Experience and Expertise

Dr. Karol Gutowski's Top Procedures

Learn more about the procedures performed by Dr. Gutowski

• Ablative CO2 Laser
• Ablative Fractional Laser Skin Resurfacing
• Arm Lift
• Arm Lift (Brachioplasty)
• Blepharoplasty
• Brazilian Butt Lift
• Brazilian Butt Lift Fat Grafting
• Breast Augmentation (Augmentation Mammaplasty)
• Breast Augmentation with Fat Transfer
• Breast Augmentation with Implants
• Breast Implant Removal
• Breast Lift
• Breast Lift (Mastopexy)
• Breast Reduction
• Breast Reduction (Reduction Mammaplasty)
• Brow Lift (Forehead Lift, Browplasty)
• Butt Augmentation
• Butt Augmentation with Implants
• Butt Lift
• Calf Augmentation
• Calf Implant
• Cheek Augmentation (Cheek Implants)
• Chemical Peels
• Chin Augmentation
• Closed Rhinoplasty
• Deep Plane Facelift
• Diastasis Recti Repair
• Direct Brow Lift
• Ear Surgery (Otoplasty)
• Earlobe Reduction
• Earlobe Surgery
• Endoscopic Brow Lift
• Ethnic Rhinoplasty
• Facelift (Rhytidectomy)
• Hand Rejuvenation with Fat Transfer
• Jaw Implant
• Labiaplasty
• Laser-Assisted Liposuction
• Liposuction
• Liquid Facelift
• Lower Eyelid Blepharoplasty Transconjunctival Approach
• Male Breast Reduction
• Male Breast Reduction (Gynecomastia Surgery)
• Microneedling
• Mini Tummy Tuck
• Mini-Facelift
• Neck Lift (Lower Rhytidectomy)
• Open Rhinoplasty
• Otoplasty
• Pectoral Implants
• Power-Assisted Liposuction
• Rhinoplasty
• SmartLipo
• Superficial Chemical Peels
• Thigh Lift
• Thigh Lift Surgery
• Tumescent Liposuction
• Tummy Tuck (Abdominoplasty)
• Ultrasound-Assisted Liposuction
• Upper Eyelid Blepharoplasty
• Water Jet-Assisted Liposuction

Learn more about the concerns addressed by Dr. Gutowski

• Abdominal Contour
• Acne
• Acne Scars
• Age Spots
• Aging & Tired Eyes
• Aging Hands
• Arm Shape & Size
• Bags Under the Eye
• Breast Shape & Size
• Breathing Issues
• Buttocks Shape & Size
• Cheek Volume
• Chin Augmentation
• Ear Shape
• Excess Body Fat
• Eye Ptosis
• Eyelid Malposition
• Facial Skin Laxity
• Facial Volume
• Female Sexual Wellness
• Fine Lines & Wrinkles
• FTM Gender Confirmation
• Heavy Brow
• Jowls
• Large Pores
• Leg Shape & Size
• Male Chest Definition
• Marionette Lines
• Melasma
• Mommy Makeover
• MTF Gender Confirmation
• Nasolabial Folds
• Neck & Jawline Definition
• Nose Angle
• Nose Bump
• Nose Shape
• Nose Size
• Prominent Ears
• Sagging & Hooded Eyelids
• Sagging Lower Eyelid
• Sagging Upper Eyelid
• Scars
• Split Earlobes
• Stretch Marks
• Stretched Earlobes
• Uneven Skin Texture
• Uneven Skin Tone
• Uneven Skin Tone/Texture
• Upper Eyelid Fold

Questions and Answers

• Is natural Breast Augmentation better or artificial Breast Augmentation?

  This depends on the patient’s breast make up. Those who opt for implants may choose between saline or silicone as each has its own advantages. Generally, patients who have low breast tissue will benefit from silicone implants; otherwise, saline implants are recommended. For fat transfer, the advantage is that it poses less risk since there is no introduction of foreign material in the body. However, the results do not last long compared to artificial implants as fat can be reabsorbed by the body.

• Is there a risk for silicone in Breast Augmentation?

  Negative notions about silicone started back in the early 90s when there were cases of leakage and complications. With today’s advancements in engineering, the silicone-based shells are made durable and safe, and have been proven so by the FDA. Today, in fact, silicone is more preferred than saline since they last longer and feel more natural. The rates of reported complications have significantly decreased in the last decade.

• What is the difference between Breast Lift and Breast Augmentation?

  Breast augmentation is a cosmetic procedure designed to enlarge breasts while a breast lift is designed to tighten the loose skin of a droopy breast. Both resolve different breast issues. There are cases that the procedures are simultaneously done when it is agreed that a breast lift with augmentation is necessary.

• Will the nipples be respositioned during Breast Augmentation?

  It is common in a breast lift procedure that the nipple is repositioned so that it looks proportional to the newly shaped breast. When excess skin is trimmed away, a portion of an overly stretched areola (the colored skin around the nipple) is simultaneously trimmed away. The goal is for the nipple and areola to be within a normal size and position.

• What is the difference between Tummy Tuck and Liposuction?

  Tummy tucks are reserved for patients who have stretched, loose skin in the lower abdomen as a result of pregnancy or obesity. Liposuction, on the other hand, is for those who want to remove excess fat in the abdomen but still have a healthy skin tone. During the initial consultation, we will provide a thorough assessment and determine if liposuction alone is all that is needed, or if a tummy tuck will provide the best results.

• Are the results of Liposuction permanent?

  The results of liposuction can be seen for many years following surgery if the patient follows a healthy diet and exercise program. Removed fat cells do not come back, but patients can still gain weight if their remaining fat cells grow.

• Does blepharoplasty show evident scars?

  Eyelid surgery, whether upper or lower, generally does not cause visible scarring. This is because the surgeon takes great care to ensure that the incisions are made within the natural lines and folds of the eyes. Once the surgical healing has passed, the incisions will not be noticeable even to the naked eye.

• Can blepharoplasty treat wrinkles and crows feet?

  Crow’s feet and forehead wrinkles are better treated with procedures such as a facelift, browlift or a cheek lift as the results of the eyelid surgery are confined to the eyelids only. Eyelid surgery can also be combined with a nonsurgical procedure such as BOTOX, which combats wrinkles on the forehead and around the eyes. An injectable filler can also be effective because it adds volume to hollow areas for a softer, smoother appearance.