Knowledge Base

Advanced Medical SPA In Massachusetts and Florida!

Prior to selecting your plastic surgeon, be a smart plastic surgery patient and view their portfolio of plastic surgery before and after photos to guarantee that they are capable of performing the procedure you desire. This gallery of plastic surgery procedures performed by Dr. Paul Wigoda will demonstrate his abilities for your consideration.Simply select the procedure you would like to view from the list below to view images of clients plastic surgery before and after.

. Beast Augmentation
. Breast Lift
. Breast Reduction
. Gynecomastia
. Liposuction
. Tummt Tuck
. Pectoral Augmentation
. Arm Lift
. Facelift
. Eyelid Surgery
. Forehead Lift
. Nasal Reshaping
. Dermabrasion
. Surgery of the Ear
. Skin & Beauty
. Juvederm
. Fat Transfer
. Laser Resurfacing

Breast Augmentation Mammaplasty
If you often wish that your breasts were larger, fuller or more shapely, breast augmentation surgery may be the right choice for you. Breast augmentation is a cosmetic procedure that uses implants to enlarge and shape the breasts. Your new look will bring you greater freedom with fashion and may give your self-image a boost as well.

You may be a good candidate for breast augmentation (augmentation mammaplasty) if you have any of the following conditions:

  • You are bothered by the feeling that your breasts are too small
  • Weight loss has changed the size and shape of your breasts
  • After having children, your breasts have become smaller and have lost their firmness
  • Dresses that fit well around your hips are often too large at the bustline
  • One of your breasts is noticeably smaller than the other
  • You feel self-conscious wearing a swimsuit or form-fitting top

How Is Breast Augmentation Performed?

The specific method chosen for your breast augmentation will be determined by your anatomy, Dr. Wigoda’s preferences and your desired results. The incision is small and is usually made in one of three locations: underneath the breast just above the crease; around the lower edge of the areola; or within the armpit.

Once the incision is made, Dr. Wigoda creates a pocket into which the implanted is inserted. This pocket is made either directly behind the breast tissue or beneath the pectoral muscle located below the breast tissue and above the chest wall.

Anatomic tear drop shaped implants are available and may be optimal in certain patients, depending on their anatomy and the look they desire.

Breast Lift

A breast lift can rejuvenate your figure by restoring the position and shape that is often lost as gravity takes its toll. In breast lift surgery, also called mastopexy, he breasts are raised, the nipples are repositioned and the areolas may be reduced in size. If you have lost breast volume over the years and you want more fullness, implants may be inserted during the breast lift surgery to increase breast size.
You may be a good candidate for a breast lift if you have any of the following conditions:

• Breasts are pendulous, but are a size that is satisfactory to you
• Breasts lack substance or firmness
• Nipples and areolas point downward, especially if they are positioned below the breast crease.

How Is A Breast Lift Performed?

The specific method chosen for your breast lift will be determined by your anatomy, Dr. Wigoda’s preferences and your desired results. The most common method of breast lift involves three incisions. One incision is made around the areola. Another runs vertically from the bottomedge of the areola to the crease underneath the breast. The third is a horizontal incision beneath the breast that follows the natural curve of the breast crease.

After the surgeon has removed the excess breast skin and shaped the remaining breast tissue, the nipple and the areola are shifted to a higher position. The areola can also be reduced in size. Skin that was formerly located above the areola is brought down and together to reshape the breast.
Breasts that are not sagging significantly can be lifted with smaller incisions, leaving smaller and fewer scars.

Breast Lift Gallery

Reduction Mammaplastyits

Breast Reduction If you are a woman with overly large breasts, breast reduction surgery can be a tremendously life-enhancing option. Having the procedure will give you far more than just smaller, firmer breasts. You will also get significant relief from many physical and emotional discomforts, a new sense of freedom in your exercise and physical activity, and the ability to wear a greater variety of clothing styles.

You may be a good candidate for reduction mammaplasty if you have any of the following conditions:

  • Back, neck or shoulder pain caused by the weight of your breasts
  • Heavy, sagging breasts with very low nipples and areolas
  • Breasts that are too large in proportion to your body frame
  • Skin irritation beneath the breasts
  • Indentations in your shoulders caused by tight bra straps
  • Restriction of physical activity due to the size and weight of your breasts
  • Feelings of self-consciousness about the large size of your breasts
  • One breast that is much larger than the other

How is breast reduction performed?

The specific method chosen for your breast reduction will be determined by your anatomy, Dr. Wigoda’s preferences and your desired results.

The most common method uses a three-part incision. One incision is made around the areola. Another runs vertically from the bottom edge of the areola to the crease underneath the breast. The third part is a horizontal incision beneath the breast, which follows the natural curve of the breast crease.

After the surgeon has removed the excess breast tissue, fat and skin, the nipple and areola are shifted to a higher position. The areola, which is usually larger than ideal, is reduced in size. Skin that was formerly located above the nipple is brought down and together to reshape the breast. Liposuction may be used to improve the contour, especially on the sides of the breasts. The nipples and areolas usually remain attached to their underlying tissue as they are moved to their higher position, allowing one’s sensation to be maintained.

Gynecomastia: Breast Reduction In Men

Gynecomastia is a medical term that comes from the Greek words for “woman-like breasts.” Gynecomastia affects an estimated 40 to 60% of men. It may affect only one breast or both. There is no known cause in the vast majority of cases. For men who feel self-conscious about their appearance due to what is commonly referred to as “mans boobs,” breast reduction surgery can help. The procedure removes fat and or glandular tissue from the breasts, and in extreme cases remove excess skin, resulting in a chest that is flatter, firmer and better contoured.

How Is Cosmetic Gynecomastia Performed?

If excess glandular tissue is the primary cause of the breast enlargement, it will be excised, or cut out. An incision is made in an inconspicuous location.

If your gynecomastia consists primarily of excessive fatty tissue, Dr. Wigoda will likely use liposuction to remove the excess fat. A small incision,less than a half-inch in length, is made around the edge of the areola. A cannula, which is attached to a vacuum pump, is then inserted into the incision. The cannula is moved through the fat suctioning it out.

In some cases, excess skin may have to be removed to allow the remaining skin to firmly re-adjust to the new breast contour.

Gynecomastia surgery can enhance your appearance and self-confidence. The results of the procedure are significant and permanent.


Liposuction, also called lipoplasty, is a surgical procedure that removes deposits of excess fat from specific areas of the body, face or neck. Liposuction can be used to slim the hips and thighs, flatten the abdomen, shape the calves and ankles or eliminate a double chin.

People of almost any age may undergo liposuction; however, patients with good skin elasticity will achieve the smoothest contour after the fat is removed. You may be a good candidate for liposuction if you desire fat removal or contouring in any of the following areas:

• Cheeks, chin and neck
• Upper arms
• Breast or chest area
• Back
• Abdomen and waist
• Hips and Buttocks
• Thighs
• Inner knee
• Calves and ankles

Surgery Of The Abdomen/”Tummy Tuck”

A flat stomach is important for a physically fit appearance. However, a healthy diet and regular abdominal workouts can sometimes do little to eliminate accumulations of excess fat and loose, sagging skin in the abdominal area. If you are bothered by these appearance problems, abdominoplasty (also called tummy tuck) may be a good choice for you.

You may be a good candidate for abdominoplasty if you have one or more of the following conditions:

• Excess or loose, sagging abdominal skin
• An abdomen that protrudes and is out of proportion to the rest of the body
• Abdominal muscles that have been weakened by pregnancy or aging
• Excess fat that is concentrated beneath the abdominal skin

How Is Abdominoplasty Performed?

Generally, a horizontal incision is placed just within or above the pubic area. The length of the incision depends largely on the amount of skin that needs to be removed.

For women, the incision is kept within swimsuit lines, when it is possible. Working through this incision, Dr. Wigoda may tighten the underlying muscles by pulling them together and suturing them in place. Any excess skin from the lower abdomen is trimmed away. Typically, an incision is made around the navel and a new, more attractive navel is designed.

How Is Liposuction Performed?
To perform liposuction, one or more small incisions are made near the area to be suctioned. Whenever possible, incisions are placed within natural folds or contour lines of the skin. The fatty areas are injected with fluid containing lidocaine and epinephrine. This anesthetizes the area to be treated and minimizes blood loss. Dr. Wigoda then places a slim, hollow tube called cannula through the incision so that its tip penetrates the underlying fat. The cannula is then connected by flexible tubing to a suction pump. Dr. Wigoda then moves the cannula back and forth through the fat, which is vacuumed into the tube. The surgery can be performed under sedation with the patient awake but sleepy, or under general anesthesia.

Ultrasound assisted liposuction is also available. The ultrasound causes fat cells to burst, essentially making the fat melt away. Ultrasound is an excellent technique to use in certain patients. Ultrasound assisted liposuction is a relatively new device that allows the procedure to be performed more quickly and with less trauma to the tissues. This results in a faster recovery with less pain and bruising. The cannula essentially glides through the fat with minimal effort, allowing Dr. Wigoda to remove more fat in less time and with less injury to the tissues.

Pectoral Augmentation

Female breast surgery has been popular for quite some time. Both augmentations and reductions are done with increasing frequency and success. Not surprisingly, many men also wonder about the possibility of chest enhancement through plastic surgery for pectoral augmentation.

The fact is that some body types do not achieve chest muscle tone and definition as easily as others. Even with exercise, some men will not be able to see the desired results simply from working out the chest area. The pectoral augmentation procedure is designed to increase the chest size and shape by inserting implants made of solid silicone under the real muscle.

Like many other cosmetic enhancements, this procedure gives men a chance to aesthetically enhance an area of the body through surgery when no other alternatives are available or desirable. Male pectoral implants are designed to define and shape the chest area.

Pectoral augmentation can help build self-confidence in individuals who were once embarrassed by their appearance. In the hands of a skilled surgeon, the result is the athletic, natural appearance of a more well-proportioned torso.

Implants come in different shapes and sizes. Dr Wigoda will help you pick out the one that is best for the shape and size of your chest. The goal is an implant that will appear as natural and realistic as possible.

How Is Pectoral Augmentation Surgery Performed?
The procedure is performed by making a small incision in the armpit, dissecting the pocket, and then inserting the implant. The implants are placed under the pectoral muscle. The incisions are then sutured and the surgery is complete.

How Long Does The Surgery Take?
Pectoral implant surgery usually takes between one and two hours to complete and is typically done under a general anesthesia. Pectoral implant surgery is done on an outpatient basis. This means that you will be able to go home almost immediately afterward.

What Is The Recovery Period Like?
Full recovery from pectoral implant surgery can take as long as six weeks. However, most patients are able to resume all activities within a month.

What Is The Long-Term Outcome Like For Most People?
Most people are pleased with the results of pectoral augmentation. The implants themselves are designed to last a lifetime. Barring significant complications, secondary surgery is rarely needed. The results of pectoral implants are different for every individual. Remember that depending on your body shape and size, having the biggest implant may not be the most desirable option.

Other Information:
In some cases, pectoral implants can be combined with liposuction in order to create optimal results. The fat around the chest area may be removed before the implants are inserted. The combination of these two procedures can give the implants a greater amount of definition.

Many patients become concerned with the similarities between male and female breast implants. It should be noted that the pectoral implants are not made from the same silicone material used in female implants. For men, the material is actually a solid yet soft material (similar to the material often used in athletic mouthguards) that cannot leak or break.

Remember that, while pectoral implants affect the way that your chest muscles look, they do not affect the function. Movement and activity should not be restricted or hindered after full recovery. On the other hand, the silicone implants in no way add strength or power to the existing muscles.

Arm Lift / Brachioplasty
Brachioplasty or Arm Lift, is performed to remove loose skin and/or excess fat from the upper arm. It is fairly common for women to have excess fat in the upper arm that is difficult to get rid of even with exercise. Furthermore, as one ages, the upper arm skin can become loose and flabby. The upper arm can be treated with just liposuction if the primary problem is excess fat, or, with a combination of liposuction and removal of excess skin if the skin is loose. The incision for removal and tightening of the skin can be hidden in the armpit if there is only a moderate amount of excess skin. If there is a significant amount of skin to remove, the incision is placed along the inner aspect of the arm to minimize the visibility. The scar will fade to some extent over 6 to 12 months.

Facelift: Rhytidectomy
Some of the most visible signs of aging first appear on the face. Although the changes appear gradually, there may come a day when you look in the mirror and decide that the face you see doesn’t reflect the way you feel about yourself. If you’d like to look as good as you feel, a face lift can help. Also known as rhytidectomy, a facelift smoothes the loose skin on your face and neck, tightens underlying tissues and removes excess fat. As a result, your face will appear firmer and fresher.

How Is A Facelift Performed?
The technique chosen for your surgery depends on your features, Dr. Wigoda’s preferences and your desired results.

There are many variations to the facelift procedure. However, the incision is typically hidden in the natural contour of your ear, and then extends around the earlobe and back into the hairline. Following surgery, the incisions are easily concealed by your hair or with makeup. There also may be a small incision hidden beneath your chin.

Working through these incisions, Dr Wigoda frees the facial skin from its underlying tissues and pulls it upward and back. The excess skin is then removed. In some cases, the deeper tissues may also be repositioned to restore a more youthful contour to your face. If necessary, an incision under the chin allows Dr. Wigoda to remove fatty tissue in that area and smooth the cord-like structures of the underlying muscle in the neck.

You may be a good candidate for a facelift if you have any of the following types of conditions:
• A deep line that runs from the corner of your nose to the corner of your mouth
• Loss of a well-defined jawline
• Deep wrinkles in the cheeks and sagging skin near the cheekbones
• Loose skin, wrinkles or excess fatty tissue in the neck

Cosmetic Eyelid Surgery
When your eyes are bright and alert, you appear energized, well-rested, and in control. However, if you have lower-eyelid puffiness, dark circles or drooping upper lids, others may assume that you are fatigued, angry or unhappy.

You may be a good candidate for eyelid surgery if you have any of the following conditions:

• Upper eyelids
• Excess skin that hides the natural fold of the upper lids
• Loose skin that hangs down from the upper eyelids
• Puffiness in the upper eyelids that creates a tired look
• Lower eyelids
• Excess skin and fine wrinkles of the lower eyelids
• Puffy “bags” and, in some cases dark circles

How Is Cosmetic Eyelid Surgery Performed?
The specific method used for eyelid surgery will be determined by your features and Dr. Wigoda’s preferences.
Upper Eyelids:

Typically, the incision begins within the natural crease of the eye’s inside corner and extends slightly beyond the outside corner into the crow’s feet or laugh lines. Through this incision, excess skin and fatty tissue are removed. The incision line follows the natural contour of the upper eyelid, and is camouflaged when healed.
Lower Eyelids:

Usually, the incision is concealed just below the lower lashes. Through this incision, excess skin, muscle, and fat are removed. Dr. Wigoda may also make special adjustments. For example, the fat beneath the eye can be redistributed to eliminate puffiness or bulges. In some patients, the underlying muscle will be tightened.

Forehead Lift
On days when you are feeling well rested and content, does your facial expression tell a different story? Often, the forehead is the main culprit. A lined or furrowed brow can make a serene face appear upset or concerned. Frown lines between the eyebrows can produce an angry look. A dropping brow can create a perpetually tired or sad look.

How Is A Forehead Lift Performed?
The technique chosen for your surgery depends on your features, Dr Wigoda’s preferences and your desired results.

One common method is the coronal incision technique. Using this technique, an incision is made across the top of the scalp, beginning above the ears and concealed within the hair. Sometimes the incision may be placed at the front of the hairline. The incision is designed to be inconspicuous when healed. Working through this incision, Dr. Wigoda can modify or remove parts of the muscles that cause wrinkling and frown lines, remove excess skin and lift your eyebrows to a more pleasing level.

A new technique performed by Dr. Wigoda is the endoscopic browlift. Three to five small incisions are made behind the hairline. A camera and specially designed instruments are used to raise the brow and weaken the muscles that cause wrinkling and frown lines. the recovery period is quicker, the risk of scalp numbness and hair loss is reduced, and the results are excellent.

You may be a good candidate for forehead lift if you have any of the following types of conditions:

• Sagging or low position of the eyebrows, creating a tired or sad appearance
• Deep horizontal creases across the forehead
• Frown lines, or furrows, between the eyebrows and sometimes across the top of the nose

Cosmetic Surgery Of The Nose
If you feel that your nose is not a good fit, you may benefit from cosmetic surgery of the nose, also called rhinoplasty. Rhinoplasty can enhance the shape, size, and general appearance of your nose.

You may be a good candidate for rhinoplasty if you have any of the following conditions:

• Your nose appears to large for your face
• There is a bump or depression on the nasal bridge when viewed in profile.
• The nose seems to wide when viewed from the front
• The nasal tip droops or plunges
• The tip is thickened or enlarged
• The nostrils are excessively flared
• Your nose is off-center or crooked
• A previous injury has made your nose asymmetrical
• You have an air obstruction that impairs breathing

The technique used for your surgery depends not only on Dr. Wigoda’s preferences, but also on your desired results. Alterations may be made to increase or decrease the nasal bridge, reduce the size or width of the nose, narrow the nostrils, reshape the tip, or change the angle between the nose and the upper lip.

Surgery Of The Ear
Surgery of the ear, or otoplasty, is performed to set prominent ears back closer to the head. The operation may be done on children after the age of 4 or 5. The earlier the surgery, the less teasing and ridicule the child will have to endure. Ear surgery on adults is also possible.

For children with prominent ears, parents should be aware of their child’s feelings about the protruding ears but should not insist on the surgery until your child wants the change. Children who feel uncomfortable about their ears and want the surgery are generally more cooperative during the process and happier with the outcome.

Surgery of the ear is usually performed as an outpatient procedure either in the hospital or our office surgery center. The surgery is performed under general anesthesia or local anesthesia with intravenous sedation. The procedure usually takes between two and three hours if both ears are operated on.

The procedure involves and incision in the back of the ear to expose the ear cartilage. A combination of procedures are then performed including removing some cartilage, sculpting a portion of the cartilage, and/or suturing the cartilage to create a natural fold. The procedure will leave a faint scar in the back of the ear that is difficult to see once it has faded.

After the surgery the head is wrapped in a bulky bandage. Their may be a small amount of discomfort which is relieved by medication. Within a few days, the bulky bandages will be replaced by a lighter head dressing similar to a headband. Stitches are usually removed in about a week. Any activity in which the ear might be bent should be avoided for a month or so. Most adults can go back to work about five days after surgery. Children can go back to school after seven days or so, if they’re careful about playground activity.

Skin & Beauty ~ Dermabrasion
Dermabrasion is an abrasive process performed to remove the epidermis and superficial dermis. It results in a smoothing of contour irregularities. It is often very useful in the treatment of facial wrinkles, acne scarring, and traumatic scars.

Dermabrasion can be performed in the office under local anesthesia with sedation or under general anesthesia. The procedure usually takes less than an hour to perform and can be done in conjunction with other procedures.

Dr. Wigoda uses dermabrasion most often for the treatment of perioral wrinkles (around the mouth) and for the treatment of acne scars. Recovery is often quicker and less painful than laser treatment for similar problems. Deep wrinkles around the mouth or deep acne scars can be significantly improved, if not completely removed. The results are excellent. The treated skin will typically look pink for the first week and then fade to normal skin color over the next few weeks.

Skin & Beauty ~ Fat Transfer
When trying to optimize ones appearance, it is often desirable to add bulk to the face or to the lips. Various substances are used to accomplish this goal, including fat, collagen, solid silicone implants, and silicone gel. A fat transfer uses fat which is the one substance which comes from the patient’s own body. This minimizes the risks of complications which can occur when a foreign substance is placed in the body. When performed correctly the added bulk will last forever.
How Is The Procedure Performed?

The surgical procedure can be performed in the office under local anesthesia. Fat is manually suctioned with a syringe and specially designed cannulas from an area where there is excess fat, typically the abdomen, buttock, or thighs. The fat is then treated very delicately and prepared for injection. The area to be treated is carefully marked and the fat is injected with specially designed needles. All areas to be suctioned and injected are anesthetized so that the patient’s discomfort is minimal.

Laser Resurfacing
If you ever wished that you could “renew” your complexion to make it smoother and more even-tone, laser resurfacing may be a good option for you. Cosmetic laser resurfacing, also called “laser peel”, is a procedure that smoothes the facial skin by using a laser to refinish damaged areas and shrink fine wrinkles. It also corrects areas of uneven pigmentation. The result is a fresher, smoother complexion.

How Is A Laser Resurfacing Performed?
In laser resurfacing, a beam of laser energy is used to vaporize the upper layers of damaged skin with accurate precision. As new cells form during the healing process, a smoother, tighter, younger-looking skin surface appears.

You may be a good candidate for laser resurfacing if you have any of the following conditions:

• Fine lines, especially around the eyes
• Vertical lines around the mouth
• Facial scars caused by injury or accident
• Scars caused by acne
• Areas of uneven pigmentation, such as “age spots”
• Line on the cheeks caused by sun damaged.

Skin & Beauty ~ BOTOX®
BOTOX ® is a therapeutic muscle-relaxing agent that works at motor nerve endings (nerves that leads to muscles). It is in a class of drugs called neurotoxins.

BOTOX® has been used for many years to treat blepharospasm. More recently it has been used to improve the appearance of worry lines, frown lines, Crow’s feet, lip lines, descent of the eyebrows, neck muscle bands and overall Botox can reduce the signs of aging.
Botox Injections

How Is BOTOX® Administered?
The injection is made into the muscle. Dr. Wigoda will determine the muscle(s) in need of treatment.

Does The Treatment Hurt?
A very fine needle is used for the one to three injections that are usually given per muscle. Some patients report minor and temporary discomfort from treatment.

When Does It Start To Work?
Usually, you will see the effects of BOTOX® within three days. The maximum benefit is reached in one to two weeks.

How Long Does The Effect Last?
The results you will see from a single treatment of BOTOX® will normally be sustained for approximately three to six months. You will notice a gradual fading of its effects. At this point you will return for your next treatment.

Is It Right For Me?
BOTOX® should not be used during pregnancy, if you are nursing, or if you are taking certain medications.

How Long Can I Be Treated With BOTOX®
Treatment with BOTOX® can typically be repeated indefinitely. It has been used for over 10 years worldwide. Acceptable safety in long-term treatment has been established.