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Richard L. Dolsky, M.D. |
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Welcome to our MEDIA COVERAGE page. As a featured section of our website, our media page will focus on news coverage of our center and Dr. Dolsky, as well as any other pertinent news in the field of cosmetic surgery. Check back frequently for updates. Philadelphia Cosmetic Surgery In the News:
Face lift Advances: Surgical techniques evolve for three problem sites.'Facelift' was once a catchall phrase for cosmetic face, neck, and forehead surgeries, but now there are separate surgical categories for these areas. By Lisette Hilton Staff Correspondent Bala Cynwyd, Pa.- Procedures that focus on lifting just the forehead, mid face, or neck areas are becoming more popular options, thanks to advancing techniques, according to Richard L. Dolsky, M.D., plastic surgeon practicing here. "In the past, physicians didn't do a lot of separate neck lifts or mid face lifts, but they did do separate forehead lifts. They were trained to do the facelift and that's what one used to treat the lower two-thirds of the face," Dr. Dolsky said. "Now there are good individual techniques for rejuvenating the neck and the mid face, which, to me, consists of the jowl, malar cheek fat pad, and the nasolabial fold." The forehead lift procedure has not changed much since developing into an endoscopic procedure, according to Dr .Dolsky. What has improved is the type of screw surgeons can use for the technique. Dr. Dolsky noted that one of the biggest recent advances in the endoscopic forehead lift has been the use of Mitek Tacit screws - micro screws pre-threaded with sutures including their own drill sets. Tacit screws surpass other methods used for anchoring and fixating the elevated forehead. Dr. Dolsky explained that titanium bone plates were bulky and had to be screwed, bent, and shaped. Sometimes the bone plates would protrude from the skin. The next advance, absorbable screws, were easily broken, difficult to suture around, and expensive. Tacit screws, used in orthopedic surgery, are screw points - about the size of screws used in eyeglasses. The suture is preloaded in a hole. In performing the mid face procedure, Dr. Dolsky prefers making an incision in front of the ear and along the hairline. He repositions the entire malar cheek complex from the incision and elevates and flattens the nasolabial fold. "We can get elevation into the jowl and even get a little pull into the neck," he said. Dr. Dolsky combines two techniques internally during the tightening portion of the neck lift. The first is a resection of a SMAS strip that Dr. Dolsky resects obliquely from the angle of the mandible to the mid-point of the zygoma. He then closes the defect directly without undermining. The other internal technique, called the finger-assisted malar elevation, as described by Sherrell Aston, M.D., New York, involves taking the elevated cheek flap anterior to the origin of the zygomatic major and dissecting down to the periosteum on the zygoma-malar region. Dr. Dolsky then uses finger dissection to free the entire cheek off the mid face. "Sometimes this is combined with an intraoral subperiosteal dissection, using a Caldwell-Luc cheek incision and exposure, to lift the soft tissue in the subperiosteal plane," Dr. Dolsky said. "The two dissections are then connected with intraoral dissection," he added. "Dissection from the cheek frees up the entire cheek from the nasolabial fold to the corner of the mouth, all the way up to the orbital rim. This is then repositioned with sutures." If he's doing just the mid face lift, Dr. Dolsky removes the excess skin and the procedure ends there. By combining the two approaches, the nasolabial fold and entire malar cheek fat pad can be elevated back up to its normal youthful position. However, he warns that surgeons should just use finger dissection and nothing sharp once they have made the dissection onto the bone. "Over the last decade, I've developed a neck lifting technique that I call the posterior neck lift, because all the excess skin and laxity is removed and tightened from the back, from behind the ear, which is the lower half of the facelift," Dr. Dolsky explained. The technique combines liposuction and lifting the anterior edges and the anterior neck bands of the platysma muscle, removing the excess, then suturing them together. The suturing technique Dr. Dolsky uses, called the anterior corset platysmaplasty, is described by plastic surgeon Joel Feldman, M.D., Cambridge, Mass. By using the suturing technique, Dr. Dolsky recreates the strength of the entire sheath of muscle that goes across the neck by using the corset tightening technique. Dr. Dolsky describes it as an old-fashioned corset. "This way, with the sutures, you do multiple layers of sutures that tighten the muscle as much as you want," he said. But the technique wasn't adequate on its own. "Sometimes you convert two separate bands into one band. Sometimes there was so much anterior projection of the larynx and hyoid that patients still would not get a good youthful neck angle," Dr. Dolsky said. He then tried another surgeon's technique: the interlocking suture suspension technique described by Vincent Giampapa, M.D., Montclair, N.J. Dr. Dolsky found using that alone did not achieve satisfactory results, but combining the corset platysmaplasty with the interlocking suspension sutures did. "I could create an acute angle in almost any neck and could tighten and lift the neckline to the point that you could actually masculinize a female neck if you do it too tightly," he said. "In doing the corset tightening, you do have to be careful that you don't get too far lateral in the area just below the chin. It's possible that you could put the suture through the mandibular branch of the facial nerve and cause a facial nerve paralysis with that." As an isolated procedure, Dr. Dolsky performs the posterior neck lift through a sub-mental chin incision and an incision in the post-auricular sulcus and above the hairline. He removes the excess skin from behind the ear after doing liposuction on the neck and tightening and suspending the muscle. CST For more media coverage information: Philadelphia area residents interested in face lift surgery should contact Dr. Dolsky at his Philadelphia practice to schedule a consultation. Dr. Dolsky Repeats as Philadelphia Magazine “Top Doc”Philadelphia Magazine has again named Dr. Dolsky as one of the "Top Doctors" in the Philadelphia area. For more than a decade, Dr. Dolsky has been named to each of Philadelphia Magazine's listings of the top physicians in the region. In 2000, the list was dedicated to the best of Philadelphia's medical community in treating women. In the past, Philadelphia Magazine has named Dr. Dolsky one of the outstanding practitioners in the field of plastic surgery, facial plastic surgery, cosmetic surgery, and liposuction. Philadelphia Magazine surveys doctors and nurses throughout the greater Philadelphia area in order to compile the lists of local top doctors. Dr. Dolsky has been featured on "Top Doc" lists by Philadelphia Magazine since 1987. Cosmetic Surgeon Richard L. Dolsky, MD, Received Prestigious Award from American Academy of Cosmetic SurgeryChicago (October 22, 2000) - Richard Dolsky, MD, of Bala Cynwyd, Penn., is the 2000 recipient of the Garry Fenno Award presented by the American Academy of Cosmetic Surgery (AACS). This award was established to acknowledge individuals who have contributed greatly to the field of cosmetic surgery and specifically the practice of liposuction surgery. Dr. Dolsky is the first surgeon in the United States to receive triple board certification by the American Board of Otolaryngology, the American Board of Plastic Surgery and the American Board of Cosmetic Surgery. He served from 1995 to 1997. After graduating Cum Laude from Dartmouth College, Dr. Dolsky went on to graduate from Tufts University School of Medicine. After completing residencies at The Harvard Surgical Service, Northwest University and the Cleveland Clinic, Dr. Dolsky became one of the most highly regarded cosmetic surgeons in the United States. Dr. Dolsky has authored numerous publications and articles on cosmetic surgery procedures and is an avid educator in the field. He has made more than 150 scientific presentations in 20 countries around the world. "It is an honor and my privilege to be bestowed this prestigious honor," says Dr. Dolsky. "Garry Fenno was a leader and innovator in cosmetic surgery and his contributions to the field were enormous. He was the most innovative educator in the field of cosmetic surgery." Dr. Dolsky currently serves as chairman of the Department of Plastic and Reconstructive Surgery at the Mercy Surgery Center in Havertown, Penn. He can be reached at 610-667-3341 or via webmail on our contact page. Master of LiposuctionAt the World Congress of Liposuction, held October4-6, 2002 in Westminster, Colorado, The American Society of Liposuction Surgery honored and named Dr. Richard Dolsky as a Master of Liposuction. Ten surgeons from around the world were given this honor. Five surgeons from the United States and five surgeons from Europe received the honor of Master of Liposuction. The ten doctors were the basis for an intensive teaching experience for hundreds of doctors from around the world at the World Congress of Liposuction. MEDIA COVERAGE » back to top |
