Archive for September, 2010
Brian S. Glatt, MD, FACS, and the staff of Premier Plastic Surgery Center of New Jersey, recognize the courage, strength and dignity of our breast cancer patients this month, as we do every month.
We are privileged to be a part of your team.
Posted in Breast Surgery, General Information, Special Topics on September 30th, 2010
Board Certified Plastic Surgeon Brian S. Glatt, MD, FACS, of Morristown, NJ, recommends the Asbury Park Press article “Mammograms not sole test”.
The Asbury Park Press will be featuring a weeklong series focusing on breast cancer. In one article, Dr. Paul Friedman, Medical Director of the Carol W. and Julius A. Rippel Breast Center at Morristown Memorial Hospital, discusses mammograms.
“The Carol W. and Julius A. Rippel Breast Center at Morristown Memorial Hospital, which performs some 8,600 mammographies a year, recently started the MI-CARE (Mammography with Immediate Communication And Results of Exam) program. To reduce anxiety for women getting their very first mammography, the center guarantees an immediate read of their mammograms and even on-the-spot follow-up views.
“First-time mammography patients do have higher rates of callback,” said Dr. Paul Friedman, medical director of the center. Radiologists generally want additional views, he explained, because they have no baseline images that make it easier to spot changes and abnormalities.” (from APP.com)
The complete article can be found on the Asbury Park Press website
Posted in Breast Surgery, Special Topics on September 29th, 2010
Did you know that bruising and swelling after many cosmetic surgery procedures can be avoided, and that recovery time can be significantly reduced?
Board Certified Plastic Surgeon Brian S. Glatt, MD, FACS, provides his cosmetic surgery patients and those receiving injectable filler treatments, with SinEcch™, made from Arnica Montana. SinEcch™, made in accordance with FDA regulations for homeopathic preparations, is the only Arnica Montana regimen clinically proven to reduce post-operative bruising and swelling.
Patients who receive injectable fillers such as JuvedermXC, Sculptra and Radiesse, at Premier Plastic Surgery Center of NJ, are provided with SinEcchi™, a mini course of Arnica Montana which consists of 4 capsules to be taken over 24 hours. Our patients report less downtime following treatment and a significant decrease in bruising and swelling.
To benefit from this all-natural product after surgery or injectable fillers, contact Premier Plastic Surgery Center of NJ’s Morristown office to schedule your appointment with Dr. Glatt.
Posted in Botox and Fillers on September 27th, 2010
Brian S. Glatt, MD, FACS, of Morristown, NJ, is often asked “are you Board Certified”?
Every Plastic Surgery magazine article and internet blog stresses the importance of finding out if your physician is Board Certified. Most will recommend you look at the practice web site, check when you call the office for your first appointment, or ask the surgeon this important question during your initial consultation. This is all great advice but……“are you board certified” is only half of the question that needs to be asked. What really needs to be asked is “are you a Board Certified Plastic Surgeon”? Board certified dermatologists perform blepharoplasties. Board certified internists perform breast augmentations. Board certified gynecologists give Botox and injectable fillers, some with as little as one day of training! These physicians may be wonderful in their respective fields, and they are board certified. They are, however, not Board Certified by the American Board of Plastic Surgery (ABPS), one of the 24 specialty boards recognized by the American Board of Medical Specialties (ABMS). The ABPS is the only ABMS board which certifies surgeons in the full spectrum of the specialty of plastic surgery of the entire face and body. That is, plastic and reconstructive surgery of the head and neck, trunk and extremities.
In order to qualify to sit for the boards of the American Board of Plastic Surgery, a surgeon must have graduated from a recognized medical school and have at least 6 years of surgical training, with a minimum of 3 years in plastic surgery. Next, the plastic surgeon must pass comprehensive oral and written exams over the course of several years to become a Board Certified Plastic Surgeon. The mission of The American Board of Plastic Surgery, Inc. is to promote safe, ethical, efficacious plastic surgery to the public by maintaining high standards for the education, examination, certification and maintenance of certification of plastic surgeons as specialists.
Plastic surgery involves many choices, the most important of which is selecting your surgeon. Dr. Glatt’s individualized, personal approach for each patient is what sets him apart from his peers. And, yes, he is a board certified plastic surgeon!
Posted in General Information on September 24th, 2010
Board Certified Plastic Surgeon Brian S. Glatt, MD, FACS, of Morristown, reminds you that there is still time to take advantage of Allergan’s offer of a FREE GIFT with the purchase of LATISSE®
At Premier Plastic Surgery Center of NJ, you will receive a coupon that entitles you to a free VIVITÉ® Vibrance Therapy with your purchase of LATISSE® – a $119.00 value! This offer is good through September 30, 2010, so don’t wait!
If you have not tried LATISSE®, now is the time! For further savings, sign up for LashPerks and get a $20.00 rebate on your LATISSE® purchase. Call Premier Plastic Surgery Center of New Jersey today, to schedule an appointment with Dr. Glatt.
Posted in Special Topics on September 22nd, 2010
Brian S. Glatt, MD, FACS, a Board Certified Plastic Surgeon at Premier Plastic Surgery Center of New Jersey in Morristown, answers frequently asked questions about fat grafting.
Fat grafting or transfer involves harvesting or “taking” fat from one area of the body where there is some excess (using liposuction techniques) and grafting or injecting it into other areas of the body or face to produce enhanced volume. After taking the fat, it first needs to be prepared and “purified” to get rid of any excess liquid, numbing medicine, or blood, which leaves behind only the pure fat cells. This maneuver maximizes the results of the grafting. The purified fat is then injected into target areas using specialized blunt ended cannulas, which are hollow tubes with specialized openings at the end.
Fat grafting has become an extremely popular procedure since almost everyone has some excess fat somewhere on their body that they do not mind giving up and placing into areas where they could use some more bulk or fill. As techniques and methods of fat grafting have improved over the years, the success rate of the procedure has grown significantly and the results have become more predictable and reliable. Also, these procedures commonly do not require a trip to the operating room as Dr Glatt can easily perform them in an office setting under local anesthesia or with a minimal amount of sedation for comfort.
Fat can be grafted or transferred from almost any part of the body to be placed almost anywhere else. The most common areas (or “donor sites”) where fat is taken from with liposuction are the outer thighs, abdomen, and flanks. By far the most popular location fat is grafted into are areas of the face, such as the cheeks, nasolabial folds, deeper lines and wrinkles, the hollows beneath the eyes, the brow to provide additional fullness, the temple areas for hollowness in this region, and the lips. In addition, Dr. Glatt frequently performs fat grafting as a routine part of other surgical procedures, such as placing it in the upper cheek to augment a standard facelift or in the tear trough area as part of a surgical lower eyelid rejuvenation. The Brazilian butt lift is actually a variation of a large fat grafting procedure where a high volume of fat is grafted back into the buttocks for large volume augmentation and shaping.
Fat is being used by some practitioners in the female breast for augmentation. Fat grafting to the breast is still considered quite controversial. This is because if the fat transfer is not completely successful, the grafted tissue can form scar lesions or nodules, which could potentially confuse future mammograms. For this reason, Dr. Glatt does not perform fat grafting in place of standard breast augmentation procedures. Dr. Glatt does, however, utilize fat grafting in secondary revisions to enhance contour following breast reconstruction procedures, and published an article on these techniques in 2009.
Advantages of this procedure is that fat is a natural substance, being your own tissue, and there is usually plenty of it for use. The grafted areas will gain and lose weight with you as you move through life.
Disadvantages are that you may need multiple sessions to achieve your desired result or you may have loss of grafts if fat does not “survive”. The procedure is somewhat more invasive than having an off the shelf injectable filler such as Juvederm. You may also require IV sedation anesthesia for larger or more extensive fat grafting procedures.
There are no actual side effects of fat grafting surgery, however patients do need to be made aware of some risks and recovery issues. For instance, there is usually a great deal of bruising afterwards (at least 1-2 weeks) in the area where fat is placed. There is also a good deal of swelling, and the area will look overdone at first, until the swelling and bruising resolve. Some of the grafts may not “take” or be successful and this could lead to the results “melting away” and cause contour irregularities or asymmetries. This is unusual, but is a possibility. The opposite could occur also, where too much fat may be placed into an area and stay, which could cause different types of small irregularities or asymmetries that may need to be corrected.
Patients should have an idea of how much fullness they are looking for and what areas they wish to be treated. In addition, you must allow for adequate recovery time after this procedure. Each patient must be prepared for the possibility that you may need multiple sessions to achieve desired results, but this should be discussed with you beforehand at your initial consultation.
Success rates are improving as we learn more about how to best perform all aspects of the procedure: how best to harvest the fat and from which areas does fat work the best; how do we maximize the survival of the fat with purifying techniques and which ones are most effective; which cannulas work the best and which specific techniques and volumes have the highest success in different areas of the body. All of these questions need to be definitively studied and figured out! Right now, there is significant variation among different practitioners for each and every little step of the procedure and therefore tone may see mixed results depending on the experience of the particular practitioner. It is important to go to a Board Certified Plastic Surgeon who performs these procedures regularly and is comfortable discussing all aspects of the technique.
To schedule an appointment with Dr. Glatt to discuss fat grafting, call Premier Plastic Surgery Center of New Jersey’s Morristown office.
Posted in Special Topics on September 20th, 2010
The most common comment Board Certified Plastic Surgeon Brian S. Glatt, MD, FACS, hears from his patients after breast reduction surgery is “I wish I had done this sooner!”
Breast reduction not only improves a woman’s self-image, but in many cases, improves the physical symptoms that accompany large breasts, the condition known as macromastia. Women with this condition frequently suffer from back pain, neck and shoulder pain, and rashes under their breasts, all of which make exercise and physical activities difficult. During your consultation at Premier Plastic Surgery Center of New Jersey, Dr. Glatt will explain the different methods and incision patterns used and determine which will achieve optimum results. Breast reduction is usually performed as a same day surgery, and the recovery is minimal. Call our Morristown, NJ, plastic surgery office to schedule an appointment with Dr. Glatt to discuss your breast reduction surgery options.
Posted in Breast Surgery on September 17th, 2010
The Skin Care Specialists at Premier Plastic Surgery Center of New Jersey remind you that September is the perfect month to reevaluate your skin care routine.
Morristown, NJ: As the weather changes, so should your skin care. One day may be hot, another may be cool – Fall skin care routines are designed to help balance your skin. Under the supervision of Board Certified Plastic Surgeon, Brian S. Glatt, MD, FACS, our Skin Care Specialists will provide customized treatments, and recommend medical grade skin care products to help you achieve your goal of a healthy, more vibrant complexion. Call Premier Plastic Surgery Center of New Jersey’s Morristown office to schedule an appointment with one of our Skin Care Specialists to realize optimal results from your skin care routine.
Posted in Special Topics on September 13th, 2010