Facing Facts About Plastic Surgery—

A Doctor’s Orders On Permanent Procedures

By Kendra Bobowick

Dr Boris Goldman has a tainted view of certain plastic surgery practices,. Considering the end results of certain procedures such as permanent make-up, he offered the example: “Don’t pick a color that looks great when you’re younger, and then find later that purple doesn’t look so good.”

Continuing his spin on permanent make-up, he warned, “You must be careful what you put on your face because it’s permanent. What looks good today may not be in vogue later.”

His point?

“A tattoo is a tattoo whether it’s eyeliner or lip-liner … I caution people to weigh the pros and cons conservatively.”

Other trends in the field warrant careful consideration, he feels. Dr Goldman, MD, of Advanced Cosmetic & Plastic Surgery, with offices in Ridgefield and Danbury, offers his advice on Botox treatments, permanent make-up, and fat injections.

“There are people who can overdo anything,” he said. “Like anything, you can absolutely go too far.”

Botox has received Food and Drug Administration (FDA) approval, and is injected between the brows, the neck, the forehead, and crows feet.

“It weakens the superficial muscle that causes the lines,” explained Dr Goldman. As a rule, filler is not used in areas that crease, he said. Botox relaxes these areas and the facial muscles that cause crows feet, for example, said Dr Goldman.

The body’s own fat is another tool in the plastic surgery trade.

“Fat is a filler and we harvest it from the patient,” he said. Fat is used to add volume to cheeks, the chin and brows, he explained. Fat is part of a rejuvenation procedure.

Dr Goldman noted a changing trend in his industry.

“There is a shift in rejuvenation,” he said.

He described the aging process as a slowly deflating balloon that acquires wrinkles.

“Instead of pulling [skin] tight, we’re smoothing it out,” said Dr Goldman. Plastic surgeons are also adding fill to lips and brows, and using the fat to rejuvenate, he said. Normally two to three procedures are needed for a permanent effect.

Also keeping up with trends of the trade from a business angle is Advanced Cosmetic and Plastic Surgery Clinical Aesthetician Nanci Rinaldi. Ms Rinaldi, who lives in Newtown, will share her first-hand knowledge gained from her experience from working within the cosmetic surgery practice when she does a presentation during La Roche Posay’s national skin care symposium August 10-11.

A skin care clinic within a medical practice is viable, said Ms Rinaldi.

“There is a lot of blending of services within the cosmetic skin care industry, which has encouraged aesthetic professionals to create necessary synergies amongst each other,” she said.

Ms Rinaldi will be presenting ways of staying competitive in a congested market and business lessons learned from her skin care and laser clinic.

The forum, open to professionals in the field, may still have room for attendees; visit ACPSurgery.com for details.