Category Archives: Plastic Surgery

Miss America 2014 Nina Davuluri’s Darker Skin an Emerging Research Focus in Cosmetic Dermatology

September 16, 2013
Cosmetic Surgery for Real, by Richard Buckley, MD, Milford, PA

Miss America 2014 Nina Davuluri’s Darker Skin an Emerging Research Focus in Cosmetic Dermatology

Custom-designing facial rejuvenation treatments for people with skin of color is an emerging trend in cosmetic dermatology.

The newly crowned Miss America Nina Davuluri, who is an American of Indian descent, is the perfect example of a darker skin type that can present challenges in cosmetic dermatology. The issue is this: Dermatologists often have to approach darker-skinned patients differently than they do lighter-skinned patients. Why? Skin types, which range from very light to very dark, respond differently to lasers, chemical peels, topical agents and other treatments we use to rejuvenate the face.

It’s also important to keep in mind that people with various skin types age and heal differently. And the aging-related skin concerns of a person of African American descent might be very different than those of a light-skinned Caucasian.

To make matters more complicated, there is variation of skin color within ethnic and racial groups.

Here are a few skin rejuvenating tips:

If you want to address a cosmetic concern and are a person with darker skin (which could include being of South Asian, Hispanic or African American decent), seek out a cosmetic dermatologist, cosmetic surgeon or plastic surgeon who has experience treating a similar skin type to yours. If you don’t, you risk not only a bad result but also scarring and other unwanted side effects.

We’re finding combination therapies can be extremely effective in people with darker skin types who want to address skin pigmentation issues. One of the most important products we add to the treatment mix is sunscreen. That’s a great tip, right there: No matter how dark your skin, sunscreen should be among your go-to beauty agents. It can help prevent troublesome skin pigmentation issues from occurring or getting worse.
For more about how we address common skin aging concerns, including pigmentation, wrinkles, skin texture see our webg site at and call our office at 570-296-4000.

Key words: skin of color, Miss America, Indian descent, chemical peels, lasers, topical agents, sunscreen, cosmetic dermatology, darker skin, African American, South Asian, Caucasian, Hispanic

“Cosmetic Surgery for Real”

September 9, 2013

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

Social Media Pressures

May 17, 2013 – Milford, Pennsylvania – If you’re suddenly looking into cosmetic surgery after signing up for Facebook, you could potentially blame it on the pressures of social media. And you wouldn’t be alone. A recent survey that polled 752 surgeons from the American Academy of Facial and Reconstructive Surgery found a 31 percent increase in plastic surgery requests as a result of how people wanted others to see them on social media Web sites. While social media sites have many advantages such as reconnecting with old friends, keeping up with news and making new friends, it also has its disadvantages. Peer pressure, lower personal growth, lower self-esteem and a desire to change for others are a few of the downsides to social media sites.

While we really haven’t witnessed this new Facebook trend firsthand at MilfordMD Cosmetic Dermatology Surgery & Laser Center in Northeastern Pennsylvania, it does make some sense. I guess the pressure of having the perfect profile picture is something that probably most “Facebookers” feel. Especially since anyone can see your profile picture, even if you aren’t connected to them on the site. And in a world where anyone can “google” or “Facebook” you even before meeting, it can be a huge pressure for some people to have an amazing profile picture.

Just for fun, let’s look at some social media statistics (Huffington Post Social Media Statistics for 2012) –

–              One million Web sites have integrated with Facebook

–              23 percent of uses check Facebook five plus times a day

–              More than five million photos are uploaded to Instagram every hour

–              80 percent of Pinterest users are female

–              Since Twitter began, there have been 163 billion tweets

–              625,000 people join Google + every day

–              In just over six months, Instagram visitors increased by 724 percent


These statistics just prove the huge influence social media can and does have over most people. It’s been said that if Facebook was a country, it would be the third most populated in the world (beating out the U.S.)  Amazing, right?

Social media is not the only big push to start thinking about cosmetic surgery, but it’s certainly the push everyone is researching now because of the popularity of social media. Celebrities have always had an affect on people’s thoughts about how they should look. And the influx of reality shows either about plastic surgery (Dr. 90210) or about people that have plastic surgery done (The Real Housewives series) probably have its place in this discussion as well. And then there’s also the fact that more and more plastic and cosmetic surgeons are utilizing social media sites, such as Facebook and Google+, making it easier for people to learn more about procedures and even ask questions to people who have had certain procedures done. So there are some great qualities to social media! MilfordMD and Dr. Richard Buckley are active on social media pages. MilfordMD has a Facebook page, and welcome questions and comments. And yes, the staff will answer your posts. MilfordMD also has a Pinterest page if you need a good laugh or some encouragement, and a Twitter account. The doctors and staff at MilfordMD feel it’s important to be able to connect with our patients and potential patients even out of the office.

It’s important to note that this new survey wasn’t done to discourage the desire for cosmetic surgery. The trend is just too new and interesting to ignore. It’s also important to have realistic expectations and want to have cosmetic procedures for you, and not anyone else.

If you are thinking about a cosmetic procedure such as laser liposuction, facial rejuvenation or any other, call MilfordMD Cosmetic Dermatology Surgery & Laser Center at 570-296-4000 for a consultation appointment. Dr. Richard Buckley can answer your questions and give you the information you need during this appointment. And be sure to check out our Web site –


Freezing Time: It’s Easier Than You Think

May 15, 2013 – Milford, PA – I don’t know about you, but summer is by far my favorite time of year. I love the heat, the summer fashion, spending more time with the kids and swimming. But with swimming comes getting into a bathing suit, so of course I want to look good; who doesn’t? While exercise and diet are key ingredients to a healthy life, sometimes eating right and exercising aren’t enough to slim down certain spots in the body. That’s where Marina Buckley, M.D. can help with a newer technology – Venus Freeze.

Maybe you’ve heard of Venus Freeze. It’s been featured on quite a few television shows and in magazine articles lately because it’s seriously all the rage. How could you dislike a treatment that helps to reduce cellulite, tighten skin and feels like a hot stone massage? The old adage “No pain, no gain” goes right out the window when we are discussing this treatment. Not only is there no pain, but Venus Freeze is relaxing, just like a spa treatment. But the difference here is the relaxation of the spa treatment ends shortly after you leave the spa. Venus Freeze’s benefits just keep getting better and better with each treatment.

Venus Freeze arrived at the Northeastern Pennsylvania office of MilfordMD just a few weeks ago and patients already love the results they’re seeing. You can “Venus Freeze” any area on the body. The most popular areas to have treatments are the face, abdomen, arms, neck, thighs and buttocks. Many patients ask, “Is the treatment cold, since ‘freeze’ is in the title?” The answer to that is no. The word “freeze” actually means it freezes time, not your skin. Treatments are warm, so it’s just the opposite of how people originally perceive it.

When Venus Freeze arrived here at MilfordMD, all the employees lined up for a turn. We kept Dr. Marina Buckley busy! With all the hype surrounding this machine, knowing exactly how it felt and seeing it in action was important. Not one complaint was heard. Actually, everyone wanted to know when they could get their next treatment.

Here are a few key things you should know about Venus Freeze –

–          This isn’t a one-and-done kind of treatment. While the number of treatments vary from patient to patient, depending on the area and condition of the area to be treated, six to eight treatments are typically recommended for optimal results. Treatments should be spaced about a week apart.

–          This is a treatment you can have on your lunch hour, and go right back to work. Each treatment area only takes 30 minutes or fewer. There is no pain and no downtime. So the same way you walk into the office, you will walk right back out. Only difference is you might be more relaxed walking out of the office. Great deal, right?

–          Maintenance treatments are a good idea after your initial round of six to eight treatments – one treatment per season should do the trick. (Although, you may want more than that. And you can have more treatments than four a year.)

–          While Venus Freeze can “freeze” and reverse time, the clock doesn’t stop ticking. This is why maintenance treatments are a great idea and recommended.

I’m sure you are now wondering what the bad news is. With all this good news, there must be some bad news, right? Well, guess again. The only bad news I can think of is that you have to pay for treatments; it isn’t free. But it is very affordable, and right now we are offering some awesome introductory specials.

Now I know you are ready for that first appointment. I’m waiting for the phone to ring – 570-296-4000.

Everything You Need to Know About Sunscreen

May 14, 2013 – Milford, PA –I know it’s hard to believe, but summer really is just around the corner. (If you were in the Mount Pocono area yesterday, you’re probably laughing pretty loud since it snowed yesterday afternoon.) But summer will be arriving in a few weeks, so now is the time to get ready for all the sun exposure that’s coming your way. I’m not saying you shouldn’t have been wearing sunscreen during the winter, and I’m hoping you were, but just in case you weren’t let’s get in the sunscreen mindset now.  Do you know how to choose the right sunscreen? And how about what SPF (sun protection factor) you should be using? Well, I’m here to help, and so is Marina Buckley, M.D. of MilfordMD Cosmetic Dermatology Surgery & Laser Center.

First things first – get rid of the old sunscreen in the house. I don’t mean the stuff you bought last year while on vacation. But anything that’s super old should be tossed. The Skin Cancer Foundation states that there is no reason to throw away last year’s sunscreen, but you should be aware that the shelf life of most sunscreens are two to three years. When in doubt, throw it out. Make sure when choosing sunscreen that you choose one with zinc oxide or titanium. Dermatologists, including Dr. Marina Buckley of MilfordMD in Northeastern Pennsylvania, recommend using a sunscreen with at least an SPF of 30. Here’s a question for you – do you know what SPF really means? SPF is a measure of a sunscreen’s ability to prevent UVB rays from damaging the skin. Choosing a broad spectrum sunscreen is best since that protects the skin from both UVA and UVB rays. You should apply sunscreen 30 minutes before venturing outdoors, and reapply every two hours (or sooner if you are in the water or sweating a lot).

Well now that I told you all that, I guess it’s time to let you in on some new sunscreen news. The FDA revised the sunscreen guidelines in 2012 and there will be new labeling revisions in 2013. But here’s the catch – sunscreens made before December 2012 may not reflect the new labeling requirements, so it can get a little confusing when sunscreen shopping.  Here’s the lowdown on the new labeling standards, according to EmpowHER Women’s Health Online –

–          Broad Spectrum – Any sunscreen that is labeled “broad spectrum” means it protects against both UVA and UVB rays. The proposed regulation states that the labeling should not be allowed to claim an SPF above 50. The highest rating will now be SPF 50+. (It’s important to note that according to the Skin Cancer Foundation, SPF 15 filters out 93 percent of UVB rays, SPF 30 filters out 97 percent and SPF 50 filters 98 percent.

–          Only products that are broad spectrum and SPF 15 or above may state, “If used as directed with other sun protection measures, this product reduces the risk of skin cancer and early skin aging, as well as helps prevent sunburn.” In the past, sunscreen manufacturers have not been allowed to make such a claim.

–          Sunscreens can no longer claim to be sweat proof or waterproof, and sunscreen cannot claim to be a sunblock.

–          Sunscreens that claim to be water-resistant will only have two reapply options listed – 40 minutes or 80 minutes. If a sunscreen is not water-resistant, the label must instruct consumers to use one that is when swimming or sweating.

–          There are 17 active ingredients approved for sunscreen protection by the FDA. There may also be other ingredients though. Labels must list all ingredients.

With Memorial Day right around the corner, you know you’ll be soon sitting outside BBQ’ing with friends and playing with the kids at the park. And eventually, you’ll even be taking a dip in the pool. (I promise, winter is gone for a while.) Here are a few other summer skin tips to protect yourself and your family while enjoying the outdoors –


–          Exfoliate often

–          Wear a hat and sunglasses

–          Stay well hydrated (with water!!)

–          I  know you’ll be wearing sunscreen, so I won’t remind you of that again

–          Don’t forget to use some lip protection

–          Try to avoid the sun between 10 a.m. and 2 p.m. if at all possible

–          Did I mention sunscreen with SPF 30+?????

Maybe all this sunscreen talk is new to you. Even if that’s not the case, it’s always a good idea to have a skin evaluation to check for any suspicious moles. Early detection is key. Call MilfordMD to schedule your skin evaluation with Dr. Marina Buckley at 570-296-4000, and be sure to visit for more helpful tips and information.