Breast lift is really for women who either have sagging breasts naturally or it’s happened after childbirth or breastfeeding. It entails lifting the nipple to the more normal position, sometimes removing skin, and sometimes involves breast augmentation as well if the person so desires. There are different types of breast lifts so that we may just take out some skin around the areole, we may reduce the areole as part of the procedure which is what a lot of women want. It may also entail a vertical mastopexy which means that there’s an incision that goes vertically from the areole to the crease underneath the breast. Or in some cases it involves a full anchor incision, although that’s an incision that I’ve tried to get away from, and really with newer techniques we can usually accomplish that.
A breast lift will elevate the breast to its more normal position, which may be a position that it was at when you were younger. It may also increase the size of the breast by adding an implant and it gives a much more natural contour to the breast, something much more youthful and perky.
Breast reduction surgery is surgery that I very often will do in the hospital because it’s usually covered by insurance. It’s for women that have very large breasts. They may have back pain, neck pain. They may have a lot of trouble wearing normal clothes. And very often it’s women that just can’t exercise because of the weight and the pain in their breasts. We work with women very carefully to get it covered by insurance most of the time, but at the same time there are women with slightly smaller breasts that wouldn’t be eligible for insurance coverage. And in those women we may operate on them in our accredited facility in the office where a smaller operation is necessary and they’re able to go home the same evening.
Gynocomastia is a condition in men where they actually develop breast tissue. All men have breast tissue naturally but it doesn’t develop. When it develops it may either be fat or it may be glandular. When it’s just fatty tissue I use vaser liposuction in order to remove that fat through very small incisions usually in the arm pit. This gives a much better contour to the chest and allows men to be able to take of their shirt, wear different clothes, and really enhance their appearance. At times when breast tissue needs to be removed I make a small incision half way around the nipple which is hidden right at the border of the nipple and the normal colored skin. That way through a very small incision I can remove the gland and achieve that nice contour to the chest. And often it’s combined with liposuction in the love handle area because that’s the other most common region that men require or want liposuction.
We work with women who have had mastectomies or who have just been diagnosed with cancer and may need to have a mastectomy. We work with the breast surgeon and oftentimes will do their reconstruction at the same time. It’s important when a woman has a diagnosis of breast cancer that she talk with a plastic surgeon regarding the possibilities of breast reconstruction. This may range from implants, tissue expansion, which means stretching that skin that’s still left in order to make a new breast. Or it may include flaps, taking skin and fat from the abdomen, or from the back, and moving it to the breast to create a new mound. Most women are very satisfied with their reconstruction. It makes them feel much better, it makes them feel whole again after their surgery.
Face lift procedure is a very individualized procedure. It may include brow lift, eyelid surgery, face lift, and neck lift. Or it may just include for instance the mid face lift. One of the things that I pride myself on is obtaining very natural results with incisions that are well hidden so that women or men can wear their hair short, they can wear it back, and they don’t see the incisions. The incisions are in the hairline. They come down in front of the ear but behind this little part of the ear so it comes inside the ear and hides the incision. And behind the ear they stay right in the crease line. If I’m doing mid facial surgery the incisions may be inside the mouth so that they also are hidden. It’s a very meticulous type of surgery and it’s surgery that I really enjoy doing because the results are visible not only to the patient but to everyone else. And therefore it has to be a very pleasing, natural result.
One of the things that I wouldn’t want somebody to say is, Mrs. Jones who did your face lift? I’d much rather have them say, you look great, what did you do, did you lose some weight? Because they really should have that natural appearance following their face lift. It’s surgery that I most commonly perform in our ambulatory surgery facility that’s fully accredited so it’s done in the privacy of our office with my dedicated staff to take care of you and to follow you through the whole healing process.
Dermal fillers are much different than Botox. Whereas Botox weakens muscles, dermo fillers actually fill crease lines. And there are a number of different dermal fillers and there are advantages and disadvantages to each one. And actually every year new fillers are becoming available. What we’re striving to do is find a filler that’s very long lasting but gives a very natural appearance. Juvoderm and restolin are two of the most common dermal fillers. They are hiloronic gel that’s injected in the bottom part of the skin which plumps it very nicely. Radies is another common filler which lasts a little bit longer and we use in nasolabial folds but we don’t use it in the lip for augmentation very often because sometimes it can produce small lumps. Sculptra is a little bit different, it’s not a dermal filler but it’s a volumizer. It’s for people that have sunken cheeks or deficient fat in the central portion of their face, where a mid face lift may not give them the results that they need or they may want to avoid surgery. Sculptra over time helps your body build collagen and give it much more natural, fuller appearance to the face. So usually when someone comes in to thinking about wrinkles I discuss all of these different types of fillers with them. There are also fillers now that are permanent that we can use, but I never use them on the first time the person’s having a filler. Better to see what the results are, and if you like it then we can go to the more permanent filler.
In the office we use a number of different laser- and light-based therapies. Intense pulse light, commonly known as IPL, is one of those treatments. With an IPL treatment we can reduce redness and brown spots on the face. We do what we call a photo rejuvenation which gives a much clearer completion. It can help with rosachia, and while not curing rosachia it will get rid of some of those small vessels and redness, especially in the cheeks, nose, and forehead area, to give a much clearer appearance to the skin. The recover time from these are very short. For redness it’s as little as a few hours. For brown spots, the brown spots may be much darker, but within 5-7 days they sluff off and therefore the spot is gone. But there’s no real down time, there’s no open wounds, there’s no surgery involved, and there’s no anesthesia involved with these procedures.
Following a series of IPL procedures the skin will be much more refreshed, the complexion will be much more even, red spots or vessels will be gone, but patients should also continue to take care of their skin and sun blocks are one of the most important things they can do to maintain that new fresh appearance that we create.
Hello, I’m Dr. Paul Loverme and I take this opportunity to welcome you to my website and my philosophy and approach to plastic surgery. As a third generation physician and a second generation plastic surgeon, I bring a warm and personal feeling to my practice combined with high tech, safe, 21st century care. I’m committed to the highest standards of patient care and patient safety. I’m board-certified in plastic surgery and have been in practice since 1985. I’m a spokesperson for the American Society of Plastic Surgery and a member of the American Society for Aesthetic Plastic Surgery and the Plastic Surgery Education Foundation. I’ve served as Chief of Plastic Surgery at Mountainside Hospital and as President of the New Jersey Society of Plastic Surgery and the New Jersey chapter of the American College of Surgeons as well as the Essex County Medical Society.
As an Associate Professor of Plastic Surgery at the University of Medicine and Dentistry of New Jersey, I’ve been associated with training and teaching of plastic surgeons since 1985. It has been a distinct honor for me to be named as a top doctor by the Castle Connolly Guide as well as New Jersey Monthly, New York Magazine, New Jersey Life, and the American Council of Surgeons.
One of the things that sets my practice apart is the belief that an educated person makes a much better patient. Enhancing one’s appearance is a journey, and cosmetic surgery may be at the beginning of that journey or anywhere along the route but it’s never an isolated event. Surgery to create a more youthful and improved appearance must be integrated into a complete lifestyle and wellness program. In my center I’ve incorporated radiant skincare, specializing in results-oriented procedures and prescription and medical grade products. I have a board-certified intern specializing in age management medicine available to my patients. I pride myself in producing natural-looking results in a safe and comfortable atmosphere. My center maintains a fully accredited surgery facility and recovery area built and equipped to hospital standards. My commitment and that of my staff is to my patients. We listen to their needs, respond to their concerns, and are always available.
I invite you to explore my website, learn more about me, my staff, and my spa. Listen to what some of my patients have to say. Visit my extensive gallery of satisfied patients. And when you feel comfortable call us and come in to visit us. Remember, my goal is to make every outcome positive, every result expected, and every experience pleasurable and comfortable. Thank you, and welcome to my practice.