Richard Greco, MD
Richard Greco, MD, is an ASPS Member plastic surgeon who is board certified by The American Board of Plastic Surgery® and trained specifically in plastic surgery. ASPS members operate only in accredited medical facilities, adhere to a strict code of ethics and fulfill continuing medical education requirements in plastic surgery, including training in patient safety techniques. As your medical partner, Dr. Greco is dedicated to working with you to achieve your goals.
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Meet Dr. Richard Greco
To be the practice of choice, providing the highest quality care at the most reasonable cost with service that is beyond the expectations of those that we serve.
We welcome you to visit us to learn more about how we can help you make improvements so that you can feel better about yourself.
We will show you before and after photographs of other happy patients and often can use computer imaging to show you what you could like.
Feel free to call to set-up our informative session.
Breast Implant Removal
Buttock Lift with Augmentation
Chemical Peels, IPL, Fractional CO2 Laser Treatments
Cleft Lip and Palate Repair
Cosmetic Surgery & Computer Imaging
Ear Reconstruction Surgery
Hand Surgery for Congenital Differences
Head-Neck Cancer Reconstruction
Laser Hair Removal
Lip Augmentation / Enhancement
Male Breast Reduction
Skin Cancer Removal
Skull/Facial Bone Reconstruction
Spider Vein Treatment
Tram Flap Breast Reconstruction
Ask a Surgeon
Dr. Richard Greco participates in the ASPS Ask A Surgeon service. View responses to public questions below.
Should I get a rhinoplasty?Rhinoplasty
Thanks for question - but your photos are not available. See a Board certified Plastic Surgeon whom can examine you and offer you advice. If it does not bother you - don't do anything. We help people reach their goals and not do something to them that they do not see or bother them. Imaging maybe very useful to help show what changes can be made
How soon safe it is.Liposuction
The timing of multiple procedures depend on your overall health, age, and the types of procedures you have had and want to have. The best person to talk with is your board certified plastic surgeon. He/she will know what works best in their experience. If the liposuction was not large, two weeks should be adequate to have surgery on a different part of the body in healthy individuals.
I need a slight nose reduction.Rhinoplasty
Rhinoplasty is a very interesting operation that can change your the way you see yourself. Go see a Board Certified Plastic Surgeon whom can show you a morphed photograph of yourself to see if that is the appearance that you desire. It can be done on printed photos or a morphed software program. Good Luck
Restore my breastsBreast Augmentation
Maria, You have asked a very common question. Patients whom have had a Breast Reduction or a Mastopexy - and then lose volume - can become soft, undefilled, and have some mild sag. This often occurs after weight loss - a refilling the skin envelope with an implant can work perfectly. See a Board Certified Plastic Surgeon for an opinion
Multiple surgeriesMommy Makeover
This is a great question. Many surgeons would not take on all of these operations simultaneously. First - you need to have an exam by a board certified plastic surgeon. Are you a good candidate for each of the operations you desire if done separately. If the answer is yes, are you in adequate health to undergo these procedures. Then you need to find a surgeon who is good and fast so that your total anesthetic time is acceptable. Ask multiple surgeons about their ability to perform your combination of procedures , how long it would take them to do it, and what their experience is with them. Finally, look at their results to make sure they meet your expectations. Good Luck
What a great question. How much surgery is too much at one time? The answer depends on the experience and abilities of your board certified plastic surgeon, your age, your health, your weight, smoking history, diabetes, etc. I have lectured on this topic at Aesthetica - and what I say is that the average healthy patient can tolerate about 6 hours of surgery planned. Some procedures tend to go better together. But the important aspects are your health, depth of anesthesia, blood loss during procedure, and what are the combination of procedure you are considering. The combination you are already considering would be close to my 6 hour rule because their are so many different areas that have to prepped out separately to do., and the time it takes for the local to work. Good Luck and be happy.
Choosing a surgeonMommy Makeover
Our society's campaign "Do your Homework" is paying off. You might want to go to this site written by one of our past presidents https://www.plasticsurgery.org/news/blog/how-to-ensure-your-plastic-surgery-is-safe Meet multiple surgeons until you feel comfortable with them as individuals and as a practice - are they responsive to your questions and concerns. Look at their photo of before and after patients and see if their results meet your expectations. Ask them their personal track record - including their complications, malpractice history, and whatever it takes to make you comfortable. Just because someone has been sued, does not mean they were wrong or bad . If they had lost multiple cases, one starts to become suspicious. Ask what happened. It is usually public record and reported to the National Databank that is discover able by you. Reviews can be helpful, especially if they have more than 50 or 100. You will get a general feel about what they are saying about them
Recovery periodArm Lift
Brachioplasty is an excellent operation for removing excess loose skin of the arms. This is done as an outpatient in an office ambulatory surgical center under anesthesia. Most of my patients are back to work in 3 to 5 days. One can not soak or swim for two weeks.
Breast Reduction at a Young AgeBreast Reduction
Sierra, You sound like a very good candidate to consider a breast reduction. It is hard to tell you what the best option is for you with out an examination.. I would suggest you visit a Board Certified Plastic Surgeon with you parents. Most breast reduction surgery keeps your nipple/areolar complex alive. If you are truely a correct patient for this operation - insurance should cover it. Good Luck!
Insurance is covering panniculectomy. Can I pay the difference for TT?Tummy Tuck
Good Question First you should have an evaluation by a local board certified plastic surgeon near you. Are you a good candidate for the procedure that you are interested in? Once the correct operation is chosen, most plastic surgeons can help you work out the financial details. Typically, one applies to the insurance company for approval for a panniculectomy. One has to have the appropriate symptoms and physical findings , and your policy not having it excluded to get them to agree to covering the procedure. This is not as easy as you think. Most plastic surgeons have the ability to charge you for the additional cosmetic portions - Muscle tightening, additional upper abdomen elevation and soft tissue and skin resection, and possibly liposuction - and get you a cosmetic fee for the extra OR and Anesthesia costs. I agree, that in many parts of the country, you could have a cosmetic tummy tuck for less than you have been quoted. Good Luck
Risk - This is the most important question anyone will ask. You should talk with your surgeon to ask his/her risk profile and experience. One starts with a good history and physical to determine your ability to undergo a general anesthetic and the procedure. Factors such as smoking, obesity, heart disease, pheriphreal vascular disease, diabetes all have certain risk mutlipliers and are taken into account. How long your operation will take, use of dynamic compression hose, long term local anesthetics, overnight care and early ambulation will reduce your risk. In the best locations and with appropriate care the risks are low - but not zero.
Is 45 a good age for my first procedure?Facelift
Fabulous Question! Everyone has their own genetic background, history of sun exposure, smoking history, and weight gain/loss that drive your actual appearance. Early facial rejuvenation occurs as early as 40 and is very common by 47 - 50. One should be seen by a board certified Plastic Surgeon for an evaluation and discussion of your goals and create a long term rejuvenation plan. Look at photos of the surgeon's work to see if his/her artistic work and results suits your eye.
Ideal Candidate for tummy tuckTummy Tuck
Thank you for the great question. I personally like to meet patients like yourself early in your journey. It is beneficial for the patient to get to know his future surgeon, to understand the changes occurring to their body, to help set goals and to cheer the patient on as they begin to meet milestones. Knowing what is eventually possible stimulates patients to do even more and better. In addition, getting an idea of the types of procedures and possible costs allow the patient to prepare for reconstruction.
No definition in neckLiposuction
Lack of Definition of the Neck can be caused by many things. An examination by one of our Board Certified Plastic Surgeon can help diagnose the problem and offer the solutions. Small chin - chin implant or Chin advancement Full Neck - Liposuction, Direct excision, Kybella, or Cool Sculpting Loose skin - Neck lift or Direct skin excision
Liposuction w breast augmentationBreast Augmentation
Great Question Alexandra, Performing Liposuction of the Anterior Axillary fold or the axilla at the same time as a breast augmentation is performed all the time. It will lead to increase "soreness" during the postoperative recovery. We do have to manage the risks of doing them together - pain, some postoperative swelling, and care to minimally connect the pocket and the liposuction regions.
Re: Tummy tuck and healthTummy Tuck
Thank you for asking your question. It is very important to know that not every patient is a good candidate for surgery and not every patient with a health problem is a bad candidate for surgery. How do we decide whether you are an adequate candidate for surgery? 1) What is the complexity of the surgery? 2) What type of anesthesia will be required? 3) Your age and weight? 4) The type of health conditions you may have and how severe they are. See a Board Certified Plastic Surgeon for a consultation. After you both decide the right procedure for you, the surgeon will help coordinate all the safety precautions we can use to make sure you have a safe experience. They will decide whether you need medical clearance before proceeding forward.
Previous reduction and need agsinBreast Augmentation
Thanks for a great question. Plastic Surgeons are seeing more patients that have had previous surgery of the breast years ago - then have the changes of life - including pregnancy, weight gain, weight loss, and gravity - now want to have an improvement of their breast appearance. You need an exam by a Plastic Surgeon with experience in these areas. Secondary breast reductions and lifts require knowledge of your previous surgery and the blood supply to your nipple areolar complex . Thee are many options to get the results you want - to include repeat lift alone, or repeat lift with fat grafting to the upper pole or with an implant.
Inverted NipplesBreast Augmentation
Can one correct asymmetry of the nipple and Areola at the same time as the augmentation? When an individual has significant asymmetry before breast augmentation surgery, implants alone may not solve the problem. If there is a difference in the size of the areola and more droop on one side than the other, an areolar reduction or a breast lift can help correct the asymmetry - while an augmentation can be performed at the same time.
There are many different types of Mini facelift. The operation should be focused on the area of concern and deformity identified by the surgeon and the patient. Experienced Plastic Surgeons will have the versatility to treat what ever is necessary. You should ask for samples of their before and after of similar operations so that you can see what they perceive as a good result for your problem., The true number is not what is important, what is important that you both agree upon the goal of the surgery.
Full body liposuctionLiposuction
You are asking an excellent question - Whom is a candidate for total body Liposuction? One starts by visiting a Board Certified Plastic Surgeon whom feels comfortable addressing your concerns. Total Body Liposuction on a 140 lb individual with multiple areas of concern is different than a 250 pound patient with the goal of having Liposuction substitute for Diet and Exercise. In the first instance, one can help liposuction multiple areas to smooth out those contours, in the second instance - Bariatric surgery, weight control program, or diet and exercise may be the appropriate first step. In patients whom have lost substantial weight and need multiple areas of liposuction, removing more than 5000 cc is done and the patient requires overnight supervision for fluid shifts. I wrote a paper many years ago on Massive Suctions safely done with over 10,000 cc at a time. Bariatric Surgery has since replaced these operations.