Surgical

FACE

A maestro's facelift

The facelift is done mostly to correct the jowls and neck. This procedure includes a tightening of the inside layer called the SMAS, which allows for a longer lasting result. This technique allows for the maximum result in looking youthful and natural without looking ”pulled”. Each patient is treated as being unique and the procedure is customized to their individual needs. Some patients will include eyelid surgery and browlift at the same time if appropriate and desired. In order to better determine if you may be a good candidate for this procedure please call to schedule a complimentary consultation at (202) 362-7300.

Rhinoplasty (nose job)

Rhinoplastic surgery, or nose job, is the reshaping, correcting, or reconstruction of the nose. The Nose is easily one of the most prominent features on the human body and it’s symmetry and appearance is of the upmost importance. While most of these procedures are done to achieve a specific look this procedure is also performed to correct breathing issues.

Reconstructive Rhinoplasty

Rhinoplasty is the reshaping, correcting, or reconstruction of the nose. The Nose is easily one of the most prominent features on the human body and it’s function as well as appearance are of the upmost importance. While most of these procedures are done to achieve a specific look this procedure is also performed to correct breathing issues.

chin sculpting

Some individuals have a small or under developed chin which is known as microgenia. A small chin can create an imbalance in the face particularly the profile. A chin augmentation is a procedure where the surgeon places an anatomically correct implant under the chin muscle through an incision under the chin or through the mouth. There is some swelling following the procedure, but the results are immediate. A chin augmentation creates refinement of the facial features as they are more proportionate once the procedure is complete. To see if you are a candidate for a Chin Augmentation, Contact us for a complimentary consultation.

Blepharoplasty (eyelids)

Upper Blepharoplasty (Upper eyelid surgery)

An Upper Blepharoplasty is a simple procedure that removes fatty deposits of the upper eyelid that cause heaviness, puffiness and aging. This procedure is often performed in the office under local anesthesia. The removal of fat deposits achieves a fresh and youthful look for the patient and can even improve vision. Patients that undergo an upper blepharoplasty are generally permitted to return to their normal routine just 48 hours after the procedure.

Lower Blepharoplasty (Lower eyelid surgery)

Lower eyelid blepharoplasty is used to remove the fat deposits and loose skin that may form on the lower eyelids with age. Many factors, including heredity and sun damage, accelerate these changes. Younger people also elect to have this procedure done to eliminate puffiness of the eyes from congenital excess fatty tissue.

Brow Lift

brow lift details….

BREAST

The Best Breast Implant Options

Breast Augmentation is a simple procedure to enhance the breasts. There are two options regarding placement of the implants when it comes to breast augmentation which are either on top of the muscle or under the muscle. Some advantages to having the implants placed under the muscle are a decreased risk of capsular contracture, the muscle serves as an additional layer of protection for the implant, and the preservation of normal nipple sensation. When placed under the muscle it does not hinder the detection of breast cancer and one can get normal mammograms. In both cases Dr. Perlman is able to place the incisions under the areola (nipple), in the inframammary fold (under the breast), or in the axilla (armpit).

Symmetrical Breast Reduction

\Dr. Perlman offers the Theya Healthcare bra, a sustainable bamboo post-operative garment that is comfortable, breathable

Breast Lift

Woman can lose breast tissue as a result of child birth, weight loss or simply time. In some cases there may be excessive skin as well. The procedure to correct this is a breast lift or Mastopexy. Depending on the desired size an implant may be placed behind the breast tissue at the same time as the lift. The end result is a natural looking and proportionate breast size. If a woman has sufficient breast tissue or wants a smaller breast, she may elect to have the breast lift without an implant. To determine if you are a candidate for a breast lift, schedule your complimentary consultation with Dr. Perlman.

Reconstructive Breast Surgery

Once a woman has undergone a mastectomy or lumpectomy she may wish to begin Breast Reconstruction. Breast Reconstruction is the process of restoring the breast to a natural looking state. There are several approaches to Breast Reconstruction. One approach involves moving skin, muscle and fat to build the breast ( flap). Another involves the placement of a tissue expander (under the chest muscle) which is later replaced by an implant. Reconstruction is a process. Once the first phase is complete the surgeon will go back to make adjustments and create a nipple. The areolar can be tattooed in the office.
Breast Reconstruction is a personal decision. Dr. Perlman appreciates the opportunity to review options with a patient and works closely with their general surgeon and auxiliary care givers.
Dr. Perlman offers the Theya Healthcare bra, a sustainable bamboo post-operative garment that is comfortable, breathable and clinically proven to accelerate recovery. Discover more at www.TheyaHealthcare.com

BODY

LIPOSUCTION

BREAST RESHAPING FOR MEN (GYNECOMASTIA)

Gynecomastia is Breast Reduction for men. Just as woman have heredity pre-disposition to excess breast tissue, men can develop larger amounts of fat in the breast. Despite exercise or weight loss these fat deposits cannot be reduced. Larger breast can result in embarrassment and frustrations particularly if the man is active and otherwise fit. The original surgical approach was to excise the fat, however Dr. Perlman was the first to introduce Liposuction to this area. Not only does the liposuction process remove the excess fat, but it also helps the skin to retract. There may be some cases where the skin needs to be excised however this doesn’t change the results. Patients wear a compression garment for 4-6 weeks, but are able to return to most activities in 4-5 days.

The Experience of Tummy Tuck's

There are multiple devices used today to remove excess body fat or adipose tissue. Dr. Perlman still prefers the tumescent approach as it allows for optimal fat removal and contouring. Some of the noninvasive devices can only remove about 10% of the body fat and may need to be repeated.

It is a single procedure with tumescent liposuction though multiple areas may be done all at the same time. Prior to surgery Dr. Perlman marks the areas to be contoured. Following the procedure patient are placed In a compression garment which they wear for 4-6 weeks. The garment helps minimize the swelling and allows the skin to settle. In addition, we highly recommend Lymphatic massages to further reduce the swelling and increase the patients comfort level. With a healthy diet and moderate exercise, patients can maintain their best liposuction results.

Ronald S. Perlman, M.D.

SURGICAL