Patients who had a facelift, which indicates a different quality of procedures by other surgeons, continue to work on skin tightening because of dissatisfaction caused by (1) a loss of skeletal definition, (2) facelift layer quality, or (3) both.
Fat grafting appropriately done in the operating room should last and rejuvenate the facial skeleton for up to 15 years. Dr. Kornstein’s technique rejuvenates, tightens, and shapes the deep facelift layer non-surgically. The method, created in 2015 by Dr. Kornstein, adds longevity and definition to create a natural-looking younger skin.

High intensity focused ultrasound (Ultherapy®) is well known in the cosmetic surgery realm, especially to tighten and rejuvenate skin. However, there are two other uses, pioneered and published by Dr Kornstein, that have tremendous benefit to a large number of patients.

1. Ultherapy® to non-surgically, efficiently and permanently reduce silicone lip injections

Conventional non-surgical therapies such as steroid injection does not work on the silicone injections as intended, instead they merely thin the natural tissues surrounding the silicone. Surgery cannot effectively remove the silicone/scar tissue beads as they are dispersed in the lip muscle tissue. In fact, surgery removes silicone, scar but also healthy lip tissue leaving behind more scar tissue which interferes with natural lip movement

Dr Kornstein discovered and pioneered a permanent non-surgical therapy, using Ultherapy® to remodel(melt) the scar tissue and reduce the size of the silicone beads into “sand” that enables the lip to look and move normally. Generally, one, two or rarely three sessions are necessary for the successful treatment of silicone injected lips. This is accomplished in office with a dental block for a pain-free treatment. Recovery varies from none to a few days as opposed to weeks for surgery with results seen three to four weeks after treatment.

2. Ultherapy® to non-surgically, efficiently and permanently reduce post-surgical nasal tip swelling

It is a well-known axiom of rhinoplasty surgery that nasal tip swelling can take months or years to reduce, revealing the surgically created underlying tip contour. However, in some patients, with scar from previous rhinoplasty or thick inelastic skin, the underlying structure is never seen because the nasal tip skin never shrinks. Conventional non-surgical therapy such as steroid injections only help accelerate the eventual result but do not improve the outcome or control skin shape.

Dr Kornstein discovered and pioneered a permanent non-surgical therapy to help “shrink wrap” the nasal skin over the underlying cartilaginous structure. This is generally accomplished in one two or sometimes three office-based sessions. The procedure is predictable, safe and permanent except for those patients who have a lack of underlying cartilaginous framework. These patients can be treated with injectable rhinoplasty or cartilage grafting.

There are several factors that need to be considered when determining if a person is a good candidate for liposuction. This includes the amount of fat in the areas being targeted and the quality of the skin in those areas.

What Is Liposuction?

Liposuction is a minimally invasive procedure that is performed to contour the body by removing precise amounts of fat cells from the fat layer between the skin and the muscles. The procedure is typically performed using a blunt-tipped cannula that is inserted under the skin through a small incision.

There are nerves, ligaments, and arteries that run through the two layers where the fat is located; the blunt tip of the cannula helps to prevent damaging or severing these structures. The cannula is carefully manipulated to loosen the fat cells from the surrounding tissue, and then the loosened fatty tissue is suctioned out through the cannula.

Liposuction can be used to reduce excess fat in a number of areas. This procedure can remove stubborn fat from the abdomen, upper arms, thighs, knees, back, buttocks, ankles, and hips. It can also address excess fat in the chin and neck.

While liposuction is an excellent option for enhancing the overall shape of various areas of the body, it should be noted that liposuction is not intended for weight loss. While areas of fat are removed during the procedure, it is not designed to eliminate large amounts of body fat.

The ideal candidate for liposuction is already at or near their ideal weight. Any weight fluctuations after liposuction have the potential to negatively affect the procedure’s results.

What About Loose Skin?

When performed by a skilled and experienced surgeon, liposuction is able to sculpt the fat cells in the targeted area around the curves of the body to create natural-looking contours. However, if skin elasticity is poor, liposuction alone may not be able to provide the desired results. The skin will not shrink to highlight the created contours and may instead droop and create wrinkles.

In cases where skin elasticity is an issue, J-Plasma/Renuvion treatments can be performed in combination with liposuction. This pairing helps to tighten the skin and provide the desired results.

J-Plasma/Renuvion uses helium plasma technology to tighten the skin over the new contours created by liposuction, which enhances the overall appearance of the area. J-Plasma/Renuvion has been proven to be a safe and highly effective treatment option. It is capable of providing long-lasting and beautiful results when performed by a skilled surgeon.

Take the Next Step

If you would like to know whether liposuction and J-Plasma/Renuvion are the right choices for you, contact our office today to schedule a consultation with board-certified plastic surgeon Dr. Kornstein. Dr. Kornstein specializes in skin tightening and body contouring. He has the knowledge, skill, and experience needed to provide all of our patients with the outstanding care and results they are looking for.

For many women, breast augmentation provides a way for them to feel more comfortable with the appearance of their breasts and body. One of the reasons for this is because the surgical procedure is highly customizable which means that personalized results can be provided that satisfy the patient’s aesthetic needs.

One of the most important aspects of breast augmentation is choosing the right breast implant for the procedure. Breast implants come in a variety of types, shapes, and sizes and the choice between these options will have an impact on the overall appearance of the breasts and other aspects of the breast augmentation.

What are the Types of Breast Implant

Saline Breast Implants

Saline implants are comprised of an outer silicone shell that is filled with saline. Saline is a sterile mixture of salt and water. During a breast augmentation, the empty silicone shell can be inserted into the breasts and then filled with the required amount of saline. This means that the incisions needed for the procedure can be smaller compared to other breast implant options

Saline breast implants are often the more affordable option for breast augmentation. It is also easy to detect when a saline breast implant has ruptured as it is visibly noticeable right away. In these cases, the saline is safely absorbed by the body and then implant can be removed and replaced.

Saline implants do tend to have a firmer feel than other breast implant options which can feel less natural to the touch. The implants can also form wrinkles or ripples that can be visible on the actual breasts and can have a less natural overall appearance.

Silicone Breast Implants

Silicone breast implants are comprised of an outer silicone shell that is filled with a cohesive silicone gel. The implants are prefilled to the desired size prior to the insertion process.

Silicone implants are known for providing results that have a more natural overall appearance. The silicone gel inside silicone breast implants is much more viscous and mimics the feel of natural breasts more than saline implants. Silicone gel implants also have more natural-looking movement compared to slaine implants.

In cases where the implant ruptures. The cohesive structure of silicone implants means they are better able to retain their shape. However, it can be more difficult to detect when a rupture has occurred in silicone gel breast implants.

Which Breast Implant Does Dr. Kornstein Use?

Board-certified plastic surgeon Dr. Kornstein has been performing breast augmentation surgery for over 20 years, has undergone extensive training, and has studied with recognized experts in the field of breast augmentation. His knowledge of anatomy and intraoperative creativity facilitates his ability to provide beautiful and natural-looking results.

Dr. Kornstein uses highly cohesive silicone gel implants from Allergan. Dr. Kornstein has been using them for nearly 25 years. These implants are of the highest quality and provide a number of advantages over other breast implants like:

• Lower chance of silicone bleed and rupture
• Reduced risk of capsular contracture
• Optimal breast shape for patients with minimal breast tissue

Schedule a Consultation

If you are interested in breast augmentation and are looking for a skilled and experienced board-certified plastic surgeon who can provide you with the results you are in need of, contact our office today to schedule a consultation with Dr. Kornstein.

Is it Right for Me?

While non-surgical body procedures can provide outstanding results, there are some people who may not be able to fully benefit from the treatments. Good candidates for non-surgical body treatments should have optimal muscle and bone structure and skin that is still strong and elastic. The ideal candidates should also have realistic goals and expectations for their treatment, especially patience knowing that results can take many months to achieve visible improvements.

The Expertise of Dr. Kornstein

While modern technology has made it possible to provide significant improvements with non-surgical treatments, technology alone will never ensure that you receive the results you are looking for. It takes an observant and experienced expert who has the training, knowledge, and in-depth understanding of anatomy, the aging process and aesthetics needed to perform the procedures properly.

Dr. Kornstein is a board-certified plastic surgeon of over 25 years who has continually provided our patients with the personalized aesthetic care they need. Dr. Kornstein understands the roles anatomy, aesthetics, aging, and other factors play when it comes to your appearance. By approaching each procedure with these factors in mind, Dr. Kornstein is able to suggest the best option for our patients, whether surgical, no surgical or a combination of both with comprehensive care and stunning results.

Options for Non-Surgical Body Procedures

Ultherapy

Ultherapy is a non-invasive treatment that uses focused ultrasound energy to target the structural layers of the skin and subcutaneous tissues without injury to the skin surface (no healing necessary as with laser, or chemical peels) The heat generated by the ultrasound energy stimulates the existing collagen and elastin to tighten while stimulating new production of the aged elements. This provides the tissues with additional strength and structure while helping to lift and tighten them.

Ultherapy can be used to treat the abdomen, breasts, buttocks, and knees. Dr. Kornstein has been using Ultherapy since 2011 and has received the Ultherapy Visionary Award for his non-surgical body-tightening work using Ultherapy.

Profound

Profound is another FDA-approved tissue tightening treatment that is safe, effective, and capable of providing long-lasting results. Profound is perfect for treating the aging face to help combat wrinkles, folds, and skin laxity without the need for surgery. Profound targets the skin using fractionated radiofrequency energy to stimulate the production of collagen, elastin, and hyaluronic acid which will help to keep the skin strong, tight, and hydrated. Dr. Kornstein developed and published a unique procedure whereby the benefits of Profound are used to target the deep plane facelift and neck tissues in an office based non-surgical facelift procedure. Profound is also commonly used to treat areas of the body like the stomach, thighs, buttocks, knees as well as cellulite.

Thanks to the consistently amazing results that Dr. Kornstein had been providing using Ultherapy, he was asked by Syneron Candela to help with the development of the Profound skin-tightening technology in 2015.

J Plasma/Renuvion

Renuvion, also known as J Plasma, is a minimally invasive operating room procedure, not unlike liposuction with respect to the small well-hidden access incisions enabling a unique blend of helium gas and radiofrequency energy to create a stream of plasma energy. The heat generated by the plasma targets the supportive structures of the skin causing them to contract which can dramatically tighten and shape the skin. J Plasma can be used to treat issues such as the neck, breast, abdomen, back, hips, waist, buttock, thighs, knees and calves and ankles.

Schedule a Consultation Today

To learn more about the non-surgical body procedure we offer, please contact our office today to schedule a consultation with Dr. Kornstein. He will ask about the specific areas of the body and issues you want to address and can let you know which treatment option will provide you with the best results.

Unfortunately, some people may find that their primary rhinoplasty has left them with poor aesthetic results or other issues that have affected the stability and function of their nose. In these cases, revision rhinoplasty can be performed to correct these issues and provide patients with results that satisfy their aesthetic and functional goals.

Is Revision Rhinoplasty Right for Me?

Rhinoplasty is a complex procedure that can involve the use of various techniques, often dictated by what is discovered during surgery, in order to achieve the patient’s desired outcome. Rhinoplasty involves removing, reshaping, and repositioning nasal cartilage to create the desired shape, long term structural support and appearance. In some cases, bone may need to be removed or shaved down. may also be present and previously untreated. There may also be an excessive amount of internal scarring following the previous procedure. Some patients may also experience nasal collapse where the improper or excessive removal of septal cartilage causes the nasal bridge to collapse inward following the procedure.

Many patients find that the results of their rhinoplasty did not address their aesthetic concerns. This can mean that the nose still appears too wide, too large, or may still look asymmetrical. If you are experiencing functional issues (nasal airway obstruction that result in migraines, earaches and sinus issues) as a result of your primary rhinoplasty or if you are not happy with the results of your rhinoplasty, you may want to consider revision rhinoplasty.

Choosing the Right Surgeon to Perform your Revision Rhinoplasty

When searching for a surgeon to perform your revision rhinoplasty, it is important that you choose one that is expertly trained and highly experienced for the best possible results. Dr. Kornstein has been a board-certified plastic surgeon for over 25 years. He is also a member of the Rhinoplasty Society, a medical society composed of members who have been expertly trained in rhinoplasty, have performed a high number of rhinoplasty procedures, and who continue to make advancements in nasal surgery. Through his years of experience performing rhinoplasty, Dr. Kornstein has continually refined his surgical skill in performing both open rhinoplasty and closed rhinoplasty as evidenced by his word-of-mouth referral and very low revision rate. He has in-depth understanding of the complex structures of the nose and facial aesthetics and meticulously crafts a unique surgical plan for each patient based on their aesthetic concerns and goals. With a commitment to both the safety and satisfaction of all our patients, Dr. Kornstein offers some of the best rhinoplasty results available.

Schedule a Consultation Today

If you are in need of revision rhinoplasty or if you are looking for a skilled and experienced surgeon to perform your primary rhinoplasty, contact our office today to schedule a consultation with Dr. Kornstein.