Category Archives: Cosmetic Surgery

Power Lifting (the Face) for Men

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

Power Lifting (the Face) for Men

 Men often don’t talk about it. But they want it.

What is it? To look younger.

Interestingly, it’s often the significant others in mens’ lives who tell their mates about cosmetic surgery and what it can do. That seems to open the door in men’s thinking, and they come in for consultations with their wives or significant others.

At Milford MD, we find most men opt for fillers as a quick, simple way to correct facial aging. They don’t have downtime and can get right back to work, working out and being social. We call what fillers do: “power lifting for men.”

Today’s fillers represent the magic wand men want. With fillers, we can improve and correct wrinkles and sagging of the forehead and frown lines. We can address the temple area, where crows’ feet creep in. We use fillers to treat under-eye dark circles, deep laugh lines, and that angry look (forehead lines). Men really appreciate the sculpting we can do with fillers. It’s easy to address lack of definition around the jawline and cheekbones. We can even elevate drooping mouth corners or reduce the appearance of scarring using today’s fillers.

It’s important to use a slightly different approach with men when injecting fillers. Their skin is usually thicker than women’s skin. Still, it’s a relief for men to learn that filler injections are easy to tolerate–even comfortable. In most cases, I place fillers with very fine blunt-tipped cannulas, using almost no needles at all.

We use a variety of fillers, depending on the area being treated. The most popular fillers among women today are the same we use for men, including: Radiesse, Juvéderm, Perlane, Restylane, Belotero Balance, Prevelle Silk, Sculptra and natural autologous fat.

For men who are more concerned about age spots, skin tightening, sun damage and surface wrinkling, there are new and more forgiving laser treatments. Today’s lasers don’t result in much downtime (maybe a day or two) and they not only help tighten skin but also erase surface wrinkles, as well as sun damage and brown spots.

Yet another option for men on the go: A refresher with one of the neuromodulators, such as Botox. The American Society for Aesthetic Plastic Surgery reported last year that men in high-powered, high stress jobs on Wall Street are turning to injectable procedures in order to look refreshed and less stressed.

Putting the gift of noninvasive cosmetic surgery in your man’s spring plans this year is simple. We offer gift certificates and be sure to keep an eye on the Milford MD specials page, where you’ll find great opportunities for men to start the New Year looking refreshed and ready.

Many people don’t know that studies have found that cosmetic surgery not only help men look younger, but also feel better and more positive. Yes, researchers have shown that helping men look younger can positively affect a man’s overall outlook and mood.

For more information about what cosmetic surgery can realistically accomplish, visit

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PS: While-awake laser liposculpting (microcannular power-assisted liposuction) is also very popular:

Avoiding Cosmetic Surgery Regrets

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

Avoiding Cosmetic Surgery Regrets

The Hills’ television star Heidi Montag recently made news when she confessed to regretting her decisions to have plastic surgery. By her late 20s, Montag had several elective procedures, including a breast augmentation to an F-cup, which she later had reduced to a more realistic C cup.

The television star suffered from something quite common: a lack of self-esteem.

Montag said in an interview that she felt pressure to please others.

That’s a red flag in our profession. Cosmetic surgery patients who get the most joy and benefit from elective procedures are those who are do it for themselves—not their spouses, friends, family members, colleagues or fans.

I ask important questions when I meet with patients for the first time. I ask about their motivations for cosmetic procedures; what they want to change and why; where this desire they have originates; and what they expect to get out of having the procedure or procedures.

Having reasonable expectations of not only the results but also what those results might do to change a person’s life helps me to uncover whether patients are having cosmetic surgery for the right reasons. Inevitably, men and women who have cosmetic surgery to fill deep-seeded insecurities will end up regretting those decisions.

Ask yourself the important questions before undergoing elective surgeries to change and improve your appearance. Make sure to choose a surgeon who encourages realistic expectations. Unlike Montag, you’ll be a happier person as a result.

For more information about what cosmetic surgery can realistically accomplish, visit

The Secret for Golden Globes-caliber Beauty

January 2014

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

The Secret for Golden Globes-caliber Beauty

Many of us watched the 2014 Golden Globes, anticipating not only the winners but also the Red Carpet fashion. As a cosmetic surgeon, I study beauty. I look for trends and what defines beauty in society.

The stand-out women on the Red Carpet Sunday night had one thing in common: A beautiful smile.

Sure, the dresses made statements. But stars of all ages, from Cate Blanchett to Jennifer Lawrence, Robin Wright and Julia Roberts, captivated photographic images with their stunning smiles.

The same is true off the Red Carpet. Women who have beautiful smiles stand out. They look young, vibrant, active, healthy and, of course, content.

And, as a cosmetic surgeon, I can tell you there’s much more to a beautiful smile than nice teeth. Teeth are ideally framed by youthful, attractive lips. Lips are as important as those teeth in creating a glowing smile.

Aging or genetics doesn’t have to rob a woman of her youthful, vibrant smile. Today’s filler options include filler types that help to plump and shape thin or misshapen lips. (And by plumping, I mean carefully sculpting beautifully shaped lips—not injecting filler, so they look like awkward balloons or have a trout-pout.) We also use fillers to address the vertical lines that can take away from a youthful smile. All this often can be done in minutes during one’s lunch hour. Patients can go right back to work or play.

We also use a patient’s own fat (fat transfer), for patients who prefer not to use fillers.

Once you have achieved the look you want, it’s a matter of simple maintenance and skin care to continue looking great, year after year.

For more information about the dramatic difference relatively simple cosmetic surgery procedures can make for a woman’s smile, visit

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Famous Female Athletes, Sports Commentators have Beauty, Intelligence, Wit and Insecurity

January 23, 2014

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

Famous Female Athletes, Sports Commentators have Beauty, Intelligence, Wit and Insecurity

Beautiful, intelligent, witty and athletic describe many of today’s women in sports, whether they’re commenting on the NFL Playoffs and Super Bowl or competing in Sochi, at the upcoming 2014 Olympic Games.

Examples include sports commentator Erin Andrews. She’s widely respected for her football savvy, as well as admired as a classic beauty. Skiing star Lindsey Vonn is known for her strength on the slopes and as a bombshell off the slopes.

But even these women have insecurities about their looks. That’s with good reason. Right or wrong, society puts a lot of emphasis on a woman’s looks. Especially athletes can’t hide their imperfections easily when they’re competing.

The truth is, even the strongest and most intelligent women feel the pressure of the spotlight.

Lindsey Vonn was recently quoted in Shape magazine saying it isn’t easy being in a room full of women half her size. This is despite the fact Vonn knows she isn’t fat.

Olympic gold medal swimmer Rebecca Adlington is reported to be insecure about her looks. She says, among other things, she doesn’t like her nose and can’t help but be affected by judgmental Tweets and quotes about her face and physique.

The good news for busy athletes and television commentators is they can address their cosmetic concerns, often without missing a beat in their careers. Even those women who elect to have breast augmentation or liposuction have options that fit easily into their training or on-air schedules.

Professional tennis player and Olympic gold medal winner Lindsay Davenport has said she used a filler and Botox to address her cosmetic concerns.

It’s not always insecurities that drive young athletes to the cosmetic surgeon’s office. It’s also convenience. American beach volleyball champion Kerri Walsh Jennings told Allure magazine she used laser hair removal to address her bikini lines. She hated waxing, she says.

For more information about today’s many cosmetic surgery options, from hair removal to tummy tucks, visit

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40-and-older Women Rocked at the 2014 Grammy Awards

January 27, 2014

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

40-and-older Women Rocked at the 2014 Grammy Awards

It must be daunting to be spotlighted at the Grammy Awards. Those attending this year’s event didn’t have the option of hiding their wrinkles and skin imperfections with headgear worn by the Daft Punk crew. Rather, they had to rely on their makeup artists, clothes and jewelry designers and plastic surgeons to be the best they could be.

I have to say, the 40-and-older set pulled that off at the 56th Annual Grammy Awards. Madonna, Gloria Estefan and Tia Carrere were among the standout beauties at music’s big night.

What are their secrets?

There are things that Hollywood’s stars do just before events, as well as weeks and months prior, to achieve flawless looks for the cameras.

The most important elements in last-minute fix-me-ups are makeup, hairstyle, clothes and accessories, as well as no-downtime cosmetic procedures designed to make a woman look vibrant and younger.

Professional makeup artists are usually best at carefully and artfully applying makeup that is appropriate for skin type, color, texture, hair and bone structure. Hairstyles should make a statement but not at the expense of a beautiful face. Same with clothing and accessories: Often, it’s the classic styles that get high marks from fashion critics.

Cosmetic procedures that can be done a few days before a big event include fillers to restore volume and soften wrinkles and lines. Relaxers including Botox, Dysport and Xeomin are great options. With careful use—especially in the upper face—we can diminish harsh lines associated with repetitive or excessive expressions, such as frowning.

One note about neuromodulators Botox, Dysport and Xeomin: A surgeon’s experience is paramount when injecting these. As many of Hollywood’s beauties have found, Botox can result in an expression-less, waxy look. That’s not what you want on your big night. Injected correctly, it simply relaxes muscles that produce unwanted expressions.

Now, onto fillers. To achieve natural results, experienced cosmetic surgeons choose their techniques and materials based on the area and concern they’re treating. For example, I prefer Restylane under the eyes and Belotero Balance to correct very fine superficial wrinkles. I place most fillers in or below the skin using tiny, blunt tipped microcannulas rather than needles as the procedure is gentler and much less likely to produce bruising.

And I often use fat, placed via microcannula, in subcutaneous layers (under the skin). Fat is great for structural rebalancing and re-volumizing and restoring youthful curves. I’ve also found that Radiesse works well when placed as structural support over the cheekbones, in the mid-face fat pockets and under nasolabial folds and marionette’s lines.

Natural-looking, voluminous lips are important. I use Perlane or Juvéderm, introducing the fillers with a microcannula, to produce a wonderful, immediate long-lasting result.

Maintenance procedures that should be done weeks or months prior to big events include the popular energy-based skin tightening devices—from the Fraxel re:store laser to radio frequency devices, such as Thermage and Venus Freeze. While these treatments little or no downtimes, patients don’t fully appreciate the benefits from skin-tightening procedures for weeks, even months.

It’s the same with gentle peels. These are designed to erase the pigmentation and texture issues that plague us as we age. Peels also encourage new collagen production. But results take time to appreciate. I tell most patients they’ll see the magic of peels in two or more weeks.

Finally, you can’t hide the rest of your exposed body from the cameras. So, you should pay attention to the neck and hands. The neck and hands respond really well to hyaluronic fillers (such as Perlane, Restylane, Juvederm), Radiesse and natural fat transfer. Intra and sub-dermal fillers fill and press out the ‘cobblestoning’ many of us see with age, giving the hands and neck instant great results.

For more information about specific cosmetic procedures, including fillers, neuromodulators, fractional lasers and peels, visit

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Celebrities Looking Fab at 50. You Can, Too!

February 18, 2014

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

Celebrities Looking Fab at 50. You Can, Too!

 Actor Brad Pitt turned 50 at the end of last year. Big-name celebrities reaching the half-century mark in 2014 include Nicolas Cage, First Lady Michelle Obama, Matt Dillon, model Elle Macpherson, Russell Crowe, Melissa Gilbert, Courteney Cox, John Stamos, Sandra Bullock and Keanu Reeves.

Look at recent photos of any of these famous people, and you’ll understand why 50 is the new 30. In fact, look around at people you might know, work with or workout with, and you’ll see the transformation. They look vibrant, glowing and have that energy you find in someone 10 to 20 years younger.

Sure, a lot of this has to do with how well people take care of themselves. Being fit, eating right, using sunscreen and not smoking go a long way in preserving looks and health.

However, today’s 50-year-olds aren’t shy about doing more to preserve their looks. That goes for men and women. I see it in my practice, every day.

Team USA Women at Sochi Olympics Define the Beauty of the Athletic Build

February 17, 2014

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

Team USA Women at Sochi Olympics Define the Beauty of the Athletic Build

 Some of the women competing at the 2014 Sochi Winter Olympics are petite but boy are they fit. Whether you look at Kaitlyn Farrington, Lindsey Jacobellis, Noell Pikus-Pace, Gracie Gold or many others, their physiques are defined by visible musculature.

It’s a trend I’m seeing a lot in practice. Women are going to the gym to build muscle to the point that the athletic build is the new sexy.

As cosmetic surgeons, we strive to help women achieve their ideal body shapes. Even women who are extremely fit struggle with areas of their bodies that seem resistant to diet and exercise. The goal with liposculpting is to rid the physique of those unwanted fatty bulges, without disrupting the body’s natural shape.

Today’s liposculpting options are especially popular among women on the go. They tend to be less invasive, recoveries are minimal and, when used by an experienced cosmetic surgeon, results look and feel natural.

Among the more popular liposculpting options for fit women: ProLipo, an FDA approved laser used under the skin with local while-awake anesthesia. ProLipo is a minimally invasive procedure that liquefies fat cells while contouring and tightening the body. Another option is Smartlipo, a laser system which sculpts the body by disrupting fat cells. Smartlipo, like ProLipo, results in a tightening effect. So, the skin which used to lay on top of a fatty bulge adjusts tightly to the body’s new silhouette.

For more information about specific body contouring options, visit

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Kate Winslet’s Baby Bump a Mommy-makeover in the making?

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

Kate Winslet’s Baby Bump a Mommy-makeover in the making?

Actress Kate Winslet looked stunning with an obvious baby bump, when she attended the premier of her new film “Labor Day,” at the Toronto Film Festival.

But, as many moms know, the beauty of the baby bump fades after birth. Often even the fittest moms are left with physical signs of pregnancy they no longer want, including a stretched out belly. Hollywood moms are especially in tune to what post baby bulge can do to their careers. So, many turn to diets aimed at slimming their bodies and exercises focused on toning.

Sometimes, though, dieting and exercise just aren’t enough. That’s when women come to us for the ultimate in mommy makeovers–one or a combination of three procedures that address what pregnancy left behind.

Give your breasts a boost. Especially after nursing, breasts often lose some of their fullness and might not be as high or perky as before pregnancy. Breast augmentation with breast implants can restore the breast fullness and height. Some women, however, might prefer a breast lift only, or even a reduction, after pregnancy.

Fat pockets be gone! The body prepares for pregnancy, in part, with added fat stores. The problem is that those pesky pockets of fat around the upper and lower abdomen, love handles, hips, outer thighs, inner thighs and inner knees are tough to shed. Liposuction targets those areas, removing the fat permanently.

Tuck in that tummy. Pregnancy leaves some women with excess skin and a Jell-O appearance. Tummy tucks are surgical procedures which trim the unwanted skin and flatten the abdomen.

Today’s mommy makeovers can be done, in many cases, in an outpatient center (not in the hospital), while patients are comfortably and safely awake. Some mommies go back to daily activities within days after breast augmentation or liposuction. Tummy tuck procedures might require a little more time to recover.

Key words: mommy makeovers, baby bump, post-baby bulge, breast augmentation, liposuction, tummy tuck

Nobody Wants a Turkey-gobbler Neck this Thanksgiving

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

Nobody Wants a Turkey-gobbler Neck this Thanksgiving

Noninvasive lunchtime procedures can have you glowing and more youthful, just in time for Thanksgiving dinner!

My top four picks for this year’s Thanksgiving rejuvenation menu to fill, smooth and tighten the face.

#1: Fillers

Today’s assortment of cosmetic dermal fillers opens a world of options in facial rejuvenation, from smoothing unwanted lines and wrinkles to restoring a more youthful facial shape. Hyaluronic acid fillers, such as Restylane, Perlane, Juvéderm, Prevelle Silk and Belotero Balance, replace lost volume and restore youthful facial contour, by softening wrinkles and folds. Radiesse is an injectable implant, which has proven to be versatile for augmenting such areas as the chin and cheeks. And Sculptra, a long-lasting filler option, helps to replace lost collagen.

#2: Neurotoxins Botox or Dysport

We wear our emotions on our faces. After decades of frowning, stressing, getting mad and making other faces, we develop more permanent versions of those looks. Neuromodulators help to relax the muscles that make those lines. The result? A smoother, more youthful and relaxed look.

#3 Skin tightening with the Venus Freeze

The Venus Freeze is all the rage. Why? The technology combines radio frequency and magnetic pulses to tighten facial, neck and body areas. Right in line with the Thanksgiving theme, women who don’t like the turkey gobbler look of their jowls and neck can benefit from treatments with Venus Freeze to tighten the area and make it more youthful. The technology also has been shown to reduce the appearance of wrinkles.

#4 Polish skin with the Parisian Peel medical microdermabrasion

Using this medical microdermabrasion system, we deliver microcrystals to exfoliate the skin; then, vacuum the skin’s surface to remove dead cells. Patients emerge with glowing skin—perfect for the holiday season.

Learn more about these and other cosmetic surgery procedures here:

“The bigger the better…” is out in breast augmentation

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

“The bigger the better…” is out in breast augmentation

Mariah Carey’s new album cover, “The Art of Letting Go,” reveals a curvy 43-year-old singer. One thing that does stand out—when you look at this photo compared to photos taken much earlier in Carey’s career–is her breast size.

Pop stars often start fashion, hairdo and makeup trends. Even the shapes of their bodies make statements. In this case, though, Carey’s larger breasts are not what’s trending. In fact, I’ve noticed in my practice that women are opting for a more natural, proportional look after breast augmentation.

No implants needed

Breast augmentation by fat transfer–a procedure that uses one’s own fat to plump the breasts one cup size–is all the rage. Sometimes, we can go a cup and a half larger.

The concept is simple, we remove fat from places a woman doesn’t want it and use that fat (rather than implants) to rebuild, rebalance and re-volumize breasts that might have lost some of their size and perk over time. The result is a natural looking larger (but not too large) breast. You can see and example here: Before and After Breast Augmentation.

Other benefits of breast augmentation by fat transfer include:

  • Only local anesthesia is generally needed for the procedure.
  • Results last for the long-term– several years in many cases.
  • We don’t use a scalpel, so there are no visible scars.
  • There is no capsular contracture, which is hardening of the breasts, because we use fat, which is soft.

Good candidates need to have enough unwanted fat to do the procedure and only want up to be up to a cup and a half larger.

What’s new in breast augmentation with breast implants?

For those who want to go up in breast size by two cups or more, we’ve come a long way in refining breast augmentation with implants. Today’s patients have more options. For example, newer implants include the Allergan Natrelle 410 and Mentor MemoryShape implants (FDA approved in June 2013). These are cohesive get breast implants. Cohesive gel is firmer and retains a fixed shape. But, in my opinion, while they are newer options, they are not as popular as the softer, more pliable silicone and saline implants.

Learn more about breast augmentation by fat transfer and breast augmentation, in general, go to: