Upper Eyelids

The most common cosmetic problem of the upper eyelids is excess skin which may be associated with excess fat. The eyes appear smaller and for women the application of eye shadow and liner becomes more and more difficult. The eyelids may even feel "heavy" as this progresses. With removal of the excess skin and fat of the upper eyelid, a clean-appearing eyelid can be achieved. When done correctly, the eyelid should NEVER appear hollowed out.

Lower Eyelids

A common complaint is "bags" under the eyes which can make people appear tired, even when they are well-rested. These "bags" results from weakening of the delicate tissue beneath the eyes, resulting in the bulging of fat that is normally hidden deep below. This can happen as part of the normal aging process, or this may be an inherited condition that develops at an early age. In addition, the skin beneath the eyes is extremely delicate and may develop wrinkles before other areas of the face. Lower eyelid surgery involves removing the bulging fat ("bags") and tightening the skin, resulting in a smoother under eye area without an unnatural "hollowed-out" appearance.

Forehead and Brow Surgery

An often neglected area of facial rejuvenation is the upper face or brow. With age we can see a lowering of the eyebrows with hooding of the upper eyelids. Excessive frowning can pull the medial brow down dramatically causing an angry appearance. Utililizing modern endoscopic techniques and minimal incisions, the brow can be repositioned back to its original position. The frown muscles (corrugators) are weakened or eliminated during the procedure, which is an added bonus. This may all be accomplished WITHOUT creating a surprised overdone appearance.

"Non-Surgical" Facelift

At Madison Avenue Plastic Surgery, we recognize that there is a desire for a "non-surgical" approach to the aging face. This may be a good approach if you have early signs of facial aging but are not yet "ready" for a surgical facelift. It is also an attractive alternative for those who wish to avoid anything "surgical", or prefer a gradual, more subtle improvement.

After critical evaluation of your face and your specific signs of aging, we will develop a complete "non-surgical" approach that addresses your needs and desires. This treatment plan may include a combination of Botox, injectable fillers, volumizers, chemical peels, and our exclusive line of powerful medical grade skin care products (Clincal Edge Skin Care). We also utilize the latest in skin-tightening and resurfacing Laser technology that can offer improved appearance of your face with immediate results and no "downtime."

Dr. Schulman's technique for a "non-surgical" facelift was featured in the March/April, 2008 issue of Healthy Aging Magazine.

Facelift

Facial shape is the key to facial rejuvenation. The "pulled" appearance is the first sign of a badly performed facelift. There is no excuse for this "look" in modern face-lifting. As we age, the face loses its rounded curves and becomes more rectangular. The skin sags and the fat descends. The jaw line is poorly defined and the neck loosens.

By re-elevating the facial fat and tightening the deeper facial tissues and muscles, we can re-establish the soft curves of youth, define the jaw line and tighten the neck WITHOUT looking pulled. The patient should look better, NOT different.

Sculptra™ - for facial volumizing

As we age, there is descent or "sagging" of our facial skin which results in the classic signs of aging around the cheeks, under eyes, and jaw line. However, there is also loss of facial fat which results in flattening on the cheekbones and loss of the soft curves of the youthful face.

Nasal Surgery – Rhinoplasty/Septoplasty

One of the most challenging surgeries that we perform as plastic surgeons, the "nose job" can produce a result that is elegant and natural without looking FIXED. Whether it is a dorsal hump or a wide and/or hanging tip, the nose may be refined and reshaped without being pinched, scooped, or turned up. If breathing problems exist, septal surgery can be performed simultaneously to correct the airway obstruction.

Surgery for Prominent Ears or "Otoplasty"

Large, prominent, or misshapened ears can be a major problem for children and can result in ridicule and teasing. Adults can also be plague by restricted hair styles to HIDE their protruding ears. Various procedures can be performed to reduce the size of large ears, improve their shape and/or to set them closer to the head. The results in a dramatic improved of their appearance and adds significantly to their self esteem.

Chin Augmentation (enlargement) or "mentoplasty"

The shape and size of a person's chin is critical to the overall balance of his or her face. Procedures can be performed to increase or reduce it's projection or size. Most commonly, the size of the chin is increased utilizing a chin implant. Most implants are made of solid silicone but other materials are available. Chin augmentation is often combined with nasal surgery because of the critical relationship between the chin and the nose. Chin augmentation can also improve the appearance of a person's neck and jaw line.

Fillers for Lines and Wrinkles

The latest in injectable fillers can be used to soften facial lines and wrinkles, thereby dramatically reducing or eliminating the signs of aging and helping to contribute to an overall youthful appearance. Fillers can be used to enhance your facial features such as lips, chins, and cheeks.

There are a variety of products available, with some products best for specific conditions. Dr Skolnik and Dr. Schulman will be happy to discuss the options with you and recommend the product, or combination of products, which is best for your needs.

Botox®

This is one of the most popular procedures done. With our comprehensive knowledge about the muscles and nerves of the face, we can utilize Botox to not only eliminate wrinkles, but also to refresh the eyes and eyebrow. Botox is also used to eliminate the neck bands that commonly develop as we age. Also, Botox can be used to reduce the fines lines commonly seen around the mouth.

Acne Treatment

Acne is a condition very common is the adolescent poplulation. However, many people do not "outgrow" acne and acne can also first develop in adulthood. Common ways to treat acne include oral antibiotics, medicated cleansers, and prescription creams. Despite these accepted treatments, responses are variable and the acne may persist, even into adulthood.

At Madison Avenue Plastic Surgery, we utilize advanced treatment modalities that include medical microdermabrasion, superficial chemical peels, and light and Laser technologies. These treatments can result in significant improvement in active acne lesions as well as a reduction in future acne outbreaks or "flares." We also utilize the latest in Laser technology to help reduce the appearance of scars that persist long after the acne resolves.

An evaluation of your skin will enable us to formulate a treatment protocol designed to meet your needs. This treatment protocol has been successful in even the most severe cases of acne resistant to other therapies.

Lip Augmentation

Lip augmentation is among the most commonly performed procedure. Some people are born with thin lips and desire more fullness. Others complain that their lips have lost volume during the aging process. Several fillers are available for lip augmentation.

When done correctly, the results are natural appearing lips with a youthful fullness. Adding volume to the lip can also help reduce the fine lines that commonly develop around the mouth and lips, and improve the overall balance of your face.

Microdermabrasion

Medical microdermabrasion is more than just "polishing" your skin. Traditional microdermabrasion utilizes a combination of crystals to exfoliate the skin AND suction to improve the health and appearance of your skin. At Madison Avenue Plastic Surgery, we utilize the latest in "crystal-free" technology to offer all the benefits of microdermabrasion without the inconvenience of crystals.

Laser

We offer laser treatment for hair removal, skin tightening, treatment of fine lines and wrinkles, elimination of dark spots and pigmented lesions, spider veins, and acne.

We are actively involved with Laser companies to evaulate new technology and mazimize existing technology. This allows us to offer our patients the most advanced technologies availble. Recent advancements in Laser technology has enabled us to offer complete "non-surgical" solutions for many of your needs. Now you can get the improvement you have been looking for without surgery.

Chemical Peels

This is a powerful means of rejuvenating your skin and restoring the smooth soft skin of your youth. A variety of peels of different strengths are available which can be customized to your specific needs. There can be significant improvement in the quality, texture, and color of your skin. Also, chemical peels can help improve wrinkles, acne and acne scars. Both deep and superficial peels can be performed.

"Light Therapy" or LED Photo-biostimulation

This revolutionary approach to skin care utilizes different wavelengths of light to improve the appearance of fine lines and and wrinkles, and improve areas of uneven pigmentation of your skin. We direct specific wavelengths of light to stimulate the mitochondria, or "engines" of the skin cells, resulting in increased collagen production. Madison Avenue Plastic Surgery has done extensive research about the powerful effects of LED light therapy.

Intense Pulsed Light (IPL)

This technology combines the benefit of light with the power of heat. It is used to treat a variety of conditions and has become extremely popular as a "photo-facial", designed to reverse common signs of sun-damage such as brown spots and fine lines. IPL is also extremely effective in the treatment of acne, rosacea, and for hair reduction.

Dr. Skolnik and Dr. Schulman are active in the research and development of new IPL technologies and have developed treatment protocols to provide you with maximum benefits.

Breast Augmentation - Breast Enlargement

Breast augmentation is one the most commonly requested cosmetic procedure, and patient satisfaction following breast augmentation is extremely high. Women desire breast augmentation for several reasons:

• they have always desired to have a larger chest
• they have lost volume after weight loss or pregnancy
• to correct asymmetry between the right and the left breast
• to correct congenital deformites such as "tuberous breast"
• to correct normal "drooping" that occurs with aging

"Tummy Tuck" or Abdominoplasty

A very common problem after pregnancy and/or weight change is loss of support of the abdominal wall and an excess of "hanging" skin of the lower abdomen. An abdominoplasty, or "tummy tuck, is designed to address a variety of problems. It involves removal of the excess skin of the lower abdomen and tightening of the abdominal muscles. This combination of skin removal and muscle tightening provides the powerful results. Often, liposuction is also performed to help create a more defined waistline. The surgery is designed to create a smooth, flat, and tight abdomen.

Breast Reduction

Large breasts, or macromastia, can be a serious problem for some women. The weight of the breasts may cause back pain, neck pain, shoulder pain and rashes beneath the breasts. Other women simply want their breasts smaller for cosmetic reasons. Regardless of your motivation, breast reduction surgery can be one of the most satisfying and life-changing procedures. There are several techniques, all of which aim to create a smaller and lifted breast.

"Breast Lift" or Mastopexy

Many factors contribute to changes in breast shape and size. Some women's breasts do not develop an ideal shape or position after puberty. The normal aging process can result in "sagging" breasts, as the tissue loses its support. Pregnancy and breast feeding can also cause changes in the breast which can be helped with a breast lift. Additionally, weight loss may result in breast "sagging" as well.

Breast Reconstruction after Mastectomy

There are several techniques available for the recreation of a breast that is removed because of cancer. Breasts can be created at the same time as the mastectomy, or years later. Techniques include the use of prosthetic material, or breast implants, as well as your body's own tissue. Dr. Skolnik and Dr. Schulman will be happy to discuss all the options with you and help you choose a technique that best suits your needs and body type. We work closely with your oncologist and breast surgeon throughout the entire reconstruction process to provide you with optimal care.

Liposuction

Liposuction is a powerful tool that can greatly improve the contour of the entire body. Liposuction is designed to "sculpt" the body and it is NOT a weight loss procedure. Targeted liposuction can improve many areas of the body that are resistant to diet and exercise. We utilize a power-assisted, tumescent liposuction technique that enables superb sculpting with minimal bruising, swelling, or discomfort.

Male Breast Reduction - Gynecomastia

Male breast formation (gynecomastia) is a very common condition. Although benign, it can psychologically affect those with this condition. It may affect one or both breasts and is common during puberty. It may also occur as a result of prescription medicines, drug abuse, or may have no known cause.

After weight loss, many men complain of "breast formation." While this is not true gynecomastia, because it is excess skin and not breast tissue, it is still as troubling.

"Lower Body Lift"

This is also referred to a "circumferential lipectomy" or a "belt lipectomy." After massive weight loss, the excess skin remains and sags. This procedure is designed to simultaneously address the excess skin in both the front and the back of the body. A lower body lift is equivalent to "pulling up your pants." When done correctly, it not only results in an improved appearance of the abdomen and lower back, but also provides a powerful improvement in the buttock and outer thigh contour. The laxity of the abdominal muscles can also be tightened during this procedure.

"Upper Arm Reduction" or Brachioplasty

The upper arms are particularly sensitive to fluctuations in weight. After losing weight, the skin an dfat of the upper arm can become lax and begin to hange. This results in what many refer to as "bat wings". This laxity cannot be corrected through exercise. Many people find this so distressing that they wear long sleeves shirts year round, even in the summer. women are usually so self-conscious that they avoid social events that require dresses that show their arms.

Hand Rejuvenation

The hands are an often ignored area of the body, and can often appear older than a person's age. This is because the hands are constantly subjected to harmful ultraviolet rays, environmental irritants, and hand washing.

Treatments for hand rejuvenation revolve around eliminating pigment and age spots, reducing lines and wrinkles, and "plumping" bony hands with prominent veins. We utilize the similar treatments on the hands, that we use on the face - chemical peels, fillers, topical cosmoceuticals, and lasers.

Thigh Lift

After weight loss, many patients have excess skin along their inner thighs. This area is not corrected by an abdominoplasty or a "lower body lift." Liposuction does not offer an adequate correction, because there still remains excess skin.

The excess tissue in this area is removed and the scar is hidden in the groin. The result is improved contour of the inner thighs - extending from the groin to the knees. This procedure may be combined with other body contouring procedures.

Hair Reduction

Many people desire permanent hair reduction. Commonly used techniques such as depillatories and waxing can be irritating and do not successfully remove unwanted hair for long durations. Intense Pulsed Light therapy can result in up to an 80% reduction in the amount of hair and is safe throughout the body. Multiple treatment sessions are necessary to achieve a long term result.

Breast Reduction

Large breasts, or macromastia, can be a serious problem for some women. The weight of the breasts may cause back pain, neck pain, shoulder pain and rashes beneath the breasts. Other women simply want their breasts smaller for cosmetic reasons. Regardless of your motivation, breast reduction surgery can be one of the most satisfying and life-changing procedures. There are several techniques, all of which aim to create a smaller and lifted breast.

"Breast Lift" or Mastopexy

Many factors contribute to changes in breast shape and size. Some women's breasts do not develop an ideal shape or position after puberty. The normal aging process can result in "sagging" breasts, as the tissue loses its support. Pregnancy and breast feeding can also cause changes in the breast which can be helped with a breast lift. Additionally, weight loss may result in breast "sagging" as well.

Panniculectomy

A panniculectomy involves the removal of the large apron of skin that can remain on the abdomen after massive weight loss. This "pannus" can cause rashes, infection, skin irritation, and back pain. The incision is placed in an area that is easily hidden beneath clothing.

Unlike during an abdominoplasty, or "tummy tuck," no muscle repair or relocation of the belly button is performed during a panniculectomy. In the case of massive weight loss, the removal of this skin often facilitates an increased exercise regimen, thereby making additional weight loss more likely.

"Tummy Tuck" or Abdominoplasty after weight loss

After successful weight loss through diet, exercise, or bariatric surgery, the skin of the abdomen can become lax. This excess skin can be quite severe in some cases. An abdominoplasty involves the removal of this excess skin and repair of the underlying muscles which have become weakened. This procedure is commonly combined with liposuction of the flanks and thighs.

The scars are well hidden below underwear or bathing suits. Sometimes, in cases of severe skin laxity, a midline incision may be used to obtain the best possible contour.

Male Breast Reduction - Gynecomastia

Male breast formation (gynecomastia) is a very common condition. Although benign, it can psychologically affect those with this condition. It may affect one or both breasts and is common during puberty. It may also occur as a result of prescription medicines, drug abuse, or may have no known cause.

After weight loss, many men complain of "breast formation." While this is not true gynecomastia, because it is excess skin and not breast tissue, it is still as troubling.

"Lower Body Lift"

This is also referred to a "circumferential lipectomy" or a "belt lipectomy." After massive weight loss, the excess skin remains and sags. This procedure is designed to simultaneously address the excess skin in both the front and the back of the body. A lower body lift is equivalent to "pulling up your pants." When done correctly, it not only results in an improved appearance of the abdomen and lower back, but also provides a powerful improvement in the buttock and outer thigh contour. The laxity of the abdominal muscles can also be tightened during this procedure.

Upper Body Lift

An "Upper Body Lift" addresses the excess skin of the upper back and the areas commonly referred to as "banana rolls" While a "lower body lift" is a powerful way to improve the area of the lower back and buttocks, it does nothing to improve the upper back area.

The excess skin is removed and the incision is carefully placed in an area hidden beneath a bra or bathing suit.

"Upper Arm Reduction" or Brachioplasty

The upper arms are particularly sensitive to fluctuations in weight. After losing weight, the skin an dfat of the upper arm can become lax and begin to hange. This results in what many refer to as "bat wings". This laxity cannot be corrected through exercise. Many people find this so distressing that they wear long sleeves shirts year round, even in the summer. women are usually so self-conscious that they avoid social events that require dresses that show their arms.

Thigh Lift

After weight loss, many patients have excess skin along their inner thighs. This area is not corrected by an abdominoplasty or a "lower body lift." Liposuction does not offer an adequate correction, because there still remains excess skin.

The excess tissue in this area is removed and the scar is hidden in the groin. The result is improved contour of the inner thighs - extending from the groin to the knees. This procedure may be combined with other body contouring procedures.

Upper Eyelids

The most common cosmetic problem of the upper eyelids is excess skin which may be associated with excess fat. The eyes appear smaller and for women the application of eye shadow and liner becomes more and more difficult. The eyelids may even feel "heavy" as this progresses. With removal of the excess skin and fat of the upper eyelid, a clean-appearing eyelid can be achieved. When done correctly, the eyelid should NEVER appear hollowed out.

Lower Eyelids

A common complaint is "bags" under the eyes which can make people appear tired, even when they are well-rested. These "bags" results from weakening of the delicate tissue beneath the eyes, resulting in the bulging of fat that is normally hidden deep below. This can happen as part of the normal aging process, or this may be an inherited condition that develops at an early age. In addition, the skin beneath the eyes is extremely delicate and may develop wrinkles before other areas of the face. Lower eyelid surgery involves removing the bulging fat ("bags") and tightening the skin, resulting in a smoother under eye area without an unnatural "hollowed-out" appearance.

"Non-Surgical" Facelift

At Madison Avenue Plastic Surgery, we recognize that there is a desire for a "non-surgical" approach to the aging face. This may be a good approach if you have early signs of facial aging but are not yet "ready" for a surgical facelift. It is also an attractive alternative for those who wish to avoid anything "surgical", or prefer a gradual, more subtle improvement.

After critical evaluation of your face and your specific signs of aging, we will develop a complete "non-surgical" approach that addresses your needs and desires. This treatment plan may include a combination of Botox, injectable fillers, volumizers, chemical peels, and our exclusive line of powerful medical grade skin care products (Clincal Edge Skin Care). We also utilize the latest in skin-tightening and resurfacing Laser technology that can offer improved appearance of your face with immediate results and no "downtime."

Dr. Schulman's technique for a "non-surgical" facelift was featured in the March/April, 2008 issue of Healthy Aging Magazine.

Sculptra™ - for facial volumizing

As we age, there is descent or "sagging" of our facial skin which results in the classic signs of aging around the cheeks, under eyes, and jaw line. However, there is also loss of facial fat which results in flattening on the cheekbones and loss of the soft curves of the youthful face.

Fillers for Lines and Wrinkles

The latest in injectable fillers can be used to soften facial lines and wrinkles, thereby dramatically reducing or eliminating the signs of aging and helping to contribute to an overall youthful appearance. Fillers can be used to enhance your facial features such as lips, chins, and cheeks.

There are a variety of products available, with some products best for specific conditions. Dr Skolnik and Dr. Schulman will be happy to discuss the options with you and recommend the product, or combination of products, which is best for your needs.

Botox®

This is one of the most popular procedures done. With our comprehensive knowledge about the muscles and nerves of the face, we can utilize Botox to not only eliminate wrinkles, but also to refresh the eyes and eyebrow. Botox is also used to eliminate the neck bands that commonly develop as we age. Also, Botox can be used to reduce the fines lines commonly seen around the mouth.

Acne Treatment

Acne is a condition very common is the adolescent poplulation. However, many people do not "outgrow" acne and acne can also first develop in adulthood. Common ways to treat acne include oral antibiotics, medicated cleansers, and prescription creams. Despite these accepted treatments, responses are variable and the acne may persist, even into adulthood.

At Madison Avenue Plastic Surgery, we utilize advanced treatment modalities that include medical microdermabrasion, superficial chemical peels, and light and Laser technologies. These treatments can result in significant improvement in active acne lesions as well as a reduction in future acne outbreaks or "flares." We also utilize the latest in Laser technology to help reduce the appearance of scars that persist long after the acne resolves.

An evaluation of your skin will enable us to formulate a treatment protocol designed to meet your needs. This treatment protocol has been successful in even the most severe cases of acne resistant to other therapies.

Hair Reduction

Many people desire permanent hair reduction. Commonly used techniques such as depillatories and waxing can be irritating and do not successfully remove unwanted hair for long durations. Intense Pulsed Light therapy can result in up to an 80% reduction in the amount of hair and is safe throughout the body. Multiple treatment sessions are necessary to achieve a long term result.

Microdermabrasion

Medical microdermabrasion is more than just "polishing" your skin. Traditional microdermabrasion utilizes a combination of crystals to exfoliate the skin AND suction to improve the health and appearance of your skin. At Madison Avenue Plastic Surgery, we utilize the latest in "crystal-free" technology to offer all the benefits of microdermabrasion without the inconvenience of crystals.

Laser

We offer laser treatment for hair removal, skin tightening, treatment of fine lines and wrinkles, elimination of dark spots and pigmented lesions, spider veins, and acne.

We are actively involved with Laser companies to evaulate new technology and mazimize existing technology. This allows us to offer our patients the most advanced technologies availble. Recent advancements in Laser technology has enabled us to offer complete "non-surgical" solutions for many of your needs. Now you can get the improvement you have been looking for without surgery.

Chemical Peels

This is a powerful means of rejuvenating your skin and restoring the smooth soft skin of your youth. A variety of peels of different strengths are available which can be customized to your specific needs. There can be significant improvement in the quality, texture, and color of your skin. Also, chemical peels can help improve wrinkles, acne and acne scars. Both deep and superficial peels can be performed.

"Light Therapy" or LED Photo-biostimulation

This revolutionary approach to skin care utilizes different wavelengths of light to improve the appearance of fine lines and and wrinkles, and improve areas of uneven pigmentation of your skin. We direct specific wavelengths of light to stimulate the mitochondria, or "engines" of the skin cells, resulting in increased collagen production. Madison Avenue Plastic Surgery has done extensive research about the powerful effects of LED light therapy.

Intense Pulsed Light (IPL)

This technology combines the benefit of light with the power of heat. It is used to treat a variety of conditions and has become extremely popular as a "photo-facial", designed to reverse common signs of sun-damage such as brown spots and fine lines. IPL is also extremely effective in the treatment of acne, rosacea, and for hair reduction.

Dr. Skolnik and Dr. Schulman are active in the research and development of new IPL technologies and have developed treatment protocols to provide you with maximum benefits.