Our Blog

A blog about cosmetic and reconstructive surgery of the face, including non-surgical procedures and skin cancer.

Want to Enhance and Define Your Lips? Lip Augmentation is the Answer

Lip augmentation is recommended for individuals who are not content with the appearance of their lips, especially if they are not plump or as full as you may like. With aging, the lips tend to lose their fullness over time. However, some people may have thin lips in general. Through a variety of procedures offered by a skilled cosmetic surgeon, it is possible to enhance the appearance of the lips for that desired, plump look that makes so many people smile for the camera.

Options for Lip Augmentation

While there are products that can improve the appearance of the lips, many patients choose an enduring solution of a lip injection. From injections to the use of implants and other surgical procedures, it is possible to alter the appearance of the lips. Lip augmentation makes the lips appear fuller, helps women form that classic pout, and reduce the appearance of wrinkles around the mouth. Many see lip augmentation as a way of preserving their youth.

Opting for Injections to Enhance Your Lips

Injections are considered the least invasive procedure and involve the addition of dermal fillers to the lips to increase volume. Patients can choose fillers that are safe and natural, including fat injections. While results are temporary, many patients are satisfied with the results and new definition that comes with their lips.

Choosing Surgical Solutions for Lip Augmentation

Patients who seek a more permanent solution typically choose surgical implants to alter the shape of his or her lips. Synthetic materials are inserted into the lips to create the desired appearance. Other procedures are available to alter the shape and fullness of the mouth. The procedure should be tailored to meet the needs of the patient.

When opting for any form of cosmetic surgery, it is important to choose wisely. Be sure to find a surgeon who is experienced, has excellent reviews, and is board-certified.

The Positive Results from Facial Paralysis Surgery

Causes of facial paralysis

An individual can experience facial paralysis due to a number of causes. These include traumatic injury, cancers of the skin, head or neck, salivary gland cancers, infections, and a medical condition commonly known as Bell’s palsy. Facial paralysis can cause disfiguration of the face to such an extent that proper eye, mouth and hearing functions are impaired. In addition, facial paralysis can cause other issues such as psychological problems which can unfortunately lead to a dramatic decrease in the quality of life for the individual.

The wonders of facial paralysis surgery

A board-certified cosmetic surgeon like Dr. Schwarcz who is experienced in the latest facial paralysis surgery procedures, can work wonders in restoring a person’s full facial functioning that has been affected by facial nerve damage. Facial paralysis surgery can help recover lost skin tone, restore normal facial movement, and eliminate unsightly facial drooping. Further, the surgery offers the possibility of restoring the ability to normally close the eyes and regaining function while helping to reduce the risk of eye injury and eventual blindness.

Your treatment options

A qualified cosmetic plastic surgeon may recommend one of several treatment options to a patient who obtains a consultation regarding facial paralysis surgery. These include nerve grafting, facial slings, muscle transfer surgery, Botox treatments or eyelid surgery, followed by physical therapy. In most cases, dramatic results in correcting facial movement and function can be obtained after a single session of facial paralysis surgery. For some patients, multiple procedures may be recommended in order to correct a number of problems caused when facial nerves have become traumatized or infected due to injury or disease.

Anyone experiencing any degree of facial paralysis should not let shame stop them from finding a solution to their condition. If you or a loved one are suffering from facial paralysis surgery, you should not avoid treatment but look to eliminate these deteriorating symptoms to restore your quality of life.

You Can Look Younger – A Facelift Can Help

For many people, one of the most popular ways to look and feel younger is by getting a facelift, which should be done by a board-certified cosmetic plastic surgeon. A surgery that is popular with both men and women, it’s typically performed on patients over forty years of age who have sagging jowls, wrinkles or other loose skin that they feel makes them look older than they wish.

Who is a good candidate for the facelift procedure?

While people from all walks of life get facelifts each year, there are some people who might feel they need the procedure more than others. Good health is key.

The benefits of a facelift

Upon having a facelift, many patients report having a greater sense of self-esteem and self-worth, in addition to looking younger. Cosmetic surgery such as a facelift can often be a source of rejuvenation, assuming they have been deemed good candidates for the procedure. Many patients see it as a new beginning, almost as if they have become a new person who has turned back the hands of time. With results lasting about ten years, face lifts are seen as very beneficial forms of cosmetic surgery that provide lasting, long-term results both inside and out.

Treat Frown Lines With Botox Injections

Patients with fine lines may benefit from Botox injections

Botox injections are one of the most popular cosmetic beauty treatments among patients today. Botox treats frown and smile lines and can also smooth wrinkles in order to promote a more youthful appearance. The effects of Botox are reached due to the product’s ability to block the nerve endings that produce wrinkles. The procedure only takes a few minutes and the injections are made by a cosmetic surgeon’s tiny needle into the appropriate facial muscles.

Men or women with faces that have frown lines between their eyebrows may feel that their appearance causes them to look distressed. Wrinkles can also enhance the aging process. Botox candidates are healthy men and women between the ages of 18 and 65. A cosmetic surgeon can qualify a patient for Botox by checking their personal and family medical history among other possible indicators to determine if Botox is appropriate and beneficial to the patient.

Contact our New York City office to learn more about Botox treatment used to eliminate and decrease the appearance of fine lines and wrinkles.

What is the recovery period after Botox treatment?

A great benefit of Botox is that it is a non-invasive procedure and as such, there is little to no recovery time involved as the patient can immediately return to normal daily activities. Also, the results are seen within a week and can last for up to four months. There are minimal side effects that are involved such as redness or swelling that can potentially occur. These possible side effects usually pass in a very short amount of time and are not severe. Other risks are rare and include nausea, bruising, a drooping eyelid or flu-like symptoms. A professional cosmetic surgeon will check for possible allergic reactions and discuss the entire procedure with a patient in order to ensure maximum comfort prior to undergoing the Botox treatment.

Enhance Your Appearance With Facial Implants

No two facial implant procedures are ever the same. If you are looking to regain some definition and volume to their cheeks, they may benefit from an implant. People who have a weak chin and/or jawline and want it to become more defined may also be interested. Also, those who have experienced any type of facial trauma or were born with a congenital deformation may find a facial implant to be an excellent option.


What are the benefits of a facial implant?

When facial implants are completed, the face is brought into its proper shape. This results in new, aesthetically pleasing features. The level of confidence can be expected to be increased. That, in turn, will increase the overall mood of a person. Most important, it will put an end to a patient’s negative thoughts.

You should consider getting facial implants when you feel that your imperfections are effecting your happiness. If you find yourself constantly critiquing your face or are having frequent thoughts of wanting to correct it, then now is the time! Many of these imperfections can easily be fixed by a cosmetic surgeon in New York City. Stop living your life with such negativity!

Facial implants are specially designed to enhance, restructure, and revitalize the contours of the face. They are offered in a wide variety of styles and sizes in order to re-establish both the proportion and contour to the face, depending on the patient’s facial structure and bony anatomy. Board-certified cosmetic surgeons use facial implants to redefine the jaw and chin, to enhance the tear trough area, and to provide desirable, finely sculpted cheekbones. There are numerous possibilities with facial implants, and depending on your targeted area, you can potentially add more definition and enhanced volume to your facial features. While implants offer a subtle change to your facial components, the results tend to be natural yet distinctive.

How does a facial implant work?

If you or a loved one are considering a facial implant or multiple implants, you can expect to see specific improvements to facial asymmetry regarding the jaw, cheekbones, and chin if you choose to improve any of these specific facial areas. The procedure generally offers permanent results. Another benefit is that facial implants are not considered an invasive procedure like fat grafting from the abdomen in order to add volume to the face.

Are you a candidate for a facial implant?

• You have a weak or undefined jawline that poorly distinguishes your neck area and doesn’t support the frame of your face.

• You have a receding or weak chin and desire to enhance the overall appearance regarding your profile by increasing your chin’s projection.

• You want to correct a facial deformity resulting from congenital conditions or a previous injury.

• You want to restore both proportion and contour to the structure of your face made deficient by the natural aging process.

• You want to improve the fullness and definition of your cheeks.

Alternatives to facial implants

There are various alternatives and techniques that can modify the structure of someone’s face. In addition to facial implants, other options include bone grafting, fat grafting, dermal grafting, and bone repositioning.

However, if you’re in general good health and want something non-invasive, then you may be an excellent candidate for a facial implant procedure. If you seek a non-surgical procedure, you may benefit from a facial filler which targets fine lines and wrinkles as opposed to contouring the face.

Contact your cosmetic surgeon to see if you are a candidate for a facial implant.

Removing Skin Cancer Through Mohs Surgery

For people with skin cancer, the Mohs surgery will remove the cancerous part. It will take out the root so that it can’t grow back again. The surgery is completed under local anesthesia, and it maps out the tissue for additional cancer cells. A board certified skin cancer/Mohs surgeon is experienced and trained in performing the Mohs surgery procedure. The precision Mohs surgery offers makes it the preferred choice for delicate areas on or around the face, hands, and feet .

A person should consider getting the Mohs surgery as soon as they are diagnosed with the disease. When they have it completed early, there is more of a chance that it will be able to get all of the cancer from the body.

The Mohs surgery has helped many people when they come down with skin cancer. Because of this surgery, many people are cured of the disease and free of scarring.

History of the Mohs Procedure

Mohs micrographic surgery was developed by Dr. Frederick Mohs, a professor of surgery at the University of Wisconsin. It is used most often for basal cell carcinoma, squamous cell carcinoma and lentigo maligna, an early form of melanoma. However, the technique can also be used for less common forms of skin cancer.

People who have skin cancer can have the option of having it removed through Mohs surgery. Mohs surgery helps to map out the tissues in a person’s affected area for more cancer cells so they can be destroyed.

It is a very precise procedure that leaves little or no scarring, so many people desire to have it performed when they develop skin cancer. The Mohs surgery has a very high cure rate.

Early treatment of skin cancer is critical to stop the progression of the disease that can cause disfigurement and can even threaten your life. Mohs surgery is one of the most effective methods of eliminating abnormal tissue from the skin, with a 99 percent success rate.

Here are some facts about this valuable technique for fighting skin cancer.

Advantages of Mohs Surgery for Skin Cancer

The Mohs technique offers a number of advantages over other types of skin cancer treatment:

  • Minimizes the removal of healthy skin tissue
  • Lowest rate of complications
  • Best cosmetic outcome
  • Requires only a local anesthetic
  • Highest effectiveness, 99 percent success in new tumors, 95 percent in recurring tumors

How This Procedure Is Performed

Skin Cancer Physicians perform the Mohs procedure in a number of steps, which include:

  • Numbing the treatment area with a local anesthesia to keep the patient comfortable
  • The visible tumor is removed by scraping it with a special surgical instrument called a curette, which helps to define the margin between the tumor and healthy tissue. Then, the first thin layer of healthy tissue is removed for examination.
  • The tissue that is removed is then “mapped” to indicate its position in relationship to other areas of the skin.
  • The tissue is then stained in order to color code it to its position on the map.
  • The physician will then examine the tissue under a microscope to determine if cancerous cells are present. If so, then further layers will be removed to ensure that all abnormal cells are eliminated.
  • If cancerous cells are present, the surgeon refers to the map that has been developed and continues to remove thin layers in the affected areas until no abnormal cells are found. This ensures that all cancer cells have been removed, while removing the least amount of healthy tissue.
  • If necessary, reconstruction of the treated area is done to ensure that the area has the most aesthetic result during healing.
  • The area is bandaged and allowed to heal.

The Mohs procedure has helped millions of people continue their lives without the threat of further damage from skin cancer.

Many patients have sought out a cosmetic plastic surgeon to help remove cancerous skin cells so they can live a happy and secure life without fear of malignancy. Mohs surgery, also known as Mohs micrographic surgery, is one of the most effective treatments for skin cancer and can still be successful for a patient who has undergone unsuccessful treatments in the past.

Facts about Mohs Micrographic Surgery

Frederic E. Mohs developed this type of surgery in 1938. Mohs surgery is a process that removes skin cells one layer at a time. Each layer of tissue can then be examined to determine where to next remove tissue. By using a layer-by-layer approach, doctors can remove less tissue while still completely removing cancerous cells. This makes it ideal for patients whose cancerous cells are in visible locations such as the face. The sensitive nature of the procedure requires a skilled cosmetic plastic surgeon, to heal the face while maintaining the beauty and natural symmetry of the face.

Who is the ideal candidate for Mohs surgery to treat skin cancer?

Mohs surgery is often recommended to patients who have skin cancer that is likely to spread or return. It’s also the recommended treatment for children with cancerous skin cells. Several other factors make Mohs surgery a good option. These include:

  • keratoacanthoma
  • spindle cell tumors
  • sebaceous carcinomas
  • Paget’s disease
  • atypical fibroxanthoma (among others)

There are many positive benefits and results from Mohs surgery. Dr. Robert Schwarcz, a prominent cosmetic surgeon, with two practices in New York City often treats patients who seek to remove skin cancer with this procedure. In addition to Mohs surgery, Dr. Schwarcz utilizes other methods as well to effectively treat skin cancer.

Cure rate of Mohs micrographic surgery

Mohs micrographic surgery has a cure rate between 97% and 98% for basal cell carcinoma, making it the most effective of cancerous skin care removal methods. Cure rates are lower for other types of skin cancer, including some melanomas.

Like any skin surgery, Mohs runs the risk of scarring and possible infection, but both can be reduced by following care instructions from your doctor. Discomfort at the removal site and bleeding are also possible side effects.

After undergoing Mohs micrographic surgery, patients may undergo reconstructive surgery at the site. Small wounds may heal naturally or with stitches while doctors may use a skin graft to reconstruct larger sites.

Solutions to Torn or Damaged Earlobes – Earlobe Repair Surgery

Earlobes are fragile, especially those that are pierced. Something as simple as an earring snagged on a sweater or a child yanking an earring can instantly rip your earlobe. Even without those scarring events, earlobe piercings may enlarge over time if a person has frequently used heavy earrings and will eventually require repair. For these natural occurrences, a plastic surgeon is required for torn lobe repair. After the surgery, earrings will fit better and look better as they will be positioned better on the ear.

Who is the ideal candidate for earlobe repair surgery?

People who have experienced a rip, stretch, or general damage to the earlobes are ideal candidates for a repair surgery. The procedure is relatively simple; the tissue may be removed or reallocated and the wounds healed with sutures that may be removed after seven to ten days. Through local anesthesia, patients feel minimal discomfort for the duration of this minor surgery. For most patients, the surgery takes only an hour or less and they typically return home the same day with minimal recovery time.

What to expect following your earlobe repair surgery procedure?

After surgery, most patients experience very little discomfort and are able to re-pierce their ears after only three months. Patients will need to wash the earlobe often to keep it clean and avoid any potential infections as it heals.

The procedure can be done directly after an injury to the earlobe or after waiting for a wound to heal. Regardless of the circumstances, a ripped, torn, or stretched lobe will be able to be fixed without any problems. It is important to seek out a board-certified reconstructive surgeon who will be able to address this issue and successfully repair a torn earlobe that requires repair. Dr. Schwarcz is one such surgeon who sees patients on a consistent basis in New York to treat these issues.

How To Reduce Facial Muscle Contractions Found With Meige’s Syndrome

Individuals dealing with blepharospasm or Meige’s syndrome require treatments from a board-certified cosmetic surgeon to reduce their constant winking or facial muscle contractions. To best determine the extent of treatment required to reduce such symptoms, consult with a specialist.

What is blepharospasm and Meige’s syndrome?

Blepharospasm is a condition of the muscles around the eyeball that often twitch many times a day or night, leading to discomfort. The eyelid muscles undergo a blinking movement that makes it difficult to live a normal, comfortable lifestyle. Alternatively, Meige’s syndrome causes more extensive muscle movements of the face that typically occur around the mouth, making it difficult to consume food or speak.

Effective Botox injections to treat blepharospasm and Meige’s syndrome

Both Meige’s syndrome and blepharospasm are difficult to diagnose unless an individual visits a knowledgeable cosmetic surgeon. While there is currently no cure for the involuntary muscle movements or contractions, Botox has been a popular, effective method of treatment. Botox, or botulinum toxin, has been used to treat blepharospasm and Meige’s syndrome since the 1980s. Most patients require up to three treatments a year with Botox injections from a cosmetic plastic surgeon to help reduce the involuntary muscle spasms of the facial muscles near the mouth or eyes.

Facial myectomy surgery

Alternatively, an experienced board-certified plastic surgeon can perform surgical procedures to stop the winking or clinching movements of the muscles of the face. Severe Meige’s syndrome or blepharospasm that does not improve with Botox injections warrants intervention with myectomy surgery. While surgery may seem drastic, patients with severe blepharospasm that closes their eyes or Meige’s syndrome that makes it impossible to talk or eat may need to pursue this alternative option. The surgery entails removing the twitching muscles without damaging the appearance of the patient’s face.

Are You a Good Candidate for a Rhinoplasty (Nose Job) Procedure?

Rhinoplasty, more commonly known as a “nose job,” is a cosmetic plastic surgery procedure for correction and reconstruction of the nose, aesthetically enhancing it or resolving nasal trauma or any impediment. In the surgeries, a skilled cosmetic surgeon creates a nose that is facially proportionate and functional by separating the nasal skin and soft tissues from the nasal framework and correcting them as required for function and form. A rhinoplasty can improve appearance as well as resolve any nasal defects a patient has. A face that once seemed imbalanced can be made more proportionate. Some people have trouble breathing as a result of the anatomy of their nose and could therefore benefit from rhinoplasty. Patients who suffer from a deviated septum also typically opt for rhinoplasty for a better quality of life.

How to determine if you are eligible for rhinoplasty

To determine a patient’s suitability for rhinoplasty, a cosmetic surgeon clinically evaluates them with a complete medical history to determine their physical and psychological health. Post-surgical recovery entails the patient going home to rest and allowing the bone tissue and nasal cartilage to recover after the effects of being cut forcefully. Assisted with prescribed medications for the alleviation of pain, the patient goes through convalescence for about one week, and can then go outdoors. External sutures are removed about four to five days after the procedure and the external cast is removed after one week.

For a successful rhinoplasty you can find a cosmetic plastic surgeon. Dr. Robert M. Schwarcz, is a revered nose-job specialist, with vast training and experience in the art and science of rhinoplasty. He works with his patients to ensure that the desired outcome is achieved. By using the most advanced tools and approaches, he minimizing the amount of discomfort, and recovery time that his patients must endure.

Using Steroid Injections to Reduce Scars and Keloids

Obtaining treatment for unsightly scars and keloids due to injuries or as a result of surgery can have uneven results. No matter what the cause, scars can be disfiguring and in some cases, can even result in loss of function. Severity of scars and keloids depends on a number of factors, including:

  1. thickness
  2. size
  3. depth
  4. color
  5. how the tissue pulls on surrounding structures
  6. blood flow to the area and color of the skin
  7. some individuals, particularly those with darker skin tones produce raised scars called keloids

Reducing the appearance of scars and keloids

Working with an experienced board-certified cosmetic surgeon is essential for scar and keloid reduction. In Manhattan and Scarsdale, Dr. Schwarcz routinely performs steroid injections to reduce and repair the appearance of unsightly scars and keloids. Candidates for scar reduction treatments should be in good health, have no serious pre-existing medical conditions and have realistic expectations about treatment outcomes. Many scars cannot be treated. Qualities that make scars more successful to revision are those that are raised or depressed, have contour irregularities, poor lines of orientation, odd colors and scars produced by trauma.

How to treat scars and keloids effectively

A variety of methods are used to treat scars and keloids, not all of which involve surgery. Hypertrophic and keloid scars often respond to direct injection of steroids into the tissue. Hypertrophic scars are thick, red and raised and remain in the original boundaries of an incision or wound. Keloids are raised scar tissue that is often red or darker in color than the surrounding skin, but extend beyond the original boundaries. In order to treat these types of scars, steroids are injected directly into the affected tissue to break down the skin’s collagen. In many cases, steroid injections can reduce the pain and itching associated with these scars.