Dr. Lawrence Gray Presents “Experience with Short Scar Facelift”

Dr. Lawrence Gray at Atlantic Plastic Surgery Center presented “Experience with MACS Facelift” at the 9th meeting of the American Brazilian Aesthetic meeting in Park City, Utah, held from February 24th to 27th, 2017. The professional educational conference was attended by 220 plastic surgeons from 22 countries.

A MACS facelift is also known as minimal access facelift or a short scar facelift. Dr. Gray’s presentation included an overview of his experience of 200 cases since 2005 along with the details of his modifications to the procedure which made the MACS facelift a more reliable, safer procedure than conventional techniques which produced longer scars. Dr. Gray’s experience showed that his results were similar to more invasive procedures, but with the quicker recovery and much lower risk of complications.

A short scar facelift includes shorter incisions placed in front of the ears along natural skin lines and creases. Incisions made at the front of the ears can be easily hidden with camouflage make-up and only very minimal incisions are needed. There is no alteration in hairline. The short scar facelift is a quick procedure which allows other surgeries to be done at the same time, such as a blepharoplasty, which is a correction of sagging eyelids.

The benefits of a Short Scar facelift include less bruising and swelling than with other methods of performing a facelift and less risk of nerve injury. Results are long lasting, often a decade or more. The MACS facelift also produces a better result for the neck, correcting the neck in a vertical direction instead of an unnatural lateral pull. Recovery time is shorter and there is less risk of complications. There are no drains and patients are back to normal in one week.

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About Atlantic Plastic Surgery Center:

Atlantic Plastic Surgery Center is the practice of New Hampshire plastic surgeon, Dr. Lawrence Gray, since 1985. Dr. Gray is nationally and internationally recognized as the inventor of the scarless breast reduction, a revolutionary procedure that eliminates scars associated with the older, traditional method of breast reduction. He has a large following of satisfied patients from across New Hampshire, the United States and a number of foreign countries, who have sought him out for breast augmentation and scarless breast reduction. Dr. Gray has taught at educational conferences for the American Society for Aesthetic Plastic Surgeons and is the only member of the International Society of Plastic Surgeons from New Hampshire.

Experience with the MACS (Minimal Access Cranial Suspension) Facelift

Better Results, Quicker Recovery, Shorter Scar

Portsmouth, NH-Dr. Lawrence Gray presented his technique of Minimal Access Cranial Suspension Facelift at the annual meeting of the New England Society ofPlastic Surgeons held at the Mount Washington Hotel Sunday June 9th, 2016. The MACS facelift is a short scar technique that avoids alteration of the hairline and avoids open neck incisions and the associated complications. Dr. Gray studied 178 patients over an 11-year period from 2005 through 2015. All 178 patients were outpatients and had minimal anesthesia.

The advantages of the MACS facelift surgical technique are a natural appearance, avoidance of visible signs of surgery, avoidance of complications, quick recovery and minimal scars. The technique involves no cautery, no open neck incision and no drains, which is an important feature. Patients find drains to be very uncomfortable. The removal of the drains causes patients anxiety and soreness. The MACS facelift is a much shorter length operation than the traditional method. There is less dissection and risk to nerves and muscles.

Dr. Gray found that he obtained better face and neck contours than with traditional techniques for facelift. Specifically, Dr. Gray obtained a better definition of the neck and jaw line because the muscles are pulled superiorly reversing the effects of gravity. Other techniques pull laterally and can create a widened mouth or unnatural lines on the face. There is no need to open the neck with the MACS technique.

NewBeauty, a recognized authority in the beauty industry, recently named the CoolSculpting procedure The Best Non-Invasive Fat Reducer in its Choice Awards’ Supercharged category, which includes products and treatments that reach next-level status thanks to their powerful blend of ingredients and cutting-edge technology. The NewBeauty Choice Awards are a collection of the best beauty products, treatments, breakthroughs and beauty innovations. To ensure winners are both credible and covetable, every single product is vetted by NewBeauty editors, board members, industry experts and readers. This marks the third consecutive Choice Award for the CoolSculpting procedure.

Patients are very happy with the shorter scars of the MACS facelift as compared to the traditional method. The MACS technique avoids alteration of the hairline and nerve injuries do not occur with this technique.

“My patients have also been very pleased with the quicker recovery time with the MACS facelift”, states Dr. Gray. “The traditional facelift takes up to one month to recover. There is significantly less swelling than with traditional techniques and patients are typically in the public in less than a week compared to having to hide out for 4 to 6 weeks with the traditional method.”

There is also minimal discomfort from the MACS facelift. Most patients require only minimal use of pain management medications. With the traditional method, there was more pain and swelling. The MACS facelift can be performed on patients with diabetes or high blood pressure because it’s safer than the traditional method due to limited undermining of the skin with the MACS facelift. Visit our website at atlanticplasticsurg.com to read more about the MACS facelift with no drains. For more information or to schedule a consultation, call Atlantic Plastic Surgery Center at 1-800-633-6860.

About Atlantic Plastic Surgery Center:

Atlantic Plastic Surgery Center is the practice of New Hampshire plastic surgeon, Dr. Lawrence Gray, since 1985. Dr. Gray is nationally and internationally recognized as the inventor of the scarless breast reduction, a procedure that eliminates scars associated with the older, traditional method of breast reduction. He has a large following of satisfied patients who have sought him out for breast augmentation and scarless breast reduction. Dr. Gray teaches at educational conferences for the American Society for Aesthetic Plastic Surgeons and at the International Society of Plastic Surgeons. Dr. Heidi Harrington is a board certified plastic surgeon who specializes in breast surgery, both cosmetic and reconstructive.

Award-Winning CoolSculpting(R) Procedure Now FDA: Cleared to Reduce Fat Around Bra Straps, on the Back and Underneath the Buttocks

Market-Leading Non-Invasive Fat Reduction Technology Now Treats More Problem Areas; Named “Best Non-Invasive Fat Reducer” by NewBeauty

Portsmouth, NH 03801 – Atlantic Plastic Surgery Center is excited to announcethe expanded clearance from the U.S. Food and Drug Administration (FDA) for the treatment of visible fat bulges of bra fat, back fat and underneath the buttocks (also known as banana roll). The CoolSculpting® procedure is already FDA-cleared for treatment of the double chin (submental area), thigh, abdomen and love handles (flank).

Market research shows that excess body fat is a concern for 88% of U.S consumers. In fact, 69% indicate they are ‘very bothered’ by this issue.”According to recent market research, 29 million people in the U.S. market alone are interested in CoolSculpting. Of these 29 million people: 12 million believe they have excess bra fat, 11 million believe they have excess back fat, and 9 million believe they have excess fat underneath the buttocks. The CoolSculpting procedure is proven to be safe and effective with over 60 peer-reviewed clinical papers and abstracts and supported by millions of treatments performed in over 70 countries around the world.

“Many of my patients are bothered by excess localized fat”, states Dr. Lawrence Gray. “Being able to treat fat on the back, around the bra straps and underneath the buttocks with CoolSculpting is very exciting for those patients who do not want liposuction.”

NewBeauty, a recognized authority in the beauty industry, recently named the CoolSculpting procedure The Best Non-Invasive Fat Reducer in its Choice Awards’ Supercharged category, which includes products and treatments that reach next-level status thanks to their powerful blend of ingredients and cutting-edge technology. The NewBeauty Choice Awards are a collection of the best beauty products, treatments, breakthroughs and beauty innovations. To ensure winners are both credible and covetable, every single product is vetted by NewBeauty editors, board members, industry experts and readers. This marks the third consecutive Choice Award for the CoolSculpting procedure.

The CoolSculpting procedure results in a noticeable and measurable reduction of fat in the treated areas, and the treated fat cells are gone for good. Most patients can start to see results as soon as three weeks following treatment, with the most dramatic results occurring over a period of one to three months. Every patient is unique, so patients are encouraged to talk to their physicians about a customized treatment plan as part of the initial consultation. Additional treatments in the same or multiple areas may enhance the desired aesthetic effect.

The CoolSculpting procedure is a non-surgical, clinically proven procedure that selectively reduces unwanted fat using a patented cooling technology. The CoolSculpting procedure is cleared by the FDA. The CoolSculpting procedure works by gently cooling targeted fat cells in the body to induce a natural, controlled elimination of fat cells without affecting surrounding tissue, and the treated fat cells are gone for good. Millions of CoolSculpting treatments have been performed by nearly 4,000 CoolSculpting systems in over 70 countries. Market research indicates up to a 95 percent customer satisfaction rate with the CoolSculpting procedure. The CoolSculpting procedure is available through an elite network of CoolSculpting Centers worldwide.

About Atlantic Plastic Surgery Center:

Atlantic Plastic Surgery Center is the practice of New Hampshire plastic surgeon, Dr. Lawrence Gray, since 1985. Dr. Gray is nationally and internationally recognized as the inventor of the scarless breast reduction, a revolutionary procedure that eliminates scars associated with the older, traditional method of breast reduction. He has a large following of satisfied patients from across New Hampshire, the United States and a number of foreign countries, who have sought him out for breast augmentation and scarless breast reduction. Dr. Gray has taught at educational conferences for the American Society for Aesthetic Plastic Surgeons and is the only member of the International Society of Plastic Surgeons from New Hampshire.

Cosmetic Treatments Most Chosen by Men

Today, men of all ages and walks of life are seeking treatment for achieving a more youthful, rejuvenated appearance. According to the American Society of Aesthetic Plastic Surgery the number of cosmetic procedures for men has increased 112% since 2000.

The top cosmetic procedures men are having are blepharoplasty (eyelid lift), gynecomastia (correction of male breast size or shape), facial injections (Botox and fillers), and skincare including microdermabrasion.

Treatments that are most requested are those that are subtle in reducing wrinkles and don’t leave you looking like you just had something done. Fillers such as Juvaderm, “fill in” deeper wrinkles around the nose and the corners of the mouth. Botox and Dysport are used to reduce wrinkles around the eyes and smooth out furrows between the eyebrows. The overall effect of fillers gives the face a youthful, rested appearance.

A good skincare regime is crucial to achieve and maintain healthy skin. At our Skin Wellness Center, we carry the leading and most effective skincare brands including Obagi and Skin Medica. We have products that target hyperpigmentation (age spots), pore tightening as well as products that will refine and brighten your skin tone. If you can’t see using a skin care regime, Retin A is recommended as the best “over all” product that prevents fine lines, improves skin texture, and addresses those annoying brown spots.

Signs of aging around the eyes bother many men are easily corrected. Puffiness around the eyes, sagging of eyelid skin, bags and bulges around the eyes and deep grooves or wrinkles under the eye can make you look tired and older than you are or want to look. Blepharoplasty corrects sagging and excess skin covering the natural fold of the eyelids and can be done comfortably under local anesthesia. An upper eyelid lift corrects the upper lid while a lower blepharoplasty corrects deep wrinkles or protruding fat under the eyes.

Gynecomastia is a procedure men consider when they have excess volume in breast tissue often referred to as “man boobs”. Some men experience a feeling of embarrassment as it affects posture and the way their clothes fit. Correction can be achieved almost 100% of the time with liposuction alone. The goal is to reduce breast size and bring the body back into proportion. Liposuction is a quick and easy procedure with recovery time for most patients one week, sometimes less.

Our board certified plastic surgeons Dr. Lawrence Gray and Dr. Heidi Harrington work with each person to determine which procedure or combination of procedures will achieve your goals. These procedures can be affordable and virtually pain free.

Lose The Fat Without Surgery. Really.

You work hard on staying healthy and in shape, yet you have that area of fat that you just can?t get rid of. Maybe it?s that small bulge in your abdomen or the sides of your abdomen or perhaps your have always wanted less volume in the buttocks or your thighs. The pockets of fat that you have may actually be quite small, but they bother you. And they bother you enough to do something about it, but not surgery. You just don?t feel ready for the ?S? word yet.

Coolsculpting is proving to be a powerful new tool in plastic surgery?s body contouring arsenal which includes liposuction, abdominoplasty, and various technologies such as radio frequency, low level laser energy or ultrasound. Coolscupting is anout patient method of reducing localized fat is easy, painless and cost effective. And it works.

Coolsculpting freezes fat in a process called cryolipolysis, which uses controlled cooling to kill the targeted fat cells. We have learned from the Harvard scientists who invented it that fat is more sensitive to cold than skin, muscle, nerve or bone. Fat will die when exposed to specific levels of cooling but the skin, bone, muscles and nerve are left unharmed. Within a few weeks, targeted fat is eliminated naturally through the lymphatic system. Treated fat cells are gone permanently because you are born with a specific number of fat cells which do not grow back.

Over a period or 2 to 3 months, 25 to 30% of the fat in the treated area is gone. Further treatments eliminate increasing amounts of fat until you feel fully satisfied with your results, giving you liposuction-like results without the surgery and at a lower price point.

In August, 2013, the American Society of Aesthetic Plastic Surgeons published results of a formal study, ?Freezing the Fat Away: Study Suggests Cryolipolysis is Safe and Effective? which focused on the trends in fat removal, whether the same safety and efficacy is found in actual practice as in studies in clinical trials and how in-demand coolsculpting has been as a body contouring option.

Among the findings by the Southern California plastic surgeons who conducted this study were that ?cryolipolysis was highly effective at reducing subcutaneous fat volume and was associated with few adverse events: only three cases (out of 528 cases in the study) of mild or moderate pain/neuralgia were noted in the retrospective chart review, all of which rapidly resolved.?

The interest and demand for this procedure has outstripped expectations. The study also showed that the popularity of Coolsculpting grew dramatically over the two years of the study, (over 800%) with a growing demand among men.?Our review showed that cryolipolysis is not only safe and effective for nonsurgical, localized fat removal, but also provides high patient satisfaction levels,? said lead author and plastic surgeon Grant Stevens, MD. ?With careful treatment planning, proper applicator placement, and multiple treatment cycles, cryolipolysis can produce results comparable to those of liposuction.

Correction of the Aging Face with Fat Grafting

Eventually everyone?s face shows signs of aging, such as volume loss, wrinkling,and sagging skin. Dr. Heidi Harrington of Atlantic Plastic Surgery Center offers fat grafting for correction of the effects of facial aging and gravitational pull. Fat grafting is highly successful for restoring a youthful contour to the face, which can correct deep facial lines, nasolabial folds, sunken eyes, sagging of the brow and jowling of the jawline. Facial descent or sagging can be often corrected by a facelift, while fat that is lost from the surrounding tissue is replaced by fat grafting or transfer to create a natural and youthful look.

Facial fat transfer is a minimally invasive rejuvenation procedure, which allows Dr. Harrington to reshape and restore the face to a more youthful profile. Fat grafting can be used alone or in combination with other procedures such as a facelift, rhinoplasty or blepharoplasty. Early signs of aging, such as fat migration or shifting, fat descent or fat loss can often be corrected with fat injections, alone.

Using the patient’s own fat for augmentation after facial sagging and hollowing can rejuvenate and elevate the local tissue. The fat is removed from an area of the body such as the love handles or buttocks with a small needle after the area has been numbed. The fat is purified and filtered to retain the highest quality fat for grafting. The fat is then injected into the facial area to be cosmetically improved.

Facial reshaping can be used to correct a thin or gaunt face, a long face, a bottom heavy or jowly face, or a face with flatness of the mid-face, or an asymmetrical facial shape. By using this minimally invasive technique, the patient’s face can be reshaped without the extensive downtime which accompanies more invasive techniques or longer procedures. Facial reshaping can also be used with a rhinoplasty procedure (correction of the nose) and other facial procedures to create better results by shaping the face to blend with the corrected nose.

While this technique has been used for facial rejuvenation, this new development of transferring fat from one part of the body to other areas of the body is also under going advances. For example, there is now fat grafting to the breast for both cosmetic and reconstructive purposes and fat grafting to the buttocks for lifting or volumizing. If you have any questions or would like more information, please call our office to talk with our knowledgeable staff to schedule a consultation with Dr. Heidi Harrington.

Dr. Lawrence Gray Presents – Tummy Tucks with No Drains Needed


For Third Time At Aesthetic Conference

Portsmouth, NH – Dr. Lawrence Gray has presented the course entitled, “Scarpa Sparing Abdominoplasty with Concomitant Liposuction: No Drains Needed” for the 4th year in a row to the annual meeting of the American Society of Plastic Surgery. This year the national conference was held in Las Vegas, Nevada from April 2nd to 7th, 2016. ASPS has over 2,600 members and is the leading organization of board certified plastic surgeons specializing in cosmetic surgery of the face and body.

For the past 8 years, Dr. Gray has been performing tummy tuck surgery with liposuction and NO DRAINS, which reduces fat from the entire abdomen and does not require a second operation. The technique of performing tummy tuck surgery without the use of drains is a marked improvement in abdominoplasty technique and is a safer operation than that of leaving drains in. Abdominoplasty or Tummy tuck surgery removes excess fat and loose skin and most often restores weakened or separated muscles giving the patient a smoother and firmer middle.

Dr. Lawrence Gray states that, “Drains are, at best, a nuisance, an extra cost, can be difficult for patients to manage and result in more office visits for patients. The area of insertion of the drains can be an additional wound to manage. I focus on the safety and ease of management of this technique and stress the importance and benefit to the patient of the pre-operative evaluations to reduce the risk of blood clots in the legs, which is the main serious risk in a tummy tuck procedure. It now appears that that the American Association for Accreditation of Ambulatory Surgical Facilities, or AAAASF, is recommending the same pre-operative evaluation that Dr. Gray has been using for years to reduce the risk of blood clots to their members.” Patients are much more comfortable without drains being attached and having to empty them or have the surgeon withdraw fluid.

The course, “Scarpa Sparing Abdominoplasty with Concomitant Liposuction: No Drains Needed” was a maintenance of certification course and the only abdominoplasty course to be credentialed at this conference for physicians in the periodic re-certification process. This course was evaluated by ASPS to be an important course for doctors’ knowledge and contained topics of safety for which doctors receive credits. Visit our website at atlanticplasticsurg.com to read more about tummy tucks with no drains. For more information or to schedule a consultation, call Atlantic Plastic Surgery Center at 1-800-633-6860.

About Atlantic Plastic Surgery Center:

Atlantic Plastic Surgery Center is the practice of New Hampshire plastic surgeon, Dr. Lawrence Gray, since 1985. Dr. Gray is nationally and internationally recognized as the inventor of the scarless breast reduction, a procedure that eliminates scars associated with the older, traditional method of breast reduction. He has a large following of satisfied patients who have sought him out for breast augmentation and scarless breast reduction. Dr. Gray teaches at educational conferences for the American Society for Aesthetic Plastic Surgeons and at the International Society of Plastic Surgeons. Dr. Heidi Harrington is a board certified plastic surgeon who specializes in breast surgery, both cosmetic and reconstructive.

Is it time to consider a facelift

By Lawrence N. Gray, MD
Board Certified Plastic Surgeon since 1985, Atlantic Plastic Surgery Center Portsmouth, New Hampshire

Most people are surprised to learn that the first facelift was performed at the very beginning of the 20th century. By the 1920s it was being performed regularly and on a large scale.

Despite the increasing use of fillers, Botox andother facial injection procedures, a facelift is still considered the gold standard when it comes achieving a refreshed, more youthful appearance that can last a decade or more.

In determining whether you should have a facelift there are many factors. As you can imagine, the actual procedure has undergone many changes and improvements over the decades. There are also many different types of facelift procedures today. One or more is deemed appropriate depending on various issues. These might include mid-face sagging, ?marionette? lines, jowls, double chin or loss of volume.

During consultation, you will learn about the various procedures and what might be right for you. The choice to have a face lift procedure, however, is a personal one that deserves thorough consideration.

You should consider having a facelift when:

  • You think the appearance of your face doesn’t accurately reflect your energy and youthfulness.
  • Sagging, wrinkles and other signs of facial aging are affecting your social and career objectives
  • You don?t think you look like yourself anymore.
  • You are in good general health and don?t smoke.

The advantages of a facelift are many. A major one is that you can fix many areas of the face in a single surgery and get long-lasting results. Typical facelifts make patients look 10 to 15 years younger.

Combining procedures

After consultation with a physician, many patients will choose to have an eyebrow lift and neck lift along with their facelift. The facelift primarily concentrates on sagging of the mid face, reduced cheek volume, the deep lines that can form between the corners of the mouth and nose and to some extent the jaw line and double chin.

The neck and eyebrows

Our brow tends to become more horizontal as we age. We also get horizontal lines in our forehead and vertical frown lines between our eyebrows commonly referred to as ?11s.? A brow lift places the eyebrows in a more arched and youthful position, eliminates lines and reduces ?hooding? over the eyes caused by a sagging brow.

A neck lift is appropriate when skin sags in the lower face, there is excess fat under the chin, there is loose neck skin or the ?banding? of muscles create abnormal contours in the neck.

The important thing to understand about any lifting procedure is that it does not stop the aging process. A facelift will never turn you into another person or remake your personality. There will also be downtime for recovery, which varies by procedure. However, if you come to the conclusion that ?it?s time,? a facelift, brow lift or neck lift can help you look younger, boost your confidence and enhance your self-esteem.

Breast Augmentation: Four Important Decisions

Breast Augmentation: Four Important Decisions

Breast augmentation has been around for over 50 years and is still the most popular cosmetic surgical procedure. According to statistics from the American Society of Plastic Surgeons, there were almost 300,000 breast augmentations performed in the U.S. in 2013. Breast implant technique improves year after year, producing remarkably natural results. It is still, however, an important choice. We encourage patients to give very careful consideration to four important decisions.

Should I choose saline or silicone implants?

There have been exciting advancements recently in the development of breast implants in size, profile, texture and composition of the implant itself. Patients have numerous implant options that have all been tested for both safety and efficacy.

In 2013, 72% of patients chose silicone implants. Silicone implants, including the newest cohesive gel or ?gummy bear? implants, offer a lighter, softer more natural feel. There is also a lower deflation rate and less rippling. Silicone breast implants are slightly more expensive than saline implants for breast augmentation.

Saline implants offer a great alternative for patients who want a slightly smaller incision because they are inserted into the breast empty. Saline implants also cost slightly less. You, as the patient, are the final and most important decision maker. You need to be comfortable with your choice of saline or silicone breast implants.

What kind of incision is best?

Although breast augmentation surgery is broadly accepted today, many patients prefer to keep their surgery private. They may concerns about the size and location of the incision. With many advancements in breast surgery techniques and products, the appearance of scars in breast augmentation have been significantly reduced. Although there are different standard incision approaches in breast augmentation surgery, most plastic surgeons prefer the incision which is under the breast fold called inframmary, around the areola, called peri-aureolar or under the armpit, called trans-axillary. Dr. Gray mostly performs the peri-aureolar incision, but will use the inframmary when appropriate. He will discuss which incision approach is best for your body, implant selection and lifestyle.

What size implant is the best for my body?

Determining size is no doubt the largest cause of anxiety for patients seeking breast augmentation. “What will I look like?” is the number one question patients ask Dr. Lawrence Gray when considering breast augmentation. Dr. Gray, can accurately answer this question in 3D pictorial form. The Portrait 3D gives patients an actual visual of themselves simulating the before and after in photo realistic 3D. The breast imager compares the “before” with up to 5 simulated results and helps Dr. Gray and you work together to select just the right implant?size, form and shape, that best compliments their individual body. It allows greater guidance and direction for more accurate customization, and placement and shaping of the implants. It also enables patients to see the desired outcome in realistic 3D from all angles – overhead, side, front views, before the procedure is performed and make any necessary adjustments. Dr. Gray offers breast imaging at no extra charge as part of the consultation.

How do I pick the best plastic surgeon?

The final and perhaps most important factor when considering breast augmentation is selecting the plastic surgeon to perform the procedure. The surgeon should be certified American Board of Medical Specialties in plastic surgery and should be a member in good standing of professional organizations such as the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery. Your plastic surgeon should also be fully licensed by the state in which he or she practices. Find Your Surgeon

It is very important for patients to have view to numerous before and after photos online or in the office so they can see the plastic surgeon?s results. Many people place great importance on direct recommendations about at surgeon?s work that they have heard from friends or family, especially if they have had the same procedure done.