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Archive for the ‘Plastic Surgery’ Category

CRISALIX 3D IMAGING

Saturday, December 3rd, 2016

Source: Crisalix

Dr. Forley is pleased to introduce the Crisalix 3D imaging simulator tool to assist you in visualizing the potential outcome of a variety of procedures including breast augmentation, facelift, nose surgery, body contouring, and injectable fillers. The simulation can be done remotely or as part of your in-office consultation with Dr. Forley. This imaging tool is also an excellent way of communicating your desires visually to Dr. Forley.

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SLEEPING POSITIONS MAY CAUSE WRINKLES OVER TIME

Sunday, November 27th, 2016

New York, NY (July 26, 2016) – A new study published in the Aesthetic Surgery Journal, the peer-reviewed publication of the American Society for Aesthetic Plastic Surgery (ASAPS), indicates that compression, tension, and shear forces applied to the face during sleep cause facial distortion when people sleep on their sides and stomach, leading to the development of sleep wrinkles over time.

Source: News Releases – Aesthetic Surgery Journal – ASAPS Press Center – Study Shows Stomach and Side Sleeping Positions Cause Facial Distortion and Wrinkles Over Time

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STEM CELLS, REGENERATIVE MEDICINE, AND PLASTIC SURGERY

Friday, September 30th, 2016

Stem cells are a unique group of biological cells that have the capability to self-renew and differentiate into different cell types. The field of regenerative medicine has delved into the science of repairing and replacing diseased tissues and organs through stem cell transplantation.

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So, what does it have to do with plastic surgery? Regenerative medicine and plastic surgery share the basic principle of using a patient’s own tissue to restore and enhance the body. There are believed to be many advantages to stem cell use in plastic surgery including accelerated wound healing, reduced scarring, and increased fat graft survival. A very promising role for  stem cells is to grow tissues, such as bone and cartilage, that can then be used in the operating room to improve the outcome of surgical procedures. However, the stem cell hype that has been prevalent in recent years does not equate to proven, safe treatment strategies or outcomes with this technology. While the public is bombarded with exaggerated claims of innovative, stunning results and improved safety, many unassuming patients are being subjected to unregulated stem cell procedures. Until such time that adequate scientific and clinical evidence to promote more widespread use of stem cells in plastic surgery is published, patients should adhere to the old adage of “buyer beware”.

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THE SILHOUETTE INSTALIFT

Saturday, July 30th, 2016

Interested in the youthful appearance that a facelift would deliver but not ready to go under the knife or the recovery involved? New advancements in technology now offer a clinical treatment to lift facial sagging with little down time and use of local anesthesia only. The Silhouette InstaLift offers a solution to the aging process by achieving lifting in the mid-face by mechanical fixation of the deep layer of the cheek. This is accomplished by using a fully absorbable suspension suture with small, smooth cones that are bidirectional at either end.

Silhouette InstaLift Suture

Silhouette InstaLift Suture

A needle is used to insert the suture in the layer directly under the skin. Once the suture is implanted, using the opposing orientation of the cones to compress and fix the loose facial layers in an elevated position lifts the lax tissues of the face.

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What happens next is why this innovative treatment is successful in achieving a long-term result. A process of biological fixation starts to occur in which the suture and cones become encapsulated by collagen. The lifting of the face that has been achieved is locked into position by your own collagen and no longer depends on the InstaLift sutures. In addition, the glycolide/L-lactide (PLGA) suture material itself can enhance facial contour naturally due to its collagen stimulating effect. During your consultation, Dr. Forley will advise you as to whether the Silhouette InstaLift is right for you. The procedure takes about an hour and the effect lasts about 18 months. You should consider the Silhouette InstaLift if you are looking for a minimally invasive procedure that provides lift, contour, and fullness to the face.

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DR. FORLEY LISTED IN 2016 GUIDE TO NEW YORK’S TOP DOCTORS

Sunday, May 15th, 2016

Dr. Forley was listed in the 2016 Super Doctors annual guide to the top 5% of New York City physicians as seen in a supplement to this Sunday’s edition of the New York Times. This marks the 9th consecutive year that Dr. Forley has been selected in a process that includes a survey of physicians who are asked to submit nominations of outstanding colleagues. Evaluation by the research staff, a peer review of candidates by specialty, and a good-standing and disciplinary check is then performed.

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Physicians are asked to consider the following question in the selection process: “If you needed medical care in one of the following specialties, which doctor would you choose?” Honorees are also found online at www.superdoctors.com

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Publication of Aesthetic Rejuvenation of the Face and Neck

Thursday, March 31st, 2016

Dr. Forley is pleased to announce the release of Aesthetic Rejuvenation of the Face and Neck edited by Dr. Bruce F. Connell and Dr. Michael Sundine and published by Thieme. Following his plastic surgery residency, Dr. Forley was selected by Dr. Connell for his prestigious post-graduate aesthetic surgery fellowship program in California. Dr. Forley was honored to be asked by Dr. Connell to contribute the chapter on Facial Aging that is featured in the new book.

Facial Aging

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DR. FORLEY LISTED AS CASTLE CONNOLLY TOP DOCTOR FOR 2016

Sunday, January 31st, 2016

Dr. Forley has been listed as one of Castle Connolly’s Top Doctors: New York Metro Area 2016. The guide is widely recognized as an authoritative resource when searching for highly qualified physicians throughout the New York region. Doctors are selected based on nominations by their peers and reviewed by Castle Connolly’s physician-directed research team.

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FACELIFT SCARS

Sunday, December 27th, 2015

One of the concerns frequently expressed during the initial facelift consultation is that of the appearance of the scars following the surgery. Although Dr. Forley uses different facelift techniques that are customized to the needs of the patient, all facelifts share an incision that is located in the front part of the ear. In some cases, the incision will extend behind the ear. Key components that are used in the design of the anterior incision enable it to heal as a minimally apparent scar.

The facelift incision is designed to parallel the curves of the ear

The facelift incision is designed to parallel the curves of the ear

A well healed facelift scar in a female patient at 1 year

A well healed facelift scar in a female patient at 1 year

 

 

 

 

 

 

 

 

 

 

 

 

 

An incision that is designed to follow the natural curves of the ear will heal in a manner that is most inconspicuous as it blends with the contour of the ear. In contrast, a straight line incision in front of the ear will be very visible to the eye as it clashes with the ear curves adjacent to it. In addition, a portion of the scar is hidden when the incision is designed to follow the edge of the tragus rather than placed in front of it. When exiting the tragus, the incision is located to preserve the intertragal notch to further enhance the natural appearing result of the surgery.

In many cases, part of the incision is located at the edge of the sideburn hairline. Dr. Forley preserves the deep hair follicles by angling his blade as he makes this incision. This technique enables the hair to grow through the scar as it heals making it virtually undetectable.

There are many factors that can affect the final appearance of a scar but it is essential to start with the proper design.

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RHINOPLASTY: WHEN LESS CAN BE MORE

Sunday, November 22nd, 2015

Rhinoplasty can be a very complex operation due to the multiple components that affect the aesthetics of the nose. Often, a change of 1 millimeter can be the difference between a good result and one that is less than ideal.

There are cases, though, where less can be more when a single anatomic problem presents itself as an aesthetic issue. This is most commonly seen in the bridge or nasal dorsum. If a bump is surrounded by otherwise excellent nasal aesthetics, then it is best to only address the bump and leave the remaining features of the nose untouched. Not only will this solve the problem, it will keep the inherent characteristics of the nose intact so that the result is natural and the best features of the nose that are unique to that patient are preserved. Suboptimal results arise when a surgical script is followed in which every patient gets the same operative steps regardless of their need. Dr. Forley believes in customizing the operation to the individual patient to yield the best outcome.

Reduction of the bridge of the nose

Reduction of the bridge of the nose

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NATURAL APPEARING NOSE SURGERY RESULTS

Thursday, October 29th, 2015

The goal of nose surgery, known as rhinoplasty, is to achieve a natural, unoperated appearance. In creating a precise surgical plan for each patient, Dr. Forley focuses on preserving the aspects of the nose that are beneficial to your appearance and only altering those parts that need to be improved. In this manner, your nose will appear balanced with your face and consistent with the characteristics that make you unique as an individual.

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