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Cosmetic Surgery

Local Anesthesia Safer for Plastic Surgery Procedures and Benefits Recovery

Posted on April 16, 2012 by admin

By Amiya Prasad, M.D., FACS

Cosmetic procedures continue to grow in popularity, especially as new techniques and advancements are made in the field of plastic surgery. Before undergoing a cosmetic procedure, it is critical for patients to consider the surgeon’s anesthesia preference. The difference should make or break your decision. Today, most, if not all, cosmetic procedures can be performed under local anesthesia, however, many plastic surgeons continue to place patients under general anesthesia despite the increased risk for complications.

Dermatologic Surgery (February 2012) published a study based on ten years of data from Florida and six years of data from Alabama and found that more than two-thirds of deaths and three-quarters of hospital transfers were associated with cosmetic surgery performed under general anesthesia. Liposuction, one of the most common cosmetic procedures, accounted for 32 percent of cosmetic procedure-related deaths and 22 percent of all cosmetic procedure-related complications under general anesthesia. No deaths were associated with liposuction under local anesthesia.

General anesthesia vs. local anesthesia with sedation
When a patient is placed under general anesthesia, the patient is placed on a respirator and an endotracheal tube is placed in the throat to help them breathe. A combination of drugs causes a deep sleep during the procedure and paralyzes the body. Some patients prefer general anesthesia because they want to make sure that they are completely knocked out and unable to remember anything about the actual procedure.

Unfortunately, complication rates are much greater under general anesthesia and the body is put at a greater risk. Following a surgical procedure, patients often have a sore throat from the endotracheal tube, are very fatigued and more likely to feel nauseated or actually vomit. Recovery is considerably longer because the body has to recover from the surgery and the general anesthesia.

Under local anesthesia with sedation, a patient is placed under intravenous (IV) sedation and the area that will be operated on is numbed. The patient is relaxed, comfortable and virtually unaware of the procedure thanks to light medication, but the whole body is not paralyzed. Local anesthesia is a much safer alternative to general anesthesia because it does not put the body under stress in the same way. Most importantly, fewer drugs are needed so recovery from the procedure is faster.

Following a surgical procedure where local anesthesia is used, a patient can walk easily out of the office and does not have the nausea common with general anesthesia. Under local anesthesia, a surgical procedure becomes much less invasive and the risks to the body diminish significantly.

Local anesthesia – a much safer option
The most recent studies by leading anesthesiologists, such as Barry Friedberg, M.D., share the professional opinion that most, if not all cosmetic surgery procedures, can be performed safely under local anesthesia with intravenous sedation. Despite this fact, a large percentage of people undergoing cosmetic surgery are still subjected to the risks of general anesthesia.

The reason for this may be financial. General anesthesia requires less prep time and more procedures can be performed in a day. However, the longer someone is under general anesthesia, the more stress it puts on the heart and lungs. With local anesthesia, the preparation time is longer and fewer patients can be accommodated in a day. But, the bottom line is that a patient’s safety should always come first – far more important than the financial bottom line.

Prasad Cosmetic Surgery and Medi-Spa uses LITE anesthesia (Local, Intravenous, Tumescent, Ease of recovery) with great success for our patients. LITE is safer and allows for a much quicker and easier recovery.

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General anesthesia, combo procedures boost risk

Posted on February 17, 2012 by admin

General anesthesia, combo procedures boost risk
By:  Bill Gillette
Source: Cosmetic Surgery Time eNews

Cincinnati — Use of general anesthesia, performance of liposuction under general anesthesia, and combining surgical procedures significantly increase the risk for adverse events (AEs) in office-based surgery, a new review suggests.

A review of mandatory adverse-event reporting, derived from 10-year data from Florida and six-year data from Alabama, “confirms trends that have been previously identified in earlier analyses of this data,” wrote lead author John Starling III, M.D, of the University of Cincinnati’s department of dermatology.

Medscape Today reports that according to the study, which appears in the February issue of Dermatologic Surgery, more than two-thirds of deaths and three-quarters of hospital transfers were associated with cosmetic surgery performed under general anesthesia.

The study is especially critical of liposuction performed under general anesthesia, noting that while liposuction is one of the most common cosmetic procedures, no deaths occurred with local anesthesia. “Liposuction under general anesthesia accounted for 32 percent of cosmetic procedure-related deaths and 22 percent of all cosmetic procedure-related complications,” the researchers wrote.

In the Florida statistics, a total of 309 AEs were reported during office-based surgery, including 46 deaths and 263 reportable complications or transfers to hospital. Cosmetic surgeries performed under general anesthesia accounted for the vast majority of deaths in Florida, with liposuction and abdominoplasty the most frequently reported procedures.

In the Alabama data, 52 AEs were reported, including 49 complications or hospital transfers and three deaths. General anesthesia was implicated in 89 percent of reported incidents, of which 42 percent were cosmetic surgeries. Pulmonary complications, including pulmonary emboli and pulmonary edema, were implicated in many deaths in both states.

The authors noted one limitation in their study, which was that case logs of procedures performed under general and intravenous sedation are required in Florida, but are not in the public domain and so were unavailable for analysis. Also, researchers were unable to obtain data on the total number of liposuction procedures performed in either state, which prevented them from calculating the overall fatality rate.

Why LITE™ Anesthesia at Prasad Cosmetic Surgery

Anesthesia Safety

Leading anesthesiologists like Barry Friedberg, M.D. share our professional opinion that most, if not all cosmetic surgery procedures, can be performed safely under local anesthesia with IV or intravenous sedation. Despite this fact, a large percentage of people undergoing cosmetic surgery are subjected to the risks of general anesthesia.

Based on the work of innovators such as Jeffrey Klein, M.D. (inventor of tumescent anesthesia for safe liposuction) and Barry Friedberg, M.D. (inventor of PK anesthesia), Dr. Prasad modified his local anesthesia techniques and created LITE™ anesthesia. LITE™ anesthesia is an acronym for Local, Intravenous, Tumescent/Twilight with Ease of recovery.

Safe sedation using a brain monitor (BIS) monitor and Dr. Friedberg’s PK anesthesia techniques have been the cornerstone to LITE™ anesthesia. Sedation or “twilight” anesthesia helps people who come to our practice recover quickly and often “not remember” the surgery.

LITE™ anesthesia is used in our practice for procedures such as:

Browlift
Blepharoplasty (eyelid surgery)
Hair transplant
Facelift
Breast augmentation
Breast lift
Breast reduction
Tummy tuck
Cosmetic gynecology
Liposuction

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Vampire Facelift™ Video – Performed by Dr. Prasad

Posted on November 23, 2011 by admin
New York’s Dr. Amiya Prasad explains and performs The Vampire Facelift™ on a patient. Dr. Amiya Prasad was trained by Dr. Charles Runels, inventor of the “Vampire Facelift™, and now offers his patients in New York and Long Island The Vampire Facelift™. Used to treat hollowing under eye area and cheeks losing volume with age as well as the area around the mouth, The Vampire Facelift™ is a great non-surgical solution without any downtime.http://youtu.be/O-2uj-t-ahMThe patient undergoes a Vampire Facelift™ performed using a combination of hyaluronic acid (such as Restylane or Juvederm) with platelet rich fibrin matrix (activated platelet rich plasma or PRP) using the Selphyl of RegenLab system in an artistic way to restore the lost volume in the face. Dr. Prasad’s Vampire Facelift™ patients enjoy natural results using their own blood that is then specially processed for use as a natural filler for the face, eyes, cheeks and mouth with immediate results and minimal bruising and swelling.Administered like an injectable filler, the benefit of the Vampire Facelift™ continues over time after the procedure as the growth factors in the blood stimulate the body to create collagen and new blood vessels which create a beautiful complexion to the skin and enhance the face.Dr. Prasad offers the Vampire Facelift™ procedure at his offices in Manhattan and Garden City, Long Island.To schedule a consultation with Dr. Prasad for the Vampire Facelift™, call 212-265-8877 or email contact@prasadcosmeticsurgery.com
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Economy impacts patients’ cosmetic surgery choices

Posted on October 26, 2011 by admin

By: Bill Gillette
Cosmetic Surgery Times E-News

New York — Results of two recent surveys show how much the stagnant economy has affected patients’ decisions about elective facial plastic surgery — and shed light on doctors’ misperceptions about what patients want.

The two surveys — one administered to potential patients and one to members of the American Society for Aesthetic Plastic Surgery — reveal that due to the recession, many patients are delaying facial plastic surgery and seeking less costly nonsurgical options. The surveys also reveal that physician knowledge of patient preferences differs widely from actual patient preferences in terms of treatment cost and durability, according to an ASAPS statement.

The great majority of patients prefer treatments with longer-lasting results over those with immediate effects, and most patients felt that duration of effect was more important than cost in selecting a medical anti-aging treatment, survey results show. Physicians, on the other hand, perceived patients as desiring immediate effects and valuing cost over longer-lasting results.

The ASAPS release quotes lead author T. Jonathan Kurkjian, M.D., of the University of Texas Southwestern Medical Center, as saying, “That the current economy is affecting patients’ choices around facial rejuvenation isn’t so surprising. … What is surprising, however, is the disconnect between physicians’ perceptions of patient preferences and actual patient preferences on costs and treatment longevity. Contrary to physician views, the survey results suggest that even for nonsurgical facial aesthetic options, treatment plans should focus more on longevity than on immediate impact.”

The full results of the two surveys are published in the September issue of Aesthetic Surgery Journal.

Dr Prsad’s Response:

The ASAPS did a survey that revealed that during a recession, physicians had perceived that patients wanted less invasive short term procedures such as fillers and that the patients were deferring surgical procedures. It appears that people actually were more interested in longer lasting surgery procedures which meant spending more but getting long term benefits. Here is my response:

The effects of aging during a recession continues (maybe a little faster). The principles for helping people look better remain constant. As I state in my book “The Fine Art of Looking Younger”, facial aging is a combination of volume loss (skin, muscle, fat resulting in hollowing of the cheeks and thinning lips) and descent (loose skin over the eyes, loss of jawline and neck definition).

As Cosmetic physicians and surgeons, we have a reponsibility to understand these processes and educate our patients accordingly. Unfortunately, many doctors and related paraprofessionals promoted the concept that fillers and nonsurgical procedures would help people look younger without surgery and further propagated the interpretation of patients preferring injections to surgery.

Many people who were looking to improve their appearance for job interviews chose the option of avoiding surgery for fillers only to end up looking swollen and unnatural (making them less desirable for employment during their interview). Think about it. If nonsurgical solutions were as effective as surgery, there would be no more need for surgeons and operating rooms.

As a specialist in facial aging solutions, my perception was that people heard about nonsurgical options from hype about gadgets and injectables and had to be educated about the proper management of their concern. I see pateints every week who are disappointed with nonsurgical treatment for problems that require surgery. Ultimately, I help these people by recommending what they need and then having them make an informed decision. In our practice, the most common procedures to address facial aging changes are for the eyes and the jawline/neck. These patients recover typically in 1 week and enjoy the benefits for years. I routinely use injectables to further enhance the benefits of surgery to address changes related to volume loss.

I think the take home message from this article is that we need to listen to our patients and be honest about the choices they have to address their concerns.

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Study: Makeup makes women look competent, trustworthy

Posted on October 6, 2011 by admin

The article below reports the benefits of wearing makeup and the impact on how others perceive you misses the big picture entirely. It’s not makeup alone tha that has this effect. The photos shown in the article are of women who have youthful features which the artful application of makeup enhanced. The key elements to looking competent and trustworthy overlap with the elements of being attractive (what we see biologically as “strong”). Each of the faces shown have nice eyes, cheek bones and well defined youthful jawline. Artistically applied makeup accentuates these features making them look even better.

The key is that good foundation (facial structure) can be enhanced with makeup. In my practice, I’ve observed that as many people experience aging changes, they compensate by trying to cover the puffy bags under the eyes and the area of the cheek and jowls with makeup which makes these areas look worse. Just like fine clothes look great on a fit and healthy body, beautifully applied makeup looks great on a balanced face.
Amiya Prasad, MD

Models without makeup and with natural, professional and glamorous makeup, as shown in a recent study.

By Rina Raphael

In beauty, less is often more.

It turns out a little makeup goes a long way in how the public perceives you, but piling on the products does you no favors. Researchers found that makeup makes women more attractive, competent and trustworthy as opposed to their bare-faced peers, according to a new study, funded by cosmetics giant Procter & Gamble and carried out by scientists at Massachusetts General Hospital, Harvard Medical School, Boston University and the Dana-Farber Cancer Institute.

The study’s participants were given just 250 milliseconds to look at several photos of women in various degrees of makeup – no makeup, “natural”, “professional”, and “glamorous” – with the ratings increasing with the amount of beauty product used. “We found that when faces were shown very quickly, all ratings went up with cosmetics in all different looks,” lead author Nancy Etcoff, associate researcher at Massachusetts General Hospital, told ABC News.

That should be no surprise, as many a study has confirmed that attractive people are often deemed more likeable and are “expected to do better on the job, in school and in life,” the study says. “This phenomenon is present from birth,” Tiffany Field, a research professor at the University of Miami’s Miller School of Medicine told ABC. “Even newborns and young infants have a preference for attractive faces.”

But before you get carried away at vanity table, there’s a limit: Positive perception declines as makeup gets heavier.

When those same participants were given time to study the images for a lengthier amount of time, the ratings changed. Instead, for the dramatic makeup looks, “people saw them as equally likable and much more attractive and competent, but less trustworthy,” Etcoff told ABC.

Is the “Housewives” look less desirable? “Too much makeup can appear as a shield, something you’re trying to either hide behind, or use to change who you are,” TODAY style editor Bobbie Thomas said.

While the findings seem plausible, some are a tad wary the study, in part because it was funded by Procter &  Gamble, which owns CoverGirl cosmetics. “Any time a study is funded by a corporation with an interest in its outcome, you have to take the results with a grain of salt,” Jamie Peck,  contributing editor at The Gloss, told TODAY.com. “However, I do not find it that hard to believe that people would subconsciously penalize women for failing to conform to a normative concept of gender (of which makeup is a part).”

Of course, makeup can help empower and express a sense of self-worth, said Thomas, but it’s not the guiding factor in a woman’s image. “It comes down to a fine line between confidence and fear or insecurity.”

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Lack of training can lead to unnecessary risks in Cosmetic Surgery

Posted on September 16, 2011 by admin

Lack of training and experience is disastrous regardless of specialty.You may have seen the recent article in USA Today on Sept. 14th. “Cosmetic Surgery By Non-Certified Doctors May Cost Less But Also Bring Risks.”

Although board certification in plastic surgery is one standard, it by no means guarantees the absence of complications and deaths. Most plastic surgery residencies fall short on experience related to cosmetic surgery hence a defined specialty of Cosmetic Surgery is needed.

The American Board of Cosmetic Surgery certifies doctors as Diplomates in General Cosmetic Surgery, Facial Cosmetic Surgery and Body, Breast and Extremity Surgery. This status requires training through approved fellowships, a number of cases specifically in cosmetic surgery (far exceeds the standards for cosmetic surgery by the American Board of Plastic Surgery), and successful passing of a written and oral examination.

Based on the relatively small number of doctors who meet this standard, the majority of doctors identifying themselves as Cosmetic Surgeons are not Diplomates as defined by the American Board of Cosmetic Surgery. The American Academy of Cosmetic Surgery provides an excellent open forum for doctors of all specialties to learn more about Cosmetic Surgery. In my opinion, physicians or surgeons considering expanding beyond their primary specialty (long after training has been completed) must apply the same standard in treating their patients as they would their own family members. This means proper didactic instruction with hands on training with ongoing supervision by an experienced surgeon until a level of comfort is attained.

As a specialist, I have seen complications from many different doctors including board certified plastic surgeons (one only needs to look into the claims for malpractice to understand that there are many more claims against board certified plastic surgeons compared to the wide array of doctors identified as Cosmetic Surgeons). I have personally observed surgeons whose original specialty was in one area who have become exceptional in Cosmetic Surgery and teach their techniques to other surgeons. Sometimes it may be deceptive when a skilled surgeon teaches as it appears to the uninformed as “easy”. Mastery of technical skills and sound clinical judgment takes years to develop.

Doctors whose egos are greater than their experience ultimately face a lot of problems. I encourage doctors who I teach to be conservative and be prepared for complications (by having an experienced surgeon as backup) before doing a procedure on their own for the first time. Tolerance for major complications is less for Cosmetic Surgeons than it is for Plastic Surgeons due to the political and economic forces which ultimately compromise patient care. I would go so far as to say that if there were a more collegial environment, less experienced doctors would be more willing to reach out to their more experienced colleagues when they need help. Instead, many of these doctors with limited experience offer low prices and work in unregulated environments.

Of course there are many board certified plastic surgeons who also offer low fees with high volume surgery and have the same complications. Surgery requires time and focus on the health of the patient as well as the desired results of the same patient. There is no question that insurance reimbursements will continue to push physicians into choosing aesthetics in some form or another. The tragedy is that with more doctors leaving their primary specialty for aesthetics, there will be fewer qualified physicians to take care of people for actual medical care.

Follow Up from this story below:

The article “Lack of training can be deadly in cosmetic surgery” appropriately emphasizes the importance of choosing a surgeon who is properly trained and experienced in cosmetic surgery to minimize the risk of complications and poor outcomes.

However, the article conveys misleading information implying that doctors who complete residencies in specialties other than plastic surgery, including “vision” doctors, lack the training necessary to competently perform cosmetic surgery. The American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) rejects this premise.

We represent ophthalmic surgeons specializing in oculofacial surgery. The society has been the accrediting body for fellowships in this plastic surgical subspecialty for more than 40 years; our members have extensive training and experience in aesthetic surgery. Not only do our board-certified members complete a two-year fellowship program after three years of postgraduate surgical training, but they also have to pass qualifying examinations and demonstrate proficiency in a significant number of cosmetic and reconstructive surgical cases.

As highly skilled and trained surgeons in the field of aesthetic surgery, our society endorses the message that patients should be selective when choosing a cosmetic surgeon and be informed about that surgeon’s education, certifications, reputation and experience.

Jan W. Kronish, M.D., president

ASOPRS; Delray Beach, Fla.

Read full story at: http://www.usatoday.com/news/opinion/letters/story/2011-09-27/cosmetic-surgery-safety/50574454/1

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Increasing Safety in Anesthesia – Using a Brain Monitor

Posted on February 15, 2011 by admin

A special message from Amiya Prasad, M.D.:

I just returned from a conference in Charlotte, North Carolina run by Dr. Barry L. Friedberg. If you’ve been keeping up with the trial of Dr. Conrad Murray, who was the physician who administed Propofol to Michael Jackson, you would recognize Dr. Friedberg as being a vocal advocate for patient safety through proper monitoring. Having met Dr. Friedberg at a Cosmetic Surgery Conference (The Annual meeting of the American Academy of Cosmetic Surgery), I was very impressed by his knowledge in providing anesthesia in a safer way using a brain monitor. During surgery, we routinely monitor the heart rate, blood pressure, oxygen levels in the blood and the EKG (electrocardiogram). Ironically, it’s not been routine to monitor the brain which is the organ that the sedation is working on.  I incorporated the use of a brain monitor (also called a BIS Monitor), to monitor the level of sedation being given to our patients during surgery and have been absolutely delighted. Although this technology has been available for more than 10 years, very few operating facilities use BIS monitors. I’m very fortunate to have met Dr. Friedberg and my patients now benefit from his experience. To encourage people to advocate for themselves when it comes to proper and safe anesthesia during any surgery (not just Cosmetic), Dr. Friedberg created “The Goldilocks Foundation” [http://www.goldilocksanesthesiafoundation.org/] . Essentially it’s important in the modern era of health care for people to advocate for themselves. Dr. Friedberg advises to ask the questions “Do you use a brain monitor when I will be under anesthesia?”.

The practice of medicine requires a lifetime commitment to learning and flexibilty to provide the best care for our patients. Unfortunately, the practice of plastic surgery tends to be inflexible and focused on the use of general anesthesia which in my opinion is more for the surgeon’s convenience rather than the patient’s in many cases. As it has been my focus to perform natural aesthetic procedures which are safe, under local anesthesia with light sedation and with a quicker recovery, Dr. Friedberg’s contribution to my practice through his experience is truly appreciated.

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“Facing” the Holidays … A Pre-holiday Pick-Me-Up Can Help You Through The Busy Season!

Posted on October 7, 2010 by admin

Plan Now to “Face” the Holidays … Here’s my Seasonal Timetable for Personal Facial Rejuvenation.  With the holiday season fast approaching, I’d like to remind you that October through mid-November as the ideal time to rejuvenate your face for the holidays – not just to look better, but because with all the emotional stress the holidays can bring, looking your best can be an incredible confidence boost.

For many people, what should be a joyous season of fun, family and fellowship becomes a season of foreboding instead.  School plays, office parties, winter weddings, family portraits, social activities, holiday dinners, shopping, and religious events all put demands on individuals – including demands to look their best.  From mid-November through New Year’s Day, the stress-filled list of “must-attend” soirees and celebrations can feel endless.

I see it every year.  When you become overwhelmed by these social obligations, the holiday blues can start to set in.  The result?  You start to feel tired and stressed, your confidence can slip and self-doubts can surface. Gazing in the mirror and noticing a few extra laugh lines, frown lines, puffiness in the eyes – or even slight sagging at the jaw line or neck – all of these only make the thought of socializing during the holiday season even more agonizing.

Every year, I’ve witnessed an increase in surgical and non-surgical treatments during this time of year – and, for a lot of reasons, this is a good thing.  Men and women want to present their ‘best’ at this time of year, and each year thousands of them realize that – when facing activities they are obligated to attend, they want the added confidence that a facial rejuvenation procedure delivers.

However, if you are considering a facial rejuvenation, scheduling the procedure well in advance of the holiday is important, both to allow full healing and to let the added self-confidence that naturally comes with a facial rejuvenation procedure to “sink in.”

You can’t wait until the night before the family photo or party to have a botox, restylane or other injectible procedure, much less a facelift.

To assist you in planning ahead, I have developed a timeline for scheduling your cosmetic appointments, leaving a sufficient time to recuperate, and to prepare for a successful and enjoyable holiday season.   You can learn more about these procedures at: www.prasadcosmeticsurgery.com

Facelifts – Forget the Six-week Healing Process

The healing process for a traditional facelift takes up to 6 weeks – sometimes longer. However, with the minimally-invasive surgical techniques I have pioneered, the recuperation time for my natural-appearance facelift is diminished considerably – generally to 2-to-3 weeks.

Four Weeks Before The Event

If you are looking for a Sculptra session to fill in the minor fatty tissues that, when lost result in wrinkles, or if you want to minimize wrinkles with the Pelleve process, book these treatments at least four weeks before your first event.

Two Weeks Out

Even just a few weeks before the festivities begin, eyelid rejuvenation, cheek implants, brow lifts, and fractional CO2 laser treatment– which lessens the visibility of wrinkles, scars and discoloration – can be performed, and recovery completed.  Book these no later than two weeks before your first event.

One Week and Counting!

With just a week to go, either a light chemical peel – or the use of injectibles – is the best way to combat those laugh and frown lines. There are many types of injectibles, each targeting a different part of the face. Botox focuses on the brow bone area and around the eye, fighting frown lines found between the eyebrows. Restylane is used for diminishing wrinkles and replenishing areas lacking firmness.  Juvederm is used for reducing wrinkles and used as a filler for facial areas and lips.  Finally, Radiesse is also used for lessening wrinkles. Injectibles should be given a week before you expect to see effective results.

If you want to have a successful, relaxed and beautiful holiday, plan now to rejuvenate your face, roll back the clock and experience the beauty that is waiting to be revealed.
Dr. Amiya Prasad (www.prasadcosmeticsurgery.com) is a pre-eminent Manhattan and New York area facial cosmetic surgeon with offices in Park Avenue Manhattan and Garden City Long Island.  He is the author of the forthcoming beauty guide, “The Fine Art of Looking Younger – A Leading Cosmetic Surgeon’s Guide to Long Lasting Beauty.”

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Dr. Amiya Prasad’s Autumn Rejuvenation 2010 Newsletter

Posted on September 28, 2010 by admin

Greetings!

Every season is about change, but no other season reflects change more so than Autumn. The summer is fading and the leaves are just starting to show their true colors. Change is a beautiful thing!

In the Fall issue of our newsletter, we have some important issues to cover. Most importantly, we will review available options to recover your skin from the ravages of the scorching summer sun. Also, if you have particularly special plans for the holidays, now is the time to consider scheduling a Facial Cosmetic Procedure for a change in your image and to experience a fabulous season ahead!

I am also pleased to introduce you to Dr. Krista Archer, DPM, our celebrity Podiatrist who has joined the Manhattan office. And finally, you may now order my new book “The Fine Art of Looking Younger: A Leading Cosmetic Surgeon’s Guide to Long Lasting Beauty” for an in-depth review of the newest technology and the surefire standbys in the world of cosmetic surgery.

Sincerely,

Dr. Amiya Prasad
Amiya Prasad, M.D., F.A.C.S.

Sun Damage Recovery
Introducing Reveal® Skin Analysis


From the 4th of July to Labor Day, we’ve had many weekends of sunshine and warm weather. However, this also means we were being exposed to harmful UV rays. Hopefully everyone took my advice to wear sunscreen of minimum SPF 15! Here are several great ways to revitalize your skin and adjust to the changing weather.

The first step is to take advantage of our new REVEAL® technology, which uses polarized light to look at damage that may have started below the surface of the skin. Then, in order to halt the progression, consider Intense Pulsed Light Photo Rejuvenation to get rid of brown spots or skin discolorations and redness. Next, to complete the skin management, Facials, chemical peels, and microdermabrasion by our skilled medical estheticians can refresh your look and give you a healthy complexion with smoother skin. For more extensive sun damage, the MiXto SX Microfractional Laser Skin Resurfacing is a single treatment with little downtime or discomfort that will leave you looking younger with long lasting results for about a decade.

One of our most exciting, latest state of the art techniques for skin tightening, Pelleve, produces amazing results that leave you looking at least ten years younger by reducing wrinkles and boosting collagen growth. The treatment takes a few months, but the effects continue for years. Pelleve has become one of our most popular non-surgical treatments and can be combined with injectables for a fresh, rejuvenated look. Stay ahead of the pack and schedule your Pelleve treatment so that you can be on your way to shedding a decade in a snap.

Considering a Cosmetic Facial Procedure?
Look great this Holiday Season!
facelift, eyelift, injectables, necklift, botox, dysport, pelleve, micro fractional co2 laser
Now through November is the ideal time to plan your facial cosmetic procedure. Summer is over and the holidays are approaching. In anticipation of the busy season, make sure you schedule a rejuvenating gift to yourself, especially if there is any downtime associated with it. Whether you are considering a Facelift or Necklift, Eyelift, or an injectable (such as Botox/Dysport, Sculptra or Juvederm), a facial cosmetic procedure is one of the most effective means to improve your appearance, and will boost your self-confidence. Family and friends are sure to wonder about your secret to looking good! Our office philosophy centers on precision and quick recovery, so we select the appropriate techniques and make sure that we deliver natural results. Call us to set up a consultation with our patient coordinator at 212-265-8877.

The Fine Art of Looking Younger
A Leading Cosmetic Surgeon’s Guide
to Long Lasting Beauty
Leading Cosmetic Surgeon Amiya Prasad MD Guide to Long Lasting Beauty
My forthcoming book “The Fine Art of Looking Younger: A Leading Cosmetic Surgeon’s Guide” is now available for pre-order through Amazon.com.

Available in both paperback and hardcover! For information on book signing events, please visit www.prasadcosmeticsurgery.com

Meet Dr. Krista Archer
Leading Manhattan Podiastrist

Leading Manhattan Podiatrist, Foot and Ankle Expert
Dr. Krista A. Archer is a podiatric surgeon who prides herself on attention to detail and excellent cosmetic results. As a former athlete and marathon runner, she is very comfortable with treating sports-related and exercise-induced injuries. As a fashion lover, she understands the torture behind gorgeous high heel shoes, and is determined to make them wearable. Dr. Archer is developing products to facilitate the pedicure process and promote the use of healthy and safe products. Dr. Archer is committed to providing pain relief and solutions to foot problems associated with plantar fasciitis, sports injuries, heel pain, bunions, corns, calluses, and foot and ankle arthritis. Check out Dr. Archer’s most recent Good Morning America Health appearance.

For more info, visit www.drkristaarcher.com

Visit http://conta.cc/c8HYgp, for an exclusive off on the FALL SKIN FITNESS FACIAL with our very own Le Visage MediSpa. Save $100!

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