Dilip D. Madnani
About My Practice
Do you encourage patients to take any supplements pre- or post-procedure?
I recommend that my patients take vitamin C, bromelain and arnica montana. I also suggest that they use post-surgery topicals, such as arnica or PureHealPlus (purehealplus.com), a scar-reducing gel that I codeveloped.
How do you educate patients?
I give monthly seminars on the “Aging Face” and current techniques in facial plastic surgery. I also regularly post answers to patients’ questions or comments to recent news on my Facebook and Twitter. Patients are grateful for the information and the better understanding they have on how we age.
What makes your practice distinct?
My treatments are tailored to the specific patient’s needs and what would most benefit them. There is no “one size fits all” approach with me. Nowadays, my patients look for alternatives to traditional approaches with reduced recovery times and natural results, so I do not perform procedures using general anesthesia, which achieves these goals.
What attracted you to facial plastic surgery?
As an identical twin, my brother and I have always been defined by our faces. I always wondered what made us “identical,” and how this was possible. My fascination with facial anatomy, coupled with my talent in art and drawing, made the field of facial plastic surgery a natural fit for me.
American Academy of Facial Plastic & Reconstructive Surgery
Affiliation:American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology/Head and Neck Surgery, American College of Surgeons
A Minute With
My happiest professional moment
Opening up my practice in New York
Three words that best describe me
Funny, caring, focused
What sets your practice apart?
I focus on facial rejuvenation and
am able to provide all my services
without general anesthesia
The future of my field
I think there will be work with stem cell research that will slow down aging of the face
The most outrageous medical myth i’ve heard
Injectable treatments such as Botox® are poison and shouldn't be used
How i would spend extra time in a day
Learn another language, learn how to write software programs and learn how to play an instrument
My greatest achievement
Achieving my childhood goal of becoming a physician
No matter how you feel, get up, dress up, show up and never give up
What i love most about my profession
I love that I get to do surgery to make people feel better
How my profession has evolved
There’s been a natural progression toward total patient care—not only about aesthetics but also the emotional transformation that occurs after surgery
- Buccal Fat Removal
- Fat Transfer
- Lip Lift
- Aesthetic Injectables
- Laser Rejuvenation
- Intense Pulsed Light (IPL)
- Platelet-Rich Plasma (PRP)
- PrecisionTx® Skin Tightening
- Hair Transplantation
- Thread Lift
How does Botox work, off-label, to help correct neck bands?What our experts say:
The neck bands, as with other muscles of facial expression, appear more prominent as we age. This occurs due to its laxity or loosening, so during normal facial movements, the muscles tense and appear quite obvious.
Neurotoxins work by relaxing muscles, so just as your eyes appear more rested when the muscles around the eyes are injected; in the same way, when injected into the platysma muscle, it relaxes it making your neck appear softer and more youthful.
When should a facelift and necklift be combined?What our experts say:
The quick answer is when its needed.
A necklift is performed to tighten the neck contours and the underlying platysma muscle and a facelift lifts the jowls which sharpens the jawline.
In my practice, I perform a neck lift with a facelift about 80% of the time. The reason for that is that the neck results are wonderful and the combined procedure produces fantastic long term results.
I have had the opportunity to wrok on alot of secondary facelifts, so these are patients who had facelifts about 8-10 years ago and come in for a touchup. Their biggest complaint is that their neck has fallen. They usually don't specifically remember if they had a neck lift but on examination, the neck was not done at the initial surgery. So I am usually performing a revision face and neck lift.
For those patients who had a face and neck lift done- they usually don't need a revision neck lift and I end up just revising the facelift. Usually a smaller overall procedure than the first time.
What is your favorite procedure to perform?What our experts say:
My favorite procedure to perform is a face/neck lift with a fat transfer. I find that this adddresses two of the most significant factors of ageing in one surgery- the recovery is quick- about 10 days to be 'restaurant ready' and results are fantastic.
My patients are grateful to have their outer appearance match their inside youthful personalities and I get the most satisfaction from seeing these results.
How is liposuction used to contour the neck?What our experts say:
Liposuction is commonly used to contour the neck when there is fatty deposits collecting in that area. I commonly perform only neck liposuction in my patients in their mid 30's to 40's who don't have much excess skin but do carry extra weight under thier chins. The procedure is quick, takes about 30 mins, is done under local anesthesia and my patients are back to work after a couple of days with minimal discomfort.