December 13 vol 9 #5

Welcome to our December Newsline

Special Promotion for Injectables

Just in time for the upcoming holiday season, you can look great and save as much as $125.00.


restylaneMedicis, the distributor of Restylane® products is offering a rebate of $50.00 with a minimum purchase of 2 mL in a single treatment. As an added bonus for new patients, we will apply the initial consultation fee ($75.00) to your same day treatment.

Instantly add volume to help restore youthful contours, you’ll see results immediately following your treatment. Restylane® is commonly used to correct moderate to severe facial wrinkles and folds, including the lines from your nose to the corners of your mouth (nasolabial folds or laugh lines), the lines between the nose and upper lip; the corners of the mouth; and marionette lines—the area that extends downward from the corners of the mouth to the jawline. Other uses gaining popularity and showing excellent results are the treatment of tear troughs under the eyes as well as adding volume to enhance the cheekbones and fill in “sunken” cheeks.

Breast Reduction with Augmentation Revisited
More and more, we are hearing from women who once had full, youthful looking breasts but now are living with drooping or saggy breasts and seeking out ways to rejuvenate. As a result of this rising interest, we have decided to reprint an article from a previous newsletter.

Managing Saggy Breasts – A difficult problem with a better solution


Treating patients with ptotic (saggy) breasts is, and has always been, one of the biggest challenges in cosmetic surgery. Droopy breasts can be the result of major weight loss, pregnancy or hormonal change, but basically, the cause of breast droop is simply related to an individual’s lack of skin elasticity.

Traditionally, the most common procedure recommended for this condition is called mastopexy (breast-lift). The operation consists of removing only a thin layer of skin around the areola and underneath the breast to “tighten” the breast. Those who desire increased volume often also have an implant inserted during surgery. Combining these two procedures can be tricky, and many surgeons recommend staging the two components, doing the lift or implant first and later doing the second stage. Our experience convinces us that the two can be safely combined in one operation. While these procedures work out well initially, some women will notice a recurrent droop following surgery. This can occur because there is little or no skin elasticity and the weight of the lower breast tissue causes the skin to stretch out again. To counter this, the skin is usually “over tightened” which results in an initial distortion of the breast that can take months to resolve. We have long felt that there had to be a better way.

Our current recommendation for most patients is to combine a breast reduction with augmentation. During this procedure, not only is skin removed but also a portion of the lower more dependent tissue is taken as well. In most cases, we remove a relatively small amount of breast tissue and replace the volume lost with an implant. This results in decreased weight on the lower aspect of the breast resulting in a more uplifted breast.

As we have gained more experience with this operation, we have seen a marked increase in patient satisfaction. Not only are the long term results better, but patients seem to achieve normal shape faster with reduction combined with augmentation compared to the older technique of mastopexy with augmentation.

Certainly, one operation doesn’t fit all patients and there is still a place for mastopexy. This decision can only be made after a patient has a consultation and examination. It is important that the patient communicates their concerns and the outcome that they desire. With that knowledge, the surgeon will be able to recommend the procedure that they think will best meet their expectations.

Dr. Howard Tobin Receives Highest Ratings on the Internet

The internet is full of all kinds of information. We have the ability to research thousands of articles and blogs with useful information but it can be exhausting if not impossible to find answers to the specific questions you might have. That’s where ALLEXPERTS.COM really stands out. Dr. Tobin has been participating with this website for quite some time now and has been receiving the highest ratings from the public. Tobin-MD-FACS.htm

When you can’t find what you’re looking for, or if you’re looking for a rather uncommon piece of information, you can ask an expert on that particular subject.

ALLEXPERTS.COM has volunteer experts in almost every category ready, willing, and able to answer your questions.

Financing options available


That’s all for now. Thanks for your interest


Howard A. Tobin, M.D., F. A. C. S.

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