The Do’s and Don’ts of Breast Augmentation

Breast Aug Info, New York, NYOne of the most common types of plastic surgery procedures is breast augmentation, or breast implants. Many women make the choice to undergo this type of procedure either for cosmetic reasons or as a final step in their treatment for breast cancer. Regardless of the reason, this type of surgery can make a woman feel more confident and attractive on the inside and out.

There are a number of do’s and don’ts that women should consider before stepping foot into the operating room, however. Knowing these will help them to make the best, most informed decision to become educated about the process and the outcome.

For starters, do not be afraid to ask questions. Do not hesitate to get information from the surgeons and their staff. This can help you to feel more confident about your decision and calm your fears. As with any surgery, there are certain risks involved. Determine what those risks are and how to minimize them. The more informed you are, the greater the outcome. If the surgeon to whom you are talking rushes through his answers or doesn’t give you satisfactory information, keep looking for another surgeon. Make sure you are comfortable.

Ask your surgeon about financing plans they offer so that you can make affordable payments, if necessary. Wait until you can afford breast augmentation before scheduling it. No cosmetic surgery is worth going into debt over, especially when you can wait another six months to a year to be able to afford the payment options.

Don’t rush the healing process. You will need time to rest and restore your strength following breast augmentation surgery. Be sure to listen to your surgeon’s instructions and don’t return to your normal routine until you are advised. Know that everyone heals differently, so while your friend who underwent this surgery may have been back to her normal routines rapidly, you may need more time to feel like yourself again.

Do have realistic expectations. This type of surgery is designed to help you feel better about yourself, but it will not change your life. Give yourself time to adjust to your new appearance, but deep down, you will still be the same person.

Do know the potential risks and complications ahead of time. Talk about them with your surgeon, and ask about ways you can minimize them. Do ask to talk with women who have undergone this surgery in the past, and if anything feels uncomfortable after surgery, do not hesitate to call your surgeon to discuss it.

Written by John W. Decorato, MD June 1, 2015

The Mommy Makeover: A Growing Plastic Surgery Trend

Congratulations! You made it through childbirth, and now you are at home with your beautiful child(ren). You have accomplished one of life’s most challenging – Mommy Makeover Staten Island, New Yorkthough rewarding – experiences.
So, why don’t you feel like patting yourself on the back when you look in the mirror? Is it because you see sagging breasts, or thighs that make you think you will never get to wear that pre-pregnancy bikini ever again?
A growing trend in plastic surgery is actually a group of procedures that, when done simultaneously, can be coined a “Mommy Makeover.” This group of procedures, typically performed on young mothers, helps moms to restore their inner and outer beauty – the beauty that they knew before they had kids – and revitalize and re-energize their youthfulness.
The goal of a Mommy Makeover is to correct the many changes that a woman’s body endures after childbirth or weight gain. Most often, a Mommy Makeover consists of a tummy tuck combined with breast augmentation, and liposuction may be performed on the inner and outer thighs and other areas as well. Although these procedures are the most common ones performed during a Mommy Makeover, exact procedures may vary among patients depending on their needs and goals.
As many women can attest, their breasts often sag or “disappear” after having children, especially after breastfeeding. Their abdominal walls can become stretched, causing a belly that bulges and stretch marks. And, they may notice that their inner and outer thighs contain a lot of excess fat, as do the “love handles” that surround their abdominal area.
To treat these conditions, breast augmentation can be performed to enhance the breasts and fill them out. Some patients desire implants while others may simply need a breast lift. To rid their abdominal areas of excess fat, the surgeon may perform a tummy tuck to tighten the abdominal muscle and remove excess skin and fat. Liposuction can rid the hips, love handles and thighs of excess fat and smooth out the contours.
A Mommy Makeover is a substantial surgery, though the end result is a dramatic improvement in a woman’s post-pregnancy body – an improvement that may not even be able to be achieved through a good diet and exercise. The main advantage is that it can be done in only one surgery, rather than multiple surgeries and thus only requires one recovery period.
But perhaps the single most important aspect to the Mommy Makeover is that it can restore a mother’s confidence and self-esteem, making her feel younger and energized enough to keep up with her kids!

Written by John W. Decorato, MD April 7, 2015

The Facts Behind Facelifts

In a world often obsessed with youthfulness, the desire to fight aging is becoming increasingly popular. More and more people are seeking ways to retain a youthful2737102 appearance, and often seek out plastic surgery procedures to help them.

Unfortunately, the face is one of the most susceptible areas to aging. The loose, thin skin around the eyes and cheeks can hinder a person’s self-confidence and their relationships. A facelift, however, may help to restore a youthful appearance improving self-esteem and restoring confidence in their associations with others.

A facelift, also known as rhytidectomy surgery, is a technique that is used to tighten the skin around the face. It can help to reduce wrinkles and fine lines and make a person look younger. This type of surgery can even reverse the aging process and help restore lost vitality in the face.

Over time, the facelift procedure has been improved to the point where it can even be done with minimal impact on a person’s busy schedule. And with many different types of facelifts that are now available and performed by qualified and skilled surgeons, a person can choose the surgery that best fits their needs, budget and goals.

During a facelift, the surgeon will make incisions both in front of and behind the ears extending along the hairline. The skin is then elevated to allow lifting of the underlying fat and muscle and use sutures to lift and reposition this layer in a more youthful appearing position. Once this layer has been tightened and repositioned, any excess skin is trimmed.

The lower facelift is similar to the facelift, though it focuses entirely on the lower part of the face – mainly the neck and jawline. An incision is made behind the ears, and the excess skin is removed from the neck.

A mini facelift is becoming popular, as it is a smaller and less intensive procedure and can be performed relatively quickly. Instead of a complete lift, the surgeon targets specific areas of the face where he repositions and removes small amounts of facial tissue.

Written by John W. Decorato, MD March 2, 2015

Liposuction: Choose the Type Best Suited for You

Liposuction, Staten Island NY, Manhattan NY - DecoratoMany people who adhere to even the most strict diet and rigorous exercise regimen often suffer from unsightly fatty deposits on areas of their bodies that could potentially be helped with the assistance of liposuction.

Generally speaking, liposuction is a method whereby the surgeon removes fat from the body using a suction or vacuum. During the procedure, a small, thin, blunt-tipped tube is inserted through tiny incisions in the skin. Fat is then removed through these tubes as he moves the tubes around under the skin to target specific deposits of fat.

There have been several advancements made during recent years that help to make this surgery safer, easier and much less painful. These newer techniques include:
• Tumescent Liposuction – During this procedure, the surgeon uses a local anesthetic to numb the area of the body where the tube will be inserted and the fat will be suctioned. A large amount of water containing the anesthetic lidocaine and epinephrine is injected into the fatty tissue before the suctioning begins. The water “plumps” the fat making removal easier with minimal bleeding and bruising.

Tumescent liposuction may be regarded as a tremendous improvement in the standard of liposuction, as it carries fewer risks and side effects. These side effects are minimal due to the smaller size of the tubes used and the initial incisions made during the procedure.

Ultrasonic-assisted Liposuction – This technique, called UAL, employs the use of sound waves to liquefy the fat, making it easier for the surgeon to remove. This procedure is generally most effective in removing larger areas of fat from the lower abdomen, sides and back.

There are several benefits to UAL, including that it can more effectively treat areas containing denser fat pockets, such as the chin and neck, than traditional methods. UAL also can remove more fat cells at once, making it an optimal procedure for areas such as the thighs, buttocks or abdomen. And, UAL works to tighten the skin during the process of removing the fat, which aids the areas treated in avoiding dimpling or puckering after surgery. This type of surgery also is considered more precise for the surgeon, so he can perform more exact body contouring.

• Laser-assisted Liposuction – The surgeon uses laser energy to liquefy the fat, which is then removed through a very small liposuction cannula or tube.

Because laser-assisted liposuction is less intrusive, recovery time is substantially reduced. Patients can expect to generally decrease recovery time by one to two days, as this procedure decreases the amount of blood loss and bruising. Patients also may experience less post-operative pain, as this type of procedure only targets the “yellow fat” in the body, allowing the body to absorb some of fat on its own without the use of any suction. The laser energy is also absorbed by the overlying skin resulting in significant skin tightening. This procedure may alleviate need to undergo further surgery to remove excess skin. It is especially helpful in areas where limited fat reduction and more skin tightening are required for optimal results, such as inner thighs, arms and neck.

No matter which type of procedure you choose, it will most likely be performed on an outpatient basis in a physician’s office, ambulatory surgery center or hospital. It usually does not require an overnight hospital stay unless you are having a large amount of fat removed. The use of local anesthetic is usually required, and you also may be given a sedative to help you relax.

The cost of Liposuction can vary on what goals you are trying to accomplish. It is very important to know your surgeon and their credentials and also make sure that it is an accredited facility.

Written by John W. Decorato, MD February 6, 2015

The Health Benefits of Tummy Tucks

4338450We all want it – the tighter, toned abdomen that exposes the six-pack abs we worked so hard for at the gym. But some people, even with a lot of time spent at the gym, still experience a great deal of fat around their abdomen. And others cave to that plate of French fries, despite their initial intention to satisfy their hunger pains with a salad.

Abdominal fat, or fat that pushes the belly outward, is the most dangerous type of fat on our bodies. Abdominal fat is largely to blame for many health ailments because of its close proximity to other vital health organs, such as the liver and kidneys, and it can be to blame for many serious health conditions such as diabetes and heart disease.
Tummy tucks, which are also known as abdominoplasty, are an option for people who want to slim their waistline and lose that excess fat, whether it be for cosmetic reasons or to help them manage a health condition. In fact, there are more benefits of a tummy tuck than people often realize.

A tummy tuck will aid in tightening your abdominal muscles and firming your belly, providing a flatter appearance and a reduction in the size of your waistline. A tummy tuck also can help eliminate unsightly stretch marks below the navel and can help a woman to more quickly return to her pre-pregnancy size. In certain instances, the procedure can help alleviate fungal infections that occasionally occur from the large amount of sagging skin folds, particularly in patients who have undergone bariatric surgery.

Perhaps the greatest benefit to this surgery, however, is that, when performed correctly by Dr. Decorato, a knowledgeable and skilled surgeon, it can not only properly tuck a protruding belly, but it gives the appearance that the belly was never protruding in the first place.

In many patients who experience the signs of aging or who have recently been pregnant; they begin to observe their abdominal muscles separating at their midlines. This separation can reduce the strength in the abdominal muscles and cause the skin to sag, and is a condition known as rectus diastasis. It can be treated in its early stages through exercise, but a tummy tuck may become necessary if the condition advances.

The benefits of a tummy tuck can be maintained for a long period of time with proper care of the body. Weight gain and pregnancy can negate the effects of this cosmetic procedure, and if this happens, you will need to undergo another surgery to achieve the prior results.

Written by John W. Decorato, MD December 2, 2014

Sitting Pretty With PicoSure™

PicoSure Staten Island, NY and New York, NYTattoo regret. Many people suffer from it.

One day you love “John” so much that you ink his name across your wrist. The next day he’s broken your heart and you’re left with an unwelcome reminder every time you lift your hand.

Now there is a more efficient way to “erase” that mistake, thanks to PicoSure, the world’s first and only picosecond aesthetic laser. Even better, Dr. John W. Decorato  is the one of the only board-certified plastic surgeon offering this breakthrough technology on Staten Island, and one of only a handful of doctors offering the technology in the tri-state area..

PicoSure is more than just a way to deal with tattoos. This Cynosure®  product can also treat surgical and acne scars, remove pigmented lesions and revitalize skin.

The key to PicoSure is its ultra-short pulse bursts of energy which are delivered to your skin in trillionths of a second. Unlike nanosecond lasers, which typically rely on photothermal energy to reach the pigment and surrounding tissue, the patented PressureWave™ technology of PicoSure uses a pulse width that is 100 times shorter. This means it can more precisely target the problem area, breaking apart pigment into smaller pieces which can be absorbed by the body. It also causes less trauma to the surrounding skin.

Due to the advantages of PicoSure, it takes only three to six sessions to remove a tattoo. Compare that to other methods which require up to 20 treatments! With PicoSure, even dark blue and green inks, which can be particularly difficult, can be removed, as well as previously-treated, recalcitrant tattoos.

If you are interested in learning more about PicoSure, contact Dr. Decorato’s office today. Our plastic surgery team strives to be at the forefront of breakthrough technology. In fact, Dr. Decorato is still only one of a handful of plastic surgeons on Staten Island to offer CoolSculpting® .

We are pleased to provide PicoSure to patients from throughout the Staten Island region. We would be happy to release you from your tattoo regret, or any other pigmentation or scarring issues you may have.

Written by John W. Decorato, MD September 5, 2014

Silicone vs. Saline

silicone vs saline Decorato Staten Island, NYYou made the decision to undergo breast implant surgery or breast augmentation, and though that in itself was a big hurdle, you are now faced with another decision that, when discussed at length with your physician, can help you face your future with certainty and confidence.

Should you opt for saline or silicone implants?
No matter what reason you are choosing to have this procedure – whether for cosmetic reasons or to reconstruct the breasts following surgery – you should know the differences between the two types of implants and make the decision that best suits your needs.

Implants that are filled with saline have silicone shells that are filled with sterile salt water, or saline. Silicone implants, on the other hand, are comprised of silicone shells that are pre-filled with a gel, or silicone. Many women say that silicone implants look and feel more like real breasts. In 1992, the FDA placed a moratorium on the use silicone implants due to safety concerns. In 2006, however, after reviewing more research, the FDA rescinded the moratorium thereby allowing the use of silicone breast implants for both cosmetic and reconstructive procedures.

Silicone implants cost about $1,000 more than saline implants, and though lighter in weight, they often require a larger incision for insertion and MRIs following surgery to check the integrity of the implants. If an implant has ruptured, surgery is required to replace the implants, and though there may not be any obvious physical signs that the implant has ruptured, there may be changes in breast shape.

For silicone implants, most patients opt for an incision that is made under the breast, though an incision around the colored part of the nipple is popular, as well. Silicone implants are pre-filled with a set volume and cannot be adjusted if breast asymmetry exists.

Saline implants can be inserted through a smaller, less noticeable incision made in the patient’s armpit, under the breast or around the nipple. Once in place the implant is then inflated with saline to the desired volume. Saline implants pose minimal risk if they leak, as the water gets absorbed by the body. There is no need for annual MRIs, as it is usually obvious that the implant has deflated. If an implant has deflated, surgery will be required to remove the silicone shell.

Saline implants are more prone to the development of “rippling”. Rippling presents as palpable and sometimes visible folds in the breast. Although rippling can occur with either saline or silicone implants, it is more prevalent with saline implants. This potential is greater if there is less of your own breast tissue to cover or hide the implant. The larger the implant chosen; the more implant will be visible as there is less natural tissue for coverage creating a higher risk for the rippling.

If you have any further questions about Silicone vs Saline or any other Breast Augmentation procedure always feel free to call Dr. Decorato or visit his facility!


Written by John W. Decorato, MD September 3, 2014

The Dangers of Medical Tourism

482634255While the prospect of saving some money to undergo a plastic surgery procedure overseas may be tempting, it should be a well-researched and completely thought out decision. It is possible; after all, that danger could lurk in the operating room choreographed by the physician who lacks the necessary skill and expertise to effectively carry out the procedure.

The cheaper prices offered by plastic surgeons in countries outside the United States can be quite alluring, especially if traveling to an exotic land and undergoing the procedure while on vacation. But in many cases, the overall savings most certainly do not outweigh the potential risks at hand when seeking this type of surgery overseas.

While any kind of surgery carries some risk, and most surgery also is accompanied by a recovery period, the fact remains that not all countries are as rigorous with their surgical requirements as the United States.

What does this mean to you? It means that some facilities in other parts of the world may not be as modern as those in the United States. The procedures may not be as clean as when performed by surgeons in our country, and foreign physicians may not be as skilled or educated as those here. All of this could mean serious complications during surgery or high risk of infection after the procedure.

If your plan is like many – to undergo the procedure while on vacation in a foreign land – you should be aware that you will most likely endure an extended recovery period, lasting several weeks or more, even for more minor, less complicated procedures. So, while you may be able to recover in surroundings favorable to your taste, you most likely will not be able to thoroughly enjoy those surroundings, as your body will need to fully recover first.

So if you are prepared for a long recovery, ask yourself if the savings of having the surgery performed overseas is really worth it. Take your travel costs and lodging expenses into consideration, and if you find that your savings will be minimal, you may opt to seek out a more qualified surgeon closer to home. Even if you find that the savings will be a more considerable amount, you should still be cautious. Surgery performed overseas is often not of the best quality.

Seeking surgery overseas also may place your support system at a great distance. You will be away from the love and care of friends and family members, which can take its toll on your recovery efforts. Additionally, the likelihood that you will get to meet and talk face-to-face with your surgeon more than a few days prior to surgery is slim.

Having surgery performed closer to home has its advantages. You will be able to know your surgeon and his qualifications visit the facility and see the care that they provide to their patients firsthand, and assure yourself that you are making the best decision for your health.

Written by John W. Decorato, MD August 20, 2014

How do we define beauty?

image for bella article smallA thing of beauty is a joy forever – John Keats

The study of beauty is as old as human civilization. This discipline is given the name “Aesthetics”. The mind’s eye is drawn to beauty. The appreciation of beautiful people, things or places is almost instantaneous. Scientific studies have demonstrated that the human brain recognizes a beautiful object, face, person in less than one second. Yet the definition of beauty is something that escapes us. The words to describe this are illusive. While we instinctively know what appeals to our own sense of beauty — we know it when we see it — defining what determines attractiveness is not always easy. In frustration, we often give up and claim that “beauty is in the eye of the beholder. Surprisingly, people from a variety of different ages, races and cultures agree on what is and isn’t beautiful.

Two common components of the interpretation of beauty are facial symmetry or proportion and smoothness of skin. Although true facial symmetry is very rare, the more symmetrical the features the more beauty is perceived. This beautiful face demonstrates the classic features of beauty that include facial symmetry and smoothness of skin (see fig. 1 in full article). The photo of a beautiful face demonstrates the symmetry of the eyes and central face. Other details of the beautiful face narrow the scope of our visual inspection such as eye shape and width, brow position and cheeks. This central area of the face while only a small percentage of the total size, control the vast majority of attention. Moving downward we then notice the nose, lips jawline and neck. Smooth flowing lines without breaks or irregularities are a hallmark of beautiful faces.

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Written by John W. Decorato, MD June 12, 2014


I am Dr. John Decorato, a board certified Plastic Surgeon. The decision to undergo cosmetic surgery is an important one. Equally as important is who will be performing the procedure. Whether you are considering changes to your face or body, you want a board certified Plastic Surgeon with the skills and training to help you achieve your goals.

Information is readily available about various procedures that may interest you. It is in your best interest to do your homework before your consultation. The American Society of Aesthetic Plastic Surgeons is the leading organization of Board Certified Plastic Surgeons who specialize in cosmetic surgery.

Putting thought, time and money into your decision could save you a lot of unnecessary pain and disappointment. Please read the following tragic article of a woman in Vegas who suffered a terrible plastic surgery nightmare.

Written by John W. Decorato, MD May 28, 2014