Alan J. Durkin
About My Practice
What is your philosophy?
I have a firm belief in a continuum of aging and evolution over time. In response to that, I offer patients a spectrum of surgical and nonsurgical modalities for intervention. It’s a philosophy of care that starts with understanding the patient and continues as an ongoing relationship.
What is a consultation with you like?
I emphasize education. With facial aesthetic patients, for example, I discuss changes in skin tone and texture, the muscle layer, bone and volume loss. I use myself as an example as I describe these changes. Then I point out what I believe to be the patient’s strengths. There is something that is naturally beautiful in everyone. My job, whether it’s with surgical or nonsurgical treatments, is to maximize the inherent strengths of the patient’s face and minimize weaknesses.
How involved are you in a patient's care post-surgery?
All of my patients get my home phone number. I also connect patients with a private duty nurse to take them home and stay overnight. Then the day after surgery, they don’t get in a car and come to my office. I go to their house. I believe in an organic approach post-operatively. I remove the dressing myself to put them on the path to recovery because I want them to start feeling better immediately.
What do you like most about your job?
I like that my patients, the staff and the people that I’m privileged to work with continue to surprise me with their strength and spirit. I love what I do in every aspect from consultation to surgery.
What are you passionate about outside of plastic surgery?
I love water. I grew up in Daytona Beach. I dive, paddleboard and enjoy weight lifting. I also do as much as I can with my wife. We’re happily married, and our baby girl turned two in August.
Affiliation:American Society for Aesthetic Plastic Surgery, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, International Society of Aesthetic Plastic Surgery
A Minute With
- My motto
My job is to get you the best possible result in the safest possible fashion with the least amount of surgery
- The future of my field
There will be a continued evolution toward noninvasive treatments for the face, neck and body
- The most outrageous medical myth i’ve heard
That plastic surgery, oculoplastic surgery and dermatology can be practiced by doctors who are not plastic surgeons, oculoplastic surgeons or dermatologists
- My happiest professional moment
The grand opening of our state-of-the-art surgery center and medspa which features a unique and therapeutic shower experience
- Three words that best describe me
Honest, happy, friendly
- What sets my practice apart
Our advantage is our ability to both listen and understand our patients’ goals, and then create individualized
treatment plans to best achieve those goals
- The most unique aspect of my practice
Our medspa is like no other. We
have a candlelit wet room equipped
with a state-of-the-art horizontal
shower. Our patients lie beneath six
rain shower heads while receiving a
massage or body treatment from our
licensed massage therapist
- My operating room playlist
A perfect balance of classic rock, trance and classical music
- How i would spend extra time in a day
With my wife and daughter
- Aesthetic Injectables
- Body Contouring
- Breast Augmentation for Athletes
- Breast Lift
- Light-Based Therapies
- Facelift / SMAS Flap
- Facelift / Limited-Incision
- Facial Implants
- Fat Transfer
- Laser Resurfacing
- Sculptra Aesthetic
- Silicone Breast Augmentation
- Cellulite Removal
- Dermal Fillers
- Erbium Laser Resurfacing
- Fat Grafting to Face / Breast
- HTL Abdominoplasty
- What new developments are on the horizon?What our experts say:
I’m on the emerging trends committee for the American Society for Aesthetic Plastic Surgery, where we have seen the adaptation of facelift techniques for men, especially those with receding hairlines, provide outstanding results.
- I am planning for rhinoplasty, cheek implant, otoplasty and temple augmentation. Will I have to wait for recovery period between every two procedures or can all the procedures can be combined and done in one sitting?What our experts say:
I believe that all of those procedures can be safely done in a single setting. Traditionally, rhinoplasty is considered what we call a “clean contaminated” procedure. This means that the area is sterilized before surgery, but it is traditionally contaminated with bacteria. In other words, rhinoplasty/nasal surgery is airway surgery, and the air we breathe is not sterile. When I approach these cases, I normally undertake the clean procedures first (otoplasty, temple augmentation), and then proceed with cheek augmentation via an oral approach, followed finally by rhinoplasty.
- When having a breast lift, can fat from another part of your body be used to add volume instead of implants?What our experts say:
The role of structural fat grafting in breast aesthetics continues to expand, and transferring fat to the augmented or reconstructed breast is becoming mainstream in most plastic surgery practices. At this stage, we have a difficult time transferring and maintaining large volume fat transfers in the breast for a durable period of time. We have found, as have many other published plastic surgeons, that fat transfer is best utilized in support of an implant, rather than replacing the need for an implant. In other words, I support the transfer of fat as an adjunct to augmentation-mastopexy, and breast augmentation. At this time, however, our fat transfer techniques are not reliable enough to replace the need for an implant to durably increase size and projection.
- Is there any hope for me at age 55 to have a full upper pole, round perky breast for several years without my implants being north and my breast skin sagging south under the weight of the implants?What our experts say:
There are a number of different options that can be employed for creation of upper pole fullness, and each has its place depending upon the presenting anatomy. For patients who have previously had good upper pole fullness, Mentor offers a new style of implant called an ultra-high profile implant. This implant offers superior upper pole fullness as compared to other available implants. This is a good option for women who had fullness, and then lost it. This implant is often utilized in conjunction with lift procedures as well.
For women who are trying to improve their baseline anatomy, the use of Belladerm acellular dermal sling is an outstanding option, although it is very expensive. This newer technology allows your plastic surgeon to create an “internal bra” inside of your breast at a higher level. When used with an implant, it can basically suspend the implant in a higher position, offering unparalleled upper pole fullness. Belladerm can be used with or without a breast lift, and is especially effective with ultrahigh and high profile implants.
- What is preferred injectable for "bags" and dark under eye circles for female aged 45-54? I am trying to decide between Restylane and Belotero.What our experts say:
To answer this question, it is important to recognize how we use dermal fillers to treat the lower eyelid. Dermal fillers such as Restylane and Belotero do not treat the “under eye bags” as much as they MASK the prominence of the bags in comparison to the rest of the face. The lower eyelid bags will bulge out, but they are tethered along the lower aspect of the eyelid as it approaches the upper cheek. When the cheek is also prominent, a line will form between the lower eyelid bag and the cheek. We call this line the “tear trough”. Dermal fillers can be used to fill this tear trough, which in turn masks the presence of the lower eyelid bag, and promotes a smooth junction between the lower eyelid and the cheek. Between Restylane and Belotero, I prefer Restylane for the tear trough as I believe it provides a smoother contour along the tear trough, and it does last longer than Belotero. The main drawback of Restylane is what is called the “Tyndall” effect, which refers to a bluish tint to the skin that can occur after injection. If you have pre-existing pigment, I would probably recommend Belotero in your specific case. In the absence of pigment, however, I would use Restylane.