The Best Doctors 2000 – 2006
The Best Doctors in New York
1,085 of the City’s Top M.D.’s — Chosen by Their Fellow Doctors
by Janice Hopkins Tanne
The Best Doctors in New York 1998 – 2005
New York Magazine
The Best Doctors in New York
Cosmopolitan Magazine – February 1996 – Beauty Helpline
Q: I have a lousy nose but am afraid to have it fixed- don’t want it to look “done.” A friend told me rhinoplasty’s changed and I shouldn’t worry. What do you think?
A: Your friend is right—nose jobs now look much more natural. In the early days of procedure, the shape you got was pretty much determined by the doctor you chose—surgeons were actually known for particular noses. Later (in the seventies, start of the eighties), everyone wanted celebrity or model noses—they’d bring pictures in for doctors to imitate. But over the last few years, the trend has gone toward more natural, individualistic noses. Basically, your nose is toned down rather than changed completely. The idea is to create a good-looking nose, not a superperfect one. This is possible, according to New York nose specialist Donald Wood-Smith, M.D., because of surgical advances—tools used allow for greater refinement, require removing less cartilage. Also, breaking the nose isn’t always necessary, so healing time is much shorter. Of course, the quality of any plastic surgery depends on the surgeon you choose—be sure he/she’s board-certified, and ask to see before-and-after photographs of patients so you can make your own judgment.
The New York Times
“Two Simple Procedures Can Help Men and Women Stay Attractive and Remain Competitive.”
Once considered a rite of passage for older women, facelifts have taken a new approach that appeals to younger patients. A technique known as the extended mini-facelift allows plastic surgeons to help preserve a youthful, rested look for an additional five to 10 years. And the procedure can be repeated before the need for a full, or formal, facelift arises.
“Only a few years ago, we rarely performed a facelift on anyone around age 40. We’d tell them to come back in five years or more. Now we know that the younger you are—within reason—the better and longer your results will be,” says Dr. Donald Wood-Smith, a Park Avenue plastic surgeon.
“The ideal time to begin facial rejuvenation is when you become tired of looking tired—usually between age 38 and 48. The technique produces subtle changes that give the impression that you never age.
A tiny instrument called an endoscope allows Dr. Wood-Smith to elevate the forehead through three tiny perforations made within the hairline. Working under the skin, he lifts the eyebrows and tightens muscles and supporting structures.
A small incision within the temporal hairline allows for the elevation of the cheeks and jowls to complete the lift.
When wrinkling around the eyes and mouth is the main complaint, laser resurfacing may obviate the need for a mini-facelift. According to Dr. Wood-Smith, however, it cannot replace it.
“A vertical lift cannot be done safely with a laser, no matter what someone tells you,” he stresses. “When the face begins to drop, it must be corrected endoscopically with a mini-facelift or by a full facelift.
“The laser can be used effectively, however, to remove skin layer by layer, making fine lines disappear to produce a modestly tighter skin.”
After laser skin resurfacing, patients look great with makeup in less than two weeks, and terrific with a bare face after two to three months.
While a majority of patients undergoing facial rejuvenation are young women, men now comprise 10 to 15 percent of Dr. Wood-Smith’s practice. The upward trend, he noticed, coincided with downsizing in industry.
“More and more men are recognizing the commercial advantages of looking younger and more vigorous. It helps them compete with younger men in their field,” he explains.
Regardless of age or sex, most people can benefit from some form of cosmetic surgery. And while facial rejuvenation is the modern trend, the technique must be individualized, depending on the type and extent of skin sagging and desired result. Therefore, Dr. Wood-Smith offers this advice to anyone considering cosmetic surgery: “Seek only a plastic surgeon certified by the American Board of Plastic Surgery who knows all aspects of his craft.”
Dr. Donald Wood-Smith is Chairman of plastic surgery at New York Eye & Ear Infirmary and a professor of plastic surgery at Columbia-Presbyterian Medical Center. He is past chairman of plastic surgery at Manhattan Eye, Ear & Throat Hospital and past professor of plastic surgery at New York University