Category Archives: Dermatology

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

Google +

MilfordMD Cosmetic Dermatology Surgery & Laser Center

570-296-4000

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.

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

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

PS: While-awake laser liposculpting (microcannular power-assisted liposuction) is also very popular: http://www.milfordmd.com/pages/before-after-liposuction-male.html

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 www.milfordmd.com

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 http://www.milfordmd.com/pages/lip-augmentation.html

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

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

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

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 http://www.milfordmd.com/pages/fat-transfer-hands.html

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

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

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