If nipple sparing breast cancer surgery is not an option, a new nipple can be made after your implant or tissue based reconstruction is complete. This is usually an in-office procedure performed under local anesthesia (the area usually has limited feeling for some time after the reconstruction). A tattoo can also be performed to add color to the nipple and simulate an areola.
Read MoreAn Abdominoplasty (or tummy tuck) is a cosmetic surgery used to make the abdomen thinner, and more firm. The surgery involves removing excess skin and fat from the middle and lower abdomen in order to tighten the muscle and fascia of the abdominal wall. After childbirth, it can be hard to lose the excess skin and fat. An abdominoplasty is designed to restore weakened or separated muscles creating an abdominal profile that is much smoother and firmer.
Read MoreLiposuction is a way of slimming and reshaping specific areas of the body by removing excess fat deposits and improving your body contours and proportion. Liposuction is typically done on your hips, belly, thighs, upper arms, buttocks, or face. Liposuction is a great way to a large area in just one procedure and can have a more dramatic result than noninvasive treatments.
Read MoreBody Contouring is a great way to tighten things up after a major weight loss. It is designed to remove excess sagging skin and fat while improving the shape of the underlying support tissue. Dramatic weight loss has many benefits, however the skin and tissues often lack the elasticity to conform to the reduced body size. The result of body contouring is better proportions and smoother contours. The abdomen, breasts, face, arms, and thighs are frequently treated and often two or more areas can safely be combined in one surgery reducing overall recovery time and cost.
Read MoreAn arm lift, also known as a brachioplasty, reshapes the under portion of the upper arm, from the underarm region to the elbow. Not only does an arm lift tighten and smooth the underlying supportive tissue that defines the shape of the under arm, it reduces any excess sagging skin that droops downward. Sometimes, weight fluctuations, aging, and/or heredity can cause the sagging or drooping appearance that unfortunately cannot be corrected through exercise. Multiple options are available and your treatment is tailored to your surgical goals.
Read MoreThigh lift surgery is designed to reshape the thigh by reducing excess skin and fat. The contour is much smoother and better proportioned. In cases where skin elasticity is poor, a thigh lift along with liposuction may be recommended.
Read MoreA labiaplasty refers to a procedure that reduces the length of the labia minora. It is the most commonly performed surgical vaginal rejuvenation and can be very beneficial to woman who experience symptoms such as twisting and tugging of the labia, pain during sex, or exposure of the labia in swimsuits or underwear. A labiaplasty can be performed to reduce asymmetry when one is longer than the other, when the labia minora hang below the labia majora, or for other cosmetic or functional concerns.
Read MoreBotox Cosmetic (onabotulinum toxin A) is a prescription injection that is FDA approved for the treatment of forehead wrinkles, frown lines, and crow's feet. The price is generally $10-$16 per unit injected. The recommended number of units for treatment depends on the area to be treated. As a general rule, it takes about 20 units to treat forehead lines, 20 units for frown lines between the brows, and about 24 units to do the crow's feet on both eyes. Your treatment should be based on a personalized assessment of your individual and unique anatomy, and may be slightly more or less than these recommended numbers. Often patients start with the one treatment area that bothers them the most. I like to start with a more conservative number of units and titrate to the desired effect. This approach along with meticulous record keeping and attention to detail helps me deliver consistent results at a reasonable price.
Read MoreDermal fillers help diminish facial lines and restore volume and fullness to the face. There are various types of filler that are used in specific areas of the face, depending on the patients concerns. Dr. Malotky administers all of his own injections to make sure that the patient receives the highest level of treatment possible. Whether the patient has thin lips, severe wrinkles or folds, volume loss in the cheeks, or those dreaded “smokers lines” facial fillers can be a great way to correct these imperfections without surgery.
Read MoreWhile there are multiple permanent and non-permanent options for lip augmentation, the most commonly performed and requested today are synthetic dermal fillers, the most popular of which are the hyaluronic acid (HA)-based fillers. These fillers offer a subtle, yet noticeable increase in volume of the lips, and generally last about six months to a year before any touch ups would be required. Although this is the most sought after treatment, surgical options are available as well.
Read MoreLatisse (bimatoprost ophthalmic solution) is the first FDA approved treatment for inadequate or not enough lashes. Throughout the aging process, you may notice that your lashes don’t seem to be as full as they once were. Latisse is a treatment for the growth of eyelashes, making them longer, thicker, and darker.
Read MoreCarpal Tunnel Syndrome (CTS) is a common condition of one or both hands often manifesting as pain, numbness and/or tingling of the fingers, loss of tactile grip, and sometimes weakness or aching. There are many causes of CTS, but nearly all relate to an increased pressure and decreased blood supply to the nerve, thereby reducing its conductive potential. A physical exam and often Nerve Conduction Studies are used to evaluate for and assess the severity of the disease respectively. Treatment usually incorporates bracing, NSAIDs, and steroid injections for early disease, but many people will progress to the point of needing surgery which can provide long lasting relief.
Read MoreCubital Tunnel Syndrome also known as ulnar nerve entrapment at the elbow is the second most common peripheral nerve entrapment syndrome in the human body. Symptoms include numbness and tingling in the ring and small fingers, pain in the forearm, and/or weakness in the hand. As with Carpal Tunnel Syndrome, there are some minimally-invasive ways of treating early Cubital Tunnel Syndrome such as bracing or steroid injections, as well as surgical options to release the irritated nerve in more advanced cases.
Read MoreTrigger finger (stenosing flexor tenosynovitis) is an abnormal condition in which pain is elicited in the distal palm over a tight spot in the tendon sheath. Over time this can progress to clicking and in severe cases, even locking where the finger will need to be manually extended back into its proper position. This condition can become extremely painful and debilitating. Steroid injections can quickly offer symptomatic relief but commonly recur. Surgical release of part of the tightened tendon sheath most often leads to complete resolution.
Read MoreDupuytrens Disease (DD) refers to a hereditary condition in which the palmar tissues abnormally thicken and contract. Over time, this can cause one or more of the digits to bend in toward the palm. This can become painful and severely limit the functionality of the hand. There are different surgical options to treat this disease including needle aponeurotomy (breaking up the diseased tissue bands), injections to soften and partially dissolve the bands, or surgical excision with a partial fasciectomy.
Read MoreA Ganglion Cyst is benign growth commonly found on or near the tendons or joints of the wrists or hands. They are hollow sacs filled with fluid that normally helps keep the joints and/or tendons healthy. Occasionally pain or numbness can be associated with a ganglion cyst causing it to limit activity, or cause anxiety. Several treatment options are available with the most common being surgical excision.
Read MoreThe 21 st century has seen many advances in the battle against breast cancer. This has lead to earlier diagnoses and many more women beating their cancer. The surgical treatment for breast cancer often involves removing some or all of the breast tissue and the nipple which can be very distressing for the patient. Studies prove that breast reconstruction improves the quality of life in women that have undergone mastectomies. There are often multiple options for breast reconstruction including using implants or the patient’s own tissue. One of these options may be preferred depending on what treatments are recommended by your cancer doctor after surgery. The cancer surgery is (and should be) first and foremost but getting all the options explained to you for reconstruction is very important for your future well being. This was recognized by Congress when they passed the “U.S. Women’s Health and Cancer Right Act,” requiring insurance companies to pay for mastectomy reconstruction.
Read MoreGetting a skin cancer diagnosis can be hard to accept, but getting the most researched information can help you understand the process and help you make an educated decision on the next step. Dr. Malotky encourages patients to visit the National Comprehensive Cancer Network website
Read MoreScar revision is performed to improve the appearance or condition of an existing scar on the body. Discoloration or surface irregularity can be improved with different techniques including surgery, or other treatments recommended by your surgeon. Hypertropic scars, keloid scars, and contractures are the most common types of scars that need revision.
Read MoreThe loss of youthful contours in the face can be due to the thinning of the skin, loss of facial fat, gravity, sun damage, smoking, heredity, and even stress. Face lift surgery (or Rhytidectomy) is a great way to restore the elasticity of the face, and give a fresh tightened appearance.
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