Procedures

FACE & SKIN

FACE LIFT

The facelift is done mostly to correct the jowls and neck. This procedure includes a tightening of the inside layer called the SMAS, which allows for a longer lasting result. This technique allows for the maximum result in looking youthful and natural without looking ”pulled”. Each patient is treated as being unique and the procedure is customized to their individual needs. Some patients will include eyelid surgery and browlift at the same time if appropriate and desired. In order to better determine if you may be a good candidate for this procedure please call to schedule a complimentary consultation at (202) 362-7300.

EYELID SURGERY (BLEPHAROPLASTY)

Upper Blepheroplasty (Upper eyelid surgery)
An Upper Blepharoplasty is a simple procedure that removes fatty deposits of the upper eyelid that cause heaviness, puffiness and aging. This procedure is often performed in the office under local anesthesia. The removal of fat deposits achieves a fresh and youthful look for the patient and can even improve vision. Patients that undergo an upper blepharoplasty are generally permitted to return to their normal routine just 48 hours after the procedure. In order to determine if you would be a good candidate for this procedure please call to schedule a complimentary consultation at (202) 362-7300.

Lower Blepheroplasty (Lower eyelid surgery)
Lower eyelid blepharoplasty is used to remove the fat deposits and loose skin that may form on the lower eyelids with age. Many factors, including heredity and sun damage, accelerate these changes. Younger people also elect to have this procedure done to eliminate puffiness of the eyes from congenital excess fatty tissue. In order to determine if you would be a good candidate for this procedure please call to schedule a complimentary consultation at (202) 362-7300.

RHINOPLASTY (Nose Job)

Rhinoplasty is the reshaping, correcting, or reconstruction of the nose. The Nose is easily one of the most prominent features on the human body and it’s function as well as appearance are of the upmost importance. While most of these procedures are done to achieve a specific look this procedure is also performed to correct breathing issues. In order to better asses if you would be a candidate for this procedure please call to schedule a complimentary consultation at (202) 362-7300.

CHIN AUGMENTATION

Some individuals have a small or under developed chin which is known as microgenia. A small chin can create an imbalance in the face particularly the profile.  A chin augmentation is a procedure where the surgeon places an anatomically correct implant under the chin muscle through an incision under the chin or through the mouth.  There is some swelling following the procedure, but the results are immediate. A chin augmentation creates refinement of the facial features as they are more proportionate once the procedure is complete. To see if you are a candidate for a Chin Augmentation, Contact us for a complimentary consultation.

BREAST

BREAST AUGMENTATION

Mature Content

By navigating to the next slide you are confirming you are over 18.

 

 

 

 

 

 

 

 

 

 

 

Breast Augmentation is a simple procedure to enhance the breasts. There are two options regarding placement of the implants when it comes to breast augmentation which are either on top of the muscle or under the muscle. Some advantages to having the implants placed under the muscle are a decreased risk of capsular contracture, the muscle serves as an additional layer of protection for the implant, and the preservation of normal nipple sensation. When placed under the muscle it does not hinder the detection of breast cancer and one can get normal mammograms. In both cases Dr. Perlman is able to place the incisions under the areola (nipple), in the inframammary fold (under the breast), or in the axilla (armpit).

The other decision is whether to have Silicone or Saline implants. Both are safe and the choice would be determined by patient preference. Discussion with the physician on what would be the best implant is also determined by evaluation of the appearance of the breast. In order to determine the best option for you please call the office to schedule your complimentary consultation with Dr. Perlman at (202) 362-7300.

Dr. Perlman offers the Theya Healthcare bra, a sustainable bamboo post-operative garment that is comfortable, breathable and clinically proven to accelerate recovery. Discover more at www.TheyaHealthcare.com

BREAST REDUCTION

Mature Content

By navigating to the next slide you are confirming you are over 18.

Breast Augmentation is a simple procedure to enhance the breasts. There are two options regarding placement of the implants when it comes to breast augmentation which are either on top of the muscle or under the muscle. Some advantages to having the implants placed under the muscle are a decreased risk of capsular contracture, the muscle serves as an additional layer of protection for the implant, and the preservation of normal nipple sensation. When placed under the muscle it does not hinder the detection of breast cancer and one can get normal mammograms. In both cases Dr. Perlman is able to place the incisions under the areola (nipple), in the inframammary fold (under the breast), or in the axilla (armpit).

The other decision is whether to have Silicone or Saline implants. Both are safe and the choice would be determined by patient preference. Discussion with the physician on what would be the best implant is also determined by evaluation of the appearance of the breast. In order to determine the best option for you please call the office to schedule your complimentary consultation with Dr. Perlman at (202) 362-7300.

Dr. Perlman offers the Theya Healthcare bra, a sustainable bamboo post-operative garment that is comfortable, breathable and clinically proven to accelerate recovery. Discover more at www.TheyaHealthcare.com

BREAST LIFT

Mature Content

By navigating to the next slide you are confirming you are over 18.

Woman can lose breast tissue as a result of child birth, weight loss or simply time. In some cases there may be excessive skin as well. The procedure to correct this is a breast lift or Mastopexy. Depending on the desired size an implant may be placed behind the breast tissue at the same time as the lift. The end result is a natural looking and proportionate breast size. If a woman has sufficient breast tissue or wants a smaller breast, she may elect to have the breast lift without an implant. To determine if you are a candidate for a breast lift, schedule your complimentary consultation with Dr. Perlman.

Dr. Perlman offers the Theya Healthcare bra, a sustainable bamboo post-operative garment that is comfortable, breathable and clinically proven to accelerate recovery. Discover more at www.TheyaHealthcare.com

BREAST RECONSTRUCTION

Mature Content

By navigating to the next slide you are confirming you are over 18.

Once a woman has undergone a mastectomy or lumpectomy she may wish to begin Breast Reconstruction. Breast Reconstruction is the process of restoring the breast to a natural looking state. There are several approaches to Breast Reconstruction. One approach involves moving skin, muscle and fat to build the breast ( flap). Another involves the placement of a tissue expander (under the chest muscle) which is later replaced by an implant. Reconstruction is a process. Once the first phase is complete the surgeon will go back to make adjustments and create a nipple. The areolar can be tattooed in the office.

Breast Reconstruction is a personal decision. Dr. Perlman appreciates the opportunity to review options with a patient and works closely with their general surgeon and auxiliary care givers.

Dr. Perlman offers the Theya Healthcare bra, a sustainable bamboo post-operative garment that is comfortable, breathable and clinically proven to accelerate recovery. Discover more at www.TheyaHealthcare.com

BODY CONTOURING

TUMMY TUCK (ABDOMINOPLASTY)
Abdominoplasty removes excess fat and skin from the abdomen and also often includes tightening of the rectus muscle (abdominals) that can be loosened during pregnancy. Liposuction of the flanks is often included to narrow the waist.

The procedure is performed at Sibley Hospital maintaining the utmost in safety and expert care. If desired this can be combined with other procedures. The most common procedure done with abdominoplasty is breast augmentation often called the mommy makeover. In order to determine if you are a good candidate for this procedure please call to schedule a complimentary consultation at (202) 362-7300

LIPOSUCTION

LIPOSUCTION
There are multiple devices used today to remove excess body fat or adipose tissue. Dr. Perlman still prefers the tumescent approach as it allows for optimal fat removal and contouring. Some of the noninvasive devices can only remove about 10% of the body fat and may need to be repeated.

It is a single procedure with tumescent liposuction though multiple areas may be done all at the same time. Prior to surgery Dr. Perlman marks the areas to be contoured. Following the procedure patient are placed In a compression garment which they wear for 4-6 weeks. The garment helps minimize the swelling and allows the skin to settle. In addition, we highly recommend Lymphatic massages to further reduce the swelling and increase the patients comfort level. With a healthy diet and moderate exercise, patients can maintain their best liposuction results.

MEN

LIPOSUCTION
Dr. Perlman prefers the tumescent approach as it allows for optimal fat removal and contouring. It is a single procedure with tumescent liposuction though multiple areas may be done all at the same time.

Prior to surgery Dr. Perlman marks the areas to be contoured. Following the procedure patient are placed In a compression garment which they wear for 4-6 weeks. The garment helps minimize the swelling and allows the skin to settle. In addition, we highly recommend Lymphatic massages to further reduce the swelling and increase the patients comfort level. With a healthy diet and moderate exercise, patients can maintain their best liposuction results.

MALE BREAST RESHAPING (GYNECOMASTIA)
Gynecomastia is Breast Reduction for men. Just as woman have heredity pre-disposition to excess breast tissue, men can develop larger amounts of fat in the breast. Despite exercise or weight loss these fat deposits cannot be reduced. Larger breast can result in embarrassment and frustrations particularly if the man is active and otherwise fit. The original surgical approach was to excise the fat, however Dr. Perlman was the first to introduce Liposuction to this area. Not only does the liposuction process remove the excess fat, but it also helps the skin to retract. There may be some cases where the skin needs to be excised however this doesn’t change the results. Patients wear a compression garment for 4-6 weeks, but are able to return to most activities in 4-5 days. More Information Here.

INJECTABLES

INJECTABLES

Dermal fillers were first introduced in the 1970’s.  The first fillers were collagen and though they provided volume their duration was short, approximately 3 months. Today the majority of fillers are derived from hyaluronic acid which is naturally occurring in the body. The duration of these fillers vary from product to product, but the normal range is 9 months to 2 years.  There are several other dermal fillers not hyaluronic in base that are effective and have about the same duration. There is an advantage to using hyaluronic fillers in that they can be dissolved by an enzyme which provides more flexibility for both the injector and the patient. Dermal fillers are used to add volume (primarily volume loss in the face) creating a more youthful appearance, particularly if an individual is not ready for a surgical approach. Injections can cause temporary bruising, swelling and soreness.  Avoiding OTC pain relievers (except Tylenol), Vitamin E, Omega III, Melatonin/Valerian and alcohol for 5 days to 1 week along with taking Arnica Montana is very helpful to minimize these side effects.

Neurotoxins are another injectable, but they work differently than fillers.   Neurotoxins are designed to temporarily sedate muscle to prevent them from moving.  This results is a very smooth appearance of the skin. The rule of thumb, is from the crow’s feet up a Neurotoxin is used and from the cheeks down a dermal filler is used.  Botox is the best known Neurotoxin, but there are several others on the market. The average duration is 3 months, though some individuals may experience longer or shorter duration.  Metabolism affects the longevity of both dermal fillers and Neurotoxins. We notice with individuals who work out aggressively have a shorter duration for both products. The side effects for Neurotoxin injection are the same as dermal fillers.    

It is important to have injections performed by a skilled injector.  Dr. Perlman uses a conservative approach. He will map out the areas for dermal fillers then apply the product to settle.  If more product is required then more can be administered so as not to appear “over filled”. The same applies to neurotoxins.  He will treat the active muscle sites then ask a patient to come back in 2 weeks for a complementary “touch up”. Unlike hyaluronic acid, neurotoxins cannot be reversed.  If too much is delivered the usual course is to allow the product to wear off.

PRODUCTS
.
Voluma
A new filler to address age related volume loss in patients 21 and older. The only FDA approved filler for deep tissue injections for CHEEK Augmentation to correct age related volume loss in the mid face in adults over the age of 21. Lasts up to two years!

Juvederm
JUVÉDERM® XC is the ONLY hyaluronic acid filler FDA approved* to last up to one year with one treatment. Safe for all skin types, no risk of hyperpigmentation or hypertrophic scarring in patients of color. JUVÉDERM® XC is available in two formulations—JUVÉDERM® Ultra XC for versatility in contouring and volumizing facial wrinkles and folds, and JUVÉDERM® Ultra Plus XC, a more robust formulation for volumizing and correcting deeper folds and facial wrinkles.

Botox
A FDA approved prescription medicine that is injected into the forehead, glabella and peri-orbital lines or smile lines around the eyes to improve the overall look of wrinkles and lines. A fuller, fresher look – Botox blocks nerve impulses to the injected muscles, reducing muscle activity leaving a calmer and happier appearance.

Belotero
An FDA approved injectable filler that addresses the finer lines such as smile lines, vertical lip lines, the corners of the mouth and marionette lines.

OTHER TREATMENTS

FEMILIFT
FemiLift is a minimally invasive procedure that can tighten the vagina, improve menopausal dryness, and reduce urinary incontinence. A laser handpiece is inserted into the vagina and delivers precise laser energy into the tissue. The procedure is virtually painless, lasts about 30 minutes, and doesn’t require any downtime. In order to determine if you would be a good candidate for this procedure please call to schedule a complimentary consultation at (202) 362-7300. More information also available here.

Contact Us

Do you have a question about a procedure? Interested in meeting our staff? We would love to hear from you! Let us help you look and feel your best.

9 + 14 =

Hours

Sunday: Closed
Monday: 9AM - 5PM
Tuesday: 9AM - 5PM
Wednesday: 9AM - 5PM
Thursday: 9AM - 5PM
Friday: 9AM - 5PM