Dr. Wallach in DuJour Magazine: Summer 2014 Issue
Although the gym can help tone and even enlarge the butt by making gluteal muscles stronger, surgical contouring isn’t just about bypassing your barre routine for a quick fix. “Augmentation will give you a shape that dieting and exercise just can’t do,” says Manhattan plastic surgeon Steven Wallach.
The procedure itself is fairly straightforward, with two predominant implant types: silicone and fat, in which fat is harvested from other parts of the body — the back or the middle — and injected into the butt. Because your own fat “looks and feels more natural,” says Wallach, it’s almost universally preferred. “The silicone implants used in the U.S. are very solid, so when you sit on them, it doesn’t always feel so good.” The catch, of course, with using fat is that you need enough to graft.
Dr. Steven Wallach Wins RealSelf 100 Award
New York Plastic Surgeon Recognized as Top Social Media Influencer in Aesthetic Plastic & Reconstructive Surgery
New York – April 23, 2014 – Local physician Dr. Steven Wallach is one of 100 doctors in the nation to receive the prestigious RealSelf 100 Award, out of more than 6,000 board certified specialists with a presence on RealSelf—the leading online community helping people make confident choices in elective cosmetic procedures. The award is granted to doctors who demonstrate outstanding commitment to patient education and helping millions of consumers get access to reliable, expert information about cosmetic procedures, treatments and aesthetic concerns.
Dr. Wallach is an expert contributor to RealSelf, and has posted countless answers to questions on RealSelf. Each month people from all over world ask important aesthetic-related questions, such as “how much does a breast augmentation in New York cost?”
Guest on Sirius XM Channel 81 The Doctor Show on March 11, 2014
Dr. Steven Wallach was a guest expert on Sirius XM Radio’s “The Doctor Show,” to talk about Cosmetic Surgery to get you a beach Body with world-renowned Plastic Surgeon Dr. Sherrell J. Aston. This informative series highlights experts in the field of aesthetic plastic surgery to share their insights on what’s trending in the field. During the show, listeners called in from all over the country. Some of the topics discussed were: breast augmentation, breast lifting, facelifting, Botox, facial fillers, liposuction, and tummy tucks. You can click to hear The Doctor Show on the link below.
NBC News Quotes Dr. Steven Wallach
We all carry with us reminders of the person we used to be. It’s just a lot more literal for some than others. People who lose a massive amount of weight are often surprised at how unhappy they still are with their bodies. The fat is gone, but all that skin that held it in place? It didn’t go anywhere.
It’s a less explored part of extreme weight loss. The body may be lighter, but it’s now weighed down with folds of sagging skin, causing a wild amount of emotional and physical (think: chafing) pain.
More extreme weight-loss patients are choosing to remove the loose skin through cosmetic surgery, and a recent study showed that the bodies and minds of those who do end up faring much better.
Top Plastic Surgeons Pick the Field’s Sharpest Talent
Steven Wallach trained at Albert Einstein in general surgery and plastic surgery, then completed a burn fellowship at Einstein and a fellowship on the West Coast with Bruce Connell, one of the fathers of American plastic surgery. He returned East to set up shop, where most of his work is face-lifts, nose jobs, and breast reduction and enhancement. One of Wallach’s specialties is performing simultaneous abdominoplasties and breast augmentations.
“Smartlifting” is the latest attempt to put a prettier face on the face-lift. Trademarked by Cleveland-based plastic surgeon Richard D. Gentile, MD the procedure repurposes the Nd:YAG, a long, narrow laser designed to melt fat in laser-assisted lipo. After incisions, Gentile inserts the device under the skin to help separate it from underlying tissues and seal off blood vessels. The result, he says, is a 50 percent faster operation with increased sculpting and an added laser tightening effect. But New York City plastic surgeon, Steven Wallach , MD who read the study Gentile prepared for Cynosure, Nd:YAG’s manufacturer (independent trials have not yet begun), is skeptical. “If the device does what it would in lipo – melt fat- it’s counterintuitive,” Wallach says. “facial surgery today is about restoring youthful fullness.”
Can Exercising My Facial Muscles Prevent My Skin From Sagging?
“I wish. Unless you don’t eat or talk or laugh or cry – or you’ve overdone it with the BOTOX® – you’re exercising your facial muscles all day long,” says Steven G. Wallach, MD, assistant clinical professor of plastic and reconstructive surgery at Albert Einstein College of Medicine in New York City. Your skin sags as you age because of multiple factors: The skin thins, connective tissue fibers under the skin stretch out, and facial fat loses volume – and as that same fat descends, it deepens the nasolabial folds around the nose and mouth, and causes jowls along the lower jawline. There are ways to prevent sagging, starting with using sunscreen every day, which helps stop the degrading effects of UVA/UVB rays.
How it’s Done
“Made from botulinum toxin (yes, the same poison that causes botulism when ingested), an outpatient injection of Botox into the frown lines, crow’s-feet or forehead creases paralyzes facial muscles, smoothing them out,” says Steven Wallach, M.D., a New York City plastic surgeon. Sometimes a local anesthetic is used, although many patients go without it.
Pros: “This is a good way to reduce wrinkling,” says Wallach. In addition, there are no telltale signs of healing, the way there are with lasers. Patients see results in two days to two weeks.
“Retin-A bulks up the skin so the chemicals can penetrate as evenly and effectively as possible,” says Steven Wallach, M.D., a New York City plastic surgeon who conducts pre- and postop skin-care seminars (“Basically Everything You Ever Wanted To Know About Plastic Surgery but Were Afraid to Ask,’” he says with a laugh”) for aestheticians at leading Manhattan day spas like Frederic Fekkai Beaute de Provence and the Avon Centre.
There has been success in flattening keloids (knobby growths of scar tissue most common in people of Mediterranean or African descent) by first having the keloid sliced or frozen off, followed by a series of steroid injections – one right after surgery then three follow-up shots over the next three months (cost: depending on the extent of the scar, $1,000-$5,000 to excise it and $250 per injection). “This combination works in 70-80 percent of patients,” says Steven G. Wallach, M.D., assistant clinical professor of plastic and reconstructive surgery at Albert Einstein College of Medicine in New York City.
This fat can be found on all types of women, from las mas flaquitas to las mas gorditas. “It’s mostly hereditary,” says Steven Wallach, M.D., a plastic surgeon in New York City. What causes those popcorn-like dimples? “They occur when the conjoined fibers that hold fatty tissue between layers of skin are pulled taut or slackened, allowing tiny pockets of fat to poke through”, says Dr. Wallach. “And while a healthy diet, regular exercise, and drinking plenty of water can diminish cellulite, there is no permanent cure.” But, he admits, “Losing surrounding fat may reduce its appearance.”
Don’t Melt the Patients’ Plastic
As if plastic surgery wasn’t hard enough, post-op patients also had to worry about salon treatments damaging the merchandise. Now, Dr. Steven Wallach is easing their minds along with their signs of aging, lecturing upscale salons like Frederic Fekkai and Avon in New York City on dealing with recently nipped, tucked and/or suctioned patients. His pointers: Don’t dye the hair for three weeks to keep chemicals out of a face-lift’s scalp sutures. Stylists must be cautious, too, so “no sharp combs.” A facial after a nose job? “Don’t touch my work!” for at least three weeks. But go for a massage a few days after lipo. “It may get rid of some of that kind of lumpy bumpy feeling.”
Neck lifts can correct problems under the chin created by loose skin, excess fat or muscle tension. The approach taken will depend on the specific cause, explains Steven Wallach, M.D., a New York City plastic surgeon. For loose skin alone, an incision is made behind the ear, skin is redraped and excess removed. If isolated fat is the culprit, liposuction is done through an incision under the chin or behind the ear. A tense muscle requires an incision and then suturing on either side of the muscle or removal of a wedge of muscle to leave it less taut. The skin might redrape itself, but if not, the excess can be surgically removed. It can be done in the hospital or doctor’s office; you will be sedated. Recovery time is seven to ten days; plan to stay at home during that period. Results last five to ten years. Cost: about $2,500 for liposuction; $4,000 to $5,000 for skin or muscle surgery. Possible risks, although rare, are scarring and nerve damage that could affect your smile.
“It’s safer, and it’s really good for some areas, especially hip rolls, male chest, back. But with the thighs and abdomen, you can usually use classic liposuction to mechanically suck out the fat.” -Dr. Wallach
“Most of what was going on was people trying to limit the amount of scarring they put on the breasts. To minimize scarring, we make an incision around the areola and it’s an up and down incision only. A combination breast lift and augmentation is a really hot thing.” -Dr. Wallach
“Patients are more in tune with what’s out there. The Internet has become a very popular tool for people to canvas and obtain info on their own. Patients are savvier. They don’t have consultations to gather information anymore; they are doing them to try and find a surgeon. They are well informed.” -Dr. Wallach
“Every six months to a year a new laser comes out that improves wrinkles on the face and neck. Every meeting there is a new laser, so I am taking a wait and see attitude. If one day we can have scarless healing that would be amazing. No matter what we do, if there is an incision. there will be a scar. Hopefully, that will change.” -Dr. Wallach
Knowing what to expect in the E.R. can help you keep calm through an understandably trying experience. Some basics:
Plan ahead Ask your pediatrician which hospitals she can admit patients to and which one she recommends for pediatric emergencies. If you’re covered by managed care, ask which hospitals are affiliated with your plan.
Review your child’s medical record You’ll be asked about significant illnesses or operations, allergies and immunizations.
Anticipate “controlled chaos,” notes Larry Bedard, M.D., president of the American College of Emergency Physician 3. Emergency departments are busy, often noisy places.
Communicate with the nurses The triage nurse assesses whether your child needs immediate attention or can safely wait. Talk to her about special physician requests. For example, if your child needs stitches on the face, ask her to summon the plastic surgeon on call, recommends Steven Wallach, M.D., a New York City plastic surgeon.
Be realistic about squeamishness You’ll be allowed to remain with your child through most procedures, but if you faint at the sight of blood, it may be better to stay in the waiting area.
Understand the E.R.’s methods Don’t be alarmed by the use of restraints, for instance. Sheets, towels and boards are routinely used to minimize thrashing while a child is being examined or stitched. It may look shocking, but it’s for your child’s protection.
The thirties often is a time of alterations in lifestyle and body structure. More and more women are waiting until their thirties to have children. “After a woman has children, she can lose volume,” explains New York City plastic surgeon Steven Wallach, M.D. Pregnancy brings weight gain and hormone changes that alter the shape of your breasts and take a toll on self-esteem. Starting at around eight weeks into pregnancy, your breasts begin to get bigger and they’ll continue to grow. It’s common to go up a cup size or two. As the body prepares itself in anticipation of lactation, hormones stimulate development of milk-secreting glands embedded in the fatty tissue, swelling the breasts. Among the most common breast complaints from thirtysomething women:
Problem: Drooping, sagging breasts after pregnancy
Solution: Breast lift, with or without implants
Problem: Breasts that are too small
Solution: Breast augmentation
Problem: Breasts that are too large
Solution: Breast reduction
Smooth New York, a skin care and laser center, opened this week at the offices of Manhattan plastic surgeon Steven Wallach, at 14 East 90th Street, Suite 1B in New York, NY 10128. Wallach will oversee all procedures, from BOTOX® injections to Broadband Light photo-rejuvenation therapy, in addition to his specialized practice in body contouring and facelifts. With this affiliation with Smooth New York, which will provide staff nurses, Wallach can perform treatments such as microlaser peels in his office.