Facial Procedures

Men and Plastic Surgery

Plastic Surgery for Men

Men today know that it’s a competitive job market out there and looking good is more essential than ever.

Dr. Tzvi Small has a significant number of male patients.  Men face different sets of cosmetic issues than women, and Dr. Small has helped many male patients achieve the results that they want.

The most common procedures men undergo are injectables (Botox and Restylane) and liposuction.  These two procedure can either be offered in the office with immediate results (ie Injectables) or have minimal recovery time (liposuction).

Blepharoplasty (eyelid rejuvenation), face lifting, and chin reshaping are other procedures men frequently elect to undergo to maintain a youthful and masculine appearance.

Please contact us to let us assist you in reaching your aesthetic goals and maintain a youthful edge.



What are Injectables?

Injectables and You

Once a month, you and your friends get together for manicures and lunch.  It has been your tradition for as long as you can remember, and you always have a great time catching up with your friends.  During your monthly get-together, you notice that your friend’s skin is radiant!  “I just wanted to say that you look great,” you tell your friend.  “What is your secret?”

Your friend smiles as she looks at you.  “I just had Botox, and I am so excited with the results,” she exclaims.

Dr. Tzvi Small is an expert in cosmetic injectables that can reduce the appearance of wrinkles and lines in the face in neck.  If you are looking for a quick and easy way to rejuvenate the look of your face and skin, keep reading Dr. Small’s blog to learn more about injectables!

Dr. Small and Injectable Treatments

Dr. Tzvi Small knows the dramatic difference that one injectable treatment can make for a patient.  Lines, wrinkles, and creases, fade and patients see a more youthful reflection staring back in the mirror.

Dr. Small offers three different types of injectable treatments.  During an initial consultation, Dr. Small will meet with you to understand your own cosmetic goals, and help guide you to the right injectable treatment for you.  Our injectables include:

  • Botox- Botox reduces the look of creases and wrinkles in the face and neck areas.  it is an injectable that can relax the facial muscles that trigger wrinkles and lines to appear.  The procedure is quick and almost completely painless, while the results are dramatic.
  • Restylane- like Botox, Restylane is used to smooth the look of lines around the face.  It is made from a biodegradable gel that is cost-effective, safe, and eco-friendly too.  Restylane lasts for approximately 6 months before another treatment may be required.
  • Fat Transfer Injections- this filler is made from a patient’s own fat cells.  The fat cells are collected from areas of the body where fat is not desired, and the resulting cells are injected into target areas after they are sterilized.  This method poses no risk for an immunologic or allergic response, as the cells already belong to the patient.  In-turn, this procedure is extremely safe.

All of these injectable options allow for our patients to regain confidence with the look of their skin.  If you are looking for way to look more youthful with minimal downtime, contact the injectable expert, Dr. Small, today.

Learn More about Injectables

If you are interested in learning how an injectable could improve the appearance of deep wrinkles and creases, then wait no longer.  Dr. Small can explain which areas might benefit most from Botox, Restylane, or fat transfer injections.

With injectables, you can take years off the look of your face all with one quick visit.  No surgery or downtime is required, and you can experience dramatic results that are painless.

To find out more information about Dr. Small’s injectable treatments, contact the Small cosmetic surgery team today at our Bergen office.  You can feel younger and more confident in less time than you ever thought possible—learn more today!



Brow Lift Surgery Treatment and Recovery

For many people, the forehead is the first location of the body to display obvious signs of aging. Indeed, it is not unusual for people in their twenties to develop lines and even deep furrows on their brows. These “worry lines” can make a person look much older than his or her years, in addition to making him or her look perpetually angry, tired, or confused.

Fortunately, patients of the Bergen County plastic surgery practice of Dr. Tzvi Small can take years off of their facial appearance through brow lift surgery. Brow lift is an often ideal solution to forehead wrinkles and creases, providing a smoother, more youthful look to the brow area that can last for years. As with all procedures performed by Dr. Small, brow lift patients emerge from surgery looking natural and rejuvenated, their beauty enhanced rather than reinvented.

For the residents of Bergen County, brow lift results of the most surpassing standard are no more than a few office visits away.

The Brow Lift Procedure

Conceptually, the brow lift is a relatively simple procedure. Over time, the muscles responsible for expression in the brows become somewhat weaker, leading to sagging and drooping in the forehead area. Simultaneously, the skin loses some of its natural elasticity and fullness, which results in visible wrinkling and furrowing. While wrinkles and sagging skin are not unique to the brow, they are most readily apparent in that vital landscape just above the eyes.

The complexity of the procedure lies in the choice of techniques to perform the surgery. On one hand, Dr. Small can perform endoscopic brow lift, which is minimally invasive and well-suited to patients who simply wish to refine the appearance of the forehead. On the other hand, more dramatic results are only possible through open brow lift surgery, which requires more substantial incisions through which Dr. Small can remove excess tissue and tighten the underlying musculature. In either case, Dr. Small’s surgical skill and artistic eye will result in the smallest, most discreet incisions possible and results that look entirely natural.

For the finest results possible in facial plastic surgery, Bergen County residents can rely on the expertise and experience of Dr. Tzvi Small.

Recovery from Brow Lift

It must be understood by patients that brow lift surgery is a serious, invasive procedure that does require a healing period. Patients should expect about a week of downtime, after which they may return to work and normal activity. More strenuous activity such as rigorous exercise should be avoided for at least a couple of weeks.

During the healing period, brow lift patients should keep their heads elevated, even when sleeping. Side effects such as bruising, itching, tenderness, numbness, and redness are common after brow lift; however, these side effects generally fade within a week of surgery. Dr. Small may prescribe medication to control pain.

Although the full results of brow lift usually become apparent after a few weeks, recovery depends heavily on how closely patients follow Dr. Small’s post-operative instructions. Patients who follow these directions carefully can often accelerate the healing process substantially compared to those who don’t.

Contact Dr. Tzvi Small Today

If you would like to learn more about brow lift surgery and whether you are a suitable candidate for the procedure, please contact Dr. Tzvi Small at Bergen Plastic Surgery today.

Necklift vs. Facelift Surgery

One of the most common and one of the least considered factors that contribute to the appearance of facial aging is weight loss. Patients who lose a significant amount of weight often have an increase in the appearance of facial aging. The decrease of fat in the facial contours can cause the appearance of facial wrinkles to become much more prominent. Another factor that contributes to the appearance of facial aging is loose, sagging skin. Loose, sagging skin in the neck region can give the appearance of a double chin or of a “turkey” or “wattle” neck. For men and women in their forties or above, sagging skin and muscles in the neck are quite common. Bergen County plastic surgery patients who are bothered by the appearance of facial aging may benefit from necklift or facelift surgery. To achieve more comprehensive results, necklift and facelift surgery may be combined.

Necklift vs. Facelift Surgery
Necklift surgery and facelift surgery are two surgical procedures used to improve the visible signs of facial aging. Necklift surgery and facelift surgery each have their own advantages and disadvantages to consider. The most important factors when considering whether necklift surgery or facelift surgery is the best treatment for facial aging are your own unique needs and goals.

Necklift Surgery
The neck is one of the first places to show signs of aging. Excess fat and skin and weakened muscles of the neck can cause a person to appear older than he or she actually is. Through necklift surgery, the neck can once again have a taut, youthful appearance. Patients considering necklift surgery must be in good health. The necklift surgery is usually performed on an outpatient basis. Procedures that make up necklift surgery may include liposuction, cervicoplasty, and platysmaplasty.

Liposuction may be used to remove excess fatty tissue from the neck region. During liposuction, an incision is made below the chin through which a small cannula is inserted to suction out this excess fat. If liposuction is required as part of necklift surgery, it will be performed first.

Cervicoplasty is a procedure in which excess skin is removed from the neck. During cervicoplasty, an incision is made behind the ears, under the chin, or behind the ears and under the chin. The skin is lifted, and the excess skin is removed; then, the facial skin is sutured or glued back into place.

Platysmaplasty is a procedure that addresses the appearance of “turkey wattle” neck. Incisions are made under the chin, behind the ears, or under the chin and behind the ears. To tighten the neck area, specific neck muscles may be removed or realigned. Permanent sutures may be used to hold the neck tissues in place.

For our patients in Bergen County, necklift surgery offers a way to lift the neck and to improve the contour of the jawline.

Facelift Surgery
Displaced fat, loss of muscle tone, sagging skin, wrinkles, and deep creases are common signs of facial aging. These and other signs of facial aging may be improved through facelift surgery. During facelift surgery, incisions are made behind the ears. This ensures that any scarring that may result from surgery can be hidden. During facelift surgery, fat may be sculpted or redistributed from the face and jowls, the facial muscles and deep layers of the face are lifted, and the underlying facial tissues may be repositioned. The skin is re-draped, and any excess skin is removed; then, the skin is sutured into place.

Our Bergen County facial plastic surgery patients undergoing facelift surgery may also benefit from necklift surgery and brow lift surgery.

Schedule a Consultation at Bergen Plastic Surgery Today
To learn more about necklift surgery and facelift surgery, please contact Bergen County plastic surgeon Tzvi Small, M.D., F.A.C.S. today.

Brow Lift Benefits and Risks

Whether they result from aging or genetics, drooping eyebrows, brow furrows, and forehead lines are a common concern among patients who want to rejuvenate their facial appearance. A brow lift performed by skilled Bergen County plastic surgeonTzvi Small can successfully address these issues. During your consultation, Dr. Small will determine if a brow lift is the best procedure to treat your personal aesthetic goals, and discuss the benefits and risks associated with brow lift surgery. It’s important to understand the pros and cons of any procedure, so let’s take a closer look at the risks and benefits of a brow lift.

What is a Brow Lift?

Brow lift surgery is an excellent choice for patients seeking to renew their facial appearance. The upper portion of our face contains hundreds of muscles that create the delicate movement of our eyebrows and forehead. Over time, these muscles can weaken and sag, creating the effect of an angry or tired appearance. A brow lift allows Dr. Small to carefully tighten the forehead muscles and remove excess fat and tissue to sculpt the forehead. The skin and tissues are placed higher up on the head to heal, resulting in added “lift” to the facial features.

Benefits of Brow Lift Surgery

Brow lift surgery is a popular procedure because of the many advantages it offers to patients. A brow lift is an effective treatment for drooping brows, heavy eyelids, and deep furrows on the forehead and between brows. It can also alter the placement of eyebrows and correct uneven brows. In addition to treating many cosmetic issues, a brow lift also features these benefits:

• Attractive, natural looking results
• Creates an invigorated, youthful appearance
• Results last for 10 years or more
• Reduces tension in forehead muscles
• Minimal incisions and scarring
• Can be performed in combination with other procedures, such as face lifts or eyelid surgery

Risks of Brow Lift Surgery

Complications associated with brow lift surgery are rare, but patients should be aware of possible risks prior to undergoing any surgical procedure. To avoid surgical side effects such as infection, excess scarring, or adverse reaction to aesthesia, it is essential for patients to only visit a board-certified, experienced surgeon. Brow lift procedures at our Bergen County facial plastic surgery center are performed by Dr. Small, who brings years of specialized surgical training and expertise to our patients. Although highly uncommon, risks of brow lift surgery include hair loss at the incision site, and difficulty moving forehead muscles or brows.

Learn More about Bergen Plastic Surgery

Dr. Small and our friendly staff are ready to help you achieve the facial aesthetics you’ve always wanted. For more information on how we can transform your appearance through a brow lift or any of our other beautifying plastic surgery procedures, please contact our plastic surgery center located in Bergen County at your convenience.

Chin Reshaping Surgery

Some parts of your body you can really take for granted. For instance, you may not realize just how much your upper eyelids can affect your appearance until the sagging and drooping finally does hit you. Similarly, you may not think about the gradual appearance of loose skin along the neckline until it appears later in life as a result of advanced age. This brings us to the chin. Sometimes you forget just how prominent or problematic the chin can be. That’s why many people visit our Bergen County plastic surgery center.


About Chin Reshaping Surgery

Chin reshaping surgery refers to various methods of adjusting the shape and contour of the chin. In some cases, this may mean adding volume to the chin in order to enhance its appearance. In other cases, this may mean reducing the structure of the chin to make it less prominent. During your Bergen County facial plastic surgery consultation, we’ll let you know which option is best for your needs. Chances are, you can probably guess which is right for your needs already.

Best Candidates for Chin Reshaping Surgery

The best candidates for chin reshaping surgery are people who have chins that are either too prominent or not prominent enough. In some cases, people can undergo a chin augmentation surgery rather than undergoing a nose job. The increase in chin size will draw prominence away from the nose. And, obviously, it’s important that patients be in good overall health so that surgery is not a dangerous proposition.

How Chin Reshaping Surgery is Performed

The chin reshaping procedure will vary based on the needs of the patient. Your Paramaus, NJ cosmetic surgeon can go over the exact surgery with you in full detail. Let’s just go over the basics below.

If a patient has a weak chin that could be enhanced in size or shape, a chin implant will be placed. This will be inserted through a small incision underneath the chin or through an incision placed in the pocket inside your lower lip. These facial implants come in many different shapes and sizes to meet patient needs.

If a patient has a chin that is too large or prominent, then some of the chin structure will be shaved and removed. This is accomplished through the same incisions mentioned above.

Recovering from Chin Reshaping Surgery

After chin reshaping surgery, patients will experience some swelling and discomfort in the chin area. The face will feel especially tender, though this will subside with time. It’s important that patients refrain from any strenuous activity for a few weeks. If the incision is placed inside the mouth, we will suggest a rinse for you to use to prevent infection.

Other Considerations to Keep in Mind

Chin augmentation is a very popular male cosmetic surgery. Many men who undergo chin reshaping usually have other surgeries performed as well for a full makeover. We can discuss this with you in more detail during your visit to the practice.

Learn More About Facial Plastic Surgery

As you can see, chin reshaping surgery can have a very positive impact on your appearance. If you would like to learn more about chin reshaping surgery and your many other options for effective aesthetic enhancement, be sure to contact our Bergen County cosmetic surgery practice today. The entire team here is eager to discuss these matters with you in more detail.

Skin Tightening Surgery after Weight Loss

Many people are doing their best to lose weight and get healthy, and for good reason. Medical research shows that being obese or morbidly obese significantly increases your chances of developing major health problems, including heart disease, strokes, high blood pressure, diabetes, and certain kinds of cancer. After losing a lot of weight, many people visit with a skilled Bergen County plastic surgeon. After losing that weight, you are bound to face a few aesthetic issues.


Loose Skin and Weight Loss – A Common Occurrence

As you gain weight, your skin will stretch out to a certain degree to accommodate the added girth. When you lose this weight, however, your skin will only be able to shrink back around your frame only so much. This is natural and part of the nature of skin laxity. The only way for you to improve your overall body contour is to undergo surgical body contouring. When you meet with a plastic surgeon in Paramus, NJ, your surgical treatment will be completely customized to your needs and body contouring wishes. Let’s do a brief rundown of the various surgeries that will be performed as part of the post-weight loss body contouring procedure.

Body Sculpting Surgeries After Major Weight Loss

There are many different Bergen County body contouring

surgeries that can be used to address matters related to the torso and the extremities. One of the most common surgeries performed is the tummy tuck (abdominoplasty). This surgery is specifically performed to target the abdominal area, removing any loose or sagging skin of the lower stomach area. In addition to the tummy tuck, there are also surgeries that will revise the overall tone and appearance of the arms, the thighs, and the buttocks as well. Each of these may involve varying levels of liposuction, which will remove problematic spots of excess fat that do not respond to diet or exercise.

Breast Enhancement Surgeries After Major Weight Loss

The chest can be affected a great deal by losing a lot of weight. That’s why many women and men undergo breast reduction after major weight loss. On women, the surgery is very similar to the breast lift in that both will remove excess skin and improve the overall appearance and firmness of the breasts. On men, the breast reduction surgery will help improve the overall appearance of the chest, making it appear less feminine and better contoured. In addition to those surgeries, women will sometimes undergo breast augmentation to help ensure their breast look better shaped and proportioned.

Facial Surgery Procedures After Major Weight Loss

It may surprise you, but it is not uncommon for facial plastic surgery procedures to be performed as part of a weight loss surgery treatment. The face can be affected quite drastically by weight loss, particularly the neckline and the jowls. There are lifts that can be performed to enhance the neckline and the lower face area. In addition, traditional facelift surgery and other options may be used to give you a refreshed and rejuvenated appearance after weight loss.

Learn More About Body Contouring After Weight Loss

As you can see, undergoing cosmetic surgery after major weight loss is an ideal way to improve your overall appearance. If you would like to learn more about body contouring after major weight loss, be sure to contact our Paramus, New Jersey plastic surgery center today. Our entire team looks forward to meeting with you and discussing these matters in greater detail.

Botox Cosmetic and Dysport

Simply put: they work!

These two agents are used frequently to help soften wrinkles, and even more importantly, prevent new ones from forming.

Areas most commonly used are the furrows in between the eyes. There are frequent other “off-label” areas that are injected as well. These frequently include on the forehead, and around the eyes.

Call us today to see how Botox Cosmetic and Dysport can help you!

Popular Mommy Makeover Procedures

After a woman has a baby, her body will undergo many changes. This is natural given the nature of pregnancy. The weight fluctuations will cause women’s bodies to be altered by stretch marks and loose skin, and sometimes a woman may look older than she was prior to pregnancy. This may be why so many women come to Bergen County plastic surgeon Dr. Tzvi Small in order to undergo a mommy makeover.


What is a mommy makeover exactly?

A mommy makeover refers to a combination of different plastic surgery and non-surgical treatments intended to enhance the appearance of a woman after childbirth. Each mommy makeover is custom tailored to the patient, meaning that your unique needs will be addressed with surgeries that are performed just for you.

No mommy makeover is the same, but there are many popular and recurring procedures that are often used during a mommy makeover. Let’s take a look at these right now.

Body Contouring Options for a Mommy Makeover

One of the most common mommy makeover procedures is the tummy tuck (abdominoplasty). A tummy tuck will remove excess skin that droops around the lower abdominal area, giving your stomach a taut and firm appearance. Additional lifts on other parts of the body may be performed as well depending on your needs. Whatever the case may be, liposuction is often combined with various body contouring surgeries to remove problem pockets of fat.

Breast Enhancement Options for a Mommy Makeover

A woman’s breasts will increase in size during pregnancy, and their overall shape, pertness, and appearance can be altered after a child is born. In many cases, the breasts droop or sag after pregnancy, which is why many women undergo breast lift surgery in order to reverse this. It’s not uncommon for women to also undergo Bergen County breast augmentation in order to enhance the overall size and shape of the breasts.

Facial Plastic Surgery Options for a Mommy Makeover

The face can also be seriously affected by pregnancy. Weight gain and weight loss linked to pregnancy can lead to a little drooping or sagging of the skin in different parts of the face. For this, facelift and cosmetic eyelid surgery are both particularly helpful for restoring a youthful appearance. Facial lifts for the neckline and the lower face area are not uncommon as well.

Other Facial Rejuvenation Options for a Mommy Makeover

Not all enhancements to the face need to involve surgery. That’s true in general and it’s also true of mommy makeovers. There are plenty of options for skin care and facial rejuvenation that involve little to no downtime and results comparable to surgery. Whether it’s the use of cosmetic injections or skin revivifying options, you’ll be amazed how the glow of your skin can be restored.

Learn More About Mommy Makeovers

As you can see, mommy makeovers can address multiple aesthetic issues following the birth of a child. If you would like to learn more about mommy makeovers and what they can do for you, be sure to contact our Bergen County plastic surgery center today.

Cheek Augmentation Procedure

When it comes to parts of the body that can really add an extra dimension to your appearance, you need to consider the cheekbones. Indeed, prominent or nicely defined cheekbones can give your face that appealing, sculpted, wonderful look that you have always wanted. Of course, not everyone is born with great cheekbones, but that’s why people visit the Bergen County plastic surgery practice of Dr. Small in order to get facial implants.

About Facial Implants and Facial Plastic Surgery

Facial implants have been used in plastic surgery for years and have been quite popular. While people often turn to non-surgical facial rejuvenation options like dermal fillers to add volume to various parts of the face, facial implants are a more permanent solution with great results. Implants are often placed for the cheekbones, the chin, and the lips to improve the fullness and contours of a person’s face.

Why get cheek implants?

One of the best reasons to get cheek implants is that great-looking cheekbones add a certain kind of glow to the face. People who have undergone cheek augmentation tend to look quite refreshed and vibrant, and the surgery’s results are often quite subtle and generally pleasing.

What to Expect Before Cheek Augmentation Surgery

When you visit with Bergen County plastic surgeon Dr. Small, he’ll go over all the matters related to pre-surgical and post-surgical care in more detail, but here’s a brief rundown of what to expect.

First of all, you’ll be asked to refrain from smoking and drinking a few weeks before surgery. Both of these can affect your healing time, so it’s best that you quit for the sake of comfort and recovery time. (You’ll also need to refrain from smoking and drinking for a bit after surgery as well.)

Be sure to wash your face the day of your surgery and that you not wear make-up to the surgery. Arrange for transportation to and from surgery and wear clothes that are loose and comfortable to the surgery itself.

The Cheek Augmentation Procedure

The cheek augmentation surgery procedure will vary from patient to patient, particularly if it is performed in combination with other surgeries. Whatever the case may be, the basics of surgery will involve the insertion of facial implants into the cheek area. If you are undergoing Bergen County rhinoplasty (nose job) or a facelift, those incisions will be used to place the cheek implants. Should the surgery be performed alone, the cheek implants will be placed through incisions made inside the mouth or in the lower eyelid area.

Recovering from Cheek Augmentation Surgery

It’s important that patients get a lot of rest after cheek augmentation surgery and that they remain well hydrated and keep their heads elevated. Any pain or swelling can be managed with pain medication and cold compresses. Most importantly, however, is that patients avoid any activities that are strenuous or might place undue pressure on the head. A follow-up surgery is normal within the first week of the surgery.

Schedule a Consultation for Facial Plastic Surgery

To learn more about cheek augmentation and other options for effective facial plastic surgery, be sure to contact our Paramus, New Jersey plastic surgery practice today.