Cosmetic Surgery

Cosmetic Surgery is a field of medicine made up of a number of surgically trained board certified physicians. Dermatologists were the originators of many of the most common cosmetic surgical procedures performed today and have collaborated with other surgical specialties in perfecting the  others. Dr. Martin Kay is a fellow of the American Academy of Cosmetic Surgery ( the largest Cosmetic Surgery group in the world). He has trained and taught these techniques from colleagues and to colleagues all over the world.

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Eyelid Surgery (Blepharoplasty)

As we age, many of us notice our upper eyelids drooping and sometimes bags form in our lower eyelids. The most direct and traditional method to improve these problems is to remove the excess skin and or fat in these areas. Improvement in the upper eyelids can be performed with local anesthesia and it is preferred to use IV sedation anesthesia  to help remove the lower eyelid bags. Either way, the procedures work very well and have  minimal healing time, bruising and usually no pain post surgery.

If the skin around the eyes is sun damaged and wrinkled, your surgeon may also recommend a laser peel at the same time as the surgery so that the healing is completed together. The combination of these two procedures will give a more youthful eye complex overall. Results are permanent.


Over 30 years ago, Dr. Pierre Fornier, of Paris, France, popularized what we still call Liposuction to help correct irregular deposits of fat in our bodies. An American Dermatologist, Dr. Klein, turned what was a general anesthesia technique for most surgeons into a local anesthesia procedure. Although Dr. Klein believes in only using pure local anesthesia, most Liposuction surgeons today use it along with IV Sedation for larger areas of fat removal. It is important for the patient to be comfortable during one of these procedures in order to be able to give a very smooth and complete result. Dr. Kay trained with both of these surgeons as well as with others around the world and is one of the most experienced Liposuction surgeons in the world. He uses local anesthesia for small to moderate cases and and IV sedation when needed. Dr. Kay believes that his patients’ safety and comfort are the most important issues in any cosmetic surgery.

External, non-surgical methods recently popularized for fat destruction, such as freezing the fat, using radiofrequency, laser or ultrasound, can at best lead to minimal reduction of fat in the average overweight person. Moderate improvement can be seen only in thin people with small areas of fat to be removed. This procedure is not a substitute for fat removal in the average patient.

Injections for fat destruction is not a new procedure and has been practiced for over 20 years in the US. The results are minimal after each injection series and should be reserved for select situations. Swelling and lumpiness is common for many days after each injection.

In summary, Tumescent(local anesthesia) Liposuction is safe, effective and has been perfected for over 30 years. Areas that have been treated range from neck, arms, chest(men and women), back, belly, waist, thighs, buttocks, and ankles.