The New York Times Magazine December 15, 2002 Umbilicoplasty – Breast implants and liposuction are the traditional ways to create a new you. But this year a new body part went under the knife: the navel. Last spring plastic surgeons began reporting a curious spike in the number of women requesting navel reconstruction – or… Read more »

The Use of Ultrasound in Cosmetic Surgery

James J. Romano, MD There are numerous exciting new applications of ultrasound therapy in cosmetic surgery. Ultrasound has been used for cosmetic purposes since around the early 1980s. Widespread therapeutic usage, safety, precise control and excellent, predictable results have made ultrasound an important addition to cosmetic surgery practices such as mine. New and current uses… Read more »

Ultrasonic Liposuction

James J. Romano, MD BACKGROUND INFORMATION Over the years the technique of liposuction to remove excess fat tissue has steadily improved. Suction-assisted lipectomy (SAL) has undergone many modifications and improvements to become one of the most important tools in the collection of cosmetic surgery techniques. Ultrasound-assisted lipectomy (UAL) has been practiced in Europe since the… Read more »

Recovering After Plastic Surgery

James J. Romano, MD The best recovery after plastic surgery begins with careful preparation. This involves all of the things we teach you and provide as covered in the previous section. Taken together these best decisions and best measures, prepared mutually, lead to the best outcomes. Recovery from plastic surgery may be considered in categories and in… Read more »

Periorbital Rejuvenation: A Systematic Approach

James J. Romano, MD More people are taking advantage of improving the look around their eyes—not only with makeup, skin treatments, or products, but with surgery as well. During the past few years, the fields of cosmetic surgery and professional skincare have experienced an explosion of new techniques and procedures that significantly contribute to rejuvenating… Read more »


James J. Romano, MD There are an increasing number of women seeking mammography for various reasons. Here are some useful suggestions to keep in mind for your next mammogram: Research the facility where you are going to have your mammogram performed and the doctors who will read your mammograms. Radiologists reading mammograms should have special… Read more »


James J. Romano, MD Gynecomastia is usually strictly defined as the visible or palpable development of breast tissue in men. The term comes from the Greek words gyne meaning “woman” and mastos meaning “breast.” In practical terms, this means abnormally large breasts on men. This is often related to the occurrence of excess fat or,… Read more »

Fat Grafting FAQ’s

James J. Romano, MD 1) In what areas can be fat be grafted in the body? a: Any area where fat exists in the subcutaneous space. 2) Where is the fat removed from? a: Areas where you have an excess of fat. This is an area where fat has NOT been suctioned before, so there… Read more »

Diet and Exercise

James J. Romano, MD This needs to be individualized with proper goals in mind. It must incorporate into your lifestyle and be a permanent state of mind. We do not subscribe to fad diets or quick-fix medications. High-calorie diets and improper foods in improper quantities can have one of the most severe detrimental effects on… Read more »

Cellulite Treatment

A Myth or Reality: A Prospective Randomized, Controlled Trial of Two Therapies, Endermologie and Aminophylline Cream Collis, Elliot, Sharpe et al. Plastic and Reconstructive Surgery Volume 104, Number 4, September 1999, pages 1110-1117 Reviewed by James J. Romano, MD There are few words I know of in skincare and plastic surgery that create more interest… Read more »