Most prospective aesthetic surgery patients are encouraged to ask a lot of questions before choosing their plastic surgeon. Some of these might sound familiar: Board Certification? Training? Experience? Specialties? Here is a question few ever ask–and it is one of the most important….…”Who is in the operating room during my surgery?”

If you choose Dr. Andrew Kornstein the answer will be…”Four physicians who have been operating together for 17 years.” No one else in New York City or Connecticut can say that. And it is a point of differentiation you need to understand as it relates to your total experience and ultimate result.

Dr. Kornstein explains:

Surgery is a team sport. No surgeon can do surgery alone, yet few people ever ask who is taking care of them while I am doing their surgery.  My surgical team has been with me for over 17 years. It includes a board certified anesthesiologist, my surgical assistant who is a trained surgeon from Russia, and a circulator who similarly trained as an anesthesiologist in the Philippines. The fact that I am surrounded by 3 other doctors I trust completely allows me to concentrate on the technical and aesthetic issues of your procedure without a break in concentration.  

My anesthesiologist is one of the best in her specialty. Her ability to control blood pressure and the level of anesthesia is remarkable. Patients are kept comfortable and wake up alert, without feeling nauseous–as if the surgery was just about to begin. My surgical assistant, also a surgeon, has been my side for so many years that we anticipate and understand each other’s moves intuitively.  In addition, being on the other side of the table he has a different “lens” than me. He is aesthetically engaged providing value and insight of the surgery from his perspective. Our circulating physician is trained in anesthesia and therefore is able to focus on overall patient reactions and comfort during the surgery.

When the right combinations of people consistently work together there is synergy. In the operating room, this experience is priceless. What is considered one surgery might actually be several surgeries. Consider breast augmentation and lift; tummy tuck and liposuction; facelift and fat grafting; mommy surgery. These varied procedures must flow. Cosmetic surgery incorporates hundreds of nuances and my team has experience doing these over and over. Change of procedure, change of equipment, and change in technology, unforeseen issues in patients’ anatomy or response–all are accomplished seamlessly and safely.

Surgery centers and hospitals go through constant rotation. The surgeon and staff are rarely the same team. Though competent and trained, it’s their first dance together. Procedures take longer. The experience is less fluid.

My team is solid. They know me, they know medicine, and they know how I approach every procedure.

4 doctors, 8 eyes, full participation. Tenure not only in the specialty of aesthetic surgery, but with each other. The operating room is where the magic happens. Be sure you know the team that is in there with you.        

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Voluma® joins Juvederm® and Botox® as the newest member of the family of fillers/injectables brought to you by Allergan. Why another filler? How is it different? Like its sisters, Juvederm® and Botox®, Voluma® can be injected in a brief office visit. Like other fillers, the results are instantaneous. Unlike anything else on the market, Voluma® is a gel with the ability to maintain its shape under the pressure of overlying tissue. It is uniquely suited to enhance cheek and mid face contouring and elevation. According to Dr. Andrew Kornstein, his busy injectable practice in New York City’s Upper East Side and Fairfield County Connecticut just got busier. “The cheek and mid face are important areas of facial aesthetics and aging. The mid face, lower eyelid region and the naso labial fold should appear as one. It’s the position of the lateral cheek that provides a youthful contour to a woman’s appearance.”  Many women around the age of 40 notice the deepening of their nasal labial folds, otherwise known as the lines between the outside of the nostril to the corner of the mouth. You can fill these in but it doesn’t affect the descent from the cheek above. This must be lifted back to a youthful position.

How do you know if Voluma® would perk up your appearance? Do you notice a distinct lower lid/cheek junction? A deepening in the naso labial fold? Are your cheeks relatively flat, when they used to be fuller and higher? Is your lower lid sagging and pronounced? According to Dr. Kornstein, many of these issues were once difficult to treat without surgery, but Voluma® offers a non-surgical antidote. “One of the greatest things about Voluma is the “ah ha!” moment when my patients see an instant mid-face rejuvenation. Lost youth rediscovered in a few minutes. Some procedures are universally recognized by patients as having an immediate positive impact. This is one of them.”

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Q. I hate my new nose, but I am afraid of a revision. What can I do?

Rhinoplasty, also known as nose reshaping or a “nose job” gets scrutinized more than any other plastic surgical procedure..  And perhaps for similar reasons, revision creates tremendous anxiety.  It may be an issue of a surgeon’s technical ability, his knowledge of nasal anatomy or surgical aesthetics but in the end the patient has a well-founded fear of going through another surgery. High anxiety is common. The patient was promised an enhancement in their appearance that was never realized.

The answer may lie in trying an injectable rhinoplasty. It’s a good first step with little risk. Many people are unaware that significant aesthetic changes are possible using injectables to the nose. Nose length and shape, height of the bridge, rotating a tip, treating arched nostrils and tip sculpting can all be achieved incrementally.

Injectable rhinoplasty benefits both the patient and the surgeon. Revision rhinoplasty puts pressure on the surgeon who is dealing with issues such as quality of the skin, underlying scar tissues and patient expectations. Injectable rhinoplasty allows the patient to “try on” their new nose. It helps the patient get a sense of the surgeon’s aesthetic interpretation. It lets the surgeon know if he can make a particular patient reasonably happy. Think of it as a test drive of mutual visions prior to committing to another surgery.

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profile-thumbExperience matters–not only the number of years, but the number of cases performing a particular procedure successfully. This gives you the highest probability of a great result. A deep understanding of individual anatomy, aesthetics, the best alternatives, and proper techniques breeds consistency.   

No painting by the numbers– Knowing the mechanics of a procedure whether surgical or non-surgical is not enough. A true expert doesn’t follow a set formula for every procedure and every patient. Great surgeons are fluent in many procedures and are able to look at an individual and anticipate what combination of techniques will deliver an optimal result.

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AFT to face and breast/tummy tuck

Cosmetic surgery is a mind/body experience. I was hoping it was the right decision but it surpassed all my expectations. I have become Dr. Kornstein’s ambassador and recommend him to everyone. I completely trust him because he is just that good.

 

The catalyst for Asle to seek cosmetic enhancement was a looming 40th birthday. After nursing three children, the shape and density of her breasts were compromised, yet she didn’t want to go the route of implants. “I had actually been toying with the idea of breast enhancement for a couple years. I even consulted with several surgeons, but the connection just wasn’t there and I wasn’t in a rush anyway.” Asle is an interior designer with many clients, some of whom become close friends over the course of planning and renovating their space. “I mentioned my interest to one of my client/friends and she immediately said, “I have the best doctor—you’ve got to see my guy.” That “guy” was Dr. Andrew Kornstein and Asle made an appointment for a consultation.

Asle’s first impression was that Dr. Kornstein was “… very serious and scientific.” She was impressed at the time he gave her compared to the other doctors with whom she consulted. “He didn’t rush me at all. He let me talk while he listened and only after I was done did he take over. He has a very scientific approach. After examining me Dr. Kornstein believed he could provide the aesthetic I wanted with fat grafting alone—no implant.  I had never heard of that but he is a scholar on the subject. His perspective made a lot of sense to me.” Dr. Kornstein’s confidence in the possibilities inspired Asle to schedule surgery in October. “I felt he really had the best intentions at heart. He wasn’t money hungry and I left feeling I would get a lot of care and value for the cost.”

Dr. Kornstein performed fat grafting to Asle’s breasts.  Recovery was better than expected. “There was virtually no discomfort on my breasts. I did have to where garments where the lipo was done and that was a little painful but oral meds took care of that.” The office had prepared Asle with packages of vitamins for a month prior to surgery as well as Bromelain and Arnica as herbal remedies to stem swelling and bruising. “The staff was utterly amazing with follow up and anticipation of my needs. This was a well-run machine.”

Three months later Asle revisited the practice for Dr. Kornstein to perform a mini tummy tuck and repair a hernia. He also recommended AFT to her face—not a full facial rejuvenation, but using the fat from the tummy tuck to fill in around mouth, eyes and cheekbones. “I figured while I was under anesthesia it was the right thing to do. As it turns out my face was not altered, just volume restored and it is a great result. My skin continues to improve because of the stem cells.” The recovery from the mini tummy tuck and facial rejuvenation was approximately 3 weeks total—with one week of rest.  “You have to know yourself and your capacity for downtime, but it is totally worth it.”

 

During both recoveries Asle’s choice in doctors was reaffirmed.  “One doctor I consulted with operated on my friend. She developed a blood clot and he never even called her. Blood clots can happen to even the best doctor, but to not even follow up with a call? That’s mistreatment—I don’t care how good they are.” During her recovery, Asle felt very taken care of by both Dr. Kornstein and his nurse, Trish. “I could call him directly anytime. No matter when, the man was always available. I would never consider going to anyone else.”

Today, Asle feels very happy she made the choices she did. “Cosmetic surgery is very empowering. This was all for me—not anyone else. I look and feel amazing. It’s something I always wanted to do and I’m glad I got the courage. The enhancement happened inside and out. That’s how it should be. Living well and looking good? That’s the best revenge.”

 

 

 

 

 

 

 

 

 

 

 

 

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