News and Media

At the Forefront of Change

Highlights from the NYSSPS Advocacy Day in
Albany, New York

On behalf of the New York State Society of Plastic Surgeons, I am delighted to report that our very first exclusive advocacy day in Albany was a huge success. Plastic surgeon members from our society joined together on May 16th (2017) for a day of networking and advocacy that raised awareness for the issues that are most important to the future of our organization.

Here are the highlights of our visit on May 16th, 2017:

  • The Society presented an honorary citation to Senator Kemp Hannon, Chairman of the NYS Senate Health Committee for his tireless commitment to protecting patients and improving healthcare in NY.  In addition, NYSSPS presented its support for two pieces of legislation sponsored by Senator Hannon (S5675/A7671): one that will provide increased access to out of network coverage for patients and another (S3663) that will restore fairness in the contracting process between physicians and large managed care plans.
  • Our members met with Senator Joseph Griffo and Assemblyman Al Stirpe advocating for modifications that would strengthen their current co-sponsored Healthcare Transparency bill (A560/S5870) by reinforcing the need to protect patients by requiring physicians to accurately and truthfully disclose board certification.

Top-Performing Doctor

Vitals.com has recognized Dr. Bruce Barach as one of the “Top-Performing Doctors” for 2014. Reviews are considered an important quality indicator, and the doctors who have won this acclaim scored an average rating of 3.5 or higher out of Vitals’ 4-star rating system. Doctors are rated by patients in seven categories: ease of appointment, promptness, courtesy of staff, bedside manner, accurate diagnosis, amount of time spent listening, and follow up care. We are very gratified that our patient’s kind words from reviews have resulted in this national recognition.


On-Time Doctor

Dr. Barach been awarded the Vitals.com “On-Time Doctor Award” for 2014. The national average for waiting to see a physician is 20 minutes, whereas the doctors who have won this award have an average waiting time of only 11 minutes. That’s practically half as long! Dr. Barach realizes that staying on time if at all possible is very important and strives to do so every day, because our patient’s time is just as important as our time. We are pleased that our patients’ recognize and appreciate our efforts to run our schedule efficiently!


Cosmetic Surgery and Aging

Results of a recent Vanderbilt University study confirmed what most experienced plastic surgeons already suspected — older cosmetic surgery patients do just as well as younger ones. Older people who feel well enough to seek out cosmetic surgery are usually quite vigorous and healthy, so the “unhealthy” individuals who might be more likely to have surgical complications have already self-selected themselves out of the surgery picture. The rare patient who does request surgery who is not healthy is likely to be turned down by the surgeon, thereby removing them from the mix as well. The study just confirmed that the healthy older patients do well, just as their healthy younger counterparts.

Click here to read an article about surgery, age and risk


The Time of the Tummy

Unfortunately, if you are post-partum or have lost considerable weight, there’s a pretty good chance that noninvasive treatments or exercise alone will not get your belly in shape for bikinis or this type of clothing. Fortunately, tummy tuck surgery and/or liposuction can produce the improvement that’s needed. But exercise and weight loss is still ideally the prerequisite to enable the best postsurgical outcomes!

Click here to read an article about the tummy and fashion


Gauged Earlobe Repair

For centuries people have drastically altered their appearance for different reasons, whether they were religious, cultural, or just to make a statement to the world. It seems these days that getting a tattoo is no longer extremely cutting-edge body modification, given all the other changes people are making to their appearance. Everything from septum piercing to adding metal studs under the skin is making for trendy new looks. But one of the more popular over the last 10 or 15 years is what’s called gauging – where a person has his or her ear pierced and then stretched to a large hole over time. The article below discusses this growing trend, and the consequences that can come much later once the gauged decides to “disengauge” and return to regular society. At his offices outside Albany, Dr. Bruce Barach can perform a procedure that can repair this very obvious physical alteration and bring individuals back into the culture from which they departed. Dr. Barach has helped many patients who were growing tired of not getting the job, not getting the girl, and getting more attention than they bargained for by closing these large holes in their earlobes and returning their ears to normal. If you or someone you know is interested in repairing this exaggerated change to your ears, please contact Dr. Barach at his Albany area office and arrange for a consultation.

Click here to read and article concerning gauged earlobe repair.


Unexpected Benefits from the Use of Botox

Botox has been growing rapidly in its use over the last few years. It is one of the most popular non-invasive techniques for bringing a more youthful appearance to a patient’s skin. In addition to creating a youthful look, more unexpected benefits of Botox have recently been discovered. These benefits include improving depression, and alleviating migraines, among others. This was also noted in a recent article, seen here.


On Fat for Facelifts

Dr. Barach performs many facelifts at his practice, and he is always cautious about the methods he uses during these procedures. Fat is commonly used in facial rejuvenation, but Dr. Barach has been concerned with the value and consistency of this approach. In fact, the subject of fat being used as part of a facelift procedure was discussed in this recent article that shares what was explained by another renowned surgeon at the Vegas Cosmetic Show in Las Vegas in June 2014.


The Huffington Post UK recently published their predictions regarding which cosmetic procedures would be most sought after in Britain this coming year. While noting that some surgical procedures continue to grow in popularity, it is the non-surgical treatments that are really taking off astronomically and that trend is expected to persist for the foreseeable future.

In the UK, the surgical procedures most in vogue are breast improvement surgeries, tummytucks, brachialplasty (upper arm lifts), chin implants, and labiaplasty/vaginoplasty. In our upstate NY practice, we are seeing many of the same trends. Breast surgery of all types is again in great demand this spring. This has been the case for many years, since most of these women want to be all healed and ready to go in time for summer bathing suit season. The same is true for tummytucks and body contouring liposuction procedures.

While we are seeing a great deal of demand for facial rejuvenation surgery like facelifts and eyelid tucks, we have not seen the increased interest in chin implants seen by our British colleagues. We are also seeing the same heightened number of requests for labiaplasty, however, as well as many patients desirous of brachialplasty for their “floppy” upper arms. Not all these patients are willing to trade the redundant upper arm skin for the scars that are the tradeoff for the improved contour this operation provides. If the problem is severe, for instance after massive weight loss, the scars may indeed be worth eliminating the lax skin.

Injectables and Other Treatments

As seen by the Brits, we too continue to see a precipitous rise in the number of nonsurgical procedures being requested. It seems that each month we are injecting more and more Botox and other neurotoxins….and why not, it’s so easy for patients and the results are great! The array of injectable fillers now available has resulted in a huge increase in procedures we perform with them as well. The “nonsurgical facelift” is now possible in a large number of patients desiring facial rejuvenation with little downtime and no pain of recovery.

The latest addition to this product line is Juvederm VOLUMA, which allows us to augment the cheek highpoint/midface region, which can produce the appearance of lifting the drooping cheek highpoints. Since this can last for as long as two years, I suspect it may well replace surgical cheek implant surgery for many people. I personally am quite excited about the usefulness of this product and I bet it will be the #1 new treatment in 2014!

I am not as high as the Europeans on two noninvasive options that are fairly popular, laser hair treatments and noninvasive treatments for body contouring and cellulite. I think the results often promised and/or expected fall short of what these devices deliver most of the time. Laser hair removal is often more accurately temporary laser hair REDUCTION. It does not eliminate all the hair and it does not last forever. the noninvasives for body contouring can perhaps provide very subtle changes, but I don’t believe they can come close to matching what liposuction can provide, at least not yet. Since most of my patients have significant bulges to eliminate, I see relatively little use for these expensive machines in my practice. I foresee a lot of disappointed patients who pay a lot of money for this therapy and results don’t match up to their expectations. Here again, if it sounds too good to be true, it probably is !! Caveat emptor (let the buyer beware).


Plastic Surgery Statistics 2013

In 2013, 15.1 million cosmetic procedures were reported to The American Society of Plastic Surgery (ASPS). These numbers include both surgical and noninvasive/injectable treatments. This represents a 3% increase over 2012, with facial procedures up nearly twice that.

Facelifts, necklifts, and eyelid tucks were up by 6%, and 1.7 million hyaluronic acid injectable procedures were performed, up by an incredible 18%! The recent release of VOLUMA, the new midface filler, should ensure that this trend continues in 2014.

The number of breast augmentation surgeries also continues to increase, up 1% over last year to 290,000 procedures. The trend toward silicone implants seems to be driving this, with 72% of breast augs in 2013 using this type of device. Clearly, the demand for self-improvement through plastic surgery continues to grow, and more and more options are becoming available to help patients achieve their goals.


Ultherapy

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Non-surgical, non-invasive, Ultherapy is the treatment that employs ultrasound to trigger your body’s own natural healing process – lifting, toning, and tightening loose skin. It is the only FDA-cleared treatment to lift the neck, chin and brow.

Using ultrasound, Ultherapy stimulates the skin layers that give deep structural support, including those normally affected by an invasive facelift surgery — but without disturbing the surface of the skin. This innovative new technology has been awarded the Best In-Office Treatment by New Beauty Magazine. Dr. Barach is happy to offer this state-of-the-art treatment to his patients.