Plastic Surgery News & Specials – December 2013

Plastic Surgery
The Samra Group
733 North Beers St Suite U-1
Holmdel, NJ
December 2013
300 Perrine Rd Suite 333
Old Bridge, NJ

Tis the Season
for Spa Savings!
Join us Dec. 13-24 for new savings on services each day!
 
  
 
  
  
  
Spotlight On
The Samra Group
  
Keeping It In The Family!!
  
In this picture, Dr. Salem Samra’s young patient Rosa is joined by her mother who was a patient of Dr. Said Samra when SHE was a child!


Dear Readers,
The Doctors and staff here at Samra Plastic Surgery and Jeunesse Medical Spa would like to wish you the warmest of Season’s Greetings!

This time of year may prove a bit stressful as we run around trying to squeeze in holiday parties and last minute gift shopping.
It is also a time of year that demands you look great for those holiday soirees with glowing skin and flawless holiday ensembles!

More than ever, this is a perfect time of year to take advantage of select procedures, such as Liposuction and Smart Lipo while you can keep your procedures a secret by layering up to keep warm!

Not in the market for body contouring? Treat yourself to a “Time Out” and come in for one of our relaxing massages or facials!

SmartLipo

What Is It?
SmartLipo laser liposuction technology is a method that purports to improve the results of liposuction surgery, a claim that is not universally accepted by many surgeons. It uses a calibrated laser to liquefy fat deposits through the top layers of the patient’s skin.

The small laser can also seal blood vessels as it cuts fat, possibly reducing swelling, bleeding and bruising. Recent research has shown that a small amount of fat is reabsorbed back into the body. It is performed with either general, regional, or local anesthesia.
To see Before And After Photos click here.

Post Operative
Recovery after the procedure consists of several stages, and begins as soon as the procedure is done. Compression bandages are commonly used in recovery process, since they help in healing by preventing the affected tissues from shifting after the procedure, and also prevent blood coagulation.

Risks and Side Effects
As with any medical procedure, there are some risks and side effects associated with the procedure. They are most commonly mild and temporary and may include bruising, swelling and a small discomfort.
http://en.wikipedia.org/wiki/SmartLipo

For More Frequently Asked Questions click here.

Cubital Tunnel Syndrome

What is Cubital Tunnel Syndrome?
Cubital tunnel syndrome is a condition brought on by increased pressure on the ulnar nerve at the elbow. There is a bump of bone on the inner portion of the elbow (medial epicondyle) under which the ulnar nerve passes. This site is commonly called the “funny bone”. At this site, the ulnar nerve lies directly next to the bone and is susceptible to pressure. When the pressure on the nerve becomes great enough to disturb the way the nerve works, then numbness, tingling, and pain may be felt in the elbow, forearm, hand, and/or fingers.

What causes Cubital Tunnel Syndrome?
Pressure on the ulnar nerve at the elbow can develop in several ways. The nerve is positioned right next to the bone and has very little padding over it, so pressure on this can put pressure on the nerve. For example, if you lean your arm against a table on the inner part of the elbow, your arm may fall asleep and be painful from sustained pressure on the ulnar nerve. If this occurs repetitively, the numbness and pain may be more persistent. In some patients, the ulnar nerve at the elbow clicks back and forth over the bony bump (medial epicondyle) as the elbow is bent and straightened. If this occurs repetitively, the nerve may be significantly irritated.

Signs and symptoms of Cubital Tunnel Syndrome
Cubital tunnel syndrome symptoms usually include pain, numbness, and/or tingling. The numbness or tingling most often occurs in the ring and little fingers. The symptoms are usually felt when there is pressure on the nerve, such as sitting with the elbow on an arm rest, or with repetitive elbow bending and straightening. Often symptoms will be felt when the elbow is held in a bent position for a period of time, such as when holding the phone, or while sleeping. Some patients may notice weakness while pinching, occasional clumsiness, and/or a tendency to drop things. In severe cases, sensation may be lost and the muscles in the hand may lose bulk and strength.

Treatment of Cubital Tunnel Syndrome
Symptoms may sometimes be relieved without surgery, particularly if the EMG/NCS testing shows that the pressure on the nerve is minimal. Changing the patterns of elbow use may significantly reduce the pressure on the nerve. Avoiding putting your elbow on hard surfaces may help, or wearing an elbow pad over the ulnar nerve and “funny bone” may help.

When symptoms are severe or do not improve, surgery may be needed to relieve the pressure on the nerve. Many surgeons will recommend shifting the nerve to the front of the elbow, which relieves pressure and tension on the nerve. The nerve may be placed under a layer of fat, under the muscle, or within the muscle. Some surgeons may recommend trimming the bony bump (medial epicondyle).

Following surgery, the recovery will depend on the type of surgery that was performed. Restrictions on lifting and/or elbow movement may be recommended. Therapy may be necessary. The numbness and tingling may improve quickly or slowly, and it may take several months for the strength in the hand and wrist to improve.
http://www.assh.org/Public/HandConditions/Pages/CubitalTunnelSyndrome.aspx.

Our doctors at the Samra Group are pleased to consult with you and answer any questions you may have.
Call today for a complimentary consultation. 732-739-2100

‘Tis the Season for Plastic Surgery?

Plastic Surgery

Shopping malls and airports aren’t the only places that see more action around the holidays. This is also the time of year that merry-makers crowd the offices of plastic surgeons everywhere. Whether it’s because people can take extra time off for recovery, or because they want to be in top form for parties, plastic surgeons struggle to keep up with demand in November and December. However, there’s a few things you should keep in mind before booking your pre-holiday procedure.

Read the full news here.

Plastic Surgery News & Specials – November 2013

Juvederm Plastic Surgery
The Samra Group
733 North Beers St Suite U-1
Holmdel, NJ
November 2013
300 Perrine Rd Suite 333
Old Bridge, NJ
November Specials: 
Juvederm Special
2 syringes of Juvederm just $999
All day EVERY Day! 
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Fall Madness
 
  
 
Swedish Massage + Facial Special: $95
Tuesdays: Old Bridge Location
Thursdays: Holmdel Location
 
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Pumpkin Peel
    
Special: $95
Lather your skin with moisturizing antioxidants and prepare for the harsh winter months ahead.
 
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Our Way of Giving Thanks
25% off all aesthetic services performed by our highly trained aestheticians
PLUS
Bring in a friend new to Jeunesse and receive a FREE gift!
BOTOX EVENT
 
Please Join Us 11/21/13 9am-6pm
for VIP Pricing at our Holmdel Location
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Ultherapy Luncheon
 
Join us for an educational luncheon.
Attendees of the event are entitled to a
10% off discount off select Ultherapy
procedures.
November 14, 2013
11am-1pm
(Holmdel location)
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Black Friday Event
Stay tuned for a special sales event on
Black Friday only!
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View all Monthly Specials here
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Procedure Highlight:
Ultherapy

What is Ultherapy?

Ultherapy is a new type of non-surgical, non-invasive procedure that uses ultrasound and the body’s own natural healing process to lift, tone, and tighten loose skin on the brow, neck, and under the chin.

The only FDA-cleared procedure to lift skin on these hard-to-treat areas, Ultherapy uses the safe, time-tested energy of ultrasound to stimulate the deep structural support layers of the skin-including those typically addressed in a surgical facelift-without disturbing the surface of the skin.
With Ultherapy, there’s no downtime, no foreign substances, no radical change; just a healthy revving-up on the inside for a natural, noticeable effect on the outside.

You can go about your day after a single, 60-90 minute in-office procedure. You may notice a short-term “boost” but the natural process of creating new, more elastic, collagen builds over time-much like the effect that exercise has on building muscle (but without the multiple workouts!).

Results will unfold over the course of 2-3 months and some patients have reported continued improvement for up to 6 months, including lifting and tightening of the skin on the neck, under the chin, along the jawline, and on the brow. While ultrasound does not duplicate the results of surgery, Ultherapy has proven to be an inviting alternative for those who are not yet ready for surgery.

Are You a Candidate?
A good candidate for Ultherapy is someone with skin that has “relaxed” to the point of looking, and often feeling, less firm. Sagging skin on the eyelids, on the neck or under the chin, for instance, are often the first signs of “maturing” skin. Typically, those in their thirties and older who have mild to moderate skin laxity are candidates.

While Ultherapy is not a replacement for a surgical face lift, there are many people who want some lifting but are not ready for surgery, either mentally, financially or logistically. There are also younger people who want to “stay ahead of the game” as well as those looking to prolong the effects of cosmetic surgery. Read more FAQs here

All of our doctors at Samra Plastic Surgery perform Ultherapy. Schedule a complimentary consult today to learn more.

More than one way to “lift” a neck

A neck that wrinkles and puddles is one of the biggest humiliations of aging. When the late Nora Ephron wrote, “I Feel Bad about My Neck,” the title alone was enough to get the attention of baby boomers. For so many, a sagging neck signals old age.

Not only is a sagging neck difficult to camouflage with makeup, but it is also more resistant to improvement with diet, exercise and sun avoidance. Neck skin seems to age more rapidly than facial skin.Philly.com interviewed plastic surgeons and patients about different approaches to improving the neck.

Sixty-four year old Walter Dowgiallo owns a company that creates the labels and packaging for companies like Victoria’s Secret, Liz Claiborne and Bath & Body Works. Dowgiallo, very concerned with his image because of his business, was bothered by “this little thing under my chin. Six years ago, a Cambridge, Massachusetts plastic surgeon “lifted” his neck and ever since then Dowgiallo has felt “spectacular.”

Read more

Plastic Surgery News & Specials – September 2013

Plastic Surgery
The Samra Group
September 2013
Featured Article

Learn more about Thumb Carpometacarpal Joint Arthroplasty

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September Specials:

Pamper Yourself with this Month’s
Spa Package Special!
9/1-9/30

Grapefruit Body Scrub
Jeunesse Facial
30 Min Swedish Massage


(Normally Priced $210)

Special $150

Renew Your Skin with Microdermabrasion!

$99 Microdermabrasion
9/1-9/30

Procedure Highlight: Thumb Carpometacarpal Joint Arthroplasty

Arthritis of the first carpometacarpal (CMC) joint of the hand is a common and often debilitating disease. Diagnosis can be readily made with history, physical exam, and radiographic evaluation. Patients with advanced disease who have failed conservative treatment modalities have multiple surgical options including ligament reconstruction, resection arthroplasty, silicone implantation, tendon interposition, or total joint arthroplasty.

Diagnosis
The typical presentation is a female between 50-70 years of age, complaining of an insidious radial thumb pain that originally worsened with use, has
decreased her ability to perform activities of daily living, decreased strength, and decreased dexterity. Opposition requiring activities, such as writing, opening jars, or carrying heavy objects between the thumb and fingers, are instigators of the pain. There has been an increasing weakness of pinch, progressing to stiffness and cramping with increasing stage. As time progresses, the pain may exist at rest. However, there is also a younger group of patients, 20s-30s complaining of pain in the thenar eminence, or cramping in the first web space, resulting from joint laxity and synovitis of the trapeziometacarpal joint. This pain may radiate up the radial aspect of the forearm with activities such as writing. Regardless of the patient’s age, the pain is often mitigated by rest and analgesics.

Non-Surgical Treatment Options
All patients, regardless of their initial staging, require a trial of conservative therapy before any operative considerations. This management consists of activity modification, joint protection, thenar muscular strengthening, and non-steroidal anti-inflammatory drug (NSAID) use, and splinting with a long opponens, or thumb spica, for 3 to 4 weeks. If the patient must continue work, a short thumb-stabilizing splint can be utilized during work hours and switched for the thumb spica during off hours. If symptoms improve, the patient can be gradually weaned off the splint. If they do not, surgical options enter the conversation.

Surgical Options
Although procedures vary on a case by case basis, Dr. Salem Samra prefers the mini tightrope CMC technique. The Mini TightRope provides a unique method for stabilization of the thumb metacarpal following trapezial resection or removal for the treatment of CMC arthritis. The Mini TightRope can also be used as an adjunct and stabilizer in CMC instability and in the case of revision with proximal migration after tendon reconstruction.

mini tight rope
The Mini TightRope supports and maintains the thumb and index metacarpals in proper relationship while allowing for healing and scar tissue formation in the trapezial space. The construct consists of two strands of #2 FiberWire, which are fixed with two oblong stainless steel buttons for cortical fixation.
For more specific information on the Mini TightRope CMC Fixation technique, please call Dr. Samra: 732-739-2100.

We are pleased to report Dr. Salem Samra performed the FIRST ever CMC arthroplasty at Bayshore Hospital with the mini-tightrope in August 2013.

You’re Diligent About Hydrating at the Gym…

New wrinkle worry identified: Water Bottle Mouth
Facial wrinkles occur because people lose skin elasticity as they age, but there are also habits that can contribute to premature signs of aging. For example, forgoing sunscreen can cause sun damage, which leads to lines on the face. Repetitive motions, such as constantly squinting at the sun or sucking on a cigarette, can also make you more likely to develop wrinkles. In a recent article, The Inquisitr.com identified another potential cause of facial lines: water bottles.

Think before you drink
If you live in an area that has less-than-stellar tap water, drinking bottled water may seem like a no-brainer. There’s nothing wrong, nutritionally, with drinking H2O from a bottle, but the cosmetic dermatologist told the news source that it’s the repetitive motion that could cause lines to form around the mouth when they otherwise might not.
“We tell our patients, keep on drinking, it’s great for your body, it’s great for your health, it’s great for your skin,” a physician said in the interview. “Unfortunately, over time it either causes these lines or it aggravates them.”
Of course, there are ways to avoid this issue. Water purifiers may do the trick if you’d rather drink from the tap, and this will also save you money in the long run. You can pour your bottled water into a cup or drink through a straw, thus eliminating the lip-pursing motion.’

A cosmetic solution
Unfortunately, for those of us who have been drinking out of water bottles for years, this news may come a bit late in the game. If wrinkles have already formed, you can discuss other options with a board-certified plastic surgeon. Facelifts and deep chemical peels offer long-term results that can make you appear younger, while dermal fillerscan help fill deep wrinkles and reshape the facial contours.

Call us today for a complimentary consultation.

Popular Plastic Surgery Procedures by Age

Plastic Surgery

Plastic surgery is one of the most common procedures performed in the United States and the transformative power compels thousands of men and women to go under the knife every year. While each individual’s needs and wants differ when it comes to choosing a procedure, the most popular cosmetic surgeries can be broken down by age group.

While trends in plastic surgery vary from year to year, the American Society of Plastic Surgeons 2012 statistics report shows that some procedures are consistently popular with certain age groups.

Read the full news here.

Questions to Ask Before Committing to Plastic Surgery

Cosmetic Surgery Plastic Surgery

If you read celebrity news, it may seem like the decision to undergo plastic surgery is as easy as choosing what to eat for dinner. However, going under the knife is not something that should be taken lightly, and you need to be 100 percent certain that you’re making the right choice before signing up for a procedure. Here are a few questions you must consider before booking a plastic surgery procedure.

  • Is this really what I want?
  • Have I considered all of my options?
  • Have I found a qualified plastic surgeon?

Read the full story here.

Fat Grafting Techniques for Breast Reconstruction Are Commonly Used by U.S. Plastic Surgeons

Breast Reconstruction Plastic Surgery

Seventy percent of U.S. plastic surgeons have used fat grafting techniques for breast operations, but they are more likely to use it for breast reconstruction rather than cosmetic breast surgery, reports a survey study in the July issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).

Read the full news here.

High Rate of Herbal Supplement Use by Cosmetic Plastic Surgery Patients, Study Finds

Cosmetic Surgery Plastic Surgery

Preoperative evaluations before facial cosmetic surgery find that about half of patients are taking herbal and other supplements, reports a study in the July issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).

“It is extremely important to investigate the use of herbal medicines, as many of these supplements can put the surgical patient at risk,” writes ASPS Member Surgeon Dr. Bahman Guyuron and colleagues of Case Western Reserve University, Cleveland. They advise patients to stop taking supplements at least two weeks before cosmetic plastic surgery.

Read the full news here.

Plastic Surgery: Can a lift give you a lift? [INFOGRAPHIC]

Cosmetic Surgery Facelift Plastic Surgery

Cosmetic surgery procedures that have seen landmark growth are ones that give you a lift – upper arm lift, breast lift, thigh lift, lower body lift and tummy tuck. Lift procedures help dramatic weight-loss patients remove large amounts of skin and fat left behind, as well as those who have stretched out their skin from pregnancy, weight fluctuations and the loss of muscle from aging

Here is a nice infographic from The American Society for Aesthetic Plastic Surgery on Lift Procedures

Source: The American Society for Aesthetic Plastic Surgery