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A small telescope like endoscope, similar in width of a pencil, is attached to a camera which is then passed through several small incisions hidden behind your hairline. This allows Dr. Kopelman to visualize the structures beneath your skin without making a large incision. By releasing attachments beneath the brow the soft tissue of the eyebrows and forehead are able to float upward and reattach at a higher level. An added benefit of a brow-lift is that small muscles underneath the skin, that are responsible for overlying skin contraction, can be released or partially removed.  This release will significantly improve your appearance by smoothing the frown lines and horizontal skin lines of the forehead. While you are healing the new brow position is secured in position with sutures. No hair is removed and no visible scars are apparent. Your elevated brow will appear very natural.

Where is this procedure performed?

The endoscopic brow-lift is performed by Dr. Kopelman at the Ridgewood Ambulatory Surgery Center in Ridgewood, N.J., which is adjacent to his office.


How long does the procedure take to perform? The procedure usually takes between one-to-two hours under intravenous sedation or general anesthesia.


What can be done to reduce bruising and swelling following an endoscopic brow-lift? Two weeks prior to surgery, Dr. Kopelman will instruct you to stop taking all medications that could potentially thin your blood. These medications include Plavix, Coumadin, aspirin,Advil , Motrin, Aleve, fish oil, ginkgo, multiple vitamins, vitamin E, and other drugs. Prior to surgery you will receive a homeopathic drug called arnica montana to reduce post operative swelling. In addition, during the procedure Dr. Kopelman will insert a tiny tube beneath the skin.This will drain away blood tinged fluid  that may collect overnight. All these steps will greatly reduce swelling and bruising and allow you to resume your daily activities more quickly.

What is a coronal brow lift and is it a useful procedure? Coronal brow lifts or sometimes called “open” brow-lifts involve a long incision from ear to ear usually behind or in front of the hairline. Dr. Kopelman utilizes this technique primarily in patients who have droopy eyebrows but who also demonstrate a high hairline and high forehead. By placing the incision in front of the hairline the scalp can be advanced downward this has the effect of shortening the distance between the top of the eyebrow and the beginning of the hairline. The appearance of a high forehead therefore is reduced. Because the incision is much longer than the endoscopic approach an open coronal incision takes longer to heal and may result in a more prolonged numbness of the scalp. However, despite these drawbacks some patients will benefit the most from an open approach. Dr. Kopelman will discuss the pros and cons of each procedure with you during your consultation.

If the eyebrows are raised is it necessary to also have eyelid surgery or will raising the brow alone solve the aesthetic problem? and Can both the eyelid and eyebrow procedures be performed at the same time? There are some patients who will benefit from eyebrow surgery alone. However, most patients will still have extra eyelid skin laxity even after the brows are repositioned. At the time of your consultation Dr. Kopelman will determine both eyebrow and eyelid surgery will be necessary to achieve the most ideal result. If both surgeries are indicated then both procedures can be performed on the same day.

Potential complications:

Temporary or rarely permanent numbness,itching of the scalp and nerve weakness.

Temporary hair loss

Asymmetry of the brow position

Infections are extremely rare
 
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Friday, 28 May 2010 06:43

 

Brow Lift - small incision


 Endoscopic Techniques

                   

Many patients who may benefit from cosmetic eyelid surgery may also benefit from elevation of their brow at the same time. The question that frequently arises during the consultation is, ”Do I need a browlift or will eyelid surgery alone be enough to achieve an optimal cometic result?”As the brow descends, the skin of the upper eyelid will be sandwiched downward toward the eyelashes giving the impression that a great deal of skin has developed, creating “hooding” of the upper eyelid crease. If the surgeon removes the skin of the eyelid without raising the brow, then the eyebrow to eyelash dimension may appear narrower. Instead of the eyelid opening to a more youthful dimension it may appear compressed. So in many cases eyelid and brow elevation are recommended together. The procedure is performed with an endoscope which can be used to make small incisions behind the hairline resulting in no visible scars. No hair is removed. Most importantly the results look natural and the patients do not appear surprised or overdone.

Since 1995, Dr. Kopelman has taught hundreds of physicians from all over the country and world his techniques in his course on endoscopic brow lifting.
Last Updated on Friday, 18 May 2012 18:04
 
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Friday, 28 May 2010 06:59

Laser Skin Resurfacing - Face, Eyelids, and Lip

Lasers allow the precise and safe removal of the outer layers of wrinkled, weathered, and sun-damaged skin followed by the body’s natural ability to regenerate a new outer layer of skin. Continued improvement occurs as new collagen and elastin are produced over several months. The “resurfacing“ process creates improved skin quality and a rejuvenated, more youthful appearance. Laser resurfacing can be performed in either limited areas of the face, to smooth out lower eyelid wrinkles or lines around the mouth, or full face treatment to tighten and smooth the entire face and upper neck. Laser resurfacing can be performed alone or in conjuction with eyelid surgery to enhance the result. Either a carbon dioxide or erbium laser are typically used. I have used both types of lasers since 1994 and I have found the erbium to be safer with a faster healing time compared with carbon dioxide. Patients typically can return to work within 8 days compared to a more prolonged recovery with other lasers.


Performing laser resurfacing safely and with consistently good results requires experience not only in the performance of the treatment but of equal importance in the aftercare of the freshly treated skin. Prior to treatment patients are prescribed an anti-viral medication to prevent a cold sore (herpes simplex infection). Patients who have recently taken Accutane are precluded from laser treatments. For your comfort, “twilight”anesthesia is provided. Following the procedure is a biocclusive dressing is applied which accelerates healing and eliminates any discomfort. The following day you will return to the office to cleanse the skin with sterile saline solution. Close follow-up care results in consistently excellent results.
Last Updated on Friday, 18 May 2012 17:57
 
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Friday, 28 May 2010 06:52

Neck Liposuction


    Many patients have bulging fat below their jawline and chin. blouses that This may give their face a round appearance and discourages patients from wearing shirts and blouses that accentuate their neck contours. Neck liposuction is sometimes a very effective and relatively safe way to restore youthful neck contours. The patients who will benefit the most from isolated neck liposuction procedures are usually individuals who have good skin tone and isolated fat accumulation.Patients who have both skin laxity, muscle laxity and bulges of fat will only benefit if all three components of a "sagging neck" are addressed at the same time. This usually will require liposuction  of the neck performed in conjunction with facelift surgery. Recovery following liposuction of the neck is quick.Usually within a few days to a few weeks a dramatic improvement can be seen.However residual swelling may take several months to resolve before you will appreciate the full benefits from the procedure. The surgery is performed as an outpatient procedure using tumescent (salt- water) anesthesia.You may choose to have light intravenous sedation if you desire.Minimal discomfort is expected usually adequately controlled with Tylenol.Following the procedure an elastic compression dressing is worn for a few days to promote healing.
Last Updated on Friday, 18 May 2012 17:59
 

              Welcome to!

Kopelman Aesthetic Surgery

      and Laser Center        

One of the finest laser and cosmetic surgery,research and training centers in the United States , Kopelman Aesthetic Surgery and Laser Center is a state-of-the-art facility using the most advanced laser and cosmetic surgery approaches available for the treatment of eyelid, facial, and body aesthetic and reconstructive problems.  Adults and children come from across the United States and Europe for treatment of conditions ranging from scar removal to cosmetic rejuvenation. Dr. Kopelman is recognized both nationally and internationally for his leadership role in the areas of cosmetic surgery and skin laser technology. Dr. Joel Kopelman, the director of the center, has been practicing state-of-the-art cosmetic and laser therapy since 1984. He was an early pioneer in the adoption of erbium laser resurfacing to rejuvenate age -related skin changes, Thermage, Fraxel laser, dermal fillers, and an early  FDA investigator of Botox and endoscopic browlifts. Throughout the years many of Dr. Kopelman's groundbreaking studies have been published and are used as guides by laser practitioners and plastic surgeons around the world. Dr. Kopelman continues to break new ground in surgical and non- invasive technologies and all aspects of cosmetic skin care and plastic surgery, providing cutting edge treatments to the center’s patients. Dr. Kopelman has personally trained hundreds of physicians in the use of laser technology, injectable fillers, and other aesthetic surgical procedures.Call today to set -up  a private consultation with Dr. Kopelman in his Ridgewood office.