Why Facial Implants are Increasing in Popularity Facial implants are used by cosmetic plastic surgeons to create a defined or prominent accentuation of certain features of the face such as the jaw, cheeks, or chin. Depending on the individual’s desired goal, almost any aesthetic can be accomplished. Facial implants are more popular as a less invasive alternative to full blown facial surgery such as a facelift . With celebrities and more women and men opting for facial implants in their 20s and 30s, they are increasingly more common and popular. Dr. Schwarcz is a facial plastic surgeon who can perform malar and submalar implants, cheekbone implants, chin implants, and jaw implants . Each implant targets a different area to create definition and enhance the implant area. REQUEST AN APPOINTMENT

Reconstructive Surgery for Orbital Tumors and Fractures When trauma or injury to the orbital socket or area near or around the eyes occurs , the consequences can be significant. If left untreated, one can inevitably lose or tarnish their eyesight as a result. Dr. Schwarcz recommends repair and/or reconstructive surgery depending on the circumstances and nature of the condition. If an orbital tumor metastasizes, it can be one of the following: Optic Gliomas Osteomas Hemangiomas and Lymphangiomas Sarcomas Fibrous Histiocytomas Retinoblastoma Meningiomas Schwannomas/Neurofibroma If an orbital tumor is present, cosmetic plastic surgeon Dr. Schwarcz will surgically remove the tumor by small incisions near the eye. Contact our practice to schedule your appointment to learn more about orbital tumor and fracture removal . REQUEST AN APPOINTMENT

How We Treat Keloid, Acne and Hypertrophic Scars Undesirable and uncomfortable scars can be removed. Hypertrophic scars are unsightly, flat and cosmetically not pretty which is why many of our patients seek to remove them. In the case of hypertrophic scars which are caused by excessive collagen production when the skin is healing after a trauma or injury, the scar is raised and wide. Hypertrophic scars can be treated or removed by laser therapy, corticosteroid injections, cryotherapy which freezes the scar tissue, or surgical removal. Keloid scars occur when the scar tissue grows to excess outside of the skin. Approximately three million patients are affected by keloid scars annually. They are typically raised, itchy, lumpy and flesh colored. These are cosmetically undesirable scars and for that reason alone many patients opt for medical intervention and treatment. Cryosurgery and laser treatment are the recommended procedures to treat keloid scars. Dr. Robert Schwarcz is a cosmetic plastic and reconstructive surgeon who treats keloid, hypertrophic and acne scars for his patients. Click here to learn more about scar revision and removal treatments in our New York City and Scarsdale practices . REQUEST AN APPOINTMENT

Cheek Implants Create Definition & Tone Cheek implants are a way to improve facial balance and definition. Facial implants reduce signs of aging around the eyes and create a more proportioned mid-face. By adding projection to the cheek area, the face looks less heavy and more fit and toned. When volume and soft tissue are lost around the cheeks, the entire face can look tired and gaunt. Enhancing the cheeks through cosmetic surgery results in a strong, youthful look and rejuvenates the entire face. Although some patients achieve the facial contour that they want with a cheek implant alone, it is common to combine implants with cosmetic surgery including jaw or chin implants . If you are of age, consider a complete face rejuvenation procedure, a facelift . In addition to implants, which are permanent, there are also non-surgical methods of adding volume and contour to the cheeks. Dermal fillers like Perlane, Restylane, Sculptra, Juvederm, and Radiesse help define, contour, and plump the cheeks while eliminating lines, wrinkles and creases to create a more youthful look. The results of these dermal fillers are temporary but long-lasting and there is little to no downtime. Cheek Augmentation Surgery and Recovery Cheek implant surgery is performed by Dr. Schwarcz, a cosmetic plastic surgeon in New York, following a thorough consultation to determine the optimal implant placement. The incision is normally made on the inside of the mouth or under the eye. In rare cases, small incisions may be made in the cheekbone itself. Once the implant is properly situated, the area is sutured. Over time, the implant meshes with the natural bone and becomes structurally sound. Some temporary numbness, bruising, and swelling can result and is considered normal following the procedure. Any post-operative discomfort is typically well-managed with over-the-counter or prescription pain medications. Most patients fully recover within a week to 10 days. A return visit to the doctor may be required to remove the external sutures. Any sutures inside the mouth will eventually dissolve on their own. REQUEST AN APPOINTMENT

Types and Benefits of Facial Fillers As you age, your skin will naturally lose volume and sag as the pads of fat and connective tissues beneath it shrink. Facial fillers help reverse this change by adding support beneath the skin, stretching it out to erase wrinkles. When administered by a skilled cosmetic plastic surgeon, fillers can give quick, long-lasting results with no surgery or recovery time necessary. Temporary, Semi-Permanent and Permanent Facial Fillers Fillers are classified as one of three types: temporary, semi-permanent, and permanent . Temporary fillers are based on natural compounds. All temporary fillers eventually break down and are absorbed by the body, so they must periodically be renewed to maintain their benefits. Originally, collagen fillers such as Cosmoplast, Cosmoderm, and Evolence were the most popular injectable treatments. However, they have been overtaken in popularity by hyaluronic acid-based fillers, such as Restylane , Juvederm, Restylane Silk, and Perlane. Hyaluronic acid’s advantage is that it provides a softer, more natural look. Another type of temporary filler is calcium hydroxylapatite, which is stronger and heavier than hyaluronic acid and is typically injected deeper in the skin. Radiesse is a filler composed of calcium hydroxylapatite and is used to treat moderate to deep creases and folds. The only facial filler composed of poly-L-lactic acid that is FDA approved is Sculptra . This is heavier than temporary facial fillers, and is usually used to treat especially deep facial lines and indentations to create volume, when other fillers aren’t strong enough. While their results are long-lasting, they may still require occasional maintenance with your cosmetic plastic surgeon. Permanent fillers such as ArteFill are made with microspheres of polymethylmtethacrylate (PMMA). They are too heavy to be used in delicate areas, but work well in places where the skin is thick and lines form deeply, such as the nasolabial folds. One permanent injectable treatment to beware is silicone. Silicone injections are not approved by the FDA and are dangerous and unsafe, especially since many practitioners offering silicone injections are not licensed. Patients have suffered severe reactions and side effects from silicone. Silicone can also shift within the body, producing an uneven, lumpy appearance. Which filler is best for you is a matter best determined in consultation with a licensed cosmetic plastic surgeon. Your doctor can help you determine what’s best for your case and work out a treatment plan. The right filler can produce a remarkable renewal in your look, with no surgery involved. REQUEST AN APPOINTMENT

Unwanted Skin Conditions like Dark Circles and Dark Spots Dr. Schwarcz is a New York cosmetic plastic surgeon who offers various cosmetic treatments for unwanted skin conditions, including dark circles beneath the eyes and dark spots and pigmentation on the face. Dark spots and age spots have various treatments including laser therapy, cryotherapy, and chemical peels . The Intense Pulsed Light laser and ClearLift Laser are two of the popular lasers used to treat melanin in the skin. However, with laser treatment it is more likely that multiple sessions will be needed for optimal results. These skin conditions occur naturally over time due to age and exposure to the environment. Skin maintenance definitely helps but cosmetic treatments improve such aesthetic concerns in a non-invasive way without the need for surgery and eye creams or expensive ointments. Click here to explore other skin concerns and non-surgical treatments treated in our Scarsdale and Manhattan offices. REQUEST AN APPOINTMENT

Facial Filler Injection with Oculoplastic Surgeon Anyone who is looking to undergo a non-surgical procedure that fills out hollowed areas of the face and improves the appearance of the fine lines, creases, lack of volume and wrinkles may benefit from facial filler injections. Facial filler treatment can produce natural-looking results and is often a better alternative to more invasive cosmetic procedures. What Facial Filler Injections Can Treat Hollow upper eyelids that create the appearance of having sunken eyes can often be treated with these injections. The loose upper eyelid skin that sometimes comes with aging can be tightened with a facial filler. Bags, dark circles and tear trough deformity around the eyes can be eliminated with treatment. Injectables also work great for filling out areas around the cheeks, brows and temples that are drooping due to fat loss. Patients in NYC can receive a consultation in advance so that Dr. Schwarcz, a prestigious oculoplastic surgeon, can perform a thorough examination and perform the best treatment. Facial Filler Options Some of the best synthetic injectable filler products that can also be used include: Restylane RHA Radiesse Sculptra Hyaluronic acid is a type of facial filler that maximizes moisture and collagen levels. For example, Restylane and Juvederm are comprised of hyaluronic acid. Ideal Candidates Facial fillers can be given to men and women of different ages who are not allergic to these injectables. This treatment is especially beneficial for premenopausal women and men under the age of 50. Excess and stretched facial skin normally do not develop in abundance before these ages. A patient who has droopy eyelids or severe lower eyelid bags caused by fat prolapse should consider having lower blepharoplasty with fat removal and repositioning for the best results. The Procedure Dr. Robert Schwarcz is a facial surgeon in New York who routinely performs facial fillers for his patients. The targeted area and the skin concern influence the type of filler that is selected. Each area can take around 10 to 15 minutes to treat while the patient is comfortably seated. Once the procedure is complete, the patient can resume his or her normal activities. After Treatment Some bruising and/or swelling without much additional pain or discomfort should be expected for the first week after treatment. Results after the initial treatment may last up to two years, but subsequent treatments are known to maintain the results for longer periods of time. REQUEST AN APPOINTMENT

How A Chin Implant Can Contour Your Face A person’s face is seen as attractive, or otherwise appealing based upon our individual and cultural perceptions of beauty. Ultimately, this is rooted in the highly-evolved perception of specific traits, which people have developed over thousands of years. Facial implant surgery helps add definition, contour and symmetry to certain features of the face including the chin, cheeks, jaw and much more. It can also improve perception of a person’s appearance, boost self-confidence, and improve their overall social experience. The Shape of A Face Chin implants are highly effective in creating definition, tone and shape to the face. A person’s facial shape is primarily defined by their skull and overlying tissues beneath the skin, as evidenced by the increasing trend of historical individuals undergoing facial reconstruction — allowing present-day history enthusiasts to have a look at some of history’s most famous persons. Depending upon the structure of an individual’s facial features, different features may appear well balanced, unusually pronounced, or poorly defined. Many people may react in a negative way to poorly-defined features, which are themselves often referred to individually as “weak.” A person might be said to have a “weak chin” or a “poor jawline.” This affects the confidence of such individuals in social situations, when they themselves are in no way lacking any of the actual pertinent qualities required for their own social advancement. Within the overall discipline of oculofacial plastic surgery lies the practice of facial implantation, including chin implants. This type of surgical procedure addresses a common failing of cosmetic surgery: most surgery focuses solely on the malleable, or “plastic” tissues, creating temporary changes that fade over time. The use of implants focuses instead on bolstering the underlying solid structure, creating permanent changes in the shape of a person’s face. The Importance of Chin Implants Any cosmetic surgeon will tell you that chin implantation is one of the most popular facial implant surgeries available. By further developing a weak chin, chin implants work to dramatically improve many aspects of a patient’s overall appearance. They improve the profile of the entire face, but can also help to reshape the contours of a person’s neck, creating a more elegant curve that corresponds strongly to millennia-old ideas about human beauty. The wide range of implants available means that there is one available to suit the needs of any given patient, for all but the most extreme of circumstances. Chin implantation involves a small incision, which is made either under the chin or within the mouth. During the surgical procedure, which is frequently performed with only local anesthesia, the implant is slid into place, whereupon the existing facial tissues provide strong support to keep it in position. The recovery time for chin implantation is one of the shortest in cosmetic surgery, typically lasting for a few days. Afterward, the patient’s new facial shape will appear as natural as if they were born with it, allowing them to engage with other people on both the personal and professional levels with greater ease and confidence. REQUEST AN APPOINTMENT

The Dangers of Precancerous Skin Lesions Skin cancer can be devastating. News of tumorous skin cells growing amd multiplying at accelerated rates can be frightening. This is why prevention and early detection of skin cancer is key. Prior to the development of skin cancer cells and tumors, lesions may be seen on the surface of the skin. Several types of precancerous lesions can exist on the outermost layer of the skin, a precursor to skin cancer if left untreated. Melanoma in situ, acitinic keratosis, atypical moles and atypical fibroxanthoma are examples of precancerous skin lesions . We recommend prompt diagnosis and treatment by a skin cancer surgeon. Any dangerous lesions should be immediately surgically removed and excised. Many removal methods exist depending on the size, type and location of the pre-cancerous lesion . A dangerous lesion, can evolve into various types of tumors- each with its own risks of rapidly spreading throughout the skin. We recommend sun protection and limited sun exposure to all our patients to prevent precancerous lesions and growths like harmful moles from developing. If you suspect you have a dangerous growth or lesion on your skin, do not wait. Schedule your examination today with Dr. Robert Schwarcz, a cosmetic, reconstructive and skin cancer surgeon. REQUEST AN APPOINTMENT

Blepharoplasty and Eyelid Scar Correction Lower Blepharoplasty Revision Dr. Robert Schwarcz in New York City frequently sees patients who suffer from problems such as prolonged chemosis, scarring, missing skin, wrinkled skin, lumps, bumps and an overabundance or lack of eye bags. Revisional lower blepharoplasty can correct these issues. Due to the eyelids’ delicate nature, a careful approach must be used to not exacerbate these problematic conditions. Therefore, Dr. Schwarcz restores the eyelids and overall shape of the eyes with minimally invasive surgical techniques. When Revision Surgery is Warranted In the case of one patient, it was determined that she had residual filler and an under-eye fat prolapse. To correct these problems, Dr. Schwarcz performed a transconjunctival lower blepharoplasty , which requires no stitches and leaves no scars, and fat repositioning while the patient was under local anesthesia. After surgery, the lower eyelid was smoother and improved in appearance. Hollow Eye Revision Another cosmetic complication from a lower or upper blepharoplasty occurs when an excessive amount of fat is taken from the eyelid. This complication creates an undesirable sunken, hollow look to the eyes. In order to restore the eyes’ fullness and youthfulness, Dr. Schwarcz injects filler or fat around the eyes. As an alternative to a fat transfer, acid gel filler can be used. After the surgeon injects filler into the upper eyelids or under eyes, the results are instant. The patient can expect these results to last approximately two years. To produce a natural appearance, the surgeon must be knowledgeable in the eyelids’ normal and previous surgical anatomy. When a hollow eye is corrected by performing a fat transfer with stem cells, fat is taken from the patient’s thighs or stomach and injected into the hollow area. Fat is an excellent, long-term option for hollow eye correction. However, synthetic fillers are more predictable. Eyelid Scar Correction As an elite oculoplastic surgeon in NYC, Dr. Schwarcz regularly performs eyelid scar correction . Scarring is commonly seen in the lateral canthus and medial canthus. When scarring occurs in these areas, the patient’s appearance is negatively altered, potentially causing the patient a great deal of emotional pain. To hide and revise the scars, the surgeon utilizes minimally invasive techniques like epicanthoplasty with Z-plasty. REQUEST AN APPOINTMENT