What is Cervical Spine Surgery?

Allograft Cancellous Sponge Material

Allograft Cancellous Sponge

The spinal cord is surrounded and protected by the spinal column which is made up of 24 bones called vertebrae. It also consists of the sacrum and the coccyx or tail bone. Between the vertebra there are discs which are designed to absorb shock so the spinal cord will not have to. The spine’s flexibility and ability to move and bend are due to the proper position of these discs. Nerves that reach all the other sections of the body branch out from the spinal cord by passing through the openings provided by the vertebrae.

Where is the cervical spine?

The part of the spine which runs through the area of the neck is called the cervical spine. In this piece of the spine there are seven vertebrae as well as eight pairs of spinal nerves. There are two very common problems that most people who have trouble with the cervical spine experience: stenosis and herniation. When a spine surgeon in New Jersey schedules a cervical spine surgery, the type of procedure will largely depend on what is causing the spine’s problem. Continue reading

How Does a Breast Reduction Work?

Breast reduction surgery

Woman with smaller breast

A mammaplasty or breast reduction is a cosmetic procedure which removes the excess fat, skin and tissue from the breasts. A breast reduction is in order when a woman has unusually large breasts which cause her pain or discomfort. For those who are considering a breast reduction, it is important to speak to a plastic surgeon. Most of the time plastic surgeons in Short Hills will provide a free consultation to determine if the woman is indeed a good candidate for a breast reduction. The cosmetic surgeon can describe the procedure and its benefits along with the risks and possible complications that could occur. They can also help an individual set some realistic expectations concerning the procedure and its outcomes.

Why Have a Breast Reduction?

A breast reduction will change the size, firmness, shape and weight of the breasts. There can be several reasons why this type of surgery is pursued. When a woman has large breasts, they can be very heavy and cause chronic neck and back pain, posture problems and skin irritation. Over sized breasts can cause a constant pulling on the straps of the bra which leaves indentations across the shoulders. In most of the cases, a breast reduction surgery can alleviate these problems. Women who have larger breasts can have a difficult time participating in many sports or activities. The larger sized breasts can make the activity painful in many cases, and at best it can be very awkward for the woman; breast reduction solves these problems. Another reason to consider this type of cosmetic surgery is because of the desired changes in the appearance. It can be very embarrassing to have breasts which are large and out of proportion to the body’s height and weight. Younger women and teenage girls are particularly self conscious when they are wearing swimsuits and various other styles and types of clothing. An additional problem can be that it is difficult to find clothes that fit properly.

Overview of the Surgery

When a plastic surgeon performs a breast reduction they will remove some of the skin and tissue from the breasts so as to reshape them and reduce their size. They may also take the time to make the areola around the nipple smaller. The cosmetic surgeon will make incisions in the breasts through which the excess skin and tissue are removed. This can be a single incision or multiple ones depending on how much work is needed. Some circumstances require that the nipple and areola be removed and then repositioned properly. A breast reduction is usually performed in a hospital or an outpatient surgery center and only a general anesthesia is used. The actual surgery will take between 3 and 5 hours. In most cases, the patient will not need to stay overnight in the hospital. For instances which only require a small reduction, the surgery can be done using only local anesthesia.

Are there any risks involved?

Just like any other type of major surgery, breast reduction has some possible risks such as bleeding, adverse reactions to anesthesia or infection. Other risks may include things like losing sensation in the nipples or the areole. Loss of the areole or nipples is also a possibility. There is a risk of scarring and for women who have a higher BMI (body mass index) there is an increased risk of poorly healing wounds can be a problem. Some women have difficulty breast feeding following this type of cosmetic surgery and in some instances the shape, size, contour and position of the nipples or breasts can be off. This can lead to more surgeries to correct the problems.

What are Breast Implants?

Breast Implant Surgery

Woman smiling wearing a bra

There can be any number of reasons why someone chooses to have a breast implant. They are basically designed to improve the size and shape of the breasts in the long term. Over the last decade, the most common reason for women to consider plastic surgery is to have a breast augmentation performed. For women who are aged 18 and above breast implants is a very popular type of cosmetic enhancement.

Basics of Breast Implants

New Jersey plastic surgeons have been performing breast augmentations and implants for many years. The first silicone filled envelope was developed in the 60s and were used for cosmetic enhancement as well as breast construction. Because of some of the adverse side effects they were taken off the market but by the 90s the safety concerns had been properly dealt with and the FDA approved both silicone gel and saline for the filler used in the implants. Either filler is placed into an elastomer shell. Saline fillers remain in liquid form while silicone has several different viscosities. Silicone fillers can be thinner liquids all the way to thickened gels. Because of its aesthetic qualities, silicone is the more popular choice. Continue reading

How to Prevent Lip Cancer

Preventing Lip Cancer


As soon as the weather permits, New Jersey residents head outside to enjoy the warm sunshine. Most people are very aware of the importance of protecting the skin by using sun screen, but many are unaware of the importance of protecting the lips with lip balm. Most of us do not think about the chances of developing lip cancer, but they are as real as the chances for developing any type of skin cancer. Our lips are an essential part of our body and really worth protecting. They help us eat and talk properly; and they even provide a measure of protection from eating foods that are too hot or too cold. Yet we tend to take them for granted. Continue reading

Types of Dental Implants

Dental Treatment

Dental Implants

Many residents in Livingston are trying to decide whether or not dental implants are for them or not. Most of the time, dental implants are considered to be a form of cosmetic surgery since they are a method for replacing missing teeth. Dental implants are surgically fused to the jawbone just beneath the gums. These metal posts can provide a stable form of support to which artificial teeth are attached. When dentures or bridges are mounted to the implants it will provide security so that they will not slip especially when speaking or eating. Crowns are sometimes placed over the implants and feel much more natural than simple conventional dentures or bridges. Because they are typically considered to be a cosmetic surgery, implants are not always covered by insurance. Some carriers pay less than 10 percent of the costs. Continue reading

Are There Lifestyle Limitations After Vasectomy?

Vasectomy procedure

No Sperm Sign

Lifestyle is a term generally applied to the way we live and its effect on our health. Lifestyle includes the number of hours we work, the amount we sleep, the foods we eat, the alcohol other beverages we drink, the tobacco we smoke, the amount we party, the time we spend with our family, the amount of stress we place in our own lives, how much we exercise and more.  Our respective lifestyles have some unique components, as well as some common elements that cross cultural boundaries.  Most of us want a lifestyle that ultimately promotes mental and physical well-being.

Men who choose to have vasectomy, most often, but not always, have chosen a lifestyle that involves children.   Again often, but not always, my patients tend to be fairly healthy, with a stable routine, at least a moderate amount of exercise, and a reasonable diet.  They tend not to smoke or party to excess. Children are commonly regarded as a stabilizing factor in one’s life. Continue reading

How to Treat Acne Scars


Skin health

Woman having a massage

Dermatologists in New Jersey are familiar with the wide variety of effective treatment options which are used for acne scarring. Our appearance is very important to us and cosmetic medical treatments can help improve skin conditions in cases where acne scarring has occurred. The fight against acne can seem like it is a battle that has no end as it begins in the early teen years but unfortunately everyone does not necessarily grow out of it. Over long periods of time, acne scars can develop and have some adverse effects. An individual may feel like their appearance is marred, or that they have unpleasant features which can make them feel unwanted or lonely. Fortunately there are many different very effective treatments for acne scarring that can help improve the appearance. Continue reading

What is Psoriasis?


Psoriasis on a person's foot

Psoriasis on a person’s foot

Dermatologists deal with many patients who have been diagnosed with a skin disease called psoriasis. This skin condition has certain symptoms which are very common to those who suffer with it. Psoriasis can cause pain, inflammation, and scaling. Normally there is a process called cell turnover where over a period of time new skin cells grow deep under the skin and slowly come up to the surface. When an individual has psoriasis, the cells rise to the surface too quickly and then they pile up on the surface of the skin. Most of the time this is displayed on the surface as thick, red and scaly patches which can feel very sore or become itchy. Many times these unpleasant patches are discovered on the knees, elbow, or areas of the legs, face, palms, lower back, scalp or soles of the feet. However, they can also be found in other areas like toenails and fingernails, inside the mouth or in the genital area. Continue reading

How is Male Fertility Testing Done?


Father and Child Hands

About ninety-five percent of couples will conceive after a year of trying.  A fertility evaluation is recommended for those who do not conceive.   Women are generally evaluated by their gynecologist.   The doctor will take a history asking about child hood illnesses, surgeries, the menstrual cycle and so forth and then perform a physical examination.   Then, generally, blood tests and imaging studies may be recommended.

Men are generally evaluated by a urologist, and may be best evaluated by those with a special interest or fellowship training in infertility, also sometimes referred to as Male Reproductive Medicine.   Similar to the female evaluation, a urologist will ask the male about his history including childhood issues, prior surgery on the male genital system, exposures, and so forth.  Unlike the female evaluation, however, the first laboratory test is generally a semen analysis.  Sometimes the patient is referred to the urologist in the setting of an abnormal semen analysis.  Continue reading

What is Eczema?

Eczema Conditions

Eczema Outbreak

Ask the general public in Short Hills what eczema is and you may get some surprising answers which are very different from the definition you’ll receive when you ask a dermatologist. For many years, the average individual has classified any type of skin condition as eczema and for a large part; many different skin conditions are considered a type of eczema. Even some common conditions such as diaper rash or an outbreak of poison ivy can be variants of eczema. This is because the most general definition of eczema is a skin condition caused by inflammation. Even though it is not specifically caused by an allergy, atopic dermatitis is the most common type of eczema. Individuals who have eczema are more likely to develop other types of allergic conditions such as asthma. Eczema causes the skin to become dry, itchy and red. In some cases, it becomes cracked or leathery and it can appear on any part of the body causing great discomfort. Continue reading