Not ready for a facelift? No problem.

As you approach middle age, there will be inevitable facial aging. For mild aging changes, you may not need a facelift. Using fillers to soften lines is a great place to start. Hyaluronic acid based fillers (Juvederm, Restylane) are soft, natural and generally painless to inject. In addition to fillers, non-invasive skin tightening treatments with radiofrequency technology (Profound) are helpful in patients who exhibit mild or early aging changes. The procedure is performed with the patient awake, using local anesthesia (which numbs the area) and requires a weekend for recovery.  Finally, skin care with the use of chemical exfoliants (Retin A, chemical peels) and sunscreen can help your skin look refreshed, radiant and healthy. AnneMarie, our esthetician, would be more than happy to meet with you and make recommendations for your skin type and suggest some at home products to compliment any treatments your are considering.  Just give us a call to schedule a consultation.

Victor A. Schingo, JR MD FACS

Upper Lid Blepharoplasty

I was asked this week what age the right age is to do a an upper lid blepharoplasty (upper eyelid surgery). If your upper eyelids appear significantly different than when you were in your teens or 20s, and if you desire more “skin show” above your eyelashes, then a conservative upper blepharoplasty may be appropriate. In planning surgery, it would be helpful to see pictures of your eyes from when you were in your teenage years to get a sense of your genetic baseline with attention to the height of your natural upper eyelid fold. Most patients want a post surgical appearance that is more rested, and  in harmony with their natural, youthful baseline. In addition, if your eyebrow position is normal and youthful, it can be maintained with regular Botox treatments. If your upper lids are drooping to the point where they are blocking your peripheral vision, you may qualify for your surgery to be covered by insurance since it is a “functional impairment”. Give our office a call and we can tell you what steps would be necessary to determine if insurance coverage is an option for you.

Victor A. Schingo, Jr., MD

Surgical Scheduling and COVID- current status

Many people are asking if we are still operating with the current Capital District COVID numbers. We continue to do all minor procedures in our office as well as injectibles and Botox. As for cases that require anesthesia, Ellis hospital has limited elective surgery on their main campus, but are allowing certain elective surgeries on their Bellevue campus. Bellevue has a great staff and many of our regular operating room nurses from the Nott street campus have temporarily moved over to assist. As has always been the case, we have only received glowing feedback from our patients who have recently had their surgery at Bellevue and we can’t be more grateful for such a wonderful staff there. For safety, all patients are required to be COVID tested prior to surgery (the hospital arranges it) and the hospital has strict COVID protocols. Many of our patients are finding that now is a good time to get a procedure done that they have been putting off. For many, working from home has allowed flexibility to recover and the lack of community events means nothing is being missed by taking time off to do surgery. The surgical schedule is being re-evaluated on a daily basis. If you are thinking about having surgery, it is best to come in now to discuss your options and see if this is the right time for you.

Call us if you’d like to schedule a consultation! 518-346-2358

Victor A. Schingo, Jr., MD

Did you know…

If you do a cosmetic surgery at the same time as an insurance approved surgery, you will receive a discount? The hospital and anesthesia fees will be much lower than doing the cosmetic procedure on its own.

We frequently perform combination procedures. In addition to saving money, combination procedures allow for combining the recovery times and spending less time away from work. The option to perform a combination procedure should be discussed with your surgeon. Not all surgeries can be combined. Your personal risks and the procedures desired will factor into the decision on whether to perform the procedures together. One common combination is a “Mommy makeover” where breast reduction surgery (often covered by insurance) and abdominal procedures (Tummy Tuck/liposuction) are done at the same time. 

If you are wondering if you are a candidate to combine procedures, call to set up an appointment for a consultation so you can discuss your options.

Victor A. Schingo, Jr., MD

Happy New Year!

In 2021 we will be answering common plastic surgery questions that are frequently asked. Feel free to email questions to: [email protected] and we will address them in future blogs!

A patient recently asked if Silicone Breast Augments are permanent or do they need to be replaced from time to time.

According to recent American Society of Plastic Surgery statistics (ASPS), breast augmentation continues to be the top cosmetic surgical procedure and has been since 2006. Approximately, 85% of women choose silicone implants. In general, silicone implants can be expected to last at least 10 years or longer provided that there has been no major chest wall/breast trauma. Breast implants do not have a specific “expiration date” on shelf-life and modern silicone implants can last 10-20 years. However, it is important to stress that implants are not lifetime devices and will eventually have to be replaced or removed, especially if rupture is confirmed clinically or by MRI evaluation.

Victor A. Schingo, Jr., MD