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What to Do Before Rhinoplasty Surgery

Rhinoplasty is one of the most common cosmetic surgery procedures in the world. In the United States, more than 220,000 nose jobs are performed every year.

The outcome of rhinoplasty doesn’t just depend on the surgeon’s qualification and experience. It’s up to the patient to prepare for the procedure and follow the doctor’s advice carefully.

Let’s take a closer look at what to do before rhinoplasty surgery.

  1. Speak To the Surgeon

A preliminary doctor’s consultation is an integral part of any cosmetic surgery. To make sure your procedure goes smoothly, you need to take full advantage of this opportunity.

Besides being straightforward about your medical history, medications you take, and counter-indications you are aware of, consider asking the doctor the following questions:doctor examining nose

  • Are you a member of the American Board of FACIAL PLASTIC SURGERY?
  • How many years of experience do you have in this field?
  • How many rhinoplasty procedures have you performed?
  • Am I a good candidate for rhinoplasty?
  • Where will you perform the procedure?
  • How will the rhinoplasty be performed?
  • What surgical technique do you recommend for my case?
  • How long will recovery take?
  • What happens if there are complications?
  • What options do I have in case I’m not satisfied with the surgery results?
  • Can I look at before and after photos of your work?
  • Can I look at a video of a rhinoplasty you performed?
  • What kind of anesthesia will I be under?

Don’t hesitate to ask as many questions as you wish. A rhinoplasty can be a life-changing (in a good way) operation so there isn’t anything wrong with being fully prepared.

2. Prepare for Recovery

It takes about 7 to 14 days to recover from rhinoplasty well enough to resume your normal activities. Right after the surgery, you’ll experience swelling and bruising. You are likely to prefer staying at home for several days after the procedure or at least until the cast is removed.

To ensure a quick recovery, consider making a few preparations:

  • Stock up on medical supplies — ask your surgeon about the medication you may need after the surgery and buy it in advance. Fill all the necessary prescriptions.
  • Buy food and beverages — make sure you have enough water and healthy snacks to ensure proper nourishment and hydration after the surgery.
  • Arrange childcare and pet care — ask someone to help you with children and pets for at least 24 hours after the surgery.
  • Prepare practical clothing — consider buying loose or button-up shirts. Pulling clothing over your head can be uncomfortable.

Consider asking a friend or a family member to stay with you for 24 hours after the procedure or at least be on call in case you need something.

Important: You will need someone to drive you home after the surgery.

4. Adjust Your Diet

Any surgery is a stress for your body. In order to help it through the procedure and recovery, consider adjusting your diet. Try to exclude processed foods and increase fibrous food intake. This can help you avoid constipation that may accompany anesthetics and post-surgery medications.

Maintain a healthy diet all the way through the recovery process to help your body heal quickly. However, try to avoid any drastic changes in your diet and lifestyle before the surgery.

5. Arrange a Leave of Absence

The total rhinoplasty recovery period varies from patient to patient.

Consider taking at least 7-10 days off work to give yourself time to recover. If you are working remotely, you’ll still need several days to get back in shape.

If your job requires heavy lifting or other strenuous activities, consult your doctor about the recommended duration of your leave.

6. Do Blood Tests

Before the procedure, your doctor will need to run several tests to make sure you are ready for the surgery. The blood tests will show:

  • Hemoglobin levels
  • Blood clotting abilities
  • HCG levels (to reveal pregnancy for women)
  • And whatever else your doctor needs to check.

You can either do the bloodwork at the plastic surgery clinic or use a lab of your choice.

What NOT to do Before Rhinoplastyrecovery after rhinoplasty

Here are a few things you should NOT do before rhinoplasty.

  • Drink alcohol — at least a week before the surgery. Alcohol can alter the effect of anesthetic medicine. It can also interfere with proper blood clotting.
  • Smoke cigarettes — at least a week before the surgery and during the recovery period. Substances in cigarette smoke interfere with respiratory function and anesthesia drug metabolism.
  • Expose unprotected skin to UV rays — several days before the surgery and during the recovery period. Getting a sunburn before the surgery could increase the risk of inflammation and bleeding. It could also slow down the recovery process.
  • Complicated skincare regimen — at least four days before the surgery (the doctor will explain which topical creams, cleansers, and makeup to avoid)
  • Eating and drinking — after midnight on the day of the procedure to avoid vomiting in response to anesthesia.

Your surgeon will also give you a list of medicine you can’t take before the surgery. It will include anticoagulants (blood thinners), NSAIDs, and certain herbs and supplements.

Getting Ready for Your Rhinoplasty Procedure

Being fully prepared for rhinoplasty surgery can contribute to its success and shorten the recovery process. Don’t hesitate to ask your doctor multiple questions about the procedure. Being fully informed isn’t just important for proper preparations. It can help relieve anxiety before the surgery.

Would you like to learn more about getting ready for rhinoplasty? Please contact our office at any convenient time to set up a consultation.

Which Are The Best Facelift and Facial Rejuvenation Techniques in Westlake Village?

Growing older should not mean you have forever lost your youthful good looks. Rhytidectomy, also known as facial rejuvenation or popularly facelift, is an excellent way to reverse aging signs and look younger for longer. Thanks to the advancement of medical and cosmetic technologies, facelift techniques are more effective and safer than ever. Since people age at different rates and in different ways, the best facelift technique varies from person to person.

If you are looking for the best facial rejuvenation techniques in Westlake Village, you could narrow down your options to five:

  • Mini facelift
  • Liquid facelift
  • Botox
  • Chemical Peel
  • Laser

Here the basics of each of the top facelift techniques in Westlake Village, CA, to help you choose one that is perfect for you.

1. Mini Faceliftmarkings on face before facelift

Are you concerned about mild sagging skin and jowling on your face? Perhaps you are disheartened by the tired, gaunt, and wrinkled appearance that makes you appear older than you really are? If so, you may want to consider a mini facelift.

The mini facelift technique involves tightening the deep tissues underneath the facial skin by making small incisions at the hairline and behind the ear. The incisions will enable the doctor to remove and reposition excess tissues on the face and tighten the skin on the lower two-thirds of the face.

Mini-lifts are called ‘the minimally invasive facelift’ for a good reason: pain is minimal, recovery is quick and easy, bruising is mild. Sutures are removed within a week. The procedures may be performed with local anesthesia in the office without the need of being put to sleep.

Advantages of Mini Facelift

  • It is painless and less invasive than traditional facelift techniques.
  • It is highly effective in eliminating wrinkles, sagging, and double chins.
  • Short recovery time.

Disadvantages of Mini Facelift

  • Depending on your case, the results of a mini facelift may not be as dramatic as a full facelift.

2. Liquid Facelift

It is understandable if you wish to get rid of wrinkles, fill your cheeks, or reduce eyebags immediately without undergoing surgery. There is an innovative solution that promises exceptional results you should consider: dermal fillers.

The injectable dermal fillers used in this process are made from hyaluronic acid, hydroxyapatite, or lactic calcium. They are most popularly used to smoothen creases and folds on the skin, plump up lips, and fill hollow areas on the face.

Liquid facelift eliminates signs of aging and other imperfections on the face with incredible precision. The main reason it is one of the best facelift techniques in Westlake is that its results are long-lasting, and patients recover quickly.

Advantages of Liquid Facelift

  • It is a subtle process that delivers exquisite rejuvenation in a short time.
  • Ideal for rebalancing facial features. It does this by restoring the natural contours of the face.
  • Non-invasive, affordable, and low-risk compared to surgical techniques.

Disadvantages of Liquid Facelift

  • The liquid facelift requires numerous syringes of filler.
  • The results usually only last a year.
  • Some people may be allergic to some elements in the dermal fillers.

3. Botox

Botox needs no introduction because it is one of the most popular cosmetic facelift techniques in the world. It is a highly effective technique to reverse signs of aging on the face, specifically wrinkles and fine lines.

Botox restores a youthful appearance on the face by targeting the expression muscles on the face. More young people, especially celebrities as young as in their early 30s, use Botox as a preemptive solution to delay aging signs.

Since it has been around for decades, Botox has been tried, tested, and proven to be very effective. It rose to become a part of Hollywood pop culture because of its reliability.

Advantages of Botox

  • Botox is considered almost instantaneous because it works fast. Note, however, that this may vary from person to person.
  • Proper administration of Botox makes it safe with minimal health risks and side effects.
  • Botox is cheaper than most cosmetic procedures used today.

Disadvantages of Botox

  • The results may be temporary, lasting only between 3 and 6 months.
  • Botox may affect some facial expressions.

4. Chemical Peel

Chemical peel procedures are a cosmetic process that is often considered the best alternative to surgery in reversing aging signs. It is highly effective in improving skin appearance. It works by making the outer layer of the skin blister and eventually peels off, leaving room for a new skin layer to grow.

The new skin will be much smoother, with fewer wrinkles and blemishes than the old layer. The solution used in the peel exfoliates the outer skin surface, but it may also be customized to penetrate the deep layers and break the binding between tissues.

Advantages of Chemical Peels

  • It is the most natural facelift technique.
  • It works to eliminate uneven skin pigmentation and heal damages caused by exposure to the elements.
  • It can be customized to your requirements. Choose from light, medium, and deep chemical peels

Advantages of Chemical Peels

  • Chemical peels may not work on severe wrinkles.
  • The skin may become dry, itchy, and sore before the new layer is fully grown.

woman getting facelift5. Laser Resurfacing Facelift

Sagging skin, acne scarring, solar damage and imperfections on the face are common problems that can be treated with laser light. If you have any of these problems, whether caused by aging or exposure to sunlight, you can use laser resurfacing to get back a youthful and smooth face.

Fractionated laser skin resurfacing is a type of laser resurfacing that works by removing the outer layer of the skin using laser light. The process is highly precise and is often used to treat a range of skin conditions, including hyperpigmentation, melasma, and brown spots.

Advantages of Laser Resurfacing

  • It is not invasive. It evens out the skin tone, smoothens wrinkles, and treats imperfections using only light.
  • Laser resurfacing delivers dramatic and lasting results.
  • Fractionated laser resurfacing has minimal risks and side effects.

Disadvantages of Laser Resurfacing

  • Some aftercare required with ablative lasers
  • There is a downtime of one week after the procedure.

Conclusion

As you compare to find the best facelift techniques in Westlake, remember that the professionalism of the facelift or facial rejuvenation procedure determines the end result. Contact Dr. Hershcovitch today to get professional and personalized advice on the best ways to bring back the youthful, smooth face.

How Do I Decide Between an Open Rhinoplasty or a Closed Rhinoplasty?

Rhinoplasty is more than a nose job performed by a plastic surgeon to alter the appearance and function of the nose on a patient’s face. It can also repair deviated septums and other breathing complications emanating from such medical issues like cleft palates, broken noses, previous rhinoplasties or tumors. Aesthetic, revisionist, and medically necessary repairs to the nose are done through either an open or a closed rhinoplasty.

According to the American Society of Plastic Surgeons, there are around 220,000 rhinoplasties done every year for many different reasons. It is the most common facial plastic surgery procedure to correct breathing and to give faces a more balanced appearance.

What’s the key difference between the two procedures? A closed rhinoplasty helps eliminate external scarring while an open rhinoplasty allows surgeons more direct access through the columella.

Open rhinoplasty (external approach)face by dr h_rhinoplasty procedure

Surgery utilizing the open rhinoplasty or external approach uses three incisions, one vertically on the right nostril, one vertically on the left nostril and a four to five millimeter incision connecting the two across the columella. These incisions open up the nasal skin (hence the name). This skin can be folded up so that the lower nasal skeleton can be directly seen without disturbing the interior alignment of the nose. This improves surgical accuracy, especially when dealing with more complex issues like cleft lip and revisions due to complications from past rhinoplasty procedures. Open rhinoplasty is performed under general anesthesia.

Will an open rhinoplasty leave a scar?

It is possible to have a small scar after an open rhinoplasty. However most scarring is imperceptible.

Advantages of open rhinoplasty

The greatest advantage of open rhinoplasty is that the surgeon has a direct visual of the nasal structure and cartilage. This creates better control and precision. Other advantages include:

  • It’s easier to work on revisions due to former surgeries
  • Incisions are underneath the nose
  • Nasal tips are more easily refined
  • Cartilage grafts are more easily placed

Disadvantages include a longer swelling time, more bruising, uncomfortable packing in the nose, a possible external scar, and longer surgery times, often 2 to 3 hours.

Closed rhinoplasty (endonasal approach)

Endonasal simply means inside or through the nose. Closed rhinoplasty is more complicated as the surgeon has limited visibility and is working with narrow incisions. However, it is less invasive than the open approach. Your surgeon would work through your nostrils. The skin and cartilage in the nose is raised so that the surgeon can reshape or repair your nose. Closed rhinoplasty is performed under general anesthesia and usually takes about two hours.

Advantages of closed rhinoplasty

Although both open and closed rhinoplasties share much of the same incisions, there are some distinct advantages to endonasal rhinoplasty:

  • Reduced postoperative swelling and bruising
  • Less pain
  • No visible scarring since incisions are internal
  • Shorter operative time
  • Quicker recovery time
  • Quicker return to normal appearance

There are cases where a surgeon may need to incorporate both the open and closed approaches to surgery. Septorhinoplasty, the repair of a deviated septum combined with cosmetic rhinoplasty is one such condition. The septum is the bone and cartilage that separates your right and left nostrils. Once the surgeon restores the septum to its proper functionality, the cosmetic procedure refines the nose shape, size and projection (how much a nose protrudes from a face.)

Frequently asked questions

During the consultation with your surgeon is the best time to ask specific questions regarding your surgeon’s approach regarding open and closed rhinoplasty. No matter what you are wanting to accomplish with your rhinoplasty, it all starts with the consultation. This meeting gives you the opportunity to discuss what you want resolved regarding your nose as well as your expectations regarding recovery and end results. During the consultation, your surgeon gather your medical history, take photos and perform a nose exam while speaking in-depth to you about your procedure.face by dr h_rhinoplasty

Professional questions you should ask your surgeon during the consultation include:

  • Are you certified by the American Board of Plastic Surgery and are you a member of the American Society of Plastic Surgeons?
  • Are you specifically trained as a plastic surgeon and how many years have you been one?
  • Are you more comfortable with open or closed rhinoplasty? Why?
  • Do you have hospital privileges? Get names.
  • Will the surgery be done within the office facility and how is it accredited to do so?

Questions you should ask regarding yourself:

  • What makes me a good candidate for an open procedure vs. a closed procedure (or visa-versa)?
  • What medications must be stopped before surgery and for how long?
  • How often will we meet before surgery and what will be accomplished during those meetings?
  • What do you expect of me prior to my surgery?
  • What kinds of risks and complications are there for an open rhinoplasty vs. a closed one?
  • If my surgery is in this office facility and I need to be transported to a hospital, do I have a choice of hospitals?
  • What kind of complications could there be regarding both the open and closed types of procedures?
  • What kind of recovery time follows immediately after the surgery and at home?
  • How long does a rhinoplasty take to heal completely? A few weeks, a few months, a year?
  • Will you be taking before and after photos?
  • Will you be using my photos for your web site or for marketing purposes?

These are a few of the questions you should ask your surgeon during the consult and any subsequent meetings before the day of your surgery. Jot down anything that you don’t understand so you can ask for clarification. It is also helpful to take someone with you to your consult so that two people are hearing the questions and answers.

All open and closed rhinoplasty procedures have their pros and cons. Deciding on plastic surgery can be a complex process since rhinoplasty is not simply for aesthetics, but also to fix functional issues regarding the nose. To learn more about your unique surgery needs, contact our office to set up a consultation.

How Long Will a Mini Facelift Last?

Choosing to get a mini facelift over a full facelift is a decision that many patients consider. Because a mini facelift is less invasive than a full facelift, it can be an ideal choice for someone who wants to take that next step in a more naturally youthful appearance. There are some differences between a mini facelift and a full facelift that you should consider before scheduling this procedure. You may find that the mini facelift is more along the lines of what you need when it comes to your appearance goals and lifestyle.

mini facelift resultsHow long will a mini facelift last when compared to a full facelift?

The results you receive from a mini facelift compared to a full facelift only vary when it lasts. Because both procedures alter tissue and skin on your face, both offer long-term results. In most cases, a mini facelift will last around ten years easily before another lift is needed. A full facelift can last approximately double that at twenty years. Many patients find that the results last even longer with a few more years for both the mini facelift and full facelift.

Areas that were not tightened in the mini facelift are still subjected to normal aging and continue to lose elasticity over time faster than the place that was lifted. This is why the mini facelift does not last as long as the full facelift, where all the tissues and skin have been tightened.

Is a mini facelift painful?

Whenever you have a mini or full facelift, there is some pain and discomfort that follows the procedure. With the mini facelift, there is less pain because only certain parts of the face were tightened. This pain is much less significant than those who undergo a full facelift experience.

There may also be a bit of light bruising and swelling immediately after the procedure has concluded. Still, those with the mini facelift can resume normal activities just a few days after having the surgery. This mild pain and ability to bounce back quicker than a full facelift is one of the attractive features of this procedure over the alternative. Most patients only need over-the-counter medication for pain relief a couple of days after the surgery.

What can I expect after a mini facelift?

Since the swelling and bruising of the mini facelift is minimal compared to other procedures, just a few days of recovery are required. You can be back to work and resume normal activities within a matter of days.

The bruising will lighten up and barely be seen in just a few days. It can easily be covered with a foundation for a day or two if necessary. The swelling will also leave your face in 3-5 days after the surgery, not indicate that you have just undergone a procedure.

You can also expect to start seeing results right away once the swelling is gone and the smooth, tightened skin. Your neck will be smoother and leaner due to the removal of fat during the procedure.

What is the best age for a mini-facelift?

Because the mini facelift only targets the lower portion of the face, the best age to get the mini facelift and get the best results is someone in their 40s to 60s. This is because the top portion of the face is still relatively tight and smooth. The bottom part of the face is where most of the work is a need.

Also, as the top portion of the face starts to age with the results of the mini facelift, the natural appearance of your face will age gracefully and evenly over the next 5 to 7 years. Maintaining a youthful and natural appearance is the goal of the mini facelift. With a minimal loss of elasticity, this is the right option and the right age to consider this procedure.

Does a mini facelift tighten the neck?mini facelift results

While the mini facelift is focused directly on the lower portion of the face and jawline, there is a direct focus on the upper neck tightening that happens during this procedure. While a full facelift has a more dramatic effect on the neck and tightening the skin, there are still significant benefits with the mini version. The upper part of the neck has to be drawn to complete the process of the mini facelift.

The fat found just beneath the chin can be removed with the mini facelift and reduce the ‘turkey neck’ appearance that many patients are trying to reduce. It will be natural looking and have the same appearance as someone who has recently lost weight, including in their chin and neck areas.

How long do you wear a chin strap after a facelift?

When you have a facelift, either a full facelift or a mini facelift, you must wear a chin strap for up to two weeks following the surgery.  By wearing the chinstrap, you reduce the amount of swelling in your face and help boost healing from your facelift. Because these tissues and skin have been tightened, they need assistance with gravity during the healing process. This is where the chinstrap comes in and holds the tightened skin together so that it can heal with that level of elasticity.

Once you move into the third and fourth weeks post-surgery, you can reduce the amount of time you are wearing your chin strap. You will only need to wear it while you are sleeping at night and while you are in the privacy of your home. This allows your face to manage gravity on its own since the tissues have healed and stretched.

Are you ready to schedule your appointment?

If you believe that a mini facelift is right for you, or you want to get more information from a team of experts, give us a call at the office of Dr. Matt Hershcovitch to schedule a consultation. Our conveniently located West Hills office can be reached at 818-960-7824. We look forward to consulting with you soon!

How to Know When You Should Get a Facelift Revision

The outcome of getting a facelift should be exciting and rejuvenating, but from time to time the results aren’t what you expected. Sometimes an undesired outcome is the result of having a doctor who didn’t specialize in facial plastics, or one who doesn’t utilize the latest techniques. Fortunately, a facelift revision is possible to correct the unsatisfactory or unaesthetic outcomes from surgery, if you choose a surgeon who has the proper expertise.

Signs You May Benefit From a Facelift Revision

People may experience problems shortly after a facelift or begin to notice issues years later. Some of the most common signs that you may want to get a facelift revision include:

Noticeable Scarring

Sometimes, it isn’t immediately apparent if unattractive scarring from a facelift will be permanent. But if your facial swelling subsides and you see scarring that is prominent, it may be because too much tension has been placed on the incisions from tightening the surface of the skin.

Deterioration of Initial Results

Some people who are initially wowed with their results sometimes find their stunning benefits from a facelift deteriorate quickly and facial sagging returns. Some settling after your facelift is normal, but the return of excessive sagging soon after a facelift shouldn’t be expected.

Cobra Neck Deformity

A noticeable indentation in the middle of your neck, with sagging or jowly skin hanging on either side of the center of the neck may be a sign that corrective surgery is warranted. This development is known as cobra neck, which is a deformity that can be caused from a facelift when too much fat is removed from the neck, or because of inadequate lifting in the procedure.

Under Eye Sagging

Female eyes with bruises under eyes before and after treatment.

If you begin to notice prominent sagging in a crescent shape along the cheekbone under the eye, it may be a sign your facelift is not aging well or that a surgeon didn’t adequately tighten muscles under the eyes. This is known as the malar crescent and can be corrected with a facelift revision.

Sunken or Hollow Eyes

Noticing sunken or hollowness with drooping skin and prominent bony structures surrounding the eye may be the result of the removal of too much fat padding around the eyes or from skin becoming thin and inelastic over time.

Lateral Sweep

If you see parallel lines that look stretched or taut along the cheeks to the ear, these may be created by improper tension created by a facelift. A lateral sweep is when the skin essentially pleats as it descends without appropriate support.

Pointed Ear Lobes

Ear lobes that appear unnaturally pointy can occur after skin-only lifts when the skin has been stretched too tightly, creating too much tension and leading to this “pixie ear” deformity.

When You Should Get a Facelift Revision

When a facelift has been done well, you may be able to see the revitalizing benefits for more than a decade. But if you have any of the above signs or unaesthetic results following a facelift, it’s worth getting a consultation to correct issues that you want to resolve. Dr. Matt Hershcovitch is double board-certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology and is commended in the greater Los Angeles area for his expertise in facelift revision.

No matter the reason why a facelift revision is desired, it’s important to get a revision at the right time. You shouldn’t have a revision within six months of the original facelift, and it is sometimes recommended to wait at least a year. This gives your body an opportunity to heal properly and to ensure that the face has settled so that the surgeon can better see the issues that need to be addressed.

If you’ve had a facelift in the past and were happy with results initially, but after five to 10 years, you begin to see sagging that you’d like to correct, you may consider a secondary facelift, which can offer another rejuvenating boost.

How a Facelift Revision is Performed

senior woman and hands with cosmetic marker

Oftentimes, what leads to the need for a facelift revision is the use of the wrong kind of procedure or technique in the first place. Not every technique can offer the same benefits for each patient. It’s important to choose a surgeon like Dr. Hershcovitch who is dedicated to a nuanced and detailed approach so that you get the procedure that’s right for you. This attention to detail is especially important with revision surgeries as a prior facelift can make the skin and muscle structures more delicate.

Sometimes more dissection is needed in a revision but every facelift revision will be approached differently, based on the issues that need to be addressed as well as how long it has been since the original surgery. When performing surgery to provide better tightening of the skin, Dr. Hershcovitch drapes and tightens the tissue carefully to prevent inappropriate tension and visible scarring from new incisions. All of our revisions surgeries are performed in a high-end cosmetic surgery center.

Contact us for a Facelift Revision Consultation.

Our goal with facelift revision is to help patients reach the natural-looking and harmonious outcome that they expected from their first surgery. Dr. Hershcovtich has special expertise in facelift revision. He has written chapters in medical textbooks on the topic and has had his studies featured in highly respected scientific journals. His extensive experience in a spectrum of plastic surgery techniques means that he can address a variety of cosmetic issues requiring facelift revision using the specific approach that will be best for each patient.

If you’re ready for a facelift revision consultation, contact our office in the West Hills or Westlake Village areas.

West Hills: 818-639-7157 | Westlake: 805-953-7637

10 Questions to Ask Yourself Before Getting Rhinoplasty

People consider rhinoplasty for a number of reasons—sometimes it’s for a desired aesthetic change, sometimes it’s for structural repair from injury, and sometimes it’s for revision from another surgery. Whatever the reason, rhinoplasty is a complex plastic surgery and you should ask yourself the below 10 questions to help determine if you’re ready.

1—Do I Know What I Want?

Part of our process is to help you create a personalized facial profile to make informed decisions about what you want and what can be achieved with rhinoplasty. Dr. Matt Hershcovitch is a double board-certified plastic surgeon with extensive training and knowledge of facial aesthetics and nasal anatomy and will provide you with expert guidance–but you also shouldn’t be a completely blank slate. You should come to your first consultation with some ideas of what you do and don’t want, including bringing reference photos. This helps to have a starting point for the doctor to understand what aesthetics are important to you and he can make recommendations to guide you through all the considerations in order to select a final goal.

2—Are My Expectations Realistic?

If you’re considering rhinoplasty because you want to bring your nose into proportion with the rest of your features, it’s important to talk through your desired outcome with your surgeon to ensure your expectations are understood—and that they’re realistic.rhinoplastty before and after

Your “dream” nose may not actually be the best option for your individual face. It’s important to ask yourself if an aesthetic that you admire is actually one that fits in with your own features. There is no such thing as a nose that will look good on everyone. It’s important to take the time to scrutinize your different options and to choose the most pleasing shape for your face. Dr. Hershcovitch works with each patient to find the balance and harmony for a natural-looking, nuanced outcome that will fit their unique facial features.

3—Am I Ready For Permanent Change?

Make sure that you’ve given the decision enough thought—your nose is such a key part of the architecture of your face that reshaping it can change the entire balance and harmony of your features. This is often the goal of rhinoplasty and most people are very happy with new, more balanced features! But, as with any cosmetic surgery, make sure this is a decision that you’re doing for yourself after some appropriate reflection and without pressure from others.

4—Is This the Right Time to Get Rhinoplasty?

After surgery, you may experience some bleeding and drainage for a few days, and you’ll have specific post surgical instructions on how to reduce risks and promote better healing. This includes not using glasses on your nose for at least four weeks, as well as using extra sun protection and avoiding extreme facial expressions, strenuous activities, and exercise for several weeks. Talk to your surgeon about special activities, vacations, and your daily lifestyle to make sure you schedule your surgery at a good time to allow for proper recovery, healing, and the best results.

5—Am I Healthy Enough For Surgery?

We’ll go over your past medical history with you and assess your current health to make sure you are healthy enough to have surgery. It’s important to be honest with your care team about your medical history and medication use, among other considerations, in order to make sure an evaluation is accurate. There are risks with any surgery, so it’s also important to follow all your surgeon’s instructions to prepare for surgery and to take care of yourself after surgery.

6—Does My Surgeon Understand Both Form and Function?

If your planned procedure is primarily to address aesthetics, it’s still important to have a surgeon with an understanding of the complex anatomy of the nose, in order to minimize the risk of surgery causing or worsening breathing problems. Likewise, if your rhinoplasty is to address a deformity or structural problem from a traumatic injury or other cause, you’ll still want a surgeon skilled at cosmetic shaping since the nose is a defining feature of your appearance. Dr. Hershcovitch is an expert in both ENT (ear, nose, and throat) surgery and facial plastic surgery. As a double board-certified surgeon, Dr. Hershcovitch has extensive experience with facial surgical procedures, as well as the artistry to create natural-looking results.

7—Do I need Functional Rhinoplasty?

Skill with form and function are important for any rhinoplasty, but become especially important for those undergoing functional rhinoplasty. This type of procedure repairs a breathing problem while addressing cosmetic issues.

Cosmetic rhinoplasty can be combined with septoplasty, turbinate reduction, polyp removal, as well as nasal valve and nasal fracture repair. If you’re considering a cosmetic rhinoplasty and also have symptoms of nasal breathing obstruction—such as snoring, chronic sinus infections, nose bleeds, or pressure headaches—talk to Dr. Hershcovitch to see if you may benefit from a functional rhinoplasty. If structural problems in the nose need to be corrected for breathing problems, insurance may cover a large portion of a functional rhinoplasty.

surgeon preparing for rhinoplasty8—Do I know My Surgeon’s Track Record?

It’s your face—don’t take a risk. When looking for a surgeon, make sure to ask a lot of questions, including how many surgeries your doctor has performed and request to see before and after pictures of previous patients. Any reputable surgeon should be able to share this information with you to put your mind at ease. We’re happy to share more about Dr. Hershcovitch’s experience, technical ability, and patient testimonials so that you feel comfortable with your rhinoplasty surgeon choice. Feel free to check out our before and after rhinoplasty gallery.

9—Am I Open to the Best Surgical Approach for my Desired Results?

There are two different methods used for rhinoplasty: open and closed. In an open approach, the surgical incision is made in the columella (the tiny strip of skin on the bottom of the nose that divides the nostrils). In closed surgery, all incisions are made inside the nostrils, an approach that can mean less swelling, a quicker recovery, and no visible scarring.

Some patients are afraid that an open technique will lead to unwanted scarring, however open surgery is appropriate and the preferred method to achieve some kinds of reshaping results. Additionally, the incision used in an open technique is incredibly tiny and the scar from open surgery is only visible if someone is looking directly up the patient’s nose. It’s important to ask yourself if you’re open to the best technique depending on your nasal anatomy and aesthetic goals.

10—Does My Surgeon Have Experience With Nose Reshaping for Patients of My Ethnicity?

Each person’s face is unique and there are different standards of beauty across different backgrounds. It’s important to consider the experience of your surgeon in the context of your own ethnic background to ensure a nuanced, natural-looking, and aesthetically pleasing result. Dr. Hershcovitch has extensive experience with rhinoplasty for people of many different ethnic backgrounds and strives to make sure each patient’s goals are addressed appropriately.

Contact us today to learn more about rhinoplasty with Dr. Hershcovitch.

Rejuvenating Facelift and Mini Facelift in Los Angeles

A facelift is a very popular cosmetic surgery to reduce the visible effects of aging and offer a more youthful appearance to the face. An expert facelift procedure can tighten and lift sagging skin, improve the appearance of wrinkles, restore fullness to the cheeks, and help contour features. A comprehensive rejuvenation may also include a brow lift and a neck lift. There is no “one size fits all” approach—which is why the expertise of your facelift surgeon is so important.

Dr. Matt Hershcovitch is a double board-certified facial plastic surgeon, a preferred specialist trusted by so many facelift patients in the Los Angeles and Beverly Hills areas. His technique is personalized for each patient to help restore youth and natural beauty. Dr. Hershcovitch is praised for his nuanced and specialized approach that helps patients achieve balanced, natural-looking, and refreshed results.

Types of Facelift Procedures

Mini Facelift mini facelift los angeles

The mini facelift is a very popular alternative to a full traditional facelift. Dr. Hershcovitch specializes in this less invasive facial rejuvenation technique which has a much shorter recovery than a traditional facelift, while offering very pleasing results.

In a mini facelift, small incisions are made near the hairline, lifting jowls, sagging skin on the neck, and gaunt cheeks. This type of facelift targets the effects of aging in the lower part of the face, primarily focused in the jawline and the neck. By precision targeting these areas, which are often telltale markers of aging, Dr. Hershcovitch can offer a very powerful effect restoring youth to the face.

There are many benefits of a mini facelift that make it such a popular option:

Local anesthetic: Because a mini facelift has smaller incisions than a full facelift, this cosmetic procedure can be done in the office with only a local anesthetic. For some people, general anesthesia, or medically being put into an unconscious state, can seem very scary or may cause unpleasant side effects. Some people prefer the convenience of local anesthesia, which leads to a shorter recovery time and allows for self transportation from the surgeon’s office after the procedure.

Quicker recovery: A quicker recovery is often possible with a mini facelift because it uses a less invasive surgical technique. A mini facelift only addresses what’s known as the superficial musculoaponeurotic system (SMAS), the layer of tissue directly beneath the skin that spans from the collarbone to the forehead.

This procedure lifts the deeper structures of the face to create a natural-looking, rejuvenating lift without requiring an invasive deep plane facelift, which targets tissue below the SMAS, making recovery quicker and more comfortable. Patients can expect to have less bruising, swelling, and tenderness after a mini facelift.

Less Potential Scarring: With any surgery, many patients have concerns about the potential for visible scarring. A mini facelift takes a much less aggressive approach to facial rejuvenation when compared to a full facelift.

The incisions made in a mini facelift are typically shorter and placed along the hairline and the curves of the ears so they are hidden within the natural contours of the face. With proper aftercare, most patients find that their scars from a mini facelift are essentially imperceptible.

Powerful Results: “Less invasive” doesn’t mean that you won’t get that “wow” factor from your surgery. A mini facelift can beautifully restore what age and other factors have altered. If you have mild to moderate facial aging, then a mini facelift might be just what you need to achieve a naturally refreshed appearance.

Who is the mini facelift right for?

The mini facelift may be right for those who have reduced definition in the jawline, with most sagging and wrinkles focused in the lower part of the face and neck. It may also be right for those who want to avoid larger incisions or general anesthesia required for a traditional facelift.

People who may be interested in non-surgical anti-aging options might want to consider derma fillers or a “liquid facelift”.

For those with more advanced signs of aging—like severe sagging and jowling—a traditional facelift might offer better results.

Traditional Facelift

The natural aging process can affect the face in complex ways—it’s more than just loose, sagging skin that has lost elasticity. Tissues, fat pads, muscle tone, and the plumpness of the skin all change over time. Many anti-aging attempts are ineffective and some facelift surgeries end in undesired, unnatural looking results because of a lack of understanding for the various aging factors that affect facial appearance.

Dr. Hershcovitch has completed years of training and has an exclusive focus on facial aesthetics. His patients can boast the most natural-looking results possible that can last more than a decade because he takes a personalized and comprehensive approach for every surgery.

Personalized approach

Merely tightening the face can lead to unnatural-looking results, which is why Dr. Hershcovitch focuses on addressing the deeper tissues where aging is happening. Dr. Hershcovitch knows that not every patient needs to address every facial area and his meticulous approach for each patient strives to address personal concerns and root causes.

SMAS and deep plane techniques

The SMAS facelift technique manipulates the SMAS, a layer of connective tissue and muscle under the skin, to produce natural-looking lift and fullness on the face. A deep plane lift dives even deeper, releasing the deeper tissues from the musculature and reattaching them at a higher position. Dr. Hershcovitch will also re-drape the tissues in a way that reduces incision tension—one of the biggest reasons why noticeable scars develop. Dr. Hershcovitch also aims to decrease the length of incisions and allow for a reasonably fast recovery time.

Aging and the neck

One of the most apparent signs of aging is often the neck, yet many plastic surgeons don’t address it properly in a facelift. For the best quality results, most of Dr. Hershcovitch’s facial procedures include a neck lift that addresses the upper neck, central neck, and lower neck.

facelift recovery headwrapRecovery and follow-up

Your facelift will be performed in a high-end surgical center designed especially for cosmetic procedures, and you’ll be released on the same day as your surgery. You will be given a bandage and a headwrap to wear for 24-48 hours, and you will return to our medical offices to have sutures removed around 10 days after surgery.

Depending on the surgery, recovery might take around 1-2 weeks. Patients will experience some swelling, bruising, numbness, and tightness after their treatment, which should be gone in about a month.

Dr. Hershcovitch takes great care to monitor his patients after surgery, providing detailed recovery instructions for each individual. You will also follow a regular schedule of in-office visits so that Dr. Hershcovitch can monitor your progress in person.

When to Get a Facelift

Each person shows signs of aging differently and there is no right age for a facelift. You may be a candidate for a facelift if your face is showing signs of the natural aging process—such as loose or excess skin, gaunt cheeks, jowls, “marionette” lines, and sagging skin in the face or neck—that are impacting your confidence and give you an appearance of being older than you feel!

There is no qualifying age, but patients should be in good health for surgery, emotionally mature, and able to understand the realistic expectations and benefits that can be achieved through a facelift.

Dr. Hershcovitch: Premier Los Angeles Facelift Surgeon

The most important decision you can make about your facelift is choosing a surgeon. Even though facelift procedures are extremely popular, it doesn’t mean they are simple. Facial plastic surgery tends to be one of the most sophisticated and delicate plastic surgery procedures available.

Dr. Matt Hershcovitch is a renowned, double board-certified plastic surgeon with residency training in head and neck surgery and fellowship training in facial plastic and reconstructive surgery. Dr. Hershcovitch’s expertise has given him an incredible understanding of the facial anatomy and facial aesthetics. His proficiency means that Dr. Hershcovitch is able to achieve gorgeously natural and balanced facelift results that have made him a preferred choice in the Los Angeles area.

If you’re considering a facial rejuvenation procedure, contact us to set up a personal consultation.

Deviated Septum Rhinoplasty

All you want to do is take a deep breath, but it’s really hard to because one side of your nose isn’t able to take in enough air. For as long as you can remember, you’ve always had issues with one side of your nose. It seems like you’re always dealing with nasal congestion and many people have even asked if you’re sick. Unfortunately, you’re not suffering from a cold that will go away. You have a deviated septum that doesn’t go away as easily as a virus. 

Frequently Asked Questions

We receive many questions pertaining to our deviated septum rhinoplasty procedure. Review the questions and answers below, and if you have any other questions, feel free to reach out to us by calling our office in West Hills at 818-888-7878 or in Westlake at 805-371-0004. 

What Is a Deviated Septum? Does It Cause a Septal Spur?

deviated septumEveryone has a nasal septum, which is a thin wall in the middle of nasal passages. People with a deviated septum have that thin wall off-center. In other words, it’s deviated to one side. This causes one side of the nasal passage to be smaller than the other one. 

In some cases, the nasal passage can deviate so much that it blocks one side of the nose. This reduces or blocks airflow making it difficult to breathe. The other issue is the side that is larger has more exposure to the air, which causes it to become dry. This can lead to cracks and bleeding. 

A septal spur is a common occurrence for people with a deviated septum. This is a headache that comes from pressure from swelling inside of the nose. Most sufferers are able to find relief by applying a topical anesthetic where the pressure is felt the most. 

Nasal congestion or nasal blockage are consequences of a deviated septum. Most people who suffer from this condition take medication to reduce the swelling of the tissues inside the nose. This can help open up the small side of the nasal cavity. Unfortunately, this is the only way to manage the effects of a deviated septum unless you have the septum repaired with surgery. 

How Does Someone Get a Deviated Septum?

People are either born with a deviated septum or they suffer from an injury that causes it. Some people will suffer an injury during childbirth and think they were just born with it. If people have someone in their family that has a deviated septum, there’s a better chance it was inherited versus from an injury during childbirth. 

Injuries to the nose that can lead to a deviated septum are often traumatic blows to the face. This is common in contact sports, such as football and wrestling. Car accidents are another reason people end up with a deviated septum.

Age-related changes in the nose can lead to a deviated septum or the worsening of the deviation. Some people may not have noticed any issues early in life but as it worsened with age, they started exhibiting symptoms. 

How Can Rhinoplasty Help with a Deviated Septum?

A septoplasty must be performed to correct a deviated septum. This procedure takes up to 90 minutes. During the procedure, the surgeon will reposition, trim, and straighten the cartilage and bone that make up the septum. 

Many people who have a septoplasty request a rhinoplasty in conjunction with it or vice versa. Since the patient is already under anesthesia and the surgeon is performing work on the nose, it makes sense to work on the inner and outer makeup of the nose to enhance its appearance.

What many people are not aware of is that there is a term for having a septoplasty and rhinoplasty – septorhinoplasty. This is what you can request when interested in having both procedures performed at the same time. 

How Does a Deviated Septum Cause Fatigue or Bruising Under the Eyes? 

Due to the effects of having a deviated septum, such as nasal congestion, many people do not sleep well at night. They often wake up to blow their nose or even take a breath because they can’t take in enough air through their nose. This can cause daytime fatigue and undereye circles that can seem like bruising under the eyes. 

Does a Deviated Septum Cause Poor Sleep or Sleep Apnea in the Future?

A deviated septum can block one side of the nose, which can make breathing through that side difficult. Some people have such a difficult time breathing that they suffer from sleep apnea. This condition causes a person to stop breathing for seconds throughout the night, causing them to wake up suddenly. 

Even without suffering from the inability to breathe, people with a deviated septum may sleep poorly because they can’t stay asleep due to the congestion. It’s like sleeping with a cold that never goes away. 

Does a Deviated Septum Cause Anxiety?

A deviated septum doesn’t directly cause anxiety. Since it’s difficult to sleep at night and dealing with recurrent sinus infection and congestions can be frustrating, many people have anxiety from it. Anxiety is essentially a byproduct of the symptoms people experience who have deviated septums. 

What Health Problems Are Associated with Having a Deviated Septum?

Recurring sinus infections or sinusitis is the most common health problem. This is when the sinuses inflame because of excess mucus in the sinus cavity. Symptoms of sinusitis include:

  • Discolored Mucus
  • Post-Nasal Drip
  • Headaches
  • Earaches
  • Facial Pain

People who suffer from the above symptoms for over 12 weeks have chronic sinusitis. 

Health problems can also result indirectly from having a deviated septum. For instance, those who have sleep apnea because of their deviated septum are at increased risk of high blood pressure, heart disease, and stroke.

Does Someone Have to Worry About Sneezing After Rhinoplasty?

You should not blow your nose for two weeks after a rhinoplasty. However, sneezing is something our bodies do naturally, so it’s nearly impossible to stop it. Sneezing with your mouth wide open will minimize any disruption to the nose. 

How Long Does It Take to Recover from a Deviated Septum Rhinoplasty?

It takes several weeks for someone to heel completely after a deviated septum rhinoplasty. Depending on what is exactly done during the procedure, it could be six months before the swelling is gone and final results can be seen. 

Most people can return to school or work a few days after the surgery. It can take up to three weeks to return to normal activities, such as exercising.

How Do You Prepare for a Nose Job?

An experienced plastic surgeon, like Dr. Matt Hershcovitch, M.D. will provide information on how to prepare for your nose job specific to your needs. However, the general guidelines are:

  • Have blood drawn for testing to see if you are fit for surgery
  • Continue or adjust medications depending on their interactions with the surgery
  • Discontinue smoking
  • Avoid anti-inflammatory medications and herbal supplements

How Long Does a Nose Job Last?

The procedure time depends on what is being performed, but it usually takes 1.5 to 3 hours. Many times, it takes longer for people who are having a deviated septum repaired. 

How Do You Take Care of a Nose After Rhinoplasty Is Done?

You will receive a discharge form with information on what to do and what not to do after your surgery. General recommendations are:

  • Have an adult with you for at least the first 24 hours. 
  • Elevate your head for the first week after surgery. 
  • Take prescribed pain medications to relieve discomfort. 
  • Restrict all activities until further notice.
  • Change dressings as needed. 
  • Rest as much as possible, and reach out to the doctor with any questions or concerns. 

Contact Dr. Matt Hershcovitch M.D. for Deviated Septum Rhinoplasty

If you’re looking for a plastic surgeon who can perform a deviated septum rhinoplasty in West Hills or Westlake, contact Dr. Matt Hershcovitch at 818-888-7878 or 805-371-0004. We would love to help you repair your deviated septum and improve the look of your nose, so you breathe better and feel more confident.

How to Handle a Broken Nose Before You Can Get to the Doctor

One of the more common injuries that people suffer is a broken nose. There are varying degrees of a nose break depending on the level of trauma, but all nose injuries should be taken seriously. The symptoms that indicate a fracture or severe breakage are apparent and include:

  • Tenderness or pain to touch
  • Swelling of the nose and its adjacent areas
  • Nosebleeds
  • Bruising around your nose or under your eyes
  • Misshapen or crooked nose
  • Difficulty breathing through the nose
  • Mucus discharge through the nose
  • Blocked nasal passages

If you feel that you have a broken nose, you should seek medical attention immediately. In the meantime, here are some helpful hints of first aid to administer before you can see a doctor.

Properly Clean any Exterior Wounds

If there is broken skin on the nose surface after trauma, you should first apply pressure with clean hands to stop the bleeding. Use sterile gauze or a clean cloth and gently press until the bleeding stops. When the bleeding stops, wash gently with water, peroxide, and iodine products. If there is any debris in the wound, use tweezers to remove. Next, apply an antibiotic cream then place another gauze to cover the wound. Bind this bandage with tape to apply continuous pressure.

Elevate Your Head

Keep your head above your heart to reduce swelling and bruising. This practice will allow excess fluids to drain downward rather than to collect around the injury. If the patient needs to relax or sleep, situate pillows under the neck and head to ensure the head stays elevated.

Tilt Head Back for Nosebleeds

If bleeding persists after a nose injury, you should tilt your head back. You may also want to gently pinch the nose at the soft nose tissue for about ten minutes. The pressure will help stop the blood flow and keep the nasal passages clear.

Apply Cold Compresses

Prepare an ice pack or cold compress to apply to the nose and reduce swelling. Keep the compress on the nose for about twenty minutes, then remove it. Repeat in twenty-minute intervals. This will encourage the blood vessels to constrict and stop the bleeding. It will also numb the nose area and relieve pain.

Take Over-the-Counter Medication

If you are dealing with discomfort, non-prescription pain meds like ibuprofen or aspirin will help make the pain more tolerable. However, if the break is severe or you are bleeding, you should ask the advice of a medical professional if possible. Taking these meds may prevent the patient from being able to take stronger medication when seen by a doctor.

Get to a Doctor or Emergency Room Immediately

Although many nose injuries will heal without medical attention, it’s crucial to let a doctor see if the trauma will require more than basic first aid. If you have a family doctor, consult with them, or go to the nearest urgent care or emergency room.

If You Need Surgical Correction

If the injury is severe enough, nose surgery may be necessary. If so, you should seek the expertise of a board-certified facial plastic surgeon. Dr. Matt Hershcovitch has extensive experience and training in rhinoplasty surgery to deliver cosmetic and functional correction after nose trauma.

Next Steps

If you’ve recently broken a nose, then you could use a consultation with a Board-Certified Plastic Surgeon like Dr. Hershcovitch. Contact Dr. Hershovitch today for your consultation.

3 Reasons Only a Facial Plastic Surgeon Should Perform Your Rhinoplasty

Although any licensed surgeon can legally perform rhinoplasty, few specialize in it. This information should be of interest to those who are considering nose surgery either for cosmetic or functional concerns. The reason is that multiple plates of cartilage and bone must be manipulated during the procedure. Even general training in plastic surgery does not always allow a surgeon to refine the knowledge of facial and nasal anatomy necessary to deliver the best results from nose surgery. A lack of expertise in manipulating these delicate structures may lead to an overcorrection, which includes a scooped-out appearance along the bridge, making the tip look pinched. Here are three reasons why you should seek the services of a board-certified facial plastic surgeon for a rhinoplasty.

1. Facial Plastic Surgeons are Trained in Rhinoplasty

Although plastic surgeons are trained in aesthetic improvements and reconstructive protocols for the entire body, a facial plastic surgeon takes a more focused approach. These specialists are rare because they concentrate their practice on otolaryngology (head and neck surgery). Double board-certified plastic surgeon, Dr. Matt Hershcovitch, is dedicated to this complex surgical field. He is an expert in facial plastics, meaning he has a full understanding of nasal and facial anatomy and aesthetics. 

He has the advanced skill to deliver outcomes that are natural and symmetric. His artistic talent and detailed training have put him at the forefront of rhinoplasty for patients in the Westgate and West Hills communities.

2. Facial Plastic Surgeons are Experienced in Rhinoplasty

Board-certified facial plastic surgeons have considerable experience in rhinoplasty. They perform nose surgery on a weekly, if not daily basis, unlike surgeons who have a more comprehensive practice. Also, they have experience in the variety of nasal shapes and sizes that change through genetic and cultural heritages. Dr. Hershcovitch’ s breadth of experience allows him to adapt his techniques to recontour any nose, regardless of its tissue composition or contour.

3. Facial Plastic Surgeons Deliver the Best Rhinoplasty Results

When you seek a board-certified facial plastic surgeon, you are more likely to get the results that will improve your quality of life. Dr. Hershcovitch offers desired rhinoplasty outcomes without the need for revision. He also can adjust rhinoplasty results that are not flattering or have left the patient with functional issues. Dr. Hershcovitch is a highly sought-after rhinoplasty surgeon who has the skill and experience to deliver the nose you want.

Learn More

If you are considering nose surgery for functional or cosmetic issues, double-board certified facial plastic surgeon, Dr. Hershcovtich can help. Contact him today for a consultation. 

Call West Hills: 818-888-7878, Westlake: 805-371-0004 or contact to schedule a consultation

Tips to Manage Swelling after Rhinoplasty

You’ve had your nose resized and reshaped so that it’s more in balance with the rest of your face. Now comes the recovery period, during which it can take up to three months for the majority of the swelling to subside and up to a full year for your nose to settle into its final shape.

It’s critical to follow your doctor’s post-operation instructions and have patience with the healing process. Your surgeon probably offered computer imaging during your initial consultation to help you imagine what you might look like after the procedure. Many patients have concerns during the healing process because it’s difficult to assess what they’ll look like when their nose has fully healed. Rest assured that the way your nose looks at one week post-surgery isn’t the way it will look when it has finished healing.

Recovery Immediately After the Procedure

Your immediate concerns will be swelling and discoloration. You should plan to take at least 10 days off work so you can rest and recover. The best thing to do is to keep your head elevated above your heart as much as possible, including while sleeping. At this point, don’t even think about participating in any kind of activity yet because that will worsen the swelling.

You can gently massage the swollen area to help the fluid dissipate, and apply ice as directed by your surgeon. We cannot stress enough the need for patience. To help with this, you can take a picture every day to help you notice the small changes that occur and that you might otherwise miss.

If you have concerns, contact your surgeon. And, if the swelling doesn’t subside after a few months, ask your surgeon if a steroid shot would help.

If you’ve had an open rhinoplasty, where there is an incision at the base of the nose, it usually takes longer to heal than a closed rhinoplasty. It also tends to swell more. The tip takes the longest time to heal and mold to the new framework because it has the thickest skin of the nose. If the tip of your nose is still very firm, it may mean that there is still some swelling.

Recovery With a Nose Cast

If your rhinoplasty involved breaking the nasal bones, your doctor could have you wear a cast to hold the bones in position. The bones usually set after a week, allowing the doctor to remove the cast and check on the progress of your healing. A splint or cast longer will not make a difference in terms of the swelling.

If your surgeon says you can remove the cast yourself, be as gentle as possible. Use steam and carefully lift up a few edges. Apply steam again and lift the edges a bit more.

Every rhinoplasty is unique and every patient heals differently. Be patient and stay in touch with your surgeon.

Sleeping Tips During Recovery

It’s important to find a suitable sleeping position in the first few weeks after your surgery that won’t affect the surgical area. Doctors suggest a 35-to-40 degree angle with your head and nose above the heart. You can also sleep on a reclining chair for approximately one week. Use some pillows to prop up your head. Lying on your side might cause asymmetrical bruising and swelling. Plus, you might inadvertently bump your nose. Trying to avoid sleeping on your stomach for at least six weeks because your nose is most compromised in that position.

If you normally sleep with your spouse or a pet, you should sleep alone for a while. You don’t want a hand or a paw accidentally hit you in the nose, which would be painful and could affect your ultimate outcome.

We highly recommend avoiding caffeine in order to get as much rest as possible and to adjust to a new sleeping position. You may want to try decaffeinated herbal tea before bedtime.

Other Activities

Life should return to normal for you within a few weeks. You can drive again in five to seven days and begin participating in non-contact activities such as swimming, jogging, and hiking within three to four weeks. For more strenuous sports such as basketball, you should be back in action by six weeks after surgery.

Contact Dr. Hershcovitch today to learn more about the recovery period for rhinoplasty and the procedure itself; in West Hills at (818) 888-7878 or in Westlake at (805) 371-0004.

Bulbous Tip Nose Surgery: What to Know about this Specific Rhinoplasty

Since your nose is one of the most prominent features of your face, you naturally want it to be proportionate to your other features. If you have what’s commonly called a bulbous nose, it can be resized or reshaped with a plastic surgery procedure known as a rhinoplasty.

During rhinoplasty, a nose with a round, wide tip is contoured to create a less prominent, more shapely appearance.

To learn more about rhinoplasty and how it can improve your looks and your life, contact Dr. Matt Hershcovitch in West Hills at (818) 888-7878 or in Westlake at (805) 371-0004.

What Is Bulbous Tip Nose Surgery?

A bulbous tip can be caused by a number of things, such as poorly defined hypertrophic lower lateral cartilages, a round dome shape, heavy soft-tissue coverage or poor cartilage strength. Facial plastic surgery is one of the most sophisticated and delicate aesthetic procedures. Contemporary rhinoplasty techniques allow the bulbous tip to be refined without compromising the underlying nasal structure. Smaller cartilage edges are refined and reconfigured, along with suturing techniques to create a sharper, more natural nasal tip. For thicker skinned patients, thinning of the skin in the area may be necessary to ensure a stable long-term functional and aesthetic result.

The result is a nose that is more proportional in size and width, so the bridge blends and smoothly transitions to the nasal tip. These changes to the nose can help highlight the patient’s other facial features.

What Are the Benefits of Bulbous Tip Nose Surgery?

There are a number of reasons to consider rhinoplasty. Chief among them is enhancing your appearance, which can boost your confidence and self-esteem. There are other benefits that affect your health, such as improving your breathing, alleviating sinus problems and providing a permanent solution to snoring.

Surgeons stress that the procedure is all about creating symmetry and balance on your face. Therefore, you may not be able to obtain the exact nose profile of a celebrity you admire. It’s important to listen to the doctor’s advice about what is possible and what will look best on you. The decision to have the surgery should not be made on a whim, and it should be your decision. Don’t let someone talk you into it if you’re not fully comfortable with having it done.

Bulbous Tip Nose Surgery FAQs:

How long is the surgery?

Generally about 2 to 2 ½ hours.

Is there anesthesia?

Yes, a rhinoplasty requires general anesthesia to ensure the comfort of the patient.

Are there different types of rhinoplasty?

Yes, there are two main types, open and closed. The open procedure is performed with a small incision across the column of skin between your nostrils. The closed procedure is done with all incisions made inside the nose. A closed rhinoplasty could be performed for the removal of a hump on the upper portion of the nose, while an open rhinoplasty would be for more significant work done on the tip of the nose.

What is the recovery time?

The initial recovery period lasts approximately 1½ to 2 weeks. To be safe, count on being off work for at least 10 days. There will be some discomfort, including swelling and tenderness. During this time, you should rest with your head elevated as much as possible. The cast and stitches will be removed a little after a week and taping will be removed a few days after that. While most of the swelling will subside in the first three months after surgery, it may take up to a year for your nose to fully settle into its new look. You can expect swelling to subside by 20 to 30 percent three weeks after the procedure, by 50 to 60 percent in six weeks and by 90 percent in three months. The tip usually takes the longest to heal.

What about returning to my normal activities?

You can drive in five to seven days after surgery. You can participate in non-contact activities such as swimming, jogging, and hiking within three to four weeks. For more strenuous sports such as football, basketball, skiing, and tennis, you should be back in action by six weeks after surgery.

What is the success rate?

Better than 95 percent. It is one of the most popular plastic surgeries.

Contact Dr. Hershcovitch today to set up a consultation and discover how rhinoplasty can improve your looks and your life.

Surgical and Non-Surgical Solutions for Uneven Nostrils

Uneven nostrils can be genetic, a result of trauma, or prior nose surgery. The most common cause is a deviation of the part of the septum (dividing part of the nostrils) closest to the nostrils. It typically lays in the center of the nose and sits behind the columella (bridge of the nose that separates the nostrils themselves).

Correcting the problem, whether for aesthetic or functional issues, will take the expertise of a medical professional well versed in facial and nose anatomy. The options available are surgical or non-surgical rhinoplasty.

Non-Surgical Rhinoplasty to Fix Asymmetric Nostrils

Although many individuals may require surgical intervention to correct nasal asymmetry, a surprising number of patients can correct the issue without it. This minimally invasive solution employs injections of selected dermal fillers to increase volume to the nose in strategic areas. 

The treatment is brief compared to its surgical counterpart, taking only minutes to perform. Although it is a fast procedure, it takes exceptional expertise to administer the exact amount of filler to produce the desired outcome. After a numbing cream is applied, we inject the dermal fillers to create balance and a more aesthetic appearance. Results are immediate after a relatively painless procedure with no downtime and no side-effects. 

Board-certified plastic surgeon, Dr. Matt Hershcovtich, offers multiple fillers like Radiesse, Juvederm, and Restylane to create your ideal nose. Results can last up to a year depending on the filler used, but fillers ultimately lose their collagen-building power and are absorbed by the body. Those using dermal fillers to fix uneven nostrils will need follow-up treatments.

Surgical Rhinoplasty to Correct Uneven Nostrils

To surgically fix the deviated septum, Dr. Hershcovtich must reposition the existing septum or remove the deviated part of cartilage and reconstruct a new, straight section of cartilage usually taken from a different part of the septum. Once he places the cartilage at the center of the columella, he can attach it to the septum using sutures. This attachment will ensure a stable tip complex with permanent improvement to nasal symmetry.  

If the problem is the positioning of the medial crura (flared nostrils), this too must be corrected through a surgical rhinoplasty procedure.

Uneven Nostrils after Rhinoplasty

While the vast majority of rhinoplasties turn out well, sometimes patients complain of uneven nostrils a few weeks after surgery. Keep in mind swelling after a nose job may persist for six months. Never judge your rhinoplasty outcome until this period has passed. 

If six months after surgery uneven nostrils are still apparent, revision rhinoplasty may be necessary. Dr. Hershcovtich can make the necessary improvements for better symmetry by utilizing advanced techniques to provide optimal results and a nose you can be proud to display.

Schedule a Consultation with Rhinoplasty Specialist in Los Angeles

Whatever the reason for nostril asymmetry, we welcome you to contact us to schedule a consultation and learn how we can deliver you a beautiful nose. Dr. Hershcovtich offers discreet advice to his patient in a stress-free environment. 

Contact us or call (West Lake Location; West Hills Location) to schedule your consultation today!

Your Liquid Neck Lift: Will Dermal Fillers & Botox Do It?

“Turkey Neck” or lax, wrinkled skin below our chins can make us look older than we are or want to appear. Most of us take great care to ensure the skin on our face remains youthful and taut. But what about the neck and the décolletage? Do we take the time to care for this part of our appearance as we age? Powerful non-surgical solutions exist to help us with these concerns. 

Midface Volume Loss

As with a surgical facelift, the tightening of the midface will lift the neck as well. Products like Juvederm and Restylane can lift the cheek area by restoring facial volume. With age this area may lose fat pads that will cause skin to sag. A non-surgical lift here will restore lost volume while subtly lifting loose skin to deliver a more defined jawline. 

Where dermal fillers fill, cosmetic neuromodulators tighten. Botox, Dysport, and Xeomin can tighten muscles along the jawline, pulling neck skin tighter. Botox injected into the two strips of muscles that run from the base of your neck to the jaw (platysmal bands) also results in tighter skin over these muscles. 

Horizontal Neck Lines

Although we seem to focus on our forehead lines and crow’s feet to improve facial beauty, those pesky necklines can cause us some alarm as well. Many of our patients come to us looking for a non-surgical solution to regain a sleek and smooth neck. This telltale sign of aging begins to form as the skin starts to lose elasticity and structure with the loss of collagen regeneration. 

Although we think of dermal fillers as a solution to facial wrinkles and fine lines, there is now a product that addresses neck creases too. Belotero is an advanced dermal filler that is unique, delivering seamless integration that adds volume to eliminate necklines and creases. It is made with the same volume enhancements and moisturizing component that spreads evenly in the neck fold, to deliver a non-surgical Necklift. 

When wrinkles results from lax skin, dermal fillers work well to fill them. When muscles beneath the skin keep flexing causing the skin above them to crease, those muscles must be tamed. Once again, cosmetic neuromodulators like Botox and Dysport still muscles so that the skin is not repeatedly creased. With less flexing, those wrinkles diminish. 

Learn More

If you would like more information about how you can eliminate necklines, creases, and sagging skin about the neck, we would like to talk with you. Dr. Heschcovitch offers a consultation at convenient locations in Westlake and West Hills. 

Contact us or call (West Lake Location; West Hills Location) to schedule your consultation today!

Eye Makeup Tips After Eyelid Surgery

We’ve seen it time and time again –  after our patients have blepharoplasty (eyelid surgery), they want to show off their beautiful, new results. Because their eyes are less puffy, with no skin drooping or undereye circles, they can’t wait to draw attention to their rejuvenated look. But after this operation, we warn our patients to resume applying eye makeup only after getting clearance from the surgeon. Using makeup prematurely can impede healing and undermine the final results of the surgery.

The best way to hide any bruising or swelling after your eyelid surgery is to wear your favorite sunglasses. These shades will be more than a fashion statement. They will protect your wounds from the sun and conceal any after-effects visible during the initial stage of your recovery. After the incisions begin to heal, board-certified facial plastic surgeon, Dr. Matt Hershcovitch will advise you on the best time to resume applying makeup for going back to work or attending social events. Here in this post, we provide some helpful hints on when and how to apply eye makeup after blepharoplasty. 

When Can I Resume Eye Makeup?

Most women who’ve chosen to undergo blepharoplasty ask this question. Though you may not be excited to hear it, the answer is usually not right after surgery when most of the swelling and bruising is apparent. During your recovery, you should rest and keep the incisions clean for at least two weeks after your operation. 

It may seem tempting to hide the temporary side-effects of surgery, but makeup can negatively influence the healing process and damage your results. Infection or irritation is possible as complications from makeup can impair the healing process and affect your desired results. 

There are no rules written in stone concerning when to apply makeup because patient recovery times can vary. This fact is why it’s so important to follow the specific instructions of Dr. Hershcovitch concerning eye makeup. During your follow up appointments, he will assess your recovery progress to determine when it’s the best time to resume applying makeup. Until he gives you the okay, be patient. And, when you are ready to resume using eye makeup, here are a couple of things to keep in mind:

Natural Products

Although several cosmetic products claim 100 percent natural ingredients and safe for all skin types, this boast may not always be true. If your prior brand of makeup was natural and did not cause irritation, it will probably be the best choice for you. Look for products marked “hypoallergenic” or “noncomedogenic,” as these are the least likely to cause skin irritations to skin that is newly healed.

Whether you will be trying new products or sticking with the same mascara you’ve always used, you should consider replacing all of your eye makeup after surgery.  Mascara, especially, provides a haven for bacterial growth, and you definitely want to avoid any possibility of infection. Plus, it can be fun to update your makeup collection to go with your updated eyelids. You may even want to experiment with new styles of makeup now that your lids will provide a better palette.

Eye Makeup Application

Once you get the okay from Dr. Hershcovitch to resume wearing eye makeup, remember to be gentle with your eyes. In the beginning, as you resume applying makeup, less is more initially. Using a light touch with a thin base coat of foundation that matches your skin tone is a safe bet. If Dr. Hershcovitch approves, you can add some eye shadow to enhance the effect. Don’t over-do it, and avoid mascara until your recovery is complete. 

Next Step

If you are considering blepharoplasty or any other aesthetic improvement in the Westlake or West Hills area, schedule a consultation with us today.

Top Cosmetic and Medical Reasons for Rhinoplasty

There is no facial feature that has a more significant impact on your first impression with others than your nose. If it is in the right proportion to your other facial features, then it will most probably go unnoticed, giving way to the rest of your facial attributes. But if it is too small or too large, misshapen or crooked, or has some other aesthetic issue like a hump or flared nostrils, then the nose can detract from your appearance. It’s no wonder rhinoplasty ranks as one of the top five cosmetic procedures in the United States year after year. 

Cosmetic dissatisfaction isn’t the only reason Americans seek rhinoplasty. Functional issues impacting sleep health, energy, and quality of life also fill the rhinoplasty specialist’s schedule. With the advances in nasal corrective surgery available today, there is no reason to struggle with sleep apnea, labored breathing, dry mouth, or chronic sinusitis or headache pain.  

Cosmetic Improvements with Rhinoplasty 

Cosmetic correction through a nose job can help change the shape, size, and appearance of the nose. Many of our patients seek help with the appearance of their nose to:  

  • Widen or narrow nostrils
  • Reshape a “bulbous” nose tip
  • Flatten a “dorsal hump”
  • Change the angle between their nose and upper lip
  • Narrow their nose bridge
  • Straighten a crooked nose

In many cases, Dr. Herschcovitch can hide the incisions he uses to recontour the nose from the inside.  Or, he can perform discreet incisions outside the nose where they will go unnoticed.

The nose should complement the face, not distract from the other features. When the nose is inconspicuous, it allows your other facial features to shine. 

When a patient has cosmetic issues with their nose it can affect their confidence and self-esteem. When a dedicated, board-certified facial plastic surgeon delivers the results possible with rhinoplasty, it will have a positive influence on your life by boosting your self-assurance. 

Medical Reasons to Have Rhinoplasty

While the nose is the most prominent feature on our face, it is also a critical pathway for breathing. There are multiple benefits that breathing freely through our nose can deliver.  A clear airway helps us breathe with less effort which in turn provides our body a higher rate of oxygen absorption. Sufficient oxygen leads to more energy and clearer thinking, something we all need in this go-go era.  

Deviated Septum

A deviated septum is when a cartilaginous barrier separates the right nasal cavity from the left. If the septum is crooked, it makes one passage smaller and constricts the airflow necessary for breathing. This deviation may be from trauma or can be present since birth.  

Nasal congestion is the most common symptom attributed to a deviated septum. Other side-effects include:

  • Snoring
  • Runny nose
  • Headaches
  • Facial pain
  • Nosebleeds

Rhinoplasty will realign the septum and resolve all of these annoying symptoms. 

Snoring and Sleep Apnea

We highlight this symptom because this issue not only affects the patient with a deviated septum but also the person they sleep with, causing both the inability to get a good night’s sleep. A constricted airflow can lead to sleep apnea and snoring. Because rhinoplasty can resolve a constricted nasal passage it can help the patient develop healthy sleep patterns. 

To learn how you can not only look better with a nose job but increase your lifestyle by increasing your breathing capacity, contact us today to learn more. 

Call us at one of our two convenient locations: West Hills: 818-888-7878, Westlake: 805-371-0004  or schedule a consultation

Three Reasons to Keep Your Chemical Peels to the Shady Fall Season

While Summer is still here, the cooler Fall temperatures will be with us soon. Although there is much fun to enjoy during the warmer months when outdoor activities abound, Fall is the season to give our skin some rest from constantly being bombarded with UV rays and wind. Although the toll of our environment can be harsh to beautiful skin, there is an aesthetic treatment which can deliver a fresh, glowing skin presence. A chemical peel is a customized procedure that eliminates damaged skin cells and surface tissue to reveal radiant facial beauty.  

Although we offer multiple skincare and cosmetic treatments to help our patients look and feel young, a chemical peel is best suited for the fall season. Here are the top three reasons why:

Avoiding the Sun is Easier

Because we spend more time in the sun during the summer, our skin is at higher risk to suffer harm. The potential skin damage individuals suffer during the warmer months may include dead skin cells and pigmentation issues like sunspots. Chemical peels exfoliate the damaged skin surface to replace it with a fresh, underlying skin layer. This process will require some time without sun exposure so your skin can heal. 

Fall signals the end of summer and the start of preparing for shorter days and more time indoors. This period gives the chemical peel patient more opportunity to remain indoors and limit sun exposure, especially during its initial phase. Chemical peels come in varying strengths, which requires a more extended recovery period for the more intensive applications. In other words, the deeper the penetration and exfoliations, the longer you will need to stay out of the sun. 

Preparing for the Holiday Season

Okay, we know the temperature is up, but it won’t be long before you start receiving or sending invitations to holiday events. With family get-togethers and office parties nearing as the weeks’ pass, you will want to look your best for this season. Or perhaps this is the time of year you plan vacations to get away for a while. A cruise or a trip to the ski-slopes will also require you to look beautiful and young. 

By scheduling a chemical peel now, you will have ample time to recover in time for your winter activities, especially if you need more than one session. 

Timing is Everything

Although excellent skincare is a year-round process, summer is the time when the sun does most of its harm to our skin. With the fall season following, it makes good sense to remove the damaged skin cells to allow the underlying tissue its turn to be in full display. By employing chemical peels in the Fall, you will counter the skin damage you have suffered in the preceding months. 

Chemical Peel Benefits

When autumn is upon us, it’s the best time to get a peel. Here are the reasons a chemical peel makes sense to add to your skincare regimen this fall:

  • Customizable to your specific skin type and skin care needs
  • Eliminates damaged, dry skin that’s been exposed to sun and wind
  • Reveals a youthful, radiant skin presence
  • Combines well with other aesthetic treatments and products
  • Reduces acne breakouts and scarring

Whatever your aesthetic concerns regarding damaged skin are, a chemical peel can address them by deep exfoliating to reveal a new, healthy layer. Consult with a facial plastic surgeon to learn more about chemical peels. 

Contact us today to schedule a consultation

How to Adapt Your Skincare Routine to Southern California Dry Summer Air

At a time when fall fashions appear on stocking shelves at your favorite retail outlet, many women have yet to change their skincare routine to adapt to the dryer summer season. Double board-certified plastic surgeon, Dr. Matt Hershcovitch offers non-surgical skincare treatments designed to keep your skin young and beautiful. It is as simple as doing away with the old and bringing in the new with facials and skin rejuvenation procedures that will address issues caused by our dry California summers that may leave skin parched and dull. Here are a few tips on what you can do to keep your skin moist and vibrant. 

Keep it Clean

With your body working overtime trying to keep you cool, sweat and oils are regularly passing through your pores, making your skin sticky. Dirt and grime are more likely to attach to your skin and enter your pores, causing irritation and outbreaks. Here’s your first tip, never forget to double cleanse. Using oil-based cleaners designed for your specific skin type will allow you to cut through the grime and keep your skin fresh. Clearing excess sebum from your skin will keep it clear and help regulate your skin’s oil production. 

Moisturize

Choose your moisturizer carefully. During the summer months, there are forces at work to dry out your skin. Moving in and out of air conditioning will cause your skin to lose moisture and become dry. If you are not moisturizing and toning your skin every night – start. Before you go to sleep, use a medical-grade cream or serum to ensure your skin is getting the proper nutrients and moisture and keeps those pores clear. 

Sunscreen, Sunscreen, Sunscreen

Yes, you got it, you should apply sunscreen liberally to your skin during these dry, and warmer months. Protection against UV rays is necessary to keep your skin from the damage the sun can impose. Pick a sunscreen that will absorb into your skin easily and has an SPF of 30 or more. Make sure you apply the product 20 to 30 minutes before going out into the sun. This practice can go along way to minimize sun related hyperpigmentation and dull skin. It is also a good anti-aging practice as well. 

Reveal Fresh Underlying Layer

Your skin is a complex organ that covers your entire body. it is multi-layered with an epidermis (surface) and dermis (underlying tissue) which needs regular maintenance. The skin will naturally peel on its own with dead skin cells flaking away to reveal a new skin surface. However, this process may cause clogged pores and unsightly blemishes. Cosmetic procedures like laser skin resurfacing and chemical peels remove dull, tired skin to reveal fresh, radiant skin within a few days. 

When sun-damaged skin becomes a problem, these skin care treatments can make a world of difference in retaining a vibrant, radiant skin presence. 

Learn More

If you are seeking to improve your skin care during the summer months and beyond, we are here to help. Dr. Hershcovitch will walk you through medical-grade skin care and anti-aging regimens, which will ensure your facial and skin beauty for years to come. 

Schedule a consultation at our West Hills or Westlake clinic today.

Three Reasons Why Summer is the Ideal Time for Rhinoplasty

Cosmetic surgery for nose appearance is more typical with teenagers than with any other age group. The reason? Because aesthetic nose surgery is best done when you’re young, and when you’re young, it’s essential to look your best. But when is the best time for most patients to plan for rhinoplasty? Given the schedule of high school and college students, a summer procedure is the most likely answer. Here are three reasons why: 

1. It’s the Time for New Beginnings

Graduation from high school or college is the end of an era for many young people. What better time for correcting facial appearance than before embarking on another phase in your life. If you are in high school, starting college may be approaching; if you are in college, a career is likely in your future. Nothing breeds confidence more than looking great, and with the nose being the center of your most visible feature, rhinoplasty is a great way to trigger success. 

Rhinoplasty during the summer months can deliver optimal results which will improve self-esteem and in some cases, nose function. By opening the airflow through nasal passages, the increase in oxygen levels will also provide more energy for what will soon be a busier lifestyle.  

2. Great Time for Downtime

With school behind you and no looming deadlines calling for all-nighters for the next several weeks, there is time to rest and recover so you can heal up after your operation. Also, there is plenty of time on your calendar left for travel or intern options. Two weeks is a suitable time frame for recovery, a great time to catch up on your binge-watching your favorite or a new show.

This advantage does come with a caveat. Your surgeon will advise that you stay out of the direct sunlight and limit your exposure for about six weeks. Make sure you have a good supply of sunscreen available after your recovery is complete. 

3. Discretion, Because No One Needs to Know

Summer is a good time for transition, putting to bed what’s in the past and looking forward to what is to come. If you prefer that new friends or colleagues don’t know about your nose correction, it’s as simple as don’t tell them. As far as they will know, your new appearance is not new at all, but how you’ve always looked. 

Recover Tips

Summer is a great time to schedule rhinoplasty. However, each season brings a different set of recovery challenges. For a quick and successful healing process, here are a few tips we recommend after your operation:

Avoid the Sun

Avoiding direct sunlight to the incision areas are crucial for a successful result. You should stay out of the sun for at least six weeks after surgery. If you need to go outside, make sure you wear a wide-brimmed hat and sunscreen. 

Do Not Wear Sunglasses

The nosepiece of the sunglasses may apply too much weight or pinch the bridge of the nose, causing interference with your nose healing correctly. You should also limit wearing your prescription glasses for the same reason. It may be best to switch to contacts for the first few weeks after surgery. 

No Contact Sports or Swimming

Avoid any activities which may risk having any trauma to your nose area. Also, don’t swim because saltwater and chlorine have adverse effects on your nose, increasing the risk of infection. 

Plenty of Rest

Take this time to lay back and rest. You’ve been busy in school for the last few years, and you’ve got more ahead of you. Recovery is a great time to take a break and recharge. 

Learn More

Double board-certified, Dr. Matt Hershcovitch offers facial plastic surgery including rhinoplasty in the Calabasas, West Hills area. If you are considering rhinoplasty or any facial plastic surgery, we are here to provide you with the information you need. 

Contact us today or visit us in the West Hills or Westgate area.

Should I Limit My Sun Exposure After a Facelift?

Congratulations! You’ve recently undergone a facelift! This is the start of a new and improved you brimming with confidence. But wait! There are some things you should take into consideration to ensure you heal properly, as excessive sunlight exposure can cause some setbacks to your facelift results.

Due to the nature of a facelift surgery, incisions are made to tighten the skin and muscles underneath. This can often leave you feeling bruised and sore thereafter as your body beings to heal, beginning the recovery phase. It is during this time you are most vulnerable to the effects of the sun and need to be proactive in preventing unwanted consequences from excessive sunlight exposure. 

The Effect of Sunlight 

Sunlight feels great on the skin; we bathe in it, tan using it, and can’t seem to get enough of it. However, there are many hidden dangers to increased sun exposure that we often forget to consider. The main one being the damaging effect it has on your skin, especially after recently undergone a facelift procedure.

Sustained sunlight exposure exposes you to UV (ultraviolet) rays which penetrate the skin leading to skin damage and increased melanin production; the main component causing your skin to darken. If no precaution is taken, sunburns will likely occur potentially compromising your facelift results. 

Excessive sun exposure can lead to undesirable outcomes, such as improper healing and increased scar visibility. To help promote the healing process and maintain your facelift results, the following are some important things to keep in mind after a facelift procedure. 

How to Protect Yourself from the Sun after a Facelift

During the first week of your recovery phase it is recommended to avoid sun altogether due to the heat it generates. In fact, all types of heat sources should be avoided during this time as they can increase post-operative inflammation. Inflammation can lead to excessive swelling and potentially prolong your recovery phase. To negate the effects of swelling, a cold compress is recommended on the surgical area site for the first 48 to 72 hours. Medication may also be prescribed to help reduce swelling. 

Direct sun exposure to the incision lines and scars from your facelift surgery may cause them to darken in color, or become hyperpigmented. This can cause surgical scars to become more visible, giving an undesirable appearance. The good news is that your cosmetic surgeon will hide these scars as best as possible, usually within the creases of your ears, making them easy to protect from the sun. 

When Sunlight is Unavoidable 

During the first few months after having your facelift it is important to stay vigilant towards sun avoidance. While it is understandable that it is impossible to stay out of the sun completely, by adhering to the following recommendations you will help mitigate any negative effect the sun may contribute to. 

Use a broad spectrum high SPF sunscreen on your incision lines and scars. It is recommended that you choose one that is at least 30 SPF, but going higher won’t hurt. Wear protective clothing as well. This may be in the form of a wide-brimmed hat, a shawl, or anything else that you see fit to completely block out the sun’s rays from your face. Wearing sunglasses with 100% UV protection will also help protect the skin around the eyes, especially if you have also undergone a complementary eyelid lift procedure (blepharoplasty) to your facelift. Using all of these recommendations in conjunction will provide you with the best defence in direct sunlight.   

Preparing for the Long Term

To help maintain you’re your newly acquired youthful appearance for long term it is essential that you maintain a daily skincare regimen. This is involves using skin moisturizers that contain a modest SPF rating.  Excessive sun exposure can lead to the accelerated development of wrinkles, brown spots, and fine lines when not properly guarded against. This is especially important for those who have had a facelift, as these negative effects from sun damage will certainly counteract your facelift results. 

 

If you are interested in cosmetic surgery to improve your appearance, Dr. Matt Hershcovitch is an experienced plastic surgeon who can help your reach your aesthetic goals. Schedule a consultation in Westlake, CA at (805)371-0004 or in West Hills, CA at (818) 888-7878.

How to Care for Your Skin after Laser Resurfacing

Laser resurfacing is an outpatient procedure that can help reduce the appearance of facial wrinkles, scars, and other skin irregularities. The procedure works by directing short concentrated beams of light to the affect areas, removing irregular skin, layer by layer, until reaching the desired result. This treatment procedure may also be referred to as lasabrasion, laser peel, or laser vaporization. 

Laser resurfacing is an effective way to improve the appearance of your skin. However, removing the superficial layers of the skin carries the risk of complication and infection if not properly taken care. Laser resurfacing essentially removes your face’s defensive barrier against the elements until it returns during the healing process. 

Initially after Laser Resurfacing Treatment

Your skin will appear red and feel sensitive or irritated, similar to being sunburned. Your doctor will bandage the treated areas following the procedure to help protect the exposed skin. Once home, it is now your responsibility to inspect and clean the treated skin, bringing any concerns to the attention to your doctor as soon as they occur. 

After the first 24 hours, you will need to remove the bandages to cleanse the treated areas as instructed by your doctor. This may need to be done up to four to five times a day using saline or vinegar-based solution (outlined below). After a thorough cleaning, ointment such as petroleum jelly (or any occlusive moisturizer) should be applied to prevent the formation of any scabs. You may be prescribed antibacterial ointment to apply instead.

If blistering, crusting, or scabs develop, do not attempt to remove them as they may lead to infection or scarring. Instead, contact your doctor to have them inspected. 

Mild swelling of the face is normal after receiving laser resurfacing treatment for which you may be prescribed steroids medication to help manage. It is also advised to elevate your head at bedtime by sleeping on an extra pillow for the first four days to help minimize potential swelling. Ice packs may also be used on the treated areas as needed.  

Once New Skin Beings to Appear

After about five to seven days, your skin will become dry and being to peel as new skin begins to form underneath. Your new skin will appear pink at first but gradually return to its natural tone in about one to two weeks. Once your skin has healed, you can wear oil-free makeup to conceal any lingering redness until it completely resolves. 

Keeping your skin well moisturized is very important after the healing process. If you use products containing Retin A or glycolic acid, it is acceptable to start using them again about six weeks after your procedure or when your doctor advises. 

New skin is highly susceptible to the damaging effects of the sun, potentially reversing your results. It is very important to use a broad spectrum sunscreen that blocks both UV-A and UV-B rays and has an SPF of 30 or higher. It is also beneficial to limit your time in direct sunlight, especially between the hours of 10 am and 2 pm.  

If sunlight can’t be avoided, wearing a broad-brimmed hat or a scarf can help protect your skin from direct sunlight. It is recommended to avoid unprotected sun exposure for one year after laser resurfacing to prevent irregular pigmentation. 

Vinegar-based Solution instructions

  1. Combine 1 teaspoon of white vinegar in 2 cups of water
  2. Soak gauze in the solution and gently apply to the treated areas. Allow the gauze to remain in place for approximately 10 to 15 minutes. 
  3. Lastly, wipe the treated area with the gauze using gentle pressure. Avoid aggressive rubbing. 

Making the Right Choice

Several follow-up visits are required by your treating doctor to ensure the healing process is proceeding correctly and to mitigate the chance of complication. This makes choosing a highly trained and experienced doctor imperative. Dr. Matt Hershcovitch is passionate about helping his patients achieve pride in their appearance and is committed to being there for you every step of the way. Schedule a personalized consultation and improve the look of your skin today! You can reach Dr. Hershcovitch in Westlake, CA at (805)371-0004 or in West Hills, CA at (818) 888-7878.

Understanding The Benefits of Chemical Peels

Understanding The Benefits of Chemical Peels

A chemical peel is a popular choice for people who are interested in reducing the effects of acne, wrinkles, and hyperpigmentation without surgery. The solution applied to the face during a chemical peel penetrates different levels of your skin so older outer layers can peel off to let new and fresh skin emerge.
Many choose to undergo a chemical peel to promote the rebuilding and healing process of the skin.
Chemical peels provide several benefits and can lead to long-term rejuvenation. Here are a few benefits of chemical peels and how they can be used to easily reveal fresher and younger-looking skin.

Eliminate Fine Lines And Wrinkles

Chemical peels are an effective method to soften fine lines and wrinkles on the face. The vast majority of people will find success with a medium peel that usually requires a couple of treatments to see maximum effectiveness. Patients with deeper lines will want to choose a deep peel that is often a one-time treatment due to the strength of the chemicals involved.

Reverse The Effects Of Sun Damage

Dark and sun spots can be treated with a chemical peel. Some studies have shown how certain types of chemical peels can reverse melasma, a type of hyperpigmentation that can be very resistant to laser treatments. The benefits of a chemical peel regarding sun damage is maximized if a patient is willing to wear sunscreen and take the time to protect sensitive skin. Otherwise, the spots you worked hard to make disappear might come back.

Unclog Pores And Cut Down On Acne

Many people choose to undergo a chemical peel to help mitigate the effects of acne. Certain types of peels can unclog pores and remove blackheads across the top of the skin. Peels that involve the use of salicylic acid are the most effective at clearing acne, while ones with trichloroacetic acid prove to be effective with fading the scars and external damages of acne.
Chemical peels are often recommended over laser treatment to reduce acne to reduce the chances of a post-treatment flare-up. The ingredients inside of a chemical peel can linger inside of skin pores to keep them clear and clean.

Eliminate The Need For Undereye Concealer

One little-known benefit of a chemical peel has to do with the potential for you to toss out your undereye concealer. Many are naturally wary of getting harsh chemicals and acid close to the eyes, but there are a few newer types of peels that are safe to use on the dark circles under the eyes to remove pigment that has piled up.
Precise pen-like applicators can be used to ensure the chemicals are not lingering on the surface of the skin, and many people see a dramatic improvement with their looks in just one treatment session.

A Low-Risk Treatment Option That Can Smooth Out Skin

Chemical peels are an effective treatment because they come with very little risk and are safe for all types of skin color. There is little to no risk of hyperpigmentation, which can be a potential pitfall for patients who have darker complexions.

Peels quickly lead to smooth skin that gives off a toned and silky look. A few treatments with a low percentage of acid provides the best opportunities to achieve the rejuvenated skin that looks good for the long-term. Peels also come with the added benefit of making your existing skincare regimen more effective since the removal of dead skin cells enhances moisturizer absorbency.

Your Consultation With Dr. Matt Hershcovitch, Facial Plastic Surgery

We work with patients to get a sense of their goals and evaluate the quality of their skin and facial aesthetics to come up with a treatment plan that gives the results you desire.
We strive to ensure all patients experience the rejuvenating effects of a chemical peel without experiencing discomfort

Schedule a consultation with the office of Dr. Matt Herschovitch if you are interested in learning more about the benefits of a chemical peel, and to see if one is right for you.
Contact us today or call 818-888-7878

Surprising Uses For Botox That Don’t Include Wrinkles

injection of Botox on a woman's face

Botox is easily the most well-known and popular cosmetic treatments of all time. It has been portrayed extensively in the media, and it is one of the best ways to combat the effects of fine lines and wrinkles. Botox works by facilitating muscle relaxation and promotes natural and long-lasting rejuvenation.

While Botox is a popular choice for people who are interested in combatting the signs of aging, like wrinkles, crow’s feet, and forehead lines, it has also been used for a variety of therapeutic and medical procedures outside of the cosmetic world.

Here’s a brief overview of some of the more surprising uses for Botox outside of reducing the visible effects of wrinkles.

Reduce Chronic Migraines

Botox has been shown to be an effective tool to reduce the amount and intensity of chronic migraines. It was officially approved by the FDA in 2010 after some plastic surgeons reported positive effects in the reduction of migraines from patients who were taking Botox for cosmetic reasons.

Today, patients who receive Botox for the prevention of migraines often get injections in different areas around the head and neck. Many are interested in Botox because it can alleviate chronic headaches for about three months and serves as a viable alternative to potentially harmful oral medications.

Minimization Of Cleft Lip Scars

Botox is renown across the medical world for its ability to reduce wrinkles and fine lines. It is now being used to help minimize the effects of cleft lip scars in babies. Many babies who are born with a cleft palate or lip choose to undergo surgery and are often left with noticeable scars.

Botox has been effective with allowing scars to heal by holding the surrounding muscles stable. The process of injecting babies with Botox has been backed up by medical science.

Limiting An Overactive Bladder

For patients who suffer from an overactive bladder, Botox is an FDA-approved procedure to reduce the amount of urination. Some medical professionals have heralded the treatment as one of the most impactful to limit an overactive bladder. However, Botox has been known to shut down the bladder to a point where it stops functioning normally, which then necessitates the use of a catheter.

Cut Down On Excessive Sweating  

Excessive sweating is an ailment that can cause a lot of distress and hassle. Botox has been used as a tool to alleviate overactive sweat glands for patients who do not respond to topical antiperspirants and oral medication.

Botox has been known to eliminate sweat production in a matter of minutes in patients who are excessively sweating. The dosage of Botox can be easily tailored depending on how much sweat a patient is comfortable with producing.

Most people choose to reduce sweating in the armpit area to cut down on sweat stains and eliminate dry cleaning bills, but Botox has been injected into the palms, soles, and scalp in order to reduce instances of excessive sweating. A typical treatment usually lasts from four to six months.

Treatment Of TMJ

Botox has been heralded as an effective treatment for TMJ (temporomandibular joint disorder), which can lead to a great deal of jaw pain right at the joint. Botox is able to be injected in order to reduce the amount of jaw grinding and clenching. Treatments for TMJ can consist of just one session but are usually spaced out.

Alleviate Symptoms Of Depression

Some medical trials have found promising results in treating symptoms of depression with Botox. The idea is that facial expressions can influence the mood, otherwise known as the facial feedback hypothesis. Some studies have asserted people who were treated with Botox experienced a lessening of depression symptoms in the weeks after injections.

Botox: A Highly Effective Drug With A Plethora Of Uses

The vast majority of patients who come into our office are able to qualify for Botox injections for cosmetic purposes. Even though Botox is being used to treat a variety of ailments and conditions, it is still vastly popular for the reduction of fine lines and wrinkles on the skin.

Each and every Botox treatment at our office is personally administered by Dr. Matt Herschovitch, who has extensive experience as a plastic surgeon in order to give you the most natural looking results.

Speak with us if you are interested in learning more about the many uses of Botox and to see if treatment could be the right fit for your goals and desires.

Contact us today or call 818-888-7878

What is the Right Age for a Facelift?

facelift

Facelifts can be an effective way to reduce the signs of aging, help you feel better about your looks, and give you a renewed sense of confidence. They remain one of the most popular types of cosmetic surgery. Most people who are interested in a facelift often wonder about the optimal time to have one. Some think the results will not be as effective if they are too young. Others are concerned that it might not be worth the money to have a facelift once they reach a certain age. So how do you know when the timing is right?

Age Is Just A Number

Your age does give some big clues about what type of facelift might be right for you, but there is no magic number when it comes to having a facelift. Genetics play a big role in how people age and certain skin types often age quicker than others. Those with oilier skin might be able to wait until later in life for a facelift since their skin naturally has better lubrication and hydration. Those with lighter skin often develop finer lines and wrinkles at a quicker rate than those with darker skin. Your lifestyle also plays a big role in how you age. People who smoke or excessively drink often age at quicker rates than people who do not. The aging process is usually accelerated in patients who have been exposed to large amounts of pollution or work in an area with exposure to certain harsh or hazardous substances. All of these factors contribute to different aging timelines.

35-40 Years Old

The vast majority of people do not need a facelift around this age, but more adults are taking an interest in having one done earlier in life. There are a few procedures that people ages 35-40 can do to maintain a youthful image. Minor wrinkles or skin laxity can often be treated by customized dermal fillers like Restylane or Juvederm. Cosmetic fillers can often be inserted in under an hour and require little to no recovery time. Some also opt for lasers or fat grafting to help fill out areas on the face or reduce the number of sunspots.

40+ Years Old

Patients who get a facelift during their 40s often get the best results from the procedure. At this age, a SMAS or Deep Plane facelift is usually the most effective since both require fewer revisions than other types of facelifts. These types of facelifts are great for lifting mild to moderate sagging skin jowls and for repairing mild skin laxity. Mini-facelifts are also a popular procedure for people in this age range since they are not as invasive as traditional ones.

50-60 Years Old

Older patients are usually best served with a traditional facelift that incorporates lifting and repositioning of skin and tissue. This helps restore a youthful appearance and is perfect if you have sagging cheeks and deep lines on the face. Going through an initial facelift also makes it much easier for a plastic surgeon to carry out an effective “refresh” facelift. Older patients often find a refresh facelift an effective way to keep looking youthful as some of the effects of a traditional facelift start to fade.

70+ Years Old

A growing number of people choose to get a facelift in their 70s. The best results are often a traditional facelift in conjunction with fillers or fat transfer, so the skin has a balanced look. However, patients need to be in good health both physically and mentally before a facelift procedure. At this age, other health conditions might become a pertinent topic of conversation, so it is important to give a detailed account of your medical history and concerns to your plastic surgeon before scheduling a facelift.

Your Consultation With Dr. Matt Hershcovitch, Facial Plastic Surgery

A good plastic surgeon understands how the aging process is different for everyone and will be able to personalize the procedure based on your age. At the office of Dr. Matt Hershcovitch, we have worked with patients of all ages and will be able to evaluate your situation and tell you if a facelift would be able to impact your appearance. Schedule a consultation with our team today if you are interested in a facelift. We look forward to working with you!

Contact us today or call 818-888-7878

Which Type of Facelift is Right for You?

facelift for women

Facelifts remain one of the most effective and popular anti-aging procedures. However, not all facelifts are created equal. Some are entirely ineffective, while others give the face an unnatural appearance or result in skin that is overly tight. Over the last several years, a lot of research has gone into different facelift techniques and technologies. This gives you the choice of different facelift options, depending on your situation. But how do you know which one is the best for your situation? Keep reading to learn about the different kinds of facelifts and get an idea about which one is right for you.

Is A Facelift Right For Me?

People age at different rates, so there is no set time when a facelift is “right.” The best candidates for treatment are those with moderate to advanced signs of aging, like marionette lines, gaunt cheeks, and jowls. When it comes to a facelift, your health is more important than age. You should be mentally and physically ready for any facelift procedure you choose.

The Mini-Facelift

One of the more common types of facelifts is the mini-facelift. This is used to treat aging in the lower parts of the face, with a focus on small skin sagging, early jowls, and some excess skin. Mini-facelifts are a popular rejuvenation procedure for those who are not interested in a major surgical process. They are often done as an in-office procedure without the use of a general anesthetic.

The Deep Plane Facelift

 Deep plane facelifts are designed to treat severe aging on the cheek and neck by lifting skin and muscle tissue. Deep plane facelifts are popular for those want a natural look that is long-lasting.

The Liquid Facelift

 The liquid facelift combines high-tech dermal fillers with traditional facelift rejuvenation techniques. Injectable dermal fillers, usually made of hyaluronic acid, are used to smooth out creases and folds, or fill out hollowed areas. The liquid facelift is a good option for those who are not interested in facelift surgery but still want to lift sagging skin. Hyaluronic acid fillers are also easily reversible if you change your mind.

The SMAS Facelift

 The SMAS facelift primarily focuses on the lower two-thirds of the face, with an emphasis on the jowls, cheeks, and areas of sagging skin. This technique manipulates a layer of tissue and muscle under the skin (SMAS) to give more fullness and lift to the face. Good candidates for a SMAS facelift are over 50 who still have some skin elasticity.

Temporal Facelift/Browlift

Temporal facelifts are designed to target the area around the eyebrows. This is a great choice if you have drooping or lowered brows and do not want to go through the process of a full browlift. A full browlift has a surgeon making small incisions to the face in order to lift the skin around the eyebrows. This process requires a longer recovery period than a temporal facelift.

Traditional Facelift

A traditional facelift is one of the most common rejuvenation procedures. Incisions are made in order to tighten the muscles of the face and neck, while excess fat around the neck and jowls is removed as necessary. Skin is re-draped naturally to give a long-lasting and natural looking result. Most patients are able to return to work within 10 days after a traditional facelift and can resume light exercise in about two weeks.

Recovering From A Facelift

Each facelift surgery is personalized to the patient, so the recovery procedure will depend on how much tissue was affected. Some facelift patients will experience some tightness, numbness, and bruising after treatment, but the vast majority of side-effects should dissipate relatively quickly. For more invasive facelifts, you might be given headwraps and ice packs to relieve discomfort. Scars will depend on the type of facelift procedure, but most surgeons will work to try and hide them around your natural contour lines.

Your Consultation With Dr. Matt Hershcovitch, Facial Plastic Surgery

A good plastic surgeon will be able to personalize each facelift procedure to a patient’s needs. At the office of Dr. Matt Hershcovitch, Facial Plastic Surgery, we understand how to use different facelift techniques to create the most dramatic and effective changes. Schedule a consultation with our team today if you are interested in a facelift. We look forward to working with you!

Contact us today or call 818-888-7878

What Does Thick Skin Mean for Your Rhinoplasty Results?

Rhinoplasty, or nose surgery, is one of the most complicated procedures a plastic surgeon can perform. Due to the variety of nasal tissues and structures and the varying results desired by the patient, rhinoplasty must be performed by an experienced and talented surgeon such as Dr. Hershcovitch. Among the many factors that can make a rhinoplasty procedure more complicated, thick skin is one of the most common and can often cause complications if the surgeon performing the surgery is not familiar with how this affects the procedure. If you have thick skin, here is what you need to know about what it will mean for your rhinoplasty results.

What Groups Tend to Have Thicker Skin?

Thicker skin is often associated with ethnic rhinoplasty. While most Caucasians have thin nasal skin, those of Hispanic, Asian, and African descent tend to have thicker skin in this area. When performing an ethnic rhinoplasty, the surgeon must be careful to maintain the ethnic identity and facial balance while still achieving the desired results. Surgeons who receive advanced training in ethnic and advanced rhinoplasty are the best options for those who have thicker skin. In addition to these ethnicities, men tend to have thicker and oilier skin than women.

The Challenges of Thick Skin

If you have thick nasal skin, you may wonder how this applies to your rhinoplasty. In short, the skin forms a sort of blanket over the skin, cartilage, and bone that make up the shape of your nose. If that blanket is thicker, it can mask the underlying features and make the nose appear to have less definition. If this is not addressed during rhinoplasty, the underlying changes that are made to the nose may not be as visible. In addition, the weight of thicker skin can also pull the tip of the nose down, and an experienced surgeon will recognize this as the cause and address it during surgery. The final consideration for those with thicker skin is how it affects the healing process. Not only does thicker skin have more of a tendency to scar, but it also takes longer for swelling to subside.

During a rhinoplasty procedure, the changes made to the bone and cartilage can ultimately weaken the structural integrity of the nose. While this is usually not an issue for those with thinner skin, it can pose a problem for those with heavier, thicker skin. If not taken into consideration, this could cause an issue with future respiration and can also pose a problem if the patient ever wants to get other surgeries performed on their nose.

Of course, having thicker skin on the nose also has its benefits. Thicker skin can hide more imperfections than thinner skin, so some with this skin type can avoid surgery altogether if they have minor bumps or hollows. Thicker, oiler skin also tends to age slower than thinner, drier skin, and can often tolerate the sun with less visible damage.

Performing Rhinoplasty on Those with Thicker Skin

When Dr. Hershcovitch performs rhinoplasty on those with thicker skin, he always makes sure to thoroughly explain the procedure and its possible complications during the consultation. He explains what their thicker skin could mean for their results and also addresses any ethnic concerns that apply. He tells patients that their recovery time may be longer due to their skin type and that they may not see full results for up to 18 months after surgery as it can often take this amount of time for their swelling to entirely dissipate. The doctor will also explain how he intends to preserve the structural integrity of the nose and how this also may affect their final results.

Scheduling Your Rhinoplasty Consultation with Dr. Hershcovitch

If you have thick skin or are of Asian, African, or Hispanic descent and are considering rhinoplasty, it’s imperative that you choose a surgeon such as Dr. Hershcovitch to perform your procedure. When you meet with Dr. Hershcovitch, he will fully explain the surgery as well as the special considerations that will be taken for your unique situation. At this time, you can ask any questions and find out the full extent of your recovery time.

When you work with an experienced professional like Dr. Hershcovitch, you can be assured that your rhinoplasty will be a success no matter what type of skin you have. Schedule your consultation today!

What Does Thick Skin Mean for Your Rhinoplasty Results?

What Does Thick Skin Mean for Your Rhinoplasty Results?

Rhinoplasty, or nose surgery, is one of the most complicated procedures a plastic surgeon can perform. Due to the variety of nasal tissues and structures and the varying results desired by the patient, rhinoplasty must be performed by an experienced and talented surgeon such as Dr. Hershcovitch. Among the many factors that can make a rhinoplasty procedure more complicated, thick skin is one of the most common and can often cause complications if the surgeon performing the surgery is not familiar with how this affects the procedure. If you have thick skin, here is what you need to know about what it will mean for your rhinoplasty results.

 

What Groups Tend to Have Thicker Skin?

 Thicker skin is often associated with ethnic rhinoplasty. While most Caucasians have thin nasal skin, those of Hispanic, Asian, and African descent tend to have thicker skin in this area. When performing an ethnic rhinoplasty, the surgeon must be careful to maintain the ethnic identity and facial balance while still achieving the desired results. Surgeons who receive advanced training in ethnic and advanced rhinoplasty are the best options for those who have thicker skin. In addition to these ethnicities, men tend to have thicker and oilier skin than women.

 

The Challenges of Thick Skin

 If you have thick nasal skin, you may wonder how this applies to your rhinoplasty. In short, the skin forms a sort of blanket over the skin, cartilage, and bone that make up the shape of your nose. If that blanket is thicker, it can mask the underlying features and make the nose appear to have less definition. If this is not addressed during rhinoplasty, the underlying changes that are made to the nose may not be as visible. In addition, the weight of thicker skin can also pull the tip of the nose down, and an experienced surgeon will recognize this as the cause and address it during surgery. The final consideration for those with thicker skin is how it affects the healing process. Not only does thicker skin have more of a tendency to scar, but it also takes longer for swelling to subside.

 

During a rhinoplasty procedure, the changes made to the bone and cartilage can ultimately weaken the structural integrity of the nose. While this is usually not an issue for those with thinner skin, it can pose a problem for those with heavier, thicker skin. If not taken into consideration, this could cause an issue with future respiration and can also pose a problem if the patient ever wants to get other surgeries performed on their nose.

 

Of course, having thicker skin on the nose also has its benefits. Thicker skin can hide more imperfections than thinner skin, so some with this skin type can avoid surgery altogether if they have minor bumps or hollows. Thicker, oiler skin also tends to age slower than thinner, drier skin, and can often tolerate the sun with less visible damage.

 

Performing Rhinoplasty on Those with Thicker Skin

When Dr. Hershcovitch performs rhinoplasty on those with thicker skin, he always makes sure to thoroughly explain the procedure and its possible complications during the consultation. He explains what their thicker skin could mean for their results and also addresses any ethnic concerns that apply. He tells patients that their recovery time may be longer due to their skin type and that they may not see full results for up to 18 months after surgery as it can often take this amount of time for their swelling to entirely dissipate. The doctor will also explain how he intends to preserve the structural integrity of the nose and how this also may affect their final results.

 

Scheduling Your Rhinoplasty Consultation with Dr. Hershcovitch

 If you have thick skin or are of Asian, African, or Hispanic descent and are considering rhinoplasty, it’s imperative that you choose a surgeon such as Dr. Hershcovitch to perform your procedure. When you meet with Dr. Hershcovitch, he will fully explain the surgery as well as the special considerations that will be taken for your unique situation. At this time, you can ask any questions and find out the full extent of your recovery time.

 

When you work with an experienced professional like Dr. Hershcovitch, you can be assured that your rhinoplasty will be a success no matter what type of skin you have. Schedule your consultation today!

How to Determine the Perfect Age for a Facelift

Have you become increasingly unhappy with the effects of aging on your face? If you have sagging skin, loss of volume, excess fat under your chin, and deep wrinkles, you may be a candidate for a facelift. However, many people have difficulty deciding if a facelift should be considered now or if they should hold off as long as possible so that the procedure will not have to be repeated down the road. Is there really a perfect age for a facelift? The answer to this question is very subjective and is highly dependent on the individual. Dr. Hershcovitch’s facelift patients are generally between the ages of 45 and 60, though he has started to see an increase in patients over the age of 60. However, the right time for a facelift always comes down to personal factors. Here are some questions to ask yourself that will help you answer the question for your unique situation.

What Are My Signs of Aging?

It’s important to narrow down the factors that are really bothering you about your face before you decide to have a facelift. Is it simple loss of volume you want to address? Is your main concern excess skin or fat deposits under your chin? Are sagging, hooded, or wrinkled eyes your cause of concern? In some cases, less invasive or extensive options can be used to give you the results you want. For example, dermal fillers can restore the loss of volume, Kybella can address under-chin fat, and a forehead lift could rejuvenate the eye area. Often, Dr. Hershcovitch will use a combination of these techniques to perform a liquid or mini facelift if a full facelift is not necessary. These treatments can help you delay a full facelift for years into the future and have very satisfying results.

How Healthy Am I?

A facelift is a surgery that involves anesthesia and a fair amount of recovery time. While healing is not an issue for healthy individuals, it can be difficult for those who live unhealthy lifestyles, are dealing with an illness or disease, or who use substances or medications that could impair the healing process. If you are obese, smoke, or are going through treatment for an illness, it’s usually advisable to wait until you have lost weight, quit smoking, or concluded treatment before considering a facelift. During your consultation, the doctor will thoroughly examine your health history to make sure you are a suitable candidate for the surgery.

How Active is my Lifestyle?

The full recovery from a facelift usually takes a few months, though most patients are able to resume the majority of their normal activities within a week or two. However, for active adults who are taking care of young children, have demanding jobs, or who have other pressing responsibilities, this amount of downtime can often pose a problem. If you can’t take a few weeks off to rest, recover, and take care of yourself, you might need to hold off on surgery until your lifestyle becomes more conducive to recovery.

Can I Afford It?

Facelift surgeries are not inexpensive and in almost all cases, they are not covered by insurance. Though there are some financing options available, those who are not in a financial position where they can cover the cost of a facelift might want to choose less expensive procedures or wait until they can save the money to pay for the surgery. Though a facelift can be a life-changing procedure that rejuvenates your self-confidence and restores your sense of vitality, going into major debt to have it done is never advisable.

Scheduling Your Facelift Consultation with Dr. Hershcovitch

If you are on the fence about whether it’s a perfect time or not for a facelift, scheduling a consultation with Dr. Hershcovitch can help you make a decision. During your consultation, he will examine your face and health history, ask questions about your goals for the surgery, and learn more about your lifestyle and situation. The doctor will never recommend a facelift surgery to someone who is not in the right place in their lives for such a procedure and will always tell you if a different type of treatment or procedure can produce the results you want. Talking with the doctor can help you clarify whether or not a facelift is right for you and help you make the best decision.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Wedding Timeline: Which Procedures to Book Before the Big Day & When

If you have a wedding in your near future, you know that looking your absolute best is crucial for your big day. Though slimming down to fit into that perfect gown is important, you know that most guests (and most importantly your spouse-to-be) will focus on your glowing face. Many brides in the West Hills and Westlake areas make the decision to have one or several facial cosmetic procedures before their wedding so they can look and feel amazing when the times comes to walk down the aisle. If you will be a bride in 2019, here are some facial procedures that you should consider and a guideline for when you should ideally book them before your wedding day.

Skincare: Four Months Before

Adopting a quality skincare routine can help you reveal your best skin before the big day. However, this will take some time to work. When you consult with Dr. Hershcovitch, he will recommend the best products on the market to help you deal with issues such as enlarged pores, dryness, fine lines, or dull skin appearance. Start these as soon as possible before your wedding day, though most women will see an improvement within four months if they stick to their new regimen on a daily basis.

Laser Resurfacing or Chemical Peels: Three to Four Months Before

Are you dealing with hyperpigmentation issues or do you have scarring or dull skin that you want to address before your nuptials? Laser resurfacing and chemical peels are both intensive treatments that can have amazing results. However, they also have some downtime associated. To walking down the aisle with a peeling, red face, schedule these treatments three to four months prior to your big day. Just remember that you’ll need to be vigilant about sunscreen as these treatments can often make your skin more sensitive to the sun.

Fillers and Botox Injections: Three Weeks Before

Want to diminish fine lines and wrinkles and restore volume and youthful plumpness to your face before you say ‘I Do’? Then you should consider scheduling Botox or dermal filler injections about three weeks before your wedding. Botox can be injected into areas of your face where you commonly develop expression lines such as around your eyes, nose or mouth to smooth out your skin. Dermal fillers like Restylane, Juvederm, and Radiesse can fill in areas of hollowness or lines, and they can also be used to plump lips. Looking refreshed and rejuvenated is important for brides, and a combination of the two types of injectables can be a winning solution. Make sure to get these a few weeks before your actual wedding day so that any minor redness or irritation has a chance to subside.

Don’t Forget the Mother of the Bride:

If you are the mother of the bride and have significant signs of aging on your face and neck such as sagging, hollowness, and loose skin, you may want to have a facelift before the big day. Because a facelift is a surgical procedure that involves some downtime, recovery, and scar healing, Dr. Hershcovitch recommends his patients schedule it at least four months prior to the event. This will give you time to properly heal and for your scars to fade. Dr. Hershcovitch is an expert in performing facelifts and prides himself on leaving only minimal scars after each surgery. Your scars should easily be hidden with your hair, but a few months of healing time will ensure they have faded as much as possible.

Booking a Bridal Consultation with Dr. Hershcovitch

Not sure what treatments you want or when you should get them for your wedding day? Book a consultation with Dr. Hershcovitch as soon as the date is set so he can listen to your concerns and recommend the best procedures for you.

You deserve to look and feel your very best on your wedding day! Schedule your consultation with Dr. Hershcovitch today to find out how he can help.

 

 

 

How Does Dr. Hershcovitch’s Facelift Technique Minimize Scarring?

Have you considered getting a facelift? Surgical facelifts by professional plastic surgeons can dramatically improve the signs of aging such as sagging, loss of volume, drooping, and deep lines or wrinkles. Although other non-surgical treatments such as injectables, laser resurfacing, and chemical peels can have anti-aging results, nothing can compare to the facelift’s ability to turn back the hands of time. If you’ve considered a facelift, you may have been holding off on making the decision because you are afraid of the scarring that will inevitably occur. However, a skilled plastic surgeon like Dr. Hershcovitch not only knows how to ensure the scar can be easily hidden with the patient’s hair, but he also knows the proper techniques to keep scarring to a minimum. Here’s how.

Dr. Herschcovitch’s Facelift Technique Options

Dr. Hershcovitch does not believe in a one size fits all model. He carefully plans each surgery so that he can address his patient’s individual issues and ensure that surgery not only gives them the results they want but that it’s also as easy to recover from as possible. He understands that simple facial tightening often does not address the underlying causes of aging and that it can lead to unnatural results that do not stand the test of time. That’s why he always looks to the deeper tissues to understand what needs to be done to create dramatic results that still appear natural. With his extensive training, he has been able to perfect two types of facelift techniques that work for almost all patients.

The SMAS technique works by manipulating a layer of connective tissue and muscle that lies under the skin and provides the most natural look, restoring fullness and lift to the face. The deep plane technique is for those with more pronounced signs of aging and involves releasing deeper tissues and reattaching them to higher positions on the face to tighten skin and create a lifted appearance.

With both techniques, Dr. Hershcovitch takes care not only to keep his incisions as small as possible but also to redrape the skin in a way that reduces incision tension. Incision tension not only leads to discomfort, but it also causes more pronounced scarring. Through his extensive education and experience, Dr. Hershcovitch has perfected his redraping technique, and his patients experience only the minimum of scarring. He also gives them advice on how to take care of their incisions after surgery to help them heal in the most effective manner possible. This includes drinking plenty of water, putting moisturizer or salves on the incisions as directed by Dr. Hershcovitch, getting light exercise, maintaining a healthy diet, and avoiding smoking.

How Dr. Hershcovitch Differs from Other Plastic Surgeons

Dr. Hershcovitch is known for his compassion and commitment to helping all of his patients look and feel their very best. He takes the time to listen to each individual patient’s concerns and works with them to figure out the best procedure for them. With his years of training and exclusive focus on facial cosmetic surgery, Dr. Hershcovitch is on the cutting edge of all the newest techniques and always takes a comprehensive approach to renewing his patient’s youthful appearance and restoring their confidence.

Dr. Hershcovitch also realizes that a facelift is not just a physical procedure—it’s also an emotional one. Before he schedules a facelift surgery, he makes sure to really get to know his patient to determine not only that they are a physical fit for the procedure, but that they are also emotionally and mentally prepared for the surgery, recovery, and results of their facelift. He truly cares about his patients as people and realizes that plastic surgery is not something that anyone should make a rash decision about. With his caring manner and broad knowledge of facial surgeries, Dr. Hershcovitch is the perfect partner for those who are considering a facelift.

Scheduling Your Facelift Consultation with Dr. Hershcovitch

The best way to know if a facelift is right for you is to schedule a consultation with Dr. Hershcovitch. He can explain his innovative techniques and show you how he can minimize scarring should you decide to move forward with a facelift. Schedule your consultation today and be on the road to a more youthful, vibrant you!

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Why Are Revision Rhinoplasty Surgeries More Complicated than Regular Procedures?

Everyone wants to believe that having nose surgery, known as rhinoplasty, will result in aesthetically and functionally pleasing results. However, since rhinoplasty is one of the most sophisticated types of plastic surgery, there are many different ways it can go wrong. Whether it’s due to a plastic surgeon who did not have the proper training or experience, surgery that was done to achieve unrealistic expectations, or another reason, many find they are not happy with the results and want to know what can be done to correct it. That’s where revision rhinoplasty comes into play.

What is Revision Rhinoplasty?

Revision rhinoplasty is a surgical procedure that is undertaken to correct a cosmetic or functional rhinoplasty that was not performed correctly and has compromised either the patient’s appearance or ability to breathe. Some plastic surgeons take on nose surgery without having the experience or skill to deal with issues such as thin or flimsy cartilage or they compromise either functionality or aesthetics to achieve an unrealistic result that was expected by the patient. There are hundreds of different factors that go into a successful rhinoplasty surgery and it takes a high level of experience and expertise to achieve a good result.

Why Might Revision Rhinoplasty Be Necessary?

If a patient is any way unsatisfied with their rhinoplasty surgery, revision surgery may be warranted. Cosmetic reasons for revision surgery include a nose that looks too bony or angular, a nasal tip that looks pinched or droops, an asymmetrical nose, a nose that did not fit their natural features, extreme sloping, thin nasal skin, or changes that were not dramatic enough. Functional reasons for revision surgery are almost always centered around compromised breathing. Some surgeons will sacrifice function for cosmetic results and it’s not until months or years later that the patient realizes their surgery is affecting their wellness.

Good candidates for revision rhinoplasty are those who have fully healed from their initial surgery, which usually takes about a year, and who are unhappy with their final results. Some may realize almost immediately that their surgery was not performed well while others will not experience problems for years until the aging process reveals issues.

Why Is Revision Rhinoplasty More Complicated Than Normal Rhinoplasty?

Performing surgery on an area that has already been surgically altered involves many special considerations. Before surgery can even begin, the surgeon must have a thorough consultation with the patient to find out why the initial surgery was done, who it was done by, and why the results now need to be corrected. In some cases, the consultation becomes an educational meeting as the surgeon attempts to show the patient why his initial expectations for surgery were unrealistic and how that resulted in his or her current need for a revision.

A surgeon with a steady hand and experience in performing revision procedures is required to correct any damage that has been done and create a final result that is both aesthetically pleasing and functional. The surgeon must decide if the desired results can be achieved through a closed procedure, where incisions are only made inside the nose, or whether an open procedure is needed to achieve the desired results. He must also ensure that correcting the previous damage done does not compromise either aesthetics or functionality and that the patient’s issues with the first surgery are not repeated.

Choosing the Right Surgeon for Your Revision Rhinoplasty

Most patients choose to go to a different surgeon from the one they originally went to for their revision rhinoplasty. The reasons for this are obvious: if the first surgeon performed an unsatisfactory surgery, the patient believes a different surgeon will be needed to correct it. When choosing a new surgeon, it’s important that patients not only look for an expert in rhinoplasty but also one who is skilled and experienced in revision rhinoplasty as this is more complicated and requires greater expertise. Dr. Hershcovitch is a double board certified plastic surgeon who is an expert in both rhinoplasty and revision rhinoplasty. He is knowledgeable in the most advanced methods of surgery and knows how to achieve the right balance between cosmetic and functional results.

If you are unhappy with your rhinoplasty surgery for any reason, you do not have to live with the results. Schedule a consultation with Dr. Hershcovitch today to find out more about revision rhinoplasty.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reasons to Schedule Your Rhinoplasty Consultation with Dr. Hershcovitch in 2019

Your nose is an important part of your appearance and often becomes a focal point when you meet new people. If you feel self-conscious about your nose because of genetics or due to an injury that has misshapen it, it can harm your self-esteem and affect the way you interact with others. Having a nose surgery known as rhinoplasty to reshape and/or repair your nose is the perfect way to address these concerns and restore your confidence. If you live in the West Hills or Westlake Village areas, you should consider scheduling a rhinoplasty consultation with Dr. Matt Hershcovitch. Here’s why.

You’re Ready to Look and Feel Better in the New Year

The new year is the perfect time to make positive changes to your life that will help boost your confidence and address concerns that may have been bothering you for many years. Dr. Hershcovitch is committed to matching his patients’ outer beauty to their inner beauty and knows that refinement to the facial structure can often bring out the inner light of those who have dealt with self-doubt their entire lives. When you schedule your rhinoplasty consultation with Dr. Hershcovitch, you will be taking the steps to ensure that 2019 is the most exciting and fulfilling year yet!

You Have Questions About the Procedure

It’s understandable that you would have numerous questions regarding your nose surgery. You may wonder how much pain you will experience, what the recovery time is like, and what will happen if you aren’t satisfied with the results. Your consultation with Dr. Hershcovitch will answer all of these questions and put your mind at ease before you schedule your surgery. The doctor always takes the time to listen to his patients’ backgrounds, concerns, questions, and needs before moving forward with any type of procedure. His caring and compassion will put you at ease and reassure you that you are working with someone who truly cares about you.

You Want to Work with a True Professional

 If you are ready to have nose surgery, you want to make sure you have a true professional performing your procedure. Dr. Hershcovitch is an expert in ENT surgery as well as in plastic surgery. That means that he will not only focus on creating a natural and attractive result, but he will also address concerns such as snoring, breathing problems, or other health issues related to your nasal passage. Common types of nose surgery that Dr. Hershcovitch performs include bony hump removal, narrowing of the width of the nose, and nose tip reshaping. He can do this in a closed or open procedure depending on the extent of reshaping you desire and what areas of the nose will be involved in the procedure. When you consult with a professional such as Dr. Hershcovitch, you know that you are working with someone who will ensure they perform the surgery that is just right for you.

You Want an Experienced Surgeon Performing Your Procedure

It’s comforting to know that your plastic surgeon has experience in the type of procedure you are undergoing. Dr. Hershcovitch has extensive experience with challenging surgeries such as ethnic nose reshaping and will put you at ease if you have a complicated surgery you need to be performed. The doctor is sensitive to the needs and wants of those from different ethnicities and always takes the time to understand your goals and background before scheduling your rhinoplasty.

You Want to be Taken Care of After Your Surgery is Complete

 Though rhinoplasty is an outpatient surgery and should have no complications, you still want to know that your doctor will take care of you if you need anything once the surgery is complete. Dr. Hershcovitch is very invested in your recovery and makes sure to monitor each patient when they wake up from anesthesia before allowing them to go home. He also opts to give patients casts and nasal splints instead of packing the nose after surgery to provide a more comfortable recovery. If you have any questions after surgery or during your recovery, Dr. Hershcovitch and his caring staff are always there to help.

 Now is the time to improve the shape of your nose and boost your self-image! Schedule a consultation with Dr. Hershcovitch today.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Botox Is Better With A Double Board Certified Surgeon

Look years younger after receiving botox injections from Dr. Matt Hershcovitch, a double board-certified plastic surgeon who has spent years gaining mastery of facial aging. Botox will subtract years off of your appearance and has seemingly endless uses, from treating acne to treating excess sweating.

To schedule your Botox consultation, contact us today!

Refresh Your Eyes: Fillers or Blepharoplasty?

The New Year is a time to press reset and give yourself a fresh start. If you are looking to refresh your appearance, you may be considering starting with the most prominent feature of your face: Your eyes. If aging or genetics have left your eyes looking tired, puffy, or saggy, we can help you awaken a more youthful appearance for 2019.

Thanks to advancements in cosmetic medicine, patients now have plenty of options when choosing how they want to go about their aesthetic enhancements. While surgery used to be the only way one could improve their facial appearance, newer non-surgical alternatives are now available and are highly popular among women and men.

This holds true when it comes to lower eyelid rejuvenation. Patients can now choose between a permanent traditional lower blepharoplasty or a temporary dermal filler treatment. Below, we explain how each of these treatments can alleviate a gaunt eye appearance:

Lower Blepharoplasty

Dr. Matt Hershcovitch has performed countless lower blepharoplasty procedures to help patients look younger and more alert. Depending on each patient’s specific needs, he uses either the transconjunctival or transcutaneous method. Both of these procedures achieve the same goal in the same manner but vary in incision location and overall scarring.

Transconjunctival

This method of lower blepharoplasty surgery requires Dr. Hershcovitch to create an incision along the lash line to remove extra skin, redistribute fat, and tighten loose muscle. While this method is considered to leave more scarring than the transcutaneous method, its scars are barely visible.

Transcutaneous

The transcutaneous method of lower blepharoplasty also removes extra skin, redistributes fat, and tightens loose muscle. However, the incisions are created inside the eyelid. This incision placement completely hides any scars left by the procedure.

After each of these methods are performed, patients can expect swelling, soreness, light sensitivity, blurry vision and feelings of tightness. These effects usually last about a week, and we recommend patients sleep with their head elevated and avoid too much screen and reading time. You can return to work after the first week of recovery is over, but strenuous activity should be postponed for a minimum of two weeks.

Dermal Fillers

Blepharoplasty surgery is a great treatment and permanent solution for undereye circles and a gaunt appearance. However, not all patients are open to or comfortable with surgery. With the introduction of dermal fillers as a solution to aged eyes, surgery is no longer the only option.

Dermal fillers such as Restylane and Radiesse can be injected into the tear trough to create volume where fat has been lost and promote collagen regeneration. When volume is added to the undereye area, patients experience a smoother transition from their eyes to cheeks and nose. This helps enhance the illusion of a younger, well-rested appearance.

When HA fillers are injected into the tear troughs, the doctor and patient have the advantage of reversing some or all of the effects with an enzyme solution until a satisfactory result is achieved.  While this usually isn’t needed, many patients like to have the option.

Unlike blepharoplasty, patients do not need to schedule recovery time and can be back to their regular routine promptly after their treatments. Also, unlike blepharoplasty surgery, results are not permanent, and patients must schedule follow up appointments every year to maintain their results.

The best way to make an informed decision about your eyelid procedure is to schedule a consultation with the board-certified plastic surgeon, Dr. Matt Hershcovitch, by calling (818) 888-7878. During your visit, you will discuss your medical history and desired outcomes to decide which treatment is best for you. Call today to start refreshing your appearance for 2019!

 

 

 

 

 

Treat Dry Winter Lips with HA Fillers

While Southern California doesn’t experience a traditional winter that includes snow and freezing temperatures, cooler, dry air can still take a toll on our skin, and it can be painful. If your lips are currently chapped and dry, you know exactly what we mean.

Tired of endlessly reapplying lip balm and making sure you don’t lick your lips before stepping outside? We have a little known but effective solution that offers long-term relief for winter lips: Dermal fillers.

Dermal fillers could be the solution your lips need to stay supple and hydrated all winter long.

What Causes Dry Winter Lips?

During the winter, you may notice that the skin on your lips dries out before the skin on hands, face, and body. Unlike the rest of the skin on your body, lips do not contain oil glands and are, therefore, at higher risk of drying out and cracking. Habitual lip licking is also a culprit as your saliva can reduce the moisture in your lips even further. While it might seem tempting to lick your lips when they feel dry, it actually worsens the condition.

If your chapped lips during this season aren’t severe enough to warrant medical intervention, we recommend using a lip balm that is high in emollients and contains petrolatum to lock in moisture. Additionally, covering your lips with a light scarf when you step out can add a barrier of protection.

If these preventative measures are not enough to ensure you don’t deal with cracking lips, it may be time to try injectable hyaluronic acid fillers.

How Can Dermal Fillers Help?

Dermal fillers are traditionally used for cosmetic reasons like adding volume to cheeks, plumping lips, reducing undereye circles, and filling in lines and wrinkles. Our patients love the natural-looking results they can achieve with these quick, in-office treatments, but few are aware of their lip healing properties.

Some fillers like Juvederm, Restylane, and Belotero are composed of hyaluronic acid (HA). HA is a naturally occurring compound in the human body and works to attract and retain moisture in the skin. HA can retain over one thousand times its weight in water within a cell. This extraordinary ability to retain moisture makes HA the perfect solution for dry lips.  When filler containing HA is injected into the lips, patients see a plumping effect with the added bonus of smooth, moisturized lips for six months to a year.

Because it doesn’t take much filler to deliver the right amount of moisture to the lips, patients do not need to worry about overly plumped lips and can decide just how big or small they want their results to be.

Why is Dr. Matt Hershcovitch Your Best Choice for Lip Fillers?

Dermal filler injections are quick, non-surgical procedures that in other offices are often delegated to nurses. Dr. Hershcovitch performs all dermal filler injections himself at his Westlake practice. As a board-certified plastic surgeon, his high level of training and understanding of facial anatomy help him create unmatched results that are natural-looking and work in harmony with the rest of your facial features.

Schedule a consultation with Dr. Hershcovitch to learn more about dermal fillers and get started today.

 

Can Cosmetic Treatments be Holiday Gifts?

As the holidays quickly approach, many gift-givers are looking for unique presents to give to their loved ones. Though gifts such as clothing, jewelry, makeup, and shoes are often good choices to put under the tree, many people don’t think of cosmetic treatments as appropriate gifts as well. Cosmetic treatments, however, are affordable gifts to give and are often appreciated by the right recipient. Here are some reasons why cosmetic treatments should be on your radar this holiday season, who you should consider buying them for, and some of the many options available.

Why Cosmetic Treatments Make Good Gifts

Cosmetic treatments make great gifts for the right people, especially since many women and men won’t spend the money to pamper themselves or take good care of their skin. When you give the gift of a cosmetic treatment, you’re telling the recipient that they are worth the time and money to treat themselves and their skin right! You can either give a specific treatment or you can give them a gift certificate so they can choose the treatment of their choice.

Who to Buy Cosmetic Treatments For

Cosmetic treatments make perfect gifts for spouses as well as ideal presents for good friends, family members, and adult children. When giving them as a gift, make sure you emphasize that you want your loved one to relax and pamper themselves. This is a gift of relaxation and rejuvenation and one that will pay dividends for months or even years into the future.

Type of Cosmetic Treatments Available

Depending on the unique needs and preferences of your loved one, you can give them a number of different treatments that will be perfect for them. We recommend bringing them in for a consultation to ensure they receive the treatment they really want and need. If you want to keep the element of surprise, gift certificates can go a long way.  Here are the cosmetic treatments offered by double board-certified facial plastic surgeon, Dr. Matt Hershcovitch.

Dermal Fillers

Dermal fillers are innovative injectable substances that can lift jowls, contour sagging cheeks, and soften fine lines and deeper wrinkles in areas such as around the mouth and on the forehead. Dr. Hershcovitch offers a procedure called the liquid facelift that is ideal for those who want long-lasting, noticeable results without surgery. There is no recovery and no downtime required by a liquid facelift—just amazing rejuvenation!

Laser Resurfacing

It’s possible to restore and revive the skin without surgery. With laser resurfacing, Dr. Hershcovitch uses non-invasive fractionated CO2 laser energy to delve deep into the skin and help restore it to a more youthful form. This is a more comfortable treatment than traditional laser resurfacing procedures, and patients generally need little to no recovery. Results include younger, clearer skin that is free of blemishes and evenly toned.

Chemical Peels

Chemical peels are perfect for those who want to reduce a wide range of aging signs such as dark spots, fine lines and wrinkles, and uneven skin tone. Dr. Hershcovitch uses a 35% tricholoacetic acid peel that does not bleach skin and can be used on all parts of the face including around the mouth and eyes. It has proven effective in treating conditions such as dark under-eye circles, sun spots, and melasma as well as the wrinkles and fine lines that come with aging. There is some downtime with chemical peels that is similar to dealing with a sunburn, but patients are usually back to their normal routines within a few days.

Injectables

You may not have heard the term ‘neuromodulators,’ but you’ve certainly heard the word Botox. Botox is just one of the injectable neuromodulators that Dr. Hershcovitch can use to target expression lines that comes from years of muscle contractions. Botox, Dysport, and Xeomin can be injected into certain muscles to relax them and gradually minimize lines and wrinkles. Though many people worry about their face being paralyzed or looking mask-like after having these types of injections, Dr. Hershcovitch’s years of experience have shown him exactly which muscles to target to achieve a natural and youthful result.

Cosmetic treatments make unique and useful gifts for the right person on your holiday list. If you’re considering buying a treatment as a present, contact board-certified plastic surgeon Dr. Matt Hershcovitch to find the perfect option.

 

How Long Can a Liquid Facelift Delay Surgery?

No one likes the look of sagging skin or deep wrinkles. However, not everyone wants to undergo the cost, hassle, and downtime that is involved with plastic surgery to improve these signs of aging. Though plastic surgery may eventually become inevitable to truly achieve your skin goals, there are certain cosmetic procedures that can be performed that can delay the necessity for plastic surgery. One of those procedures is called a liquid facelift, and it’s performed by board-certified plastic surgeon, Dr. Matt Hershcovitch. Using a combination of gel fillers, liquid facelifts can revitalize your appearance by providing tighter, clearer skin that has stronger definition. Many patients are so satisfied with their results from a liquid facelift that actual plastic surgery is put on hold for years into the future.

What is a Liquid Facelift?

A liquid facelift involves injecting a smooth, soft gel made out of hyaluronic acid (HA) into areas of concern. This substance keeps the skin nourished and hydrated and is naturally occurring in our own bodies. However, as we age, HA is gradually depleted and can be mimicked by the injection of dermal fillers such as Restylane, Juvederm, Belotero, and Radiesse. The injectables can volumize the treatment area, lifting areas that have sagged and smoothing out deep lines and wrinkles. A completely safe procedure, these substances are absorbed back into the body over time, leaving no residue or negative side effects. These fillers are also easily reversible by the simple injection of an enzyme that dissolves their effects. Depending on the individual patient’s needs, the doctor will choose one or more of the available fillers to use in the liquid facelift treatment.

How is a Liquid Facelift Different from Plastic Surgery?

Unlike plastic surgery, liquid face lifts are non-invasive, reversible, and require little to no downtime or recovery. They are simple procedures that are performed in Dr. Hershcovitch’s office and are out-patient. A patient who receives a liquid facelift can generally return to their normal schedule the very next day with no side effects other than some mild swelling or bruising. Liquid facelifts are also less costly than plastic surgery and many believe them to produce more natural-looking results.

What is the Process of a Liquid Facelift?

The success behind a liquid facelift lies in the careful analysis of your facial anatomy and a detailed inventory of the areas you want treated. This allows Dr. Hershcovitch to make a detailed plan guiding him to place the right types of injections in the most desirable locations to provide natural, long-lasting results. One of the common areas treated with liquid facelifts is the cheekbone area as it tends to lose their definition for most people as they age. Care is also taken not to inject certain types of fillers like Radiesse near the lips or around the eyes as they do carry some risk of clumping.

The actual procedure usually takes less than an hour to perform and patients are released from the medical clinic shortly after completion.

Can a Liquid Facelift Delay the Need for Plastic Surgery?

The results of a liquid facelift are very similar to those of plastic surgery, so they can certainly delay the need for surgery for months or even years. Dr. Hershcovitch recommends that his patients who have a liquid facelift come in every few months for an evaluation and possible touch-up. However, since liquid facelifts are safe, they can be performed numerous times or can be repeated with different types of fillers that address the patients needs. Though there is no one answer to the question of how long these procedures can delay plastic surgery, most people find that these procedures can provide them years of the youthful-looking skin they desire.

Where Can I Get a Liquid Facelift?

Dr. Matt Hershcovitch specializes in cutting-edge procedures such as liquid facelifts in his office in West Hills, California. He has years of experience in providing his patients the most skilled and sophisticated treatments to keep them looking youthful no matter what their age. Dr. Hershcovitch performs all of his liquid facelift procedures personally in his state-of-the-art medical office. He listens to each patient to find out their unique goals for having cosmetic treatments and provides compassionate follow-up and continued care.

If you are interested in delaying the need for plastic surgery with a liquid facelift, contact board-certified plastic surgeon, Dr. Matt Hershcovitch, for more detailed information.

 

 

Does Your Facelift Need a Neck Lift?

While age-related changes on the face are a common concern, the neck is sometimes overlooked. The delicate tissues of the neck are just as susceptible to aging as the face. Sunblock and anti-aging creams aren’t always applied to the neck, which can further accelerate aging in this area.

To fully address facial and neck aging, Dr. Hershcovitch frequently performs facelift surgery with a neck lift. These procedures provide tremendous benefits for patients interested in comprehensive rejuvenation. Below we’re exploring all you need to know about this popular surgical combination.

Facelift and Neck lift: The Perfect Combination

Most people seeking facial rejuvenation know what a facelift is, but many are unclear about what areas of the face this procedure actually treats. Most facelifts only address the cheeks, midface, and part of the jaw area. The area above the brows can be addressed with a browlift, but the neck is not included in any of these procedures.

A facelift performed on its own offers excellent results, but adding a neck lift can produce results that seamlessly transition from your face down to your jawline and neck. The procedure is performed by making incisions that are carefully concealed under the chin and behind the ear.

The chin incision allows Dr. Hershcovitch to remove excess fat and tighten the underlying neck muscles. Through the other incisions, Dr. Hershcovitch can lift and tighten the muscles on the sides of the neck and remove excess skin. The result is a slimmer neck silhouette that is free of excess skin and fat. This procedure is the perfect complement to a facelift, because it comprehensively addresses aging from the neck all the way up to the midface.

Deciding Whether You Need a Necklift

Most first-time necklift patients are in their late forties to early fifties, but age isn’t always the best way to determine if you’re ready for this procedure. The aging process affects all patients differently due to genetics and lifestyle factors.

Ideal candidates for this procedure exhibit the following:

  • Loose, excess skin on the neck
  • Excess fat deposits that contribute to a double chin
  • Prominent neck bands
  • Deep wrinkles and folds on the neck

For those concerned about adding to the recovery period, a necklift does not lengthen the overall recovery time for a facelift. In fact, patients can take advantage of having a shared recovery rather than opting for two separate procedures. Most patients return to their regular routine within about two weeks, and strenuous activity can be resumed by about four weeks.

Schedule a Consultation to Take the Next Step!

This popular surgical combination is a favorite among Dr. Hershcovitch’s patients. These procedures won’t make you look overcorrected; you’ll simply look like a younger, more rejuvenated version of yourself.

If you’re considering a facelift, neck lift, or both, contact board-certified facial plastic surgeon Dr. Matt Hershcovitch. He will work closely with you to develop a treatment plan that is customized to your goals and preferences.

 

What You Need to Know about Laser Resurfacing

Beautiful, glowing skin is often just beneath the surface of dull or aged skin. With laser resurfacing, men and women can erase years of sun damage and age-related changes.

This treatment is a great option for those who’d like a refreshed appearance without the recovery or downtime associated with more invasive procedures. It perfectly bridges the gap between non-invasive treatments and surgery. Learn more as we explore everything that laser skin resurfacing can offer.

Laser Resurfacing: How It Works

While topical products can help some skin concerns, there’s only so much they can do. Acne scarring, uneven texture, and other extensive skin issues need a more powerful treatment – that’s where laser resurfacing can help. Specifically, Dr. Hershcovitch uses a fractional laser to address skin imperfections.

This non-surgical treatment uses a beam of laser energy that has been separated (fractionated) into thousands of smaller beams. With this approach, the entire treatment area isn’t ablated. Instead, it produces tiny columns of injury on the skin’s surface. The surrounding skin supports the healing process during the weeks that follow. As the skin heals, collagen production is boosted and the aged, damaged skin is replaced with healthy skin.

Laser resurfacing can address the following skin complaints:

  • Fine lines and wrinkles
  • Mild skin laxity
  • Acne scarring
  • Hyperpigmentation, sun spots, and other discoloration
  • Rough skin texture
  • Dull skin

How Long is the Recovery?

Recovery depends on the extent of treatment, but in most cases, patients will experience some mild peeling 3-5 days after the procedure. The skin might look pink or red for about 2 weeks, but this can usually be covered by makeup. It’s also very important for patients to avoid sun exposure during recovery and wear plenty of sun protection when heading outdoors.

What Can I Expect from the Results?

Fractional laser resurfacing is a powerful treatment that produces long-lasting results. It essentially creates an entirely new layer of skin, so when paired with a good skincare routine and regular sun protection, you can expect your results to last for several years.

Can Laser Resurfacing be Combined with Other Treatments?

While facelift surgery is excellent for lifting the deeper structures of the face, it does not address aging on the surface of the skin. This is why laser treatments are frequently performed with facelift surgery to fully address the signs of age. Patients can also take advantage of having a shared recovery time. This combination of procedures addresses sagging skin, wrinkles, and superficial skin blemishes, such as hyperpigmentation and uneven texture.

Ready to Restore Your Youthful Glow?

The best way to determine whether this procedure is right for you is by scheduling a consultation. Board-certified facial plastic surgeon Dr. Matt Hershcovitch and his team have extensive experience with fractional laser resurfacing. Based on the skin issues you want to address, Dr. Hershcovitch can create a custom treatment plan to fully rejuvenate your look. Contact his office today to take the next step.

 

 

Board Certification: Why it Matters for Your Safety and Results

Those considering plastic surgery have likely come across phrases like “board-certified cosmetic surgeon” or “board-certified plastic surgeon,” but these are not the same thing. For superior results and a safe outcome, it’s important for patients to understand what it means to be a board-certified plastic surgeon. Below we’re sharing what patients need to know about board certification and why it matters.

What Is Board Certification?

When undergoing any type of treatment by a physician, patients deserve the peace of mind that they’re receiving the highest standard of care, and this all comes down to the practitioner’s technical skills, experience, and knowledge. One way to validate a doctor’s level of skill is through board certification in his or her specialty. Although it might seem like board certification would be mandated by law, it is completely voluntary.

Technically, any practicing physician with a valid medical license can perform cosmetic surgery. This means that a doctor whose specialty is general medicine or emergency medicine can legally perform highly complex plastic surgery procedures, such as rhinoplasty or breast augmentation. These doctors may market themselves as “cosmetic surgeons,” or claim to be a “board-certified cosmetic surgeon.” However, the American Board of Cosmetic Surgery is not recognized by the American Board of Medical Specialties. Patients should be sure to choose a surgeon who is board certified by either the American Board of Plastic Surgery or the American Board of Facial Plastic and Reconstructive Surgery, which have very high standards for certification.

Most plastic surgeons in the United States spend about 16 years undergoing postsecondary training and education. This also includes highly specialized training in reconstructive and plastic surgery. In order to become board certified in plastic surgery, they must then pass rigorous written and oral examinations to demonstrate their proficiency. Patients can verify the status of their potential plastic surgeon’s board certification online.

Dr. Hershcovitch is double board certified by both the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology. This wealth of knowledge allows him to provide the highest level of care to patients seeking facial plastic surgery.

Why Board Certification Matters

Safety

In skilled hands, most plastic surgery procedures are fairly safe and predictable. But as with any procedure, sometimes unexpected medical events occur. In such a scenario, a board-certified physician is best qualified to handle the situation and ensure the safest outcome possible. This high level of skill is important even for patients undergoing minimally invasive or non-surgical treatments, such as Botox injections and fillers.

Results

When undergoing plastic surgery of the face or another highly visible part of the body, many patients are concerned that their results will make them look unnatural or overcorrected. This is another area where board certification can provide a tremendous benefit.

As a double board-certified facial plastic surgeon, Dr. Hershcovitch has an in-depth understanding of facial anatomy and how it relates to facial aesthetics. Plastic surgery is an art as much as it is a science; properly certified surgeons such as Dr. Hershcovitch combine their meticulous surgical skill with aesthetic insight to produce truly natural-looking results.

If you’re considering facial plastic surgery and you’d like to speak with a board-certified facial plastic surgeon, contact Dr. Matt Hershcovitch. Based on your concerns and cosmetic goals, he will work with you to create a completely customized treatment plan.

 

Get Ready for the Holidays with a Facelift in the Fall

For most people, the holiday season is packed with parties and end-of-the-year celebrations. Before the busiest part of the year approaches, many men and women choose to undergo cosmetic procedures, such as facelift surgery, during fall.

A facelift performed in the fall will make sure you enter the holiday season looking and feeling your best. With our quick guide, you can learn what to expect in terms of recovery, allowing you to look perfectly refreshed for your first party of the season.

Planning your Facelift in the Fall: What to Expect

First Week: Rest and Recover

The first week after the procedure is when your post-surgery symptoms will peak, but you will be provided with a prescription for pain medication to alleviate any discomfort. You should focus on resting for the first few days to ensure a successful recovery.

In the initial stages of recovery, it’s common for patients to feel anxious, because swelling may temporarily obscure the results. Swelling is completely normal and is just the body’s response to surgery. During the first week, you can also expect to have some bruising and feelings of soreness or tightness along your incisions.

Although these symptoms will reach their peak during the first week, you’ll still feel well enough to get up and move around 2-3 days after surgery.

Second Week: Slowly Ease Back into Your Routine

Some patients have residual bruising about 2 weeks after surgery, and most will still have light swelling. It’s also common to have tingling sensations or feelings of numbness, but don’t worry – these sensations just mean your tissues are working on healing.

Patients will begin to see the new contours of their face take shape as swelling gradually decreases. You should still be taking it easy at this point, but some patients feel comfortable enough to go back to work after the second week.

Third Week: Getting Back to Normal

By the third week, your facelift incisions should feel much better. While they tend to look puckered during the first couple of weeks, they should take on a smoother appearance by the third week as the tissues heal and swelling subsides. Some areas might still feel a little tight. Most patients have returned to work by this point. It’s usually safe to also resume light physical exercise.

Fourth Week: You’re Party Ready!

At week four, most patients will be considered fully recovered from their facelift. Although it’s common to have very light swelling for up to a year afterward, this will likely be noticeable by only you and your surgeon, allowing you to head into the holiday season with confidence.

Whether you have a packed holiday schedule or you simply want to freshen up your look this fall, there’s no better time than now to get started on your treatment plan. If you’re considering a facelift or related procedure, contact facial plastic surgeon Dr. Matt Hershcovitch. He’d be happy to help you explore your full range of surgical and non-surgical rejuvenation options.

What to Expect from Skin Cancer Excision

While most forms of skin cancer are not life-threatening when treated early, the lesions typically present on the most visible parts of the body, including the head, face, and neck. Because they often require surgical excision, this can leave lasting effects on your appearance.

Fortunately, advancements in aesthetic medicine make it possible to restore a natural appearance to the treated areas. This allows patients to move on both physically and emotionally after the difficulties of skin cancer. Below we’re exploring what you can expect from skin cancer excision and reconstruction.

Common Excision Techniques

Mohs Surgery

Mohs surgery is considered the gold standard for surgical skin cancer removal. With this procedure, the surgeon will first remove the visible portion of the lesion. Next, the deeper layer of skin under the lesion is removed and divided into sections. This piece of tissue is examined under a microscope to see if there is any remaining cancer. This process is meticulously repeated layer-by-layer until there is no evidence of remaining cancer. Once the cancerous tissue has been completely removed, the wound is carefully stitched up.

Excision

The excision technique involves surgically cutting out the tumor or cancerous lesion, along with some surrounding tissue. The skin is then sutured back together.

Curettage and Electrodesiccation

This procedure is primarily used for lower-risk lesions. A curette, which is a thin instrument with a loop at the end, is used to scrape away soft tumor tissue. After the lesion is removed, an electric needle will be used to cauterize (burn) remaining cancer cells in the area. Because cauterizing the tissue seals off blood vessels and stops bleeding, the wound does not require stitches.

Options for Reconstruction

While all of these methods are effective ways of removing skin cancer, the main priority is removing cancerous tissue, with aesthetics being secondary. Although dermatologists and skin cancer surgeons do their best to maintain the aesthetics of the treated area, they’re usually not experts in reconstruction. This is why many dermatologists closely collaborate with plastic surgeons during skin cancer removal to ensure the best aesthetic outcome.

Facial plastic surgeon, Dr. Matt Hershcovitch, often works with Mohs surgeons and other skin cancer specialists to expertly restore the tissue after cancer has been removed. One of the most powerful techniques he uses is a “pedicle flap.” This is when skin is removed from an area near the skin cancer removal site and is folded over to cover the excision. It basically forms a “skin bridge” over the area to seamlessly blend in with the surrounding tissue.

Another effective technique used by Dr. Hershcovitch is skin grafting. With this technique, skin is taken from another part of the body and is carefully placed over the excised area. The blood supply is surgically attached to the new site so that the tissue is permanently transplanted.

If you’re considering your options for skin cancer excision and reconstruction, contact facial plastic surgeon Dr. Matt Hershcovitch. As a specialist in facial reconstruction, he can help you explore your full range of options for restoring form and function after skin cancer removal.

 

Procedures to Complement Your Facelift Results

Facelift surgery is a powerful tool to combat the major signs of aging, including deep lines, wrinkles, and jowls. It is considered the gold standard when it comes to facial rejuvenation, but it’s often performed with additional procedures to enhance the overall results. If you’re interested in undergoing a facelift in the future, consider adding the following procedures into your treatment plan:

Blepharoplasty

The eyes play an important role in your overall facial appearance. They’re also one of the first parts of the face to show the signs of age. The fat pads beneath the eyes tend to droop over time, creating a hollowed-out appearance and “eyebags.” The eyelids might also start to sag and develop deep wrinkles. For patients concerned about aging around the eyes, blepharoplasty can help.

Also called an “eyelid lift,” this procedure allows Dr. Hershcovitch to trim sagging eyelid skin and remove any excess fat deposits that are creating eyebags. The incisions are carefully concealed along the natural crease of the eyelid, within the lower lid, or along the lower lash line, so scars are virtually undetectable. Patients love the naturally refreshed appearance that blepharoplasty can achieve, especially when combined with a facelift.

Browlift

Many patients are surprised to learn that a facelift does not treat the upper part of the face. While it’s a great way to address aging in the mid-lower face area, it leaves the forehead untouched. Browlift surgery (sometimes called a “forehead” lift) is a great complement to a facelift because it produces seamless rejuvenation that extends up the face.

During the procedure, excess skin is trimmed and the deeper tissues of the face are lifted, and then sutured into a more youthful position. The muscle tissue is manipulated to smooth out any stubborn creases as well. While there are different options for incisions (depending on your extent of aging), most incisions can easily be concealed. In some cases, the procedure can even be performed endoscopically.

Necklift

A slim, smooth neck has long been associated with elegance and youthful beauty. But over time, aging can cause the neck to have a loose and wrinkled appearance. When performed with a facelift, necklift surgery can restore a slim neck silhouette while also treating the major signs of facial aging.

The necklift incision is easily hidden along the natural contours of your face and neck. Through these incisions, Dr. Hershcovitch will lift the deeper structures and soft tissue to release neck banding, smooth away deep wrinkles, and trim excess skin. He can also remove fat deposits that create the appearance of a double chin.

Together, these procedures beautifully restore a youthful appearance to the face and neck. And with only one trip to the operating room, patients can take advantage of only having one recovery period for several procedures.

If you’d like to explore your options for facial rejuvenation, take the next step by contacting double-board certified facial plastic surgeon, Dr. Matt Hershcovitch. He’d be happy to discuss your cosmetic goals and create a personalized treatment plan.

Xeomin, Botox, or Dysport?

You’ve likely heard about Botox when researching facial rejuvenation treatments, but did you know there are two popular alternatives that are just as effective? Botox, Xeomin, and Dysport all belong to a class of drugs known as neuromodulators. Their key ingredient is a naturally occurring bacterium (Clostridium botulinum toxin type A). The version contained in these injectables has been produced and refined in a lab.

While they all address wrinkles similarly, there are some differences between Xeomin, Botox, and Dysport that may make one product better suited to your needs. Below we’re exploring the ways in which these popular injectables differ.

Botox

Botox is one of the most popular injectables used to treat movement-related wrinkles, and it was approved by the FDA in 2002. Like other neuromodulators, it works by forcing certain facial muscles to relax, which softens away creases and dynamic wrinkles. Since it’s been around the longest, Botox has undergone the most testing and development, and it is very trusted by both patients and cosmetic professionals.

Botox has a larger molecule than Dysport and Xeomin, so once injected, it stays pretty localized to the treated area. In terms of onset, patients will begin to notice the results of Botox within about two to three days, with full results visible at around two to three weeks.

Dysport

Dysport received FDA approval in 2009, and it has been growing in popularity as an alternative to Botox. Dysport has a smaller molecule than Botox, so it may diffuse to a larger area. This can be a benefit if you’re seeking more widespread rejuvenation in the treated area, such as across the forehead. It also tends to have a quicker onset, with results becoming visible in just one or two days, and it usually peaks faster.

Xeomin

Xeomin is a relative newcomer, and it was FDA approved in 2011 for the treatment of wrinkles. While Botox and Dysport have some additives in their formulations, Xeomin is pure Botulinum Toxin A. This is beneficial for patients who have an allergic reaction to Botox or Dysport, or who have formed a resistance to them. The body is also less likely to develop a resistance to Xeomin over time. Because it contains no additives, it does not need to be refrigerated before treatment.

The onset of Xeomin’s effects are usually more gradual than Botox and Dysport, with results appearing about three or four days after treatment. Full results are typically visible by two or three weeks.

How Do I Know Which One to Choose?

All three of these neuromodulator injectables are effective at treating movement-related wrinkles. The best way to discover which particular product would best suit your needs is to schedule a consultation. During consultations, facial plastic surgeon Dr. Hershcovitch carefully assesses the nature of patient’s aging and asks about their overall goals. Based on this information, he will create a personalized treatment plan.

If you decide to take the next step, your injection session will likely take no more than about 30 minutes. This is what makes Botox, Xeomin, and Dysport such popular treatments. You can easily get a fresh new look without disrupting your busy schedule, and there’s virtually no downtime.

Ready to learn if these treatments are right for you? Contact Dr. Hershcovitch’s office today to schedule your personal consultation.

How Do You Know if You Need a Second Rhinoplasty?

Are you unsatisfied with your rhinoplasty results? It may be time to consider revision rhinoplasty. A second rhinoplasty procedure from a skilled and experienced plastic surgeon can give you the nose you always wanted. Read our infographic below to find out if you need one.

If you’re interested in revision rhinoplasty, contact us today.

Nose Gone Wrong: Revision Rhinoplasty Explained

Rhinoplasty is one of the most popular plastic surgery procedures performed every year. In 2017 alone, there were 218,924 rhinoplasty procedures performed in the United States. However, rhinoplasty requires a high degree of both artistry and surgical precision; it’s considered to be one of the most complex plastic surgery procedures.

As a result, it’s common for patients to seek secondary or revision rhinoplasty after their initial nose reshaping procedure. Below, we’ll be exploring why revision rhinoplasty is sometimes necessary, and how this procedure can help you achieve the results you deserve.

Common Reasons for Seeking Revision Rhinoplasty

Nasal Bridge Collapse

Cartilage forms an important part of the nose’s internal structure and foundation. When too much cartilage is removed during the initial rhinoplasty procedure, this can cause certain parts of the nose to collapse. This is usually a gradual process, with areas like the middle of the nose eventually collapsing and possibly creating a nasal obstruction.

When the patient lacks adequate cartilage, Dr. Hershcovitch can perform a cartilage grafting procedure to help build up the structure of the nose. This reinforces the nasal structure to help restore a more natural appearance to the nose. This technique can also be used in a primary rhinoplasty when the patient lacks cartilage and wants their nasal bridge to look more elevated.

Overcorrected Nasal Tip

Some patients are unhappy with the results of their nose surgery due to an overcorrected nasal tip. This usually results in an over-rotated and upturned nose, or an under-rotated, droopy nasal tip.

Over-rotation typically occurs when too much of the supporting elements of the nasal tip are removed. Without adequate support, the tip essentially falls backward, causing an upturned appearance. This can also be caused by the contracture of scar tissue, which pulls the tip of the nose. To address these issues, Dr. Hershcovitch can rebuild the structure of the nose and release the scar tissue, if needed.

In some cases, overcorrection of the nasal tip may lead to the opposite problem: a drooping nose. When the nose lacks proper structure, the nasal tip may droop downward. By rebuilding the underlying support system, Dr. Hershcovitch can correct these cosmetic irregularities through revision rhinoplasty.

Asymmetrical Nostrils

The nose is made up of many intricate and delicate components; even a slight overcorrection can significantly affect the aesthetic outcome. While most noses have a slight degree of asymmetry, complications from rhinoplasty can make the nostrils looks unnaturally asymmetrical.

When patients have uneven nostrils after rhinoplasty, it is frequently caused by removing too much of the pieces of cartilage that support the nasal tip. The weakened points basically buckle, causing one side of the nose to project into the other side. When correcting this type of complication, Dr. Hershcovitch works to restructure the nasal tip and strengthen its foundation to prevent further cosmetic irregularities from developing.

Avoid Rhinoplasty Complications by Choosing an Expert

While the above complications can occur, you can increase your chances of an optimal outcome by choosing a surgeon who specializes in rhinoplasty. Dr. Matt Hershcovitch is a double board-certified facial plastic surgeon who is renowned for his ability to create natural-looking results. Whether you’d like to correct irregularities left by your first nose surgery, or you’re seeking rhinoplasty for the first time, he can help you attain facial harmony. To take the next step, contact him today to schedule your personal consultation.

5 Fast Facts about the Mini Facelift

For those who seek facial rejuvenation but are not quite ready for a full facelift, a mini facelift is a good option. The minimally invasive procedure can help lift sagging skin around the lower face for a more youthful appearance. Read our infographic below to find out five more fast facts about the mini facelift.

Schedule a consultation and see if you are a candidate for these benefits.