The DeLuca Plastic Surgery Blog




Non-Surgical Rhinoplasty

A cosmetic rhinoplasty is a surgery that reduces and repositions tissue in the nose for better aesthetics. This often involves straightening the dorsal profile, reducing dorsal humps, reshaping the tip, and possibly narrowing the width of the nose.

For a nose that is lacking projection and definition, grafting techniques may be needed to build up projection of the tip and strengthen the dorsum.

For some patients, however, cosmetic concerns are limited to a subtle bump or other minor contour irregularity. For these patients a non-surgical rhinoplasty is an option.

A non-surgical rhinoplasty uses fillers, off-label, to camouflage small deformities in the nose by adding volume. This approach could be used to bring up the height of your upper dorsum – smoothing the profile and making the dorsum look flat. The trade-off is a slightly larger looking nose.

A thin to moderate thickness facial filler made of hyaluronic acid is used to achieve these results. Typical fillers include Juvederm Ultra Plus or Volbella or Restylane L or Silk. The filler is added to depressed areas of the nose to smooth the contour and ease the transition from the bump to the surrounding tissue.

The treatment takes less then 30 minutes and is performed in the office under topical anesthesia. Results are what-you-see is what-you-get and last 6-9 months for the average patient.

A detailed examination will help delineate the best surgical treatment. The goal of a rhinoplasty is to create an aesthetic nose with the size and shape that is desired by the patient.

During your consultation, measurements of the nose are used as a starting point to recommend a treatment. For some patients, digital computer simulations are used to help visualize the likely result.

Dr. David Tauber at DeLuca Plastic Surgery tailors the procedure to each individual patient.

Dr. Tauber’s post-operative recommendations.

Click here to contact Dr. Tauber to make an appointment for a free cosmetic consultation today!

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Facelift Surgery

A facelift or rhytidectomy is one of the most popular cosmetic procedures in Albany, New York. This surgical procedure can effectively improve signs of aging around the neck and face by lifting and firming sagging tissue. A facelift can restore a more youthful and natural appearance with scars that are hidden from sight.

What Can a Facelift Address?

Over time, your face can lose its youthful contours due to sun damage, loss of fat, skin thinning, gravity, smoking, and heredity. A rhytidectomy is a popular surgical procedure that can address many signs of aging on the neck and face. Depending on the specific facelift procedure you choose with your surgeon, the procedure can address:

  • Jowls of the cheeks and jaw
  • Fat has fallen lower than it should
  • Deep folds between the corner of the mouth and nose (nasolabial folds)
  • Sagging and relaxation of the face
  • Excess fat and skin of the neck
  • Loss of facial volume

A facelift can also be combined with other complementary procedures such as an eyelid lift, brow lift, and neck lift for more dramatic results.

 

Types of Facelift Surgery

There are several types of facelifts based on your aesthetic goals. Each type of surgery differs in invasiveness and how dramatic the results will be. All types of facelifts, however, are designed to address the lower two-thirds of your face from your cheeks to your jaw.

Full Facelift

The gold standard in facelift surgery is called the full or deep plane face lift. This technique involves lifting and repositioning the superficial musculoaponeurotic system (SMAS) which is located beneath the skin and but above the facial muscles and nerves. Lifting and tightening these deep tissues of the face, places them in a more youthful position. This technique is often combined with a deep plane neck lift to tighten the neck and remove excess skin. Because these techniques use the deep tissue for support, they have been found to provide longer-lasting results with fewer surgical revisions than other, skin-only, facelift techniques that were popular 15 years ago.

Small incisions are made along the hairline to access and reposition upper fatty tissue and muscles. Incisions are extended downward along natural creases in front of or just within the ear where they are well disguised.

This traditional full facelift technique is effective at addressing more severe skin laxity and sagging with long-lasting results. This procedure also has dramatic results that address signs of aging in the mid-face, including the cheeks, jawline, and nasolabial folds. Fat grafting is often added to a facelift to restrore volume lost through aging or weight loss.

Modified Facelift

Every patient is different and every face is unique. Some facelift patients do not require the full or deep plane facelift to achieve the results they are looking for. A modified facelift allows the surgeon to tailor the facelift to the specific needs of each patient. For the right patient modifications can include a shorter incision, minimal to no SMAS tightening, minimal to no neck work, no neck liposuction, or no fat grafting to the face.

A modified facelift can offer the patient a quicker recovery time with less bruising, less scarring, and shorter incisions. Patients can often be back to social activities within 2 weeks.

Short Scar Facelift

Another technique that is popular in Albany is the short scar or limited scar facelift. Although used in various contexts, a short scar face lift or weekend lift, is a facelift procedure performed using short scars that are often limited to a scar in front of the ear and wrapping just behind the earlobe. This surgery allows a conservative tightening of the skin of the jawline and upper neck and is sometimes combined with liposuction of the neck and fat grafting to the face to restore a more youthful look. Short scar facelifts are primarily performed in younger patients with good skin quality that have only very early signs of facial aging.

 

Scarring from a Facelift

It’s common to fear visible scarring from a facelift procedure. When performed properly with minimal tension on your skin, your incision lines will be very difficult to notice. Your surgeon will take care to make incisions as small as possible and hide them just in front of your hairline and along natural folds near your ears. This careful placement of your incisions is the most important factor in concealing scars from your facelift.

Facelift Recovery

After your surgery, you will have a bandage over your face that minimizes bruising and swelling. You may also have small surgical tubes to allow excess fluid to drain. Bruising and swelling typically peak about two days after surgery and go away on their own over the next 10-14 days. Depending on the type of lift performed, most people experience mild to moderate discomfort after their procedure. Pain medications are prescribed, however, most patients do well with over-the-counter pain relief. Most people feel comfortable going out and returning to work after about two week.

Your skin will be more susceptible to burning for several weeks after a facelift. Take care to protect your face from the sun by wearing sunscreen and a wide-brimmed hat. This will also help your scars heal inconspicuously. Your final results will be visible after about 3 months when all residual swelling has faded.

Check out Dr. Tauber’s Post-Operative Recommendations

 

Are You a Good Candidate?

The ideal candidate for a facelift procedure is a man or women with neck and facial skin that is beginning to sag and show signs of aging but retains at least some elasticity. Your overall health is an important factor when considering you for a facelift. Good candidates are non-smokers without health conditions that can inhibit proper healing. Because a facelift only addresses the lower two-thirds of the face, you are likely a good candidate if you are bothered by issues such as sagging skin, deep nasolabial folds, jowls, and loose skin around the jawline.

Schedule a Consultation

If you are considering a facelift procedure in Albany, New York, the first step is scheduling a consultation with DeLuca Plastic Surgery. The surgeons of DeLuca Plastic Surgery have spent almost three decades mastering facelift techniques with a level of expertise for consistent minimal scarring and reduced complications. Contact us today to schedule your consultation and discuss your goals for surgery.

 

4 Surgeries With Quick Recoveries

One in five people seek out professional plastic surgery, particularly as they approach middle-age. Modern plastic surgical techniques, attention to detail, and meticulous follow-up allow the surgeons of DeLuca Plastic Surgery to offer patients a quick recovery from surgeries such as liposuction, breast augmentation, mini facelift, and rhinoplasty. A quick recovery with minimal bruising and swelling allows patients to get back to work and play faster.

Picture it. You wake up, head to the operating room, and are pampered by the operating room staff as you drift off to sleep. Only a few hours later you are back at home in your own bed watching Netflix. Minimal discomfort. Excited by the changes that have occurred. Yes. This is the new reality. There are a host of amazing options today. With advanced tools and technologies, a plastic surgeon can help shape the new you without breaking the budget. Consider these four fabulous surgeries to jumpstart the season:

 

Rhinoplasty

Need a nose adjustment? Rhinoplasty surgery—getting your nose reshaped—could be just what the doctor ordered. Rhinoplasty surgery is tailored to your individual needs – from total nose reshaping to a small hump removal. Post-operative recovery involves soreness and some mild bruising, however, in a week, you can be back in your office, tending to business as usual. And the clincher? A whopping 80-90% of your bruising and swelling with disappear within the first week! Total healing takes longer but, those are changes often only noticed by you (or you close friends). Remarkably, a great majority of patients have relatively mild pain. Exercise can be resumed after 2 weeks.

 

Liposuction

Liposuction, is a powerful surgery that helps our patients reduce excess fat. Targeted liposuction of the abdomen, arms, legs, or neck is associated with moderate pain, swelling, and bruising that peaks at around the third day after surgery. As ambulatory procedure, you’ll go home right after the surgery. Recovery begins immediately, and you will be walking around and eating the same day. Most patients can resume exercise in a few days with no limitations.

 

Breast Augmentation

Should you choose to boost your breast size, chances are you’ll want to get back to normal as soon as possible. The breast augmentation surgery is ideal because it is day-surgery that does not require intensive recovery times. You’ll go home on the same day as the surgery. To heal and recuperate quickly, plan to take at least 5-7 days off from work. Get plenty of rest and don’t put too much stress on your body. Keeping physical activity to a minimum will bolster even faster recovery times, maximizing your success for optimized results. Most patients are back to cardio in 2 weeks with a supportive bra.

 

Mini Face Lift

A mini face lift can be a marvelous addition to your beauty plan. On average, a great majority of patients are back to normal within two weeks. Though different parts of the face recover at different times, you can assist your recovery by getting adequate rest and relaxation—icing the eyes and the face. Surprisingly, by the second week, the bulk of the swelling will be gone. Any temporary bruising can be safely and easily covered with makeup. Numbness gets better within a matter of weeks. In under a few days, you’ll be back to watching TV and using the internet. In three weeks most patients are back to the gym and able to attend social events.

 

The stigma surrounding plastic surgery is evaporating with the surge of selfies and social media. Dr. William DeLuca and Dr. David Tauber of DeLuca Plastic Surgery offer free consultations to dispel the myths and educate patients on the range of surgeries and procedures available. For the right patients, DeLuca Plastic Surgery offers a range of surgeries and procedures with fast recovery times that allow patients to get back to the gym – and life – quickly. Contact us today to explore your options.

 

The Mommy Makeover (Abdominoplasty)

Oh, moms, are you happy with your physical body? Do you have countless hours to spend in the gym? Is a personal chef creating a nutrition plan to keep you in tip-top shape as you run around after your little ones, taking them to soccer practice, dance, and Kung Fu?

Chances are, this is not your reality. Let me paint a more realistic picture of you. If you’re like the average mom, you are running the kiddos around and maintaining a house, social schedule, and your own career, perhaps. You vacillate between protein bars, leftover peanut butter sandwiches and Cheez-Its for your noon lunch, as you have no time for anything else, and you have a few pounds to lose. Coffee is your fuel, chocolate is your secret gluttonous snack as you prioritize everyone else first. Does this sound familiar?

Moms, it’s time to get down to the business of taking care of yourselves. Who said that being a mom meant you had to be okay with ten extra pounds and a soft belly? Do you wish you still had the body you had in college?

You can get it back! How about scheduling an abdominoplasty?

What is an abdominoplasty?

An abdominoplasty is a cosmetic surgery targeting the belly. During the procedure, excess skin and fat are removed from the abdominal region, resulting in a slimmer, trimmer figure. In addition, sutures are used to bring the separated abdominal muscles back to the midline – giving you a flatter belly and helping to reinforce the tight abdomen created by removing the excess skin and fat. .

 

Ideal patients are finished having children, are at or near their target weight, and have complaints of mostly excess skin with minimal excess fat.

What do I need to do before surgery?

Before undergoing any medical procedure, it is important to have a consultation with your medical professional to determine if an abdominoplasty is the right choice for you. Your physician will need to know about your family history, any medications that you are taking, and if you’ve had any previous surgeries.

Your surgeon will discuss with you possible complications and risks associated with this type of surgery, and what to expect before, during and after surgery during the recovery process. You will not be able to resume your normal level of physical activity for up to several weeks post op; it will be necessary for you to make preparations for you and for your family to make sure your healing and recovery are as stress-free as possible.

What is recovery from abdominoplasty like?

The recovery process from a tummy tuck is more difficult then other surgeries because of the tightening of the muscles of the belly wall. Listening to the advice of your doctor and other medical professionals will be essential to ensure that you don’t develop complications or infections. You may experience pain and discomfort, bruising, and numbness in the abdominal area. Most patients require drains, small tubes that collect excess fluid, after surgery. These are usually removed around the 10-day mark, however, the timing is variable. Get lots of rest and make sure you are eating and drinking nutritious foods to speed up your healing process. Avoid strenuous physical activity if at all possible, and do not lift heavy objects until given clearance by your doctor. Expect a little bit of discomfort after surgery, but this will be well worth it when swimsuit season rolls around!

What does abdominoplasty cost?

Depending on the length of surgery and the process involved, a tummy tuck can cost anywhere from $8000-$10,000 or more. Expenses include fees for the surgeon, pre and post care, anesthesia, and facility charges

Is abdominoplasty right for me?

Only you can make the determination as to whether an abdominoplasty may be right for you. Assess your current level of health and fitness; think about how you want to look and feel, and make the best decision for you and your family. You are worth it!

Deluca Plastic Surgery: A Place You Can Trust

Deluca Plastic surgery has a long history of quality service and excellent patient care. They will work with you to develop an individualized surgery and care plan that fits you and your needs. If you think abdominoplasty is the right option for you, there is no one better prepared to handle all of your care. Trust us to uncover the best, most beautiful version of you. Contact us today for more information. A healthier, more beautiful body awaits you!

Can Rhinoplasty Benefit Sleep Apnea?

Sleep apnea not only disrupts your sleep patterns, but it can also increase your risk for a number of serious health issues. If you have tried all of the non-surgical fixes to no avail, consider rhinoplasty. Although it is a surgical procedure and presents its own risks, functional rhinoplasty can help control episodes of sleep apnea.

 

What is Sleep Apnea?

Sleep apnea is a potentially serious medical condition that causes loud snoring and repeated incidences of sudden breathing lapses during sleep. Other symptoms include daytime sleepiness, morning headaches, waking up with shortness of breath, waking up with a dry mouth and/or a sore throat, insomnia and irritability.

Although breathing lapses sound disturbing enough, sleep apnea can also cause other serious health issues. When you stop breathing, the oxygen level in your blood drops suddenly, causing your heart to work harder to deliver oxygen throughout your system. This can lead to high blood pressure and/or heart strain. Sleep apnea increases your risk of heart attack or stroke. Your risk of developing type 2 diabetes or liver disease is also higher than that of people without sleep apnea. Your loud snoring and restlessness can put a strain on your marriage too.

 

What Causes Sleep Apnea?

Structural issues in your nasal passages and other medical conditions can cause gaps in your breathing when you’re asleep, according to the National Heart, Lung and Blood Institute. These conditions include:

• Obesity

• Enlarged tonsils

• Hypothyroidism

• Polycystic ovary syndrome

• Stroke

• Heart failure

• Kidney failure

When narrowed nasal valves exacerbate sleep apnea, rhinoplasty can help. When other physical causes are at the root of your condition, your physician can suggest other alternatives.

 

Before Considering Surgery

Once you receive a diagnosis, your doctor can recommend a number of ways to address sleep apnea, such as:

• Mandibular retaining device

• Tongue retainer

• Position pillows

• CPAP machine

• Hypoglossal nerve stimulator

However, if you have found that none of these alternatives is effective for you, speak with a plastic surgeon about rhinoplasty.

 

How Functional and Cosmetic Rhinoplasty Are Different

These similar surgical procedures serve very different purposes. Functional nose surgery focuses on correcting an interior structural problem that is restricting air flow. In contrast, the primary purpose of cosmetic rhinoplasty is improving the exterior appearance of the nose.

Find Out More About Functional Rhinoplasty

Find out more about how rhinoplasty can help address your sleep apnea. Visit our website today, and get in touch with us at DeLuca Plastic Surgery of Albany, N. Y. Our courteous staff can answer your questions and make an appointment for you for a complimentary one-on-one consultation.

To Breast Lift or Not to Breast Lift, With or Without Implants?

More women are embracing breast augmentation every year. According to the American Society of Plastic Surgeons, there has been an astonishing 89 percent increase in the number of breast lifts doctors perform annually since 2000. In 2015 alone, 279,143 breast augmentation surgeries were performed in the U.S.

When we talk about breast augmentation, however, it’s important to note that there are different types of procedures. Getting a breast lift is not the same thing as getting breast implants. It is possible to do either or both. Which one is right for you? That depends on your personal preferences and your breast type.

 

The Difference Between Breast Lifts and Implants

A mastopexy, or breast lift, involves reshaping the breasts. Women typically get breast lifts to address sag, deflation and lax skin tissue. There are several approaches to the procedure, and an experienced surgeon can recommend the best one for you. Implants, of course, are inserted into the breasts to make them look larger. Every woman’s breasts are unique, so some women may require a breast lift before getting implants to achieve the look they want.

Surgeons can categorize breast types based on the position of the nipple relative to the breast crease as well as which direction the nipple is pointing. If your breasts have minimal sag, and your nipple is at or slightly below the inframammary fold, then implants alone might suffice. Otherwise, you may also need a mastopexy to maintain lasting results.

 

Making the Breast Decision

An experienced plastic surgeon can identify your breast type and give you expert advice on which procedures you should pursue, but the decision is ultimately up to you. There are often trade-offs to consider: For example, a longer lasting lift may require slightly longer incisions. Your body will inevitably change as you age, so make sure you understand what your breasts will look like 10 years after surgery. Ask to see before-and-after photos of your doctor’s past patients before you go under the knife,

 

Considering Breast Augmentation? Only Trust the Best

DeLuca Plastic Surgery delivers unparalleled cosmetic care to patients in Albany, NY and beyond. As a board certified plastic surgeon with over thirty years of experience, Dr. William DeLuca has conducted more than 1,750 breast surgeries. In addition to breast lifts, his team also offers an array of other cosmetic procedures such as tummy tucks and facelifts. Schedule a consultation with the doctor to find out if you’re an ideal candidate for breast augmentation.

Correcting Tuberous Breasts with Surgery

Tubular Breast
Many women tend to be self-conscious about having tuberous breasts; however, an experienced surgeon can perform a dual plane breast augmentation with a periareolar lift to correct this condition.

Tuberous breasts is a condition where the breasts form into a tube-like shape because of constriction at the base of the breasts during development. The breasts also tend to develop farther apart and unevenly than a normal chest. The breasts are often characterized by enlarged areolas and sagging. Although this condition may prevent a woman from breast-feeding, it doesn’t lead to any other pregnancy or fertility related issues.

Women with tuberous breasts may range from type one, which is the mildest to type five, which is the most severe. With type one, only the lower inside of the breast is constricted. In the most severe cases, the entire breast is constricted and can be physically deforming.

While having this condition isn’t necessarily a physical concern for health related reasons, it can be psychologically troubling to women who suffer from this condition. Many women tend to be self-conscious about their breasts, and shy away from intimacy, or are embarrassed to get undressed in front of their partner.

There are also other issues to consider for someone with tuberous & tubular breasts. Many women tend to have trouble finding bras or other undergarments that fit properly. Some women have to specially order their bras in order to support their breasts correctly.

One option for women with this condition is breast augmentation with a lift surgery. For women who are self-conscious or frustrated about the shape of their breasts, a surgeon can correct the size and fill out the shape. The doctor can also debulk the area around the nipple in cases where the areola is large or puffy.

The surgery is particularly challenging; however, a good surgeon with plenty of experience can correct this condition with a dual plane breast augmentation with a lift. It’s important to discuss the surgery and your expectations with your doctor before heading into the operating room, if you are considering this type of surgery. In many cases, surgery can correct this condition restoring the breasts completely.

Everything You Should Know About Breast Implants, Pregnancy and Breastfeeding

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Click here to contact Dr. Tauber to make an appointment for a free cosmetic consultation today!

Breast Augmentation surgery appeals to many New Yorkers who would like to change the size or shape of their breasts. However, women often worry about the procedure’s effect on breastfeeding and future pregnancies. It’s important to understand the risks and benefits while avoiding common myths.

Will Pregnancy Affect Implants?

Your breasts will probably grow larger when you become pregnant. If a breast contains an implant, this temporary change won’t damage it. You can rest assured that pregnancy and the process of giving birth don’t have any significant impact on implants.

Could Implants Harm a Baby?

Breast implants have not been shown to increase the risk to a developing fetus or breastfeeding infant. There is also no evidence that breast implants increase the likelihood of pregnancy complications, cause birth defects, or effect on the quality of a mother’s breast milk.

Is Breastfeeding Still Possible?

Although breast enlargement surgery may rarely impact the ability to breastfeed, this usually doesn’t happen. The type of incision used to place the implant can, however, increase or decrease this risk. Breast Augmentation performed through an inferior mammary fold (IMF) incision will not typically injure the milk ducts. nerves, or glandular tissue and , so, offers the least risk to breastfeeding.

Will I Produce Enough Milk?

A woman’s ability to produce milk and ultimate breast feed is highly personal and is dependent on a multitude of variables including age, breast development, hormones, medications, diet, and stress. The amount of milk produced also varies with each attempt at breast-feeding.
Any breast surgery may possibly reduce the amount of milk that a mother’s mammary glands can secrete. Surgery necessitates cuts in the skin, breast gland, and surrounding tissue that may interfere with milk production or stimulation. A reduction in milk production may also occur when you undergo surgery to decrease the size of your breasts.

You can compensate for a reduced milk supply by intermittently using infant formula. If you want to avoid any risk that augmentation will curtail breastfeeding, think about postponing surgery until your child stops nursing.

What Benefits Can I Expect?

The size and shape of a mother’s breasts often change in undesirable ways after she gives birth. Fortunately, implants can help minimize these changes. An augmented breast often won’t shrink as much as its implant-free counterparts; this can limit the negative effects of skin stretching.

To maximize the benefits and avoid complications, choose a surgeon certified by the American Board of Plastic Surgery. Your doctor should personalize the surgery to suit your body traits and breast type. Tell a surgeon if you plan to become pregnant and breastfeed a baby.

DeLuca Plastic Surgery offers various cosmetic treatments to residents of the Albany area. Our surgeons have the skills and expertise to help their patients achieve their surgical goals. To learn more, contact DeLuca Plastic Surgery today.

More info on breast lifts.

More info on mommy makeover.

More info on tummy tucks after babies.

Dr. Tauber’s post-operative recommendations.

Click here to contact Dr. Tauber to make an appointment for a free cosmetic consultation today!

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Botox Basics

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Click here to contact Dr. Tauber to make an appointment for a free cosmetic consultation today!

Botox is an injectable used to target wrinkles created by the contraction of facial muscle groups of the upper face. Botox is a neurotoxin derived from the bacterium Clostridium Botulinum. Botox works by preventing the release of a chemical messenger, acetylcholine, at the junction between the nerves and muscles. Botox prevents the release of acetylcholine, preventing contraction of the muscle cells. By preventing the release of acetylcholine, Botox lessens the movement of specific muscles of the face that cause wrinkles.

Botox is also used off label to treat over 20 different medical conditions, including migraines, semi facial spasm, masseter hypertrophy, and severe sweating. Current research is even looking at the effect of Botox treatment on depression.

The areas that are treated most often with Botox include the forehead, the area between the eyebrows (glabella), and the crows feet (on the side of the eyes). The goal is to soften these tell-tale stigmata of aging without leaving the face looking flat and emotionless. This can be a difficult needle to thread. If done correctly, however, Botox can make the face look younger and more relaxed, raise the eyebrows, and make the eyes look more open.

Continued treatment with Botox will prevent the formation or the worsening of the etched-in horizontal lines of the forehead and the vertical lines between the eyes (the 11’s). Combination treatment of Botox with laser treatments or peels can help smooth deeper, etched-in lines that may persist with Botox treatments alone.

 

Botox Before and After

Botox Before and After – 7 Days (courtesy Allergan)

 

Botox is injected using a very fine needle into the affected areas. Most patients experience little discomfort and by the time they return home or to the office any redness or swelling has disappeared. The affect of Botox begins to be noticed at 2 – 5 days after treatment. Botox lasts for about 3-6 months, however, the exact timeframe is patient specific. Most patients end up coming in for a Botox treatment every 4 months.

Botox is a low risk, high impact products that allow for non-surgical rejuvenation of the face. In otherwise healthy patients, injections with Botox are generally well tolerated and there are few side effects. Botox can be used alone or concert with fillers or combined more invasive surgical facial rejuvenation such as a facelift or blepharoplasty. Dr. David Tauber and DeLuca Plastic Surgery tailor all of these services to each individual patient.

DeLucaPlastic Surgery Botox new patient price is $10 per-unit (1st session).

Click here to contact Dr. Tauber to make an appointment for a free cosmetic consultation today!

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