Dr. DiBernardo is the Medical Director of New Jersey Plastic Surgery® in Montclair, NJ, past President of the New Jersey Society of Plastic Surgeons (2005-2006), an Associate Clinical Professor in Plastic and Reconstructive surgery at UMDNJ, and is currently is on the board of directors of the Aesthetic Surgery Education and Research Foundation. He also serves on the Advisory Board to many of the leading skincare and injectable technology companies worldwide.
When a breast mass is discovered, a biopsy is usually necessary. If you have had breast enlargement with a breast lift, care must be taken to avoid damaging the underlying implant. Sharp instruments must not come in contact with the implant due to the risk of implant rupture. Tell your physician you have had breast implant surgery so they can take appropriate precautions.
Saline-filled breast implants contain a silicone outer shell filled with a sterile saltwater (saline) solution. Some are pre-filled and others are filled during the implant operation. Saline-filled implants come in different sizes and have either smooth or textured shells. The FDA approved saline-filled breast implants for breast augmentation in women age 18 or older and for breast reconstruction in women of any age. They are also used in revision surgeries, which correct or improve the result of an original surgery.
Both breast reduction and breast lift surgeries are similar in that they both serve to reshape the breasts. Breast lift, through any of the various techniques, basically serves to reposition the breast and nipple on the chest to reverse the effects of time and gravity. The same changes that are noted in ptotic, or sagging, breasts are often seen in large breasts that require reduction: the nipple position is often low and there is excess skin (in addition to the excess breast tissue). The breast reduction then combines a lift with removal of extra tissue to create a breast that has a higher nipple position, reduced extra skin, and smaller and more balanced breast size.
Breast reduction and breast lift procedures can be great options for women who wish to reduce or alter the position of their breasts. They are also effective surgeries for any woman wanting to refine the size or shape of their breasts. So, which one should you choose? That all depends on your personal goals and expectations. Below you will find information pertaining to the differences and similarities breast reduction and breast lift procedures share, which might just help you decide which surgery is right for you.
Silicone-filled Breast Implants. Silicone-filled breast implants are filled with a silicone gel. Over the years, the consistency of this silicone filling has changed. The first silicone breast implants were filled with a very thin, oily silicone. Currently, the silicone used in implants is a gel that is less likely to leak out of the shell if it ruptures. This gel is referred to as "cohesive." Some breast implants — called gummy bear breast implants — are even more cohesive, or "form-stable," and have the consistency of a gummy bear, thus the nickname.
Dr. Cohen specializes in breast lifts, augmentations, revisions and reductions as well as breast cancer reconstructions. A long time dream of Dr. Cohen’s was to travel to developing countries and provide expert surgical care to those who have no other possible access to medical care. This became a reality in 2007 when she became a founding member and Vice President of ISMS Operation Kids.
The procedure is accomplished by using the skin of the lower pole of the breast (the part below the nipple that sits in the bra cup) to shape the whole breast into a perky dome, then straps are made of the extra skin, anchoring it to the underlying chest muscle so that there is virtually no chance of repeat sagging.  The skin that above your nipple and below your collar bone is utilized to cover the perky, lifted dome that has been created and then a new (usually smaller) circular opening for the areola is placed at the high point of the cone, creating your new lifted, full and shapely breast.

Saline-filled breast implants contain a silicone outer shell filled with a sterile saltwater (saline) solution. Some are pre-filled and others are filled during the implant operation. Saline-filled implants come in different sizes and have either smooth or textured shells. The FDA approved saline-filled breast implants for breast augmentation in women age 18 or older and for breast reconstruction in women of any age. They are also used in revision surgeries, which correct or improve the result of an original surgery.
In addition to the breast and the body, we also specialize in facial plastic surgery. The many procedures available for facial cosmetic surgery at Plastic Surgery Arts of New Jersey include facelifts, brow lifts, eyelid lifts, nose job (rhinoplasty), lip injections, or laser skin rejuvenation. In recent years, requests for men’s plastic surgery have increased. If you’re a male interested in plastic surgery, we have developed a men’s cosmetic surgery program that focuses on natural, conservative results with quick recovery times.
There are a few alternatives to breast augmentation with implants. Fat grafting breast augmentation involves harvesting fat via liposuction from another area of your body and injecting it into your breasts. Fat grafting is typically used to improve the appearance of your breasts after surgery to treat breast cancer, to correct a congenital breast deformity or to even out any imperfections occurring after breast augmentation with implants, such as wrinkles or ripples. The long-term effects of fat grafting to a normal breast are not fully understood, and the degree of augmentation possible via grafting is only modest at best. For these reasons, fat grafting for cosmetic breast augmentation is still considered experimental by many plastic surgeons.
Ambulatory surgical centers are more expensive than private offices. These venues are owned by a third party, and provide everything your surgeon needs to safely perform rhinoplasty and other cosmetic surgery procedures. They typically charge by the hour. Ambulatory surgical center fees are usually around $3,000 or more for a single rhinoplasty procedure.
If you’re interested in aesthetic plastic surgery, our New Jersey offices are easily accessible from anywhere in the NY, NJ, CT tri-state area via car, bus, and train-lines. You can easily visit PSANJ from North Jersey, Central Jersey, South Jersey, New York, Pennsylvania, Staten Island or anywhere in the tri-state area and receive world-class care that only PSANJ can offer. With two convenient locations in New Brunswick and Princeton, NJ we welcome patients from all over the state including: Edison, East Brunswick, Manalapan, Marlboro, Piscataway, Somerset, and Flemington. Many patients have also come from Colts Neck, Freehold, Old Bridge, Sayreville, Hillsboro, Belle Mead, and more. No matter how you imagine yourself, or where you’re coming from, Plastic Surgery Arts of New Jersey can help you reach your dreams. 

While proper diet and exercise are important to maintaining body image, many women become discouraged with the results of their efforts. We offer several body contouring options to reduce fat and improve body contour, including tummy tuck, liposuction, thigh lift, and arm lift. With body contouring plastic surgery at Plastic Surgery Arts of New Jersey, you can get results that are often not possible with weight loss alone.

The Summary of Safety and Effectiveness for each of the FDA-approved saline- and silicone gel filled breast implants details safety information known at the time of FDA approval. As the FDA learns of new safety information, it requires companies to update their product labeling. The most current safety information about saline- and silicone gel-filled breast implants can be found in the labeling.
For example, if your rhinoplasty is a straightforward reduction, that’s a 30-45 minute surgery, according to Nashua, New Hampshire plastic surgeon Dr. Mark Constantian, in a rhinoplasty cost Q&A. It’ll cost much less than an operation requiring “septal surgery for your airway, spreader grafts (to support your internal valves and make sure the sides of your nose line up), a radix graft (to maximize your nasal proportion), and tip grafts (to improve tip projection and contour).” In these cases, the length of the surgery may double or triple—and so might the cost
In 1988, twenty-six years after the 1962 introduction of breast implants filled with silicone gel, the U.S. Food and Drug Administration (FDA) investigated breast implant failures and the subsequent complications, and re-classified breast implant devices as Class III medical devices, and required from manufacturers the documentary data substantiating the safety and efficacy of their breast implant devices.[113] In 1992, the FDA placed silicone-gel breast implants in moratorium in the U.S., because there was “inadequate information to demonstrate that breast implants were safe and effective”. Nonetheless, medical access to silicone-gel breast implant devices continued for clinical studies of post-mastectomy breast reconstruction, the correction of congenital deformities, and the replacement of ruptured silicone-gel implants. The FDA required from the manufacturers the clinical trial data, and permitted their providing breast implants to the breast augmentation patients for the statistical studies required by the U.S. Food and Drug Administration.[113] In mid–1992, the FDA approved an adjunct study protocol for silicone-gel filled implants for breast reconstruction patients, and for revision-surgery patients. Also in 1992, the Dow Corning Corporation, a silicone products and breast implant manufacturer, announced the discontinuation of five implant-grade silicones, but would continue producing 45 other, medical-grade, silicone materials—three years later, in 1995, the Dow Corning Corporation went bankrupt when it faced large class action lawsuits claiming a variety of illnesses.[113]
However, if a patient underwent surgery in another country, but experiences post-operative complications, he or she will need to pay to travel back to the same destination if they wish to have the same doctor oversee any revisions. Revision surgery performed by a different surgeon is extremely difficult, and thus more expensive. In fact, it can cost 50 percent more than the original surgery. Therefore, it can actually be far more economical to pay for a surgery within the U.S.
The ‘gummy bear’ implant comes in both round and teardrop shapes. They have a firmer gel, which may give a better shape and may last longer. The round gummy bear implant is often a good choice for women with looser tissues and who want a more durable implant that remains soft. The teardrop shaped gummy bear implant may be a good choice for women whose tissues are relatively tight and desire a very proportionate and natural looking enhancement with less fullness of the upper portion of the breast and more projection and fullness of the lower portion of the breast. 

For detailed indications, contraindications, warnings, and precautions associated with the use of all MENTOR® Implantable Devices, which include MENTOR® Saline-filled Implants, MemoryGel® Implants, MemoryShape® Implants, ARTOURA™ Expanders, and CONTOUR PROFILE® Expanders, please refer to the Instructions for Use (IFU) provided with each product or visit www.mentorwwllc.com.
The woman wanting a lift is usually slightly different. She had breasts she was happy with before, she had loving kids who she may or may not have breastfed, exercised and had a good life. They come wanting to restore the youthful breast they once they had(or better), they hate that it is slightly more deflated than before and it's slightly more south then they'd like. The formal name of this operation is "Mastopexy" and that's why you hear terms like "Mastopexy augmentation" because often in order to restore the youthfulness of the breast you not only need to reposition the nipple/areolar complex "up" with a mastopexy, you also need to provide some additional volume with an implant, hence augmentation as well. The discussion with implant also is entirely different discussion all together, but this highlights the primary difference in the reduction and a lift.
Here you can view actual before and after plastic surgery photographs submitted by ASPS members who have a Plastic Surgeon Match Profile in our referral service. For a complete list of ASPS members and to search for plastic surgeons in your area, please use our Find A Plastic Surgeon tool. These photographs represent typical results, but not everyone who undergoes plastic surgery will achieve the same results.

There are other pricing factors to consider as well such as the extent of your procedure, where you live, and the plastic surgeon you choose. For example, slight surgical reshaping of the nose requires less surgical time (and therefore has a lower price tag) than a complete change in shape. In general, a longer or more complicated procedure will be more expensive. This is especially true if your situation requires an overnight stay, although most rhinoplasty procedures are performed as outpatient procedures. Revision rhinoplasty (performed on patients who have had a nose surgery in the past) tends to be more complicated, and therefore costlier, than an initial procedure.
For example, if you have very large breasts, sometimes the only reduction that can be made is to detach the nipples and areolas completely from the underlying tissues. If this is done, you will lose sensation in your nipples. Thus, you must think carefully about what will happen during the surgery – and whether or not you can live with the results.
In recent years, medical tourism, or going outside the U.S. for a surgery or procedure, has become more popular. Patients go to other countries to have rhinoplasty and other surgery performed at a lower cost. While several other countries, such as South Korea, Columbia, and Italy, may have surgeons willing to perform rhinoplasty at a low cost, the quality and safety standards may not be as closely regulated as they are in the U.S.
Insurance companies rarely cover rhinoplasty; it’s usually considered an elective cosmetic procedure. The exception is if you have an injury or a breathing problem that makes the surgery medically necessary. “Sometimes insurance will cover surgery performed to correct post-traumatic deformities,” says Miami plastic surgeon Dr. Paul Afrooz in a RealSelf Q&A. “Insurance will pay for the portion of a rhinoplasty that is done to improve your breathing, such as correcting a deviated septum [septoplasty] or reconstructing collapsed breathing passages.”
By and large, there is no 'perfect type' of breast implant. What looked stunning on one of your best friends doesn't necessarily mean that the same implant will be the best choice for you. This is why we recommend face-to-face consultations; an honest discussion with an experienced, knowledgeable plastic surgeon about your desired enhancement is a must. And you'll want to consider your surgeon's opinion and recommendations based on your existing body type and physical assessment.
2009 European Union International Committee for Quality Assurance, Medical Technologies & Devices in Plastic Surgery panel (IQUAM) The consensus statement of the Transatlantic Innovations conference (April 2009) indicated that additional medical studies demonstrated no association between silicone gel-filled breast implants and carcinoma, or any metabolic, immune, or allergic disorder.[38]
The facial features, along with the skin, are primarily responsible for the first impression we make on others. If we feel embarrassed about age-related flaws such as wrinkles, fine lines and creases, or we don’t like our nose, our chin or our ears, we may feel socially inhibited, causing a drop in our self-confidence and outlook on life. Facial plastic surgery can help to restore a youthful, vibrant aesthetic that is both transformative and inspiring. APS offers strategic procedures for the lips, eyes, nose, chin, cheeks, neck and brow that appear completely natural. Friends and family members will marvel at how improved your appearance is, but they will not be able to pinpoint exactly why this is the case.

Both breast reduction and breast lift surgeries are similar in that they both serve to reshape the breasts. Breast lift, through any of the various techniques, basically serves to reposition the breast and nipple on the chest to reverse the effects of time and gravity. The same changes that are noted in ptotic, or sagging, breasts are often seen in large breasts that require reduction: the nipple position is often low and there is excess skin (in addition to the excess breast tissue). The breast reduction then combines a lift with removal of extra tissue to create a breast that has a higher nipple position, reduced extra skin, and smaller and more balanced breast size.

They are essentially very similar procedures. The difference is in the amount of breast tissue removed. In a breast lift procedure, the nipple areolar complex is lift to a better position on the breast, and some breast tissue is removed and the breast envelope tightened. In a breast reduction, the nipple areolar complex is also lifted, but much more breast tissue is removed. 


The cost of a revision rhinoplasty (a second surgery to correct previous work you’re not happy with) costs closer to $10,000 on average; However revisions vary “perhaps more than any other plastic surgery,” according to Marina del Rey, California plastic surgeon Dr. Ziyad Hammoudeh., in a RealSelf Q&A. “Sometimes a revision rhinoplasty can be a very minor tweaking performed by the original rhinoplasty surgeon while other times it can be major reconstruction with rib cartilage that necessitates a revision rhinoplasty expert.”
You simply can’t decide on costs alone as the best surgeons are always more expensive, and your health insurance won’t cover a nose job if there’s no medical need for it. Always be careful when going over your options. A bargain that sounds too good to be true might be a surgeon that doesn’t perform the procedure regularly or worse, isn’t trained in rhinoplasty.
The technical goal of saline-implant technology was a physically less invasive surgical technique for emplacing an empty breast implant device through a smaller surgical incision.[89] In surgical praxis, after having emplaced the empty breast implants to the implant pockets, the plastic surgeon then filled each device with saline solution, and, because the required insertion-incisions are short and small, the resultant incision-scars will be smaller and shorter than the surgical scars usual to the long incisions required for inserting pre-filled, silicone-gel implants.

So what is the ideal age for botox? ‘There is no recommended age’, Wallace says, and Victoria Spyrou, the injectables expert at EF MediSpa agrees, ‘The recommended age differs because everyone’s muscles present differently. If someone at the age of 21 has visible dynamic lines that are causing a problem, then I will treat that person, however, if another 21-year-old comes in without any visible lines – I would decline to treat them.’


The ‘gummy bear’ implant comes in both round and teardrop shapes. They have a firmer gel, which may give a better shape and may last longer. The round gummy bear implant is often a good choice for women with looser tissues and who want a more durable implant that remains soft. The teardrop shaped gummy bear implant may be a good choice for women whose tissues are relatively tight and desire a very proportionate and natural looking enhancement with less fullness of the upper portion of the breast and more projection and fullness of the lower portion of the breast.
Post-operative patient surveys about mental health and quality-of-life, reported improved physical health, physical appearance, social life, self-confidence, self-esteem, and satisfactory sexual functioning. Furthermore, the women reported long-term satisfaction with their breast implant outcomes; some despite having suffered medical complications that required surgical revision, either corrective or aesthetic. Likewise, in Denmark, 8 per cent of breast augmentation patients had a pre-operative history of psychiatric hospitalization.[3][4][5][6][7][8][9][10][11]
MENTOR® MemoryGel® Breast Implants, MENTOR® MemoryShape® Breast Implants, and MENTOR® Saline-filled Breast Implants are indicated for breast augmentation in women (at least 22 years old for MemoryGel® Implants and MemoryShape® Implants, and 18 years old for Saline Implants) or for breast reconstruction. Breast implant surgery should not be performed in women with active infection anywhere in their body, with existing cancer or pre-cancer of their breast who have not received adequate treatment for those conditions, or who are currently pregnant or nursing.
Both anesthesiologists and registered nurse anesthetists can administer anesthesia. An anesthesiologist is a specially trained physician who will administer anesthesia and monitor your vital signs during surgery. A registered nurse anesthetist has specialized training to do the same.  However, while a registered nurse's services can cost about $300 per hour, an anesthesiologist's services can cost closer to $500 per hour.

The technical goal of saline-implant technology was a physically less invasive surgical technique for emplacing an empty breast implant device through a smaller surgical incision.[89] In surgical praxis, after having emplaced the empty breast implants to the implant pockets, the plastic surgeon then filled each device with saline solution, and, because the required insertion-incisions are short and small, the resultant incision-scars will be smaller and shorter than the surgical scars usual to the long incisions required for inserting pre-filled, silicone-gel implants.
Stay hydrated. When you drink plenty of water, your body can do a better job adjusting water balance in the body. This affects swelling after your rhinoplasty. How much should you drink? Aim for one and a half ounces of water consumed per pound of body weight. By hydrating before surgery (preferably two weeks before the surgery), you can also help improve your results.
It is recommended that patients wait at least two years after the initial surgery to consider revision rhinoplasty. Although it may only take a couple of months for the nose to appear healed, it could actually take several years for the nasal tissue to settle into a more permanent position. Once the nose has settled, meet with a plastic surgeon to determine whether or not another procedure would be an appropriate option for you.
The presence of radiologically opaque breast implants (either saline or silicone) might interfere with the radiographic sensitivity of the mammograph, that is, the image might not show any tumor(s) present. In this case, an Eklund view mammogram is required to ascertain either the presence or the absence of a cancerous tumor, wherein the breast implant is manually displaced against the chest wall and the breast is pulled forward, so that the mammograph can visualize a greater volume of the internal tissues; nonetheless, approximately one-third of the breast tissue remains inadequately visualized, resulting in an increased incidence of mammograms with false-negative results.[102]

Despite their differences, most patients who have these procedures to attain their specific goals are highly satisfied with their results. Both procedures are relatively easy to recover from and require 2 to 4 weeks of downtime. Even though both procedures address different issues, it is not unusual for women to encounter both excess breast tissue and sagging. Commonly, these women get the best results by receiving a combination of breast reduction and breast lift procedures. If you are considering a breast reduction, breast lift or a combination of the two, do your research and find a skilled board-certified plastic surgeon to discuss which one is right for your specific goals.

The procedure is accomplished by using the skin of the lower pole of the breast (the part below the nipple that sits in the bra cup) to shape the whole breast into a perky dome, then straps are made of the extra skin, anchoring it to the underlying chest muscle so that there is virtually no chance of repeat sagging.  The skin that above your nipple and below your collar bone is utilized to cover the perky, lifted dome that has been created and then a new (usually smaller) circular opening for the areola is placed at the high point of the cone, creating your new lifted, full and shapely breast.
×