Ronald H. Schuster, MD

Products And Services

• Eyelid Surgery

  There are many factors that affect the appearance of our eyes. Familial or ethnic traits and tendencies account for how our eyes look as a child. As we grow older, the aging process, exposure to sun, gravity, and our own personal expressiveness play a part in how our eyes appear to others. Often patients complain that they look tired, angry, or sad, even when they feel perfectly fine! At his plastic surgery office, Dr. Ronald Schuster performs eyelid surgery to help reduce the look of wrinkles and excess sagging skin and help his patients enjoy a more youthful and refreshed appearance.* Purpose Of Eyelid Surgery: To remove excess skin and wrinkles from upper eyelids To remove fatty “bags” from lower eyelids To improve the appearance of wrinkles or lines in and around the eyelids To improve an excessively deep or hollow appearance of the eyes To improve appearance and help patients look younger, rested, and more awake Eyelid Surgery Techniques: The transconjunctival approach removes lower eyelid bulges without any external scars. This technique is performed from within the inside of the eyelid, but is not appropriate when excessive skin needs to be removed. The transcutaneous approach may be necessary to remove excess skin of upper or lower eyelids. Lower eyelids – Transcutaneous eyelid surgery can be used to correct “grooves” and “bags” of the lower eyelids. Dr. Schuster is careful to avoid or correct “over resection” of fat, which creates a hollow, older appearance. Incisions are made below lower eyelashes and heal exceptionally well. Upper eyelids – Excess skin and puffy fat are removed with the transcutaneous eyelid surgery technique. An incision is made in the natural crease, so scarring is extremely discreet. Sometimes a condition called ptosis is also corrected. This condition causes the eyelid to look sleepy or droopy, and is the result of a weakening of the upper eyelid muscles These eyelid surgery techniques may be combined with face lift or brow lift depending on each person’s needs. Recuperation After Eyelid Surgery: At our plastic surgery center in Baltimore, eyelid surgery is typically performed as an outpatient procedure Fast recovery with minimal discomfort Recommend four to seven days off school/work Bruising may last one to two weeks but can be covered by makeup after just a few days * Eyelid Surgery Alternatives: BOTOX® Cosmetic – Excellent for treating the wrinkles and lines in the frown, forehead and crow’s feet areas. Can produce a “non-surgical” brow lift, which helps to make your eyes more open and vibrant.* Chemical Peels – Can improve skin texture and reduce the look of fine lines, especially on the lower eyelids. Restylane® and other Fillers – Used for filling in fine lines and reducing the hollow look in the lower eyelid area. Laser Resurfacing – Excellent for smoothing the skin, tightening the skin and reducing lines and wrinkles. Learn more about Blepharoplasty care Contact plastic surgeon Ronald Schuster, MD, serving patients in Baltimore and surrounding areas, to learn more about eyelid surgery or non-surgical alternatives for treating lines, wrinkles, puffiness, and other concerns.

  Link: Eyelid Surgery

• Otoplasty

  Otoplasty is also called ear surgery or ear pinning, because the ears are repositioned to lay flatter against the head. This facial cosmetic surgery is popular among children, teenagers and adults, who may feel especially self-conscious or vulnerable to teasing about “Dumbo ears” or other hurtful names. According to the American Society of Plastic Surgeons, the two leading age groups for this procedure were patients aged 13-19 (who made up 28 percent of total procedures) and patients age 20-29 (who made up 30 percent). If you live in Towson, Owings Mills, Baltimore or the surrounding areas and are interested in otoplasty for you or your child, please call the practice of board-certified plastic surgeon Dr. Ronald Schuster at 410-902-9800. Dr. Schuster listens to your concerns and finds the right procedure for your goals. What Is Otoplasty? Ear surgery balances the features of the face and creates a naturally proportional appearance, which you can see in the before-and-after gallery. It modifies ear shape, position and size, and may be right for you if you are unhappy with: Large ears Protruding ears that stick out from your head Am I A Candidate? About 22,900 people underwent otoplasty in the U.S. last year. It’s not an uncommon procedure for young children, who can be candidates as early as age 6 or 7. Large, protruding ears can be significant fodder for school bullies. Ear surgery may be the right way to spare your child the feelings of low self-esteem associated with this facial characteristic. Talk to Dr. Schuster about whether it’s right for your child. Many of his ear surgery patients are elementary or high school students, and he understands these situations are delicate. He tailors his recommendations to each individual he meets. The Ear Pinning Procedure Incisions are made at the back of the ear to complete this procedure. The great thing is that no one will be able to see the resulting scars, because they are hidden behind your ears. The procedure may also include adding natural folds and contours to the ear. During your consultation, we’ll discuss your anesthesia options and make sure you are prepared for the weeks and days leading up to surgery. You’ll need to specify a person to drive you home from surgery and stay with you for at least 24 hours. This is an outpatient procedure, so the patient is able to return home shortly after the surgery is completed. Recovery From Otoplasty The recovery from ear surgery is relatively fast and causes minimal discomfort. It’s recommended you take one week off of work – or your child takes one week off from school – because the head will be wrapped in visible bandaging. When Can I Return To Normal Activity You’ll be able to return to full activities in two weeks, but you must avoid any physical contact or touching of the treatment area for six weeks. Schedule Your Consultation If you are interested in ear surgery for yourself or your child and live in Baltimore, Owings Mills, Towson or the surrounding areas of Maryland, please arrange a consultation with experienced, board-certified plastic surgeon Dr. Ronald Schuster by calling 410-902-9800.

  Link: Otoplasty

• Chin Surgery

  Chin surgery is a facial cosmetic procedure that achieves several outcomes: Chin reduction Chin re-shaping Chin augmentation Reduction of chin fat (i.e. a double chin) Although the chin is sometimes overlooked, it has a significant influence on the overall appearance of your face. Woman with glamorous style holding her hand to her defined chin If you feel like it’s too big, too small, has too much extra fat or looks out-of-sync with your other features, then this procedure may be right for you. To learn more about it, please call the practice of experienced Baltimore plastic surgeon Dr. Ronald Schuster at 410-902-9800. WHY SOME PEOPLE GET CHIN SURGERY Here are some of the most common reasons people undergo this procedure: Weak or recessed chin Asymmetrical chin area Excess fat deposits beneath the chin A chin that is too large or wide Facial profile that looks unbalanced or ill-proportioned Facial asymmetry or facial features that don’t seem to go together See the before-and-after gallery of Dr. Schuster’s patients to get an idea of the results. It may make sense to combine chin surgery with another procedure like rhinoplasty, eyelid surgery or a neck lift. Sometimes, a combined approach is the best way to achieve a consistent, natural result. Dr. Schuster will meet with you so he can listen to your concerns and goals. He’ll examine your facial anatomy and chin characteristics so that he can make tailored recommendations specific to you. CHIN SURGERY TECHNIQUES Below are some of the ways this procedure is completed. Augmentation: Dr. Schuster will choose from a variety of implant sizes and shapes to create the prominent, strong chin you are envisioning. He has the experience to tailor the implant to your facial features, so that the final result is natural and flattering. Man holding his hand to his chin Small incisions inside the mouth or under the chin are used to insert implants. Sometimes implants are not the best solution, and instead the chin bone needs to be cut and moved. Dr. Schuster will be able to advise you honestly about which is the best procedure for your chin. Reduction and/or re-shaping: Using a small incision inside the mouth or under the chin, Dr. Schuster can re-shape the bone to alter and improve the appearance of the chin. Non-surgical changes: It is very popular and easy to create big changes in the chin with non-surgical fillers and BOTOX Cosmetic. Chin surgery is most often outpatient, so you will return home after surgery, once Dr. Schuster has made sure your recovery is on track. You’ll need to take about a week off from work, but the recovery generally has minimal discomfort. You should be able to get back to your full range of activities after two weeks. Chin implants provide lasting results. In many cases, results are permanent. Aging will change your face, but you should continue to enjoy your new chin shape and size throughout the years. ARRANGE A CHIN SURGERY CONSULTATION IN BALTIMORE Ready to find out if chin surgery is a good match for your goals? To arrange a consultation at the cosmetic surgery practice of Dr. Ronald Schuster, please call our staff at 410-902-9800. We are proud to provide quality care and results for people from our area, including Towson and Owings Mills.

  Link: Chin Surgery

• Brow Lift

  No one wants to look tired, angry or unapproachable. The areas above your eyes can create a frustrated or aged appearance as the tissue becomes heavy, saggy and wrinkled. You will look naturally rejuvenated with a procedure that lifts the brow. Lifting the brow helps to “open up” the whole eye area and works well with upper eyelid surgery which removes the excess cluttered skin. To learn more, please call the Baltimore practice of board-certified plastic surgeon Dr. Ronald Schuster at 410-902-9800. In the meantime, check out our before-and-after brow lift gallery. BROW LIFT CANDIDATES You’ll enjoy a rejuvenated appearance after this facial procedure. Some of the signs that you are a good candidate for a brow lift are: Heavy, hooded eyelids Low, sagging brow Frown lines (which are vertical folds between your eyebrows also referred to as the “11s”) Horizontal forehead wrinkles Afterward, furrows and lines are smoother. The sagging brow is repositioned. Muscles contributing to frown lines and sagging may be removed. The eyebrows are raised to a naturally higher position. The result is that you will look friendlier, relaxed and more youthful. For women experiencing hooded eyelids, this procedure can be especially beneficial because you’ll be able to apply eye shadow again. Many times patients think that they need upper eyelid skin removed when really lifting their brows gives a much more rejuvenated natural appearance. Puffy eyelids make it difficult to apply shadow to the surface area of the lid. Many women like the way their eye cosmetics look once they’ve had a brow lift. BROW LIFT TECHNIQUES PERFORMED BY DR. SCHUSTER Dr. Schuster listens to your concerns first, then examines your facial anatomy and determines the brow lift technique that works for you. Everything is customized to you. There are two basic brow lift techniques, however there are also many variations or combinations. Brow lifts include – Endoscopic: An endoscope is a viewing instrument. It is a thin telescopeand camera with a light at its tip. Inserted through tiny incisions, the endoscope allows Dr. Schuster to see the surgical field up close on a monitor. Endoscopic brow lifts are minimally invasive and require a series of small slit incisions. The incisions are made within the hair behind the hairline. No hair is shaved. Endoscopic brow lifts typically carry the benefits of a faster recovery, lowered risk of numbness, hair loss and scar formation.. Open technique: This is the technique that was developed many years ago. It uses longer incisions. The incisions originally placed within the hair have been for the most part abandoned for the endoscopic technique because of issues with hair loss and prolonged numbness. Dr. Schuster reserves and recommends the open technique for those patients who need their brow lifted and have a high forehead and hairline. In these patients the hairline can actually be lowered, which together with the brow lift gives a tremendously powerful way to rejuvenate the face. The incision in this technique is placed carefully along the anterior hairline and then extends into the hair in the temple areas. Combined: This technique utilizes a limited incision method and combines aspects of both procedures. The right technique for you depends on several factors, including: The height of your forehead The location of the hairline The quality of the skin The degree of wrinkling across the forehead Whether any other procedures are being performed in conjunction For the smoothest, most consistent result, many patients combine brow lifts with face lifts, eyelid surgery or other types of facial rejuvenation. That way, it’s not just the skin of the forehead that looks better, but also in better balance with the rest of your face. PREPARING FOR BROW LIFT SURGERY In the two weeks prior to your surgical appointment, we will ask you to: Schedule your post-operative appointment Schedule your pre-op exam, including blood work and a test with your family doctor one week prior to surgery Arrange for a specific individual – spouse, friend, family member – to pick you up and stay with you for the first 24 hours Cease taking aspirin and any medications containing aspirin Take a multi-vitamin containing vitamins C and E, and iron (a multivitamin will support recovery) Notify us if you become ill or get sick with a cold In the two days prior to surgery, we will ask you to: Complete any salon services you want, such as a perm or color, because you will have to wait a while after surgery to do your hair Set aside a scarf and sunglasses to cover up after surgery Prepare entertainment to enjoy during recovery, such as audio books, movie downloads, playlists, streaming subscriptions, etc. Shop for post-op friendly groceries like soup, juice, tea, applesauce, crackers, bagels and other light, bland foods

  Link: Brow Lift

• Facelift

  As the years pass, we become vulnerable to the visible effects of aging. These effects are most apparent around the face, in the form of wrinkles, fine lines, saggy and loose skin, and displaced fat. If you yearn for the youthful facial appearance you enjoyed 10 or 15 years ago, discover the fountain of youth with a facelift. To learn more about facelifts, contact our office today online or at 410-902-9800 to schedule a personal consultation with board-certified plastic surgeon Dr. Ronald Schuster. We proudly serve Baltimore, Owings Mills and Towson, Maryland and welcome patients from across the United States who visit us specifically for facelift surgery. Virtual consultations are available for out-of-town patients. WHAT IS A FACELIFT? A facelift, formally known as rhytidectomy, is a facial plastic surgery procedure that is designed to improve the visible signs of aging in the face and neck, such as: Sagging facial skin and fat Deep facial folds around the mouth Jowls Banding in the neck Double chin or “turkey neck” Facelifts are the most comprehensive anti-aging solutions that Dr. Ronald Schuster offers. The procedure will tighten loose skin, “lift” the underlying tissue, smooth wrinkles and lines and restore volume to areas of the face that need it. After your facelift, you will look like a more rested, youthful and pleasant version of yourself. AM I A GOOD CANDIDATE FOR FACELIFT SURGERY? You may be a suitable candidate for facelift if you: Have visible signs of aging (e.g., jowls; deep creases or folds around your nose or mouth; or sagging skin on the face and upper neck) Are in good health and do not have any serious medical conditions Do not smoke Have reasonable expectations of surgery The best way to know if a facelift is right for you is to meet personally with Dr. Schuster in a private consultation. During your initial consult, Dr. Schuster will listen to your goals and assess your facial structure. He will determine if you are a good candidate for a facelift and explain all of your treatment options, including our non-surgical procedures. TYPES OF FACELIFTS There are many different types of facelift procedures. They go by many different names including: “Skin Only” Facelift: A “skin only” facelift tightens loose skin and removes excess skin without altering the deep tissues including muscle, fat and fascia. Unfortunately, without modifying the underlying deep tissues, the skin is likely to stretch out again relatively quickly after surgery. Younger individuals with a limited amount of loose skin may see temporary results, but performing a skin-only facelift on an individual with moderate to advanced signs of aging can produce a “surprised” or “windswept” expression. “Traditional” Facelift: A traditional facelift is designed to comprehensively correct moderate to advanced signs of aging by altering the skin and the deeper tissues of the face. Through incisions created at the hairline and extending from the temples to the ears, the deep tissues of the face are lifted and fat is repositioned as needed to restore more youthful facial contours. The skin is re-draped over the face and excess skin is removed. SMAS Facelift: SMAS is short for superficial musculoaponeurotic system, which is the sturdy layer of tissue between the skin and the facial muscles and nerves. Modifying the SMAS is crucial to lifting the midface, softening deep nasolabial folds, lifting the corners of the mouth and improving the definition of the neck. Endoscopic Facelift: Endoscopic facelift involves the use of an endoscope, or an illuminated camera that is inserted under the skin to provide a look at the facial structures that the surgeon cannot directly see. Using an endoscope eliminates the need for long incisions and may shorten the overall length of the surgery. Composite Facelift: Dr. Schuster performs a special facelift method called a “Composite Facelift.” Trained in this technique many years ago directly under the tutelage of its inventor, Dr. Sam Hamra, Dr. Schuster has since gone on to expand and refine the technique, and now includes a mid-facelift together with the Composite Facelift. The addition of a direct mid-face plication helps restore the upper cheek fullness and restores the youthful cheek contour. WHAT MAKES THE COMPOSITE FACELIFT A BETTER OPTION? Dr. Schuster believes Composite Facelift is the best method, and more complete than traditional facelift procedures, to restore sagging cheeks and cheek folds to a natural, more youthful appearance. Most importantly, the Composite Facelift avoids the “over pulled,” or “wind tunnel” appearance. It maintains the most balanced improvement, which includes the correction of “midface” sagging cheeks, leaving you looking the most natural. IS A COMPOSITE FACELIFT RIGHT FOR ME? While Dr. Schuster specializes in using the Composite Facelift technique, not everyone needs it.

  Link: Facelift

• Neck Lift

  Patients interested in facial plastic surgery at our Baltimore, Maryland area center may be candidates for the neck lift procedure. Like other facial rejuvenation techniques, neck lift surgery targets specific problem areas to help patients achieve a more youthful and attractive overall appearance. Purpose Of Neck Lift Procedure: To improve the fullness of the neck area beneath the chin To improve the “bands” or “cords” running up the neck To provide for a better profile How Much Does A Neck Lift Cost? The cost of a neck lift ranges anywhere from $3,500 to $8,500 depending on the surgeon performing the surgery, anesthesia costs, and facility fees. However, Dr. Schuster doesn’t want cost to be a barrier between patients and their aesthetic desires. Please take a look at our zero and low-interest rate financing options for your neck lift procedure. Neck Lift Surgery Techniques: It is possible to improve only the neck area without having to perform other facial plastic surgery procedures. For patients at his Baltimore, Maryland area center, Dr. Schuster can develop a treatment plan to meet individual needs. In particular, younger patients who, for genetic reasons, tend to have a rather “fatty” neck may be good candidates for neck lift surgery. Also, other patients simply age prematurely in their neck while the other areas of the face do not show the signs of aging as quickly. For these types of problems, there are a range of options available. Based on your specific concerns, liposuction alone, cervicoplasty, or neck lift surgery may be recommended. Liposuction alone requires the neck skin to shrink down after the fat is removed. The better the condition of the skin, the better the results of this technique. Cervicoplasty includes removal of fat as well as tightening the sheet of muscle beneath the neck. Cervicoplasty is an excellent facial plastic surgery option for helping to improve the angle of the neck. It is performed with just a small incision beneath the chin, but still requires that the neck skin be able to shrink down on the new shape of the neck. Neck lift is the next step for correction of problem areas of the neck. It includes all of the things listed above and in addition lifts the neck skin by removing extra skin from behind the ears. This becomes necessary when the neck skin is not elastic enough to shrink, or if there is simply too much extra skin. Can A Neck Lift Be Combined With Other Procedures? Yes. For those who have more severe sagging around the face, a neck lift can be combined with a facelift to accentuate your results. There are several techniques that Dr. Schuster can use to achieve the results you desire. If you want an incredibly youthful appearance, Dr. Schuster can perform a Composite Facelift, a special technique that includes a mid-face plication. This helps restore the fullness and contour of the cheeks while also removing excess skin. Whatever your goals may be, Dr. Schuster can create a customized treatment that satisfies your individual needs. Are Neck Lift Results Permanent? When performed by an experienced plastic surgeon like Dr. Schuster, the results of your neck lift can last anywhere from 10 to 15 years. However, this also depends on other factors such as health and weight fluctuations. To make sure your results last as long as possible, try to maintain your current weight, avoid excessive sun exposure, and don’t smoke. By following these steps, you will be able to enjoy your results for years to come. What Are The Risks Of Neck Lift Surgery? There are a few potential risks and complications associated with neck lift surgery. This includes: Bleeding Swelling Numbness Changes in Skin Sensation Skin Discoloration Persistent Pain Infection This is why it’s important to find a skilled board-certified plastic surgeon like Dr. Schuster to perform your neck lift. Dr. Schuster not only has decades of experience providing exceptional results to his patients, but is also certified by the American Board of Plastic Surgery. He will take all of the steps necessary to minimize the risks of your procedure and provide a safe, comfortable experience. What Is Recovery Like? The first few days after your procedure, you will likely still be groggy from the anesthesia. You may also feel some soreness around your neck. To help with blood flow, try sleeping on your back with your head elevated above your heart. For the first week, make sure to rest as much as you can, making sure to follow Dr. Schuster’s post-operative instructions. Staying hydrated and eating nutritious meals will also help promote healing. After one week, most patients can return to work depending on the physical nature of their job. Two weeks into recovery, you should be able to incorporate light physical activity into your routine. After three weeks, many patients can return to full activity.

  Link: Neck Lift

• Rhinoplasty

  As the most prominent feature of your face, your nose plays a crucial role in your overall appearance. If you are unhappy with the size or shape of your nose, you may feel self-conscious or embarrassed. Fortunately, rhinoplasty surgery can safely and effectively give you the beautiful, proportionate nose you desire and boost your confidence. Board-certified plastic surgeon Dr. Ronald Schuster has helped patients from across Maryland and the United States achieve a more balanced and attractive look with the most advanced techniques available. If you are considering rhinoplasty surgery, please contact our office today online or at 410-902-9800 to schedule a personal consultation with Dr. Schuster. We welcome patients from Baltimore, Owings Mills and Towson, Maryland. Dr. Schuster’s reputation for delivering exquisite rhinoplasty results brings women and men from across the country to his practice. Virtual consultations are available for out-of-town patients. WHAT IS RHINOPLASTY? Commonly referred to as a “nose job,” rhinoplasty is a facial plastic surgery procedure performed to reshape the nose for either cosmetic or reconstructive reasons. Rhinoplasty procedures vary significantly from patient to patient. Depending on your unique anatomy and goals, Rhinoplasty can: Improve the outside appearance of the nose Straighten and correct a crooked or broken nose Improve breathing through the nose Improve facial balance and symmetry Your nose strongly affects the overall appearance of your face. If your nose is not shaped or sized in a way that is harmonious with the balance and proportion of other facial features, it can diminish the way you feel about your appearance and yourself. Nose surgery can improve your facial symmetry and improve your self-confidence. WHAT ISSUES CAN NOSE SURGERY ADDRESS? Rhinoplasty improves the overall appearance of your face. Patients travel from across the state and the country to visit Dr. Schuster with a variety of issues they would like to correct, including: Nose that is too large or too small Large, wide or asymmetrical nostrils Bulbous nose tip Upturned nose tip Drooping nose tip Crooked bridge Depressions in the bridge Humped bridge Asymmetry Undesirable shape Hundreds of thousands of people undergo nose surgery every year in the U.S. due to its ability to dramatically improve the proportions and balance of the face with subtle changes. When performed by board-certified plastic surgeon Dr. Ronald Schuster, you can rest assured that your nose is in capable hands. AM I A GOOD CANDIDATE FOR A NOSE JOB? If you are considering rhinoplasty, we encourage you to discuss your goals, expectations, and wishes with Dr. Schuster in person (virtual consultations are available for out-of-town patients). Dr. Schuster has extensive experience working with nose job candidates at our practice, and he can educate you on the rhinoplasty procedure, the recovery process, and the impact that cosmetic surgery can have on your life. Our team of medical professionals is committed to upholding the highest standard of care, and is happy to assist rhinoplasty surgeon Dr. Ronald Schuster in any way necessary to help ensure he has the tools he needs to serve you. We have worked with nose job candidates from throughout the Baltimore, Maryland area, and can help determine if you would be an ideal candidate for cosmetic surgery. It is important that individuals considering rhinoplasty (or any plastic surgery procedure for that matter) have realistic expectations, be making the decision free of outside pressure, and possess strong mental fortitude, as the recovery process can be mentally and physically trying. That being said, specific considerations for nose job candidates include: Overall health Shape, size, and symmetry of the nose Shape, size, and width of the nostrils Breathing irregularities or difficulties Appearance of nose ridges or “bumps” A number of characteristics can be corrected with rhinoplasty treatment, making it a wonderful option for individuals who are unhappy with the natural shape of their nose as well as those who have suffered a broken nose and would like to repair the appearance. Whether you have a prominent ridge that you would like to reduce or eliminate, or you are seeking symmetry, Dr. Schuster can refine the shape of your nose and satisfy your goals. RHINOPLASTY TECHNIQUES Just like our patients, every nose and face is completely unique. Dr. Schuster knows this, and fully customizes every nose surgery to meet the unique goals of each patient. He strives to improve the appearance of the nose while ensuring it is well-balanced with the rest of the face. There are two main nose surgery techniques: Open rhinoplasty: This method provides for full view of structures of the nose, which allows for more precision. Closed rhinoplasty: This technique may be used when little change is needed in the tip.

  Link: Rhinoplasty

• Viora

  At the practice of plastic surgeon Dr. Ronald H. Schuster, we offer a variety of nonsurgical cosmetic treatments, including Viora, an amazing minimally invasive radiofrequency treatment designed to tighten the skin and improve the look of cellulite. If you are frustrated with lax skin, localized fat deposits or the appearance of cellulite, but are not yet ready to undergo a cosmetic surgery procedure, Viora cosmetic may be the treatment for you. In fact, many individuals with skin laxity throughout the face and neck area are able to postpone facelift cosmetic surgery simply by undergoing nonsurgical Viora treatment. The revolutionary Viora Reaction™ system uses three different frequencies of radiofrequency (RF) energy to address your specific aesthetic concern. This innovative system can be used on several areas of the body — from the face to the thighs — to tighten loose skin, reduce fat cells and improve the look of cellulite, as needed. The best part is that each treatment session takes less than an hour and requires little to no downtime, so you can undergo Viora treatment on your lunch break! How Viora Can Help Tighten Loose Skin As time passes, the body gradually stops producing collagen, a protein that is essential for healthy, younger-looking skin. When this happens, the skin loses its elasticity and starts to sag. In addition, other factors such as sun exposure, certain lifestyle habits (e.g., smoking), substantial weight fluctuations, hereditary factors and the effect of gravity can compound the problem. In the past, the only option to improve the look of sagging skin was to remove the excess skin surgically, which requires downtime and often causes scarring. Now, however, there is a nonsurgical treatment option to improve the look of lax skin: Viora cosmetic treatment. The Viora Reaction™ system converts RF energy into heat and delivers the heat to the tissue layers underneath the skin. This mildly damages the skin cells in the treatment area. Damaging the skin cells stimulates the body’s natural healing mechanism, which, in turn, reactivates the latent production of collagen, resulting in the appearance of firmer, tighter skin. Viora skin tightening treatment can be used on various areas of the face and body, helping to postpone the need for cosmetic surgery. How Viora Can Reduce Unwanted Fat If you have tried to follow a healthy diet and consistent exercise regimen, but are still bothered by stubborn localized deposits of fat that are resistant to your healthy efforts, you may be an appropriate candidate for Viora nonsurgical cosmetic treatment. Although Viora treatment is not a tool for major weight loss, it can help reduce the fat cells in the treatment area and take inches of your abdomen, hips, thighs and other areas of the body. Similarly to how Viora tightens loose skin, Viora reduces fat cells by delivering RF energy that has been converted into heat deep into the tissue layers beneath the skin’s surface. By utilizing a different frequency than the one that is used to tighten lax skin, the Viora Reaction™ system can specifically target fat cells. The heat from the Viora Reaction™ system damages the fat cells in the treatment area, so the body can pass them out through its natural detoxification system, as waste. How Viora Can Improve The Look Of Cellulite Cellulite is characterized by unsightly dimpling of the skin. It occurs when the connective tissues underneath the surface of the skin become tight and rigid, trapping fat cells in their inflexible fibers. When this happens, the fibers and the fat cells begin to pull on the overlying skin, causing the “cottage-cheese” effect known as cellulite. The Viora Reaction™ system improves the look of cellulite in multiple ways. First, it delivers RF energy that has been transformed into heat into the fat cells in the treatment area, destroying them so the body passes them out as waste, through its lymphatic drainage system. Second, it delivers this same heat into tissue cells, stimulating the production of collagen, a protein needed for healthy, elastic skin. Also, by improving the elastic quality of the targeted tissue cells, the rigid bands trapping the fat cells become more flexible and can more easily release the now-damaged fat cells into the lymphatic drainage system for elimination from the body. Viora cellulite reduction treatment is suitable for use on a number of areas of the body, including the abdomen, underarms, buttocks and thighs. What To Expect During Treatment Each treatment session is performed in the office and takes less than half an hour per treatment area. During Viora treatment, a handheld device is passed over the area(s) that the patient would like to improve. Patients may experience heat and / or a massaging sensation as the Viora Reaction device delivers RF energy into the deeper layers of tissue. Individuals generally experience little to no pain, and no downtime is needed

  Link: Viora

• Breast Augmentation

  Board-certified plastic surgeon Dr. Ronald Schuster has been helping women achieve elegant, natural looking breasts for nearly 30 years. If you are unhappy with the size and shape of your breasts, breast augmentation may be the ideal solution to attain your aesthetic goals. To discuss breast augmentation and your candidacy for this popular procedure, please call 410-902-9800 today to schedule a personal consultation with Dr. Schuster. In addition to serving the Baltimore, Owings Mills and Towson areas of Maryland, we frequently help women from throughout the country look and feel their best. Virtual consultations are available for out-of-town patients. WHAT IS BREAST AUGMENTATION? Breast augmentation, sometimes referred to as a “boob job” by patients, is a surgical breast procedure that enhances the size and shape of the breasts with artificial implants or the patient’s own fat. Breast augmentation appeals to women from all walks of life that have naturally small, asymmetrical or disproportionate breasts as well as women who have lost breast volume or symmetry because of pregnancy, breastfeeding or the effects of the aging process. Many women feel an innate connection between their breasts and their sense of femininity and confidence. Are you one of them? Perhaps you’ve always had small breasts, or you noticed your breasts lost volume after nursing your babies. You might feel less feminine or less self-confident because of the appearance of your flat chest. Breast augmentation can help. TOP 5 REASONS WOMEN GET BREAST IMPLANTS To improve confidence To feel sexier and younger To increase their wardrobe options To improve the symmetry of the breasts To restore their breast size and shape after pregnancy/breastfeeding DIFFERENT TYPES OF BREAST IMPLANTS Implants come in a variety of sizes, shapes (round and teardrop) and profiles (moderate, moderate-high, high, etc.). The type, size, and shape used depends on the woman’s breasts, skin, chest size, and breast enlargement goals. Saline Breast Implants: A saline breast implant is filled with a sterile saltwater solution encased in a silicone shell. To place saline implants, Dr. Schuster normally inserts the empty saline implant shell into the breast and then fills it to the desired volume with the saline solution. One of the advantages to saline implants is that in the rare event of a leak or rupture, the body safely absorbs the saltwater solution and the breast is noticeably flattering almost immediately. Silicone Breast Implants: Silicone breast implants are filled with silicone gel. They are usually shipped from the manufacturer pre- filled and require a slightly larger incision to place than saline implants. Although every woman is different, most believe that silicone implants look and feel more natural than saline implants. However, one drawback to silicone implants is that in the rare event of a leak or rupture, the silicone tends to stay in or around the breast pocket and it may not be noticeable that a complication has occurred. “Gummy Bear” Breast Implants: Gummy bear implants are form-stable silicone breast implants. Like their namesake, gummy bear implants retain their shape even when cut in half. The Ideal Implant®: Widely considered the most advanced saline implant, the Ideal Implant® is a “structured” saline implant that combines the benefits of saline and silicone implants. The Ideal Implant looks and feels more like a silicone implant than a traditional saline implant; however, in case of rupture it provides the peace of mind that only a saline implant can offer, because saline is naturally absorbed by the body. With the use of any implant, there are many issues to be discussed. These include issues about how implants are made, how long they last, what happens when they wear out and how they might affect the body. The breast implant selection process also has to take into consideration the patient’s goals as well as her anatomy — the width of her natural breast, softness of the skin, amount of subcutaneous fat, asymmetries and any other chest wall irregularities. Discussion of these important issues, as well as many others, is beyond the scope of this website. A full hour is dedicated to discussing these options during your breast augmentation consultation. Call our Baltimore, Maryland-area office to book an appointment or to get more information from our breast augmentation surgeon. BREAST IMPLANT SHAPES You probably already know that breast implants come in different sizes. You also probably know by now that breast implants come with different fillings. But what you may not have realized is that breast implants come in different shapes as well. It’s true. Our Baltimore cosmetic surgeon, Dr. Ronald Schuster, has helped many patients enhance their body contours through breast augmentation surgery.

  Link: Breast Augmentation

• Ideal Implant®

  Offered By Dr. Ronald Schuster Dr. Ronald Schuster is part of an exclusive network of plastic surgeons offering the Ideal Implant®, a new type of breast implant in Baltimore that combines the desirable features of saline and silicone gel implants. It is designed to perform and feel like a silicone gel implant but with the safety and simplicity of a saline implant. The allure of the FDA-approved Ideal Implant® is spreading quickly as more women realize the incredible benefits in implant appearance, safety and performance.* Intelligently Designed For A Natural Look And Feel The Ideal Implant® is a newly designed “structured” saline implant. Other types of implants can collapse when held upright, losing fullness in the upper pole and wrinkling around the edges. The Ideal Implant® has an internal structure that controls the movement of the saline so it behaves like silicone. It is composed of a series of shells nested together — three to five, depending on the size — and two chambers containing the saline filling. The edges of the Ideal Implant® are slightly curved to fit closer to the chest wall. This advanced structure supports the upper pole and the edges of the implant to maintain its youthful, attractive shape.* Dr. Ron Schuster speaks with “Good Morning Washington” about the newest Ideal Implant for breast augmentation. The design of the implant also lends itself to a natural feel. Most women considering breast augmentation prefer the feel of silicone gel; in fact, the natural feel of the silicone gel is its biggest selling point. The Ideal Implant® is practically indistinguishable from the feel of silicone gel. In blind tests, most women could not tell the difference between a silicone gel implant and the Ideal Implant®.* Implant Integrity And Peace Of Mind Both silicone gel and saline breast implants can eventually wear out, rupture or leak. Silicone gel implant rupture is usually a “silent rupture” — meaning that most women don’t even realize that their implant has ruptured. Due to the sticky and cohesive nature of silicone gel, if a silicone implant ruptures or leaks, the breast mostly retains its shape and the gel remains close to the implant. It is usually not obvious to the naked eye that a complication has occurred. MRI tests can be done to detect the rupture but this is inconvenient and can be costly if it is not covered by insurance plans. Many women are not comfortable with the idea of having something “broken” inside their body, especially if they could be unaware of the problem.* Saline acts differently in the event of a rupture or leak. The implant deflates almost instantly, and the body naturally absorbs the saline. This is very safe and it is almost immediately apparent that a complication it has occurred. After standard saline the implants has deflated, the breast will be obviously smaller and usually fairly flat. This can be somewhat distressing for the woman, especially because of the appearance of the deflated breast. Most women are evaluated promptly and choose to have the implant replaced. Replacement surgery is usually much easier, and all breast implants have a lifetime warranty. Another benefit of the Ideal Implant® is that it does not completely deflate because of the two different chambers. It deflates enough so that it is obvious to the patient, but not so dramatically that it causes wardrobe issues before actually having it replaced. With the saline-filled Ideal Implants®, a woman knows the status of her implants simply by looking in the mirror. Dr. Schuster believes that his patients deserve this kind of peace of mind.* More About The Ideal Implant® Ideal Implants® are available in a variety of sizes to meet the preferences and needs of a diverse group of patients. They come with a smooth surface and one profile (similar to a “high” profile). The new implants have performed spectacularly well in clinical trials. No implant has failed due to design or fatigue failure, and the rate of capsular contracture is very low.* Dr. Ronald Schuster has written many articles with Ideal Implants. Dr. Schuster goes over the price of breast augmentation and sits down for a FAQ on breast augmentation and Ideal Implants. If you would like to learn more about the Ideal Implant® and how it compares to a silicone gel or traditional saline implant, please schedule a consultation with Dr. Schuster. Call our office today to make an appointment.

  Link: Ideal Implant®

• Breast Lift

  Sagging, drooping breasts are something a lot of women experience. Feeling unhappy about this deflated breast appearance can change your body language and the way you perceive your beauty. Breast lift surgery restores perky, firm breasts with a rounder shape. If you like the way your breasts look in a bra, but not when unsupported, then this breast procedure may be right for you. To arrange a consultation in Baltimore with board-certified plastic surgeon Dr. Ronald Schuster, please call us at 410-902-9800. Breast Lift Candidates Breast lift surgery may be right for you if any of the following apply: You are unhappy with the shape of your breasts You are okay with the appearance of your breasts while supported by a bra, but not the way they look without support Your breasts are saggy, elongated, deflated and/or droopy The nipples are pointing downward The skin has stretched and the nipples have fallen too low on the breast crease Your breasts are more flat than round Elongated breasts can be genetic, but these breast characteristics usually arise later in life as a result of pregnancy, breastfeeding, weight fluctuations and the aging process. Breast lift surgery re-shapes the breast gland to create a perky, more youthful bust. THE MASTOPEXY PROCEDURE The breast lift procedure involves re-shaping the breast tissue. Dr. Schuster will create incisions to do this. Although this surgery does create visible scars on the breasts, Dr. Schuster wants each of his patients to have results they’ll love. He creates the most minimal incisions and places them where they are least obvious. WHERE ARE INCISIONS MADE? The incisions chosen by Dr. Schuster depend on the degree of laxity and sagging tissue. Circular incisions may be made around the areolas only, or these circular incisions may also extend vertically down below the breast crease. Nipple sensation should not change. The breast lift procedure does not increase breast size. Breast implants can be added to the lift if you want fuller breasts. PREPARING FOR BREAST LIFT SURGERY Dr. Schuster and the staff make sure you have complete information and know how to get ready for surgery. Pre-op guidelines include: Go to a pre-operative physical checkup with your family doctor Stop taking aspirin and products containing aspirin two weeks prior to surgery Inform us if you get sick with a cold or any other illness in the two weeks prior Take a multi-vitamin containing vitamin C, mineral and iron in the weeks prior DO NOT smoke for three weeks both before and after surgery Make arrangements with a spouse, family member or friend to pick you up after your breast lift procedure and stay with you for at least 24 hours Don’t take herbal supplements or supplemental vitamin E in the two weeks prior (small amounts of vitamin E in multi-vitamins are fine) Two days before your breast lift appointment, you’ll fill your prescriptions, buy light foods from the grocery store, purchase Betadine™ soap and any products you want during recovery. Shower using your Betadine™ soap the night before surgery. You should also eat a light meal that evening, get a good night’s rest, and do not eat or drink anything after midnight. Don’t eat or drink anything when you get up in the morning before surgery. We’ll let you know not to wear any jewelry, hairpins or hairpieces. Wear comfy, loose clothing. BREAST LIFT RECOVERY You’ll rest in bed when you get home. It’s important to get up and walk around every hour or so to get your blood flowing; don’t stay in bed. You can also move your legs around while you’re resting to keep blood circulating. Stick to liquids for the rest of the day after surgery. Progress to a light diet as you feel up to it. Discomfort should be alleviated by pain medications, or extra-strength acetaminophen or ibuprofen. Bandages will need to be kept clean and dry. We’ll instruct you how to sponge bathe. Bandages will stay on for about a week. We’ll give you information about buying a post-op bra to provide the right kind of support about a week after surgery. You’ll continue to wear it for about a month. If you smoke, don’t smoke for at least two weeks after surgery. It’s normal to have bruising and swelling after surgery. It will go away with time. Your breasts may feel tender and swollen, but they should feel normal, and look soft and natural again, about three months later. There could be residual spots of numbness for six weeks to six months. A week after breast lift surgery, you can drive yourself and go back to work. Time To Invest In Yourself Dr. Ronald Schuster is a board-certified plastic surgeon in Baltimore. He believes each women deserves to look and feel like the very best version of themselves. Sometimes the boost provided by a breast lift is exactly what’s needed to make the inner energy and youthfulness match the outside. The next step is to schedule a consultation with Dr. Schuster by calling 410-902-9800.

  Link: Breast Lift

• Inverted Nipple Treatment

  The breast is unique to mammals. It differentiates mammals from other species. It serves to provide nourishment from mother to her offspring. The nipple is typically elevated, or everted, above the surface of the breast and contains 15 to 20 milk ducts, which allows for the passage of milk from the breast gland. The nipple is surrounded by the areola, a sheet of fibromuscular tissue and skin. What Causes Inverted Nipples? For reasons we don’t understand, the nipple can become inverted, meaning that it projects into the breast. This usually develops during puberty as the breast grows. Common findings include either shortened ducts, deep fibrous tissue that prevents the nipple from everting, or both. Are Inverted Nipples Dangerous? Aside from preventing a baby from successfully breastfeeding, there are no physical consequences to having inverted nipples. However, inverted nipples are not typically depicted as “beautiful” and as such, many woman who have inverted nipples feel inadequate and very self-conscious. This can cause problems with intimacy and self-confidence. Even many women with inverted nipples, who have stable, healthy relationships, come to the office for correction because they “have always” felt (and continue to feel) unattractive. Levels Of Severity In 1999, a grading system was described by Han and Hong. It is still used today to describe the severity of inverted nipples. In addition to being able to classify a patient’s condition, it helps to predict the success of the variety of different treatments. There are three grades. GRADE I In Grade I, the problem is mild. The nipple can easily be everted with gentle pinching and can usually maintain an everted position for a short time while the areola contracts. Surgical correction of this grade can usually be accomplished with just a buried suture at the base of the nipple. Sensation and the ability to breastfeed should be maintained. GRADE II Grade II inverted nipples can also be manually everted, but it takes a lot more effort. Also, it does not stay everted and quickly becomes inverted when released. Usually the ducts are not too short but being pulled downward by the fibrous tissue. The ducts can be released by dividing the deep fibrous tissue. Adding the buried suture maintains the everted position and completes the procedure. Usually sensation and the ability to breastfeed are maintained, though not guaranteed. GRADE III Grade III is the most severe. The nipple cannot be everted manually. There is a lot of fibrous tissue that keeps the nipple inverted, and the ducts might be physically shortened. This is the most difficult grade to successfully treat. There have been many types of procedures designed to correct these inverted nipples. They all have certain things in common. They divide the fibrous tissue, keep the nipple everted after surgery with a traction suture and add tissue into the nipple. Adding tissue helps to add bulk, which is lacking once the nipple is everted. The tissue usually comes from small “flaps” created from the adjacent areola. Intra-operative view of intact ducts after removal of fibrous tissue Risks Of Surgery In addition to adding bulk, the flaps can serve as a sling to keep the nipple everted. The drawback in these techniques is that there is a lot of cutting beneath and within the nipple. This can divide the ducts, nerves and blood vessels. This can result in the inability to breast feed, numbness and, in some cases, can cause a problem with circulation and healing. Finally, in spite of all of these efforts, there is always a chance of relapse. How Is Surgery Performed? Dr. Schuster’s choice of correction of Grade III inverted nipples is to perform the surgery with the help of a magnifying small joint arthroscope. This technique was first reports by Chen, et al, in 2007. By using the arthroscope, the surgery can be performed through a very small incision placed at the base of the nipple. The scope magnifies the area so that the fibrous tissue can be divided while leaving the ducts, nerves and vessels alone. Then a small strip of skin is taken from a well-concealed area in the groin, and placed into the nipple to provide the needed bulk. A buried suture is added at the bottom and a suspension suture is worn for a week. Although it is a technically more demanding surgery, and takes a bit longer to perform, Dr. Schuster believes it has the highest success rate and the best chance to preserve sensation and the possibility to breastfeed. Is Surgery Painful? The surgery is performed on an outpatient basis under IV sedation. It is not painful after surgery. A slightly bulky bandage is worn for a week. Light protection is needed for six weeks after surgery. Exercise can be resumed three weeks after surgery.

  Link: Inverted Nipple Treatment

• Breast Reduction Surgery

  If you are unhappy with your appearance and experience physical discomfort as a result of large, heavy breasts, then you may be a good candidate for breast reduction. This procedure takes the excess heft away and restores your ability to move freely and live fully. To learn more about it, please call the practice of board-certified plastic surgeon Dr. Ronald Schuster at 410-902-9800. HOW LARGE, HEAVY BREASTS MAY AFFECT YOUR LIFESTYLE AND SELF-ESTEEM Also called reduction mammaplasty, this breast procedure alleviates a wide range of issues associated with heavy breasts: Physical discomfort Chafing and rubbing Back, neck and shoulder aches Redness, irritation or grooves where bra straps dig into your shoulders Difficulty maintaining good posture Discomfort when exercising, running and generally being active Difficulty finding tops and dresses that fit your bust and look flattering Large breasts often run in the family. If your grandmother, mother, sisters and aunts are large-chested, you may have that same predisposition. On the other hand, some women develop these breast characteristics after they’ve been pregnant and breastfeed, or as a result of being overweight. Good candidates for reduction mammaplasty are in good general health and have realistic expectations of what the procedure can achieve. While reduction can address some degree of unevenness and asymmetry between the breasts, it’s normal for some amount to remain. No breasts are exactly identical to one another. A consultation is necessary to determine if this procedure is appropriate. Dr. Schuster will listen to your concerns and perform an exam of the treatment area. For some women, options like weight loss or liposuction may serve as an alternative to breast reduction. More often, they may be utilized as a companion to the procedure. In fact, some women are advised to lose weight before undergoing the procedure so that their breast size can be brought as close to ideal through weight loss before surgical reduction. Weight loss and liposuction do not tighten the skin the way that this procedure does, however. WHAT TO EXPECT FROM BREAST REDUCTION Like all breast procedures, reduction mammaplasty does leave visible scars. Dr. Schuster makes every effort to hide scars in natural creases when possible. You can get an idea of what the resulting scars look like by visiting our before-and-after gallery. Breast reduction cannot correct generalized obesity or remove stretch marks on the breasts. It won’t eliminate back, neck or shoulder pain that is caused by arthritis. It will create breasts that are lighter, shapelier and in proportion to the rest of your body. “WHAT ABOUT INSURANCE COVERAGE FOR BREAST REDUCTION?” Health insurance often covers breast reduction. Usually it depends on whether the procedure is deemed medically necessary by your policy. Pre-authorization will be obtained by the staff before proceeding with the procedure. That way you will know exactly what you can expect to pay or not pay when you opt for breast reduction. Dr. Schuster believes every woman unhappy with having large, heavy breasts deserves to have breast reduction if they want it. We make sure you know what it will cost, and what payment and financing options are available to you. BREAST REDUCTION RECOVERY Breast reduction is an outpatient procedure, which means you will go home the same day, once Dr. Schuster has made sure you are ready to leave. You will have pre-arranged for someone to bring you to surgery, drive you home and stay with you for 24 hours after surgery (often a spouse or family member). Take time to rest when you get home, but get up to walk around intermittently. We provide complete instructions for how to shower, how to care for the treatment area and what to eat as you recover from surgery. Breast reduction results are long-lasting. You can expect to see breast changes as a normal part of getting older, and your breasts may enlarge or sag again if you get pregnant and breastfeed; however, the overall lighter, shapely results of the procedure will persist through the years. THE NEXT STEP TOWARD BREAST REDUCTION SURGERY Your next step is to consult experienced, caring and board-certified plastic surgeon Dr. Ronald Schuster. To arrange your breast reduction consultation at our Baltimore practice, please call us at 410-902-9800, or contact us online. INSURANCE USUALLY COVERS BREAST REDUCTION. PRE-AUTHORIZATION WILL BE OBTAINED BY THE STAFF AT OUR BALTIMORE CENTER BEFORE PROCEEDING WITH BREAST REDUCTION SURGERY.

  Link: Breast Reduction Surgery

• Gynecomastia

  GYNECOMASTIA TREATMENT Are you a healthy man with abnormally large breasts? Do you envy men with chiseled and defined pecs that confidently wear tight shirts or even go shirtless at the gym or pool? If so, you may have a medical condition known as gynecomastia (excessive male breast tissue). Unfortunately, no matter how much you diet or exercise like those men you envy at the gym, you won’t be able to eliminate the pesky, excess breast tissue and loose skin on your chest. The only solution for a flatter, firmer chest is male breast reduction surgery. Board-certified plastic surgeon Dr. Ronald Schuster can help determine whether gynecomastia surgery will help you achieve your goals. To learn more about male breast reduction, call 410-902-9800 today to schedule a confidential consultation with Dr. Schuster. Our office in Baltimore helps men from throughout Maryland, including Owings Mills and Townson. Because of his unique approach to gynecomastia surgery, which produces a natural and masculine appearance with the least amount of noticeable scarring, men travel from across the country seeking Dr. Schuster’s care. Virtual consultations are available for out-of-town patients. WHAT IS GYNECOMASTIA? Gynecomastia is the abnormal enlargement of the male breast. There are many theories as to what causes gynecomastia. Abnormal levels of estrogen and testosterone, abnormal hormone receptor activity and/or quantity have all been postulated. In the majority of cases (called idiopathic gynecomastia), there is not any identifiable cause. Idiopathic gynecomastia develops during puberty. It has been written in the pediatric literature that up to one third of all boys develop some degree of gynecomastia, and that 80-90 percent of cases will resolve on their own. Even if true, at face value, this still leaves many men with gynecomastia. There are other known causes of gynecomastia which can result from: Medications Marijuana Anabolic steroids Medical conditions such as: Hyperthyroidism Pituitary tumors (prolactin secreting and growth hormone adenomas) Chronic kidney disease Liver failure Steroid secreting tumors (involving the testicles, adrenal glands and lung) Gynecomastia is not associated with an increased risk of breast cancer. It primarily causes psychological distress, embarrassment, and other emotional side effects. This can be very severe at times and results in the avoidance of activities which require a boy or man to be seen without his shirt on. If not addressed as a youth, uneasy feelings often linger and can become an issue for men as they marry and have children. They will often have difficulty spending time with their children at the pool or beach. It is unfortunate that this problem is not spoken about more often, because gynecomastia treatment is actually very easy. DETERMINING THE CAUSE OF GYNECOMASTIA Patients who develop either pre-pubertal or delayed gynecomastia (after age 30) should have a complete medical work up to rule out any other cause for their gynecomastia. Laboratory tests that can be useful during this work-up include: Blood work — serum levels of LH, FSH, testosterone, estradiol, and human chorionic gonadotropin (hCG), prolactin, thyroid panel (recommended) Ultrasound of testicles, if there is any suspicion of a mass CT scan – brain/skull to rule out pituitary adenoma GOALS OF GYNECOMASTIA SURGERY While there are a number of potential causes of gynecomastia, the goals of male breast reduction surgery remain consistent: To treat gynecomastia, a condition that causes enlarged male breasts To reduce breast size and decrease sagging or excess skin To create a flatter, firmer chest To reduce psychological distress or embarrassment Dr. Schuster understands the personal impact excess breast tissue can have on a man’s sense of masculinity, and is committed to helping his patients restore their confidence and self-esteem. If you are embarrassed to remove your shirt while swimming or in intimate situations, contact our Baltimore office today to schedule a private consultation. YOUR MALE BREAST REDUCTION PROCEDURE Step 1 – The elimination of fat within and surrounding the breast gland: This can usually be done easily with standard liposuction techniques. Liposuction isused to create a smooth contour. Removing the breast gland without using liposuction can increase the risks of irregularities, over resection and crater deformities. Standard liposuction, however, does not work well for the thicker fibrous tissue that is also mixed in with the fat and breast tissue. For this second step, Dr. Schuster uses Ultrasonic-Assisted Liposuction (UAL). UAL produces a sound wave energy that helps to break down the thicker tissue. In reality, the UAL is performed first during the operation, followed by traditional liposuction. Finally, the third step involves the removal of the most dense, true glandular tissue.

  Link: Gynecomastia

• Liposuction

  As we get older, our metabolisms begin to slow down and we start storing more fat in our bodies. Unwanted pockets of stubborn fat can be unsightly sources of embarrassment as they build up in unflattering areas. If this sounds familiar, you may have already discovered that these fat deposits are resistant to diet and exercise, leaving you frustrated, self-conscious and unsure of how to get the trim, toned physique you’ve worked so hard to achieve. Fortunately, board-certified plastic surgeon Dr. Ronald Schuster can remove unwanted fat from almost any part of your body and give you the sculpted shape you desire with liposuction. If you are considering liposuction, please contact our office today by completing the form on this page or calling 410-902-9800 to schedule an initial consultation with Dr. Schuster. We proudly provide services to women and men in Baltimore, Owings Mills, Towson and other areas of Maryland. WHAT IS LIPOSUCTION? Liposuction is a body contouring procedure that involves breaking up and removing fat from the body in order to change the shape and contour. The procedure, also known as lipo, is not a weight-loss tool, but rather a cosmetic procedure used to smooth deposits of fat that do not react to regular diet and exercise. Liposuction can eliminate fat from virtually any part of your body, such as your: Abdomen Breasts (including male breast reduction) Arms Back Hips Buttocks Thighs Baltimore cosmetic surgeon Dr. Ronald Schuster has nearly 30 years of experience providing world-class results for his patients and can help determine which method of liposuction is right for you. BENEFITS OF LIPOSUCTION SURGERY As one of the most popular plastic surgery procedures today, many men and women across the country have discovered the benefits of liposuction. Some of the benefits you may experience include: A more toned, fit body shape Improved appearance in swimwear and other clothing Motivation to maintain a healthy, active lifestyle Improved health as a result of fat loss Improved self-image and increased self-confidence and Liposuction doesn’t just improve the appearance of your body; it improves the way clothes fit on you, especially areas such as the breasts, hips, waist and thighs. Most importantly, liposuction can help the way you see and feel about yourself. WHO IS A CANDIDATE? If you live with unsightly pockets of fat that are resistant to diet and exercise, you are likely a good candidate for liposuction if you: Are generally healthy Are at or near your ideal body weight Have good skin elasticity Have reasonable expectations for the procedure The best way to know if liposuction is right for you is to meet personally with Dr. Schuster in a confidential consultation. During your initial consult, Dr. Schuster will evaluate your goals and medical history and determine your candidacy for the procedure. He will also explain what can and cannot be attained through lipo surgery to ensure you have realistic expectations and know what to expect after your treatment. TYPES OF LIPOSUCTION Dr. Schuster offers the following liposuction methods: Tumescent Liposuction: The tumescent liposuction method uses a hollow tube, called a cannula, which is inserted through a small 1/2″ incision. Tumescent fluid is put into the fat to help in its removal. It contains a local anesthetic which relieves pain before and after surgery, as well as epinephrine, which reduces blood loss during the procedure. Fat is then broken up and suctioned out of the body. Ultrasonic Assisted Liposuction: The ultrasonic liposuction technique, or Ultrasound Assisted Liposuction (UAL), uses high frequency sound waves to break down fat cells, causing the fat to flow out. The fat combines with injected fluid to create an emulsion. The “liquefied” fat is then suctioned out using vacuum pressure. Ultrasonic liposuction is particularly useful for removing fat in difficult areas such as the back, upper abdomen and outer thighs. It is also good for treating excessively large male breasts, a condition called gynecomastia. The first step toward the slim, fit body you desire is a personal consultation with Dr. Schuster. During this important one-one-one meeting, Dr. Schuster will work closely with you to understand your concerns, assess your physical condition and determine which liposuction technique or other treatment can best meet your needs. WHAT TO EXPECT DURING SURGERY Liposuction is performed as an outpatient surgery. Dr. Schuster will discuss your anesthesia options to ensure an optimal level of safety and comfort. The length of time it takes to complete your procedure will depend on the location being treated; the number of targeted areas and the amount of fat you’d like to remove. After making a small incision in the area where the fat will be removed, Dr. Schuster will inject a tumescent formula made of epinephrine, adrenaline and lidocaine.

  Link: Liposuction

• Tummy Tuck

  The abdomen is one of the most challenging body areas to shape. No matter how many sit ups you do, no matter how diligently you watch your diet, you may still be unable to attain the sculpted shape you’ve worked so hard to achieve. If you feel embarrassed about excess fat and sagging skin around your midsection, a tummy tuck can help you attain the trim body contour you desire. To learn more about tummy tucks and how the procedure can help you, please call 410-902-9800 today to schedule an initial consultation with board-certified plastic surgeon Dr. Ronald Schuster. We proudly serve Baltimore, Owings Mills and Towson, Maryland. WHAT IS A TUMMY TUCK? A tummy tuck, also known as abdominoplasty, is a surgical body contouring procedure that improves the appearance of a flabby, saggy-looking abdomen. The surgery is very popular among women that have had children and individuals that have lost a lot of weight. Often, no matter what these individuals do, they cannot achieve the physique they want through diet and exercise, as the abdominal skin and muscles cannot be improved through non-surgical means. In these cases, tummy tuck is the most effective way to enjoy a flatter and firmer abdomen. TOP 5 REASONS TO HAVE A TUMMY TUCK You do not see the results of diet and exercise on your belly. You are embarrassed by loose tummy skin. You are tired of wearing support garments or hiding your body under baggy clothing. You want to improve your self-image and self-confidence. You want to reclaim your pre-baby body. YOUR TUMMY TUCK SURGERY CONSULTATION If you are contemplating undergoing tummy tuck surgery with Dr. Schuster, we are happy to answer any questions you may have regarding tummy tuck cost, or the procedure itself. During your initial consultation, we will review payment and financing options with you, as well as discuss your aesthetic objectives and establish if you are an appropriate tummy tuck candidate. DIFFERENT TYPES OF TUMMY TUCKS Abdominoplasty varies from mini to full to a circumferential body lift, depending upon the amount and quality of extra skin, the amount of fat and any prior abdominal surgery such as gallbladder surgery, hernia repair, scar revision, tubal ligation, appendectomy and hysterectomy. Full Tummy Tuck: Full tummy tuck is best for the removal of excessive skin and damaged or stretched-out abdominal muscles. It is an excellent option for very thin patients who have a great deal of stretch marks or crumpled skin, as well as heavier patients who have a thick roll of skin and fat. The scar is longer but generally heals well and is placed in an area which is easily covered by clothing, bathing suits and lingerie. Mini Tummy Tuck: Mini tummy tuck focuses on improving the area below the belly button. The procedure is performed through a short incision directly above the pubic hair, and generally includes liposuction, tightening of the lower abdominal muscles and removal of a small amount of skin. Ideal candidates for mini tummy tuck have good skin quality with very little excess skin. Circumferential Tummy Tuck: Circumferential tummy tuck is typically recommended for patients with excess loose skin extending around the sides and even over the hips. In this situation, the best results are achieved when the entire trunk, both front and back, is addressed. Circumferential tummy tuck usually includes additional liposuction to the hips and lower back, together with removal of the extra skin. The scar circles around the waist but is positioned to be hidden beneath the underwear as much as possible. A consultation with Dr. Schuster is the best way to determine the approach that is right for your needs. HOW LONG DOES ABDOMINOPLASTY TAKE? The duration of tummy tuck surgery depends on the specific surgical approach and whether tummy tuck is combined with another procedure. A circumferential tummy tuck will take more time than a standalone mini tummy tuck. Dr. Schuster can estimate how long your surgery will take during your personal consultation. TUMMY TUCK RECOVERY Most tummy tuck procedures are performed as outpatient surgeries, but occasionally a single overnight hospital stay is recommended. While every recovery experience is unique, the average experience is as follows: Full and Circumferential Tummy Tuck Back to school/work in two weeks Back to full activity and light sports in four weeks Resume strenuous exercise in six weeks Must wear girdle/binder for six weeks Mini Tummy Tuck Recovery is half as long as full tummy tuck ARE ABDOMINOPLASTY RESULTS PERMANENT? As long as you maintain your weight through healthy lifestyle habits, you can enjoy your tummy tuck results indefinitely. Should you gain a significant amount of weight after surgery, you risk stretching out your abdominal skin and muscles and developing more “padding” around your stomach that may require additional surgery to correct.

  Link: Tummy Tuck

• Mommy Makeover

  A mommy makeover rejuvenates all those things you love about your body, so that you can continue being the best mom and the best version of yourself. You may feel distracted and not quite 100 percent if you aren’t feeling as good about your body since pregnancy and childbirth. That’s completely understandable. Pregnancy changes your body, and the gift of your new baby doesn’t change the fact that you may want to restore some of those pre-baby characteristics. If you’re interested in learning more in the Baltimore area, the next step is to schedule a consultation with board-certified plastic surgeon Dr. Ronald Schuster. To arrange your appointment, please call us at 410-902-9800. WHAT IS A MOMMY MAKEOVER? A mommy makeover is a comprehensive approach to rejuvenating your body. The phrase itself does not refer to any one procedure. In fact, your mommy makeover could involve just a single procedure or more than one. The goal is to address the areas you’d like to renew, whether it’s your breasts, abdomen, thighs, back or a combination. Mommy makeovers often include some combination of the following: Tummy tuck Breast lift Liposuction Breast augmentation Breast reduction These procedures target areas of the body commonly changed by pregnancy and the demands of full-time parenting. Obviously your abdomen is the main part of your body altered by pregnancy. As you carry your developing baby, the skin, tissue and muscle all stretch and expand. Once your baby is born, your tummy will shrink, but it’s unlikely to shrink back to the pre-baby baseline. Diastasis recti is a very common condition in which the belly muscles stretch so far during pregnancy that there is a space between the left and right side of the belly muscles. About two-thirds of pregnant women experience it. It makes your belly puff out no matter how many crunches you do! In fact, abdominal exercise can make the condition more pronounced, in some cases. A tummy tuck includes repairing stretched belly muscles, so it is often an integral part of a mommy makeover. MOMMY MAKEOVER CANDIDATES Pregnancy has a way of changing a woman’s body. The developing baby causes your abdomen to grow. It’s normal to gain weight, and oftentimes this weight doesn’t go away easily. You may feel like it’s really difficult to get back in shape after childbirth. Some of the most common problem areas reported by women seeking a mommy makeover are: Stubborn excess fat Sagging skin Stretched skin Deflated breasts Enlarged areolas Loss of breast firmness Stretched, separated abdominal muscles (diastasis recti) Any problem area can be rejuvenated in a mommy makeover. The whole point is to tailor it to you. As part of your consultation, we’ll also discuss health-related candidacy issues, such as whether you are: In good general health Free from underlying medical conditions that could impact recovery Have realistic expectations of what a mommy makeover can achieve At or near your ideal body weight Interested in surgical procedures so that your results will be lasting Most women looking to rejuvenate their physiques post-baby are good candidates for these procedures. In your consultation, Dr. Schuster will help you choose the best course of action, including whether surgical or non-surgical treatments will best meet your goals. CHOOSING THE RIGHT TIME FOR A MOMMY MAKEOVER Feeling beautiful in your skin is really important. As parents, we have a tendency to put our children’s needs before our own, pretty much constantly. But as a parent, you need to practice self-care in order to keep being the best parent you can be. We understand that investing this kind of time in yourself may feel counter-intuitive, but you should make room for it if it’s something that’s important to you. We’ll discuss timelines during your consultation. You’ll know what will be required in the weeks leading up to surgery, and how much time you’ll need to take off from work and/or childcare demands. Here are a few items reported by moms as being pertinent to mommy makeover timing: Future pregnancies may alter your results. Some women elect to put off breast procedures and body procedures till they are no longer planning for more pregnancies. The reason being that pregnancy could bring back some of those physical characteristics you sought to reverse with plastic surgery, i.e. stubborn fat, deflated breasts and stretched skin. On the other hand, some women go ahead and elect the surgery when they are ready, knowing that they may decide to have more children down the road. The choice is ultimately yours, and Dr. Schuster is here to provide clear, straightforward information so you can make that decision. Mommy makeovers aren’t a way to lose weight. The best results are achieved when you are already at your ideal body weight. None of these plastic surgeries are a form of weight loss.

  Link: Mommy Makeover

• Post-Bariatric Body Contouring

  For people who were morbidly obese, massive weight loss is something to be celebrated as a life-changing, and possibly life-saving, event. However, for many of these people, the transformation may seem incomplete, as folds of excess skin and isolated pockets of fatty tissue remain stubbornly behind. At the cosmetic surgery practice of Dr. Ronald H. Schuster, a number of body contouring procedures can be combined and customized to meet the special needs of post-bariatric patients, helping them to reveal the trim, healthy figures that better reflect their massive weight loss.* Creating A Post-Bariatric Body Contouring Plan The needs of people who have lost massive amounts of weight are unique among cosmetic surgery patients. For many of these people, the skin is unable to fully conform to the body’s radically new shape; this excess skin simply hangs from the body, making it difficult for these people to find clothing that fits comfortably, among other issues. Dr. Schuster has extensive experience in creating post-bariatric body contouring plans that address the special needs of those who have undergone massive weight loss, combining and personalizing such procedures as: Abdominoplasty, or “tummy tuck” surgery Liposuction Breast reduction Body lift Skin care treatments to reduce the appearance of stretch marks Breast lift Male breast reduction Dr. Schuster can analyze your specific case and explain which options would be best suited to your needs during a confidential consultation to discuss post-bariatric procedures at his Baltimore area cosmetic surgery practice. Learn More About Post-Bariatric Procedures To learn more about post-bariatric procedures at our Baltimore, Maryland area plastic surgery practice, please contact Dr. Ronald H. Schuster today. Dr. Schuster and his team would be honored to be part of your successful weight loss experience. *Individual results may vary

  Link: Post-Bariatric Body Contouring

• CoolSculpting

  Millions of people have experienced the fat-freezing, body-sculpting results attainable with CoolSculpting. This non-surgical treatment destroys fat cells by freezing them, without affecting the surrounding tissue. Fat is reduced by up to 20-25 percent in targeted areas. Dr. Ronald Schuster is pleased to offer this minimally invasive body-shaping option to patients interested in a no-downtime alternative to surgery. To learn more, please call our cosmetic surgery practice in Baltimore at 410-902-9800. HOW DOES COOLSCULPTING WORK? CoolSculpting uses “cryolipolysis” to freeze and thereby destroy targeted fat cells on certain parts of your body. “Cryo” means icy cold and lipolysis means the breakdown of fats. Once frozen, the fat cells are gradually eliminated from your body naturally, leaving a noticeably smoother, flatter body area. CoolSculpting is fat reduction, which should not be confused with weight loss. Weight loss refers to your whole body weight. When you lose weight, the fat cells in your body shrink. CoolSculpting freezes and eliminates fat cells in highly targeted areas, resulting in fat reduction of up to 20-25 percent in the selected area. Results can vary and in some cases CoolSculpting does not work. It’s actually the best-case scenario to be as close to your ideal body weight as possible before getting this fat-freezing treatment. CoolSculpting works best as a way to eliminate stubborn fat that’s resistant to dieting, exercise and your other attempts to slim down. It’s a great way to refine tighter, firmer body contours. COOLSCULPTING TREATMENT AREAS CoolSculpting is an ideal match for excess fat in these body areas: Abdomen/tummy Flanks Under the chin Under the jawline Thighs Back fat/”bra rolls” Under the buttocks/”banana rolls” Upper arms How Many Sessions Are Needed? There are several CoolSculpting applicators, which are the devices placed over the skin that freeze fat. Each applicator is designed to fit well over a certain body area. Some people have two different body areas treated during a single session. Many people benefit from more than one treatment session to get the best results. We’ll help you decide the best course of action for the results you want to achieve. YOUR COOLSCULPTING APPOINTMENT The appointment is a great opportunity to sit back, relax, and catch up on your favorite shows, your work emails, reading, etc. We’ll provide you with a blanket in case you feel chilly during treatment, which is not uncommon. The applicator has two panels, between which the skin is gently drawn in. You may feel sensations of tugging, pinching, tingling, stinging or mild cramping as the device works. The skin will eventually be numbed by the cooling panels. Treatment lasts as little as 35 minutes depending on the amount of fat and size of the area. Once the applicator is taken away, there will be a firm bulge beneath your skin where tissue has been frozen. It’s perfectly normal and in fact desirable because it shows that the treatment has effectively frozen the fat cells. We’ll gently massage this area to break up the fat and to promote fat reduction. What To Expect During Recovery There’s little to no downtime after CoolSculpting. You won’t see results right away because it takes time for your body to naturally process out the destroyed fat cells. The first obvious results will take shape about three weeks later, with the best results at three months after CoolSculpting. Are Results Permanent The fat cells that are eliminated are gone for good. They won’t come back. Nonetheless, it is of course still possible to gain more weight, which may appear in the treatment area or elsewhere on your body. Most of our CoolSculpting patients feel more motivated than ever to maintain a healthy lifestyle and stable body weight after seeing their results, so we find that the results are lasting for those patients. LEARN MORE ABOUT FREEZING THE FAT AWAY Board-certified plastic surgeon Dr. Ronald Schuster is personally driven by helping his patients achieve the results they’ll love. After listening to your goals and examining the area you’d like to change, he can determine if CoolSculpting is right for you. To arrange a consultation at our Baltimore practice, please call our staff at 410-902-9800. Dr. Schuster’s patients visit us from across the surrounding areas, including Owings Mills and Towson.

  Link: CoolSculpting