to minimize lines and wrinkles left over the years, you won’t suddenly go from looking like a 70 year old to a 30 year old.

No surgeon can guarantee a specific number of years that will be erased after a facelift. If you go in saying you want to look 20 or 30 years younger, you may be disappointed with your results.

“Surgery shouldn’t be to take years off, necessarily,” says Dr. Miller. “But rather, your goal should be to look as good on the outside as you feel on the inside. If you think your face constantly looks tired and worn out, but you don’t feel that way, plastic surgery can certainly help. But if you want to look like a teenager again, well, you might just be out of luck.”

Dr. Miller explains that managing expectations of patients is a crucial aspect of any plastic surgery practice. Patients may come in with a picture of Kate Middleton and expect to look just like her after a rhinoplasty.

But again, there are limits to what plastic surgery can actually accomplish. A good plastic surgeon will look over examples of noses that you like with you, and help you choose a look that works best with your overall facial composition. It might be a nose that looks more like Nicole Kidman’s, but that doesn’t mean you’ll leave the operating room looking like the Oscar winner.

“One of the first things my partners and I do is talk to our patients about what they are hoping to accomplish through their procedure,” says Dr. Miller. “Knowing a patients goals can help us create a plan that will help them look and feel their best.”

And one aspect of that for a good plastic surgeon is knowing when to say no to his patients. This can be hard, especially after building a relationship with a patient. But well-trained surgeons know when enough is enough, and when what the patient is asking for doesn’t stack up with their esthetic guidelines.

Turning away money may sound crazy, but it can be just as detrimental to a plastic surgeon’s practice to continue to say yes against their better judgment. Their clients are walking billboards for their expertise, and giving in when they know they shouldn’t can cause more damage than they’d like.

“No plastic surgeon wants to be associated with a bad plastic surgery procedure, or too much Botox or filler” says Dr. Miller. “We see people all the time who have maybe overdone it. My goal as a plastic surgeon is to help you gain a natural look, one that looks as if you didn’t even have surgery at all.”

Choosing the right plastic surgeon who can help you manage your expectations can better ensure happiness once your procedure is finished. Always be sure to be open and honest with your surgeon so he or she can help you look and feel your best.

© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links.

First Prize: Breast Implants!

Edison, Warren, and Marlboro - Plastic surgeons in the UK have been holding contests with prizes including any kind of plastic surgery the patient desires. Any UK citizen can enter, and according to this article they need to provide the following:

- Name, age and contact details

- The desired plastic surgery treatment

- Why do you think you should win the cosmetic surgery?

- What is your motivation to undergo the surgery treatment?

- How do you expect the plastic surgery to change your life for the better?

- How long have you been considering plastic surgery?

- Include 1 portrait photo of yourself

- Include at least 2 other detailed photos (front view, side view) of the area where you would like the surgery (i.e. nose, tummy, breasts).

- Provide information about your current health condition (any health difficulties or diseases, allergies, medications, etc.)

Five contestants will win and have their surgery done as soon as possible. Sounds too good to be true, right? Well, according to the British Association of Aesthetic Plastic Surgeons (BAAPS), this behavior is extremely frowned upon. The BAAPS, along with many other organizations, feels it is unethical to hold a competition and promise surgery without developing a doctor-patient relationship first. This includes a full history as well as examination to see if the person is a good candidate. There are also psychological factors in plastic surgery that have to be considered when determining if a patient should undergo surgery. “A consultation is extremely important because it gives the doctor and the patient a chance to build a relationship which will be the basis for the entire plastic surgery process,” says Dr. Shain Cuber, a top plastic surgeon in New Jersey.


A common surgery that is given away is breast augmentation as stated in the “boob job lottery” article. Once again, it is not easy to simply “give away” breast implants. There are 3 different FDA approved breast implants a patient can choose: Saline, silicone, or gummy bear. Each implant has its benefits and drawbacks and a consultation is vital to picking the correct implant. “Sometimes, the patient will need a breast lift at the same time as implant placement which would be discovered in consultation,” says Dr. Cuber, a breast augmentation specialist in New Jersey. “These things must be discussed before the surgical plan is devised, and that cannot happen when surgery is just given away.”

A surgery such as tummy tuck can have a complex recovery period that a patient might not be willing to undergo. Therefore, winning a simple contest to have a tummy tuck done without talking to the surgeon ahead of time to see what is involved would be a mistake. A good relationship prior to surgery will extend to the post operative period when the patient may have to lean on the surgeon the most.

Rhinoplasty is a complex operation that should not be undertaken by every plastic surgeon. Even if you win a prize to have rhinoplasty, you should be asking “Who is doing it?” and “What are his or her qualifications or experience?” The patient has to be careful in these situations and make sure that the surgeon they won their prize with is the right surgeon for their situation.

The bottom line is that winning plastic surgery as a prize is not a good way of doing things. While everyone likes something for free, a good plastic surgeon almost never gives something away for free, so that should give you some warning right there. There is nothing that can top a great and trusting relationship with your surgeon so that should be the foundation to strive for when it comes to plastic surgery.

Oh No! My Plastic Surgery Looks Horrible – Now What?

Edison, NJ – So you decided to have plastic surgery, but now you realize the results aren’t exactly what you bargained for. What are your options to reverse your cosmetic surgery procedure?

Plastic SurgeryIt may not be as easy as you might think to undo a bad brow lift or other surgical procedure. It takes a highly specialized plastic surgeon to be able to handle revision work, especially if the first procedure might have been performed by a surgeon without as much training.

Let’s talk an eyelid lift procedures first. Patients unhappy with their blepharoplasty need to seek out a highly-trained surgeon for their revision procedure. The eyelid can be a very unforgiving place to work and requires precision to look right.

In some cases, patients may simply need to wait a few months for their results to become more satisfactory as the skin heals properly. But in other cases, a revision surgery might be required.

The first type of revision surgery is to repair an under correction – that is, when a surgeon doesn’t remove enough skin, leaving the patient still looking as if they have baggy, puffy eyes. This type of revision is much easier to accomplish. The surgeon will simply remove the excess skin and fat that were not removed the first time.

Some surgeons may prefer to use a procedure known as a fat transposition lower blepharoplasty. During this type of revision, the excess fat won’t be removed, but rather moved to a new place, specifically the hollows under the eyes.

The most common issue that revision surgeons see after a lower blepharoplasty is called ectropion. This condition occurs when the eyelids pulls the shape of the eye down, removing the oval shape of the eye. (Have you seen Kenny Rogers lately? He’s a great example of someone who could benefit from a revision blepharoplasty!)

On the other hand, a surgeon might overcorrect the area, resulting in an upper blepharoplasty that removed too much skin, making it difficult for a patient to close his or her eyes. If a surgeon was too aggressive, he can injure the muscle that opens and closes the eye. In this case, the patient will require a ptosis repair to have the muscle reconstructed.

Are you unhappy with your facelift and want to correct the damage you think was done? Or did you have a facelift many years ago and now you just need it refreshed? Were you hoping your turkey neck would go away, but instead you’ve been left with it?

The first step to determine if you are a proper candidate for a revision facelift will be an evaluation of your skin. If you’ve already had a lift, chances are your skin will be much thinner than a patient who hasn’t, so it will require special techniques to ensure a proper look after the revision. Your revision to correct your facelift may require new procedures, such as a brow lift, blepharoplasty or fat transfer.

One common issue many revision surgeons see is the result of what is known as a superficial based facelift. This procedure simply tightens the skin, but doesn’t do anything to lift the muscles that support the face. This results in skin that looks too tight and often ugly scarring.

A surgeon performing a revision facelift has his work cut out for him. The tissue underneath the surface of the skin will be saggy, so the surgeon must tighten it, without tightening the outer skin layer.

In some cases, a surgeon may be able to correct the issues that concern the patient with just a midface lift. This works for patients who had their jaw and neck properly tightened, but who still display droopy cheeks.

Did you have lip injections that you now regret? If you had injections with a type of hyaluronic acid, such as Restylane or Juvederm, you won’t need surgery to correct your lips. In most cases, a surgeon can inject an enzyme that will dissolve the filler in just about 2 days.

If you went for a more permanent lip enhancer in the form of a lip implant, you will require surgery to have the implant removed. A good surgeon will place any incisions inside the mouth so there will be no visible scars.

If you require changes to your breast implants or would like them removed, that is also an option. Removing your breast implants is fairly quick and easy, and can typically be done in under an hour.

Likewise, you may want to alter the size or shape of your breasts after an initial surgery. Talk to your revision surgeon about the look you desire, and he will be able to help you find the look you originally had hoped for.

Think you’re alone in being disappointed in a cosmetic procedure’s outcome? The good news is, you aren’t, and even celebrities have had surgeries to reverse procedures that provided less than satisfactory results.

Reality star Heidi Montag made headlines when she completely altered her appearance with a whopping 10 procedures in one day. She realized totally changing her appearance wasn’t all that great after all, and had her breast size reduced.

Actress Denise Richards admitted that she didn’t do her due diligence when selecting a surgeon to perform her breast implant procedure when she was 19. The result? Three more surgeries over the years to correct the first one.

But perhaps the most famous celebrity to endure less than ideal plastic surgery outcomes is actress Tara Reid of American Pie fame. The actress made headlines everywhere after a breast implant procedure and liposuction procedure that left her looking scarred. The star sought out a plastic surgeon to give her a body makeover and restore the confidence she lost.


© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links.

Can a Cookie Really Make My Breasts Bigger?

Edison, NJ – It’s summertime, which means bathing suit season. Do you look down and wish you had something more to flaunt at the pool or beach?

Breast AugmentationBigger breasts are a common desire for women, and some will go to great lengths to get the figure they’ve always wanted. And now there is a Japanese import that claims it can increase breast size simply by eating a cookie.

F Cup Cookies claim to be a natural breast enhancement product from Japan that will increase the size of a woman’s breasts. The cookies contain 50 milligrams of Pueraria Mirifica, also known as Kwao Krua. The plant is found in Thailand and Myanmar.

The supplement has been touted by cosmetic companies as an all-natural answer to not only increase breast size without cosmetic surgery, but also to improve hair growth, increase appetite and several others. Companies promote the plant’s phytoestrogens, isoflavones and various fatty acids and plant sterols as the answer to small breasts.

Women who use the supplement are told they will experience breast enlargement and breast firmness with regular use.

“Quite frankly, we don’t advise the use of supplements such as these,” says Dr. Shain Cuber, a top plastic surgeon who regularly performs breast augmentations. “While companies spout amazing benefits without side effects or the inconvenience of surgery, often times these are overstated. Typically, there is very little, if any, scientific study used to determine if these products work and if they are safe. And many of them may cause interactions with other medications patients may take. Just because it is an all-natural alternative, that doesn’t automatically make it safe.”

While estrogen does play an important role in breast growth, non-human forms of estrogen, even in more concentrated doses, have not been found to have an effect on the size of a woman’s bust line.

The only sure, and safe, way to increase your breast size is through breast augmentation with a reputable and experienced surgeon.

© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links.

I Don’t Like My New Nose – Now What?

Nose SurgeryEdison, NJ – Some patients undergo plastic surgery, only to realize the results they desired weren’t achieved. For others, new issues pop up over time. For both of these populations, a revision rhinoplasty may be appropriate.

What is a revision rhinoplasty? Quite simply, it is an additional nose job procedure that has the purpose of correcting the form or function of a previous surgery. Patients seek out this procedure to correct issues that weren’t fixed in their previous surgery, or to correct new issues that have occurred since the original surgery.

Revision rhinoplasty, as with any surgery, begins with a thorough consultation during which the surgeon will interview the patient to discuss his or her desires as well as his or her previous procedure. The surgeon will also do an extensive evaluation of the nose and facial balance of a patient.

“We take great care during these consultations with revision patients,” says Dr. Andrew Miller, one of the best plastic surgeons in NJ. “We take great pains to evaluate the anatomy of the nose. Then and only then can we create a realistic surgery plan with our patient.”

It is very important that patients choose a skilled surgeon for every surgery, but especially for a revision surgery. The anatomy of the nose is very intricate, and once surgeons begin working on a revision case, they often find them more difficult due to scar tissue. In re-do nose jobs, surgeons often find the cartilage of the nose has been overresected, so the nose will have to be built back up using the patient’s own cartilage.

“My goal is to always give my patients a natural looking nose,” says Dr. Miller. “But we often have our work cut out for us during these re-do procedures. It is a delicate balance to give an already operated on nose the natural look the patient desires, along with the improved function the patient needs.”

Any good nose job takes into account both form and function. That means you have to carefully choose a surgeon who will not only make your nose look harmonious to the rest of your face, but can also ensure it works properly. A new, beautiful nose means very little if one can’t also breathe through it properly.

Dr. Miller and Dr. Elliot Heller are skilled plastic surgeons who are adept in repairing the noses of patients who experienced less than satisfactory results from their first surgery. They understand the intricate anatomy of the nose and are able to skillfully help patients realize their cosmetic surgery visions.

As with any surgery, it is important that the physician take the time to discuss the procedure thoroughly with his patients, and is able to help them have a realistic idea of what they can expect after surgery.
© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links.

What Can Be Done to Minimize Scarring After Surgery?

Edison, NJ – You’ve made the decision to undergo plastic surgery and have carefully done your research to choose a doctor who can provide beautiful results. But did you think to ask your surgeon how he can help you to minimize scarring after your surgery?


“One myth surrounding cosmetic surgery is that you’ll look younger with no evidence of scars to show for it,” says Dr. Andrew Miller, a top plastic surgeon. “While all good surgeons go to great lengths to minimize the amount of scarring that will be seen, the truth is, as in every surgery, there might be some slight scarring. However, patients can follow some advice to minimize that scarring.”

Any cut in the skin will result in a scar because that’s how the body helps the skin heal. The deeper the cut, the more visible the scar will most likely be. The larger and deeper the incision, the longer it will take to heal. Bigger incisions also take longer because when you move, it will be exposed to more stress. So an incision from say a tummy tuck will take longer to heal than one from a nose job in most cases.

There are other issues that you have no control over that can affect how your skin scars after your facelift or other procedure. For instance, people of certain races are more prone to scarring than others. African Americans are more prone to raised scars, and people with extremely fair skin will find that their scars are more visible against their light skin.

Older patients might see that their scars are less visible because the imperfections we develop naturally over time can help conceal them. Genetics also play a role in scarring, so if your family members have a tendency to scar greatly, discuss this with your surgeon before proceeding so he can determine how to best minimize that scarring.

There are several factors you can control while you are recuperating from your breast augmentation, however. If you’re a smoker, quit well before your planned surgery. Smoking not only increases your odds of developing a scar, it also impedes the healing process, meaning those scars will also take longer to heal completely.

Eat a nutritious diet that is rich in protein. Lean protein can help aid the skin in healing faster. Likewise, avoid alcohol and caffeinated beverages as they can dry out the skin.

Did you know that if you are overweight your skin might be more likely to scar more heavily? This is because the fat layers under the skin can prevent the surgeon from making a seamless incision. Before surgery, it is helpful to maintain an ideal weight.

“Perhaps the most important thing we stress to patients, though, is to be sure to listen to and follow all after care instructions given by your surgeon,” says Dr. Miller. “Rest for the entire time period he or she indicates and follow all wound care instructions precisely. Properly caring for your incision is essential to helping minimize scarring. This includes recognizing the signs of infection immediately and visiting your doctor as soon as you see these signs.”

If you’re concerned about scarring after your surgery, have a discussion with your surgeon before the surgery takes place. He or she can take care to place incisions in less noticeable locations, or in places that can easily be hidden. Together, you can ensure you leave surgery looking and feeling better, and with the least amount of scarring possible.

© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links.

New Jersey State Tax Abolished

Edison, Warren and Marlboro, NJ - The good news for everyone in New Jersey is that the state tax on cosmetic surgery is officially gone! In the past few years patients undergoing cosmetic surgery in New Jersey have been required to pay a mandatory tax on elective surgery. New Jersey plastic surgeons felt that this was an unfair practice when the state passed a law requiring elective plastic surgery services to be taxed back in 2004. No other state in the country levies a tax for any sort of medical procedure. But finally, according to NJ division of taxation, two years ago it decreased from six percent to four percent and last year it went down to 2%. On July 1, 2014 it ultimately disappeared.

No one actually likes taxes, but this tax which was thought to be more for the wealthy residents of the state, actually turned out to be a tax for the middle class. “Most of the plastic surgery we perform is on regular people, and it was not fair for them to pay tax on a procedure that is not taxed anywhere else in the nation,” says Dr. Andrew Miller, a top plastic surgeon in New Jersey. It was noted that the tax brought in only minimal revenue for the state so it was eventually repealed.

This is particularly happy news for the many patients that have decided to travel to a neighboring state such as New York or Pennsylvania to avoid the tax. Traveling for surgery is quite inconvenient for New Jersey residents and can result in lost business for NJ plastic surgeons.  Going out of state entails traveling a distance, possibly staying overnight with an added expense of a hotel room, and having to drive for post operative care. “I had many people ask if their surgery could be done in New York to avoid the sales tax,” says Dr. Miller who also specializes in rhinoplasty in New Jersey.  Since the tax has now expired, more patients should be able to stay in New Jersey for their plastic surgery. Even the Society of Plastic Surgery weighed in as being against the tax stating that it was discriminatory against women since women get the bulk of plastic surgery.

The removal of the state tax is a savings for patients. For example, a patient undergoing a breast augmentation in 2012 had to pay an extra $390.00 for tax on a surgery costing $6500.  This was a significant cost to the patient that would often times make them think twice about surgery. But now, the extra money a patient had to pay for tax can now stay in the patient’s pocket. New Jersey is one the most highly taxed states in the nation, so the middle class, which undergoes the bulk of plastic surgery will really appreciate the added relief for their surgery cost.

So if you have been irritated about the extra tax you would have to pay, whether it is for that Botox injection or a big surgery like a tummy tuck, you can now be happy that New Jersey has actually removed a tax – something almost unheard of in New Jersey – so take advantage of it.

Considerations Before a Breast Procedure

Fotolia_66541130_XS-200x300Edison, N.J. – When you look in the mirror or try on clothes, do you feel something is missing from your figure? Now that it’s swim suit season, you may be even more self-conscious about the size of your breasts. But before you make the plunge to bigger breasts, there are some things you should keep in mind.

“The first step is understanding what breast augmentation can and can’t do,” says Dr. Shain Cuber. “Through breast augmentation, we can increase the fullness of your breasts to balance your figure and increase your self-confidence. This procedure does not correct severely drooping breasts, however. For that, you would need to consider a breast lift, which can be performed in conjunction with a breast augmentation if you’re looking to add volume and correct sagging.”

There are many other things to consider before deciding to have the procedure, says the plastic surgeon in N.J. For instance, when you visited plastic surgeons, did you ask to see before and after photos of patients with physiques similar to yours? Ask your surgeon to show you photos of patients who look similar to you so you can see what different cup size additions might look like on you. This can help you get a realistic idea of what you might look like after your surgery.

Finding photos simply of “afters” that you like might not be helpful to you because the patient may have started out with a completely different physique than you, so the doctor was able to achieve different results than he might be able to achieve with you.

Looking at before and after photos will also give you an idea of the physician’s skill level, as well as ensuring that the physician can provide the look you have in mind.

“I always encourage my patients to think outside of cup size,” says Dr. Cuber. “You may think the ideal breast size is a 36C, but I prefer to talk to my patients in terms of proportion and the end result they’d like to achieve, rather than getting caught up in a certain cup size. That’s why we work together to determine the correct size that will help you feel more confident in your clothes by taking into considerations all factors, including your body shape, height and weight.”

When making the decision for fuller breasts, it’s important to think about who you are. That may sound silly to you, but it’s an important conversation to have with your surgeon. For instance, if you want to look great in a bathing suit or cocktail dress, but don’t want to add unwanted attention in say your work attire, that’s important to convey to our surgeon. If you’re an athlete, consider what impact large breasts will have on your physical routine.

It’s also important to consider the future. Remember, these breasts will be your breasts for years to come, so maybe at the age of 22 you like the idea of very large breasts. But will you still at 32 or 42? As you age, you may have issue with sagging and over the years, your back can hurt from too much weight in front. When considering implants, remember that biggest isn’t always best.

Many patients also find it helpful to bring in their spouse, partner, or a trusted friend or relative to help them decide the right size. Bringing in someone who knows you well can help you find the size that will best fit your lifestyle and personality.

But be sure that you are choosing the size that truly works best for you. Bringing in your best friend because you like her breast job and want to look like her may not be the right approach, especially if your body types are significantly different.

According to the American Society of Plastic Surgeons, the average cost of breast implants in 2013 was $3,678, but this price does not include anesthesia, surgical center or other related costs. At Associates in Plastic Surgery, our average cost is $6,000, which does include the surgery, anesthesia and the costs associated with our state of the art surgery center.

And breast implants, unless a part of reconstructive surgery, are not covered by insurance. Likewise, most insurance plans will not cover costs related to complications or any additional surgery you have to alter or revise the look of your breasts. And some might even exclude you from coverage for breast diseases if you have implants. Before deciding on implants, always review your health insurance policy and weigh the pros and cons carefully.

There are two types of implants used in breast augmentations. Your implants will either be saline filler or filled with a silicone adhesive gel. The new silicone gel has undergone rigorous testing and leakage is rare, but even if a leakage were to occur, the gel has been specially formulated to stay cohesive. That means it is less likely to spread.

When choosing which type of implant to go with, ask for samples of each and hold them. You’ll probably notice that silicone feels more natural, but saline implants can be placed with a much smaller incision.

In addition to leaving a smaller scar, saline implants also tend to be a bit less expensive and there can be greater variability in size because your surgeon can adjust the fill level. However, they tend to be firmer and can cause rippling.

Silicone implants are softer with a more natural feel, don’t ripple and can be placed above the muscle. But they require a longer incision, are harder to detect if they rupture and they cost more.

When deciding which type of implant is best for you, it’s important to take all of these factors into consideration, as well as the recommendations of your surgeon.

It’s also important to talk about incisions. If you’re looking to minimize the appearance of the incision, be sure your surgeon knows that. Dr. Cuber and his partners at Associates in Plastic Surgery use the following types of incisions during breast augmentations:

  • An inframammary incision is placed in the natural crease under the breast. It will be about an inch long and typically heals so well it is barely visible.
  • An areolar incision is made around the areola and nipple. Once healed, the incision blends in and is not very noticeable.
  • An axillary incision is made under the muscle of the armpit. A pocket will be created to hold the breast implant, and there will be no incision on the breast at all.
  • A trans umbilical breast augmentation uses an incision hidden in the belly button so no scar is seen at the breast.

And finally, it is important to consider the risks involved with breast augmentation. While choosing a well-trained and knowledgeable plastic surgery greatly reduces your chance of a problem arising, breast augmentation is still surgery and there are always risks associated with surgery. Possible risks include a negative reaction to anesthesia, bleeding, infection, a change in breast or nipple feeling and sensation, scarring, leakage or rupture, fluid accumulation or pain.

Scientific research has found no link between breast implants and autoimmune and other systemic diseases. But remember that breast implants are not made to last a lifetime and you may require additional surgery in the future to replace your implants. Natural factors, such as pregnancy, weight loss and aging can affect the look of your breasts over time. Augmented breasts will require regular examinations to ensure breast health and evaluate the condition of your implants.

Once you’ve carefully considered everything involved in breast augmentation surgery, you’re ready for surgery and will be on your way to looking and feeling better about your body in just a short time. So what are you waiting for? Schedule your consultation today.

© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links.


Celebrity Plastic Surgery Through the Ages

Fotolia_66602398_XS-300x300Staten Island, NY – You might think that plastic surgery is a recent phenomenon in our image obsessed culture. But did you know that cosmetic procedures in Hollywood actually date back to the 1920s? It has been rumored that movie studios were so eager to find the perfect celebrity that they asked their stars to undergo crude and early versions of some of today’s most popular procedures.

The early days of plastic surgery were not nearly as sophisticated as they are now, and some celebrities paid the price. Mary Pickford was a silent film star who was referred to as “America’s Sweetheart” in the 1920s and 1930s. But an early facelift left the star unable to smile and with a face many said looked like that of a mummy. Carmen Miranda is also said to have undergone a botched facelift that left her in a constant look of surprise.

Today’s plastic surgeons are well versed in how intricate and delicate the face is, but in the early part of the twentieth century, surgeons simply stretched the skin taught across the face, creating a windswept look.

Many women today often cite Marilyn Monroe as an example of a natural beauty who wouldn’t fit into today’s waif-like model beauty. But that look wasn’t come by naturally. When she was still Norma Jean Baker, Monroe had work done to both her chin and nose. And did you know another notable beauty of the era, Rita Hayworth, had electrolysis done to move up her hairline?

By the 1950s, surgery had progressed enough that those who opted for procedures such as a rhinoplasty didn’t stick out as much. In the early years of plastic surgery, people often joked you could tell which surgeon a star had seen based on her nose because surgeons could only do one particular type of nose.

But World War II brought about a need to help soldiers returning from war scarred better settle back in to home life, so surgeons worked hard to pioneer new methods. And Hollywood stars benefitted from this work.

And female stars weren’t the only ones to benefit from the newfound plastic surgery methods. In Hollywood, it’s just as important for men to stay looking their best. Clark Gable had his ears pinned back in an early otoplasty, Burt Lancaster had a facelift and crooner Dean Martin had a rhinoplasty.

Even tough guys like Gary Cooper and John Wayne, stars of popular Western movies, were rumored to have undergone plastic surgery. Cooper had a facelift under a pseudonym, and Wayne apparently had a facelift, eyelid surgery and a procedure to remove the excess fat in his neck.

And since then, plastic surgery has been common place, with more celebrities embracing it. The field has advanced so much that people are often left wondering if someone had a procedure or if they just possess good genes. Many stars use it sparingly to touch up their look, but there are always stories of stars who have had one too many Botox injections over the years and are left looking frozen.

It’s a thin line for stars to walk between refreshing their look and totally changing their features. Some stars, like Dirty Dancing star Jennifer Grey and America’s sweetheart Meg Ryan, saw their careers take a nosedive after their cosmetic procedures. But some stars, such as Jennifer Aniston, saw their careers skyrocket after a nip and tuck.

Good plastic surgery shouldn’t be noticeable, whether you’re a celebrity or a soccer mom. Gone are the days of windblown looking faces from outdated facelift techniques and similar noses for every patient. Now, surgeons have the tools and knowledge to help patients look as youthful as they feel, and without it being obvious to the rest of the world that work has been done.

© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links.

Financing Plastic Surgery

Edison, Warren, Marlboro, NJ-  When it comes to looking beautiful, some people will go to significant extremes to make that transformation happen.  Plastic surgery is not something that is paid for by insurance, so the payment will have to be settled before surgery is carried out. There are various ways for patients to pay the cost of surgery like breast augmentation.  The most commonly used methods are cash, credit card, bank certified check, or a number of people finance their plastic surgery procedure. However, some people have unfortunately tried to pay for their procedure fraudulently, so do not get too upset if your surgeon’s office asks for all kinds of identification.






There have been patients who actually used their student loans to pay for their cosmetic surgery according to an article from In this article, and aspiring model used a $17,000 student loan to get liposuction performed on her buttocks, thighs, hips, and knees. She then quit school to become a model. This is an illegal use of loans set aside for school use and the funds could easily be recouped from the plastic surgeon’s office, leaving them with nothing. So any plastic surgeon may scrutinize the source of funding to avoid these problems.

Identity theft has also been a problem with plastic surgery. An article from shares a story about a woman who used half of her school loan towards plastic surgery. She not only wasted the money on plastic surgery and other personal expenses, but also fraudulently obtained the $600,000 loan by using her parent’s identities. This person ended up in prison and the money was recouped from the plastic surgeon’s office, so the whole plastic surgery procedure was a waste of time and money. “Our office will typically ask for two forms of photo ID when financing procedures or using other forms of payment to ensure no fraudulent activity is taking place,” says Dr. Miller, a facial plastic surgeon in New Jersey.

A typical plastic surgeon’s office wants to operate on people for the right reasons. The patients should be coming in to improve their appearance, and the whole process should be carried out in a honest manner. A good plastic surgeon will always be truthful with his or her patients to achieve a realistic and natural result. In turn, the surgeon’s office will expect the patient to be honest with them, not just about their medical condition, but also with their expectations. Obviously the office will expect the payment to be proper as well. As long as everyone is honest, the process will usually go smoothly.

Understanding the Risks of Plastic Surgery

Fotolia_53296905_XS-200x300Edison, N.J. – While complications associated with cosmetic surgery are very rare, it is important that patients know and understand the risks that are associated. Plastic surgery is surgery, after all, and every surgery has some inherent risk associated with it. So before you run to get those breast implants, what should you know?

Temporary numbness or loss of feeling has been known to occur after certain surgeries, such as facelifts or tummy tucks. In very rare occasions, this can be permanent. The most common procedure associated with numbness are breast reductions where the nipple and areola are completely removed and then reattached.

If a drain isn’t used during a tummy tuck, a patient could end up with seroma. This is a collection of body fluids that accumulates under the skin.

Infection can occur at the incision site, which can make scarring worse. Infection is very rare, but should be caught and treated immediately.

Necrosis, or tissue death after surgery, may occur, but the risks associated with it increase greatly if patients are smokers. Smoking affects a patient’s blood supply, so if the supply is already compromised because of smoking, the effects after surgery will be heightened. Most surgeons will require their patients to quit smoking for a period of time before and after surgery to better aid in healing. And some surgeons take it so seriously, they will not perform surgery on smokers.

Excessive bleeding is always a concern after any surgery, which is why patients are not released to go home immediately following surgery. Patients will be monitored for a period of time, depending on the type of procedure they had performed, before being released to home.

Anesthesia always carried with it certain risks. Complications include pneumonia, blood clots and in extremely rare cases, death.

“It is incredible important that patients are honest about their medical history with their surgeon,” says Dr. Andrew Miller, a top plastic surgeon in N.J. “While we never anticipate a patient will experience complications, we need to understand their full medical history to ensure we can avoid any negative side effects. Those with cardiovascular disease, lung disease, diabetes or patients who are obese have a much higher risk during surgery. To avoid serious complications, we need to know and understand their medical issues so we can make the best decisions for them. In some instances, patients will be denied surgery until they are healthier.”

Perhaps the best way to avoid complications, however, is to ensure your surgeon is qualified and well-trained in the procedure you are seeking. We have discussed before the reasons for seeking out a board certified surgeon, and avoiding serious risks is one of them. Seek out a well-trained surgeon who can counsel you in the best procedure to achieve the results you want, and who has been successful in providing excellent results with little to no complications.

© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links.

Less Invasive Plastic Surgery Options

Fotolia_58221317_XS-300x226Staten Island, N.Y. – So you’ve made the decision to make some physical improvements that require visiting a plastic surgeon in NY, but you aren’t quite ready to go under the knife yet. What options are available to you?

“When people think of less invasive options that give them the results they’d get from plastic surgery, they often only think of a few things,” says Dr. Andrew Miller of Associates in Plastic Surgery. “Botox and fillers can smooth wrinkles, but that’s not the only option available. Patients come to our offices all the time for less invasive procedures that can remove fat, unwanted hair, age spots and plenty of other treatments.”

So what should you be looking for?

If you’re looking to remove stubborn excess fat, there are a couple of options for you. Mesotherapy is one exciting option. This non-surgical option dissolves fat and cellulite during a quick, 10 minute session. Tiny, painless injections are made into the offending area and the mesotherapy solution begins to work right away. Patients will see results in just a few days. Mesotherapy works in the stomach, hips, arms, legs, buttocks, neck and jowls.

Patients will receive treatment every two weeks in sessions that last just a few minutes, and in just after several sessions, patients will see the inches melting away.

The treatment works by shrinking the fat cells. It is safe, with only minor itching and occasionally some bruising as side effects. Because it is not a surgery, the cost is much more affordable than liposuction and patients can immediately return to their normal activities.

Another great treatment offered at Associates in Plastic Surgery is CoolSculpting, which uses a Food and Drug Administration approved cold therapy to freeze fat cells. This is ideal for patients who just can’t seem to lose that last bit of fat in their bellies, even after dieting and exercising. CoolSculpting can give the slim, contoured abdomen you’ve always wanted, without the expense and downtime of surgery.

The patented technology targets and crystallizes the fat cells, killing them in the process. The tissue is undamaged, and because fat cells crystallize faster than regular cells, only the fat cells will be killed during the process. The procedure is painless and patients can be back to their normal activities after leaving the surgeon’s office.

CoolSculpting may take several months for results to be seen. The fat cells that were crystallized will shrink and die, and the body will naturally metabolize them. This is a great option for patients, and allows others to think the fat is simply melting away.
If your skin is your problem area, there are great less invasive options for you, too.

A photofacial can improve age spots and the appearance of tiny blood vessels on the face through intense, pulsed light treatment. During treatment, the skin will be cooled and then a bright flash of light will pulse and bleach the pigment in the age spot or blanches the spider veins. Facial redness will improve and age spots will appear as if they’ve simply disappeared. Even patients with rosacea can benefit. And best of all, recovery is minimal, with just redness for a few hours.

Our practice also offers chemical peels to remove the outer layer of skin, revealing a refreshed layer below. In a medium depth peel, the chemical will be placed and in five days, the new skin will be healed. It’s very effective for light wrinkles and age spots.

A light peel can involve either a glycolic acid formula or a Power Peel, which is essentially microdermabrasion. A Power Peel uses tiny crystals that smooth the skin. Both of these types of peel require no downtime for the patient, but require multiple treatments for the best results. Then, patients can visit the office on an as needed basis for maintenance.

If unwanted hair is your problem, laser hair removal will target the hair follicle to destroy it. No need for messy creams or painful waxes anymore! Because not all hair grows on the same cycle, multiple treatments will be necessary to ensure all hair follicles were reached. Our experts recommend five treatments for the face and three or four sessions for the body.

Do you have a growth or mole that you’d like to see removed? Our surgeons can remove unwanted growths and expertly repair the skin so it will look as if nothing was ever there.

Women turn to us to have stretch marks removed. If you’ve tried every cream on the market and still have those unsightly marks, it might be time to consider calling Associates in Plastic Surgery. Using pulse-dye lasers, we can reduce the redness of the marks, making you free to sport a bikini without being self-conscious.

Many women avoid wearing shorts or skirts because of ugly veins in their legs. We have the answer for you in a treatment called sclerotherapy. Fluid will be injected into the veins to make them disappear. Treatment takes a few sessions. While in some instances a laser is used, we recommend sclerotherapy because the risk of scarring is lower and it can target different sized blood vessels.

Botox and fillers, such as Juvederm and Restylane, are still the most popular less invasive procedures, but there are options for just about everyone and every type of improvement you’d like to make. To determine if there is a procedure that could work for you, it’s best to schedule an appointment with a plastic surgeon. During a consultation, the surgeon will learn about the issue you’d like taken care of and examine you to determine the best course of action.

© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links.

Is Fraxel Laser Treatment for You?

Edison, N.J. – When you look in the mirror, do you wish you could erase a few years from your face, but aren’t quite willing to go under the knife yet? Fraxel laser treatment may be for you!


Fraxel is a proven laser technology that can help you look younger by removing visible signs of aging, such as crow’s feet, age spots and sun damage. You can remove the fine lines and wrinkles that are associated with aging, as well as other damage that may have been caused over your lifetime.

Fraxel is a simple treatment for patients who want to look younger, but aren’t ready for a more serious cosmetic surgery yet. There is no extended downtime as there would be after a facelift or other treatment, but you’ll still see real changes. So if you’ve been using every cream or lotion on the market and haven’t been able to turn back the hands of time yet, now is the time to call your plastic surgeon in NJ and schedule your Fraxel treatment.

So what is the Fraxel difference? The laser treatment works below the skin’s surface, targeting problem areas. The light energy works to stimulate the natural collagen in your skin, leaving rejuvenated skins cells in place of the damaged ones below the surface of the skin. This works to smooth wrinkles and repair scarring. It’s effective because it only treats the problem areas targeted by your plastic surgeon.

Because every person’s skin is unique, your surgeon will create a plan that is targeted to meet your skin’s specific needs. The treatment is so precise, and it works on the most delicate areas of the body, including the neck, chest, face and hands. Once healing is complete, your skin will feel softer, and look brighter and more even. Over the course of three to six months following your first treatment, you’ll continue to see improvement as the skin continues to heal.

Fraxel treatment typically lasts between 15 and 45 minutes, and most patients will require one to five treatments to achieve their desired results. Clinical studies suggest that in three to five sessions, patients can realize their best results. Treatment will usually be spaced out by two to six weeks. Results can take up to three weeks to take effect.

Patients compare the treatment to a light sunburn. A topical anesthesia is applied before the treatment, and cold air will be put on the area during the treatment. The sunburn feeling typically goes away in one to three hours after treatment.

After the treatment, there will be some swelling and redness, the duration of which will depend on how aggressive your treatment was and the particular characteristics of your skin. There may also be itching, peeling or flaking skin. Some people’s skin will look slightly bronzed afterward. Follow all of your doctor’s after care instructions to minimize any side effects that could occur. After treatment, be sure to wear sunscreen and avoid direct exposure to the sun for at least 3 months following treatment.

Fraxel is approved by the Food and Drug Administration to treat wrinkles around the eyes, age and sun spots, brown spots, pregnancy mask, acne and other scars, as well as for skin resurfacing. If you’re ready for smoother, refreshed skin with fewer wrinkles and improved tone, now is the time to consult with your plastic surgeon.

© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links.

Is that tan really worth it?

Edison, Marlboro, Warren, NJ – Many people love to go to the beach. For people who live near an ocean or other body of water, it is a favorite pastime to lie outside to get that great looking tan. Some people go as far as putting oil on themselves to attract more sunlight. It is understandable that a tan gives a person a healthy glow and can enhance one’s appearance for a period of time, but unfortunately, it is not worth the long term effects it can have on the skin. Those strong UV rays shining down on your skin day after day and year after year gradually destroy the skin and actually ages a person quicker in the long run. Tanning creates age spots, wrinkles, sagging skin, and worst of all skin cancer. Throughout the years plastic surgeons have developed ways to counteract the poor effects the sun has on people, and these methods help to bring back a more youthful look.


Premature aging is something that no one wants, but unfortunately if you have spent years tanning, it is probably inevitable. According to, when a person is exposed to repeated episodes of sunlight or other forms of UV radiation such as tanning beds, the collagen and elastin fibers in the skin are broken down.  This subsequently causes wrinkles and saggy skin. The exposure also results in sunspots, and a leathery appearance to the skin. Fortunately, there are multiple procedures to improve wrinkles or loose skin. A less invasive approach would be to begin with facial fillers such as Juvederm or Radiesse. These fillers can be quickly performed in the office and can actually help replenish some of the lost collagen fibers by stimulating regrowth.

A laser, such as the CO2 laser, can really do a wonderful job of resurfacing the skin of the face in its entirety.  The outer layer of the skin is removed with the laser and this reorients the collagen and elastin fibers.  A new layer of smooth skin grows back and the skin looks very refreshed. The laser also takes care of age and sun spots. The Fraxel laser is a less aggressive way of improving the age spots on the face, but it doesn’t treat the wrinkles as well. To treat the sagging skin of the face the best procedure would be a Facelift. A facelift lifts the deeper tissue, which in turn brings the skin up to a more youthful position. “People often combine the lifting effect of a facelift with the skin rejuvenation effect of the CO2 laser for a tremendous overall result,” says Dr. Andrew Miller a facelift specialist in New Jersey.

Skin cancer is undeniably the worst risk of sun tanning and is not something to ignore. According to, the most common type of all cancer is skin cancer, and the number of cases diagnosed each year continues to rise. Most of them, called basal cell carcinoma or squamous cell carcinoma are usually removed with the patient being completely cured. This may not be the case with melanoma, unfortunately, as this skin cancer can metastasize and result in death. So anything that can be done to prevent skin cancer is important to think about.

All in all, there are many different ways that plastic surgery can improve the negative effects sun tanning can cause. “Once the issue is resolved it is highly recommended that sun block is generously applied in a daily fashion to avoid many consequences associated with tanning,” says Dr. Miller, who specializes in laser surgery of the skin.

Avoiding Plastic Surgery Nightmares

Fotolia_45244540_XS-200x300Edison, NJ – Have you had a friend or acquaintance return from the plastic surgeon with a less than satisfactory result? Or have you been thinking about plastic surgery for yourself, but have seen one too many horror stories on the news?

“It seems like we’re seeing horror stories more often,” says Dr. Andrew Miller, a top plastic surgeon in New York and New Jersey. “But those instances can easily be avoided with some research and care on the part of the consumer. If you wouldn’t buy a TV without researching first, why would you ever undergo surgery without thorough research? Unfortunately, for many of these patients who have had bad results, they fell prey to either inexperience or flat out lies.”

Some people may claim that less invasive procedures, such as Botox, can be performed by anyone. But that simply isn’t true. While Botox and other injectables can be performed quickly on someone’s lunch break, that doesn’t mean anyone can do it. Injections is the wrong site can affect the facial nerves and muscles, leading to what a frozen looking face.

While someone inexperienced can leave damage such as this, someone who isn’t licensed can do permanent and painful damage. Perhaps you know someone who says their hairdresser can do injectables cheaper than your plastic surgeon can. It sounds intriguing, but don’t fall prey to it. Not only may they not know what they are doing, they may not even be using fillers that are acceptable for medical use. We’ve heard stories of people being injected with mineral oil, cooking oil, and a host of other dangerous and even deadly materials.

So how can you make sure the surgeon performing your rhinoplasty or other cosmetic procedure is one you can trust?

“The most important step before settling on a surgeon is to research,” says Dr. Miller. “Listen to recommendations from people you trust, but don’t go on their word alone. Make sure the surgeon you see is board certified and has actual experience in the procedure you want done. Maybe your friend loved the results from her chemical peel with a certain surgeon, but that doesn’t mean he or she is has experience in breast augmentation.”

Visit several doctors. Compare their credentials and experience, and always ask to see before and after photos. Make sure your doctor has hospital privileges and be sure the office or surgery center he works out of is clean and sanitary. Ask questions and be wary of any surgeon who isn’t willing to answer questions. A good surgeon wants to work with well-informed patients and will appreciate the time you’ve put in to making your decision. Also be sure to always be honest about your complete medical history with your surgeon. Certain medical conditions may preclude you from surgery, or at make your surgeon take extra precautions during the procedure.

“We were all shocked several years ago when Kanye West’s mother passed away due to complications after her plastic surgery,” says Dr. Miller. “The surgeon West’s mother chose didn’t take the time to do a full medical history, and unfortunately the consequences of that were tragic.”

As plastic surgery becomes more popular, some people may be taking a more cavalier attitude towards it. We throw Botox parties and want immediate results, but our health should never be taken lightly. Some careful research and a little bit of extra time on your hand can ensure you not just come out of surgery looking better, but also without complications.

© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links.

Will a Nose Job Change My Voice?

Prior_Lake_Invisalign_Teen-300x200Edison, N.J. – When you opt for a nose job, you expect the look of your face to change. But there may be one more side effect you didn’t plan on. According to a study in Plastic and Reconstructive Surgery, the official medical journal of the American Society of Plastic Surgeons, rhinoplasty patients also notice changes in the sound of their voices.

The change in voice doesn’t affect speech function, but the authors of the research suggest that patients should be aware of the potential for voice alterations, especially if they use their voices professionally.

The research was carried out on patients in Iran and recorded patients’ voices before and after surgery. The recordings were then compared by trained listeners, without them knowing which was before and which was after. The listeners found changes in voice quality, as well as in the physical and emotional subscales. The trained listeners found a slight increase in the hyponasality of the voice after rhinoplasty.

“The study included an acoustic analysis that showed changes in the frequency and amplitude of sounds,” says Dr. Andrew Miller, top plastic surgeon in NJ and rhinoplasty expert. “This makes sense, because during the procedure, we are typically narrowing the nasal cavity. This can alter airflow resistance, thereby increasing sound absorption while decreasing sound amplitude, as the researchers pointed out.”

The demand for rhinoplasty increases each year, so how concerned should you be about this voice change affecting you? Based on the study’s findings, it appears that voice quality can change after the procedure, but they are subtle and may not be apparent to the general public. Trained listeners, and the patients themselves, may notice them more than others. These changes should not cause any interference with a patient’s daily life. For instance, if you are a recreational singer, a rhinoplasty should not have much effect on the sound of your voice.

However, for patients who use their voices for a living, they may want to discuss the possibility of voice changes with their surgeon before going forward with surgery. Many people have wondered over the years why songstress Barbra Streisand never opted for a nose job. But she has said over the years that her distinct sound is partially due to her deviated septum, and if she ever changed her nose that might be the end of her career.

“In the majority of cases, a standard rhinoplasty will not change the voice much, if at all,” says Dr. Miller. “For patients having substantial work done to their nose, there is a possibility it will alter their voice slightly, so just as with any other side effect that could arise from surgery, patients need to weigh that along with the positive benefits that result from a beautiful nose job procedure.”

© 2014 Millionairium and Associates in Plastic Surgery. Authorization to post is granted, with the stipulation that Millionairium and Associates in Plastic Surgery are credited as sole source. Linking to other sites from this press release is strictly prohibited, with the exception of herein imbedded links.