NOLAN KARP, M.D.
Dr. Nolan Karp graduated from Northwestern University School of Medicine in 1983. He completed his general surgery training at New York University School of Medicine. He followed this with plastic surgery, research fellowship, and microsurgery fellowship training at the Institute of Reconstructive Plastic Surgery at New York University School of Medicine. He joined the Faculty of the Institute and NYU in 1992.
For the past ten years he has been the course director for the annual Emerging Technologies in Plastic Surgery meeting.
Dr. Karp has expertise in all areas of plastic surgery. He has interest in aesthetic and reconstructive surgery of the face, breast, and body. He has developed and popularized short-scar breast reduction techniques. He is on the cutting edge of the development of new surgical procedures to correct the tissue excess after massive weight loss. He is the principal investigator at NYU for the Inamed silicone breast implant adjunct study. He has an interest in both flap and implant breast reconstruction. As a trained microsurgeon he performs all flap reconstructions including perforator flaps.
Dr. Karp's current research interests include 3D imaging to improve the quality of breast reduction, reconstruction and augmentation. He is developing anesthesia techniques to shorten and improve the recovery of all breast and body procedures. He continues to improve short-scar
breast reduction techniques and skin-sparing mastectomy techniques followed by breast reconstruction. Dr. Karp is also involved in studies to improve breast reconstruction with fat injections. His has recently written book chapters on male breast reduction (gynecomastia) and breast augmentation and mastopexy.
Dr. Karp was board certified in Plastic and Reconstructive Surgery in 1994.
In addition to his clinical appointments, Dr. Karp maintains memberships in several professional societies, including:
• Medical Society of the State of New York
• New York County Medical Society
• Plastic Surgery Research Council
• American Society of Plastic Surgery
• American College of Surgeons
• American Society of Breast Disease
• American Society for Aesthetic Plastic Surgery
• Northeastern Society of Plastic Surgeons
• American Association of Plastic Surgeons
Dr. Karp's hospital affiliations include:
• Tisch Hospital, New York University Medical Center, N.Y.
• Bellevue Hospital Center, N.Y.
• Manhattan, Eye, Ear, Throat Hospital, N.Y.
Dr. Karp has numerous publications and presentations on his area of expertise. He has been listed as a "Top Doctor" in plastic surgery by
MIHYE CHOI, M.D.
Dr. Mihye Choi graduated from University of Rochester School of Medicine in 1987 and received general surgery training at Harvard Beth Israel Hospital. She completed plastic surgery residency at Mount Sinai Hospital, a research fellowship at Massachusetts General Hospital in Boston and a hand surgery fellowship at NYU Medical Center. She joined the Faculty at the Institute of Reconstructive and Plastic Surgery at New York University School of Medicine in 1998. Dr. Choi is certified by the American Board of Plastic Surgery since 1998.
The focus of Dr. Choi's practice is face, breast and body plastic surgery. Dr. Choi performs many of the latest breast surgeries including breast reduction with lollipop short scar technique, breast lift with minimal incision technique, and breast augmentation with cohesive silicone implants. As an experienced microsurgeon, Dr. Choi offers various breast reconstruction techniques after mastectomy using implants or autologous tissue such as DIEP flaps. Dr. Choi also performs body contouring surgeries including abdominoplasties, liposuctions, body and thigh
lifts. She approaches each patient individually and customizes her surgery to the patient's need, physique, and desire. She also has a Certificate in Hand Surgery and performs various hand surgeries.
Dr. Choi's current research interests include using three dimensional imaging to accurately calculate breast volumes for reconstruction and other types of breast surgery. She is investigating a vertical incision design for breast reconstruction to shorten the length of scars. Dr. Choi is involved in studies to improve breast reconstruction with fat injections. She is also studying anesthetic techniques to reduce pain and shorten the recovery period associated with breast and body surgery.
In addition to her clinical appointments, Dr. Choi maintains memberships in several professional societies, including:
• American College of Surgeons
• The American Society of Plastic Surgeons
• Northeastern Society of Plastic Surgeons
• Association of Women Surgeons
• American Society for Surgery of the Hand
• American Society of Peripheral Nerve
Dr. Choi's hospital affiliations include:
• New York University Medical Center, N.Y.
• Bellevue Hospital Center, N.Y.
Dr. Choi is currently Assistant Professor for the Department of Surgery at New York University School of Medicine. She has numerous publications and presentations on her areas of expertise.
Women may decide to undergo plastic surgery to enlarge or reduce their breasts, to achieve a balance in size or shape for their breasts, or to
reconstruct one or both breasts after mastectomy. Whatever the motivation, breast surgery is safer and easier now than ever before. Please review the list of services we provide to help you make an informed decision and achieve the most satisfying results.
Dr. Nolan Karp and Dr. Mihye Choi specialize in Breast Surgery. Please feel free to read more detailed information about breast reconstruction.
You may contact Dr. Karp or Dr. Choi by using the contact form on this site or by calling the office at 212-263-6004 for a consultation.
Breast augmentation is the most frequently performed cosmetic surgery procedure in the U.S. It can give women with small or unevenly-sized
breasts a fuller, firmer, better-proportioned look through the placement of implants in the breast. Women may elect to undergo breast augmentation for many different medical and aesthetic motivations, including balancing breast size and compensating for reduced breast mass
after pregnancy or surgery. The procedure may be combined with others such as a breast lift for more satisfying results.
Implants are silicone shells filled with saline (salt water) and are placed behind each breast, underneath either breast tissue or the chest wall muscle. The procedure lasts one to two hours and is typically performed with general anesthesia. After surgery the patient's bustline may be increased by one or more cup sizes.
• Breast Reduction (including short-scar)
Breast reduction, or reduction mammoplasty, is a procedure performed for women with large, pendulous breasts. Most commonly patients complain of back and neck pain, skin irritation under the breasts, and bra strap grooving on the shoulders. There are also patients who are unhappy with the cosmetic appearance of their breasts. Large breasts make the body disproportionate and can cause problems with daily activities such as exercise, work, social interaction, or clothes selection. The procedure removes fat, glandular tissue and skin from the breasts making them smaller, lighter, firmer, and perkier. Breast reductions are done on an outpatient basis in the hospital under general anesthesia. Very large reductions may require a one-night stay in the hospital. The procedure usually takes three to four hours depending on the extent of surgery needed. Patients are up and able to move the day after surgery.
The tenderness in the breast area lasts for a couple of weeks. Most patients will return to work and social activities in about one to two weeks. Full exercise is usually allowed after four weeks.
• Breast Lift (Mastopexy)
A breast lift, or mastopexy, is performed to return youthful shape and lift to breasts that have sagged as a result of weight loss, pregnancy,
loss of the skin's natural elasticity or simply the effects of aging and gravity. The procedure can also reduce areolar size (the dark skin surrounding the nipple), and it can be combined with breast augmentation for added volume and firmness. It is usually done under general anesthesia, and lasts from one to three hours.
• Breast Reconstruction
Breast reconstruction is an appropriate consideration for any patient planning to have a mastectomy for breast cancer. Breast reconstruction is usually performed at the time of the mastectomy. A variety of techniques are available. The ideal reconstruction involves using the patient's own tissue to make a breast. Implant reconstructions are also very common.
The most common technique using the patient's own tissue is called the TRAM (or tummy tuck) Flap. In this operation excess skin and fat from
the lower abdomen is transferred to the mastectomy site and used to sculpt a new breast.
The first stage of implant breast reconstruction is also performed most commonly at the time of the mastectomy. An empty balloon or tissue expander is placed under the skin and muscle of the chest wall. The skin is allowed to heal, and in a series of office visits the expander is gradually inflated with saline to the desired size. When the expander is fully inflated, a second outpatient operation is performed to remove the tissue expander and place a permanent implant. The implant most commonly is filled with saline, but silicone gel filled implants are also available.
• Gynecomastia (Male Breast Reduction)
Gynecomastia comes from the Greek words gyne meaning "woman" and mastia meaning breast. In practical terms, this means abnormally large breasts
on men. The condition is relatively common in adolescent boys, and often disappears with time. When the condition persists, there often is
social handicap, shame, and embarrassment.
There are several potential causes of gynecomastia including puberty, drug use, or other medical problems. Often no cause is found for the disorder and the gynecomastia persists. In these cases, surgery is frequently the best solution. The procedure can be performed using liposuction or direct surgical excision depending on the kind of excess breast tissue that is present.
• Tummy Tucks (Abdominoplasty)
After pregnancy or weight gain, the abdomen often fails to return to its original shape. When the abdominal tissues are stretched beyond their
capacity to return to normal, exercise or diet programs will not work, no matter how hard you try. In these cases, abdominoplasty can provide a
long-lasting solution. Abdominoplasty (commonly called a tummy tuck) is a frequently performed procedure used to tighten overly stretched
abdominal muscles and remove excess skin and fat. The goal is to achieve a smoother, flatter appearance.
Liposuction is one of the most popular elective cosmetic surgery procedures for both men and women. The results of liposuction can be seen
almost immediately and can help boost your confidence in your appearance. Liposuction is more than just cosmetic surgery it is a chance to
sculpt your body into the figure and shape you desire.
Liposuction is an elective cosmetic surgical procedure that removes fat by a suction technique. It is better to think of liposuction not as weight removal but as body contouring. Patients are advised not to think in terms of an absolute weight loss but a desired body shape.
In women, the common areas for liposuction are the hips, thighs, stomach, back, flanks, and neck. In males, the common areas are the love handles (male flanks), stomach, chest, and neck.
• Body Lifts
The body lift is performed to remove excess skin and sometimes also fat from the torso and upper legs. It is a complicated procedure that can
take three to seven hours under general anesthesia and involves a difficult recovery period of four to six weeks, but it offers an improvement
in appearance for patients who have lost significant amounts of weight due to childbearing, diet, exercise or bariatric surgery, or who have
loose, inelastic skin for other reasons. The procedure is often combined with others such as breastlifts, facelifts and armlifts to retain a proper body proportion.
• Thigh Lifts
A thigh lift is performed to remove excess skin and fat from the upper legs. Candidates typically suffer from loose, inelastic skin after extreme weight loss due to diet, exercise or bariatric surgery. Because of this, the procedure is often combined with others such as breastlifts, facelifts and armlifts to retain an attractive body proportion.
• Arm Reduction
After substantial weight loss, weight gain or simply from the effects of aging, skin on the upper arms can become inelastic, loose and flabby.
Arm lifts, also known as brachioplasty, remove that excess skin and fat. Patients who have significant amounts of fat may want to consider combining the procedure with liposuction.
• Face and Neck Lifts
In time, gravity, sun exposure, and the stresses of daily life take their toll on our faces: deep creases appear beside the mouth, the jaw line
slackens, and folds and fat deposits appear on the neck. Facelifts counteract these problems by removing fat and tightening skin and muscles,
giving your face a fresher, youthful look. Incisions are made in inconspicuous places such as behind the hairline and in natural folds of the face and ears, and scars fade to near invisibility in time. After surgery, some patients appear 10-15 years younger.
A neck lift or chin liposuction is performed to remove excess fat beneath the chin and tighten loose skin in the neck. A less invasive alternative to a facelift, the procedure can produce dramatic results in the patient whose chin and/or neck has sagged with age or after weight loss.
• Eyelid Surgery (Blepharoplasty)
Blepharoplasty can rejuvenate puffy, sagging or tired-looking eyes by removing excess fat, skin and muscle from the upper and lower eyelids. It
may be performed for cosmetic reasons or to improve sight by lifting droopy eyelids out of the patient's field of vision. The procedure is usually performed in an office with local anesthesia in as little as 45 minutes. Blepharoplasty can be combined with a facelift or BOTOX® treatments to raise the eyebrows or reduce the appearance of wrinkles, crow's feet or dark circles under the eyes.
• Browlift (Forehead Lift)
Browlifts can revitalize drooping or lined foreheads, helping you to look less angry, sad or tired. Using either traditional or minimally invasive (endoscopic) methods, the muscles above the eyes are altered to smooth lines and raise the eyebrows for a more youthful appearance.
The procedure is often combined with other operations such as blepharoplasty and facelifts to improve the look of the eyes and other areas of
One of the most common plastic surgery procedures, rhinoplasty is performed to reshape, reduce or augment a person's nose, remove a hump, narrow nostril width, change the angle between the nose and the mouth, or to correct injury, birth defects, or other problems that affect
breathing. Rhinoplasty is usually an outpatient procedure performed under either local or general anesthesia and lasts one to two hours.
• Ear Reshaping
Ear surgery for children or adults can set prominent ears back closer to the head and reduce the size of large ears. Surgery may also be
helpful for "lop ear," "cupped ear" and "shell ear," large or stretched earlobes, and lobes with creases and wrinkles. The procedure lasts from two to three hours and may be performed in a hospital, office-based facility or an outpatient surgery center under general or local anesthesia.
• BOTOX® Cosmetic
BOTOX® Cosmetic is commonly used to reduce or eliminate the appearance of facial wrinkles. It is injected under the skin into areas surrounding
the eyes, forehead and mouth to smooth crow's feet, frown and worry lines, and lines on the neck. Made from a purified protein, BOTOX® injections block nerve impulses, weakening muscles to relax wrinkles and give the face a rejuvenated look. BOTOX® may also be useful for migraine headaches, excessive sweating, and eye and neck muscle spasms.
Restylane® is designed to smooth wrinkles, sculpt lips and shape facial contours. It is a clear, synthetic gel made with hyaluronic acid, a
natural substance that is found throughout your body. It carries little risk of allergic reaction. The most common areas for treatment are the glabellar lines (between the eyebrows) and the nasolabial folds (from the root of the nose to the angle of your mouth). With its unique ability to bind with water, Restylane remains in your skin for many months.