Our Surgeons' Blog

Dr. Friedman, Dr. Huang, Dr. Forman and Dr. Kulkarni

Brow Lift — Washington D.C. Facial Surgery

Published on September 14, 2015

If you’re looking to lift and shape your brows with a brow lift procedure, there are a few options to choose from. The surgeons at the Plastic Surgery Institute of Washington offer either a coronal or endoscopic brow lift.  Two of the key differences between an endoscopic brow lift and a coronal brow lift are the tools and incisions.

Both methods involve incisions across the top of the head or scalp in order to erase wrinkles to create a more youthful appearance. However, a coronal lift offers more lifting capability but requires a bigger incision and is generally more invasive.

An endoscopic lift involves smaller incisions and uses a tiny camera called an endoscope to assist the plastic surgeon while he or she elevates the skin and underlying tissues.

Our plastic surgeons have years of experience and go to great lengths to ensure the comfort and safety of each and every patient.

To discuss all of your brow lift options with one of our surgeons in further detail, arrange an appointment by contacting The Plastic Surgery Institute of Washington today.

Laser Hair Removal — Washington D.C. Treatments

Published on September 4, 2015

Monitoring unwanted body hair can be troublesome and time consuming. With shaving and waxing, the relief is often short lived – that is, until the hair returns in the form of stubble that nobody enjoys.  However, with laser hair removal, you may never have to worry about unwanted hair again.

In general, laser hair removal works by emitting heat energy into the hair follicles, shutting down the production of new hair. The process is effective because the dark pigment of hair absorbs the majority of the heat energy.

Ultimately, the hair follicles are disabled while the surrounding skin remains unharmed. Our state-of-the-art laser used in the hair-removal procedure can be adjusted to suit all skin colors.

Contact us to speak with one of our experienced practitioners at the Plastic Surgery Institute of Washington if you would like to know more about laser hair removal. Our office is conveniently located in the National Capital region.

CoolSculpting— Fat Removal Washington D.C.

Published on August 11, 2015

An increasing amount of people are asking for the non-invasive fat-reduction procedure that literally freezes the fat away called CoolSculpting.

With CoolSculpting, patients can walk into our office with a book and a cup of coffee and enjoy them while the state-of-the-art machine targets fat cells around the abdomen, flanks or thighs. There is no pain, no needles and no recovery time required to melt away 20-25 percent of fat stored in the target region. Results do require some time, as the frozen cells must reabsorb into the body, leaving you thinner andmore sculpted

CoolSculpting treatments reduce fat through the use of cooling energy. Because this procedure is so gentle, you’ll be able to continue with your day as if nothing even happened.

Our experienced and highly trained staff will be glad to explain CoolSculpting treatments and their beneficial effects in greater detail. To set up a consultation with one of our nurses, contact us at the Plastic Surgery Institute of Washington.

Introducing Laser Facials!

Published on March 12, 2015

What in the world is a laser facial?

The world of lasers is a big one and getting bigger all the time, making the job of navigating treatments a confusing one. The good news is that these non-invasive lasers offer wonderful results with virtually no downtime.

Laser facials use dual laser wavelengths that target dark spots (due to hormones and sun damage), unwanted freckles, large pores, broken capillaries, and even facial hair.

Depending on your skin, you may need 3-5 treatments spaced 2-4 weeks apart. Because these lasers bring the imperfections up to the surface, it can take time to see the full results that you want. The treatment itself feels like you’re being snapped lightly by a rubber band and you may feel warm for a few hours after.

Combining a laser facial with a customized peel will offer additional textural improvement and is becoming standard procedure in the skin care industry.

Laser facials are an effective, non-invasive way to get that even, more youthful complexion!

 

What is a Plastic Surgeon?

Published on March 3, 2015

There is a lot of misinformation on the internet about plastic surgery. This should come as no surprise to anyone who spends any time on google. Most of us have learned to filter what we read online by source, naturally giving more credibility to sources we recognize and trust.

In the plastic surgery world, it can sometimes be difficult to recognize a credible source, with every other doctor and para-professional claiming to be an expert on cosmetics and aging. So how should a patient go about researching plastic surgery while maintaining confidence that the information they are receiving is accurate and trustworthy? Let me offer a few insider tips about what makes a plastic surgeon…

1. There is no such thing as a “cosmetic surgeon.” Anyone with a medical degree can call themselves a cosmetic surgeon without any formal training. This sounds crazy and counterintuitive, but any “board certification” in cosmetic surgery is not real board certification- it is either a weekend course, or in many cases, simply a fee-based organization that allows you to pay your way to a title you didn’t earn. In my opinion, this is very clearly a deceptive practice, but unfortunately, there is virtually no regulation of these pseudo-boards in the United States.

2. There is only one AMERICAN BOARD OF PLASTIC SURGERY. The requirements for board certification in plastic surgery are extremely rigorous. There are only 6300 practicing plastic surgeons in the United States who are board certified in plastic surgery. If you want to know if your surgeon is on the list, here is the link for the American Board of Plastic Surgery. There is an application called “Is your Surgeon Certified” that allows you to enter your surgeons name and get an instant answer to this question.

In order to qualify to be on this list, a real plastic surgeon must meet the following criteria.
-A minimum of 6 years of post-medical school surgical training
-Passage of a written board exam that tests general knowledge of plastic surgery, as well as specific knowledge of cosmetic surgery, hand surgery, and craniofacial surgery.
-Passage of an oral board exam that requires the surgeon to keep meticulous records of every single patient that surgeon cares for over a period of 9 months. Those records are then submitted to the board and reviewed. 5 cases are selected, and the candidate surgeon is required to submit complete medical records on those 5 cases, including before/after photographs and all billing records. The records are carefully reviewed by the board, and the surgeon is then given an oral examination on those 5 cases, as well as a series of unknown cases, to prove to the board that s/he is a safe, ethical surgeon.

Board certification in plastic surgery is an arduous process that takes nearly a decade to complete. When you are selecting a plastic surgeon, there is no more important criteria than board certification in plastic surgery by the American Board of Plastic Surgery.

3. Many doctors who call themselves “plastic surgeons” have no formal training in plastic surgery. As outlined above, it takes many years of specialized training a series of grueling exams to become an actual plastic surgeon. Unfortunately, some practitioners who are trained in completely unrelated fields see plastic surgery as a way to make a quick buck. Instead of putting the time in to become truly proficient, they simply change their marketing strategy and offer procedures to patients in which they have no training. Your plastic surgeon should be trained in plastic surgery, not in obstetrics, internal medicine, anesthesia, or anything else. After all, would you let your plastic surgeon deliver your baby? I didn’t think so!

I hope this post helps to illuminate what you should look for in credible sources about plastic surgery. Now, back to your googling!

“Boob Greed”

Published on January 20, 2015

By: Douglas Forman MD

p-dr-forman

Recently a patient educated me about a term I was previously not aware of, Boob Greed.  This particular patient was coming to the office for a preoperative visit, a component of which entails confirming the size of the implant she was to have placed at the time of her upcoming breast augmentation. She informed me that Boob Greed refers to patients who undergo an augmentation mammaplasty and then wish that they had selected a larger size implant. While this concept was something that I was well aware of, I had not known that there was an actual term for it. When you Google and search Boob Greedyou get 22,000 listings in 0.35 seconds.

During the initial consultation with a patient we spend a great deal of time helping them select the appropriate size breast implant to enable them to achieve the look they desire. A portion of the discussion is that, nationally, one of the more common reasons a woman will have a revision of a breast augmentation is to go to a larger size. I will even tell a patient that if she searches breast augmentation online and visits various chat rooms she will often find that patients like the appearance of their breasts shortly after surgery but after time find themselves wishing that they had gone with a larger size. In our practice this is an uncommon occurrence because of the time we spend with patients preoperatively with implant selection. I typically remind the patient that the final implant size is their decision; not mine, their friend’s or their family member’s. I recommend to patients that if they are wavering between two sizes that they select the larger size. On occasion a patient will focus on the difference of 25 ml or cc and we will show them how little this actually is (less than 2 tablespoons) in a medicine cup. That often alleviates their concern about the difference between the final two implant sizes. We also take into consideration that implants are typically placed behind the muscle and this needs to be factored into the final implant size to compensate for the muscle slightly compressing the implant.

One of the most important aspects of breast augmentation surgery is having the patient not only thrilled about her results but also not feeling as if she went either too small or too large. Careful implant size selection is a significant component of this process. When all of these factors are taken into consideration, Boob Greed is something that no woman should ever have to feel or relate to.

Happy Holidays!

Published on January 1, 2015

Happy Holidays from all of us at the Plastic Surgery Institute of Washington!

Office holiday pic

Laser and Skincare Launch – October 23, 2014

Published on December 15, 2014

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Thanks to everyone that attended our event! Stay tuned for the next one!

Happy Halloween!

Published on November 1, 2014

It was totally ’80s in the office for Halloween yesterday!  Hope everyone had as much fun as we did!

 

PSIW Halloween 2014

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