Quick fixes and fads come and go. Sound surgical principles deliver the most viable and lasting results.There are many new gadgets, "non-invasive" procedures, 15 minute facelifts, miracle creams, and painless skin tighteners. I believe the makers of such products, and some of the "physicians" who "endorse," or "highly recommend," such products or procedures prey shamelessly on the average consumer. THERE IS NO LEGITIMATE SCIENTIFIC STUDY THAT DEMONSTRATES ANY REVERSAL IN AGE RELATED WRINKLES, CREASES, OR DIVOTS WITH THE USE OF ANY CREAM, MAGIC SPELL, OR POTION, NONE, PERIOD. This is not to say that most consumers are stupid, or uninformed. Most are fed poor quality pre-intervention and post-intervention photographs with changes in lighting, background, focus (or complete absence of focus). People are trained to pick up on this, they see a change for the better, and attribute it to a miracle treatment. There has also been a media push to embellish medical advances. This misleads the average patient into believing that "new" techniques are somehow better, without being as invasive, with the added benefit of less down-time. They are fed non-sense about "minimally invasive plastic surgery." They believe it. To understand why the term is laughable, we need to go back to the origins of minimally invasive surgery. The entire purpose of laparoscopic surgery was, and is two-fold. Using very small incisions to perform intra-abdominal, intra-pelvic, or intra-thoracic surgery allowed patients to return to activity quicker because most pain caused by such surgery is related to the incisions across skin and muscle. The second reason, is obviously to improve the cosmetic appearance of the scars by making scars tiny. Plastic surgery, however, for the most part focuses on skin. There may be too much, too little, it may need to be reshaped, etc. Plastic surgeons operate on skin. To say that an operation that is designed to remove, add, or reshape skin can be performed by not making incisions in the skin is downright silly. For any plastic surgeon to endorse a technique that promises long lasting results in a fraction of the time, with no downtime implies one of two things. The surgeon is a fool, or the surgeon is more interested in making money than in his or her work, and in the satisfaction and ultimate appearance of the patient. There are cases, breast augmentation for instance, or a closed rhinoplasty, or an endoscopy browlift, where making the incision smaller may yield a more pleasing result. For the most part, however, operations that have been around for 30 years, are around for a reason. The same cannot be said of the gadgets sold to "doctors" two years ago for hundreds of thousands of dollars, that are now available for a few thousand bucks as refurbished resale items. Results don’t lie, and once word gets around people know what not to pay for. The trouble is that "new" and "improved" treatments are being churned out so quick, those who have them done first don’t have the luxury of the truth.Having said this, my practice philosophy is rooted in honesty, humility, and quality. I would never promise the stars and the moon; no matter how god a job I thought I may be able to do. I have always given a fair assessment of the situation, presented working alternatives, discussed most of the unfavorable events that could have possibly occurred and made sure that my treatment plans were in line with my patient’s goals, and expectations. I have never thought myself too good or proud to refer to someone who may have more expertise in a given area, rather than operate on a patient for a quick buck without regard for potential problems. Finally, I have stood by my work, and I am happy to display any case when allowed to do so by my patients. I will strive to preserve the honesty, humility, and quality of my practice as long as I am caring for patients.
Dr. Gerzenshtein’s special facial plastic surgery interests currently include nose-reshaping surgery or rhinoplasty , facial rejuvenation surgery such as eyelid, eyebrow, and facelift surgery. In particular, revision rhinoplasty and other reparative, secondary, or tertiary facelift, eyelid, and brow interventions. His interests in breast plastic surgery include breast augmentation and revision or repair of breast enlargement surgery done previously.
In terms of interests with respect to cutting edge aesthetic surgery, Dr. Gerzenshtein likes to use newer modalities, such as the endotine browlift, midface, and trans-bleph devices to diminish the length of scarring where possible and in line with his practice philosophy. Overall, however, “new” ways to treat cosmetic surgery problems like liposelection® via the VASER, gummy bear or cohesive-gel silicone implants, Fraxel®, Pearl®, Limelight®,Solera®, Xeo®, and CoolGlide® from CUTERA® would need to show superior results over time in comparison to other methods to be considered. The Palomar StarLux system is currently being used in our office in cases where minimizing downtime is important to patients, for instance when it comes to facial rejuvenation. Other less invasive methods such injections of Juvederm®, Restylane® or other hyaluronic acid and Botox® preparations are always considered if the patient demonstrates complete awareness of their transient effects. More permanent fillers like Sculptra®, or Radiesse® are used when appropriately.
Location & Office Hours
Mercy Hosp Janesville, Dept Plas Surg
1000 Mineral Point Road