Category Archives: Cosmetic Surgery

Neck Contouring With Kybella is a Hot Trend in Cosmetic Surgery, But Dr. Richard Buckley Warns Consumers to Choose Carefully and Not Get Sucked Into the Hype!

Milford, PA March 30, 2016 – Neck contouring is big news because of two recently approved approaches, Kybella and CoolSculpting’s CoolMini. But while the hype is around what’s new, what’s tried and true, for example liposuction with SmartLipo, remains an even better neck contouring option for people bothered by aging or genetically thicker necks, according to Dr. Richard Buckley, medical director at the cosmetic surgery practice MilfordMD, in Milford, Penn.

“I think Kybella and CoolSculpting can be options for some men and women concerned about neck fat without skin laxity, but it’s important to warn consumers that while Kybella is getting all the press because it’s new, it’s not the only option for neck contouring.”

The FDA approved Kybella, which is deoxycholic acid, last year for treatment of moderate-to-severe submental, or neck, fat in adults. What makes it different and attractive to many is that it’s not your typical surgical device, rather, it’s an injectable drug. People who are weary of surgery are considering Kybella because it may permanently and nonsurgically contour the neck. The active drug in Kybella, deoxycholic acid, does this by destroying fat cells.

But there are things that consumers should know, which might not appear in big letters in advertisements for the procedure. The drug, when injected incorrectly, can destroy other types of cells, such as skin cells, according to the FDA’s press on the approval. It is worth noting that a non-FDA approved product containing deoxycholic acid plus phosphatidyl choline, Lipodissolve, was taken off the market by the FDA due to a plethora of undesirable side effects. Lipodissolve had only a 35% “worth it” rating on realself.com.

And while injections of Kybella are not “surgery,” the substance does cause a lot of swelling, bruising, pain, numbness, redness and hard areas where patients have been treated. The very word injectable often is perceived as non-serious or safe. That’s not always the case. It’s important to go to someone with experience in the procedure. In rare cases, Kybella can cause serious side effects. One such side effect is nerve injury in the jaw, which can result in trouble swallowing, facial weakness or an uneven smile. Additionally, many treatment sessions are required and it is expensive.

The FDA also expanded clearance for CoolSculpting’s CoolMini applicator to treat smaller pockets of fat, including those around the neck area. Also noninvasive, CoolSculpting works via a process called cryolipolysis, which basically is using cold to cause fat cell death (apoptosis). This, too, is not free of the possibility of serious complications, including rare instances of something called paradoxical adipose hyperplasia, which is the accumulation of fat, instead of a reduction, in the treated area.

“The message to consumers is that there are potential complications from even noninvasive or nonsurgical approaches. The safest approach is to go to a physician with a good track record in neck contour procedures,” Dr. Buckley says. “That physician shouldn’t be pushing a particular option, but rather tell the patient about all the options.”

In the case of neck contouring, SmartLipo or PrecisionTx laser plus microcannular liposuction with while-awake tumescent anesthesia can remove the fat in the neck in a lunchtime procedure.

“It takes very little time. I can do one in 20 minutes. The neck looks immediately smaller. Whatever fat you sucked out is immediately gone. People get beautiful results. And it’s less expensive at our practice than Kybella,” Dr. Buckley says. “The problem is it’s a tried-and-true approach, without the marketing sizzle of some of the newer options.”

One of the neck contouring options at MilfordMD Cosmetic Dermatology Surgery & Laser Center is treatment with PrecisionTx, one of the newest laser technologies that Dr. Buckley offers. The approximately 30 minute, one-time treatment, Dr. Buckley can lift and tighten a patient’s neck area. To perform the procedure, Dr. Buckley numbs the area and makes a tiny entry point under the jawline. He then inserts the PrecisionTx laser fiber to deliver laser energy to melt fat and stimulate collagen production in the area. There are no incisions and no sutures.

Another proven option for neck contouring, according to Dr. Buckley, is Ultherapy, an FDA-cleared non-invasive therapy that uses highly focused ultrasound technology to lift and tighten the neck and other area skin.

“Ultherapy delivers ultrasonic energy deep into the connective tissue below the skin to enable visualization of the tissues; then delivers a different wave of ultrasonic energy to stimulate collagen deep below the skin’s surface,” he says. “The result is a more angular, youthful, natural looking neckline.”

About MilfordMD Cosmetic Dermatology Surgery & Laser Center:

The MilfordMD Cosmetic Dermatology Surgery & Laser Center offers state-of-the-art highly specialized procedures in laser and cosmetic surgery and aesthetic skin care. In addition to its extensive laser surgery capabilities, MilfordMD offers physician designed skin care products for home use. Milford Pennsylvania’s MilfordMD Cosmetic Dermatology Surgery & Laser Center is sought out by patients from around the world for expertise and innovation in cosmetic treatments performed by Richard E. Buckley, M.D. and Marina Buckley, M.D.

MilfordMD Cosmetic Dermatology Surgery & Laser Center is located at 303 W. Harford Street, Milford, PA 18337. Tel: (800) 664-1528. For real patient video testimonials, visit our MilfordMD YouTube channel.

With New ASAPS Statistics Just Out, Dr. Richard Buckley Comments on Why Laser Liposuction with SmartLipo Continues to Buck the Fat Removal Trend

Laser bodysculpt of abs, waist & hips by Dr. Richard Buckley at MilfordMD Cosmetic Dermatology Surgery & Laser Center in Milford, PA
Laser Liposculpture of Abs, Waist, Hips Using SmartLipo at MilfordMD Cosmetic Dermatology in Milford, PA

Despite the popularity of noninvasive cosmetic options, liposuction remains today’s most popular surgical procedure, and it’s the only surgical procedure in the top 10 cosmetic procedures, overall, according to American Society for Aesthetic Plastic Surgery’s March 2016 statistics.

Device manufacturers are fueling demand for noninvasive fat removal with heavy marketing efforts aimed at promising slimmer bodies with no surgery. But Dr. Richard Buckley, who performs both laser liposuction with SmartLipo, and noninvasive body contouring, says that comparing liposuction to noninvasive fat removal is like comparing apples to sesame seeds.

Dr. Buckley, a cosmetic surgeon and medical director of MilfordMD Cosmetic Dermatology Surgery and Laser Center, says liposuction has come a long way and remains the gold standard option for permanent fat removal.

“Historically, surgeons would use liposuction as a surgical procedure in the hospital, using big thick tools and incisions that would need to be closed. Patients back then endured a lot of downtime and recovery from general anesthesia,” Dr. Buckley says. “That procedure would do nothing to tighten the skin because the devices were only meant to remove fat. But, then, along came lasers.”

Researchers have long known that when physicians apply specific laser light to the outside of the skin, the skin gets tighter. They asked the question if lasers would have the same effect from under the skin and found they did.

“What that means to the patient is not only fat removal but also a more contoured and tightened result,” Dr. Buckley says. “With our SmartLipo Triplex device, we have a side firing laser, so part of the laser beam under the skin can be directed upward. In essence, the laser light is tightening the underside of the skin. With the SmartLipo Triplex laser, it’s no longer just sucking out fat; rather, it’s about contouring the body and tightening the skin.”

Today’s SmartLipo technology allows experienced cosmetic surgeons to restore esthetic beauty by working on where they know a woman’s curves should be. “It’s sculpting. It’s contouring. It’s artwork,” Dr. Buckley says.

To create true works of art, surgeons don’t insert suction cannulas or laser fibers under the skin and spend all their time on the fat pocket. Instead, they treat entire areas, spending more or less time depending on an area’s fat thickness.

Men and women who have laser liposuction with SmartLipo might want a more defined, sporty look, according to Dr. Buckley. “For that, we use state-of-the-art high-definition body sculpting. The high-definition result gives patients defined abdominal muscles, for example,” he says.

Using SmartLipo, Dr. Buckley contours and sculpts many areas of the body from head to feet, including the face, chin, neck, male chest (known as gynecomastia), female breasts (for reduction), arms, bra bulges, back, abdomen, waist, hips, buttocks, inner and outer thighs, knees, calves, ankles, and more.
As for the old-fashioned general anesthesia and prolonged downtime, Dr. Buckley says those, too, have changed.

Today’s liposculpting can be gentle, performed without general anesthesia with excellent results. “Tumescent anesthesia has revolutionized lipolysis (or liposuction), enabling us to sculpt patients’ bodies while patients are awake,” he says. “Today’s laser liposuction procedure is considered minimally invasive, meaning there’s very little downtime. Most patients need only a day or so before they’re back to doing what they like to do.”

Mommy Makeover Seminar on April 26 at MilfordMD Cosmetic Center

Free Mommy Makeover Seminar on 4/26/2016 hosted by MilfordMD Cosmetic Dermatology in Milford, PA.
Free Mommy Makeover Seminar on 4/26 featuring the latest cosmetic treatments that can help correct problem areas for many women, especially mothers looking to restore & enhance their look after childbirth.

Join the staff at MilfordMD Cosmetic Dermatology Surgery & Laser Center Tuesday, April 26, at 5 p.m. for a free mommy makeover seminar, “From Mom to Bombshell,” addressing the spectrum of surgical options, such as tummy tucks, to nonsurgical procedures for skin tightening and much more.

MilfordMD Medical Director Richard E. Buckley, M.D., will offer complimentary consultations to those who attend, as well as talk about women’s options to address common cosmetic concerns after childbirth. Dr. Buckley is an experienced surgeon using the most popular procedures to give moms back their bodies, including tummy tucks, breast lifts with augmentation, breast reductions, laser liposuction, advanced body contouring, skin tightening, cellulite, scar and stretch mark repair, and other surgical and nonsurgical options.

“We’ll not only educate women about what’s available to them, but also will offer exclusive seminar specials, from skin care product raffles and contest prizes to discounts on cosmetic procedures. It’s a night for new and older moms—anyone who has cosmetic concerns—to put themselves first and learn about their options,” Dr. Buckley says.

Having babies brings great joy and a huge commitment for new parents. But, often, long after childbirth, the physical signs of pregnancy remain, leaving moms with drooping, sagging skin and fat pockets that weren’t there before.

“Most commonly, women’s breasts change shape with breastfeeding; their stomachs don’t rebound fully from the stretching of pregnancy; and stubborn fat bulges remain in places they don’t belong,” Dr. Buckley says. “Diet and exercise only go so far. Today’s cosmetic surgery procedures can provide the final touches for restoring a pre-pregnancy body. And to accommodate mommy’s busy schedule, procedures can be done on an outpatient basis, while mommies are wide awake and with relatively little downtime.”

One of the more popular procedures for moms soon and long after pregnancy is the tummy tuck, according to Dr. Buckley. It’s the one procedure that addresses the excess skin from pregnancy and weight loss, restoring the bikini body many women want, he says.

Breast augmentation, breast lift or reduction help bring life back to breasts post nursing. “Breasts can lose some of their fullness and might not be as high or perky as before pregnancy,” he says. “Breast augmentation with breast implants can help restore the breast fullness and height. Some women, however, might prefer a breast lift only, or even a reduction, after pregnancy.”

There’s much more, including laser liposuction and liposculpture, to address exercise-resistant fat pockets. “Depending on the amount of fat that needs to be removed, we have noninvasive and surgical options for today’s women,” Dr. Buckley says.

Technology to reduce fat, sculpt the body, diminish cellulite and tighten skin has come a long way, offering dramatic results with little to no downtime, according to Dr. Buckley. “We’ll talk about the latest and the greatest—what works and what doesn’t,” Dr. Buckley says.

The seminar is free, but seats are limited and reservations are required. To reserve a spot, call MilfordMD at (570) 296-4000. Refreshments will be served.

About MilfordMD Cosmetic Dermatology Surgery & Laser Center:

The MilfordMD Cosmetic Dermatology Surgery & Laser Center offers state-of-the-art highly specialized procedures in laser and cosmetic surgery and aesthetic skin care. In addition to its extensive laser surgery capabilities, MilfordMD offers physician designed skin care products for home use. Milford Pennsylvania’s MilfordMD Cosmetic Dermatology Surgery & Laser Center is sought out by patients from around the world for expertise and innovation in cosmetic treatments performed by Richard E. Buckley, M.D. and Marina Buckley, M.D.

MilfordMD Cosmetic Dermatology Surgery & Laser Center is located at 303 W. Harford Street, Milford, PA 18337. Tel: (800) 664-1528. For real patient video testimonials, visit our MilfordMD YouTube channel.

With New Botox Statistics Just Out by the ASAPS, Dr. Richard Buckley Defines Botox Trend: Not Too Tight. Not Too Little. Just Right.

Before and after photo of real MilfordMD cosmetic patient - six years post non-invasive “liquid” facelift performed by Dr. Richard E. Buckley at MilfordMD Cosmetic Dermatology Surgery & Laser Center in Milford, PA.
Before & after photo of real MilfordMD cosmetic patient 6 years post “liquid facelift” – a treatment in which Dr. Buckley skillfully combines fillers & wrinkle relaxers to restore youthful appearance.

With the demand for botulinum toxin injections, including Botox, Dysport and Xeomin, as strong as ever – surpassing 4 million procedures performed according to stats released March 8, 2016 by the American Society for Aesthetic Plastic Surgery (ASAPS) – MilfordMD Cosmetic Dermatology & Laser Center cosmetic dermatologist Richard Buckley, M.D., says the popularity of botulinum toxin injections doesn’t tell the whole story. Trending is the approach to botulinum toxin injections, according to Buckley. The frozen look that left many patients without expression is old school, according to the industry trendsetter. In fact, the goal, according to the Milford, Penn., cosmetic dermatologist, is: “Not too tight. Not too little. Just right.”

Patients who want to lose the deep furrows or wrinkles between their brows, don’t want to lose their freedom of expression, according to Buckley, medical director of MilfordMD Cosmetic Dermatology Surgery & Laser Center.

“Frozen isn’t natural,” Buckley says. “What many patients don’t realize is that they can become frozen and expressionless over time, or from having botulinum toxin injected incorrectly (too much or in the wrong place) in one procedure. We always strive to retain a patient’s freedom of expression, while attacking the facial furrows, wrinkles and lines that make a person look older and angrier. It’s a very fine balance and it takes experience.”

Physician injectors need to be intimate with facial anatomy—able to identify, among other things, a person’s musculature. It is important to note that book anatomy knowledge is only part of successful injecting. Everyone’s faces (and underlying muscles) work a little differently, according to Buckley.

“The only way to achieve optimal results with Botox or other botulinum toxins is to observe the patient go through a series of facial expressions. I note which muscles are strong and which are weaker and base my injecting pattern and amount on those observations,” he says.

Patients are also different in how much botulinum toxin they need to achieve the desired result. “Some people require a lot of material to achieve any amount of relaxation, and some people require very little,” Dr. Buckley says.

Taking all the individual’s nuances into consideration, Dr. Buckley approaches botulinum toxin injections, such as Xeomin, to the glabellar lines (between the eyebrows) and elsewhere with a reasonable, but conservative dose of product. The true test is in a week to 10 days, when Dr. Buckley sees all patients for their follow up appointments.

“That’s when we look critically at how the patient has responded to the botulinum toxin. Most of the time, it’s just perfect and patients love it. In other cases, we might need a little more relaxing of the muscles to achieve greater control of facial lines and crevasses. I note our findings in the patient’s chart, so that we hone the perfect dose to achieve the patient’s objectives going forward,” he says.

Just like with any cosmetic procedure, according to Dr. Buckley, the goal is to create a naturally pleasing effect—one that makes a person look more relaxed, happier, more youthful and, most of all, pleased when they look at themselves in a mirror.

For more information about what’s trending in cosmetic surgery and what patients need to know, contact Richard Buckley, M.D., at 570-296-4000 and visit https://milfordmd.com.

About MilfordMD Cosmetic Dermatology Surgery & Laser Center:

The MilfordMD Cosmetic Dermatology Surgery & Laser Center offers state-of-the-art highly specialized procedures in laser and cosmetic surgery and aesthetic skin care. In addition to its extensive laser surgery capabilities, MilfordMD offers physician designed skin care products for home use. Milford Pennsylvania’s MilfordMD Cosmetic Dermatology Surgery & Laser Center is sought out by patients from around the world for expertise and innovation in cosmetic treatments performed by Richard E. Buckley, M.D. and Marina Buckley, M.D.

MilfordMD Cosmetic Dermatology Surgery & Laser Center is located at 303 W. Harford Street, Milford, PA 18337. Tel: (800) 664-1528. For real patient video testimonials, visit our MilfordMD YouTube channel.

MilfordMD Reports Nonsurgical Skin Tightening Success with Ultherapy

FDA-cleared, non-invasive Ultherapy treatments are now offered at MilfordMD Cosmetic Dermatology Surgery & Laser Center. Take advantage of our Spring Ultherapy specials!
Are you ready for tighter, better-fitting skin? Ultherapy is a non-invasive rejuvenation treatment for the face, neck and cleavage that stimulates your own collagen to naturally lift from the inside.

In an age of selfies and high-definition images, nonsurgical skin tightening is in high demand, and there’s one new technology that stands out for its safety and results, says MilfordMD Cosmetic Dermatology & Laser Center cosmetic dermatologist Richard E. Buckley, M.D. “We’ve recently added Ultherapy and patients are raving about it,” Buckley says.

Ultherapy stands alone as the only FDA-cleared device that noninvasively lifts skin to elevate the eyebrows, tighten the skin on the neck and under the chin. Ultherapy is also FDA-cleared to diminish lines and wrinkles in the often hard-to-treat décolletage area, says Buckley, medical director of MilfordMD Cosmetic Dermatology Surgery and Laser Center.

“Nonsurgical skin tightening is an important option for people who want to look naturally young and vibrant from the brow to the chest area,” Buckley says. “This particular device, Ultherapy, safely uses tried-and-true ultrasound technology, which allows me to precisely treat areas that need subtle tightening and smoothing. Without drugs or surgery, the treatment stimulates the natural formation of collagen and elastin to gradually smooth wrinkles and tighten skin.”

Nonsurgical skin tightening rose from the 9th to the 7th most popular procedure among nonsurgical cosmetic options. It secured the 5th spot for most popular procedures among men, according to statistics released March 8, 2016 by the American Society for Aesthetic Plastic Surgery.

Does nonsurgical skin tightening take the place of a facelift? No, according to Buckley. But it does offer an option for those who might not be ready for a facelift, as well as others who want to look refreshed without having to endure surgery and the downtime associated with it.

“Highly focused ultrasound (HIFU) is a successful concept, which has been under development for decades,” Buckley says. “Ultherapy’s use of ultrasound imaging device allows me to visualize precisely what I need to treat in order to tighten and lift tissue. It’s the only device out there at this time approved to not only tighten, but also lift.”

Patients see more definition and less sagging in the treated areas with just one treatment, which takes about 30 minutes and can be done in the comfort of the office. Results take shape during the three to twelve months post-procedure. And, while some may experience slight temporary bruising after the procedure, there is no downtime or recovery, which makes Ultherapy very convenient for patients according to Dr. Buckley.

Patients should know, however, the treatment can be somewhat uncomfortable, if doctors don’t use certain techniques, Buckley says.

“I had the procedure, myself, with no pain therapy to better understand what patients go through,” Buckley says. “Doctors typically recommend that patients take a couple of strong anti-inflammatories before Ultherapy, but that’s not always enough to make patients comfortable during the procedure. What we do is use very light tumescent anesthesia creating something called a ring block, which numbs the periphery of where I’m working. That approach results in an extremely comfortable procedure, with less post-procedure bruising. It’s a win-win.”

The décolletage treatment option, which Ultherapy’s maker Ulthera announced in July 2014, was the first noninvasive procedure specifically indicated by the FDA to improve wrinkles and lines on the chest area.

“The décolletage is a very visible area on a woman or man; yet, there was little we could do to rejuvenate it before Ultherapy became an option,” Buckley says. “Now we can seamlessly tighten and lift skin to improve the face, neck and chest, which not only improves those selfie images but also boosts self-confidence.”

For more information on Ultherapy, contact Richard E. Buckley, M.D. at 570-296-4000 and visit https://milfordmd.com.

About MilfordMD Cosmetic Dermatology Surgery & Laser Center:

The MilfordMD Cosmetic Dermatology Surgery & Laser Center offers state-of-the-art highly specialized procedures in laser and cosmetic surgery and aesthetic skin care. In addition to its extensive laser surgery capabilities, MilfordMD offers physician designed skin care products for home use. Milford Pennsylvania’s MilfordMD Cosmetic Dermatology Surgery & Laser Center is sought out by patients from around the world for expertise and innovation in cosmetic treatments performed by Richard E. Buckley, M.D. and Marina Buckley, M.D.

MilfordMD Cosmetic Dermatology Surgery & Laser Center is located at 303 W. Harford Street, Milford, PA 18337. Tel: (800) 664-1528. For real patient video testimonials, visit our MilfordMD YouTube channel.

Richard E. Buckley, M.D. of MilfordMD Cosmetic Dermatology Surgery & Laser Center Refines Cosmetic Surgery Techniques – Out With the Old

Richard E. Buckley, M.D.
Richard E. Buckley, M.D. of MilfordMD Cosmetic Dermatology Surgery and Laser Center pioneers Dermatyte laser procedures.

Richard E. Buckley, M.D. of MilfordMD Cosmetic Dermatology Surgery & Laser Center has a passion for helping patients look and feel their best through the restoration of a youthful appearance.

Today’s techniques for restoring a more youthful, toned appearance take a cosmetic physician’s expertise and an artist’s aesthetic talent. “Patients who come to me for tummy tucks or facelifts are often surprised when I suggest noninvasive approaches to meet their needs,” observes cosmetic surgeon Richard Buckley, MD. “While some patients still need the more invasive procedures, the fact is, we’re performing only one-tenth the number of facelifts we performed just ten years ago, thanks to the variety of nonsurgical choices available today including our DermaTyte procedures.

During the DermaTyte laser skin tightening and liposculpting procedure, pioneered by Richard E. Buckley, M.D. of Pennsylvania’s MilfordMD Cosmetic Dermatology Surgery & Laser Center, laser energy is used to tighten lose skin from underneath and on top. This can often be sufficient to replace traditional more invasive surgery such as tummy tucks and facelifts.

“I’m a student of anatomy and the effect time and the environment have on our appearance,” Dr. Buckley shares. “I’ve traveled the world learning how people’s appearances vary from culture to culture and from youth to maturity. This broad perspective provides me with a larger palette of options to offer when I guide patients in choosing, what is best for them, between traditional and noninvasive or minimally invasive aesthetic choices.”

Too much fat:
One of the most popular minimally invasive procedures Dr. Buckley offers is laser liposculpture. Carefully controlled laser energy melts the fat and tightens the skin, while gentle suction removes the unwanted fat cells. Dr. Buckley has pioneered unique ways to safely deliver the laser energy to deeply heat the dermal collagen and to preferentially target water and collagen within the dermis. This results in shrinkage of dermal tissues including skin, oil glands, skin pores, and dermal blood vessels. Existing dermal collagen is contracted and the formation of new dermal collagen is stimulated.

Skin wrinkling and sagging:
Another very popular treatment is AFT (autologous fat transfer, fat grafting) where fat is moved from an area of the body where it is not wanted and placed elsewhere on the body to increase volume or fill in sunken areas.

“At MilfordMD I combine fat, which contains stem cells, with the patient’s own platelet-rich plasma,” describes Dr. Buckley. “I can rebuild and rejuvenate the face, neck, décolletage, breasts, hands, buttocks, indentations (scars) and more with this technique.”

“I invite patients considering aesthetic procedures to visit or call the office,” encourages Dr. Buckley. “Everyone here is friendly, compassionate, and well-educated about the ever-expanding range of today’s aesthetic options and what they can do for you.”

For more information on cosmetic surgery procedures, visit the MilfordMD Cosmetic Dermatology Surgery & Laser Center: https://milfordmd.com .

About MilfordMD Cosmetic Dermatology Surgery & Laser Center:
The MilfordMD Cosmetic Dermatology Surgery & Laser Center offers state-of-the-art highly specialized procedures in laser and cosmetic surgery including fractional laser resurfacing and aesthetic skin care. Milford Pennsylvania’s MilfordMD Cosmetic Dermatology Surgery & Laser Center is sought out by patients from around the world for expertise and innovation in cosmetic treatments.

At MilfordMD Cosmetic Dermatology Surgery & Laser Center all procedures are performed by Richard E. Buckley, MD and Marina Buckley, MD. In addition to its extensive laser surgery capabilities, MilfordMD Cosmetic Dermatology Surgery & Laser Center offers physician designed skin care products for home use.

Technology meets Artistry

laser-lipo-arms-left-before-Hg[1] laser-lipo-arms-left-after-Hg[1]
Local cosmetic surgeon Richard Buckley, M.D., uses the latest in cosmetic surgery technology and his skills as an artist to naturally sculpt and rejuvenate.
Body sculpting has taken a new shape with technologies that offer results with little to no downtime. Still, the physician’s skill is paramount. The goal, according to cosmetic surgeon Richard Buckley, M.D., is not only to permanently remove unwanted fat pockets and tighten skin but also to have a seamless, smooth, natural result.
“Body sculpting requires artistry,” says Dr. Buckley, medical director of Milford Cosmetic Dermatology & Laser Center (known as MilfordMD). “The good news for patients is our body sculpting tools are no longer limited to invasive liposuction. Today, we can noninvasively target fat anywhere on the body, neck or face, as well as tighten skin and smooth cellulite with state-of-the-art devices, including Smartlipo TriPlex, Cellulaze, PrecisionTx and Ultherapy.”
MilfordMD offers patients a pallet of 39 different lasers, which can treat fat and loose skin, as well as address wrinkles and skin aging, from head to toe.
Starting with toning the unwanted fat on the face and neck, one of today’s newest laser devices is PrecisionTx. In a one-hour, one-time treatment, Dr. Buckley can sculpt a sagging chin line, neck, jowls or jawline. Ultherapy is yet another nonsurgical approach for lifting and tightening sagging facial and neck skin (even treating wrinkles) without downtime.
A device that has taken the liposuction market by storm is SmartLipo Triplex, today’s gold standard in laser liposuction, according to Dr. Buckley. The device’s three laser wavelengths can be used together or independently to permanently liquefy and destroy fat cells almost anywhere, while tightening the skin.
For those bothered by the cottage cheese look on their bodies, Cellulaze has revolutionized the treatment of cellulite by treating the fibrous bands under the skin that cause the uneven appearance.
These technologies are just a sampling of what’s possible in cosmetic surgery today, according to Dr. Buckley.
“Most men and women who want body contouring are candidates for minimally invasive approaches. But there are patients who want more dramatic results, and, in many of those cases, liposuction or a tummy tuck might be the best option. It’s good to have options,” he says.
Beyond body contouring
Dr. Buckley also is skilled and experienced in treating wrinkles, age spots and more with a range of options, from Botox and fillers to surgical facelifts.
“The truth is that even an injectable, such as Botox, can be dangerous in the wrong hands. In the right hands, it can transform a man’s or woman’s face from stressed and aged to naturally relaxed and more youthful,” says Dr. Buckley who has been in cosmetic surgery and dermatology practice for 28 years. “All of today’s high-technology devices require training and have a learning curve, and it always helps to have experience.”
MilfordMD is at 303 W. Harford St., Milford, Penn., 18337 570-296-4000. To learn more, go to milfordmd.com.

“Dr. Buckley performed laser lipo for me. My great abs are showing again, and I can fit into skinny jeans for the first time! I’d do this again in a heartbeat.
—Kim C.

Spring Cleanup 2014

 March 9, 2014

Cosmetic Surgery for Real, by Richard Buckley, MD
Milford, PA

Today is the start of daylight savings time and even though it is lightly snowing here in Milford, PA we are reminded that spring is nearly here. It is almost time to shed some layers and spend more time outdoors.

With the increase in daylight hours you may be already feeling more energetic. You probably have or are making a list of what needs gussying up or some special attention: perhaps the salty vehicle, pot holes or flaking paint. Did your roof and gutters make it through the winter? Your basement hopefully stayed dry or at least is drying out. Are you thinking about what plants to put in or how to best revive the grass?

And speaking of cleanup how did you and your body do through the winter? Some people have suggested that we have one body and one mass and therefore our body mass index (“BMI”) should be calculated as 1/1. That would give us all the same fair number. Everyone’s body has shape and yes round is a shape, but did yours change in ways you wish it hadn’t? Now is a great time to put a “fix it plan” in place. And speaking of shape, fine tuning of stubborn areas of fat accumulation can be easily accomplished with some high-tech body sculpting. Did you know that laser liposulpting can be done comfortably and while-awake?

Cleanup and tune up options abound and for many it is the opportunity to enhance their shape through augmentation that is exciting. Most commonly it is breast augmentation with silicone or saline implants that gets considered. Did you know that for many, natural breast augmentation can be accomplished by transferring a person’s own living fat from an area where it is not wanted to the breasts?

Augmentation with natural fat is also very popular to reverse age related deflation of the face.  To achieve a lifted more youthful buttocks, natural fat can be transferred to the upper outer areas.  Some have called this a Brazilian butt lift of Dominican derriere lift.

I don’t know about you, but I have a very long list of things to accomplish and I am working my way through that list. Actually, I have more than one list and while things are getting accomplished and off the list more are being added every day. That’s life!

http://www.milfordmd.com

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Looking at the 2014 Oscars from a Cosmetic Surgery Point of View

March 3, 2014

Cosmetic Surgery for Real, by Richard Buckley, MD, Milford, PA

Cosmetic surgery among the stars at this year’s Oscars was rampant and obvious. 

That’s not a good thing.

Cosmetic surgery is far from ideal when it’s obvious. The goal in cosmetic surgery is to achieve natural-looking results. Patients should emerge looking naturally fantastic and rested.

Instead, there were only a small number of actors and others (mostly women) who looked magnificent. Regardless of their age, these aesthetic “winners” were free of the telltale bad cosmetic surgery signs: unnaturally big cheeks, blurred lip borders, taut or frozen skin and more.

Eighty-one-year-old actress Kim Novak presented at the Oscars, announcing the award for Disney’s film Frozen. Unfortunately for the legendary film star, the irony sparked Twitter jokes about her frozen looks.

Youthful skin is not taut. It’s rounded, smooth, appears resilient and moves.

I noticed more men than women this year seemed to show their age and photodamage. Advancing years, time in the sun and, in some cases, hard living were making their debuts at the 2014 Oscars. So many of these people could benefit from cosmetic options available today.

Let me offer a few specifics. Actor Morgan Freeman has raised black growths on his face, known as papulosa nigra. We can effectively remove those with lasers, but it’s important to go to someone who is experienced. Approaching papulosa nigra in the wrong way can lead to hyperpigmentation or hypopigmentation, especially on skin of color (darker skin types).

Another example is actor Bill Murray, born in 1950. Cosmetic surgery could go a long way in making Mr. Murray look less weathered. He has a lot of brown spots caused by the sun, facial volume loss caused by thinning of the structures beneath the skin, as well as decreased skin elasticity. And, he has turkey gobbler neck, with loose skin. He might feel perfectly comfortable with the imperfections, but many people don’t like these signs of aging and want to do something about them.

We can address Mr. Murray’s signs of aging without surgery and improve his looks dramatically, according to society’s standards. Specific procedures might include rebalancing his own fat, which is known as fat transfer. Fat transfer would address the facial volume loss. In addition, we could target his old age spots (brown pigment – blotchy skin) and skin laxity with laser and light treatments. I often use a combination of lasers, such as the Fraxel re:store, and infrared devices, such as Thermage.

For more information about these and other cosmetic procedures, as well as before and after pictures of actual patients, visit http://www.milfordmd.com

For more on our specials, check out:

http://www.milfordmd.com/pages/specials.html

Smoking Unravels Cosmetic Surgery Gains

February 24, 2014

Cosmetic Surgery for Real, by Richard Buckley, MD, Milford, PA

Smoking Unravels Cosmetic Surgery Gains

American Idol judge Jennifer Lopez was recently in the news. One of her quotes on People.com was that she doesn’t smoke or drink–two habits she believes would ruin her skin.

She’s right.

Especially smoking is not only bad for your health, but it’s bad for beauty and graceful aging. Smoking fast forwards aging, and it makes performing many cosmetic surgery procedures less safe and less effective.

At 44, Lopez looks like she’s in her 30s. It’s hard to find a celebrity who reaches his or her mid-40s, who looks as youthful as she does.

The hard truth is that cigarette smoking decreases the body’s ability to heal by constricting blood vessels and inhibiting the binding of oxygen. Poor healing can result in skin necrosis, unsightly scarring and wound complications.

The habit can compromise results of any kind of surgery. Smoking is such a serious issue, that I will not perform a facelift, tummy tuck, breast augmentation or ablative laser resurfacing on the face if a person is smoking. That patient needs to have stopped smoking for at least four weeks prior to surgery, as confirmed by a urine test. Patients also agree to stop smoking until at least three weeks after surgery.

These problems persist long after surgery, as smoking can unravel the best cosmetic surgery results by causing premature wrinkling, loss of skin elasticity and more.

We help patients with smoking cessation for the short and long-terms. It’s an important part of our job to keep people looking youthful.

For more information about the cosmetic procedures we perform, visit http://www.milfordmd.com.

For more on our specials, check out: http://www.milfordmd.com/pages/specials.html.