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Posts Tagged ‘Cosmetic Surgery’

DR. FORLEY LISTED IN 2020 GUIDE TO NEW YORK’S TOP DOCTORS

Tuesday, May 12th, 2020

Dr. Forley is listed in the 2020 Super Doctors annual guide to the top 5% of New York City physicians as seen in a magazine supplement in the Sunday edition of the New York Times on May 10, 2020. This marks the 13th consecutive year that Dr. Forley has been selected as a Super Doctor. Physicians are asked to submit nominations of outstanding colleagues as part of the selection process. Evaluation by the research staff, a peer review of candidates by specialty, and a good-standing and disciplinary check is then performed.

Forley

super-doctors-logo-2014

A survey of physicians is a part of the selection process and includes the following question: “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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LOWER EYELID REJUVENATION

Sunday, July 29th, 2018

A common complaint of patients is that they look tired but don’t feel tired. This is often the result of bulging fat pockets in the lower lid combined with a tight attachment of the skin at the junction of the lower lid and the cheek known as the tear trough. It is frequently one of the early signs associated with the aging process. Dr. Forley approaches this concern with both a non-surgical and a surgical option. Camouflage of the bulging fat can be achieved with the use of an injectable hyaluronic filler at the tear trough to aid in blending the transition across the lid-cheek junction. Although this can improve early changes, the fundamental cause of the problem remains unaltered. An advanced surgical technique that Dr. Forley utilizes to treat this issue involves releasing the attachment of the tear trough below the eyelid from the inside so that there is no external scar. At the same time, the fat from the lower lid is repositioned to extend across the lid-cheek junction. This changes the orientation of the fat so that the bulging is reduced in conjunction with filling the depression below the lower lid. This procedure is known as a transconjunctival fat transposition lower blepharoplasty. During your consultation, Dr. Forley will discuss the options that would work best in your individual situation.

EYELID SURGERY COMPOSITE

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DR. FORLEY LISTED IN 2018 GUIDE TO NEW YORK’S TOP DOCTORS

Sunday, May 13th, 2018

Dr. Forley is listed in the 2018 Super Doctors annual guide to the top 5% of New York City physicians as seen in a magazine supplement in the Sunday edition of the New York Times on May 13, 2018. This marks the 11th consecutive year that Dr. Forley has been selected as a Super Doctor. The selection process 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.

Forley

super-doctors-logo-2014

The selection process includes the following question to physicians who are surveyed: “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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SHARED DECISION MAKING AND FACIAL AGING

Wednesday, January 31st, 2018

Facial aging procedures should be customized both to the changes that are visible and to the desires of the patient. In some cases, several options may be suitable to satisfy the goals of the patient. A detailed conversation between the plastic surgeon and the patient enabling shared decision making helps to maximize the likelihood of a satisfactory treatment outcome.

This case illustrates a treatment decision that involved shared decision making regarding the concerns of a 50 year old patient with facial aging. During the initial consultation, she stressed that the most worrisome aspect of her appearance was her sagging neck. Although aging changes of the face were of concern, her desire for a more limited procedure focusing on the neck was clear. We decided together that a neck lift would be performed and the outcome at 1 month is seen below. The patient was very pleased with the improvement and was gratified that she was able to achieve this result with neck surgery alone.

MW-2

MW-3

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THE AGING EYE

Thursday, December 21st, 2017

The aging appearance of the eye is often a combination of a progressive descent of the brow, heaviness of the upper eyelid, and a baggy appearance of the lower eyelid. The individual contributions of each of these factors varies from patient to patient and each of them can be addressed separately or in a combined procedure.

The key factor in treating the eye area is making the correct diagnosis so that the appropriate procedures are performed. If the problem is a low-lying brow, removing upper eyelid skin can make the brow appear even lower. Conversely, trying to correct upper eyelid skin redundancy with a brow lift will result in excessive brow elevation and a surprised look.

The aging lower eyelid is often a combination of prominent fat pads and a depressed lid-cheek junction or tear trough that creates a circle under the eyelid. Removing fat in the setting of a deep tear trough leaves that problem uncorrected or may even make it appear worse.

This patient example demonstrates a patient with a low-lying brow that creates a heavy appearance at the junction of the brow and the upper eyelid. The lower eyelid has a moderate amount of fat excess and depression of the lid-cheek junction that creates a tired appearance.

BROW LIFT PAGE (1)

Treatment of the aging eye with an endoscopic brow lift and a fat transposition lower blepharoplasty

The patient underwent an endoscopic brow lift and a fat transposition blepharoplasty of the lower eyelid. The brow lift was performed using specialized instrumentation introduced through small incisions within the scalp and enabled a correction of the heavy appearance of the upper eyelid, in this case, without any skin excision. The lower eyelid was improved by releasing the tear trough ligament and draping the excess lower eyelid fat across the lid-cheek junction to fill the depression. This procedure is distinct from more traditional fat removal procedures of the lower eyelid. The combination of surgical procedures resulted in a more youthful and rested appearance that appears natural.

 

 

 

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FACETITE FOR MEN

Thursday, November 30th, 2017

Men often complain about the appearance of their neck as they get older. The contour changes that occur in the neck are frequently the result of a combination of skin laxity and excess fat deposition. In some cases, prominent muscle bands at the midline of the neck contribute to the loss of definition. Traditionally, a surgical solution has been the approach deemed most effective to treat the aging face and neck. Although surgery remains the “gold standard”, FaceTite provides a minimally invasive alternative to surgery to tighten and contour the face and neck without scars. It utilizes radio frequency energy that is delivered below the skin with a thin needle-like applicator in combination with targeted liposuction to produce a more youthful contour. The procedure is performed under local anesthesia, noticeable swelling usually resolves within 3-5 days, and there is minimal discomfort. Results may be evident as early as 4 weeks but continue to evolve over 6-12 months and can last for years. During your consultation, Dr. Forley will examine you to determine if you are a good candidate for FaceTite.

 

44 year old male 4 months following FaceTite

44 year old male 4 months following FaceTite

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NIPPLE REDUCTION

Sunday, October 22nd, 2017

The nipple can become enlarged and droopy following pregnancy and breast feeding. It may remain in that condition despite a gradual decrease in the size of the breast after nursing is completed.  A nipple reduction can both reduce the size of the nipple and make it appear more uplifted. This is especially important to consider when deciding on breast augmentation so that the appearance of the breast will be enhanced by a more proportionate nipple dimension.

Breast Augmentation and Nipple Reduction

Breast Augmentation and Nipple Reduction

Breast 2

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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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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.

instalift-patient-suture

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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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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