Karol A. Gutowski, MD

Xeomin, a New Alterative to Botox Approved by the FDA

Botox, the first FDA approved treatment for frown lines, revolutionized the nonsurgical options for patients desiring a more youthful facial appearance. Then came Dysport, similar to Botox but offering a slightly faster time to achieve its full affect. Now Xeomin (incobotulinumtoxinA), the newest injectable wrinkle blocker, is approved in the United States. Xeomin was already FDA approved for treatment of certain medical conditions associated with abnormal neck and eyelid spasms. The new...

Is it Normal to Hate Your Nose?

When we look in the mirror, it is normal to want asmall change here or there. Changing a hair style or trying a new makeup is an easy way to get a fresh look and feel better about ourselves. But things can get complicated when we want a permanent change in our bodies. Most patients who have plastic surgery procedures are pleased with their new appearance and get a boost in self-esteem. Women commonly report being very satisfied with body enhancements like breast augmentation, liposuction...

Thoughts on the “Vampire FaceLift”

Innovations and new technologies are continuing to offer patients safer procedures with better results. One of the latest areas of cutting edge research involves using stem cells and platelet rich plasma (PRP). In most cases, the stem cells are taken from a person’s own body fat and the platelet rich plasma is created using a small amount of a person’s own blood. It is thought that stem cells and platelet rich plasma may improve healing and reverse aging of tissues. However, while this...

Stem Cell Treatments in Plastic Surgery are Promising but Marketing is Too Far Ahead of the Science

The promise of stem cell treatments may bring about new cures and improvements in health during our lifetime. As researchers expand our knowledge in this field, properly done clinical studies will decide how and when we should use stem cells in clinical practice. Since adult stem cells are found in fat (and can be removed for use by liposuction), plastic surgeons have been among those interested in their regenerative potential. While the use of fat derived stem cells for improving the...

Another Study Supports the “No Drain Tummy Tuck”

A recent study of 113 patients confirmed that surgical drains (plastic tubes placed under the skin) are not typically needed after tummy tucks. This allows patients a more comfortable recovery without the limitations caused by drains in the first 1 to 2 weeks after surgery. “I have been performing a No Drain Tummy Tuck for most of my patients for over 5 years. Most patients are relieved that they won’t need drains and feel more comfortable after surgery. Since developing and...