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Prasad Cosmetic Surgery

In The Media

A New Face for the New Year!

As is always the case with the New Year comes our New Year resolutions – for many of our patients the colder winter months and lack of major Holidays is the best time to consider their cosmetic surgery options. One of the most popular procedures is a Facelift. In recent years, partly due to the dramatic increase in nonsurgical options for facial rejuvenation, patients often are confused as to what is the best solution for them. How do nonsurgical options really compare to a facelift?

Recovery: A short recovery time is one of the main advantages of nonsurgical treatments like BOTOX Cosmetic, injectable fillers and skin tightening lasers. These procedures can be performed on your lunch hour, taking only twenty or thirty minutes, and you can return to work–immediately after. No downtime, and little discomfort. A traditional surgical facelift, on the other hand, usually involves an overnight hospital stay with a private duty nurse. A traditional facelift can also result in a slanted or pulled look.

For patients who seek a better alternative to other facelifting procedures available, the Quick Recovery Facelift developed by Dr. Prasad has many advantages compared to a traditional face lift. The Quick Recovery Facelift is performed under local LITE™ Anesthesia, which is safer than general anesthesia used for most face lift surgeries. The Quick Recovery Facelift produces a shorter scar as the incision is a lot smaller and does not go to the temple. Because of the way the incision is made, hair loss is minimal (if any) and the sideburn is preserved. With the Quick Recovery Facelift, the patient goes home on the same day of surgery. The Quick Recovery Facelift restores the natural relationships of the skin, tissue and muscles of the face, resulting in a natural, youthful appearance that will last long.

Longevity Comparison of Surgical to Non Surgical Facial Rejuvenation:  Surgical facelifts give much longer-lasting results than nonsurgical treatments. A recent survey showed that 69% of facelift patients still saw significant results from their facelift over 12 years after surgery. On the other hand, nonsurgical treatments have a much shorter lifespan. From 3 months for BOTOX Cosmetic to a year for Juvederm, no nonsurgical treatment even approaches the lifespan of a facelift.

Cost comparison:  Cost is another factor that may drive patients to select a nonsurgical treatment. People see the $12,000 average price tag for a facelift and balk, but the $500 for a BOTOX Cosmetic injection seems reasonable. But is it when you compare the costs over the lifespan of a facelift? Let’s assume that you get longer-than-average results from BOTOX Cosmetic, about four months, which means you need three sessions a year. Three sessions a year for ten years is $15,000, significantly more than the cost of a facelift. Even if you finance a facelift and end up paying more, the overall cost for the two procedures is comparable.

Get the Best Rejuvenation for Your Face
Another important factor in this comparison is remembering that these two procedures are not really directly comparable because they treat different symptoms of facial aging. Before making a decision, you really need a personal evaluation with Dr. Prasad to determine what is the most appropriate procedure(s) for your specific case.

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Economy impacts patients’ cosmetic surgery choices

By: Bill Gillette
Cosmetic Surgery Times E-News

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

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

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

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

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

Dr Prsad’s Response:

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

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

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

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

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

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

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Patient Reviews of HydraFacial™

More HydraFacial™ Testimonials

The last time I had a facial, all my friends asked “What happened to your face?” (since it was so irritated) and I explained I that had a facial. Being a guy, a lot of my guy friends made fun of me for having a facial done! However, I just had the HydraFacial™ and instead of looking worse for a few days until the skin on my face settles back down – the HydraFacial™ was instant positive results. It only took 20 minutes and after I can feel my skin breathing and I feel refreshed. I’ve been happy with the results of other types of facials, however the HydraFacial™ allowed me to get on with my day without feeling self-conscious about the appearance of my skin just after. I definitely would recommend HydraFacial™ if you have an event to go to or a busy week or weekend planned – or if you are just a guy in general because you don’t have to lie there a very long time.

The process was really cool and quick. The esthetician at Prasad Medi-Spa started off the HydraFacial™ by putting a hydrating gel on my face to hydrate my very dry skin – this is good because I have to shave every 2 days, so my beard area gets extremely dry and sensitive from shaving so often. After she then infused the glycolic acid onto my my face, and using the special HydraFacial™ wand, began the extractions. There is no discomfort or pain, it is like a little suction – like a mini-vacuum that you can feel cleaning your facial pores and skin. I’ve noticed the most difference after HydraFacial™ on my nose – which gets very congested, dirty pores. My nose now looks very smooth with healthy skin. After the extractions, she re-hydrated my skin with the product. Then, she applied a green tea eye cream and also hydraluronic acid all over for extra rejuvenating.

Posted in dermabrasion, facial, From The Desk Of, garden city, hydrafacial, Medi Spa, Prasad Medi-Spa, Rejuvenation, Skin Care | Tagged , | Comments Off

Vampire Facelift (TM)

Drs. Charles Runels and Amiya Prasad

I had the unique opportunity this past weekend to visit Dr. Charles Runels in beautiful Fairhope, Alabama. Dr. Runels is the creator of the famous “Vampire Facelift (TM)”. The day with Dr. Runels and his assistant Laura left me with a great impression. Many of my colleagues perceive Dr. Runels from his videos and website as being a “fringe” physician. Nothing could be further from the truth. Although his personal style (which is seen on his YouTube videos) and passionate desire to protect the quality of his creation “The Vampire Facelift (TM) can be interpreted as “strange”, my feeling is that he is an exceptionally creative and caring physician whose mission is help people live life to their fullest potential.

He was very gracious and specific in instructing me on how to perform the Vampire Facelift (TM) which is a method to enhance areas of the face which are sunken using hyaluronic acid (such as Juvederm and Restylane) and your own blood’s growth factors (drawn like you would for a routine blood test) which are processed into something called “PRP or Platelet Rich Plasma”. This combination as designed by Dr. Runels is very safe and creates instant results with typically no downtime. The clients of Dr. Runels I met at his office were huge fans of the procedure and could not say enough about how happy they were. In unapologetic Southern style, one client said “I’d follow Dr. Runels anywhere for my Vampire Facelift!” (the accent and voice made the phrase unforgettable). The idea of using your own blood to create a youthful appearance is a concept which has great appeal to many of our clients who have heard about the “Vampire Facelift (TM) on the TV show “The Doctors”.

My wife and I enjoyed a very educational day with Dr. Runels and Laura with only a little time to enjoy the beauty of Fairhope. We did have a wonderful dinner at Camellia Cafe with them and I have to say the service and food was on par with top Manhattan restaurants we’ve been to.

Just in time for Halloween, the “Vampire Facelift (TM)” is now a procedure we are offering at our offices in Manhattan and Garden City, Long Island.

Once again, I want to acknowledge Dr. Runels for his creativity and passion and thank him for his instruction and hospitality.

Posted in cosmetic surgeon, Dr Runels, Fillers, From The Desk Of, Plasma, Prasad Medi-Spa, Rejuvenation, selphyl, Skin Care, Vampire, Vampire Facelift | Tagged , | Comments Off

Is a browlift or upper blepharoplasty procedure right for you?

NY Oculofacial Cosmetic Surgeon, Dr. Amiya Prasad answers RealSelf.com Question on browlift surgery and upper eyelid blepharoplasty:

“What is more invasive: a browlift or upper blepharoplasty?”

Dr. Prasad is an expert at facial surgery and eyelift surgery. He explains why a patient must first determine if a blepharoplasty (eye lift surgery) or a brow lift is needed. In some cases a patient may need a combination of both eyelift and browlift surgery.

When getting a browlifting surgery (or performing the surgery), it is important that the brows aren’t overdone or pulled too much because it could result in a “constant surprised” look or expression as the brows have become too arched. A combination surgical procedure of a browlift and eye lift may be needed. After the browlifting surgery, it can then be determined how much excess skin is to be removed during the upper eyelid surgery. Both a brow lift and upper blepharoplasty are invasive surgical procedures, however they are invasive for different cosmetic goals.

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Hair Restoration Surgery – More Comfortable and Better Results

New York Cosmetic Surgeon Dr. Amiya Prasad and Hair Restoration Specialist Dr. Gary Hitzig combine their approaches and introduce the concept of performing more effective hair transplant surgery with light intravenous sedation under local anesthesia. IV Sedation, when  used during hair transplantation, helps to regulate the patients blood pressure which reduces an effect known as “popping”, in which the scalp bleeds during hair transplant surgery. IV Sedation reduces bleeding during the hair transplant, which allows the grafts to be placed easier, thus the donor hairs are out of the body for less time,  thus increasing the effectiveness of the hair transplant results. This safe method of hair transplant using IV sedation yields is greater hair density because there are less complications and more comfortability for the patient. The more hair grafts that take, the more successful the hair restoration.

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Study: Makeup makes women look competent, trustworthy

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

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

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

By Rina Raphael

In beauty, less is often more.

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

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

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

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

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

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

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

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

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The Benefits of Using ACell for Hair Restoration

NY Cosmetic Surgeon Dr. Amiya Prasad and Hair Restoration Expert and ACell pioneer Dr. Gary Hitzig explain hair cloning technology ACell used for hair transplant surgery. They explain the protocols and methods developed by Dr. Hitzig for the proper administration during hair transplant. Dr. Prasad and Dr. Hitzig warn practitioners and customers of ACell that the material must be used properly for best results possible. Dr. Hitzig also introduces Hydr-ACell ,a new aqueous based solution developed by Hitzig and cosmetic surgeon Dr. Amiya Prasad. Hydr-ACell offers a more effective means to deliver topical ACell to wounds and transplanted follicular unit grafts. The unique application process allows doctors to evenly apply ACell to the open FUE wounds and protect FUE grafts in scar tissue. As part of this study, Hydr-ACell will also be studied for its topical value in healing.

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Facial Reshaping As we Age

Q: Hi, i’d like to know if a face lift can be used to reshape the face and not just for sagging skin. i’m 30 years old so my skin is still pretty tight but the whole face is kinda “droopy”, i wonder if a face lift or a forehead lift could just be used to reshape the upper part of my face and make it wider and make the eyes a little more almond shape or make the jawline tighter.

A: Someone who is 30 years old or younger may not be ready for a facelift surgery, but may be showing signs of aging. This question identifies elements of the face that define a youthful face and elements of the face that change due to aging that make one appear older that he or she is. Instead of lifting, there are options to add volume. In my book “The Fine Art of Looking Younger”, I address facial aging as 2 processes: dissent and volume loss. Dissent is when part of the face or body begin to droop downward, such as the skin, cheeks, and eyes. Volume loss is when the features lose their fullness, such as hollowing in the cheek area. This question asks to add volume to the cheek area and make the eyes appear more almond shape and upturned- both of those are the elements of a youthful face. Facial aging has been described by many of our colleagues,that when we are younger, our face is like an upside down triangle (in which the top part of the face is wider); as we get older, it is more like a triangle in the proper orientation (in which the lower part of the face is wider). There are choices to help you improve your appearance. My advice: find a qualified cosmetic surgeon, (who doesn’t necessarily have to perform surgery) that is familiar and comfortable with facial work and can provide the results you.

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