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Over more than 20 years of clinical cosmetic practice treating facial and body aging I have noticed that there is an acceleration of aging that occurs around age forty to forty-eight. This phenomenon, when brought to the attention of my patients, is greeted with a knowing nod. I believe this accelerated aging is due to a progressive loss of blood supply. Without blood supply, tissues are unable to repair themselves and thus undergo a qualitative loss of youthfulness. I have come to the conclusion that cosmetic procedures require both treatment of the aging process in addition to the primary objective, reshaping of the tissues. In patients 40 and older it requires rejuvenation as well as contouring of aesthetic regions as a whole and not just an area at a time, as rejuvenation is as important as natural aesthetic tissue shaping and contour.

The aging face, especially the neck, undergo accelerated aging due to the synergistic effects of progressive loss of blood supply and gravitationally induced tissue degeneration; the breast and buttock are both more prone to tissue qualitative degeneration (because of their positioning away from skeleton support)as well as sagging; both the arms and the thighs-knees are farther from the source of blood flow as well as susceptible to gravitation tissue degeneration because of age related loss of muscle mass support. These are examples of aesthetic aging areas that require qualitative rejuvenation.

For facial bone and fat loss, adipose derived healthy fat cells replace missing contour and support, and stimulates blood supply; for facial and body soft tissues, radio-frequency with experimentally determined target time and temperature and/or helium plasma provide for facial and body soft tissue tightening, contouring and qualitative rejuvenation.

With an intimate knowledge of anatomy and understanding of the aging process, my patients are better prepared for what lies ahead and can look and feel better from head to toe.

Andrew Kornstein MD FACS has been a highly skilled board-certified plastic surgeon for over 25 years and is widely recognized as a top authority in his field. He specializes in the latest techniques for skin tightening, breast and body techniques, as well as facial fat grafting. His reputation is based on his personalized and detailed approach to every patient treated.

Dr. Kornstein’s goal is for each patient to achieve his or her goal to feel young and youthful with a visionary approach. His attention to detail and superior training sets him apart from others, allowing him to achieve long-lasting natural results for years to come. Dr. Kornstein is licensed in Connecticut, New York, Florida, and California and has offices in Greenwich, CT and White Plains, NY.