Dr. Hricko's Blog

What’s Trending in Plastic Surgery for 2018

Happy New Year! Trends are not limited to clothing, make-up and food. Plastic surgery has trends too. Here’s what plastic and cosmetic surgeons are expecting plenty of requests for in the upcoming year.
Earlier Anti-Aging treatments – Patients who have yet to see wrinkles, sagging, or sun spots are getting rejuvenating cosmetic treatments as a preemptive measure to stop or slow the aging process. This can include things like injectables that stop your forehead from creating creases, lasers that keep collagen production on high, and even small face-lifts that will theoretically prevent the need for bigger (and more obvious) surgery in the future. The industry is seeing a major increase in requests from younger women seeking preventative treatments.

Less Obvious Fillers – With several injectable fillers on the market for plumping your cheeks and lips. Each having a different texture to it, varying in thickness and bounciness. A well-trained injector will carefully choose the right texture for the region of the face in which they are treating, and experts predict better options will be coming to the market next year. Forecasters foresee more flexible fillers that will bend when the face animates, as well as longer lasting filler options, which will provide a more natural look.

More Eye Fillers – Fillers are most commonly associated with lips. This year, they will also be migrating upward and be used more around the eye area, to make eyes appear less sunken and restore the volume that is lost through aging.

Natural Looking Noses – Rhinoplasty is no longer about fitting in, but instead about embracing what makes you stand out. People want to maintain their individuality, their unique look. He sees this especially in nose job requests. The newest trend is about moving more toward individualized noses and away from cookie-cutter looks. Perfectly straight and symmetrical noses that were once the norm are now considered boring. These more individualized procedures might be surgical or non-surgical nose jobs. The easiest way to make a more pronounced nose is to add dermal fillers, such as Restylane or Juvéderm, to the bridge of the nose. Patients want to improve features, but now seem to want to hold back from making it too perfect or symmetrical in an effort to preserve the character of their face.

More Men in the Surgeon’s Office – According to an AAFRPS survey, a third of men surveyed said they are “extremely likely” to consider a cosmetic procedure, either surgical or non-surgical. Of those men, 58 percent were between 25 and 34 years old, and 34 percent were between 18 and 24 years old. Treatments for men are really the same as they are for women—injections, dermal filler, lasers, and facelifts, but some have coined the phrase “Bro-tox” as a way to appeal this new market.

Whatever is on YOUR “wish-list” for 2018 don’t hesitate to contact our office and schedule a consultation with Dr. Hricko to discuss your goals.

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Giving the Gift of Plastic Surgery

‘Tis the Season! If you’re thinking of giving that special person in your life a gift of plastic surgery, follow these six tips, according to an article in Allure magazine.

1. Plastic surgery cuts deeper than skin. Never suggest a procedure that your loved one has never mentioned. Doing so may send the message you think he or she is inadequate.

2. If your loved one can’t stop talking about how much he wants an eyelid lift, you have a green light to surprise him with a consult and a promise to pay.

3. Don’t secretly arrange surgery for your loved one without a comprehensive consultation. The option you and she might have talked about may not be the best plan. Plastic surgery has benefits, but it also has risks and potential complications. An alternative you didn’t even know about might be a better choice.

4. Do your homework. Find out who the board-certified plastic surgeons are in your area.

5. Don’t choose your loved one’s surgeon for her. It might not be a match. 1 Plastic surgery is deeply personal, and the patient should be in the driver’s seat when choosing her surgeon.

6. If you really want to have a gift card ready under the Christmas tree, pre-paying for a treatment your loved one gets regularly, like Botox, can be a great choice.

Additionally, if you are going to gift surgery to someone, doing your due diligence means checking out the doctor, too. Scroll through surgery message boards for reviews. And most importantly, know if the doctor is board-certified. There are approximately 7,000 doctors in this country calling themselves plastic surgeons, in reality only about 5,500 to 6,000 truly board-certified plastic surgeons. If a doctor is doing these procedures without having all of the specialty schooling or experience, they’re a riskier choice.

George Hricko, MD, is an ASPS Member plastic surgeon who is board certified by The American Board of Plastic Surgery® and trained specifically in plastic surgery with over 37 years of experience! ASPS members operate only in accredited medical facilities, adhere to a strict code of ethics and fulfill continuing medical education requirements in plastic surgery, including training in patient safety techniques. As your medical partner, Dr. Hricko is dedicated to working with you to achieve your goals.

The bottom line is that no one should buy this gift for someone who hasn’t already expressed repeated interest in getting cosmetic surgery. Please contact our office to get additional information regarding giving OR receiving a cosmetic procedure this holiday season.

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Get Glowing Skin This Holiday Season

You shouldn’t wait for a change of season to get your skin looking healthy and radiant. Small changes to your daily routine can do wonders for healthy, glowing skin all year round. It’s hard to avoid dry, dehydrated skin, especially in the winter. Between the colder temperatures, it’s crucial to keep skin hydrated and moisturized.

No matter your skin type, it is essential to have a skincare routine in place that keeps your complexion glowing and hydrated. If your skin is dehydrated, you are at a much higher risk of experiencing breakouts, irritation, inflammation severe redness, fine dehydration lines and flaking due to the dead skin cell build-up.

We all want skin that glows, and the best way to achieve this look is with super-hydrated skin that reflects light naturally. This maintains your skin’s elasticity, softens the appearance of wrinkles, and keeps you radiant and youthful-looking.

Advanced Skincare is a philosophy that we all believe is very important for achieving long lasting results. Our Skin Fitness Program is recommended to almost all of our patients. We feel that good quality, healthy skin enhances any cosmetic result. Our Certified Plastic Surgery Nurse and Licensed Esthetician coordinate the skin program.

At Advanced Cosmetic Surgery are goal is to provide our patients with multiple skincare options to help you achieve and maintain beautiful glowing skin. Contact us to schedule a consultation to see which products would best help You exceed your goals. You may also visit our online store to purchase products. http://store.ghricko.com .

Glowing skin is always in!

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Social Media Determining Who Qualified To Perform Plastic Surgery

According to a recent article in the Wall Street Journal, sites like Facebook, Instagram and Snapchat have become the go-to destinations for information for many patients, especially the younger ones, and plastic surgeons are intensifying their efforts to compete with one another, with an increasingly dominating online presence of practitioners who aren’t specially trained in plastic surgery. This should cause most people concern, just because a surgeon has many followers and promotions does not make them the most qualified!
In one report, an estimated 40% of patients who say social media strongly influenced their choice of doctor for aesthetic plastic surgery, according to a study published in the April 2015 Aesthetic Plastic Surgery.

While some plastic surgeons have embraced social media and say it has helped them reach patients. Board-certified Plastic Surgeons need to be more proactive and prominent on all social-media platforms. Researchers at Northwestern University Feinberg School of Medicine found in a study published last month that less than 18% of the most popular surgery-related posts on Instagram were posted by plastic surgeons licensed by the American Board of Plastic Surgery!

In a time were perception is becoming reality, it is important to make sure before you have ANY surgical procedure to do your homework. Navigating cosmetic surgery providers’ credentials and experience can be daunting for even the savviest consumer. A dozen boards with similar names can indicate anything from six years of specialized training to a weekend course on injectables. Only one, the American Board of Plastic Surgery, is recognized by the American Board of Medical Specialties, a nonprofit that oversees 24 medical specialty boards.

All this confusing marketing is putting people at risk,” says Clark Schierle, a board-certified plastic surgeon at Northwestern Medicine in Chicago and senior author of the recent study in the Aesthetic Surgery Journal. Dr. Schierle adds that patients might not realize they are getting a doctor without a plastic surgeon’s training and experience. This could have serious repercussions and lead to major complications.

If you are interested in a cosmetic procedure, contact our office to schedule a consultation. Dr. Hricko is a Board Certified Plastic Surgeon and will answer all of your questions and ensure your surgical experience exceeds your expectations.

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Why do we devote an entire month to Breast Cancer Awareness?

National Breast Cancer Awareness Month, is an annual international health campaign organized by major breast cancer charities every October to increase awareness of breast cancer and to raise funds for research into its cause, prevention, diagnosis, treatment and cure. Pink is the color, and the pink ribbon has become the symbol to focus on efforts to bring this to the public.
Breast cancer can affect everyone, it doesn’t discriminate. It doesn’t respect age, gender, race, ethnicity, socio-economic status or a healthy life style. Women and men can be affected, although less than 1% of patients with breast cancer are male. 1 in 8 women in the U.S. developing an invasive breast cancer during her lifetime. Early detection and intervention can save lives. For those women who carry the BRCA gene, their personal risk of developing breast cancer is approximately 60-80%.
Breast cancer awareness campaigns offer information and support to those affected by breast cancer. Breast Cancer Awareness has been around for almost 30 years! When the entire month of October was designated ‘National Breast Cancer Awareness Month’ in 1985 as a partnership between the American Cancer Society and a pharmaceutical company that produces several anti-breast cancer drugs, the initial aim was to promote mammography as the most effective weapon in the fight against breast cancer.
Breast cancer usually starts in the inner lining of milk ducts or the lobules that supply them with milk. From there, it can spread to other parts of the body. The exact cause remains unclear, but some risk factors make it more likely. Some of these are preventable.
Age, Genetics, History of breast cancer or breast lumps, Dense breast tissue, Estrogen exposure and breast-feeding, Body weight, Alcohol consumption, Radiation exposure, and Hormone treatments are the main risk factors.
If you are diagnosed with Breast Cancer the treatment plan depends on the stage of cancer if detected. It may consist of chemotherapy, radiation, and surgery. To learn more about breast cancer reconstruction, visit our website or call 508-655-7070.

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Why Now is a Perfect Time to Schedule your Cosmetic Procedure

Now that it is back-to-school time, say goodbye to summer and hello to a new you! You spent all summer taking care of your kids, now it’s your turn. Your house is a probably a lot quieter and your days are a little more open. If you have been considering undergoing any type of plastic surgery, back-to-school season along with the extra peace and quiet, is the perfect time to plan your surgery.

One of the most common questions asked during a consultation for plastic surgery is; “when is the best time to have my procedure done?” One thing that rings true for most is that summer tends to be a less than ideal time of year to pursue elective surgery. Now that summer has passed this might just be the perfect time for you to start planning your surgery.

Most plastic surgery patients are fully recovered two weeks after surgery. During this time, you will need to avoid strenuous physical activity such as exercising and anything that involves heavy lifting. You also need to get as much rest as possible during the initial phase of recovery. Having the kids back in school gives you the opportunity to sleep and rest during the day, two key factors in a successful recovery.

Just in time for the holidays. Another benefit of having a procedure done during the fall is to allow for full recovery before all of the holiday festivities and family gatherings. The back-to-school season is quickly followed by the holiday season, a time that keeps many hard-working mothers preoccupied and busy. This is another reason why the fall season is the perfect time for a cosmetic procedure. With the initial recovery period occurring the first week after any procedure, your body will need several months to completely heal. For example, if you choose to have a breast augmentation, it will take several months for your implants to settle into a lower, more natural position. Also, it takes at least six months for scars at your incision sites.
Additionally, the weather start to cool off during the fall months, allowing more clothing options to hiding swelling, bruising and compression garments. Wearing long sleeves and pants won’t look out of place this time of year. By having a cosmetic procedure now, you will have ample time to properly heal just in time for the holidays.

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Investing in Yourself

Plastic surgery is an investment. Literally speaking, you are investing money into your appearance and also an investment of time and energy to make sure your efforts pay off. These procedures have high patient satisfaction rates, and most are happy with their results years after surgery.

However, it’s important to understand that your results require upkeep to stay in shape, as nothing can fully stop the effects of aging. There are some things you can do to successfully maintain your results for years to come.

What you put in and on your body not only impacts your surgical results, it can make a huge difference in your overall health. For instance, most plastic surgeons require patients to quit smoking for at least a few weeks before and after surgery. Nicotine greatly impacts your body’s ability to heal, resulting in prolonged recovery times and, potentially, complications that can lead to pain, bleeding, and more visible scarring. Excessive alcohol consumption is another pitfall you’ll want to avoid.

While scarring is a necessary aspect of many surgeries Dr. Hricko will take care to place your incisions where they can be most easily hidden, making sure they heal optimally and fade nicely over time is partially in your hands. It is important to follow any postoperative activity restrictions; these rules will help you avoid straining your scars, which could cause them to become wider or more visible. Additionally, be sure to protect your incisions in the sun, keep the area clean, and use the topical scar care creams and ointments recommended.

Body contouring procedures can transform your curves, providing a more pleasing and proportionate look. While the results you see now can only last if you remain at a healthy weight. For instance, fat removal procedures such as liposuction will permanently rid you of targeted fat cells, but if you gain weight, you will see it in other areas as remaining fat cells expand.

The best way to maintain body contouring results is to continue exercising regularly and eating a healthy diet. This will also help you feel great and improve your overall health, in addition to helping you retain the look you love after surgery.

The good news is that many patients feel so much better about themselves and are so inspired by their improved appearance that they find extra motivation to maintain healthy habits after a procedure. If you have not yet made the leap and are considering a plastic surgery procedure, contact Board Certified Plastic Surgeon, George Hricko, M.D. today and schedule a consultation. You’ll be glad you did!

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Thinking About A Facelift?

Even with the rise noninvasive options, Facelifts have continued to gain in popularity. According to the American Society for Aesthetic Plastic Surgery, there were over 28 percent more Facelifts in 2015 than in 1997 (BEFORE Botox). This procedure can improve help redefine the original bone structure of your face that can be lost over time as a result of the aging process and with a fresher, younger look. With today’s advances in Facelifts surgeons can now lift and reposition underlying muscles and not just simply pull back and cutting away lax skin. This can help achieve far more natural-looking results while minimizing scarring and downtime.

This procedure rejuvenates the aging face, especially in the cheek and jowl areas, as well as redefines the neck and jaw line where excess skin and fat can settle over time. Usually involving a small incisions made along the hairline, which extend around the ears to the lower scalp. Performed by a skilled surgeon, scarring will be minimal and well hidden; they may even appear to be natural lines around the face.

To ensure the most optimal result find a board certified plastic surgeon that will evaluate the many variables such as bone structure, skin elasticity, and the effects of aging and other factors. A Facelift can also be with other cosmetic procedures such as eyelid or forehead surgery, or nose reshaping surgery.

Recovery is dependent on the individual, but most patients are back to work within 2 weeks. More strenuous activity is limited for 4-6 weeks. Bruising can last from 2-3 weeks and sun exposure should be limited. Healing is one of the most important aspects to good results you should be invested in taking care of yourself throughout the healing process. Do not try going through this alone. Have a friend or spouse that will be dedicated to helping you through the recovery period. Always consult with your plastic surgeon on whether or not it is safe to return to work.
Though it might be a while before you see the amazing results of your facelift, you will ultimately enjoy your more youthful face. We encourage you to schedule a personalized consultation with Dr. Hricko to define your needs and help you to optimize your ideal look.

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May is Skin Cancer Awareness Month

May is Skin Cancer Awareness Month. With 5.4 million cases in more than 3.3 million Skin-Cancerpeople diagnosed annually, skin cancer is the most common form of cancer in the United States. It is vital to understand that anyone can get skin cancer regardless of skin color or age. Fortunately, when detected early, skin cancer including melanoma, the deadliest form of skin cancer is highly treatable. According to research women are nine times more likely to notice melanoma on others than men, which means they could help save their partners’ lives by helping them spot skin cancer. This is especially important for men over 50 as they have an increased risk of developing melanoma compared to the general population.


When you expose your skin to sunlight, it reacts by producing more melanin. According to the Mayo Clinic, extra melanin can cause uneven pigmentation, commonly referred to as sunspots. Prolonged exposure to sunlight may also cause the delicate blood vessels in your face to stretch and expand, giving you a ruddy complexion.


Risk factors

  • Exposure to natural and artificial ultraviolet light.
  • Increased sun exposure in childhood.
  • Even one blistering sunburn during childhood or adolescence can nearly double a person’s chance of developing melanoma.
  • Experiencing five or more blistering sunburns between ages 15 and 20 increases skin cancer risk by 68 percent.
  • Exposure to tanning beds, especially in women 45 and younger.
  • Skin that burns easily; blonde or red hair; a history of excessive sun exposure, including sunburns; tanning bed use; immune system-suppressing diseases or treatments; and a history of skin cancer.
  • People with more than 50 moles, atypical moles, or large moles, as are those with light skin and freckles, and those with a personal or family history of melanoma.


Both doctors and patients play important roles in finding skin cancer. If you have any of the following symptoms, tell your doctor.

  • Any change on the skin, the size or color of a mole, darkly pigmented growth or spot.
  • Scaling, oozing, bleeding, or a change in the appearance of a bump
  • The spread of pigmentation beyond its border- dark coloring that spreads past the edge of a mole or mark.
  • A change in sensation, itchiness, tenderness, or pain.


Preventative Measures

Before you spend time outdoors plan your sun protection accordingly, using these tips:

  • Seek shade, especially during midday hours.
  • Stay hydrated. When the temperature rises, your body needs additional water to replenish what it has lost in sweat.
  • Cover up with clothing to protect exposed skin.
  • Wear a hat with a wide brim to shade the face, head, ears, and neck.
  • Wear sunglasses that wrap around and block as close to 100% of both UVA and UVB rays as possible.
  • Use sunscreen with broad spectrum (UVA and UVB) protection and a sun protection factor (SPF) 15 or higher.
  • Remember to reapply sunscreen at least every 2 hours and after swimming, sweating, or toweling off.

Sometimes it just the simple things that can lead to early detection and a cure. Just doing a regular skin check involves carefully examining all of the skin on your body. Starting at your scalp down to the soles of your feet and between your toes. During a skin check, don’t leave any area of skin unexamined. Parts such as your back and neck are difficult to see, so you may want to ask a partner or spouse to help.

Dr. Hricko is concerned for your overall health and wellbeing and to that end we offer in our office or online store a variety of skin care options to protect your skin from damage. Please call or come by and see what we can do to keep you safe from the sun’s harmful rays.



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When Should You Replace Your Implants

A common misconception is that breast implants need to be replaced every 10 years. This tends to deter some women from getting a Breast Augmentation because the concern regarding future surgeries and the additional costs associated. The manufacturer of silicone gel implants recommends that you have an MRI every 2 years, and it is a good idea to have an annual checkup with your surgeon. breastimplants

Breast implants come with a free lifetime product replacement policy. There are no guarantees when it comes to the average lifespan of implants. Some will last a lifetime, while others will have complications within a 7 year timeframe. The majority of implants last 10-20 years without complications on average. Some of the confusion may come from the fact that implant manufacturers offer a 10 year warranty to defray some costs of implant replacement surgery. Recent FDA reports indicate that about 20% of women will have their breast implants repaired or replaced within 10 years of the original surgery.

Most plastic surgeons will not be eager to change them out unless you are experiencing a complication. Here are some examples:

  • Deflation of a saline implant: If you have a saline implant, any leak, will result in a gradual deflation. You will then notice a marked difference in the size of your breasts.
  • Rupture of a silicone gel implant: This is a bit harder to diagnose. Because the silicone is not absorbed by our bodies, the breast will most likely look at feel the same even though the device is compromised. Thus the need to get a breast MRI’s at every 2 after surgery.
  • Capsule contracture: This is caused by scar tissue that forms around the implant thickens and contracts, causing the implant to feel firmer. Your breast will feel hard and may even be uncomfortable. This involves removing the scar tissue causing the problem and replacing with a fresh implant of the same type and size.
  • Asymmetry: If there is a shape problem that concerns you, which can include issues relating to the first implant surgery such as incorrect pocket creation, unsuitable implant selection, issues due to weight loss or pregnancy, malposition or displacement of the implant, rippling/wrinkling or visibility of the implant, and drooping of the breast.
  • Desire to change implant size: If you do not have the proper size implants for your breasts, then changing to a different size may be suggested. Your surgeon is best qualified to make that determination. When considering getting larger implants, you run the risk overstretching your breasts and creating a whole new set of problems, including the development of uncorrectable deformities.

If you are happy with the way your breasts look and feel, and are having any of the issues mentioned above, then there is no reason to re-operate on them.  Please feel free to contact Dr. Hricko to discuss any additional questions or concerns you may have regarding replacement of your breast implants.

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