2021

Skin chafing can be an extremely uncomfortable problem and is typically caused by friction, excess moisture, and/or irritation from clothing. One common area that tends to chafe for many men but mostly women is their inner thighs, due to factors like sweat buildup, tight clothing, and prominent excess fat. While this can be a chronic issue for many people, despite the season, there are a variety of ways you can help prevent or treat inner thigh chafing to improve your day-to-day comfort.

Non-surgical ways to help manage chafing in the thighs include methods like using anti-chafing bands, wearing loose clothing or clothing made of special fabrics that absorb excess moisture in the area. Another option if your chafing is caused by enlarged inner thighs is adopting a healthier lifestyle through diet and exercise to reduce areas of prominent fat. Weight loss may help some individuals, but in other cases, their thighs may have isolated pockets of fat that do not respond well to a diet and exercise regimen.

For men and women who can’t seem to find relief from thigh chafing — due to the skin overlying areas of excess fat rubbing against each other throughout the day — there are several treatment options available that might help. At Saratoga Springs Plastic Surgery, PC, Dr. Dimitri Koumanis offers surgical and non-surgical solutions that can help contour thighs for a more toned appearance. Those who are not good candidates or not interested in surgery may want to consider “warm sculpting” using truSculpt^® iD which can reduce localized areas of fat buildup through non-invasive means.

Patients wanting to significantly reduce excess fat in their thighs may find better relief from chafing and other issues through the “gold standard” for fat reduction — liposuction. Liposuction using Dr. Koumanis’ signature External Ultrasound Assisted Tumescent (EUATL) technique is an incredibly popular and effective treatment for enlarged thighs that works to extract targeted fat cells for a more sculpted thigh shape. The procedure offers long-lasting results and benefits, since the removed fat cannot regenerate.

If you would like more information about how we can help you to contour your thighs or any other part of your body or neckline for improved contour, comfort and confidence, please contact us to schedule your consultation with Dr. Koumanis.

While many people believe tummy tuck surgery is strictly designed to create a smoother, more toned-looking midsection and an “hourglass” figure, the procedure often accomplishes much more than this. In fact, a tummy tuck can reduce chronic lower back pain caused by poor posture due to abdominal muscle weakness. This improvement in function is due to the skin removal and muscle repair typically done in a tummy tuck.

A tummy tuck removes excess or loose abdominal skin while the remaining tissue is tightened for a naturally sculpted appearance. Most tummy tucks also include repairing weak or stretched abdominal muscles which are often seen after pregnancy. The rectus or “sit up muscle” repair helps reset the core muscles’ function while also offering support for the spine and improving posture. In addition, the removal of excess fat and skin can eliminate strain on the back muscles and joints. As a result, certain types of back pain can be reduced in the process. For those with stubborn pockets of fat in their midsection, liposuction can be combined with a tummy tuck to reduce the weight of excess fat that may be contributing to a protruding abdomen and associated back pain.

While it is possible for a tummy tuck to improve some forms of back pain, keep in mind that lower back pain can result from a variety of underlying issues. Therefore, body contouring surgery may not be the most effective treatment for your type of back discomfort. To better understand how tummy tuck surgery can help you achieve your aesthetic goals and whether it has the potential to relieve your lower back pain, you should consult with a board-certified plastic surgeon for a personal evaluation. Get started on your tummy tuck journey by contacting Saratoga Springs Plastic Surgery to schedule an appointment.

Dr. Steven Yarinsky has been named a Top Doctor for 2021 by Castle Connolly and earned the titles of Best in Plastic Surgery and Best Spa by Saratoga TODAY™.

Saratoga Springs, NY—The team at Saratoga Springs Plastic Surgery, PC has announced that Dr. Steven Yarinsky was recognized as a top physician in the region for 2021. The Saratoga Springs and Albany-area plastic surgeon is frequently featured by local publications for demonstrating surgical excellence and a commitment to patient well-being. For this year’s awards, Dr. Yarinsky has been named one of the Castle Connolly Top Doctors^®, and his practice has been voted “Best in Plastic Surgery” and “Best Spa” by local newspaper Saratoga TODAY™.

• Castle Connolly Top Doctors^® – Released annually, the Top Doctors list by Castle Connolly is compiled through peer nominations followed by a detailed evaluation process. Dr. Yarinsky maintains his title as a Top Doctor for the Capital District.
• “Best in Plastic Surgery” – For the ninth consecutive year, Saratoga Springs Plastic Surgery, PC has been named the top plastic surgery practice in its annual “Best Of” issue, which is voted by the local community.
• “Best Spa” by Saratoga TODAY™ – In addition to its status as “Best in Plastic Surgery,” Dr. Yarinsky’s practice was voted “Best Spa” in the Saratoga region. This signifies the team’s medical spa as the fan favorite in the area. Dr. Yarinsky is thrilled to welcome Gretta Taglione as the new Medispa director. Gretta formerly owned and managed Spa Broadway in Troy for 13 years before joining Saratoga Springs Plastic Surgery, PC in 2021.

Through these awards as a top doctor, plastic surgery practice, and medical spa, Dr. Yarinsky says he is proud to be recognized as a highly rated and trusted surgeon in Saratoga and the Capital District. He notes that by receiving these honors through votes from fellow physicians and the local community, he is proud to be accomplishing his mission of providing high standards of care from both the medical and patient perspective.

Dr. Yarinsky is pleased to be included in the list of top services and businesses in the area. Having received these honors for 2021, he says he and his staff will continue their dedication to providing exceptional plastic surgery and medical spa care.

About Steven Yarinsky, MD, FACS

Board-certified plastic surgeon Dr. Steven Yarinsky has been practicing plastic surgery in the Albany and Saratoga Springs area for more than 30 years. He provides a comprehensive variety of cosmetic surgery procedures, from breast augmentation, tummy tuck, liposuction, nose reshaping and facial cosmetic surgery to non-surgical treatments like BOTOX^® Cosmetic. Dr. Yarinsky is the only “Expert Injector” in the Albany/Capital District area certified by New Beauty Magazine, and personally performs all injectable treatments at his practice. Saratoga Springs Medispa provides a variety of non-surgical body contouring and facial rejuvenation services and massage treatments. Before establishing Saratoga Springs Plastic Surgery, PC, Dr. Yarinsky graduated from SUNY Upstate Medical Center in Syracuse. He completed his general surgery residency at Ohio State University Hospital in Columbus and Marshall University Medical School, and finished his cosmetic and plastic surgery residency training at the Medical College of Ohio. Dr. Yarinsky takes over 150 hours of continuing education every three years and maintains active memberships in several medical associations, which includes being a Fellow of the American College of Surgeons. He is available for interview upon request.

To learn more about Saratoga Springs Plastic Surgery, PC, visit www.yarinsky.com or facebook.com/DrYarinsky.

Contact:

Saratoga Springs Plastic Surgery, PC
7 Wells Street, 3rd Floor
Saratoga Springs, NY 12866
(518) 538-4019

Rosemont Media
(800) 491-8623
www.rosemontmedia.com

Our board-certified plastic surgeon, Dr. Dimitri Koumanis, explains that while breast implants last for many years, they should not be considered lifetime medical devices. They can rupture or leak, and saline implants may deflate. Capsular contracture may also occur, which is shrinkage of natural scar tissue that your body produces around any implanted medical device. This may result in firm or hard breasts or a deformity which you can feel or see. Since the implants are not designed to last a lifetime, they may need to be replaced after about 10 to 15 years on average. With that said, if implants are “up and running,” are intact, and not creating any problems, there is no need to replace them. We have many patients who have had their implants for over 20 years without problems.

If hard breasts or capsular contracture develops, treatment options include removal of the thick scar capsule with or without replacement of the implants. If saline implants rupture, the salt water filling in the implants is resorbed, resulting in a “flat tire” appearance. Leaving deflated saline implants in place can result in further capsular or scar tissue contracture and visible deformity of the breasts. So, it is recommended to have saline implants replaced within a month or two of deflation. If silicone gel-filled implants (also known as “gummy bears”) rupture, no change in breast shape or size may be seen, but the affected breast may feel softer. Therefore, after silicone gel implant placement, a breast ultrasound or MRI study should be done every 5 to 7 years to rule out a “silent rupture.” If the shell of a silicone gel implant breaks, loose silicone oil can escape. While there is no scientifically recognized harm to the body from loose silicone gel, the implants are designed and approved by the FDA to be used with an intact shell surrounding the gel fill material. Though there may be no change in the breast appearance, out of an abundance of precaution and with patient safety first in mind, it is recommended that broken gel implants be replaced or, if desired, removed without replacement.

As some patients consider getting their implants removed—whether due to a mechanical complication such as implant shell breakage, capsular contracture or personal choice—the question often arises of whether they should exchange their implants or return to their natural breast size.

Enlarging breasts with implants stretches the overlying breast skin envelope, increasing the amount of breast skin. If implants are removed without replacement, there is often a breast volume and skin mismatch causing breast droopiness or “ptosis.” Due to this fact, for those interested in breast implant removal without replacement, their breasts may not look the same as they did before undergoing breast augmentation. A woman’s age, implant size, and the length of time implants are present can all cause changes that may not be noticeable until the implants have been removed. For instance, the weight of a larger implant and gravity effects over the course of several years can gradually cause the skin and breast ligaments to stretch, leading to sagging tissue.

For those women who choose to remove implants without replacement, to address the loose skin breast ptosis that results, Dr. Koumanis often recommends a breast lift to remove redundant loose skin and tighten the ligaments. This helps to produce a more youthful and shapelier breast appearance, avoiding a “deflated” look. Women who have good breast skin elasticity and smaller implants may find that after implant removal their breasts return to a similar size and shape as they had before breast augmentation.

The best way to know how your breasts will look after breast implant removal without a replacement is to schedule a personalized consultation with a board-certified plastic surgeon. Dr. Koumanis utilizes Crisalix 3D and 4D imaging technology to help patients by simulating and previewing their projected results.

If you would like to learn more about this type of breast revision surgery with or without an implant exchange, please contact Saratoga Springs Plastic Surgery to schedule your personal consultation with Dr. Koumanis. He will help you understand what you can realistically expect after implant replacement or removal, and how to achieve results that help you to feel beautiful and confident.

Anyone can be affected by tired-looking eyes, even well-rested and energized individuals. The natural aging process can often cause the eyelids to stretch and the muscles supporting them to weaken. Eyelid surgery, also known as blepharoplasty, can be a highly effective procedure that helps correct a variety of cosmetic concerns related to the appearance of the eyes.

Common signs of aging in the upper eyelids include puffiness and eyelid hooding. With upper blepharoplasty, our highly-skilled and board-certified plastic surgeon, Dr. Dimitri Koumanis, can remove excess skin or fat around the upper eyelids while tightening the remaining skin. Patients often enjoy how their eyes look more open and rejuvenated after an upper eyelid procedure. In the lower eyelids, common signs of aging include dark circles and under-eye bags. Lower blepharoplasty can be performed to address any protruding fat present under the eyes, and tighten and smooth loose skin. The goal for both upper and lower eyelid surgeries is to sculpt and recontour the eye area to revitalize your appearance. During your consultation with Dr. Koumanis, he will discuss with you your needs and aesthetic desires to determine if treatment is indicated to enhance your upper eyelids, lower eyelids, or both.

Blepharoplasty can also be performed for non-cosmetic reasons. Eyelid ptosis occurs when the muscles responsible for supporting and lifting the upper eyelids are loose or weakened. Oftentimes, this can impair an individual’s vision and make it difficult for them to fully open their eyes. For medical concerns like ptosis, eyelid surgery can be a great treatment option to rejuvenate the eye area and restore vision.

With eyelid surgery, we can help you attain a youthful appearance with natural-looking results. We encourage you to contact our office if you would like to schedule a consultation with Dr. Koumanis or have any additional questions about eyelid rejuvenation.

Interested in Breast Augmentation?! Our preferred breast implant maker, Sientra, is offering an opportunity to win $1000 to be used for breast augmentation surgery.

Sweepstakes end on May 31st, 2021. Best of luck!

Dr. Steven Yarinsky discusses four of the main breast implant characteristics available to patients to help them make an informed decision about their breast augmentation.

Saratoga Springs, NY—Dr. Steven Yarinsky, a board-certified plastic surgeon in the Albany and Saratoga Springs area, emphasizes: “Our #1 priority is maintaining the health and safety of our patients, visitors and staff. For over 25 years we have provided all cosmetic surgery services at our in-house Joint Commission-accredited office-based surgery center. This last year our patients have found our office operating room to be a very attractive option compared with the alternatives.” When it comes to one of his most popular procedures—breast augmentation—patients have a variety of options from which to choose, explains Dr. Yarinsky. While the size of breast implants may seem like the most important decision to make, Dr. Yarinsky says his patients at Saratoga Springs Plastic Surgery, PC have several choices of implant characteristics that will ultimately affect their final breast augmentation results.

Among the different breast implant features a patient will need to choose, Dr. Yarinsky provides an in-depth look at how four can alter the overall breast aesthetic.

• Implant Type – Breast implants can be categorized as saline, silicone, or highly cohesive gel. Saline implants use a salt water solution to fill a silicone shell or envelope. Silicone implants use a solid silicone shell filled with a soft silicone gel. Highly cohesive silicone implants, also known as “gummy bear” implants, are composed of a highly cohesive, form-stable gel placed inside a solid silicone shell. The gummy bear implants tend to have less rippling and result in a more natural breast feel compared with saline or the old type of gel-filled implants. In addition to these, Dr. Yarinsky also offers the IDEAL IMPLANT^®, which uses a saline or salt water solution to fill a structured silicone shell that has two compartments and baffles located within the outer shell to minimize or prevent rippling and maximize softness.
• Implant Size – Choosing the right size of breast implants can feel overwhelming for many individuals, as patients typically want to increase their breast size while maintaining a natural appearance. Dr. Yarinsky says during this step of the planning process, patients should explain their cosmetic goals to their surgeon. The use of 3D, 4D and 5D dynamic imaging technology, such as the Crisalix system utilized at Saratoga Springs Plastic Surgery, PC can be an invaluable tool for selecting the ideal implant size. Patients choose the implant type and volume they desire using prefilled implants placed in a bra. Once the size is chosen, the Crisalix image can show a very realistic simulation and preview of the results using a 3D photo of the patient’s own chest!
• Implant Shape – To accommodate the varying needs and desires of different patients, breast implants may come in either round or teardrop shapes. Round implants can provide more upper pole fullness and have minimal risk of rotation. Teardrop-shaped implants are designed to look like the natural breast, with more projection toward the bottom of the implant. While teardrop implants are used more for breast reconstruction, most women who choose breast augmentation prefer the cleavage and upper breast fullness that is provided with round implants. Plus, a teardrop-shaped implant can potentially rotate after placement, possibly increasing the need for touch-up surgery.
• Implant Placement – Breast implants can be placed over the pectoralis muscle (subglandular), underneath the muscle (submuscular), or partially beneath the muscle. Dr. Yarinsky finds that placing saline or silicone implants partially beneath the chest muscle can better conceal the implant, is less likely to exhibit visible implant rippling showing through the skin, and creates a more natural breast appearance.

When it comes to choosing the right characteristics for each patient’s breast implants, Dr. Yarinsky says he takes a variety of measurements to determine the most appropriate options. These include evaluating skin quality, natural breast tissue thickness, considering pre-operative cup size and firmness, and measuring many chest proportions to properly plan a breast augmentation to achieve the optimum cosmetic result.

He notes that breast augmentation is not a “one-size-fits-all” procedure, and every patient requires a tailored surgical plan that takes their needs and desires into account to ensure they obtain the best possible outcome. To find the most qualified doctor, Dr. Yarinsky encourages women to seek a board-certified plastic surgeon and member of The Aesthetic Society who is experienced in performing breast augmentation.

About Steven Yarinsky, MD, FACS

With over 30 years of experience, Dr. Yarinsky is well-known for his expertise in cosmetic plastic surgery procedures, such as breast augmentation, breast lift surgery, tummy tuck surgery, labiaplasty, and more. In addition to providing surgical procedures, Dr. Yarinsky has a comprehensive medical spa, and is the only Albany/Capital District-area “Expert Injector” certified by New Beauty magazine. Before opening his private practice, Dr. Yarinsky completed his medical degree at SUNY Upstate Medical Center and a five-year general surgery residency at Ohio State University Hospital and Marshall University Medical School. He then completed his specialty residency training in Cosmetic and Reconstructive Surgery at the Medical College of Ohio. Dr. Yarinsky is a Diplomate of the American Board of Plastic Surgery, Fellow of the American College of Surgeons, and member of multiple other medical organizations. He is available for interview upon request.

To learn more about Saratoga Springs Plastic Surgery, PC, visit yarinsky.com or facebook.com/DrYarinsky.

Contact:

Saratoga Springs Plastic Surgery, PC
7 Wells Street, 3rd Floor
Saratoga Springs, NY 12866
(518) 538-4019

Rosemont Media
(858) 200-0044
www.rosemontmedia.com