Plastic Surgery Strategy for Fine Incisions in New York City in 2025
Introduction
In New York City, plastic surgery has evolved into a highly sophisticated field, especially when it comes to the strategy for fine incisions. Fine incisions not only minimize scarring but also play a crucial role in achieving natural - looking results. This article will explore various plastic surgery procedures in New York City and the strategies used to make fine incisions.
Limited Incision Facelift in New York City
Overview of the Procedure
The Limited Incision Facelift (LIFT) or short - scar facelift technique, pioneered by Dr. Gerald Imber, is a significant advancement in facelift surgery. Dr. Imber is an internationally renowned plastic surgeon with over 25,000 surgical procedures under his belt. This less - invasive facelift is applicable to most patients, excluding those with extremely severe wrinkles.
Incision Details
The incision for a limited incision facelift begins at the bottom of the sideburn, follows into the ear, behind the tragus (the small piece of cartilage that sticks out from the ear), and ends just behind the earlobe. Unlike traditional facelift incisions, it does not distort or elevate the sideburns. There is no scar behind the ears, allowing patients to wear their hair up without self - consciousness. These incisions rapidly become invisible, contributing to the most natural of facelifts.
Goals of the Procedure
This surgical procedure aims to improve loose jowls, nasolabial folds, and reconstitute the angularity of the cheekbone area. However, it does not correct the very lowest portion of the neck or the forehead.
Candidates
People who are starting to experience a loss of elasticity and early signs of aging, even without a prominent road - map of facial wrinkles, can be candidates for a limited incision facelift. The goal is to halt the progress of aging before significant changes occur.
What to Expect During the Procedure
Before the surgery, Dr. Imber and his team of registered nurses will review all details related to the procedure. Generally, the limited incision facelift can take as few as two hours to perform, usually under sedation and local anesthesia. Other variations of the facelift may also be considered, and all expectations will be discussed prior to the surgery.
Recovery
Recovery time varies for each individual. Most patients can return to a normal routine about 10 days after surgery. Dr. Imber’s team of nurses and patient coordinators will provide pre - and post - operative recovery guidelines and are always available to answer any questions to make the recovery process as smooth as possible.
Scar Revision in New York City
Understanding Scar Revision
Scar revision is a procedure aimed at reducing the appearance of existing scars. Some scars may become red, indented, raised, or deformed over time, and scar revision can make them less prominent. At Luxurgery NYC, Dr. Sachin Shridharani offers scar revisions for those seeking to improve their appearance.
Types of Scars
- Keloid Scars: These are scars that continue to grow outside the original scar area and can commonly recur. A board - certified plastic surgeon like Dr. Shridharani can provide a correct diagnosis and a comprehensive treatment plan.
- Hypertrophic Scars: Thicker or widened scars that do not overgrow their original size or shape. They are treated differently from keloids, highlighting the importance of an accurate diagnosis.
- Acne Scars: Formed after acne has healed, their appearance varies from person to person. Some are flat and barely noticeable, while others may cause severe indentations in the affected area.
Treatment Options
Old or unsightly scars can be treated in various ways. Non - surgical options include resurfacing techniques with dermabrasion or lasers, microneedling, and specific skin products. More invasive options involve excisional surgery. The choice of treatment depends on the type, size, and location of the scar.
Recovery and Scar Care
The recovery time for scar revision depends on the location and size of the scar. Scars on the face generally heal faster than those on other parts of the body. After surgery, proper scar care is essential, including sun avoidance, scar massage, and the use of specific skin products. The Luxurgery team provides a comprehensive and multi - focal approach to wound healing to ensure the best possible scarring results.
Breast Augmentation Incision and Placement Options in New York City
Importance of Incision and Placement
Breast augmentation is a highly personalized procedure, and the choice of incision pattern and implant placement can significantly affect the appearance of the scar and the overall result. Dr. Steven Wallach helps patients make these decisions through personal consultations.
Incision Options
| Incision Type | Location | Advantages | Disadvantages |
|---|---|---|---|
| Inframammary Incision | In the breast crease | Good access to visualize the pocket and treat bleeding points; higher precision and better results with low risks of complications; can place either saline or silicone gel implants | Scar can be more noticeable due to stretching; may require tattooing to camouflage; slightly higher tendency for “double bubble” deformity |
| Periareolar Incision | Around the areola | Final scar usually blends well with the color change; good visualization of the pocket; can treat many breast deformities and asymmetries | Scar may be noticeable and require scar care; if the areola is too small, it may not be suitable for implant placement, especially for silicone implants |
| Axillary Incision | In the armpit | No scar on the breast | Scar can be noticeable when the arm is raised; more likely to result in bad positioning; difficult to control bleeding sources; difficult to place silicone breast implants; may require tattooing |
| Transabdominal Breast Augmentation (TABA) | Upper abdomen | No incisions on or near the breast; good visualization of the pocket and bleeding points; can place saline or silicone breast implants | Only suitable for women without significant breast ptosis and who also desire a full tummy tuck |
| Transumbilical Breast Augmentation (TUBA) | In the belly button | No incisions on or near the breast | Difficult to visualize the breast implant pocket; if there is bleeding, additional incisions may be needed; only saline implants can be placed |
Implant Placement Options
There are two main breast implant pocket locations: subglandular (between the breast tissue and the underlying pectoralis muscle) and submuscular (underneath the muscle). For patients with little natural breast tissue, a submuscular placement is often recommended as it adds an extra layer of tissue to camouflage the implant and may have a lower capsular contracture rate. On the other hand, a subglandular location is preferred when there is adequate breast tissue volume.
Endoscopic Plastic Surgery in New York City
Introduction to Endoscopic Plastic Surgery
Endoscopic plastic surgery involves the use of an endoscope, a special viewing instrument that allows surgeons to see images of the body’s internal structures through very small incisions. This technique has been recently introduced in the field of plastic surgery, and although further study is needed, it holds great promise.
Advantages of Endoscopy
Endoscopic surgery offers several advantages. The scars are likely to be hidden and much smaller compared to traditional open surgery. The risk of sensory loss from nerve damage is decreased, and bleeding, bruising, and swelling may be significantly reduced. Patients may recover more quickly and may be able to avoid an overnight hospital stay as many endoscopic procedures can be performed on an outpatient basis under local anesthesia with sedation.
Uses in Plastic Surgery
- Cosmetic Surgery: It can be used in abdominoplasty, breast augmentation, facelift, and forehead lift. For example, in breast augmentation, an endoscope inserted through a small incision in the underarm or navel can assist in positioning breast implants and correcting capsular contracture.
- Reconstructive Surgery: Endoscopy can be used in flap surgery, placement of tissue expanders, sinus surgery, and carpal tunnel release. In flap surgery, it helps in removing healthy tissue from the donor site with only a few small incisions.
Finding a Well - Trained Surgeon
Since endoscopy is a relatively new technique in plastic surgery, it is crucial to select a board - certified plastic surgeon with adequate training and experience. It is also important to ensure that the surgeon has privileges to perform the endoscopic procedure at an accredited hospital.
Special Considerations and Risks
There are some known risks associated with endoscopic plastic surgery, including infection, fluid accumulation beneath the skin, blood vessel damage, nerve damage, internal perforation injury, and skin injury. In case of complications, the surgeon may have to switch to an open procedure, resulting in a more extensive scar and a longer recovery period.
Strategies for Minimizing Scarring in Different Procedures
Facelift Scarring Minimization
Dr. Andrew Jacono, a dual - board certified facial plastic surgeon, specializes in concealing facelift scars. He places incisions in areas such as inside the tragus cartilage of the ear canal and behind the ear to make scars less visible. He also uses techniques such as avoiding extreme tension on the sutures, using very fine micro - sutures, performing SMAS deep muscle tightening before incision closure, and removing sutures within 4 days after the facelift procedure. Proper wound care and gentle massage after about two weeks of recovery also help in improving facelift scars.
Breast Augmentation Scarring Minimization
As mentioned earlier, the choice of incision location in breast augmentation plays a key role in scarring. Surgeons also take into account the patient’s skin type and healing ability when making incisions. After the surgery, following the surgeon’s post - operative instructions regarding scar care, such as using scar - reducing creams and avoiding excessive sun exposure, can help minimize scarring.
Scar Revision Scarring Minimization
In scar revision procedures, surgeons use meticulous techniques to ensure the best possible outcome. The combination of different treatment methods, such as topical ointments, steroid treatments, laser treatments, and dermabrasion, can help in reducing the appearance of scars. After the procedure, proper home treatments, including sun protection and scar massage, are essential for minimizing scarring.
Conclusion
In New York City in 2025, plastic surgery for fine incisions has come a long way. From limited incision facelifts to endoscopic plastic surgery, various procedures offer options for patients to achieve their aesthetic goals with minimal scarring. The strategies used by experienced plastic surgeons, such as precise incision placement, the use of advanced techniques, and proper post - operative care, are crucial in ensuring natural - looking results. Whether it’s improving facial appearance, enhancing breast size, or correcting scars, patients in New York City have access to high - quality plastic surgery services.
If you are considering plastic surgery in New York City, we encourage you to schedule a consultation with a board - certified plastic surgeon. Learn more about the available procedures, ask questions, and understand the potential risks and benefits. Share your aesthetic goals and let the surgeon create a personalized plan for you. You can also share this article with friends or family who may be interested in plastic surgery, and explore related topics on plastic surgery techniques and scar management.
