Laser Liposuction vs. Traditional Liposuction

Liposuction is one of the most popular cosmetic procedures performed in the country and in Dr. Sandra Margoles’ own Greenwich plastic surgery practice. Thanks to the latest advances in plastic surgery, there are several techniques and variations of liposuction, all of which come with benefits and limitations. Dr. Margoles is pleased to offer her patients traditional liposuction and Smartlipo, also known as laser liposuction. In this blog post, the trusted plastic surgeon discusses the differences between the two techniques.

What Do Liposuction and Smartlipo Accomplish?

Traditional liposuction is performed solely to remove stubborn fat deposits that are resistant to diet and exercise. The procedure can be used to treat various body areas including the arms, neck, cheeks, abdomen, hips, buttocks and thighs.

Smartlipo is also used to eliminate fatty deposits from these body areas but has an additional purpose that traditional liposuction does not: skin tightening. In Smartlipo, the laser heat triggers the body’s natural collagen process, resulting in a tighter-looking appearance.


Traditional liposuction involves making strategically placed incisions in the treatment area. Dr. Margoles inserts a small, thin tube (called a cannula) through these incisions to break up and suction fatty tissue in the treatment area. Once the desired amount of tissue has been removed, the incisions are sutured closed.

Smartlipo uses laser heat to soften and liquefy the fat tissue. This allows for easier removal with a cannula. Smartlipo typically requires smaller incisions than traditional liposuction.


Because Smartlipo is minimally invasive, it requires a shorter recovery time than traditional liposuction. Patients should expect to take one to two weeks off from their normal activities after traditional liposuction. They will also need to wear a compression garment (to aid the healing tissues) over the treatment area for up to six weeks. After Smartlipo, most patients are able to resume their normal activities within a few days. A compression garment will need to be worn for approximately one week after Smartlipo.

Choosing a Procedure

Choosing a liposuction technique is a personal decision that can only be made after a personal consultation with a board-certified plastic surgeon, like Dr. Sandra Margoles. During your consultation, Dr. Margoles will examine your area of concern as well as discuss your aesthetic goals with you in order to design an appropriate treatment plan.

To learn more about liposuction and Smartlipo, please call (203) 869-2939 today.


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Why You Should Include Chemical Peels in Your Skin Care Regimen

Although cleansing your skin and moisturizing are essential, more is needed to ensure youthful and beautiful looking skin. Everyday factors like sun exposure and damage take a toll on the skin, leading to premature aging that even the best at-home skin care products and regimen cannot always treat. This is where professional skin care treatments like chemical peels can help. A chemical peel is an exfoliative treatment that helps improve the skin’s tone and texture while minimizing signs of aging. In this blog post, Greenwich plastic surgeon Dr. Sandra Margoles explains the benefits of including chemical peels in your regular skin care routine.

The Benefits of Chemical Peels

As we age, our body’s natural exfoliation process slows down, which means it takes longer for the body to shed dead skin cells and regenerate new ones. The longer it takes for the skin to repair itself, the more opportunity old skin cells and signs of aging like wrinkles and hyperpigmentation have to appear on the skin.

Chemical peels combat signs of aging by jumpstarting the body’s cell regeneration process. During treatment, the chemical peel solution will be applied to the treatment area where it will target the damaged outer layers of the skin, creating a controlled wound. This, in turn, causes the body to heal itself by creating newer, healthier cells. And because chemical peels rid the outer layers of skin of dead skin cells, they allow moisturizers and other skin care products to penetrate more deeply and produce better results.

Following a chemical peel, you will notice the following benefits:

  • Smoother-looking skin and less blemishes and breakouts
  • Younger-looking appearance and less wrinkles and lines
  • Dewy, radiant skin
  • A more evened out skin tone and texture
  • Minimized appearance of acne and acne scars

Choosing a Chemical Peel

At Dr. Margoles’ state-of-the-art plastic surgery practice, our aesthetician is trained and skilled in performing various chemical peel treatments that vary in ingredients and strength. For instance, an alphahydroxy acid (AHA) peel is typically recommended for mild skin issues such as large pores, sun spots and uneven skin pigmentation. Trichloroacetic acid (TCA) peels use a slightly stronger chemical solution to treat deeper skin issues like skin discoloration while phenol peels are for severely sun damaged skin and deeper wrinkles. Each chemical peel is tailored to fit the patient’s unique skin type, needs and goals.

Repeat sessions are recommended in order to maintain your refreshed and younger-looking appearance. The frequency of these sessions will depend on your skin type and needs. Our aesthetician will thoroughly examine your skin to determine the best treatment plan for you. She will also make recommendations on skin care products and other treatments to complement your chemical peel.

To learn more about chemical peels or to book an appointment, please call Dr. Margoles’ office at (203) 859-2939.

The Ideal Time for a Tummy Tuck

When should I get tummy tuck surgery?Tummy tuck surgery is one of the most popular body contouring procedures performed in the U.S. and in the premier Greenwich plastic surgery practice of Dr. Sandra Margoles. The esteemed surgeon is often asked by patients when the right time to have the procedure is. The truth is, the ideal time to have tummy tuck, or any plastic surgery procedure, is when you feel ready. This being said, there are several factors that can ensure successful results. In this blog post, Dr. Margoles discusses when tummy tuck surgery is most appropriate.

You Are Close to Your Ideal Weight

Contrary to what many believe, tummy tuck surgery is not a weight loss tool. The procedure removes loose skin and, if necessary, small pockets of fat deposits that are resistant to diet and exercise. Patients who wish to lose a large amount of weight should do so via diet and exercise or weight loss surgery instead of, or prior to, seeking tummy tuck.

You Are Done Having Children

Although tummy tuck is safe to have before having children, Dr. Margoles recommends that women wait to undergo the procedure until after they are finished having children. This is because the weight gain associated with pregnancy can stretch the skin and muscles on abdomen and potentially reverse the cosmetic effects of tummy tuck.

You Have Time to Recover

Following tummy tuck surgery, rest is a must and patients must avoid strenuous activity (including exercise and lifting objects heavier than 10 pounds) for one to two weeks. Because your body will be sore and your movement will be limited, you will need to request time off work and enlist help from a loved one. Resuming normal activities too soon after surgery can sabotage your results and even lead to complications. If you are not able to take enough time off your regular routine or do not have someone to help you while you recover, it is best you postpone your procedure.

Learn More about Tummy Tuck from Dr. Margoles

It is important to note that these are general guidelines to keep in mind when considering tummy tuck surgery. During a private consultation, Dr. Margoles can determine whether you are an appropriate candidate as well as make her recommendations on when to have the procedure done. To learn more about tummy tuck surgery, please contact our Greenwich practice today by calling (203) 869-2939.

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ASPS Releases 2016 Plastic Surgery Statistics

More people are choosing to undergo plastic surgery, according to the latest statistics from the American Society of Plastic Surgeons (ASPS). Approximately 17.1 million surgical and minimally invasive cosmetic procedures were performed in 2016, a 3 percent increase from the year before. In this blog post, trusted plastic surgeon Dr. Sandra Margoles breaks down the statistics and findings.

Top 5 Surgical Procedures

Of the 1.8 million cosmetic surgical procedures performed in 2016, the top five were:

Breast augmentation: 290,467 total, 4 percent increase from 2015

Liposuction: 235,237 total, 6 percent increase from 2015

Rhinoplasty: 223,018 total, 2 percent increase from 2015

Eyelid surgery: 209,020 total, 2 percent increase from 2015

Facelift: 131,106 total, 4 percent increase from 2015

Top 5 Minimally Invasive Procedures

A total of 15.5 minimally invasive cosmetic procedures were performed in 2016. The most popular were:

Botox: 7 million total, 4 percent increase from 2015

Dermal fillers: 2.6 million total, 2 percent increase from 2015

Chemical peels: 1.36 million total, 4 percent increase from 2015

Laser hair removal: 1.1 million total, 1 percent decrease from 2015

Microdermabrasion: 775,000 total, 3 percent decrease from 2015

Fat Grafting on the Rise

According to the ASPS’ findings, more patients are opting for fat transfer over implants and dermal fillers to enhance their appearance.

"Plastic surgeons harvest a patient's unwanted fat from their abdomen using liposuction and then inject it to lift and rejuvenate other areas such as the face, buttock and even the breast," said ASPS President Debra Johnson, MD. "Because the material injected is the patient's own fat the results typically last longer than fillers."

Breast augmentation using fat grafting, a procedure Dr. Margoles specializes in, experienced the highest surge among fat grafting procedures, with a 72 percent increase from the previous year.

What Are Your Cosmetic Needs?

If reading about the latest trends in plastic surgery has inspired you to seek cosmetic enhancement, please contact Dr. Margoles. The trusted Greenwich plastic surgeon has helped countless patients achieve their aesthetic needs and goals through surgical and non-surgical treatment. To learn about your plastic surgery options, please schedule a consultation by calling (203) 869-2939 today.

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Five Popular Cosmetic Procedures for Millennials

According to the latest statistics, an increasing number of Millennials (individuals in their 20s and early 30s) are seeking more plastic surgery. Experts believe social media, celebrities and selfies are behind the increase. So which treatments are the most popular among this generation? In this blog post, Greenwich plastic surgeon Dr. Sandra Margoles takes a look at the top five cosmetic procedures among Millennials.


Botox is a temporary fix for unwanted wrinkles and lines that are just beginning to surface on the skin of young patients. The injectable treatment can be performed in a quick lunchtime appointment, making it great for students or young working professionals that are always on the go.

Laser Hair Removal

Laser treatments are also popular among Millennials, with laser hair removal at the top of the list. Millennials are turning to laser hair removal as a solution for unwanted and unflattering body hair. Whether it is to show off smooth, hairless skin on social media or at the beach, laser hair removal serves as a hassle-free alternative to traditional hair removal methods like shaving, waxing and plucking.

Hyaluronic Acid Fillers

Similar to Botox, hyaluronic acid-based fillers temporarily rejuvenate the facial appearance for a softer look. Fillers like Juvederm, Voluma and Restylane restore fullness to facial areas for a smoother, youthful-looking face. These fillers have also become increasingly popular among Millennials who wish to emulate their favorite celebrities with pouty lips or who wish to up their selfie game on social media.

Breast Augmentation

Though more Millennials are turning to non-surgical procedures, breast augmentation is the most requested surgical treatment, according to the American Society for Aesthetic Plastic Surgery. Not only does the procedure increase bust size, it also creates a more flattering breast shape and restores balance to asymmetrical breasts. It’s not uncommon for patients to combine breast augmentation with breast lift to raise breasts that have become saggy or deflated after pregnancy and weight loss.


Liposuction continues to be a popular procedure among all age groups, including Millennials who wish to remove unwanted pockets of fat. Thanks to advances in plastic surgery, there are many liposuction methods available today. Liposuction can be used to remove fat on various parts of the body including the abdomen, back, thighs, buttocks and arms.

Discuss Your Cosmetic Needs with Dr. Margoles

Has hearing about the latest cosmetic trends among Millennials inspired you to learn more about how you can enhance your appearance? Dr. Margoles is glad to discuss your options with you. To schedule a consultation with the trusted plastic surgeon, please call (203) 869-2939 today.

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