woman standing on the beach in a white bathing suit touching her body with liposculpture lines drawn on her stomach and legs
CHAPTER 1

An Introduction to Plastic & Reconstructive Surgery

Your Trusted Long Island Plastic & Reconstructive Surgeon Spills Everything You Need to Know Before Choosing a Procedure

In today’s society of 24/7 access to celebrities with perfect bodies via social media, television, and films, you wouldn’t be alone to consider plastic surgery. In fact, more than 23 million people across the United States in 2020 underwent a plastic surgery procedure—whether cosmetic or reconstructive surgery or non-invasive options, according to the American Society of Plastic Surgeons. And those are just the numbers from a year when most of the country was stuck indoors, quarantining. Prior to 2020, the number of surgeries performed each year were higher, and the industry is only projected to grow.

If you are considering plastic surgery or a non-surgical alternative, it’s critical you properly prepare for it by:

  • Setting realistic expectations such as confidence boosting and correction, instead of holding onto the belief the procedure will change your life 
  • Scheduling consultations with multiple surgeons to ensure you find the one that understands your goals and has the necessary qualifications and certifications to achieve said goals
  • Evaluating the safety and cleanliness of the surgical facility
  • Saving for the expenses you will incur
  • Researching the procedure you’re interested in to find out if it’s the best solution for your goals
  • Learning about the techniques used, preoperative care, and post-surgery recovery 

Long Island-based Buglino Plastic & Reconstructive Surgery developed this resource guide to ensure you have the knowledge to ask the right questions during your consultation, set realistic goals for the procedure, and choose the right technique for your needs with the help of a certified plastic surgeon. 

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CHAPTER 2

Thinking About Facial Surgery? Here’s What You Need to Know

There are seven major facial surgeries to consider, each addressing different areas. The one you choose depends on your goals, whether it be to correct a crooked nose, tighten your skin, add volume and contour, or reduce wrinkles and create an overall youthful appearance. 

The two procedures impacting the upper face are the eye lift and brow/forehead lift. An eye lift, which can be performed to the upper and lower eye region, refreshes and provides a more alert appearance. A brow/forehead lift reduces sagging in the eyebrows, while diminishing any fine lines or wrinkles.

Those interested in making alterations to the midface, can opt for a midface lift or nose surgery (rhinoplasty). A midface lift targets the cheeks, under eyes, and corners of the mouth with skin tightening techniques and volume redistribution. Nose surgery, on the other hand, is specific to the nose. A rhinoplasty can be performed to fix a deviated septum, adjust a crooked or hooked nose, or to enhance your appearance. 

When addressing the lower face, patients have two options: lower facelift and neck lift. A lower facelift alters the chin and jawline area, transforming jowling into definition and tightness. The neck lift is strictly utilized to focus on loose and sagging neck skin, creating more definition and a smoother profile. 

If a majority of the aforementioned procedures appeal to you, a full facelift may be the solution you need. All-encompassing, it combines a brow lift, midface lift, and lower facelift to reduce advanced signs of aging. 

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a woman in a white bra with her arms crossed
CHAPTER 3

The Best Breast Surgery for Your Figure

The term breast surgery encompasses four major procedures including augmentation, lift, reduction, and reconstruction. To determine which is the right fit for your figure, it’s essential to understand the purpose of each and the candidacy requirements. 

Breast Augmentation

Purpose 

A breast augmentation is meant to enhance your breast shape, size, and appearance utilizing implants or fat transfer. 

Candidacy Requirements
  • You feel your breasts are too small or asymmetrical.
  • You worry about how your breasts have changed with age, pregnancy, or weight loss. 
  • You are not pregnant or breastfeeding. 
  • Your breasts are fully developed, meaning you’re older than 25.

Breast Lift

Purpose 

A breast lift is performed to raise your breast without adding an implant or fat transfer. Excess skin is removed and the surrounding tissue is tightened to contour your breast shape. This procedure can be combined with an augmentation to create a youthful, perky appearance.

Candidacy Requirements
  • You worry about sagging or volume loss.
  • You experience elongated or pendulous breasts.
  • Your nipples or areolas point downward.
  • You have one breast that sits lower than the other.

Breast Reduction

Purpose 

A breast reduction is meant to decrease the size of your breasts. In some cases, this can be done to relieve several health issues caused by overly large breasts.

Candidacy Requirements
  • You feel limited both physically and emotionally.
  • You experience pain and discomfort in your shoulders, neck, and/or back.
  • You find rashes under your breasts. 
  • You spy grooves in your shoulder from your bra strap. 
  • You experience numbness or tingling.
  • You feel self-conscious about the size of your breasts.

Breast Reconstruction

Purpose 

Breast reconstruction is performed on patients who have undergone a mastectomy to restore a normal shape and dramatically increase body confidence.

Candidacy Requirements
  • You have a positive outlook on the surgery. 
  • You set realistic goals for your new breasts.
  • You have proved to cope well with your diagnosis and treatment.

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CHAPTER 4

What’s Body Contouring & Which Procedure Is Right for Me?

Body contouring is an umbrella term for any procedure that sculpts your body including liposuction, Brazilian butt lift, tummy tuck, thigh lift, and arm lift. The surgery you choose depends on the area of the body you want to tighten and tone. 

Surgical liposuction can be performed on most areas of the body: abdomen, hips, thighs, buttocks, calves and ankles, upper arms, chest, and back. This procedure removes excess fat that won’t respond to a nutritious diet and exercise regimen. If you’re looking to eliminate stubborn fat, ensure you meet candidacy requirements, which include being within 30 percent of your ideal body weight and having elastic skin and good muscle tone. 

The four remaining body contouring surgeries target specific areas of the body. 

A Brazilian butt lift combines liposuction with augmentation—the former removing fat from the abdomen, thighs, or hips; the latter transferring the aforementioned fat to your backside to create plumper buttocks.

A tummy tuck, also known as an abdominoplasty, focuses on the abdominal zone by removing excess skin and tightening the underlying muscles to create a slimmer waist. Thigh and arm lifts require similar fat removal and tightening in the inner and outer thigh and upper arm areas

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CHAPTER 5

When to Seek Corrective Surgery

Corrective surgery is performed on patients to correct abnormalities caused by injury, disease, birth defects, or aging. It is also commonly used to fix previously botched surgeries from unqualified and non certified plastic surgeons.

The four major types of corrective plastic surgery are:

Revisions

Revision surgeries are cosmetic alterations performed after mishandled surgeries, following complications that arose during recovery, and years after surgery as a way of maintaining the initial results. Two of the most common revisions due to complications include those to fix symmastia and those to repair rhinoplasty scar tissue

Breast Implant Repair

A breast implant repair is performed on patients who experience so-called “bottoming out” following a breast augmentation. This complication can occur in one or both of the breasts. Patients will feel the implants are too low in relation to the nipples, or see bubbles indicating the implant has shifted below the crease. The severeness of the complication will determine whether a surgeon repositions the implant, adjusts the pocket, or re-performs the surgery altogether. 

Laceration Repair

Laceration repairs are completed to heal injuries caused by accidents, altercations, or impacts. A plastic surgeon will clean, prepare, and suture the wound closed, ensuring there is minimal scarring in the future. Select surgeons also specialize in mending skin punctures, complex wounds, facial trauma, abrasions, and burns.

Scar Corrections

If a scar does develop, leaving behind a noticeable mark, a surgeon can employ scar correction measures to reduce its appearance. This can be performed surgically, using laser resurfacing, or by combining several MediSpa treatments.

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a woman in a robe smiling as she receives a microneedling procedure
CHAPTER 6

Non-Surgical Alternatives for Nearly Every Procedure

If you’re not ready to undergo surgery for whatever reason, there are non-surgical alternatives that provide a similar result. The non-surgical procedure you choose depends on your goals and the outcomes you’re looking to achieve. 

Check out the benefits of every non-surgical option to determine which is the best for you.

RF Microneedling

  • Treats Face, Neck & Abdomen
  • Stimulates Collagen Production
  • Tightens Skin
  • Reduces Scars, Dark Spots & Wrinkles
  • Smoothes Skin

Microneedling

  • Alternative to Facelifts
  • Treats Face, Thighs, Legs, Buttocks, Hands, Arms, Neck & Back
  • Diminishes Discoloration
  • Reduces Stretch Marks & Scars
  • Treats Acne & Sun Damage
  • Minimizes Pore Size
  • Plumps Tear Trough

Mesotherapy

  • Alternative to Face or Eye Lift
  • Treats Face Neck, Chest & Back of the Hands
  • Boosts Hydration
  • Adds Volume 
  • Reduces Wrinkles & Fine Lines
  • Diminishes Acne & Stretch Marks

Skin PRP

  • Alternative to Face or Neck Lift
  • Rejuvenates & Smoothes Skin
  • Adds Volume & Tone

Hair Loss PRP

  • Alternative to Surgical Hair Restoration
  • Prevents Future Hair Loss
  • Encourages Hair Growth

Ultherapy

  • Alternative to Neck Lift
  • Lifts & Tightens Neck Skin
  • Stimulates Collagen Production

Tear Trough Correction

  • Alternative to Lower Eyelid Surgery
  • Adds Volume to Hollow Under Eyes
  • Reduces Under Eye Bags
  • Corrects Tear Trough Deformity

Latisse for Eyelashes

  • Creates Fuller, More Intense Eyelashes
  • Improves Growth, Length & Thickness

Radiesse Hand Rejuvenation

  • Boosts Back of Hand Volume
  • Reduces Appearance of Tendons, Joints & Veins
  • Smoothes Skin

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a woman getting an injection into her laugh lines by her lips
CHAPTER 7

What You Should Know Before Getting Fillers & Injectables

If you’re interested in getting dermal fillers and injectables, there are several aspects to note before making an appointment. Learn about what makes a good candidate and the pros and cons of the procedure. 

Candidates are required to be physically healthy, non-smokers, have a positive outlook and realistic goals, and be committed to maintaining healthy skin, states the American Society of Plastic Surgeons. Patients experience loss of facial volume, hollowing and shallow contours, wrinkles, and fine lines. Dermal fillers and injectables have the power to address all of these insecurities, leaving behind youthful, smooth skin. 

Those are just some of the advantages of fillers and injectables. They can also stimulate collagen production, which will assist in repairing and plumping your skin in the long term. Because they’re non-surgical, you don’t have to worry about going under anesthesia or spending hours in an out-patient surgical facility. Select fillers can treat a variety of conditions such as chronic migraines, excessive underarm sweating, neck spasms, lazy eyes, and overactive bladders. 

While you’re contemplating the benefits, it’s critical you consider the negatives, as well. Fillers are temporary, lasting several months to two years. This means you’ll need to make additional appointments to upkeep the appearance, which can lead to high costs. The third drawback is side effects. For 24 hours following treatment, patients typically experience minor bruising and swelling. Although most fillers and injectables have mild to moderate side effects, it’s important you research the type you’re interested in to find out how it could impact you. 

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CHAPTER 8

Why You Should Go to a MediSpa

A MediSpa is a mix between a traditional spa and a doctor’s office, offering relaxing, yet results-driven procedures to accurately address skincare concerns such as acne, scars, wrinkles, redness, and more. Every MediSpa is overseen by a dermatologist or plastic surgeon to ensure all medical measures are followed. MediSpas offer a range of procedures to address the aforementioned issues, including:

Chemical Peels

This chemical solution—which comes in light, medium, and deep peels—exfoliates and removes top layers, revealing smoother and less damaged skin. Chemical peels are used to treat fine lines and wrinkles, sun damage, acne scars, hyperpigmentation, redness, or a combination of these. 

HydraFacials

HydraFacials are the perfect treatment for everyone, because they provide extraordinary customization. An esthetician will choose from a wide range of serums to moisturize your skin, based on your specific needs. First, dirt is extracted from your pores, then the serum is lathered over your skin. This hydrating facial clears acne, alleviates blackheads, minimizes pore sizes, and treats rosacea. 

Intense Pulsed Light (IPL) Treatments

IPL treatments utilize multiple wavelengths to treat age spots, sun damage, birthmarks, broken blood vessels, varicose veins, and hair. Heed precautions, as the procedure can change skin pigmentation, especially for those with darker skin tones. 

Laser Treatments

Laser treatments use a single wavelength to target treatment areas, removing layers of skin to reveal smoother textures. Such procedures also diminish acne, reduce fine lines and wrinkles, lessen the appearance of scars, treat hyperpigmentation, tighten skin, and stimulate collagen production. Similar to IPL treatments, laser treatments are a risk for those with darker skin tones. 

Still not sure about which procedure is best for you or why you should try a MediSpa?
Take the MediSpa Quiz!

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two women with smooth skin, one young, one old, standing back to back and looking at the camera
CHAPTER 9

The Importance of Skincare, No Matter Your Age

Taking care of your skin is important for many reasons. It can provide a new level of comfort and confidence, faster healing through collagen stimulation, illness and cancer prevention, and a more youthful appearance. Each of these benefits can be accessed at any age. Whether you’re in your 20s or 50s, it’s never too late to begin caring for your skin.

Develop a daily skincare regimen. At first, it may seem overwhelming—especially considering the many online videos touting a 10-step routine—but it doesn’t have to be so complex. An effective ritual can include three to four simple steps in the morning and at night. For instance, your morning routine could include a cleanser, hydrating moisturizer, and sunscreen. Before bed, remove your makeup with an alcohol-free makeup remover, go in with a cleanser to ensure complete removal, apply an anti-aging product, and finally, moisturize. You can also throw in an exfoliation step once or twice a week. If you're still unsure which products to purchase, speak with a dermatologist or esthetician. They’ll help you find the best products for your skin type.

Proper skincare isn’t limited to moisturizers and serums, however. True skin health requires a nutritious diet, daily exercise, relaxation breaks, and increased water intake. It’s also essential you protect your skin from the sun utilizing SPF 30 sunscreen, wearing hats, or using alternative tanning methods.  

Check out Dr. Buglino’s advanced skincare line here!

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CHAPTER 10

How Buglino Plastic & Reconstructive Surgery Can Help You Achieve Your Body Goals

Long Island-based Dr. Anthony Buglino is your source for plastic and reconstructive surgery. As one of the few Doctors of Osteopathic Medicine (DO) practicing plastic and reconstructive surgery in the United States, Dr. Buglino utilizes a holistic approach. When you schedule a consultation with Dr. Buglino, he will take your overall health into account, ensuring it’s at the forefront of every conversation. Dr. Buglino acts as a support system and source of advice and expert knowledge to all those interested in plastic or reconstructive surgery. He will work with you to achieve your body goals. 

Dr. Buglino specializes in a wide range of procedures including body contouring, breast and facial surgeries, reconstructive operations, non-surgical alternatives, fillers and injectables, and MediSpa treatments. Whatever you need or desire, Dr. Buglino can make it happen. 

So, what are you waiting for? Schedule a consultation today. You’ll be one step closer to your dream body.

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