Day Plastic Surgery
Norman Bakshandeh Day, M.D., F.A.C.S.
Personalized Expert Care


4/19/2018 4:31:00 PM | Norman B. Day, MD

Keloids – What Are They?

Collagen is naturally produced in the body to heal wounds and form scar tissue. However, aggressive and constant collagen production in an area can lead to a keloid.

Keloids – What Do They Look Like?

Keloid scars usually have the following characteristics: 

  • Painful
  • Hard to touch
  • Shiny appearance
  • Raised above the skin
  • Might be itchy
  • May develop a lumpy appearance
  • Sometimes have hair growing through keloid
  • Hairlessness on ears
  • Continuing to grow and spread
  • New ones are red or purple
  • Older scars may turn pale and flatten with time and treatment
Keloids – Why Is Removal Necessary?

1) Keloids that are flat and painful are often found located in the mid-line of the chest. However, keloids can occur on any part of the body. People who are prone to develop keloids can get them from any type of injury, even a scratch or a pimple. They are known to be hyper-inflammatory. Such scars and keloids are tender to touch and can form at any age. Until they are removed, they could keep hurting an individual all day long, making it difficult for them to function i.e. go to work etc. Management of hyper-inflammatory keloids can be quite challenging.

2) Not all keloids give rise to physical pain. All scars are not keloids. Some scars can be thick and they are called hypertrophic scars. Some scars are truly painful. Scars and keloids that disfigure someone’s face or other prominent part of the body can be affecting their life and their function. Removal of such scars and keloids can be treated. Some scars and keloids are treated with injections only. Some will benefit from surgery. Some will benefit from a combination of surgery and injection. Some keloids also benefit from radiation therapy in combination with surgery.

3) Other keloids can be located in places that limit range of mobility, such as the neck or knee. A tight scar that occurs near a joint could affect its movement. Such scars might keep a person from performing their job etc. Their removal is also a medical necessity.

Keloids – Will My Insurance Cover It?

Keloid removal can be a medically necessary procedure. Most insurance companies and Medicare will cover Keloid removal procedures and reconstruction including:
  • When the disfigurement caused by keloid scars interferes with daily activities
  • When keloid removal is done as a part of a post-accident reconstruction
  • When there is pain and drainage of pus from the site
Simply visit Day Plastic Surgery at 1035 Park Ave, New York located on Park Ave. and 86th Street on the Upper East Side or my office in Brooklyn at 142 Joralemon Street in downtown Brooklyn by the Brooklyn Promenade and Court Street. Or, dial +1-212-289-9191 or +1-718-246-0130 to take your first step toward a pain-free, keloid free life!

3/16/2018 5:55:00 PM | Day Plastic Surgery

Pregnancy can leave women with hernias because of the breaking down and weakening of the abdominal wall. During pregnancy, the baby exerts increased intra-abdominal pressure that can test the strength and integrity of the abdominal wall.
Such hernias aren’t always painful and are characterized by a lump above or within the belly button. You may not like the way your belly button looks. You may have what we call an “outie” which is really an umbilical hernia. This can be fixed and your belly button will be converted from an “outie” to a “innie.” You might think correction of the condition as unnecessary if it isn’t causing you pain. However, besides dealing with postpartum hernia symptoms, leaving the hernia untreated can mean content might get trapped in it. If that happens, the results could be life-threatening. 
However, it isn’t all bad news. Therefore, stop putting all your faith in treating and healing your umbilical hernia and diastasis repair in after pregnancy exercises. You need to look for other options as well. Surgery can help. After all, with a good surgical team in your corner, you can turn things around!
Make the Post-Pregnancy Hernia Surgery Work in your Favor
Luckily, even a post-pregnancy hernia surgery can be made to work in your favor! When undergoing hernia repair, you can also have the hanging lower abdominal skin and fat removed and tucked in. If you require correction of diastasis recti – which is a pure separation of the abdominal muscles – that is possible too. It can be done simultaneously while you are already anesthetized. The combination of the diastasis repair and removal of the excess skin of your lower abdomen is called a tummy tuck or abdominoplasty. Other benefits of combining the two surgeries i.e. abdominoplasty and hernia repair include: 
  1. You save on time and money since a medically necessary procedure is being combined with an elective procedure and both are taken care of for you at the same time.
  2. The surgery will reduce the chance of repeat hernias.
  3. Combining the two surgeries would mean you won’t be lengthening your recovery period.
  4. Since abdominoplasty by itself is considered a cosmetic procedure done for aesthetic reasons, your insurance company will not cover its cost. However, combined with a hernia repair, which is considered medically necessary, you could still end up saving money when your insurance company covers the fees for the anesthesiologist and surgery center.
  5. You will be able to enjoy the best of both worlds i.e. the benefits associated with a typical abdominoplasty include removal of up to 10 pounds of stomach fat! 
  6. Your “outie” umbilicus/belly button will be converted to a “innie.”
In the hands of an expert surgeon, combined surgery can be pulled off without a hitch. Get in touch with Norman B. Day, M.D., F. A. C. S. at the Day Plastic Surgery today! Alternatively, pay us a visit in Manhattan at 1035 Park Avenue or in Brooklyn at 142 Joralemon Street, Brooklyn Heights.

Manhattan Office and AAAASF Certified Surgery Center
Phone: (212) 289-9191

Brooklyn Office

Phone: (718) 246-0130

7/13/2016 7:46:00 AM | Norman B. Day, MD

Rhinoplasty I

The timing for any elective procedure is a very personal decision and can be based on a multitude of factors. Rhinoplasty is an elective procedure performed to enhance the shape and size of the nose. Just like the rest of the body the nose grows and changes as one goes from childhood to teens and maturity. The nose changes even as we get older.

Most of the changes in nose happen as children grow into their teens and maturity. The final growth of the nose is complete physically by around 15-17 years of age. This is a good time to contemplate your Rhinoplasty. You can have a Rhinoplasty at any time after the age of 15-17 years when the nasal growth is completed.

Jillian Michaels

Fitness celebrity Jillian Michaels spoke to People Magazine about what her Rhinoplasty surgery meant to her, " I had my nose done when I was 16 years old. And I'll be honest, it did change my life... if there is something you want to fix that allows you to feel a little bit more confident, I support it.

There are many people who have Rhinoplasty at a later age. These are patients who have contemplated having the surgery and have postponed it for various personal reasons. Finally many have injuries to their nose from sports or other accidents. The nose can develop structural deformities to the septum making it crooked or they may develop bumps from overgrowth of bone and cartilage in areas of damage. These can be corrected at the time of the septoplasty with a Rhinoplasty being performed at the same time to correct the shape of the nose and the tip and to create a more balanced finish with harmony to the face. 

To read more about Rhinoplasty, please click here.

7/7/2016 8:33:00 AM | Norman B. Day, MD

Plastic surgeons and cosmetic surgeons are not the same. Plastic surgeons are far better trained and have the ability to navigate difficult problems or situations that can arise during any surgical procedure. It is a myth propagated by cosmetic surgeons that they are equally or more qualified than plastic surgeons to perform what we call plastic surgery or what they call cosmetic surgery. The origin of plastic surgery comes from the Greek word PLASTOS which means to reshape or mold. And this is what the plastic surgeon does, whether the procedure is for aesthetic reasons or for reconstructive purposes.

The whole premise of a cosmetic surgery degree is ridiculous. The idea of saying you have been involved in 300 procedures some of which can be purely observational as the foundation for your training or expertise sounds pretty lame. And as your Venn diagram shows, yes aesthetic procedures may be only 1/6 of training a plastic surgeon is receiving, but that also means that this same surgeon is 6 times better trained.

And maybe you should also note that every time we do a breast reconstruction, the patient is having a tummy tuck at the same time. Every time we do fat grafting, the patient is having liposuction. And very facial fracture that is repaired requires the same exposure as doing an entire Blepharoplasty plus more, and every burn we treat requires knowledge about wound healing and scarring and post operative scar management and every keloid that we treat requires the knowledge of how to treat these difficult problems. And every breast reduction is a larger version of a breast lift and some breast lifts are just small breast reductions.

The bottom line is that plastic surgeons are the better trained surgeons and the more qualified to do this surgery. If you need a cosmetic surgeon there are plenty of them abroad in the Dominican Republic and elsewhere . You may have read about some of the disastrous results in the news. 

6/21/2016 6:23:00 AM | Norman B. Day, MD

Spotlight on Men:
I recently read an article in the Huffington Post which highlighted the most popular plastic procedures for men. I thought I would share my thoughts on the subject.
Liposuction is a phenomenal adjunct to a healthy lifestyle and exercise accentuation the positive characteristics in the body already developed by this lifestyle with minor adjustments. Most men have retained fat in their love handles and hips which is easily treated with liposuction. The liposuction can also contour and thin out the abdominal wall allowing better visualization of the abdominal musculature . this is called lipo sculpture. The downtime after surgery is 2-3 days.
For older men looking to refresh their look, platysma plasty or tightening of the neck musculature and skin with additional weel placed fat grafting to refresh the face is the best way to pull the clock back in men without giving them a fake pulled or artificial look. The downtime is a couple of days, there may be some bruising which goes away quickly. Fat can be suctioned and injected along the neck and jaw lines to improve jowling and even to improve smaller chins. In those who are candidates, blepharoplasty or surgical rejuvenation of the eyelids is the best way to take the clock back. Skin and fat is removed from the upper eyelid judiciously and lower eyelid fat is repositioned and sculpted.
Quick fixes are botox for foreheads and the so called 11 above the nose or glabellar creases and injections for the nasolabial fold and volume loss of the cheeks and to supplement and accentuate the cheekbones.

To read the article in the Huffington Post, click on the link below:

6/1/2016 2:15:00 PM | Norman B. Day, MD

Blake Lively after Plastic Surgery
In a recent article in the Huffington Post, Antonia Mariconda wrote,"I'm tired of seeing 'cosmetic surgery shaming' on a daily basis in the media, why can't people get over the fact that there is nothing newsworthy in a celebrity that has had a nip or tuck or tweak?" She continues, "We aren't strangers to the number of negative characteristics that are attributed with both women and men who dare to go under the knife. Although, cosmetic surgery is now more accepted than ever before, a large number of people are still willing to name-call people who have done it."

I had some thoughts on this story that I would like to share in this post. The creed of the plastic surgeon described by Sir Harold Gillies and then Ralph Millard is to restore what has been changed by life, trauma, or war using aesthetic principles, and to bring back normalcy and to make the unit whole again.

This is what we all of strive for as plastic surgeons. Looking and feeling whole can be also called looking and feeling good. There is no shame in this... and if a procedure allows this to happen then that is also good.

The art of plastic surgery is intertwined with the science. Unless you understand what the patient wants you cannot deliver what they need. That's the art. But you also have to know what is wrong in order to improve or fix it. That's the science part.
Jillian Michaels before and after Rhinoplasty

Rhinoplasty is the perfect example of a procedure that can improve and enhance self confidence. This is something that was created by nature and is being altered and improved by surgery. Breast augmentation after multiple pregnancies is repairing what has happened with aging and making this individual whole again. There is no shame in this. And if the surgery is done primarily for smaller breasts, this again is like rhinoplasty, improving image and self confidence. And if you are happy with what you have then that is great as well.
Diane Kruger after Breast Augmentation
I do not condone extreme surgery regardless of the reasoning. Our goal is not to create the abnormal or the extremely grotesque. This is completely in line with normal behavior and has nothing to do with body dysmorphic disorder of behavior. Unfortunately, these individuals have an incorrect perception of what is wrong and, yes, surgery is not the answer for them.

5/25/2016 12:43:00 PM | Norman B. Day, MD

Hello, and welcome! We're excited to announce the official launch of our Day Plastic Surgery blog. 

We'll be posting helpful information on enhancing your natural beauty, news from the medical industry, news from our practice, and more about the latest in plastic surgery. Dr. Norman Day's mission is to achieve the finest, most optimal aesthetic outcome for his patients. He provides patients with personalized expert care that meets and exceeds needs and expectations. We want our online presence to be a reflection of those principles. We hope this blog provides an extra level of service to our current and future patients. 

If you would like to stay up to date on the latest from Day Plastic Surgery, simply click the RSS “Subscribe to feed” link located on our website and subscribe. Our subscribers will be updated when we make a new blog post.

Thank you again for reading about our practice!


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