Michael Law, M.D.
I need laser hair removal over several parts of my body. How many sessions would this take and approximately how much would each session cost?
Laser hair removal generally requires 5- 7 sessions. However, it is important to find a laser hair removal practice that offers individual treatments and does not pre-sell treatment packages as it is impossible to now exactly how many laser hair removal sessions a person needs before treatment.
It is important to also look for a laser center with multiple lasers as no single laser can safely and effectively remove hair on people with al skin types. The Alexandrite laser has been evaluated as the most effective hair removal laser for light to medium toned skin and the long pulsed nd yag laser has been evaluated as most effective for dark or tanned skin.
Will a chemical peel help to get rid of acne scars (I had acne since I was 10) now that I am 16 and the acne has decreased?
I have suffered from acne since around the age of 10 and only recently has it started to decrease significantly. I'm now 16 and have some very bad acne scars and an uneven skin tone. Will a chemical peel help me?
Acne scars can be treated effectively by lasers. The V-Beam Perfecta and the Gentleyag are both excellent lasers for acne scars. However, get your acne under control before working on scarring. The V-beam in conjunction with good skin care and possibly some light peels or microdermabrasion can help with acne and minimal scarring.
Look for a medical spa and laser center owned and operated by a plastic surgeon.
M.M. Law, MD
I quit smoking 3/17/2013 preparing for a tummy tuck and liposuction on 4/18/2013 - is this enough time for a safe surgery?
I quit smoking March 7, 2013 as I am having a tummy tuck with liposuction on April 18, 2013. Unfortunately on March 30th, I went out with friends and smoked approximately 10 cigarettes. I have not touched any cigarettes since. Is it still safe to go ahead with the surgery on April 18th?
The first thing you need to do is share this information with your surgeon. Full disclosure with your surgeon is extremely important. Not being completely honest with your surgeon about smoking, drug use, medications you take or have taken, previous surgeries, etc. could be a reason for a surgeon to cancel a scheduled surgery. Your surgeon needs to trust you, just as you need to trust your surgeon
Smoking can have very serious side effects on surgical outcomes. In my practice, a person must have not smoked within 90 days before I will see them in consultation. I realize how difficult quitting smoking can be. It is easy to have a slip up during the process of quitting. Stress sometimes makes the desire to smoke even more significant and preparing for surgery can sometimes be stressful. That is why we have the 90 day rule.
I have had several patients stop smoking due to their desire for plastic surgery. These patients have remained non-smokers. I am very proud of them.
M.M. Law, MD
I would like filler injected into my upper eyelids for hollow eyes - is this the procedure needed to correct this?
I live in New York up by the Canadian border. I have hollow eyes and want to have filler injected into my upper eyelids to correct this. Is this the correct procedure needed to fix this problem and can any board certified plastic surgeon perform this surgery?
Hollow Upper Eyelids (or lower eyelids for that matter) can safely and effectively be treated with structural fat grafting when performed by a plastic surgeon with extensive experience and expertise in this area. No other filler should be used for the correction of hollow eyes.
The area between the brow and the upper eyelid crease is full of subcutaneous fat in most young people, and that fullness looks youthful. I refer to this area as the brow-upper lid junction, and I add fat to make it fuller in the majority of patients for who I perform eye-area rejuvenation surgery.
As we age, this fatty fullness atrophies and the brow-upper lid junction gradually becomes hollow. The outline of the bony structures below the brow (the superior orbital rim) becomes visible, and one begins to look older, sometimes even ill, and in advanced stages even skeletal. In some patients that I treat this appearance is inherited and they have a hollow look at their brow-upper lid junction at a young age. Whether it is something that was always present, something that has developed with aging, or the result of an overly-aggressive upper blepharoplasty, fat grafting of the brow-upper lid junction can rejuvenate the eye area in a manner that is simply impossible by means of standard blepharoplasty techniques. It does not look like surgery and patients for whom I perform this procedure return to say that their friends and acquaintances think they look great, but they can't quite put their finger on why.
A word of caution: this is a delicate surgery that requires a fair amount of experience with fat grafting, and meticulous surgical technique. In experienced hands a smooth, youthful and aesthetically ideal brow-upper lid contour can be achieved. Make sure your surgeon can show you numerous photographic examples of brow-upper lid junction fat grafting.
M.M. Law, MD
I am 44 years old. I eat right, don't smoke or drink, exercise daily and always wear sunscreen. I am very pleased with the appearance of my face. Most people think I am in my mid 30's. In the past year there has been a noticeable change in my neck. There is a thin line of skin hanging down the center of my neck. When I simply pull my neck skin back a bit it totally disappears. What are my options for fixing this? Are there any non-surgical options or exercises I could do? Thank you so much!
Lower face rejuvenation is in demand now more than ever. Younger patients today are seeking options for making the neck, chin and jawline youthful and attractive. Social media like Instagram, Skype, Facebook, Twitter, etc. has made people evaluate their neck and jawline and face more closely. Looking your best in photos has taken on more importance with the development of social media. The lower face is now in the spotlight.
For many people, minimal liposuction under the chin can provide a more contoured and much more attractive face. A small amount of liposuction under the chin can not only make a person look better in photos but sometimes make a person look much slimmer. Thin, fit people with even a small amount of excess fat under the chin will look much heavier. Chin liposuction can change that. Chin liposuction is an outpatient procedure. The recovery includes wearing a chin strap to help secure the tissues of the chin, neck and lower face in place. The chin strap is worn for about a week around the clock (with a few breaks for visits to mailbox, supermarket, etc.). The result is typically, a slimmer looking, more attractive, and in women, a more elegant looking YOU that is much more photogenic.
In cosmetic surgery patients that do not have a sharp transition in profile between the submental area (area below the jawline) and the anterior neck, and in patients who simply want that transition enhanced, I add a suture suspension necklift. A permanent suture is passed subcutaneously across the anterior neck, at the level corresponding to depth of the angle between the submental area and anterior neck, and is then anchored to the deep soft tissues behind each earlobe. This suspension cosmetic surgery procedure can dramatically enhance the definition between the jawline and anterior neck, producing a more elegant profile.
The neck is without question the primary facelift aesthetic area where subtractive (excisional) and tightening procedures restore a truly youthful contour. Once again, take a look at the fashion magazines: essentially every neck you'll see demonstrates something close to a right angle between the neck and jaw. When it comes to the neck, and only in the neck, flat is good.
For early signs of aging in the neck, laser skin tightening can be very effective. Other concerns about neck skin can include redness of the skin of the neck, called Poikiloderma of Ciivatte. This too can be treated effectively with a pulsed dye laser like the V-Beam.
M.M. Law, MD