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Victor I. Rosenberg, MD, FACS

Plastic, Cosmetic and Reconstructive Surgeon
Patients Medical
   A holistic medical center
   Full-service




                                www.patientsmedical.com
   Discover health, rediscover vitality
   Focus on the root cause
   Integrate modern medicine, holistic
    practices, and natural supplements




                                      www.patientsmedical.com
   Our goal
     Promote healing and prevent disease




                                        www.patientsmedical.com
Physicians collaborate to approach each
            patient holistically.




                               www.patientsmedical.com
   Staff
     Medical Doctors
        ▪   Internal Medicine
        ▪   Family Practice
        ▪   Gynecology
        ▪   Oncology and Hematology
        ▪   Immunology
        ▪   Alternative Pain Management
        ▪   Pediatrics
        ▪   Plastic, Reconstructive and Cosmetic Surgery
       Nutrition
       Kinesiology
       Cranio-Sacral Therapy
       Reiki and Reflexology
       Oriental Medicine and Acupuncture
       Homeopathy
                                                           www.patientsmedical.com
Integrative Medicine




                       www.patientsmedical.com
This evening’s speaker:
 Victor I. Rosenberg, MD, FACS
Plastic, Cosmetic and Reconstructive Surgery




                                    www.patientsmedical.com
 Graduated from Chicago Medical School
 4 years of general surgery training
 3 years of Plastic and Reconstructive Surgery training at Mt.
  Sinai Medical Center, Beth Israel Medical Center and Albert
  Einstein Medical Center
 Diplomate of the American Board of Plastic Surgery
 Director of Cosmetic Surgery at New York Downtown
  Hospital for many years
 Currently on staff at New York Downtown and Mt. Sinai
  Hospitals
 Affiliated with Mt. Sinai School of Medicine at CUNY

                                                 www.patientsmedical.com
 Over 40 years’ experience in integrative
  medicine
 Has appeared on Live with Regis and Kathy
  Lee, Oprah, Donahue, Joan Rivers and CNN
  International and in NY Times, US
  Report, Harper’s
  Bazaar, Vogue, Cosmopolitan, Allure, Us and
  Seventeen

                                    www.patientsmedical.com
www.patientsmedical.com
With Dr. Victor I. Rosenberg




                               www.patientsmedical.com
 Spans many treatments and
  procedures
 Non-surgical beauty
  treatment to more invasive
  surgical procedures
 A variety of options to meet
  and maintain your beauty
  and appearance ideals
  throughout a lifetime!


                                 www.patientsmedical.com
   Doctors may use gimmicks
    to make themselves stand
    out
   “Dog-eat-dog” industry
   Use caution when selecting
   Be well-educated before you
    commit to having a surgery


                                  www.patientsmedical.com
Not just for the rich and famous anymore!




                                 www.patientsmedical.com
It can’t stop the aging process, but it can slow
 down the rate at which it affects our bodies.




                                     www.patientsmedical.com
   The plastic surgeon should
    not take chances when
    performing cosmetic surgery
   Be conservative
   You can always do more later
    - trying to be too ambitious
    can create problems
   It is almost impossible to
    undo something that is
    overdone
                                   www.patientsmedical.com
About 30% of the people who apply for cosmetic
       surgery should be turned down.
      Not everyone is a good candidate.




                                   www.patientsmedical.com
1.   The person who is not
     strongly motivated.
2.   The person who does not
     have the right type of
     motivation.
3.   The person who does not
     have family approval.
4.   The person who is pushed
     into the surgery by someone
     else.
                                   www.patientsmedical.com
5.    The person who is emotionally
      unstable.
6.    The person who doesn’t have the
      proper physical characteristics.
7.    The person with a very minimal
      defect.
8.    The person who does not want
      any scars.
9.    The person who expects
      unrealistic perfection.
10.   The person who wants to look like
      someone else.
                                          www.patientsmedical.com
   As important as the operation
   Should be an “in depth”
    consultation
   Communicate freely with
    your doctor
   Explain what you think should be done
   The doctor should tell you what CAN and
    CANNOT be done
   Find out the EXACT fees and what is included
                                     www.patientsmedical.com
   Keep in mind that the result you are looking
    for is improvement – NOT perfection
   Realism is the key to success
   The surgeon can only work with what he or
    she is given and make the most of the specific
    part without interfering with function
   A plastic surgeon is a physician – NOT a
    magician!
   The grass is always greener in someone else’s
    back yard                           www.patientsmedical.com
www.patientsmedical.com
   Am I physically healthy, eating right and not
    smoking?
   Do I have realistic expectations for the results
    of my procedure?
   Am I exploring plastic surgery for myself or to
    fit someone else’s ideals?
   Have I spent time testing my knowledge
    about plastic surgery and exploring the
    qualifications of plastic surgeons?
                                         www.patientsmedical.com
   Have I told my plastic surgeon about medical
    conditions, drug allergies and medical
    treatments (including past treatments with
    fillers, facial shaping and Botox)?
   Have I reviewed with my plastic surgeon my
    current use of medicines, vitamins, herbal
    supplements, alcohol and drugs?
   Am I ready to do my part to ensure the
    success of my procedure?
                                      www.patientsmedical.com
   Do I know the procedure’s after-effects and
    recovery time?
   Have all my questions been thoroughly
    addressed by my plastic surgeon?




                                      www.patientsmedical.com
   Are you a member of the American Society
    for Aesthetic Plastic Surgery or the American
    Society of Plastic Surgeons?
   Are you certified by the American Board of
    Plastic Surgery?
   Where and how will you perform my
    procedure?
   Do you have hospital privileges to perform
    my procedure? If so, at which hospitals?
                                     www.patientsmedical.com
   Is the surgical facility accredited by a
    nationally or state-recognized accrediting
    agency? Or is it state-licensed or Medicare-
    certified?
   What will be expected of me to get the best
    results?
   What is the length of the recovery period
    and what kind of recovery help will I need?
   Are there alternative procedures I could
    consider and what are the pros and cons?
                                     www.patientsmedical.com
   Who on your staff will be performing my
    procedure and what are their qualifications?
   What risks and complications are associated
    with my procedure and how are they
    handled?
   What are my options if I am dissatisfied with
    the outcome?
   Do you have before and after photos that
    illustrate this procedure and show results
    that are reasonable for me to expect?
                                      www.patientsmedical.com
 Anyone with a medical
  degree can claim to be
  qualified to perform
  cosmetic procedures
 Very important first step:
  select a qualified plastic
  surgeon you trust
 Choose a member of the
  American Society for
  Aesthetic Plastic Surgery or
  an ASPS Member surgeon

                                 www.patientsmedical.com
Members of these organizations
 Are board-certified by the American
  Board of Plastic Surgery or The Royal
  College of Physicians and Surgeons of
  Canada
 Complete at least 5 years of surgical training
  following medical school, with a minimum of two
  years of plastic surgery residency training
 Successfully pass rigorous written an oral
  examinations administered by the ABPS Or RCPSC
 Complete continuing medical education, including
  patient safety training each year
 Adhere to a strict code of ethics

                                       www.patientsmedical.com
   Smart Lipo
   “Gummy Bear” Breast Implants
   Vampire Face-Lifts




                                   www.patientsmedical.com
   Also known as SmartLipo, Smart
    Liposuction, Laser Liposuction, Laser Body
    Sculpting
   Uses laser energy to liquefy fat before it is
    removed via a small tube
   Some practitioner don’t remove the melted
    fat, allowing it to be absorbed by the body


                                      www.patientsmedical.com
    Hotly debated by doctors
    Be sure to do your homework before you go
     Expert opinions and real peoples’ reviews
     Talk to someone who has had it if possible
    Your outcome and safety depend on finding
     a Board Certified Plastic Surgeon and NOT
     the machine used
    Recovery and pain associated with it may
     take longer because the fat in the protective
     sheaths around the nerves is also melted
                                          www.patientsmedical.com
   There is no long-term difference in the skin
    tightness
   There is no scientific evidence that Smart
    Lipo gives better results than traditional
    liposuction




                                      www.patientsmedical.com
www.patientsmedical.com
 They are simply silicone breast implants that are
  more highly cohesive than their predecessors
 More cohesive = tends to retain its shape and feel
  firm
 Anatomically shaped and have a textured surface (as
  compared to smooth-surfaced implants)
 Anatomic shape may be helpful in cases where there
  is very little to no breast tissue




                                         www.patientsmedical.com
   Good for extremely small breasts as well as
    someone who has undergone removal of
    breast for cancer treatment
   For women who already have a nice shape
    but simply prefer additional volume, this
    type is NOT indicated
   If the implant is not placed properly within
    the breast pocket, it can actually rotate
    during the early healing period and lead to
    an unacceptable appearance
                                      www.patientsmedical.com
   More commonly used smooth, round gel
    implants will not cause problems if they shift
    since their rounded shape is even all the way
    around and there is no specific orientation
   Some studies have found the shape of the
    round implants to appear more natural than
    those created in an anatomical shape


                                      www.patientsmedical.com
www.patientsmedical.com
 Your own blood is drawn from the blood in your
  arm and then spun in a centrifuge to separate
  out the platelets (Platelet-Rich Fibrin Matrix or
  PRFM)
 The processed blood is then injected into the
  face with the hope of stimulating new collagen
  production
 Selphyl, as the system is called, debuted in 2009
 Unproven claims that the results will last two
  years.

                                      www.patientsmedical.com
www.patientsmedical.com
   It’s hard to tell if it is an effective filler for
    hollowed out cheeks and wrinkles
   Lack of clinical research proving the efficacy
    of Selphyl
   To date, the FDA has not approved or
    cleared PRFM=derived in a Selphyl
    centrifuge to be marketed for facial
    rejuvenation

                                          www.patientsmedical.com
Look great…feel great!
                   www.patientsmedical.com
   Beauty starts from within, but there is
    nothing wrong with being attractive on the
    outside
   The key to success is a realistic attitude
    toward your surgery
   The aim is improvement – NOT perfection
   Your cosmetic surgery is not the end of the
    path to youth and beauty – only the start.
    Beyond is up to you!
                                     www.patientsmedical.com
Do you have a question? Please ask it now.
                                 www.patientsmedical.com
Schedule a consultation
  with Dr. Rosenberg
  at Patients Medical
         today!



                    www.patientsmedical.com
   Liposuction, breast augmentation and facelifts
    are typically NOT covered by insurance
   Initial consultation is $250, which can be
    applied to the fee for the procedure
   Specific fees can be quoted during your
    consultation after the doctor can better
    understand the procedure necessary
   Your procedures may be done at New York
    Downtown or Mount Sinai Hospitals
                                      www.patientsmedical.com
Dr. Rashmi             Dr. Kamau                                   Dr. Marcia A. Harris
                                                   Dr. Stuart Weg,                                      Dr. Vivan
     Gulati, Medical     Kokayi, Holistic and                             Holistic GYN and
                                                   Alternative Pain                                DeNise, Integrative
        Director          Chinese Medicine                                Internal Medicine
                                                    Management                                    Internal Medicine and
                                                                                                           Peds




Dr. Eileen DiFrancesco                          Dr. Paul A. Dreschnack                            Dr. Victor I. Rosenberg
                         Dr. Gino Bottino                                Dr. L. Deanna Howard
 Psychopharmacology                                 Plastic Surgery                                   Plastic Surgery
                         Holistic Oncology                                    Holistic GYN
                                                                                            www.patientsmedical.com
www.patientsmedical.com
www.patientsmedical.com
To get more information or to schedule an
               appointment,
          call 212-679-9667 or
  email media@patientsmedical.com




                                www.patientsmedical.com

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Plastic Surgery Myths - Busted!

  • 1. Victor I. Rosenberg, MD, FACS Plastic, Cosmetic and Reconstructive Surgeon Patients Medical
  • 2. A holistic medical center  Full-service www.patientsmedical.com
  • 3. Discover health, rediscover vitality  Focus on the root cause  Integrate modern medicine, holistic practices, and natural supplements www.patientsmedical.com
  • 4. Our goal  Promote healing and prevent disease www.patientsmedical.com
  • 5. Physicians collaborate to approach each patient holistically. www.patientsmedical.com
  • 6. Staff  Medical Doctors ▪ Internal Medicine ▪ Family Practice ▪ Gynecology ▪ Oncology and Hematology ▪ Immunology ▪ Alternative Pain Management ▪ Pediatrics ▪ Plastic, Reconstructive and Cosmetic Surgery  Nutrition  Kinesiology  Cranio-Sacral Therapy  Reiki and Reflexology  Oriental Medicine and Acupuncture  Homeopathy www.patientsmedical.com
  • 7. Integrative Medicine www.patientsmedical.com
  • 8. This evening’s speaker: Victor I. Rosenberg, MD, FACS Plastic, Cosmetic and Reconstructive Surgery www.patientsmedical.com
  • 9.  Graduated from Chicago Medical School  4 years of general surgery training  3 years of Plastic and Reconstructive Surgery training at Mt. Sinai Medical Center, Beth Israel Medical Center and Albert Einstein Medical Center  Diplomate of the American Board of Plastic Surgery  Director of Cosmetic Surgery at New York Downtown Hospital for many years  Currently on staff at New York Downtown and Mt. Sinai Hospitals  Affiliated with Mt. Sinai School of Medicine at CUNY www.patientsmedical.com
  • 10.  Over 40 years’ experience in integrative medicine  Has appeared on Live with Regis and Kathy Lee, Oprah, Donahue, Joan Rivers and CNN International and in NY Times, US Report, Harper’s Bazaar, Vogue, Cosmopolitan, Allure, Us and Seventeen www.patientsmedical.com
  • 12. With Dr. Victor I. Rosenberg www.patientsmedical.com
  • 13.  Spans many treatments and procedures  Non-surgical beauty treatment to more invasive surgical procedures  A variety of options to meet and maintain your beauty and appearance ideals throughout a lifetime! www.patientsmedical.com
  • 14. Doctors may use gimmicks to make themselves stand out  “Dog-eat-dog” industry  Use caution when selecting  Be well-educated before you commit to having a surgery www.patientsmedical.com
  • 15. Not just for the rich and famous anymore! www.patientsmedical.com
  • 16. It can’t stop the aging process, but it can slow down the rate at which it affects our bodies. www.patientsmedical.com
  • 17. The plastic surgeon should not take chances when performing cosmetic surgery  Be conservative  You can always do more later - trying to be too ambitious can create problems  It is almost impossible to undo something that is overdone www.patientsmedical.com
  • 18. About 30% of the people who apply for cosmetic surgery should be turned down. Not everyone is a good candidate. www.patientsmedical.com
  • 19. 1. The person who is not strongly motivated. 2. The person who does not have the right type of motivation. 3. The person who does not have family approval. 4. The person who is pushed into the surgery by someone else. www.patientsmedical.com
  • 20. 5. The person who is emotionally unstable. 6. The person who doesn’t have the proper physical characteristics. 7. The person with a very minimal defect. 8. The person who does not want any scars. 9. The person who expects unrealistic perfection. 10. The person who wants to look like someone else. www.patientsmedical.com
  • 21. As important as the operation  Should be an “in depth” consultation  Communicate freely with your doctor  Explain what you think should be done  The doctor should tell you what CAN and CANNOT be done  Find out the EXACT fees and what is included www.patientsmedical.com
  • 22. Keep in mind that the result you are looking for is improvement – NOT perfection  Realism is the key to success  The surgeon can only work with what he or she is given and make the most of the specific part without interfering with function  A plastic surgeon is a physician – NOT a magician!  The grass is always greener in someone else’s back yard www.patientsmedical.com
  • 24. Am I physically healthy, eating right and not smoking?  Do I have realistic expectations for the results of my procedure?  Am I exploring plastic surgery for myself or to fit someone else’s ideals?  Have I spent time testing my knowledge about plastic surgery and exploring the qualifications of plastic surgeons? www.patientsmedical.com
  • 25. Have I told my plastic surgeon about medical conditions, drug allergies and medical treatments (including past treatments with fillers, facial shaping and Botox)?  Have I reviewed with my plastic surgeon my current use of medicines, vitamins, herbal supplements, alcohol and drugs?  Am I ready to do my part to ensure the success of my procedure? www.patientsmedical.com
  • 26. Do I know the procedure’s after-effects and recovery time?  Have all my questions been thoroughly addressed by my plastic surgeon? www.patientsmedical.com
  • 27. Are you a member of the American Society for Aesthetic Plastic Surgery or the American Society of Plastic Surgeons?  Are you certified by the American Board of Plastic Surgery?  Where and how will you perform my procedure?  Do you have hospital privileges to perform my procedure? If so, at which hospitals? www.patientsmedical.com
  • 28. Is the surgical facility accredited by a nationally or state-recognized accrediting agency? Or is it state-licensed or Medicare- certified?  What will be expected of me to get the best results?  What is the length of the recovery period and what kind of recovery help will I need?  Are there alternative procedures I could consider and what are the pros and cons? www.patientsmedical.com
  • 29. Who on your staff will be performing my procedure and what are their qualifications?  What risks and complications are associated with my procedure and how are they handled?  What are my options if I am dissatisfied with the outcome?  Do you have before and after photos that illustrate this procedure and show results that are reasonable for me to expect? www.patientsmedical.com
  • 30.  Anyone with a medical degree can claim to be qualified to perform cosmetic procedures  Very important first step: select a qualified plastic surgeon you trust  Choose a member of the American Society for Aesthetic Plastic Surgery or an ASPS Member surgeon www.patientsmedical.com
  • 31. Members of these organizations  Are board-certified by the American Board of Plastic Surgery or The Royal College of Physicians and Surgeons of Canada  Complete at least 5 years of surgical training following medical school, with a minimum of two years of plastic surgery residency training  Successfully pass rigorous written an oral examinations administered by the ABPS Or RCPSC  Complete continuing medical education, including patient safety training each year  Adhere to a strict code of ethics www.patientsmedical.com
  • 32. Smart Lipo  “Gummy Bear” Breast Implants  Vampire Face-Lifts www.patientsmedical.com
  • 33. Also known as SmartLipo, Smart Liposuction, Laser Liposuction, Laser Body Sculpting  Uses laser energy to liquefy fat before it is removed via a small tube  Some practitioner don’t remove the melted fat, allowing it to be absorbed by the body www.patientsmedical.com
  • 34. Hotly debated by doctors  Be sure to do your homework before you go  Expert opinions and real peoples’ reviews  Talk to someone who has had it if possible  Your outcome and safety depend on finding a Board Certified Plastic Surgeon and NOT the machine used  Recovery and pain associated with it may take longer because the fat in the protective sheaths around the nerves is also melted www.patientsmedical.com
  • 35. There is no long-term difference in the skin tightness  There is no scientific evidence that Smart Lipo gives better results than traditional liposuction www.patientsmedical.com
  • 37.  They are simply silicone breast implants that are more highly cohesive than their predecessors  More cohesive = tends to retain its shape and feel firm  Anatomically shaped and have a textured surface (as compared to smooth-surfaced implants)  Anatomic shape may be helpful in cases where there is very little to no breast tissue www.patientsmedical.com
  • 38. Good for extremely small breasts as well as someone who has undergone removal of breast for cancer treatment  For women who already have a nice shape but simply prefer additional volume, this type is NOT indicated  If the implant is not placed properly within the breast pocket, it can actually rotate during the early healing period and lead to an unacceptable appearance www.patientsmedical.com
  • 39. More commonly used smooth, round gel implants will not cause problems if they shift since their rounded shape is even all the way around and there is no specific orientation  Some studies have found the shape of the round implants to appear more natural than those created in an anatomical shape www.patientsmedical.com
  • 41.  Your own blood is drawn from the blood in your arm and then spun in a centrifuge to separate out the platelets (Platelet-Rich Fibrin Matrix or PRFM)  The processed blood is then injected into the face with the hope of stimulating new collagen production  Selphyl, as the system is called, debuted in 2009  Unproven claims that the results will last two years. www.patientsmedical.com
  • 43. It’s hard to tell if it is an effective filler for hollowed out cheeks and wrinkles  Lack of clinical research proving the efficacy of Selphyl  To date, the FDA has not approved or cleared PRFM=derived in a Selphyl centrifuge to be marketed for facial rejuvenation www.patientsmedical.com
  • 44. Look great…feel great! www.patientsmedical.com
  • 45. Beauty starts from within, but there is nothing wrong with being attractive on the outside  The key to success is a realistic attitude toward your surgery  The aim is improvement – NOT perfection  Your cosmetic surgery is not the end of the path to youth and beauty – only the start. Beyond is up to you! www.patientsmedical.com
  • 46. Do you have a question? Please ask it now. www.patientsmedical.com
  • 47. Schedule a consultation with Dr. Rosenberg at Patients Medical today! www.patientsmedical.com
  • 48. Liposuction, breast augmentation and facelifts are typically NOT covered by insurance  Initial consultation is $250, which can be applied to the fee for the procedure  Specific fees can be quoted during your consultation after the doctor can better understand the procedure necessary  Your procedures may be done at New York Downtown or Mount Sinai Hospitals www.patientsmedical.com
  • 49. Dr. Rashmi Dr. Kamau Dr. Marcia A. Harris Dr. Stuart Weg, Dr. Vivan Gulati, Medical Kokayi, Holistic and Holistic GYN and Alternative Pain DeNise, Integrative Director Chinese Medicine Internal Medicine Management Internal Medicine and Peds Dr. Eileen DiFrancesco Dr. Paul A. Dreschnack Dr. Victor I. Rosenberg Dr. Gino Bottino Dr. L. Deanna Howard Psychopharmacology Plastic Surgery Plastic Surgery Holistic Oncology Holistic GYN www.patientsmedical.com
  • 52. To get more information or to schedule an appointment, call 212-679-9667 or email media@patientsmedical.com www.patientsmedical.com