You Get What You Give!

Marotta Facial Plastic Surgery's Holiday Deal is a present for all!

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This holiday season, Marotta Facial Plastic Surgery is giving back! We will be donating 10% of the profits from every gift card we sell during the month of December to a charitable organization in need. But here’s the best part…for every $100 gift certificate you buy for someone else, get a $25 gift certificate to keep for YOURSELF*! It’s all part of our “You Get What You Give” celebration. Gift certificates can be used for any treatment or product* offered at Marotta Facial Plastic Surgery – like Botox, Juvederm, Restylane, Medical-grade Microdermabrasion, Photofacials, Permanent Hair Removal, Facials, and more!

Purchasing a gift certificate is fast and easy! You can either come into our office where a member of our staff will assist you in person, or you can call and we will process the transaction right over the phone. Don’t have time for wrapping? We can gift wrap or direct mail the gift certificate for you if you’d like! It’s simple, it’s easy and it makes a super gift! Your family and friends will thank you for treating them to a gift of luxury and beauty and you’ll be thanking yourself too. It’s a gift you can feel extra good about because your purchase will help people who are in need.

ABOUT THE CHARITY

Marotta Facial Plastic Surgery helps support The Damien House Foundation, a charitable hospital and clinic in Guayaquil, Ecuador that transforms the lives of patients with Hansen’s Disease (leprosy). Hansen's Disease is a mild but persistent infectious disease caused by bacteria that enter the body by aerosol droplets and cause symptoms including nerve damage, lumps and/or ulcers on the skin, selective muscle paralysis, and blindness. Although rare in developed countries such as the US, the disease is prevalent in impoverished areas of Asia, Africa, and South America. According to Dr. Julie Gerberding, the director of the United States Center for Disease Control, "leprosy could be eradicated worldwide, if that goal were to be set." The disease is completely curable. After only two weeks on antibiotics, Hansen’s patients are no longer contagious. Full treatment to cure the disease takes anywhere from six months to two years, depending on the individual's immune system and the severity of disease present.

All money donated by Marotta Facial Plastic Surgery to The Damien House Foundation will be directly applied to providing medications & treatment to Hansen’s patients at the Damien House hospital and clinic.

ABOUT MAROTTA FACIAL PLASTIC SURGERY

Led by Dual Board Certified Facial Plastic Surgeon Dr. James C. Marotta, the practice offers facial rejuvenation/anti-aging surgeries & non-surgical treatments in a private, luxurious setting. Dr. Marotta’s extensive training in the highly complex anatomy of the face makes him a leader in injectable treatments. Recognized as a full facial rejuvenation specialist, he expertly performs all procedures in the comfort of his state of the art, on-site, AAAHC accredited operating suite.

Marotta Facial Plastic Surgery is also a center for medical grade aesthetic skin care. Licensed aestheticians and medical assistants skillfully provide medical microdermabrasion, permanent hair removal, photofacials, anti-aging facials & chemical peels. Additionally, the practice offers an extensive line of Jane Iredale Mineral Makeup, PCA products and is the exclusive retailer of the MarottaMD Anti-Aging Skin Care Line.

Give a gift — Get a gift — Help a cause!

Call (631) 982-2022 to purchase a gift certificate today!

* $25 Free Gift Certificates for purchaser apply solely to services at Marotta Facial Plastic Surgery and cannot be used for products. Coupons and other discounts offered by Marotta Facial Plastic Surgery may not be applied to gift certificate purchases.

Q and A: Juvederm or Restylane for under eye hollows?

Question: Juvederm or Restylane for under eye hollows?

Dr. Marotta's Response: I use Juvederm and Restylane I think equally effectively for filling in under eye hollows or the tear trough deformity. Both products are clear, gel-like and made of hyaluronic acid which is probably the filler with the greatest safety profile. Injections around the eyes of any filler should not be taken lightly. You must seek expert advice from a Dr. that performs a lot of fillers in this area. Artistic injecting technique in the proper deep area or plane is critical to avoid filler visibility and get a natural looking outcome.

Q/A Cheek Implants - Fat Injections

Dear Dr. Marotta,
I am a single 27 years old female from the U.A.E. (Dubai). I have a very flat cheeks which make me look older and more tired than I am. I have tried fillers which last for only few months and they are too expensive as well as painful. I want a permanent solution. Do you suggest cheek implants? Can I custom the implants? I also want to place one between my lower lip and chin area, is this possible. I am not happy with my submalar area. Would it be difficult to talk if I used a thin implant in this area? What are the best materials that give natural look? Do you visit Dubai? If yes, when is you future visit? If no, can you suggest a friend surgeon who has practiced this procedure in my area (Dubai)?I had rehnoplasty a month ago, do I have to wait before I undergo cheek implants? You answers are very much appreciated. Please don't not publish my name or contact details.
Thanks

Dr. Marotta's Response:
The two permanent options for flat cheeks are cheek implants and microfat transfer. Cheek implants come in various sizes and configurations and are chosen based on your anatomy to give you the best look. Most surgeons use silicone implants because they are very well tolerated in the cheeks. Both the malar and submalar area can be augmented with a combined malar/submalar implant. The other option is Microfat transfer to the cheeks and submalar area. The benefit of fat injections is that they are your own tissue so the chance of infection is even less. Which option I choose in a patient really depends on how much facial fat loss or how much cheek augmentation we’re looking for. For changing the lower lip and chin area, a chin implant or fat injections are a more permanent solution.

I do not visit the U.A.E. but would love to someday. I do not know of any surgeons in your area with expertise in these procedures. You could always visit the U.S. as we have many international patients from Turkey, Germany, Italy… You do not need to wait after your rhinoplasty; the surgeries do not interfere. You can rest assure your contact information will not be published.
Hope this helps. Best wishes,

James C. Marotta, M.D.

Question/Answer on Midface Lift

Question: Are all midface lifts done endoscopically these days? Is it now common for the procedure to be done endoscopically? Are there any advantages to having mid facelift done NOT endoscopically (can you see more, have more control, precision)? Is it enough the "standard of care" that I should look skeptically at a surgeon who doesn't do this procedure? I'm thinking of having it done to improve the sagging of my cheeks but not sure its the right procedure.

Dr. Marotta's Response: There are really only a few ways to do a true midface or cheek lift. The "endoscopic" approach you mention is done through small incisions hidden behind the hairline; 2 in the temples and 2 behind the hairline above the forehead. Through these incicisions sagging forehead and cheek tissues (upper 2/3 of the face) can be elevated giving the patient a younger appearance. This is sometimes called the "Endoscopic Forehead Midface Lift" or the "Temporal Approach to the Midface" because it bascially it was developed from the endoscopic forehead lift procedure. This is my preferred technique and I have published papers about it. Some surgeons attempt to elevate sagging cheek tissues through the same incision as a lower blepharoplasty or eyelid lift. This is called the "subciliary approach" to the midface lift. In general this approach is less effective because there is notihing in that region strong enough to hold the sagging cheek while it heals. There is no more precision in either approach inherantly and I think it depends on the skill and experience of your surgeon.

Looking at your pictures you are an excellent candidate for an endoscopic midface lift because most of your aging is due to a sagging cheek, deeper smile lines, and hollow eyes all of which a midface lift will help. In my own practice I combine an endoscopic midface lift with microfat transfer to get even more dramatic and natural looking iimprovement in these areas.

It is very important to be clear on what a midface lift does vs. a facelift. You must understand the majority of cosmetic surgeons cannot do a true midface lift because they have not received the necessary training/experience in these procedures which can be technically difficult. These surgeons may dismiss the procedure as unimportant and offer a facelift or alternate procedure that really does nothing for the sagging cheek and nasolabial folds. Most facelifts offered are some kind of SMAS lift which really helps more the lower face, jowls, and neck. From your pictures these are not your problem areas. The only facelifts which may help the cheek and smile lines are the deep plane facelift or the composite lift. These procedures again are done by surgeons with advanced training and you won't find them in every office. I do alot of deep-plane facelifts as well but would offer that more to a patient who has not only a sagging cheeks but a sagging jawline or jowls and a sagging neck and who does not want a midface lift in addition to a "lower" (jowls/neck) facelift.

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Question/Answer on Rhinoplasty Recovery

Question: How many days to recuperate after rhinoplasty surgery?

Dr. Marotta's Answer: I tell patients to take about a week off from work or school to recover. In a majority of patients, the bruising and swelling has resolved by then. I also take the cast off the nose on the seventh day so people generally feel free to resume their daily routines especially if they want to keep their rhinoplasty surgery confidential. In terms of the recovery from anesthesia and generally feeling good, that happens much more rapidly; within 1 to 2 days.

Question/Answer on Puffiness Under the Eyes

Question: I have always been very puffy under my eyes, and it makes me look tired. People ask if I have been crying. I think I look sad. Is there anything that can be done to permanently reduce the puffiness?

Long Island Cosmetic Surgeon, Dr. Marotta's Answer:
Puffiness under the eyes is usually due to fat that is protruding in the lower eyelid. This puffiness can be permanently reduced with a lower eyelid lift or blepharoplasty (pronounced blef-ah-row-plast-ee). In this procedure the excess lower eyelid fat is reduced or removed. A lower blepharoplasty can be done under local anesthesia, takes less than an hour, and frequently can be done with no visible external incision.

Question/Answer on Brown Spots and Laser

Question from patient who received treatment elsewhere: Is there any product out there that will remove the large dark spots on my face? I had two laser treatments that did nothing!

Long Island Cosmetic Surgeon, Dr. Marotta's Response:There are a number of very effective treatments available to remove "large dark spots". However, the first and most important thing to do is have a doctor who is qualified to treat the skin examine the spots and form a proper diagnosis. "Dark spots" can be many different things and you want to make sure the lesions are not pre-cancerous or even cancerous. The proper and most effective treatment also depends on the right diagnosis and can range from surgical excision, to chemical peels, laser, intense pulsed light or topical medicines.

If you did see a qualified doctor for your treatment with laser, return to them and ask them why it didn't work.