Manhattan Cosmetic Surgery
Manhattan Cosmetic Surgery
This website is intended to familiarize prospective Manhattan cosmetic surgery patients with an understanding of Dr. Khosh's approach to facial plastic and reconstructive surgery. It will also provide updated and valuable information regarding facial cosmetic and reconstructive procedures as well as state of the art modalities for facial enhancement including: Botox, and facial fillers such as Restylane, Juvederm, Scupltra and Radiesse.
Dr. Khosh and his staff are dedicated to providing their patients with unmatched professionalism, curtsey, and respect. Our goal is to achieve the safest and most natural results in cosmetic surgery while minimizing recovery. Although we are ardent supporters of innovation in medical devices and technology, we prefer to offer treatments that have proved clinically helpful rather than those that attract headlines without proven benefits.
Manhattan Cosmetic Surgery Procedures
Botox Treatment
Currently, Botox Cosmetic is the most widely performed cosmetic procedure in the United States. Botox is FDA approved for treatment of crow's feet (lines at the corner of the eyes), and forehead wrinkles and frown lines. FDA has also approved Botox for treatment of severe sweating (hyperhidrosis). Botox injection into the skin can block sweat production for up to six months. This form of treatment is commonly used for excess sweating in the axilla (arm pit).
Wrinkle reduction with fillers
Intra dermal fillers are a broad category of materials that can be injected into the skin to smoothen wrinkles and depressions, due to aging or acne. Collagen was the first FDA approved filler. Since then, newer generations of fillers have gained FDA approval for treatment of facial wrinkles. Currently, hyaluronic acids such as Restylane, Perlane, Juvederm, and Juvaderm Ultra Plus are the most commonly used dermal fillers. Prevelle Silk is the newest FDA approved product in the class of hyaluronic acids. Evolence is the new product in the category of collagen fillers to reach the market. Evolence lasts longer that the classic bovine Collagen. Radiesse and Sculptra round off the currently FDA approved fillers for treatment of facial lines.
Rhinoplasty (nose job)
Rhinoplasty can have a significant effect on breathing, and should only be performed by surgeons who have an intimate knowledge of the anatomy and physiology of the nose. Septoplasty is often combined with rhinoplasty to improve breathing. Dr. Khosh is a board certified ENT specialist, as well as a board certified facial plastic surgeon. This background uniquely qualifies him to perform rhinoplasties without compromising the breathing function of the nose. Dr. Khosh specializes in both primary rhinoplasty and revision rhinoplasty for patients who are unhappy with the cosmetic or functional outcome of their previous nose job operation.
Face Lift (Rhytidoplasty)
Dr. Khosh's main goal in facelift surgery is to create a more youthful but natural facial appearance. Face lift surgery is often combined with other facial rejuvenation procedures such as blepharoplasty (eyelid surgery), brow lifting, neck liposuction, or fat grafting to allow for a harmonious facial appearance. Trusted techniques such as SMAS tightening help provide a long lasting cosmetic result without the "wind swept" look.
Eyelid Surgery (Blepharoplasty)
The eyelids are one of the first features in the face to show the effects of aging. Droopy skin or puffiness around the eyes can make one look tired or sad. Eyelid surgery helps with looking younger and better rested. Upper eyelid surgery removes excess sagging skin and puffiness around the upper eyes. Lower eyelid surgery can be done from inside the eyelid (trans conjunctival) or externally (trans cutaneous) depending on the extent of wrinkling in the skin, or eyelid tightness. Upper and lower blepharoplasties are often performed in tandem with a facelift.
Brow Lift (forehead lift)
Endoscopic minimal incision techniques have revolutionized brow lifting. Gone is the era of long incisions, prolonged recovery, and frequent numbness in the scalp. Brow lift surgery helps improve the upper eyelid appearance, and can be combined with blepharoplasty for an ultimate outcome. More recently, fat grafting to the upper brow has proved a useful adjunct or alternative to surgery.
Neck Liposuction
Neck liposuction can eliminate "the double chin" and help create a desirable neckline. In younger patients with good skin tone, neck liposuction is done as a stand-alone procedure. In older patients with significant skin redundancy, neck liposuction may need to be augmented with a facelift operation.
Chin Implant
Harmony in facial features is a hallmark of beauty. A small chin can accentuate the size of the nose. Chin implantation alone or in combination with a nose job can restore balance and harmony in the face. Implants can be placed through small incisions under the chin or inside the mouth.
Fat Transfer (fat grafting)
Increasingly, plastic surgery literature is indicating that loss of soft tissue volume in the face contributes to physical appearance of aging. Fat transfer is a permanent method for restoration of soft tissue volume loss. Fat is carefully removed from other parts of the body such as the abdomen and injected into the face to replace lost volume. Fat grafting is a useful adjuct to procedures such as a facelift and a blepharoplasty.
Manhattan Cosmetic Surgery Reconstructive Procedures
Facial Trauma Reconstruction:
In our practice, we treat patients with soft tissue or bony trauma of the face, such as nasal fractures, orbital fractures, cheek bone (zygoma) fractures, and frontal sinus fractures. Acute or secondary repair of facial fractures can often be accomplished with minimal incisions hidden inside the mouth, inside the eyelid, or inside the hair line.
Mohs' Cancer Repair:
Mohs' micographic surgery is now accepted as a standard excision technique for skin cancers of the face, including basal cell carcinoma and squamous cell carcinoma. We work closely with Mohs' surgeons to repair facial defects immediately following excision. Procedures such as skin grafts, and tissue flaps are utilized to achieve natural appearing outcomes.
Manhattan Cosmetic Surgery: 212-223-1333
