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2023
How Does a Lip Flip Work?
Many people struggle with the appearance of thin lips and wish they had a fuller pout. Fortunately, a variety of minimally invasive lip enhancement procedures are available to help them improve their lip appearance without having to undergo surgery. While dermal fillers like Restylane® Silk and JUVÉDERM Ultra and VOLBELLA® XC can restore lost volume and smooth out radiating “barcode-type” lip wrinkles, neurotoxins like BOTOX® Cosmetic injected into your upper lip can provide a different type of aesthetic improvement known as a “lip flip.”
A lip flip is a cosmetic treatment that rotates upward or “flips” your upper lip for a fuller appearance, without actually increasing the volume of your lip. This non-surgical procedure utilizes small injections of muscle relaxers like BOTOX® Cosmetic just above the border of your upper lip. The orbicularis oris muscle, which shapes the mouth and lips and allows you to purse your lips, is relaxed and the lip line rolls upward and outward. This creates a subtle enhancement where more of the pink of your upper lip is visible. Lip flip treatment also benefits patients with gummy smiles, as less of the upper teeth and gums are exposed when smiling. You may notice mild weakness when pursing your lips or sucking on a straw lasting a few weeks after treatment.
The lip flip is a quick procedure, usually taking a couple of minutes. Results may be seen as early as two days after injections, but the full effect is seen by two weeks after treatment. Considering your mouth undergoes significant movement throughout the day with talking, eating, and smiling, results from a lip flip have been shown to last two to six months before a touch-up or retreatment is needed.
At Saratoga Springs Plastic Surgery, Dr. Dimitri Koumanis can help patients achieve their desired lip aesthetic through multiple non-surgical procedural options. Dr Koumanis is the only Albany and Capital District region certified “Expert Injector” by NewBeauty magazine and personally does all injectable treatments at Saratoga Springs Plastic Surgery, PC and at our Saratoga MediSpa. Through his highly personalized treatment plans, Dr. Koumanis has helped thousands of patients gain a boost of confidence in their smile and overall appearance. For more information about the lip flip treatment, contact our office to schedule a consultation.
Castle Connolly Top Doctor® Named Best Plastic Surgeon & His Office Voted Best Spa & Massage in Saratoga Region for 2023

In addition to being a Castle Connolly Top Doctor® for 15 years, Dr. Steven Yarinsky and his MediSpa were honored with three “Best of Saratoga Region” awards.
Saratoga Springs, NY — Dr. Steven Yarinsky, an Albany and Upstate New York/Capital District Region board-certified plastic surgeon based in Saratoga Springs for over 30 years, was awarded the title of “Best of Saratoga Region” by Saratoga Today this month in the categories of “Best Plastic Surgery,” “Best Medi Spa,” and “Best Massage.” Dr. Yarinsky was also once again distinguished as a Castle Connolly Top Doctor® for 2023, marking the fifteenth year in a row he has received the honor. According to Dr. Yarinsky, these achievements underscore his team’s commitment to not only helping patients obtain their aesthetic goals, but also to maximizing their confidence and sense of self-worth. “We expect our work to enhance the quality of life of our patients,” Dr. Yarinsky comments. “To that end, we try to discover what procedures and treatments are most effective and are most valued by patients and our MediSpa clients, and focus our resources for the best, most enduring benefit.”
The “Best of Saratoga Region” roster is an annual community member-voted compilation of the top businesses, doctors, and healthcare professionals in Upstate New York’s Saratoga Springs region. Those included in the “Best of Saratoga Region” database are published in Saratoga Today, allowing patients who are considering surgical or non-surgical cosmetic medicine treatments to find reputable, high-quality providers. Dr. Yarinsky has been featured among the “Best of Saratoga Springs” as “Best Plastic Surgeon” every year since 2013. This is the second year in a row that the Saratoga MediSpa has been awarded the titles of “Best Spa” and “Best Massage.”
As a plastic surgeon and Medical Director of Saratoga Springs Plastic Surgery, PC, Dr. Yarinsky and his award-winning MediSpa team have provided the Albany region with top-notch aesthetic enhancement for over 30 years. With the many local, regional, and national recognitions bestowed upon the practice over the years, Dr. Yarinsky is confident in his ability to offer individuals who reside in Upstate New York, Vermont, western Massachusetts and in the Saratoga Springs region the absolute best in patient care.
Whether patients and clients are interested in cosmetic surgery or non-surgical rejuvenation, or cosmetic enhancement for their body, breasts or face, Dr. Yarinsky’s office does it all.
About Steven Yarinky, MD, FACS
Dr. Steven Yarinsky is a board-certified plastic surgeon who has been recognized as a Castle Connolly Top Doctor® for 15 consecutive years — a distinction earned by less than six percent of plastic surgeons in the region. After graduating from Dartmouth College, Dr. Yarinsky received his Doctor of Medicine in Syracuse and went on to complete residencies in General Surgery as well as Plastic and Reconstructive Surgery. Dr. Yarinsky is notably a member of The Aesthetic Society, a Diplomate of the American Society of Plastic Surgeons (ASPS), and a Fellow of the American College of Surgeons (FACS), among his many other specialty society memberships. Throughout his more than 30-year career in practice, Dr. Yarinsky has won numerous awards and honors, including “Top Plastic Surgeon” by the Research Council of America, and is listed among the “Best Plastic and Cosmetic Surgeons” in the U.S. by Plastic Surgery Practice magazine. Dr. Yarinsky is available for interview upon request.
Contact:
Saratoga Springs Plastic Surgery, PC
7 Wells Street
Suite 303
Saratoga Springs, NY 12866
(518) 583-4019
Rosemont Media
(858) 200-0044
www.rosemontmedia.com
Saratoga Springs Plastic Surgeon Shares Six Facts to Know Before Having a Labiaplasty

Steven Yarinsky, MD, FACS, a Saratoga Springs- and Albany-area plastic surgeon with over 30 years of experience in feminine intimate cosmetic surgery and vaginal rejuvenation procedures, shares insight for patients considering labiaplasty.
Saratoga Springs, NY – According to Albany-area plastic surgeon Steven Yarinsky, MD, FACS, vaginal rejuvenation surgery is a major life decision that should be considered with great care. While many women desire to contour, reshape, and tighten their intimate areas due to childbirth, hormonal changes, weight fluctuations, or the natural course of aging, Dr. Yarinsky stresses that it is essential for patients interested in these procedures to understand their options. “This way,” he says, “patients can properly prepare for cosmetic surgery and be able to identify what bothers them about their anatomy that they would like to modify or improve.”
Dr. Yarinsky, who performs the full breadth of cosmetic surgery in addition to female intimate surgery, states that the most popular vaginal rejuvenation surgery offered at his practice is labiaplasty. While this procedure generally targets treating either the labia majora (outer lips) or labia minora (inner lips), Dr. Yarinsky can combine a variety of advanced techniques to address concerns in both areas at once. Labia can stretch, tear, and enlarge over the years, leading to asymmetry and/or excess skin. Many women have congenital or inherited long labia minora. “A woman’s concern with her appearance can be both embarrassing and physically uncomfortable,” Dr. Yarinsky says. He has put together the following list of facts to help patients prepare for labiaplasty:
1. Labiaplasty is not always a cosmetic surgery.
Although some women choose to have a labiaplasty only to improve the appearance of their labia, this is not always the case. Many women who have long labia minora or excess tissue or skin may not be able to wear tighter clothes, exercise, have intercourse, or even sit down without having significant discomfort and embarrassment. Enlarged labial tissue can also cause chafing and irritation. Many patients, says Dr. Yarinsky, choose to have a labiaplasty to treat both functional and aesthetic concerns.
2. Labiaplasty scars, with the proper plastic surgery technique, are usually minimal.
Dr. Yarinsky urges patients not to let the fear of excessive scarring keep them from undergoing labiaplasty. Although some labiaplasty techniques, such as linear edge trimming, often leave more visible and potentially painful scars in their wake, Dr. Yarinsky’s technique of double wedge resection carefully places each incision within the creases and folds of the vagina to hide scars and keep the labia looking as natural as possible. These hidden scars soften and usually fade to a flesh color within approximately a year.
3. There is no specific age requirement for labiaplasty.
While the majority of women who seek labiaplasty want to reduce the effects of age, weight fluctuations, or childbirth, many women are born with disproportionately large or elongated labia minora. Dr. Yarinsky has treated adolescents as young as 15, but he emphasizes the procedure must be their decision (and there is no external motivating force, such as a parent who wants their daughter to have it done). Of course, those under the age of 18 are considered minors and need permission from a parent or guardian.
4. Recovery may take longer than you might expect.
Because labiaplasty is a highly customizable procedure which can include several different methods, the precise timeline for recovery can vary. That said, Dr. Yarinsky advises his patients to refrain from having intercourse, using tampons, performing strenuous exercise, or otherwise placing pressure on the perineum (groin region) for 8 to 10 weeks after surgery. He also encourages patients to strictly adhere to their personalized aftercare instructions for safe recuperation. Complications like wound edge separation or poor healing may result from resuming activities.
5. Touch-ups are sometimes necessary.
The results of labiaplasty when the procedure is correctly performed are usually “one and done.” An intimate area of the body that was bothersome is no longer an issue and women have a lifelong improvement in their self-esteem. Although labia minora will not “regrow” after they are trimmed, vaginal deliveries and aging can cause labial tissue to stretch once more. In such cases, Dr. Yarinsky often recommends ThermiVa®, a non-surgical, minimally invasive treatment designed to tighten vaginal and labial tissue using radiofrequency energy. He is the only plastic surgeon or doctor located within 100 miles of the Albany and Capital District region who offers ThermiVa®.
6. Labiaplasty recovery is not known to be especially painful.
Dr. Yarinsky says women may shy away from labiaplasty because it sounds uncomfortable. In reality, however, most women who have a labiaplasty have found it to be minimally painful. Patients are sedated throughout the procedure or can choose to have their procedure asleep using general anesthesia. While post-surgical discomfort is not typically intense, Dr. Yarinsky prescribes pain medication for those who need it. Most women soon convert to only taking Tylenol® during their recovery.
Dr. Yarinsky encourages all patients who have questions about labiaplasty to bring them up during their consultation. “This type of procedure can be difficult to talk about,” he adds, “but it is important to be informed about the available techniques and the preparation before and recovery after their procedure.”
About Steven Yarinsky, MD, FACS
Board-certified plastic surgeon Dr. Steven Yarinsky is renowned in the Saratoga Springs area and beyond for his outstanding surgical results and ability to connect with patients. A graduate of Dartmouth College, SUNY Upstate Medical Center, Syracuse, and Marshall University Medical School, he completed his Cosmetic and Reconstructive Surgery residency at the Medical College of Ohio before founding Saratoga Springs Plastic Surgery, PC over 30 years ago. He completes over 150 hours of continuing education courses every three years, is a Fellow of the American College of Surgeons, and serves as a member of a number of esteemed plastic surgery organizations. In addition to his numerous other accolades, Dr. Yarinsky has been named a Top Doctor® by Castle Connolly for 18 consecutive years. Dr. Yarinsky is available for interview upon request.
To learn more about Dr. Yarinsky or Saratoga Springs Plastic Surgery, PC, visit yarinsky.com, saratogalabiaplasty.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