THE SAMRA GROUP
(Plastic, Reconstructive and Hand Surgery)
Our practice is based on the mutual trust between patient and surgeon. We support and encourage you from the very beginning and throughout the whole process until the desired results are achieved. We offer what is right and best for you. An extensive repertoire of procedures utilizing the latest proven techniques both aesthetic and reconstructive, and surgery of the hand are performed in either a comfortable office setting or a convenient hospital-based setting. We are available at all times of the day to answer your questions or listen to your concerns. Our doctors are available 24 hours for any emergency.
SAID A. SAMRA,
M.D., F.A.C.S., F.I.C.S.
Dr. Said A. Samra graduated with his medical degree in 1973 from Damascus University Medical School in Damascus, Syria. He then completed his internship at American University Hospital in Beirut, Lebanon. Dr. Samra went on to complete a second internship at Perth Amboy General Hospital in Perth Amboy, New Jersey. Continuing his education, Dr. Samra went to UMDNJ - New Jersey Medical School where he completed five years of training in surgery and subsequently became certified by the American Board of Surgery. He then started a residency in plastic and reconstructive surgery at St. Barnabas Medical Center, New Jersey where he finished his training in 1982.
Dr. Samra has been featured for 10 years in "Castle Connelly Top Doctors in the New York Metro Area" and is also featured in February 2006 and February 2007 issues of "New Jersey Savvy Living" in the exclusive article on "New Jersey Top Docs for Beauty."
Dr. Samra is board certified by the following:
• The American Board of Plastic Surgery
• The American Board of Surgery
Dr. Samra is a member of the following professional organizations:
• American Society of Plastic & Reconstructive Surgeons
• Fellow International College of Surgeons
• Fellow American College of Surgeons
• New Jersey Society of Plastic Surgeons
• New York Regional Society of Plastic & Reconstructive Surgery
• The American Society for Aesthetic Plastic Surgery
ASAAD H. SAMRA, M.D.
Dr. Asaad H. Samra, a native of New Jersey, received his Bachelors of Arts in Biology in 1997 from the highly prestigious Johns Hopkins University in Baltimore, MD. He then returned to NJ where he obtained his medical degree in 2001 from the prominent UMDNJ - Robert Wood Johnson Medical School. Upon graduating, he went on to train in Plastic and Reconstructive Surgery in Baylor College of Medicine's world renowned residency program located at the largest medical center in the world, Texas Medical Center. While there, Dr. Samra obtained extensive experience operating with some of the nation's top surgeons in some of the country's finest institutions including the Texas Children's Hospital and the MD Anderson Cancer Center.
In addition to his clinical training, he also conducted research and gave many presentations on a variety of topics ranging from cosmetic surgical and non-surgical interventions to extensive reconstructive surgery. Born and raised in New Jersey, Dr. Samra is delighted to be back in his home state to start his practice. Dr. Samra has a special interest in aesthetic surgery, breast surgery, as well as hand and post-traumatic reconstruction.
Dr. Samra is a Candidate Member of the American College of Surgeons.
Cosmetic & Reconstructive Plastic Surgical Procedures
The term 'plastic' or 'cosmetic surgery' actually covers a variety of surgical and non surgical procedures which alter the body's outward
appearance. Procedures are used to shape certain body parts such as the breast or nose, to soften skin tone reducing or eliminating wrinkles, and to correct problems resulting from either accident or disease.
Plastic surgery procedures are generally safe and relatively painless when performed by an experienced surgeon, although each procedure is different. As with all surgical procedures, there are certain degrees of risk and uncertainty. During an initial consultation Dr. Samra or Dr. Lee will discuss your procedure with you in detail, describing the realistic potential outcome and any possible risks involved.
• Breast Augmentation
Breast augmentation is a very popular procedure for women and among the most commonly performed cosmetic surgery procedures. A saline-filled implant is inserted under the crease in the breast, around the nipple or through the armpit. The implant can be placed under the breast tissue or beneath the chest wall muscle. After surgery, breasts will appear "fuller" and more shapely in contour. Incision scars will fade or disappear over time. Silicone implants are available for qualified patients.
Most procedures are performed using local anesthesia, others are performed using intravenous sedation. Certain procedures will require general anesthesia. The decision concerning the type of anesthesia to be used will be discussed with you during your initial consultation.
• Breast Lift (Mastopexy)
Over time, the effects of gravity along with the loss of the skin's natural elasticity begins to have an effect on the appearance of a woman's breasts. These factors, combined with pregnancies and nursing will often cause the breasts to lose their youthful shape and firmness. A breastlift, or mastopexy, is a surgical procedure to raise and reshape sagging breasts. The procedure can also reduce the size of the areola (the darker skin surrounding the nipple). Breast implants inserted in conjunction with a mastopexy procedure can increase both firmness and size.
• Breast Reduction
Large, pendulous breasts may cause a woman to potentially experience various medical problems caused by the excessive weight of the breast tissue. Problems with posture, skeletal deformities, back and neck pain, skin irritations and breathing problems are common with this condition.
Bra straps often leave indentations in the shoulder area. Many women, especially teenage girls, are very self-conscious if they have unusually large breasts. Breast reduction (reduction mammaplasty) removes fat, glandular tissue, and excessive skin, resulting in smaller, lighter and firmer breasts that are better-shaped in proportion to the rest of the body.
• Breast Reconstruction
Reconstruction of the breast after a mastectomy due to cancer or other disease is quite possible with today's surgical procedures. The procedure is often covered by many HMO's after breast cancer surgery and legislation is currently before Congress to enact mandatory coverage. Using the newest medical techniques, a plastic surgeon is often able to create a breast that is similar in form and appearance to that of the natural breast. A consultation will provide you with information on the many available options for post-mastectomy breast reconstruction.
• Correction of Enlarged Male Breasts (Gynecomastia)
Although rarely discussed, enlarged male breasts is a common condition. Gynecomastia affects approximately 40 to 60 percent of men. There is no known cause for gynecomastia, although there has been some correlation with various drugs or medical conditions. Men who feel self-conscious about their appearance are helped with breast-reduction surgery. The procedure removes fat and/or glandular tissue from the breasts, and in extreme cases removes excess skin, resulting in a contoured chest that is flatter and firmer
• Surgery of the Ear (Otoplasty)
With one or more common techniques, the surgeon makes a small incision in the back of the ear to expose the ear cartilage. The surgeon will then sculpt the cartilage and bend it back toward the head. Non-removable stitches may be used to help maintain the new shape. Occasionally, the surgeon will remove a larger piece of cartilage to provide a more natural-looking fold when the surgery is complete. In most cases, ear surgery will leave a faint scar in the back of the ear that will fade with time.
• Surgery of the Nose
The surgical procedure to reshape the nose, (rhinoplasty) is among the most popular and most common plastic surgical procedures. This procedure can reduce or increase the size of the nose, remove an unwanted hump, change the shape of the tip or the bridge, narrow the width of the nostrils, or change the angle between the nose and the upper lip. The procedure is also used to correct problems resulting from injury and can help relieve certain breathing difficulties.
• Facelift (Rhytidectomy)
As a person ages, the long-term effects of gravity, exposure to sun, dry air, and general stress takes its toll on an individual's face and neckline. Jowls can develop under the jawline with folds and fat
deposits. Usually creases begin to form between the nose and the mouth. A facelift can considerably reduce these signs of aging by removing excess fat, tightening the underlying muscles, and redraping the skin around the neck and face. Facelifts can be done alone, or frequently performed in conjunction with another procedure such as a browlift, eyelid surgery, or nose reshaping. If your problem areas are limited to the neck, a more conservative procedure, known as a "necklift" will be recommended. In some cases, a facelift can reduce the outward signs of aging by ten or fifteen years.
• Eyelid Surgery (Blepharoplasty)
Eyelid surgery (blepharoplasty) is designed to remove excess skin and fat from the upper and lower eyelids. The procedure can correct drooping upper lids that tend to sag with time and the puffy bags below the eyes.
The procedure usually takes about 1 hour and can be performed in the office using local anesthesia. Stitches can be removed after three or four days. Blepharoplasty can be done as a single procedure, or in conjunction with other facial surgery such as a facelift or a browlift.
• Surgery of the Abdomen
(Abdominoplasty or "Tummy Tuck")
Generally referred to as a "tummy tuck", abdominoplasty removes excess fat and skin from the abdomen. The procedure also helps to flatten the abdomen by tightening the surrounding muscles. Women, with stretched abdominal areas due to previous pregnancies, can benefit considerably from abdominoplasty, although they should have completed their childbearing. Older individuals whose skin has lost some of its elasticity and are slightly obese can experience an improvement in their abdominal area.If you are in generally good physical shape but are concerned about abdominal fat deposits or loose skin that does not respond to diet and exercise, the procedure can potentially reduce or even eliminate a protruding abdomen. Abdominoplasty can produce a permanent scar which can possibly extend to both sides of your hips, although the scar will likely be located below the bikini or bathing suit line.
(Lipoplasy / Suction Lipectomy)
Now among the most popular cosmetic surgery procedures, liposuction (also known as "lipoplasty" or "suction lipectomy") sculpts the body by removing undesirable fat from areas around the thighs, knees, buttocks, waist, hips, abdomen, chin, cheeks, neck and upper arms. Ultrasound-assisted liposuction (UAL), tumescent technique and the super-wet technique are among the various techniques used to provide precise results. Liposuction is not a substitute for a healthy diet and exercise, but the procedure can eliminate areas of fat that are unresponsive to typical weight-loss methods.
• Hand Surgery
Hand surgery procedures are usually performed to repair injured hands. These include injuries to the tendons, nerves, blood vessels, joints, as well as fractured bones, burns, cuts, and skin wounds. Modern techniques have greatly improved the surgeon's ability to restore function and appearance, even in severe injuries. Among the techniques now used by hand surgeons are: Grafting - the transfer of skin, bone, nerves, or other tissue from a healthy part of the body to the injured part Flap surgery - moving the skin, along with its underlying fat, blood vessels, and muscle, from a healthy part of the body to the injured site Replantation or transplantation - restoring amputated fingers or hands using microsurgery, an extremely precise and delicate surgery performed under magnification
CARPAL TUNNEL SYNDROME The carpal tunnel is a passageway through the wrist carrying tendons and one of the hand's major nerves. Pressure may build up within the tunnel because of disease (such as rheumatoid arthritis), injury, fluid retention during pregnancy, overuse, or repetitive motions. The resulting pressure on the nerve within the tunnel causes a tingling sensation in the hand, often accompanied by numbness, aching, and impaired hand function. This is known as Carpal Tunnel Syndrome. In some cases, splinting of the hand, cortisone injection and anti-inflammatory medications will relieve the problem. If this doesn't work, however, surgery may be required. During the operation, the surgeon makes an incision from the middle of the palm to the wrist. The tissue that's pressing on the nerve will be loosened, in order to release the pressure. A large dressing and splint are used, after surgery, to restrict motion and promote healing. The surgical scar will gradually fade and become barely visible.
CONGENITAL DEFECTS Congenital deformities of the hand - that is, deformities a child is born with - can interfere with proper hand growth and cause significant problems in the use of the hand. Fortunately, with modern surgical techniques, most defects can be corrected at a very early age - in some cases during infancy, in others, at two or three years - allowing normal development and functioning of the hand. One of the most common congenital defects is Syndactyly, in which two or more fingers are fused together. Surgical correction involves cutting the tissue that connects the fingers, then grafting skin from another part of the body. (The procedure is more complicated if bones are also fused.) Surgery can usually provide a full range of motion and a fairly normal appearance, although the color of the grafted skin may be slightly different from the rest of the hand. Other common congenital defects include short, missing or deformed fingers, immobile tendons, and abnormal nerves or blood vessels. In most cases, these defects can be treated surgically and a significant improvement can be expected.
DUPUYTREN'S CONTRACTURE Dupuytren's contracture is a disorder of the skin and underlying tissue on the palm side of the hand. Thick, scar-like tissue forms under the skin of the palm and may extend into the fingers, pulling them toward the palm and restricting motion. The
condition usually develops in mid-life and has no known cause (though it has a tendency to run in families). Surgery is the only treatment for Dupuytren's contracture. The surgeon will cut and separate the bands of thickened tissue, freeing the tendons and allowing better finger movement. The operation must be done very precisely, since the nerves that supply the hand and fingers are often tightly bound up in the abnormal tissue. In some cases, skin grafts are also needed to replace tightened and puckered skin. The results of the surgery will depend on the severity of the condition. You can usually expect a thin, fairly inconspicuous scar and significant improvement in function, particularly after hand therapy.
RHEUMATOID ARTHRITIS Rheumatoid arthritis, an inflammation of the joints, is a disabling disease that can affect the appearance and the function of the hands and other parts of the body. It often deforms finger joints and forces the fingers into a bent position that hampers movement.
Disabilities caused by rheumatoid arthritis can often be managed without surgery - for example, by wearing special splints or using hand therapy to strengthen weakened areas. For some patients, however, surgery offers the best solution. Whether or not to have surgery is a decision you should make in consultation with your surgeon and your rheumatologist. Surgeons can repair or reconstruct almost any area of the hand or wrist by removing tissue from inflamed joints, repositioning tendons, or implanting artificial joints. While your hand may not regain its full
use, you can generally expect a significant improvement in function and appearance. Still, it's important to remember that surgical repair
doesn't eliminate the underlying disease. Rheumatoid arthritis can continue to cause damage to your hand, sometimes requiring further
surgery, and you'll still need to see your rheumatologist for continuing care.