‘Tis the Season for Enhancing Your Appearance, with Dr. Aviva Preminger


As we approach winter, it’s no surprise that people have begun to slow down and stay inside a bit more. These colder, shorter days can affect our mood, with many people heading into hibernation mode.

That’s why these upcoming winter months are the perfect time to schedule any type of cosmetic or plastic surgery procedure you may have been considering. According to Dr. B. Aviva Preminger, one of New York City’s top plastic surgeons, winter is ideal for two reasons—less sun exposure (courtesy of the extra time spent indoors) and people are much more covered up.

“It’s a great time to prepare for those summer months,” says Dr. Preminger. “People are less exposed in the winter.”

Thanks in part to the holidays, these are also the months in which people tend to put on a few extra pounds, so having procedures done now also helps people feel good. “People tend to feel down in the winter, and I think this is a good time to boost your mood,” points out Dr. Preminger.

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BELLA sat down with Dr. Preminger to learn more about the various procedures patients seek, along with why these tend to be the most sought-after treatments this time of year.

What procedures do you recommend to renew and restore the skin?

Depending on the degree of damage and a patient’s age, there is a spectrum of options available. They can do a gentle peel (more of a Mandelic peel), a TCA peel for those with more aggressive lines, Fraxel laser resurfacing, and even IPL (Intense Pulsed Light) for pigmentation. We can also do Botox, fillers—it all depends on the patient’s age, the extent of the damage, and what they are looking to achieve.

When it comes to procedures such as chemical peels or laser resurfacing, is the downtime minimal?

There are two ways to do a peel—one is more of an aggressive, one-shot peel, while the second option would be a series of gentler peels, which don’t really have any down time at all. People usually look refreshed right afterwards. As far as Fraxel, it depends on the extent of the lines, how much of a result the patient wants to achieve, and how much downtime they have. Sometimes I will be less aggressive with it and other times more aggressive, with downtime usually around five to seven days maximum.

What about patients who are looking to take things a little further when it comes to refreshing their appearance?

For someone who is looking to really rejuvenate the face and neck area, I may suggest procedures such as micro needling with radio frequency, or FORMA, a non-invasive procedure that uses radio frequency to help with neck tightening. If we want to get a little more invasive, we can talk about a mini or full face or neck lift.

Since the colder months allow us to cover up a bit more with turtlenecks and scarfs, contouring the neck and chin seems to be ideal during this time of year. What procedures
do you recommend?

When I talk about the neck and chin area there are generally a couple of components to it as I describe to patients—the skin, fat, and muscle layers. For example, I have younger patients primarily come in and tell me that they don’t have enough contour to the neck, and that’s often an issue of fat. Their skin is of reasonable quality, but they have too much fat in that area. We can address that in one of three ways depending on how much extra tissue they have, how much of a result they want, and how invasive (or not) they want the procedure to be. The least invasive procedure is CoolSculpting, which is very effective. Next is Kybella, an injection of Deoxycholic acid, which literally dissolves the fat under the neck. Another procedure I do is called a FaceTite, which is a combination of liposuction with radio frequency that allows for additional skin tightening to the area. As patients get older, they begin to deal with more than
just fat. They start to develop loose muscle and loose skin. For those issues, we can look at doing micro needling with radio frequency, or FORMA. And, of course, the most invasive procedure is an incisional procedure, such as a traditional neck or facelift.

What additional areas should people focus on during this time of year?

It’s a great time to deal with torn earlobes either from earrings that have torn through or ear piercings that have come really wide. This time of year, you’re not swimming or out in the sun the same way you are in the summer. [You can also consider] one of the body contouring procedures, since you’re indoors more and able to cover up. Liposuction, breast procedures (implants, lifts, reductions), tummy tucks, even a nose job—all of these do really well in the winter.

Being in a position to help others must bring you a deep sense of gratification.

I love my job and I feel so lucky to be in a position to be able to shape, mold, create, and help people feel good about themselves. It’s powerful and life changing for them, and I am thankful every day.

As the year comes to a close, what are you most grateful for?

I am thankful for all of the opportunities that have been given to me, particularly by my parents and the examples they set, especially my father—also a physician—in terms of
the way he loved his job and took care of his patients. My mother also set a great example for what it meant to work full time and have a family. You can’t take for granted all of the things that got you to where you are. None of my grandparents were American—a bunch were Holocaust survivors—and they overcame tremendous adversity for me to be able to stand here today. That is a really big deal. I’m super thankful for my kids and the support they give me; they’re my biggest advocates. I am also so thankful for the people who have taught and trained me over the years to do what I do and, of course, to my patients for trusting me with their care and referring family and friends; that’s the biggest compliment of all.

• Find a board certified plastic surgeon.
• Ensure the surgeon you choose has experience
with the procedure
you’re having done.
• Ask to review their
before and after
• Make sure your
aesthetic vision aligns
with theirs.


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