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.
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”.
Tags: Plastic Surgery, regenerative medicine, stem cells
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August 31st, 2016
Most of us are already aware that smoking is a damaging habit that can affect important organs such as the lungs, heart, and brain as well as being one of the leading causes of cancer. Even though most smokers already know that tobacco has adverse effects on their health, they may not realize the premature aging that it produces in the skin.
Inhalation of just one puff from a cigarette exposes you to over 7,000 chemicals in addition to reducing the blood supply to the skin. This harmful combination damages the integrity of skin elastic fibres and collagen. The sagging skin that results can effect the whole body and is not limited to the face and neck. Reduced levels of vitamin A contribute to loss of moisture in the skin. In addition, skin discoloration, age spots, and premature lines around the eyes and lips can be the direct result of smoking.
Although quitting cigarettes alone makes the skin more resistant to premature aging, skin care options that include retinoids and antioxidants such as Vitamins C and E can help repair some of the damage already done. Cosmetic procedures such as laser skin resurfacing or skin peels can also help where the damage is most visible. Prevention of additional damage from the harmful UV radiation produced by the sun requires the regular use of sunscreens.
Tags: aging skin, premature aging, skin, smoking, wrinkles
Posted in Aging, Facial Aging, Skin Care | No Comments »
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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
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.
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.
Tags: aging skin, Cosmetic Surgery, facelift, Facial Aging, nonsurgical, Plastic Surgery, Silhouette InstaLift
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June 29th, 2016
You can add a type of benign nodular vascular growth, known as a venous lake, to the many negative effects of sun exposure. It is commonly found in areas of the body that are often unprotected such as the vermillion or red part of the lip. It appears as a dark blue or purple collection of dilated, blood filled channels. It is compressible and tends to be very slow growing. It can mimic melanoma or basal cell carcinoma and must be distinguished from these malignant conditions prior to treatment.
74 year old female following 2 treatments of lower lip venous lake with Nordlys Nd:YAG laser
The Nordlys Nd:YAG laser delivers energy at a wavelength that is selectively absorbed by the blood cells in the vascular channels of the venous lake. This causes a heating of the channel lining and collapse of the vessel wall that ultimately results in shutting down blood flow. Without blood flow, the venous lake will disappear. Treatment of the venous lake is quick, often requiring only 1 or 2 pulses of laser energy with minimal discomfort. In most cases, one or two treatment sessions at 6-8 week intervals is sufficient.
Tags: Laser, Nd:YAG, Non-Surgical, venous lake
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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.
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
Tags: Plastic Surgery, Super Doctors, Top Doctors
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April 30th, 2016
Age spots on the hands are characterized by various shades of scattered brown pigmentation that often parallels the brown spots seen in the aging face. Yet, treatment of the hands is often overlooked. The advent of light based devices has afforded patients the opportunity to safely and effectively diminish or eliminate these unwanted spots.
63 year old female with age spots of the hands
1 month following a single Nordlys treatment
The new Nordlys system uses Selective Waveband Technology (SWT) to exclude unnecessary wavelengths of light so that only those beneficial to treatment of the brown pigmentation are delivered in precise energy pulses. These pulses result in heat that “energizes” the age spots, causing them to separate, so that they are effectively treated in 1-3 monthly sessions. The precision of the Nordlys technology has made the treatments both comfortable and fast requiring no more than 10-15 minutes. Dr. Forley has found that the hands respond remarkably well to the treatment protocol with only a single treatment needed in many cases.
Tags: age spots, Aging, anti-aging, hands, IPL, Non-Surgical, Nordlys, skin
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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.
Tags: aesthetic surgery, Aging, Blepharoplasty, brow lift, Cosmetic Surgery, eyelid surgery, facelift, Facial Aging, neck lift, Plastic Surgery, skin sagging, wrinkles
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February 29th, 2016
Dry skin is a common problem that often defies effective solutions. It can be caused by genetics, systemic diseases, and hormonal conditions associated with the aging process. Environmental factors and procedures and products that we utilize in an effort to improve our appearance can result in dehydrated skin due to water loss through the outer skin layer. The consequences of a lack of skin hydration can lead to chronic irritation and discomfort as well as accelerated signs of aging from the free radicals that are produced due to an ongoing inflammatory reaction in the skin.
Hyaluronic acid (HA) is the body’s natural hydrator. It gradually decreases with age which inhibits the ability of the skin to remain hydrated. HA5 Rejuvenating Hydrator from SkinMedica provides immediate hydration and the ability to continuously hydrate the skin with a combination of 5 types of HA that includes a time release HA and a cross linked HA that works for up to 8 hours. In addition, HA5 Rejuvenating Hydrator contains an antioxidant extracted from Vitis vinifera flower stem cells that improves overall skin health by helping the skin restore its own natural hyaluronic acid. It is designed to be applied prior to a moisturizer to drive added hydration into the skin and will enhance your existing skin care regimen.
Tags: Aging, anti-aging, Facial Aging, Skin Care, Skinmedica, wrinkles
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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.
Tags: American Board of Plastic Surgery, Castle Connolly Top Doctors, new york plastic surgeon, Plastic Surgery, Top Doctors
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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
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.
Tags: Aging, facelift, Facial Aging, Plastic Surgery, rhytidectomy, scars, smas facelift
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