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Saratoga Springs Plastic Surgery would like to announce that our very own Dr. Steven Yarinsky has been named a “Regional Top Doctor” by Castle Connolly Medical Ltd. – a highly regarded surveying company that identifies the nation’s most reputable doctors each year. Dr. Yarinsky is honored to be among the other physicians recognized for 2014 – all of whom are in the top 10-15% of physicians in their geographical area.

Castle Connolly selects the year’s “Top Doctors” through peer nominations from other area doctors followed by a review of these physicians’ credentials, including medical background, board certifications, professional achievements, and more. The specialists who are named “Top Doctors” may be included in one of Castle Connolly’s Top Doctor Guides, online, and/or featured in a national or regional magazine that partners with Castle Connolly. They are recognized as leaders within their local community and greater metropolitan area.

Dr. Yarinsky is proud to be considered a “Top Doctor” in the Capital District region and looks forward to continuing his commitment of offering the best plastic and cosmetic surgery care possible.

For more information about Dr. Yarinsky’s past achievements, or to schedule your consultation, please contact our practice today!

Dr. Steven Yarinsky of Saratoga Springs Plastic Surgery offers the advanced pain relief medications OFIRMEV and EXPAREL for long-lasting comfort after surgical procedures.

Saratoga Springs, NY – Dr. Steven Yarinsky, a plastic surgeon in Saratoga Springs, is committed to providing state-of-the-art plastic surgery care to those at Saratoga Springs Plastic Surgery. As part of his mission to help patients have a smooth recovery, he offers OFIRMEV™ and EXPAREL^® pain medication to promote a more comfortable healing process. Dr. Yarinsky says these have been proven to significantly reduce postoperative discomfort, which can reduce the need for narcotics, and provide better overall pain management, making patient recovery a more pleasant experience.

OFIRMEV™ is an intravenous form of acetaminophen which is given to patients during cosmetic surgery, such as a breast or body contouring procedure. EXPAREL^® is a single dose local analgesic that is administered directly to the target area for localized numbing and pain relief. Dr. Yarinsky explains that he injects the medication after surgery into the area that was operated on to provide long-lasting pain control. He says that while most other analgesics only last for eight hours or fewer, EXPAREL^® can minimize discomfort for up to three days, which can be the most difficult time during recovery. The combination of using OFIRMEV™ and EXPAREL^® helps speed patient discharge from his Joint Commission accredited surgical center and also hastens overall recovery from cosmetic surgery.

Dr. Yarinsky says that he utilizes OFIRMEV™ and EXPAREL^® for a wide variety of plastic surgery procedures, including breast augmentation, breast lift, facelift, and tummy tuck surgery. He is pleased to be able to improve surgical recovery with OFIRMEV™ and EXPAREL^® by reducing pain for such a long period of time. This helps patients avoid the need for much other supplemental pain medication. He emphasizes the innovative nature of the product, stating that it is one of the most revolutionary methods of postoperative pain relief in recent years. “Our patients tell me that they feel better than ever before and they have a more rapid recovery,” says Dr. Yarinsky.

Dr. Yarinsky encourages anyone considering plastic surgery to consult with a board-certified plastic surgeon to learn about their options. By doing so, he says patients can expect an enhanced level of care, with advanced pain relief options like OFIRMEV™ and EXPAREL^®.

About Steven Yarinsky, MD, FACS

After earning his medical degree from SUNY Upstate Medical University in Syracuse, Dr. Yarinsky completed an internship at Ohio State University College of Medicine followed by a total of five years of general surgery residency training at Ohio State University Hospital, Columbus and Marshall University Medical School. Dr. Yarinsky then completed two years in Cosmetic and Plastic Surgery fellowship training at the Medical College of Ohio at Toledo. He is affiliated with numerous professional organizations, including being a member of the American Society for Aesthetic Plastic Surgery and the American Society of Plastic Surgeons, a Diplomat of the American Board of Plastic Surgery, and a Fellow of the American College of Surgeons. He is recognized by Castle Connolly as a “Top Doctor” in his field of plastic surgery. Dr. Yarinsky is available for interview upon request.

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

Contact:

Saratoga Springs Plastic Surgery, PC
7 Wells Street
3rd Floor
Saratoga Springs, NY 12866
(518) 583-4019

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

Part of our mission as a Joint Commission accredited center for cosmetic surgery excellence is to provide patients with exceptional care before, during, and after treatment. One of the things patients fear the most is pain after surgery. Saratoga Springs Plastic Surgery, PC offers Ofirmev™ and Exparel^® to promote postoperative comfort. Exparel^® is a long acting local anesthetic that provides up to three days of pain relief, while most local anesthetics last eight hours or less. Exparel^® can be used after any treatment that Dr. Dimitri Koumanis would normally use an analgesic or numbing agent to help minimize pain. Ofirmev™ is an intravenous form of Tylenol^® (acetaminophen) is given to patients during their cosmetic surgery to significant reduce postoperative pain without the complications of narcotics. Cosmetic procedures that lend themselves to these new pain-relief medications include breast augmentation, breast lift, facelift, and tummy tuck.

Dr. Koumanis administers a localized dose of Exparel^® into the target surgical area which numbs the area for a prolonged time providing continuous pain relief for up to 72 hours. The injection can control pain or discomfort that is experienced within the first few days after surgery without the need for much supplemental pain medication. Following this time period discomfort is typically very subtle and easier to tolerate. Ofirmev™ is given through the IV during a breast or body contouring procedure. It significantly reduces postoperative pain and decreases the need for narcotics. Patients have less narcotic-induced nausea and feel better. Therefore their discharge home and overall recovery are speeded after having their office procedure. No pain, big patient gain!

If you are considering plastic surgery and are curious if EXPAREL^® and Ofirmev™ can be utilized for pain relief to help keep you as comfortable as possible, feel free to schedule a consultation with Dr. Koumanis where he can discuss your options in more detail.

Dr. Steven Yarinsky details how he helps breast augmentation patients of Saratoga Springs Plastic Surgery find the best size of implants for their needs.

Saratoga Springs, NY – According to the American Society of Plastic Surgeons, breast augmentation has been the most popular cosmetic surgery in the U.S. since 2006. With so many women undergoing the procedure each year, Dr. Steven Yarinsky, a plastic surgeon in Saratoga Springs, is committed to helping them find the perfect breast implant size and a qualified plastic surgeon to help reach their ideal outcome. His goal is to address any concerns they have and make sure they have realistic expectations with their breast enhancement.

One of the most popular concerns among breast augmentation patients at Saratoga Springs Plastic Surgery is selecting a size that is too large or too small. Some offices use computer imaging to try to determine a breast size. Dr. Yarinsky has found that the computer has limited use. Since the computer simulation may not accurately predict the needed implant size or shape, it may promise a result that is not possible. Dr. Yarinsky helps women choose the best implant size for their needs by having them try on prefilled gel implants in a bra provided by his office. He believes this is the best method for patients to see how a specific size will look on their frame. After selecting the volume, Dr. Yarinsky will offer his professional recommendation for such details as the implant projection and profile based on the patient’s specific goals and their anatomy. Since bra manufacturers have not standardized bra cup sizes, it is impossible to guarantee a resulting cup size after breast augmentation. But Dr. Yarinsky guarantees that whatever volume implants you choose he will use.

To provide the best possible augmentation results, Dr. Yarinsky will take different measurements throughout the patient’s consultation to determine such details as the appropriate implant type, style, fill volume, overall implant width, height, projection and shape. Those women who desire more cleavage or upper breast fullness should choose a round rather than tear-drop shaped implant. He notes that their own breast skin and tissue thickness, for example, should be considered because a patient with thin breast and muscle tissue can benefit most from the “gummy bear” cohesive gel option of Sientra^® or Allergan Natrelle^® implants placing these beneath the muscle to avoid rippling and achieve the most natural looking and feeling results possible.

With the consistent popularity of breast augmentation, Dr. Yarinsky encourages those interested to do their research and seek a board-certified plastic surgeon who is a member of the American Society for Aesthetic Plastic Surgery. Be sure that whoever you choose specializes in breast enhancement and can provide you with before and after photos of their own patients who might match your anatomy and your desired result at your consultation so you can preview the results you might expect. By consulting with such a qualified professional, he says women can be confident they are receiving safe, high quality care and the best possible result.

About Steven Yarinsky, MD, FACS

After completing medical school at SUNY Upstate Medical Center, Syracuse, Dr. Steven Yarinsky studied in a five-year general surgery residency at Ohio State University Hospital, Columbus and Marshall University Medical School. He then trained for two years at the Medical School of Ohio, Toledo in Cosmetic and Reconstructive Surgery. Dr. Yarinsky is a member of numerous professional organizations, including the American Society of Plastic Surgeons, the American Society for Aesthetic Plastic Surgery, and the Northeastern Society of Plastic Surgeons. He is also a Fellow of the American College of Surgeons and a Diplomate of the American Board of Plastic Surgery. Dr. Yarinsky is available for interview upon request.

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

Contact:

Saratoga Springs Plastic Surgery, PC
7 Wells Street
3rd Floor
Saratoga Springs, NY 12866
(518) 583-4019

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

Our plastic surgeon, Dr. Dimitri Koumanis, is highly experienced in helping women achieve their ideal shape through breast enlargement surgery. A factor that often concerns women, however, is selecting the right implant size to help them reach their ideal outcome. To address some popular questions regarding selecting the right size, shape, and type of implant, Dr. Koumanis recently sat down in a Q&A interview. See below for his answers.

Q: What are the most common concerns expressed to you regarding choosing the right implant size?

Women are concerned they will be too large or too small. They also have concerns of how much cleavage they will have with and without wearing a bra or bathing suit top.

Q: What factors are necessary for a patient to consider when selecting implant size?

The most important factors to consider in choosing implant size is a woman’s own anatomy and if she desires more upper breast fullness. The woman’s natural breast width helps dictate to some degree the largest size implant her body can accommodate. If she chooses to have more fullness on the top half of the breasts, a round rather than shaped implant offers the best option. A round implant fills more of the upper hemisphere of the breast compared with a teardrop-shaped implant.

Q: How do you help patients select the appropriate implant size?

Our patients choose what volume they want and place prefilled gel implant sizers inside a bra that we provide. They can also mimic this sizing technique at home by filling a zip-lock plastic bag with the desired volume using water or rice and placing it inside their own bra. I let women know if they choose such a small size to the point of it not making a difference. I also let them know if they choose such a large implant that they will have to change their first name to “Pamela” or “Dolly” as that is the aesthetic appearance that they will most likely achieve. It is amazing to me that most women choose a size that fits quite nicely with their own body proportions to give them an aesthetically pleasing breast size.

I have found that, while helpful, computer imaging and morphing as well as modifying breast size and shape on the digital photograph of a patient often leads to unreasonable expectations about what result can be obtained. So I have found that computer-altered images are not the most effective way to guide choice of implant size or shape. In the end I strive to over-exceed our patients’ expectations, not trick them using computer graphics into choosing a size or shape that will not provide them with the result they desire.

After choosing a volume for the implants, we will recommend using flatter low-profile, moderate profile, or pointier high-profile or more projecting implants depending on a woman’s natural (preoperative) breast width. The implant needs to fit a woman’s existing breast base width for the natural result.

Q: What measurements are taken from a patient during their consultation and how can these help determine the appropriate implant size?

I carefully measure a patient’s chest wall size, the distance between her collarbone to her nipples, the distance between her nipples, the distance between her nipples to the fold beneath the breast and also the width of her breasts. In addition we note whether she has asymmetry in nipple position – i.e. one higher or more laterally positioned than the other side – and whether there is significant droopiness which would indicate the need for nipple and areola repositioning or perhaps a breast lift.

I also check to see how much skin and muscle thickness is present above the nipple and areola to be sure there is adequate “soft tissue coverage” over the surface of the breast implant. All these measurements are critical to help choose what implant type, style, fill volume, size and shape will be needed to best satisfy a woman’s expectations and to provide her with the optimum result.

Q: Is there anything else you’d like to share with patients about choosing implants for a breast enhancement?

At 6 weeks after breast augmentation – which is the time you can see the “90% result” when I poll my patients – half are happy with the size implant they chose and the other 50% wish they had gone a bit larger. So I recommend that if a woman is debating between two close implant volumes or sizes, she should choose the larger of the two volumes if all else is equal! That way at 6 weeks out, she is more likely to be pleased with her choice and the results.

Schedule a Consultation
If you would like more information about breast implant sizing, or are ready to schedule your consultation, please contact us today!

The ideal candidate for Sientra^® breast implants is a woman who wants larger breasts, has poor soft tissue coverage (has thin skin and a thin layer of her own breast tissue and chest wall muscle), and does not object to the slightly longer incision required and associated scar that results. Additionally, she must accept the higher cost of Sientra^® implants versus the saline-filled.

If saline or older style, gel-filled breast implants are used by a woman with thin, natural breast tissue and thin muscle coverage, rippling is often palpable and/or visible. The thicker, firmer gel stabilizes the shape of the Sientra^® implant so the augmented breast has a smoother shape with less visible or palpable rippling compared with saline or older style gel implants. When it comes to the shape of the implants, use of round versus teardrop-shaped Sientra^® implants is the patient’s choice. This choice will depend on whether she wants more or less upper breast fullness (cleavage). Women who desire more upper breast fullness, without wearing a push-up bra, benefit from round Sientra^® implants. The teardrop-shaped Sientra^® implant is filled with an even firmer silicone gel, and this is designed for women who want a more contoured, natural breast silhouette with less upper breast fullness.

We also have women choose their breast implant volume – within reason and within the limits of what their natural breast shape and chest wall can accommodate. Once volume is chosen, the choice of a low, moderate, or high profile (more forward projecting) implant is based on a woman’s natural breast width. While we can’t guarantee a bra cup size after their breast augmentation (since even the bra companies have not standardized cup sizes), we do guarantee that we will use the implant shape and size a woman chooses to achieve the result that she desires.

Schedule a Consultation
To learn how Sientra^® implants can help you achieve the look you have always desired, please contact us to schedule your consultation.

Sientra^® offers a new version of the form-stable or “gummy bear” gel-filled breast implant that may provide more naturally appearing and longer lasting breast augmentation results. All Sientra^® implants are filled with a High-Strength Cohesive Silicone (HSC) Gel, which is not available from other implant manufacturers. Compared with the other brands, Sientra^® implants have perhaps the lowest rate of implant breakage or rupture in the business (less than 2% in five years after augmentation, the seven year numbers are pending release). The implants come in teardrop shaped and round versions in several different widths and projections to provide a customized solution for each woman who desires larger breasts.

Not only have our patients been happy with the naturally appearing and feeling breast augmentation results, but we have seen some of the best results with the use of Sientra^® gel-filled implants. Our patients come back describing their Sientra^® breast augmentation as making them feel “sexy and more confident”, and they often recommend the procedure to their friends.

Schedule a Consultation
For more information about how Sientra^® implants can help you achieve your ideal shape, please contact our practice to schedule your consultation.