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Posts Tagged ‘Plastic Surgery’

Otoplasty for Prominent Ears

Monday, July 20th, 2020

Otoplasty is a plastic surgical procedure that reduces prominence of the ear and can also improve the overall ear shape. These undesirable features of the ear are primarily the result of the growth and development of the internal cartilage framework of the ear and can be hereditary. The components of the procedure will vary depending on the extent of the problem. Dr. Forley will customize the surgery to your specific situation. The incisions are usually hidden in the back of the ear. The cartilage is reshaped using one or more techniques of scoring, suturing, and excision to reduce the excessive prominence and create balance with the opposite side. Dissolvable sutures are used to close the incision and a gentle pressure dressing is applied for several days. Pain is usually minimal and any noticeable swelling gradually resolves over the first several weeks.

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Pro-Nox Nitrous Oxide Analgesia System

Sunday, June 28th, 2020

Pro-Nox is a combination nitrous oxide and oxygen delivery system that helps to relieve both anxiety and discomfort when performing minimally invasive cosmetic procedures. It is a patient directed system that is activated when you take a breath from the mouthpiece and works in seconds to provide a calming effect as well as a decrease in any pain that you may be experiencing. You are in charge so you only use it when you need it. It is ideal for radiofrequency energy procedures such as FaceTite, BodyTite, AccuTite, and Morpheus8. It can also make Ultherapy, the focused ultrasound treatment, much more tolerable.

Pro-Nox has a short duration of effect and is cleared from your body within minutes. Dr. Forley will be glad to discuss the benefits of the Pro-Nox System with you prior to your next procedure.

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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

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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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A PATIENT REVIEW OF NECKTITE AND DR. FORLEY

Monday, November 19th, 2018

A patient review of her experience with Dr. Forley and the NeckTite procedure on Vitals.com:

Screen Shot 2018-06-09 at 2.43.48 PM

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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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PRESCRIPTION OPIOIDS: WHAT YOU NEED TO KNOW

Monday, April 30th, 2018

AHA-Patient-Opioid-Factsheet-a_Page_1

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ULTHERAPY® FOR MEN

Saturday, February 24th, 2018

Sagging of the face and neck with loss of jawline definition is a frequent complaint of patients as the aging process progresses. Men are particularly focused on the sagging neck as an indicator of an older appearance. However, they are less likely to accept surgery to treat the problem and are more inclined to pursue non-invasive options to improve laxity .

Ultherapy® is a non-invasive treatment that involves the application of focused ultrasound energy to the deep layers below the skin. A gradual tightening and lifting effect of the face and neck over 3-6 months results from the response of the body to the heat that is delivered. It has minimal if any downtime and is usually performed awake with some oral medication to reduce the discomfort that is associated with the procedure. Patients can resume normal activities immediately after the treatment and rarely require any pain medication or have any bruising. Maintenance treatments are usually performed at 18-24 months.

55 year old male 5 months following Ultherapy® of the face and neck

55 year old male 5 months following Ultherapy® of the face and neck

 

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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.

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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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