If you’re bothered by deep facial wrinkles, sun-damaged skin, scars or blotchiness, a deep facial chemical peel may be right for you. Deep peels penetrate several layers of your skin on the face using a chemical called phenol, which essentially causes a second-degree burn. Because this type of peel is more aggressive than a light to medium peel, your doctor will give you a local anesthetic and perhaps a sedative to manage discomfort. General anesthesia may also be used.
How it’s done
Deep chemical peels take more time than other peels. And because phenol is used, it’s also more complicated. Before the procedure, your doctor will clean your skin thoroughly and apply the chemical to one area of the face and allow it to penetrate. To avoid putting too much phenol into your system at one, there will be 15-minute pauses between each application. Water is then applied to neutralize the chemical. To prevent dryness and pain, a thick layer of ointment will be applied to your face. The entire treatment takes between 60 to 90 minutes, depending on the area being worked on.
After a Deep Chemical Peel
Because a deep chemical peel causes a second-degree burn, your skin will then begin to regrow after the procedure, which takes between 10 and 14 days. Your skin will also be red for between three weeks to up to three months. You may experience swelling around the eyes, which can be alleviated by elevating your head. Your doctor may also prescribe antiviral and antibiotic medications to protect against infection. During recovery time, it’s especially important to care for your face properly, including gently washing your face several times throughout the day to minimize crusting.
After two weeks, you will be able to return to work and your normal daily activities. Your skin will have healed enough at this time that you can wear makeup again.
How Long Do Results Last? While a deep chemical peel is the most aggressive type of peel, the reward is that it can produce long-lasting, dramatic results for up to a decade.
Please click here to view before and after images of a deep chemical peel. For more information about the positive effects of a chemical peel, contact Dr. Lalla today at 973-324-9455.
The breast cancer journey is full emotion. If you’ve had a mastectomy because of breast cancer, you may be wary of having yet another procedure such as breast reconstructive surgery, a procedure that restores symmetry between the two breasts by replacing skin, breast tissue and the removed nipple. Let us put your mind at ease about breast reconstruction by answering these frequently asked questions.
How do I know if it’s right for me?
The decision to undergo breast reconstruction is a highly personal and often difficult one to make. Many women choose to wear breast forms or pads instead of undergoing surgery, while others may feel that reconstructive surgery will give them psychological benefits like an overall sense of wellness. If you do choose breast reconstruction, be aware that there are options; you can choose to either get breast implants or have a flap procedure, during which your surgeon will your own tissue from another part of your body, such as the abdomen or back.
When should I have breast reconstruction?
The best time to have reconstruction surgery depends on your medical conditions, cancer treatment and basic desire for the procedure. It can be done at the same time as breast removal or later on in life. Talk to your doctor to help decide the best timing for you.
Is breast reconstruction cosmetic surgery? Breast reconstruction surgery is considered part of treating a disease and is not considered a cosmetic procedure. In fact, according to the law, insurance providers cannot deny coverage.
How soon will I fully recover from surgery? The typical hospital stay is one to two days for implants and five to six days if you have the flap procedure. You can expect swelling, bruising and soreness for up to three weeks, and most women return to normal activities in as little as six weeks post-surgery. Over the following months, you’ll begin to notice gradual improvement to the shape of your reconstructed breast.
Please click here to view before and after images of breast reconstruction surgery. For more information about the benefits of breast reconstruction, contact Dr. Lalla today at 973-324-9455.
BOTOX is one of the most popular treatments for smoother, younger looking skin. That’s because it’s quick, safe and effective. If you think you could benefit from BOTOX injections but are still on the fence about the procedure, check out the most commonly asked questions about this treatment.
How does BOTOX work?
Botox is a highly purified toxin that can semi-permanently eliminate forehead lines, frown lines and crow’s feet. It is injected directly into the face muscle to block the signals your nerves sent to that muscle to make it contract. When it’s relaxed, the lines that the contracting was creating are eliminated.
Does Botox Hurt?
As with most injections, there can be some slight pain when receiving Botox, especially in the forehead area between your eyebrows. Your doctor may offer a topical anesthetic or numbing agent prior to the procedure.
How do I know if I’m a Good Candidate for Botox?
Botox may be the right treatment for you if you are:
Unhappy with the way aging has affected your appearance
In good physical health
Free of a history of deep scars, skin disorders, or neuromuscular diseases (multiple sclerosis or myasthenia gravis)
Not pregnant or nursing
Over age 18
Are there side effects with Botox?
After your procedure, you should expect some bruising around the injection sites which tends to only last a sort while. If you had Botox injected around your eyelids, your face may also feel a little slack after treatment, but this will wear off after a few hours.
What can I expect after Botox?
Typically, patients begin to see results within a couple of days, with gradually more marked results over two weeks. You will be able to wear makeup immediately, but your doctor may advise you to avoid heavy workouts during this timeframe.
How long do the results of Botox last?
While patient results vary, the effects of Botox usually last up to four months.
Please click here to view before and after images of Botox treatment. For more information about the benefits of Botox, contact Dr. Lalla today at 973-324-9455.
As one of the most common plastic surgeries performed today, a nose job (rhinoplasty) is a dramatic and effective way to change the shape, size and angle of your nose. In addition to approving your appearance, rhinoplasty is also an excellent procedure for correcting nasal conditions such as breathing problems and chronic congestion. Additional reasons why rhinoplasty is done include:
Altering the width of your nose at the bridge
Fixing a deviated septum
Balancing the size of the nose with the rest of your face
Improving your profile by getting rid of bumps or humps on your nose
Reshaping the tip of your nose if it is upturned, too big or drooping
Narrowing the nostrils
How It’s Done
Rhinoplasty is performed when your surgeon makes incisions inside the nose in order to access the cartilage and bones. Tissue may be added, or some bone and cartilage may be removed, depending on the desired outcome. Your surgeon will then reshape and rearrange the bone and cartilage, followed by redraping the skin and tissue over the nose structure. Lastly, a splint is secured to the outside of your nose to support it as you heal.
After about a week, the splint will be removed from your nose. You’ll experience some bruising and swelling for several days following the surgery, especially around your eyes and nose. To help reduce the swelling, your doctor will recommend that you elevate your head and stay relatively still post-surgery, as well as refrain from strenuous activity for several weeks.
Talk to Your Doctor
Before you decide to undergo rhinoplasty surgery, it’s important that you discuss with your surgeon that type of correction you desire. Together, you can set goals for the surgery and discuss your expectations, making sure that your idea of the outcome is realistic. If you’re expectations are reasonable, rhinoplasty can have a significant impact on your self-image.
Please click here to view before and after images of a rhinoplasty procedure. For more information about rhinoplasty, contact Dr. Lalla today at 973-324-9455.
Do you wish you could just wave a magic wand and eliminate those lines and wrinkles you’ve started accumulating over the years? Who doesn’t? We all want to look like the best version of ourselves. But what may be stopping you from doing something about it is the idea that plastic surgery is the only option. Perhaps the thought of going under the knife may seem too aggressive at this stage of your life for simply smoothing out developing lines and wrinkles.
The good news is there are alternatives to traditional plastic surgery: Juvederm. A non-allergenic, dermal filler, Juvederm does wonders for correcting sagging skin and adding volume to your face. It can make you look younger and more refreshed in a subtle and pleasing way. What’s more, it can minimize the appearance of certain types of scars, including those brought on by acne.
Unlike more invasive cosmetic procedures, which require more recovery time, Juvederm® injections only take about 15 to 20 minutes to complete, meaning you can leave your doctor’s office immediately following the procedure and resume your normal activities by the next day.
Are You a Good Candidate for Juvederm?
The best candidates for Juvederm have the following traits:
Dissatisfaction with the signs of aging
Are in good physical health with no skin infections or skin lesions in the area you wish to treat
Are in good mental and emotional health, recognizing that you are having the procedure done for you and you alone
Have realistic expectations about Juvederm, including the understanding that the procedure will not completely alter the way you look
Are willing to talk openly with your doctor about any concerns you may have about your appearance
Juvederm® is an extremely effective way to restore a youthful appearance in your face, making you feel happier and more confident.
Please click here to view before and after images of a Juvederm treatment. For more information about the benefits of Juvederm, contact Dr. Lalla today at 973-324-9455.
Making the decision to have a facelift procedure is never entered into lightly. You’ve likely done some long and hard thinking about the implications of undergoing such a dramatic surgery. And once you’ve had a facelift, you’ll want to do everything in your power to ensure that your skin stays in excellent condition to make the pleasing results lasts as long as possible. One of the best ways to achieve this is to know the effects sun exposure can have on your rejuvenated, fresh-looking face.
Here’s what you should know: Avoid Sun Exposure for the First Two Weeks Post-Surgery
Exposing your face to the sun immediately following a facelift procedure is one of the worst things you can do. Sun exposure increases swelling and bleeding, and the sun’s heat can lead to inflammation. What’s more, UV rays can worsen scarring by altering the pigmentation in your skin and make scars look more prominent.
You can’t stay indoors all the time, so when you do go outside, use a wide-brimmed hat or visor to protect your face, and wear sunglasses to shield any incisions around your eyes. Scarves are another good way to protect your facelift incisions from exposure.
Choose the shadiest spot you can when enjoying the great outdoors. Shade from tall buildings is a good option, but if a tree is more appropriate in your surroundings, that will work too. It may not cover you completely, but it’s better than sitting in full sun.
Never put sunscreen on facelift incisions that have not fully healed. This can cause infection and scarring. But once the incisions have healed, make it a point to apply a sunscreen of at least SPF 30 every day to protect against harmful UV rays.
Limit Sun Exposure in the Coming Months
While you should stay out of the sun completely the first two weeks after surgery, that doesn’t mean you can be a sun worshiper after this time period. To really protect your skin from sun damage, try to avoid direct exposure for several months after surgery.
Please click here to view before and after images of a facelift procedure. For more information about the benefits of facelift surgery, contact Dr. Lalla today at 973-324-9455.
As you age, your skin begins to lose its elasticity. This, coupled with gravity, can cause your skin to sag, including the skin surrounding your eyes. If you’re bothered by drooping upper lids and puffiness in your lower lids, or worse, if your vision is impaired due to sagging skin around your eyes, you may want to consider eyelid surgery (or blepharoplasty.) This procedure is an effective, simple surgery used to tighten your skin, smooth fine lines and wrinkles and create a more youthful, rested appearance.
About the Procedure
It takes about two hours to perform eye lift surgery if both the upper and lower eyelids are done together. While you’re under local (and in some cases general) anesthesia, your doctor will make an incision that follows the natural line of your lids, and then separate the skin from the tissue underneath to remove extra fat, skin and muscle. The incisions will then be closed with small stitches. For the lower eyelids, your doctor will either make an incision along the edge of the eyelash or cut inside the lower lid the remove excess fat. There will be some bruising and swelling post-surgery, which will subside in less than two weeks.
An eye lift may be right for you if you:
are bothered by drooping eyelids and puffiness under your eyes
have loose hanging skin that impairs your vision
have dark circles under your eyes
are in good physical shape
are a non-smoker
have realistic expectations about the procedure – you’re looking for improvement, not perfection
But not everyone is a good candidate for blepharoplasty. Blepharoplasty may not if right for you if:
you have an eye infection or eye disease
your eyebrows droop, as blepharoplasty could actually worsen this condition
you have dry eye syndrome
you are looking to remove crepe-paper type wrinkles, crow’s feet or dark circles under your eyes
have a serious infection or illness such as Grave’s disease, hyper- or hipothyreoidism, or thyroid problems
Please click here to view before and after images of a blepharoplasty procedure. For more information about the benefits of blepharoplasty, contact Dr. Lalla today at 973-324-9455.
Are the sit-ups you’ve been doing continuously, along with a sensible diet, just not giving you those great abs you’ve been working for? It could be that extra skin isn’t going anywhere. If you feel like you’ve exhausted all other measures, it may be time to think about an abdominoplasty (or tummy tuck.)
Abdominoplasty is a procedure used to remove extra skin and fat from your abdomen, resulting in a flatter tighter appearance in the stomach area. A tummy tuck is serious surgery, so if you’re thinking about doing it, consider the following ways for you to achieve the best recovery:
Prepare your home. Start by cleaning your house. Your recovery will be less stressful if you come home to a place that is already in order, as housecleaning is out of the questions for at least the first week post-surgery. Also, be sure to stock your recovery area with plenty of ice packs, loose clothing, a telephone within reach and a bathroom chair with detachable shower head.
Stop smoking. If you smoke you’ll need to stop for at least two weeks before surgery, as smoking can up the risk of complications and slow the healing process.
Go shopping. Prepare and freeze meals ahead of time, and stock up on frozen dinners, Jell-O, pudding and other ready-to-eat foods.
Change your sheets. There’s nothing like the feeling of slipping into some clean sheets when you return home. While you’re at it, make sure you’re caught up on your laundry, as well.
Get medications beforehand. Your pain relievers, prescriptions, bandages and compression garments should be at the ready as soon as you begin recovery. Make sure to have them on hand ahead of time.
Arrange for a ride home. You will not be in any condition to drive yourself home, so arrange for someone to take you. You’ll also need to have someone stay with you for at least the first 24 hours after surgery to help you get to the bathroom, bring you food and take care of your general comfort.
Get help for kids and pets. To resist the urge to take on more than you should, have a friend or family member take care of your kids (and your pets) for the first few days after surgery.
Rest! Perhaps the most important thing you can do is relax. As each day passes, you will heal more and more. Keep your eye on the prize – you’re going to look fantastic when the recovery time is over. Patience is a virtue.
Please click here to view before and after images of a tummy tuck procedure. For more information about the benefits of abdominoplasty, contact Dr. Lalla today at 973-324-9455.
Getting a facelift can be life-changing. Your wrinkles and the effects of sun and wind exposure can finally disappear.
Undergoing facelift surgery is an exciting time in your life. Once the procedure is completed, you’ll need plenty of down time to make sure you heal properly. Check out the following guidelines to put you on the road to a safe a smooth recovery.
Embrace the Cold Compress
After your procedure, you will have swelling and numbness for about three to four weeks. To help reduce swelling after surgery, apply a cold compress to your face periodically. Extreme cold helps combat inflammation and shrink blood vessels. A cold compress will also help alleviate any bruising and redness, as well as help with pain.
Unlike extreme cold, which helps reduce swelling, heat increases blood flow and actually promotes swelling. After your surgery, make it a point to stay out of the heat for at least a month, especially if you have your procedure during the hot summer months. Stay indoors in air conditioning if that is the case. And if it’s wintertime, make sure you indoor heater is at a moderate temperature.
Keeping your head elevated will promote healing and reduce swelling. Prop yourself up using pillows while you recover. It’s also a good idea to stay elevated in this manner while sleeping. The more time your head is elevated, the more blood flows away from your face, which means a speedier recovery.
Follow Doctor’s Orders
Your surgeon will give you specific post-operative instructions which you will need to follow closely. This will include the proper treatment of your bandages, whether you’re instructed to leave them alone or change them, and the best way to care for them to avoid infections. You’ll also be advised about the best foods to eat, particularly foods that are easy to chew. Medication will also be prescribed, which you will need to take as directed. And you’ll be advised to keep your activity to a minimum to avoid undue swelling.
Please click here to view before and after images of a facelift procedure. For more information about the benefits of facelift surgery, contact Dr. Lalla today at 973-324-9455.
You work out regularly. You eat right. But those stubborn love handles just won’t go away. Don’t give up. There may be a better way with CoolSculpting, an FDA-approved procedure that freezes stubborn fat that diet and exercise can’t eliminate. During the procedure, the CoolSculpting machine gently pinches a specific area using two panels, drastically cooling it. Fat cells then begin to crystallize without harming the surrounding tissue. As the crystallized cells die, the body disposes of them. And once the cells are gone, they do not return. If you’re thinking about trying CoolSculpting, here are the top misconceptions and truths about the procedure:
Myth #1: CoolSculpting is an effective treatment for obesity Fact: This procedure is better suited for patients looking to reduce excess fat in targeted areas in the body like stomach rolls and back fat. If you can pinch more than two cm of fat, CoolSculpting may be right for you. It is not successful on patients who are obese.
Myth #2: You need several treatments to see results
Fact: One 60-minute session generally provides the desired results. However, you may choose to undergo more than one session depending on the number of areas you want to treat, how stubborn the area of fat is, and how much of your body you wish to target.
Myth #3: CoolSculpting is painful
Fact: Most patients say that CoolSculpting results in only slight discomfort due to the pressure of the application and the intense cold, which goes away quickly. After your procedure you may have some mild nerve pain for a few days, but patients report that the results of CoolSculpting supersede any discomfort.
Myth #4: It takes a long time to see results
Fact: Results vary from patient to patient, but most begin to see results about three weeks post-procedure, with increased visible results taking place in about two months, which is when your body rids itself of most of the crystallized fat cells. You will continue to see results for as long as six months after your CoolSculpting treatment.
Please click here to view before and after images of a CoolSculpting procedure. For more information about the positive effects of CoolSculpting, contact Dr. Lalla today at 973-324-9455.