Fox & Schingo Plastic Surgery

Indications for Tummy Tuck Changes in the abdominal wall occur as a result of pregnancy, weight loss, and aging. The amount of skin and fat and the weakness and separation of the abdominal muscles, directs the extent of surgery necessary. Most often a full abdominoplasty is needed, however we do tailor the operative procedure to the specific needs of our patients to achieve a flat abdomen. Abdominoplasty surgery is part of the “mommy makeover” trend and for good reason! Often times during pregnancy, the abdominal muscles stretch and no amount of crunches will return them to their pre-pregnancy position. Part of the abdominoplasty procedure helps to decrease the separation of these muscles helping to get your pre-baby shape back. Tummy Tuck (Abdominoplasty) Surgery The abdominoplasty surgery includes removal of excess skin through a lower abdominal wall through an incision, possible liposuction to selected areas, and tightening of rectus muscles. Time 2-4 hrs. Location for Surgery Abdominoplasty (Tummy Tuck) surgery is performed at Ellis hospital conveniently located just outside of Albany, NY. The procedure is done under general anesthesia. It requires a 1-2 day hospital stay. Trade Offs Moderate surgical discomfort, bruising, swelling, numbness of the abdominal wall skin, and a permanent lower abdominal and periumbilical scar is expected. Risks of Tummy Tuck Surgery Although uncommon, infection, bleeding, delayed healing, skin loss, poor scarring, phlebitis and blood clots are complications that can prolong recovery or necessitate a return to surgery. Recovery from Tummy Tuck Surgery After Abdominoplasty (Tummy Tuck) surgery, our patients wear a supporting garment or girdle for 3-4 weeks to encourage good wound healing and minimize complications. Patients return to work and light physical activity at 2- 4 weeks and a normal exercise routine at 6 weeks. Most patients are tired for 3- 4 weeks after surgery. Scar maturation occurs in 18-24 months.

Indications for Smartlipo Triplex Laser Assisted Liposuction Smartlipo laser assisted liposuction targets trouble spots like the abdomen, arms, buttocks, thighs, and neck, and permanently eliminates fat. This is especially helpful for exercise resistant areas. Smartlipo Triplex Laser Assisted Liposuction The Smartlipo Triplex laser fiber is inserted through a very small tube into your body, the laser ruptures the fat cell membranes and the fat cells are permanently destroyed. The liquefied fat is then gently suctioned out. Smartlipo Triplex actually tightens the skin through coagulation, so there isn’t as much dimpling and sagging skin as you would get with traditional liposuction. The downtime after Smartlipo Triplex is less than traditional liposuction because the fat is liquefied before it is suctioned out. This is less traumatic on the body. Time Varies, but usually 1-3 hrs. Location for Smartlipo Triplex Laser Assisted Liposuction Smartlipo Triplex laser assisted liposuction is performed with a local anesthetic and/or sedation in our office or a general anesthetic at the hospital. It is often paired with Abdominoplasty surgery (tummy tuck), thigh lift surgery or arm lift surgery. Trade Offs Light bruising and some minor swelling may occur. Much less than with traditional liposuction. Support garments must be worn for 3-4 weeks following the procedure. Risks of Smartlipo Triplex Laser Assisted Liposuction Light bruising and minor swelling may occur. Recovery from Smartlipo Triplex Laser Assisted Liposuction After Smartlipo Triplex laser assisted liposuction, our patients wear a supporting garment or girdle for 3-4 weeks to encourage good wound healing and minimize complications. Patients return to work and light physical activity at 1-3 days and a normal exercise routine at 2-4 weeks depending upon how much liposuction is done.

As a comprehensive community based Plastic Surgery office, in addition to our extensive cosmetic practice, we provide services for general reconstructive plastic surgery. Breast Surgery Congenital Deformities Breast Cancer Breast Reduction Cleft Lip and Palate Hand Surgery Carpal Tunnel Syndrome Dupuytren’s Contracture Ganglion Syndactyly Trigger Finger Trauma Laser Surgery Congenital Vascular deformities Hair Removal Nose Surgery Septal Deviation/Obstruction Scar Revision Tissue Expansion Skin Cancer Wound Management Skin Graft Skin Flaps

Patients in the Capital District, NY who are looking to improve their breast size through the use of Breast Implants/ Breast Augmentation. Indications for Breast Augmentation/Breast Implants Schenectady -Albany NY A desire to alter breast size through the use of Breast Implants. Surgery The operation involves placement of a silicone or saline implant to improve shape, size and/or symmetry. Recent advancements in implant technology have resulted in more natural looking options for patients. Time 1-2 hrs. Location We are conveniently located in the Capital District, making it easy for Schenectady, Albany and Troy residents to reach us. Outpatient general anesthesia at the hospital or local anesthesia with sedation at the office. Trade offs of Breast Augmentation There is mild surgical discomfort, bruising, swelling, and nipple sensitivity for about 2 weeks after surgery. Alterations in nipple sensitivity may occasionally last longer. Mammography after breast augmentation/ Breast Implants requires special techniques. Risks of Breast Augmentation/Breast Implants Breast Implants cannot be considered permanent surgical devices and it may be necessary to remove or replace them in response to problems such as: deflation, capsular contracture (scarring with hardness and tightness around the implant), bleeding, or infection. Recovery Our patients wear a supporting bra for 3-4 weeks to encourage good wound healing and minimize complications. Most patients return to work 2-3 days following surgery and their normal exercise routine at 4 weeks. Scar maturation occurs in 18-24 months.

Indications of Breast Lift Sagging breasts occur as a result of genetics, pregnancy, or weight loss Surgery for Breast Lift, Mastoplexy The operative technique involves repositioning the breast by removal of excess breast skin. In some patients this involves the removal of breast tissue, or the addition of a implant. Time 2-3hrs Location Hospital, general anesthesia, local anesthesia with sedation at the office, overnight stay if desired. Trade offs of Breast Lift, Mastopexy There is mild surgical discomfort, bruising, swelling, and nipple sensitivity for about 2-3 weeks after surgery. The alterations in nipple sensitivity may occasionally be long lasting. Permanent scars are present but vary according to the technique used for surgery. Most of the techniques we utilize allow for breast feeding and the preservation of nipple sensation. Risks of Breast Lift, Mastopexy Although uncommon, complications can occur and include bleeding, infection, delayed healing with skin or nipple loss, asymmetry, widened and prominent scars and rarely the need for additional surgery. Recovery from Breast Lift, Mastopexy Our patients wear a support bra for 3-4 weeks to encourage good wound healing and minimize complications. Most patients return to work 1-3 weeks following surgery, light physical activity at 2- 4 weeks and their normal exercise routine at 6 weeks. Scar maturation occurs in 18-24 months.

Indications for Breast Reconstruction Post mastectomy deformity Breast Reconstruction Surgery TRAM Flap, Latissimus Flap +/- implant, Implant/ expander. The operative technique is decided in consultation with the patient and may involve the use of her own tissue repositioned to create a breast mound, or the use of an implant/expander to create a breast mound. Surgery may be performed at the time of the mastectomy or at a later date following completion of any additional required tumor treatment. Several procedures are needed for total breast and nipple areola reconstruction. Surgery on the opposite breast may be considered for symmetry. Location Surgery is performed at the hospital with a general anesthetic. The length of stay varies according to the technique selected for reconstruction. The procedure is performed at either Ellis Hospital, Bellevue Hospital or Albany Medical Center all of which are conveniently located near Albany, NY in the Capital District. Trade Offs of Breast Reconstruction Depends on the technique chosen. Risks of Breast Reconstruction Depends on the technique chosen. Recovery for Breast Reconstruction Depends on the technique chosen, generally 4-6 weeks. The American Society of Plastic Surgery (ASPS) has begun a campaign to ensure that all women know what choices they have when it comes to breast Reconstruction.

Indications for Breast Reduction Breasts enlarge as a result of genetics, pregnancy, or weight gain. The presence of disproportionately large breasts is associated with neck, back and shoulder pain, postural discomfort, shoulder grooves, difficulty exercising, and rashes under the breast. Breast Reduction Surgery The operation reduces the size of the breast by removal of breast tissue, and skin. Time 2-3 hrs. Location Surgery is performed at Ellis Hospital conveniently located near Albany in the Capital District, NY, general anesthesia, overnight stay if desired. Trade Offs of Breast Reduction There is mild surgical discomfort, bruising, swelling, and nipple sensitivity for about 2-3 weeks after surgery. The alterations in nipple sensitivity may occasionally last longer. Permanent scars are present but vary according to the technique used for surgery. Most of the techniques we utilize allow for preservation of nipple sensation and breast- feeding. Risks of Breast Reduction Although uncommon, complications can occur and include bleeding, infection, delayed healing with skin or nipple loss, asymmetry, widened and prominent scars and the occasional need for additional surgery. Recovery from Breast Reduction Our patients wear a supporting bra for 3-4 weeks to encourage good wound healing and minimize complications. Most patients return to work 1-3 weeks following surgery depending on their occupation, light physical activity at 2- 4 weeks and their normal exercise routine at 6 weeks. Scar maturation occurs in 18-24 months. Schedule An Appointment Breast Reduction surgery is often covered by insurance. Please give our office a call to determine if we accept your current insurance. For more information on Breast Reductions, click here. or call us at 518-346-2358. Breast Reduction, Albany NY, Dr. Fox, Dr. Schingo, Board Certified Plastic Surgeons, Combined 30 years experience, Insurance accepted, smaller breasts, Breast Reduction, Albany NY

Indications The development of female-like breasts in males may occur during adolescence, with obesity, and in certain illnesses or genetic conditions. Surgery The operative correction involves surgical excision of the glandular breast tissue and/or liposuction in selected patients. Time 2-3hrs. Location Outpatient general anesthesia at the hospital. Trade Offs There is mild surgical discomfort, bruising, swelling, numbness and altered nipple sensitivity for about 2-3 weeks after surgery. Permanent scars are present and vary according to the technique used for surgery. Risks Although uncommon, complications can occur and include bleeding, infection, fluid collections, delayed healing with skin or nipple loss, asymmetry, widened and prominent scars and the occasional need for additional surgery particularly if excess skin persists. Recovery Our patients wear a compression dressing for 2-3 weeks to encourage good wound healing and minimize complications. Most patients return to work 1-3 weeks following surgery, light physical activity at 2- 4 weeks and their normal exercise routine at 4-6 weeks. Scar maturation occurs in 18-24 months.

Indications for BOTOX® Aging changes around the eyes specifically crows feet and frown lines. Botox fox and schingo BOTOX® Procedure The technique involves injection of Botulina Type A Toxin (Botox®) into the overactive muscles causing a temporary paralysis minimizing the active lines. Improvement lasts 3-6 months. Location Botox is a quick outpatient procedure done in our Schenectady Office conveniently located outside of Albany, NY. For optimum comfort, it is performed with local anesthetic (numbing the area). Trade Offs of BOTOX® Mild, temporary surgical discomfort, bruising and/or swelling. Risks of BOTOX® On a rare occasion there is temporary difficulty opening the eye, but this is extremely rare. Recovery from BOTOX® Patients usually continue with their normal routine following their appointment. Some make up may be required to cover any redness or bruising. The treatment is temporary, lasting 3-6 months.

Indications Cleft Lip and Palate issues are discovered at birth Surgery Repair requires removal of excess skin through a lower abdominal wall incision, possible liposuction to selected areas, and tightening of rectus muscles. Time 2-4 hrs. Location Hospital, general anesthesia, 1-2 day hospital stay. Trade Offs Moderate surgical discomfort, bruising, swelling, numbness of the abdominal wall skin, and a permanent lower abdominal and periumbilical scar is expected. Risks Although uncommon, infection, bleeding, delayed healing, skin loss, poor scarring, phlebitis and blood clots are complications that can prolong recovery or necessitate a return to surgery. Recovery Our patients wear a supporting garment or girdle for 3-4 weeks to encourage good wound healing and minimize complications. Patients return to work and light physical activity at 2- 4 weeks and a normal exercise routine at 6 weeks. Most patients are tired for 3- 4 weeks after surgery. Scar maturation occurs in 18-24 months.

Indications for Ear Surgery, Otoplasty Congenital ear deformities, most often bilaterally prominent ears. Ear Surgery (Otoplasty) The operative correction involves repositioning the cartilage so that the ear sits closer to the head. Time 2-3 hours Location Outpatient, hospital, general anesthesia, a cooperative patient can be treated in the office with local anesthesia and sedation. Trade Offs There is mild temporary surgical discomfort, bruising, swelling, and numbness. Permanent scars are present but are behind the ear. Risks Although uncommon, complications can occur and include bleeding, infection of cartilage that can lead to deformity, asymmetry, and the occasional need for additional surgery if the prominence recurs. Recovery Our patients wear a headband for 3-4 weeks to facilitate good wound healing and minimize complications. We encourage our patients to continue to wear a headband for an additional 6 months as tolerated. Most patients return to work or school 1 week following surgery, and their normal exercise routine at 4-6 weeks.

Indications of Eyelid Surgery (Blepharoplasty) Aging changes around the eyes including sagging upper eyelids and puffy lower lid bags can cause a tired look. Eyelid Surgery (Blepharoplasty) The operative technique includes removal of excess upper lid skin, fat and muscle and either removal or repositioning of the lower lid fat. This operation is frequently combined with a brow lift, C02 laser resurfacing and /or facelift. Time 2-4 hrs. photo eyelift before Location Outpatient, office, local anesthesia and sedation Trade Offs There is mild, temporary surgical discomfort, bruising, and swelling rarely there is temporary difficulty fully closing the eyelids. Scars are carefully placed and are rarely a concern. Risks Although uncommon, problems may include infection, bleeding, dry eyes, minor asymmetries, and temporary double or blurred the vision, or whiteheads. Additional surgery although rare is sometimes required when there’s a downward shift of lower lids. Extremely rare is risk of blindness. Recovery Our patients are instructed in the use of cool compresses for the first 48 hours to minimize swelling and bruising. Most patients return to work 1 week following surgery and to their normal exercise routine at 4 weeks.

Indications for Facelift As we get older gravitational aging changes occur in the mid- face, jowls, and neck. Botox, fillers and Ultherapy may help to add some lift, but they can not eliminate excess skin like a facelift. In 2016 facelifts re-made the top 5 cosmetic surgery procedures in the United States (ASPS 2016) after having dropped in previous years. People are realizing that as great as the non-invasive procedures are, the gold standard in facial rejuvenation is still the facelift. Facelift Surgery A facelift procedure re-positions the soft tissues and muscles of the face, and redrapes the skin to restore a more youthful appearance. Excess skin is often removed leaving a sleeker profile. The operation is frequently combined with blepharoplasty (eye surgery), C02 laser resurfacing, and/or fillers and botox. Time 3-5 hrs. photo facelift before Location Depending on the extent of surgery it may be performed with a local anesthetic and sedation in our office or a general anesthetic at the hospital. Patients may elect to spend a night at the hospital. Trade Offs There is mild, temporary surgical discomfort, bruising, and swelling. Scars are carefully placed and are rarely a concern, in many patients a short scar technique can be utilized. Temporary numbness and tightness of the cheek and neck skin is expected. In men re-positioning of the beard may alter the area that requires shaving. Risks Although uncommon, problems with facelift may include infection, bleeding, minor asymmetries, or injury to the facial nerve resulting in muscle weakness. Additional surgery although rare is sometimes required when there is an area of hair loss, poor healing or excessive scarring. Recovery After their facelift surgery, our patients are instructed in the use of cool compresses for the first 48 hours to minimize swelling and bruising. Most patients return to work 10-14 days following surgery and return to their normal exercise routine at 2-4 weeks. Although the downtime is longer than some other procedures, patients report that it is worth the wait since the results are more significant.

Indications for Laser Surgery, Laser Resurfacing Damaged skin with textural changes, fine lines, sun damage, pigment irregularities, and acne deformities and facial scars. Patients are prepared pre -operatively with an aggressive skin care program and educated in proper skin care by our full time esthetician. Laser Surgery The carbon dioxide (C02) laser is the most effective laser for skin resurfacing. We utilize the Coherent ultra pulse C02 laser. Frequently performed in conjunction with a blepharoplasty, facelift, or brow lift. Time 1-2 hrs. Location Surgery is done in our office which is conveniently located in Schenectady, NY, just outside of Albany. It is performed with local anesthesia and sedation or a general anesthetic at the hospital. Patients return home the same day unless done in combination with the more extensive procedure. Trade Offs Temporary, swelling, sun sensitivity, and milia (small whiteheads) are common. Healing takes 7-10 days with redness persisting 6-12 months camouflaged with make up as necessary. Risks Although complications are rare, infection, scarring, and cold sores can occur. Preventive antibiotics and antivirals are used routinely. Recovery New skin forms in 7-14 days, but full healing and maturation of the skin color requires 6 months. Optimal results are achieved when used in conjunction with a structured skin care program.

Indications Acquired or congenital nasal deformities occasionally accompanied by nasal airway obstruction. Surgery The operative correction involves reshaping the nose into an aesthetically pleasing appearance (rhinoplasty) and improving or maintaining the nasal airway (septoplasty). Occasionally done in conjunction with a chin augmentation. Time 2-3 hours. Location Outpatient, hospital, general anesthesia, a cooperative patient can be treated in the office with local anesthesia and sedation. Trade Offs There is mild temporary surgical discomfort, bruising around the eyes, swelling, and numbness. Risks Although uncommon, complications can occur and include bleeding, infection, and the occasional need for additional surgery if some deformity persists. Recovery Most patients return to work or school 1-2 weeks following surgery and their normal exercise routine in 2-3 weeks. Final results are permanent and are evident at 12-18 months.

Indications Lipoatrophy: the loss of fat beneath the skin, seen as sunken cheeks, and indentations, and hollow eyes and temples. Surgery Sculptra® is composed of poly-L-lactic acid, a synthetic material. Sculptra® is not made from human or animal sources and does not require a skin test. Poly-L-lactic acid (PLLA) is a biocompatible (does not harm the body), biodegradable (able to be broken down by the body) material that has been widely used for many years in surgical products. Sculptra® is injected below the surface of the skin in the area of fat loss. It provides a gradual and significant increase in skin thickness, improving the appearance of folds and sunken areas. The results from Sculptra® are not immediate, but gradual. The provider will see you again in a few weeks to decide if additional injections are needed. Touch-up treatments may be needed to maintain the desired effects. People with mild lipoatrophy will require fewer treatments than those with severe lipoatrophy. Location Sculptra® is done in our office with a local anesthetic to numb the area. Trade Offs Mild, temporary discomfort, bruising, and swelling. Risks Side effects are usually mild, lasting 7 days or less and include temporary injection site reactions like redness, pain, firmness, swelling and bumps. Recovery Most patients return to their normal routine that day. Any redness can usually be covered up with make up. The effects of Sculptra were shown in a clinical study to last for up to 2 years after the first treatment session. Our doctors will recommend the dermal filler to best fulfill your cosmetic goals.

Indications The HydraFacial MD® treatment improves the appearance of fine lines, wrinkles, congested and enlarged pores, oily or acne-prone skin, hyperpigmentation and brown spots. Hydrafacial treaments are suitable for most skin types, including thin or aging skin, ethnic skin, and dry skin or oily skin. They are perfect for those who are looking for smoother, brighter-looking skin without the longer recovery time needed with more evasive procedures. Procedure The HydraFacial treatment is often described as feeling like “a cool paintbrush moving over the face”. It removes debris from your pores with suction while simultaneously adding moisturizing agents to your skin. Antioxidants and peptides are added to your skin to maximize your skin's glow. Trade Offs Although rare, some redness could occur. It usually resolves itself shortly after the procedure. Risks Risks are extremely rare, but could include redness, swelling and skin irritation. Symptoms should no last longer than a few days. You are more susceptible to sunburn in the days immediately following a Hydrafacial. Recovery People return to their daily activities immediately following the treatment.

The eTwo is a non-invasive skin rejuvenation treatment which focuses on acne scars, fine lines, stretch marks and wrinkles. It offers two treatments targeting different results. Both treatments do not involve surgery and require little to no downtime. Read below for more information on each treatment. Sublime Treatment Reduce fine lines, improve facial contouring, get smoother, more even complexion The eTwo Sublime procedure is a great way to improve your skin quality with no downtime! The treatments are done in a series with your skin showing gradual and cumulative results with each treatment. It is safe for most skin types. How Does It Work? The combined bi-polar radio frequency and light energies heat the dermal tissue, stimulating collagen production within the target treatment area. No surgery is involved. Sublative Treatment Mild to moderate wrinkles, superficial imperfections of your skin’s tone & texture reduced The eTwo Sublative treatment is a great way to treat wrinkles and textural irregularities! The protocol is 3 treatments, 4-6 weeks apart. The total number of treatments will be dependent on your skin’s condition. How does it work? RF energy is precisely directed into the skin in the form of a matrix. Healthy skin around the dots accelerates the healing process of the skin. After the treatment, new collagen and healthy skin cells are produced.

Indications PicoWay Resolve is an advance laser treatment that treats acne scars, wrinkles, dark spots (also known as pigmentation or benign pigmented lesions). There is little to no downtime since the laser is able to get great results from treating the top layer of skin and not having to go into the deeper layers. Procedure PicoWay Resolve is an ultra-short, picosecond laser that reaches below the surface of the skin to stimulate production of collagen and elastin, without breaking the outermost layer of the skin. As we age, we lose collagen and elastin. The PicoWay Resolve helps to add these back into your skin resulting in less fine lines and improvement in acne scars. For dark spots, PicoWay reaches just below the skin’s surface to break unwanted dark spots into tiny particles. PicoWay is highly effective in skin pigment removal. Many patients see visible improvement following the first treatment. Location PicoWay Resolve is done right in our office. Trade Offs Although rare, some redness, swelling, pinpoint bleeding, tingling or purplish spots could occur. It can be covered with make-up immediately after the treatment so there is little to no downtime. Risks Risks are extremely rare, but could include some redness, swelling, pinpoint bleeding, tingling or purplish spots could occur. Symptoms should not last longer than a day or two. Recovery People return to their daily activities immediately following the treatment.

Looking for a lift for your loose, saggy skin? Ultherapy may be just the solution! Ultherapy is a new, non-surgical lifting procedure that uses tried-and-true ultrasound technology to gradually strengthen and tone your skin from deep within. ultherapy fox and schingo In less than an hour – and without any downtime – you’ll be well on your way to tighter, firmer, better-fitting skin.