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Botox

Skin

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Breast Augmentation with Implants

Breasts

Chest

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Butt Lift

Buttocks

Heavy Brow

Sagging Upper Eyelid

Eyelid Malposition

Chin Augmentation

Stretched Earlobes

Prominent Ears

Facial Volume

Unwanted Hair

Fine Lines/Wrinkles

Sagging Lower Eyelid

Eye Ptosis

Upper Eyelid Fold

Split Earlobes

Ear Shape

Tattoo Removal

Nasolabial Folds

Facial Skin Laxity

SUNY Downstate Medical Center College of Medicine

CUNY Queens College

President

Signature

Aristocrat Plastic Surgery & MedAesthetics

Body

Chin Ptosis

Chin Reduction

Double Chin

Chin

Head

Bags Under the Eye

Eyes

Uneven Skin Tone/Texture

Jowls

Marionette Lines

Face

Forehead Reduction

Forehead

Lower Eyelid

Scars

Mole Removal

Birthmark Removal

Acne

Acne Scars

Age Spots

Broken Capillaries

Large Pores

Melasma

Rosacea

Stomach

Abdominal

Thigh

Legs

Upper Eyelid

Vagina

Groin

Abdominoplasty

Arm Lift

Blepharoplasty

Breast Augmentation

Breast Reduction

Brow Lift

Cellulaze

Dermal Fillers & Injectables

Ear Surgery

Facelift

Labiaplasty

Laser Hair Removal

Laser Tattoo Removal

Liposuction

Male Breast Reduction

SmoothShapes

Thigh Lift

Tummy Tuck

Chief of the Division of Plastic Surgery, SUNY Downstate Medical Center

Founder and Director of Aristocrat Plastic Surgery

MD, FACS

Kevin Tehrani's Code

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AEDITION trendsetters-min

Now Trending Collection | The AEDITION

Now Trending

*In light of the [COVID-19 pandemic](https://www.cdc.gov/coronavirus/2019-ncov/index.html), AEDIT founder and CEO, [William A. Kennedy III, MD](https://aedit.com/author/william-a-kennedy-iii-md-1) (above right), explains our approach to content and how we are supporting our users and providers during this unprecedented time.*

Dear AEDIT Community, 

Responding and helping those in need has always been at the forefront of my life. As a doctor, we are trained to put the needs of others before ours and are committed to the purpose of medicine: to save lives. Being in service during the COVID-19 pandemic has brought a whole new meaning to this purpose. Together, across the globe, we are dealing with one of the most challenging occurrences we have ever faced and are still trying to find a solution. The negative impacts caused by the virus are too many to list, and the emotions we are all feeling are endless. 

Now, more than ever, it is important to be there for one another and support each other as best we can — and I want you to know **we are here for you.** 

AEDIT was founded on the same principles that drove me to become a doctor: to help others. While this time has caused us to uproot and reconfigure the ways we are used to working, we have also been granted the time to truly reflect on what we are building and why. How can we be at your service and provide the support you need? As a team, we are doing what we can to use this unfortunate circumstance as a fortunate time to create a product that truly serves and empowers you. 

While the pandemic has caused us to press pause on the launch of some of our new features, right now we are able to respond by publishing more content covering topics we hope you will enjoy during this time. **If there is anything you would like to see or hear from us, please let us know. We are listening.** 

To our AEDIT community, we will get through this. And to my fellow doctors and medical staff, your dedication cannot be matched; thank you for the risk you are taking and your commitment to the health and wellbeing of others. I am hopeful there are brighter times ahead. 

Stay well, 

![BillSignature](//images.ctfassets.net/zw35sfestf1t/6NmK5fRFEfGASVS75dHNyo/bab408091e02ba319e6aa7241911a7bf/BillSignature.png)

William A. Kennedy III, MD, Founder & CEO 

In light of the coronavirus outbreak, AEDIT founder and CEO, William A. Kennedy III, MD, explains our approach to content and how we are supporting our users and providers during this time.

A Message From AEDIT's Founder Regarding COVID-19

A Message From Our Founder Regarding The COVID-19 Pandemic

Safety

Whether you’ve adopted the habit of singing “Happy Birthday” twice or have chosen a different song a la the memes that have overtaken social media, cold and flu season, coupled with the outbreak of coronavirus disease 2019 (COVID-19), has put handwashing and personal hygiene in the spotlight. And, when you consider the fact that a [2018 United States Department of Agriculture (USDA) study](https://www.usda.gov/media/press-releases/2018/06/28/study-shows-most-people-are-spreading-dangerous-bacteria-around) found that people fail to wash their hands “properly” 97 percent of the time, we're all in need of a refresher course.

## **How To Wash Your Hands**
So, what is the proper way to wash your hands? Good ol’ fashion soap and water is the best way to kill germs and prevent the spread of bacteria. Below are five steps required for an effective cleanse:

1. Wet your hands with clean, running water 
2. Apply soap and lather 
3. Rub your hands together vigorously for 20 seconds — remembering to scrub the fronts and backs of the hands, in between the fingers, and under the fingernails
4. Rinse thoroughly in clean, running water 
5. Dry with a clean towel or shake dry

While it is not a substitute for washing with soap and water, alcohol-based hand sanitizers can get the job done in a pinch. Be sure the formula contains at least 60 percent alcohol and apply the product to the palm of one hand (check the label for proper dosage). For best results, rub hands together — covering all the surface area you would while washing your hands — until they are dry. 

## **When to Wash Your Hands**
Now that you know how to wash, how often should you be sudsing up? At a minimum, the [Centers for Disease Control and Prevention (CDC) recommends](https://www.cdc.gov/handwashing/when-how-handwashing.html) washing your hands in the following situations: 

- Before, during, and after preparing food
- Before and after eating 
- Before and after caring for someone who is sick 
- Before and after treating a cut or wound
- After using the bathroom or changing a diaper
- After blowing your nose, coughing, or sneezing
- After touching an animal, animal feed, or animal waste
- After touching garbage

Additionally, it doesn’t hurt to wash your hands any time you enter or exit a space, use public transportation, or get home from commuting. Wash your hands frequently throughout the work day, and, upon arriving home, you should always wash up and, if possible, change into clean clothes. 

Unless you have just finished a proper hand wash, **DO NOT** touch your eyes, nose, or mouth. When in doubt, follow the golden rule of dermatology and refrain from touching any part of your face. It’ll keep you from getting sick and will likely save you a pimple, too. 

## **How to Care For Over-Washed Hands**
If your daily handwashing quota has reached the dozens, you’re likely dealing with dry, irritated skin. Dry skin on your hands is not unlike dry skin on any other part of your body — it becomes scaly, red, tight, itchy, and dehydrated when the stratum corneum (i.e. the outer layer of the skin) is damaged. Washing your hands regularly with bacteria-fighting soaps and alcohol-based hand sanitizers draws moisture out of the skin and breaks down that protective barrier. 

But, all is not lost. There are some simple steps you can take to soften up the [hands, fingernails, and cuticles](https://aedit.com/aedition/how-to-treat-damaged-dry-brittle-finger-nails-cuticles) that have dried out from over washing.

### **1. Wash With Lukewarm Water**
Much like Goldilocks, the water you use to wash your hands should not be too hot or too cold. Cool or lukewarm water will still kill germs and bacteria, while not being as harsh on the skin.

### **2. Use Gentle Soaps**
There is a reason the [CDC is advocating for increased handwashing](https://www.cdc.gov/coronavirus/2019-ncov/about/prevention.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fabout%2Fprevention-treatment.html) to help prevent illness and avoid the spread of coronavirus — it works. Washing your hands does not, however, require abrasive soaps. In September 2016, the [U.S. Food and Drug Administration (FDA) ruled](https://www.cdc.gov/handwashing/show-me-the-science-handwashing.html) that 19 ingredients found in so-called “antibacterial” soaps were no more effective than their non-antibacterial counterparts, which means there is no reason to not reach for a milder alternative. 

Our favorites? Gentle formulas like the [EO Hand Soap](https://www.eoproducts.com/collections/liquid-hand-soap), [Follain Refillable Everything Soap](https://follain.com/products/follain-refillable-hand-body-soap-pre-filled), [Jergens Extra Moisturizing Liquid Hand Wash](https://www.walgreens.com/store/c/jergens-extra-moisturizing-hand-wash-refill-cherry-almond/ID=prod6152706-product), and [Method Gel Hand Wash](https://methodhome.com/product-category/hand/).

### **3. Pat Dry**
While you should be scrubbing your soapy hands together during the washing process, you don’t need to rub them dry. Allow your hands to air dry or lightly pat them with a clean towel to avoid further damage to the skin. Another tip: skip hand dryers, as the hot air can have a similarly irritating effect. 

### **4. Moisturize Immediately After Washing**
You’ve probably seen personal care brands selling ‘wet skin’ lotions, but it’s more than just a marketing tactic. Applying hydrating oils and creams to damp skin will help prevent additional water loss and lock in moisture, and the same is true of creaming your hands after washing. 

But for those who would rather deal with reptilian skin than greasy digits, there are hand creams that deliver all the hydrating benefits you need without rendering them useless oil slicks. Our favorites for everyday use include: 

- [Aveda Hand Relief](https://www.aveda.com/product/17759/16410/body/hand-care/hand-relief-moisturizing-creme#/shade/4.2_fl_oz%2F125_ml): The botanical-infused formula feels rich by absorbs instantly for smoother, softer skin.
- [Deborah Lippmann Rich Girl Hand Cream](https://www.sephora.com/product/rich-girl-broad-spectrum-spf-25-h-cream-P381213): In addition to enjoying the skin-smoothing benefits of shea butter, avocado, and jojoba oil, this lightweight formula boasts a broad-spectrum SPF 25.
- [Fountain of Truth Youth In Hand Cream](https://fountainoftruthbeauty.com/products/youth-in-hand-cream): The brand's triple emulsion technology allows the cream's emollient-rich blend of shea butter, honey, jojoba, and coconut and macadamia oils to repair the skin barrier without sticky or greasy residue.
- [Supergoop Handscreen SPF 40](https://supergoop.com/products/forever-young-hand-cream-with-sea-buckthorn-sunscreen): Sea buckthorn fruit extract, meadowfoam seed oil, and argan oil are just a few of the hydrating ingredients in this fast-absorbing lotion that includes a reef-safe, broad-spectrum SPF 40.

### **5. Layer Up At Night**
It’s understandable that you don’t want to deal with greasy hands during the day, but all bets are off after hours. Skin naturally regenerates overnight, and slathering your hands (and body!) with nourishing ingredients can help to repair some of the damage inflicted by overwashing during the day. Our go-tos include creams with rich textures and multi-purpose balms that yield smoother skin by morning:

- [Ahava Mineral Hand Cream](https://www.ulta.com/mineral-hand-cream?productId=xlsImpprod3230239): Aloe vera soothes, while allantoin and witch hazel smooth and heal dry, cracked skin in this creamy formula.
- [Egyptian Magic All Purpose Skin Cream](https://www.amazon.com/Egyptian-Magic-Purpose-Stretch-Ingredients/dp/B01LRMM39U?th=1): As the name implies, the natural balm (packed with olive oil, honey, beeswax, and more) is a multitasking wonder that treats chapped cuticles, dry patches, and irritated skin with gentle ease. We like to layer it on top of our hand cream for added hydration.
- [Kiehl's Ultimate Strength Hand Salve](https://www.kiehls.com/body/hand-creams-and-treatments/ultimate-strength-hand-salve/522.html): This thick, emollient formula repairs and conditions hands thanks to nourishing avocado oil, softening sesame seed oil, and moisturizing olive oil wax.
- [Skinfix Eczema Hand Repair Cream](https://skinfix.com/collections/eczema/products/hand-repair-cream): Formulated specifically for eczema-prone skin, soothing colloidal oatmeal, beeswax, and shea butter restore the damaged skin barrier and reduce redness, itching, and stinging. 
- [Weleda Skin Food Original Ultra-Rich Cream](https://www.ulta.com/skin-food-original-ultra-rich-cream?productId=pimprod2005673): A favorite for dry, rough skin on the face, elbows, hands, and feet, this cult-favorite features calendula, chamomile, beeswax, lanolin, and more for smoother, hydrated skin.

## **The Takeaway**
If you take one thing from this article, let it be this: you should be washing your hands all throughout the day, everyday with soap and water to help prevent the spread of germs. But the practice doesn’t have to wreak havoc on your skin. Washing with gentle formulas in lukewarm water and patting (not rubbing!) dry will help to protect your skin barrier, while applying nourishing hand creams can restore moisture to your dry, dull digits.

If your daily handwashing quota has reached the dozens, you’re likely dealing with dry, irritated hands. Here are five ways to soften your skin without sacrificing safety.

How To Wash Your Hands And Moisturizers For Dry, Irritated Skin

5 Ways To Care For Over-Washed Hands

Vivien Moon

AEDUCATION

Plastic Surgery

If the outbreak of coronavirus 2019 (COVID-19) has turned you into a budding wellness enthusiast, you are not alone. The spread of the virus and the social distancing measures put in place to combat it have put a renewed focus on the value of preventive medicine, in addition to highlighting the importance of mental health as it relates to coping with stress and anxiety.

“I feel like now has been an opportunity to double down on health — even for me,” says [Rachelle Robinett](https://rachellerobinett.com/), a clinical herbalist, holistic health practitioner, and founder of [Supernatural](https://squareup.com/store/supernatural-cafe). “We are stuck at home. A lot of us don’t have more to do; we have less to do. We can really take the time to breathe, meditate, and read.”

From yoga and meditation to herbs and supplements, there is no limit to the healthy diet and lifestyle changes one can make in support of mental and physical wellbeing. But, if you don’t know kundalini from vinyasa or ashwagandha from reishi, where should you even begin? We asked Robinett and a fellow wellness expert, [Moon Juice](https://moonjuice.com/) founder Amanda Chantal Bacon, for their at-home tips to boost immunity and manage stress and anxiety.

## **Healthy Lifestyle Changes**
“Immunity needs to be taken very seriously and not just in the coming weeks,” Bacon says. “The concern over COVID-19 may tone down, but the daily preventative measures need to become a lifestyle.” As she explains, the pandemic has created a new appreciation for self care and preventative care, as people begin to understand how the health and quality of one bodily system impacts all the others.

“I am a big proponent of diet and lifestyle being essential parts of our wellbeing,” Robinett adds. And it doesn’t require major life changes to make a significant impact. Both Bacon and Robinett agree that simple habits like sleeping well and eating clean can improve overall health and wellbeing.

- **Sleep Smarter**: It’s not just about getting enough rest. Instead, it is important to sleep “with the sunrise and sunset as much as possible,” Robinett says, while maintaining a regular schedule. 

- **Get More Light**: While too much UV exposure is not good, too little is disruptive to our sleep cycles, rhythms, and mood. Robinett recommends “standing outside and getting your face and your eyeballs calibrated with the light,” while Bacon says it is also beneficial to soak up the sun on your abdomen and thighs. If sunlight is scarce in your neck of the woods, Robinett is a fan of the sun lamps used to treat seasonal affective disorder (SAD). 

- **Eat Well**: Sure, you may be relying on takeout or canned and frozen foods at the moment, but that doesn’t mean you can’t maintain a well-balanced diet. Both Bacon and Robinett warn against sugar and processed foods that spike cortisol levels and suppress the immune system in favor of high-quality, plant-based eats.

- **Tend to the Mind**: “I have enrolled myself in way more classes than ever before because everything is online right now,” Robinett shares, noting that many virtual sessions are donation-based or completely free. On any given day, she has signed up for morning yoga, lunchtime meditation, and evening Bhuddist classes. “Maybe that is overboard, but it helps us not be bored,” she says.

Rather than spending your days overwhelmed by news reports, take time to focus on your own needs. “I am being especially cognizant of every food choice, incorporating lots of herbs and taking breaks to meditate,” Robinett explains. “I am making sure I am doing a little bit of yoga in the morning and some kind of home exercise at night.” While it is impossible to disconnect from what is going on in the world, she says this quiet time at home can feel a bit like a retreat, if you let it.

## **Immune-Boosting Wellness Routines**
As Bacon sees it, one thing that will likely come from the coronavirus outbreak is a newfound appreciation for natural remedies. When you consider that New York-area hospitals are treating COVID-19 patients with [large doses of vitamin C](https://nypost.com/2020/03/24/new-york-hospitals-treating-coronavirus-patients-with-vitamin-c/) after reports that doctors in China used it with promising results, it is clear that she’s onto something. And, fortunately, she says it is “never too late to start” and “never too late to regenerate.” 

So, what herbs and supplements do wellness experts like Bacon and Robinett rely on to stay healthy? They break down their immune-fortifying daily routines below:

### **Amanda Chantal Bacon’s Daily Routine**
With a regimen that is already focused on preventive care, Bacon hasn’t had to make too many adjustments to her diet or supplement intake. “The only thing I’m doing differently now is that I’ve upped my vitamin D levels,” she shares.

<a href="https://www.instagram.com/p/B8omm-fgLLI/" class="embedly-card" data-card-width="50%" data-card-controls="0">Embedded content: https://www.instagram.com/p/B8omm-fgLLI/</a>

She starts her day with the [Moon Juice SuperYou](https://moonjuice.com/products/superyou) capsules because “it reduces cortisol by at least 30 percent.” As she sees it, unmanaged stress impacts mental, spiritual, and physical wellbeing, and, as a result, much of her research focuses on the effects of stress and cortisol on the body. She believes everyone should start their day with some kind of stress-management supplement. If not SuperYou, [ashwagandha](https://moonjuice.com/products/ashwagandha) works as well, she says.

In addition to spending time in the sun, she maintains adequate vitamin D levels by taking vitamin D3 in capsule form. She suggests 5,000 units of vitamin D a day as maintenance, but ups her dosage to 8,000 to 10,000 units for short periods of time when she is concerned about her health.

While she says liposomal (i.e. fat soluble) vitamin C is the gold standard, it may be hard to find at the moment. For general wellbeing, she takes 1,000 mg of vitamin C twice a day and will increase the frequency to every four hours when she under the weather because the antioxidant has a “shelf life” in the body.

<a href="https://www.instagram.com/p/B6qamHHgtQv/" class="embedly-card" data-card-width="50%" data-card-controls="0">Embedded content: https://www.instagram.com/p/B6qamHHgtQv/</a>

Beta glucans, like the ones found in high quality [reishi](https://moonjuice.com/products/reishi) supplements, are “good for keeping immunity up,” Bacon says. She takes beta glucans in the form of her [Spirit Dust](https://moonjuice.com/products/spirit-dust?_pos=5&_sid=da4a6c0a1&_ss=r) powder mixed into coffee or a tonic because it tastes good, but a teaspoon of reishi alone can be added to broth, smoothies, and coffee. If you prefer a shot, she suggests mixing the teaspoon of reishi with almond milk. But newbies be warned: reishi is an acquired taste.

Additionally, she treats the [Moon Juice SuperHair](https://moonjuice.com/products/superhair) supplement as a “multivitamin” because it contains minerals and plant extracts like biotin, kelp, saw palmetto, horsetail, ashwagandha, and ginseng that promote more than just healthy hair growth. Last but not least, she ends her day with the brand's [Magnesi-Om](https://moonjuice.com/products/magnesi-om-magnesium-supplement?_pos=1&_sid=c8205d582&_ss=r) powder because depleted levels of magnesium increase cortisol, while elevated cortisol levels deplete magnesium in the body. The powder helps to replenish what is lost during the day.

### **Rachelle Robinett’s Daily Routine**
Like Bacon, Robinett hasn’t made too many changes to her herbal routine in response to the coronavirus, and it is similarly packed with herbs, supplements, tonics, and tinctures that promote physical and mental health.

<a href="https://www.instagram.com/p/B8buBmKF5zp/" class="embedly-card" data-card-width="50%" data-card-controls="0">Embedded content: https://www.instagram.com/p/B8buBmKF5zp/</a>

**Morning** 

- Probiotic + Prebiotic fiber because, she says, “gut health is important for immunity and mood.”
- Mucuna pruriens (a.k.a. dopamine bean) + [Metagenics SeroSyn](https://squareup.com/store/supernatural-cafe/item/metagenics) (for serotonin) because the combination is “good for anti-anxiety and mood support first thing in the morning.”
- High-dose [vitamin D](https://squareup.com/store/supernatural-cafe/item/vitamin-d-k) (taken with food), zinc, and vitamin A for immunity (note: while the zinc and vitamin A can be taken together, they should not be taken at the same time as the vitamin D as it may impact absorption)
- A high-fiber smoothie with astragalus, greens, fruit, and the [CAP Beauty 8AM](https://squareup.com/store/supernatural-cafe/item/cap-the-o-clocks-pm) supplement

Additionally, Robinett likes to incorporate “fresh green herbs,” like parsley, cilantro, thyme, basil, rosemary, and oregano, wherever she can. “People know oil of oregano, but that comes from oregano. You can use oregano to get those same benefits,” she shares. “Those are potent medicines. If you can eat them, juice them, put them in salads, it is really worth it.”

**Mid-Day**

- Lots of water 
- Fresh ginger (juiced or blended)
- [Pukka](https://www.pukkaherbs.com/products/organic-teas.html) teas, which she has “dumped in a big bowl” that her and her husband grab from all day long 
- Lunch, in the form of “a whole bunch of vegetables and healthy fat”

<a href="https://www.instagram.com/p/Bz_BV0UlUV-/" class="embedly-card" data-card-width="50%" data-card-controls="0">Embedded content: https://www.instagram.com/p/Bz_BV0UlUV-/</a>

If you are in need of an afternoon boost or a dash of zen, Robinett developed her [HRBLS: Everyday Endurance](https://squareup.com/store/supernatural-cafe/item/hrbls-everyday-endurance) and [HRBLS: Nerve Less](https://squareup.com/store/supernatural-cafe/item/hrbls) to offer all the potent benefits of a tincture in gummy form.

**Happy Hour**
In addition to a kava tincture, Robinett mixes some combination of herbal bitters, St. John’s Wort, damiana, nervine herbs (i.e. herbs for your nervous system like lavender, lemon balm, and oat) with sparkling water for an immune-boosting “herbal mocktail.” If you prefer something warm, she says the same ingredients can be mixed with hot water as well.

**Evening**
Like lunch, her dinner involves “a whole bunch of vegetables and healthy fat.” After-dinner, she prepares a hot tea or elixir that contains cinnamon (her go-to is the [Burlap & Barrel Royal Cinnamon](https://www.burlapandbarrel.com/products/royal-cinnamon)), [magnesium glycinate](https://squareup.com/store/supernatural-cafe/item/calm-body-magnesium-glycinate), cacao, lavender, and other nervine herbs. “Cinnamon is really good for stabilizing blood sugar,” she says. She opts for magnesium glycinate because it has all the muscle-relaxing benefits without the gastrointestinal distress. The nervine herbs, meanwhile, add an additional dose of calm before bed. “Sometimes it’s a tea. Sometimes it’s a tea, plus a tincture. Sometimes it’s a tea, plus a tincture, plus a powder,” she says of her nightcap. “It’s a layered approach.”

## **The Takeaway**
Whether you are ready to commit to a multi-step supplement routine a la Bacon and Robinett or just want to add a yoga flow to your day, tending to your mind and body is especially necessary during stressful times. “This may be the longest amount of time that many of us will not have to rush,” Robinett says of this socially distant period. “When is the last time you haven’t had to rush for weeks at a time? It’s a reminder to let things take longer if they need to.” That includes the time you take for yourself.

From light therapy to megadoses of vitamin C, two wellness experts share their tips for keeping your immune system strong and your stress and anxiety levels in check while at home.

Immune-Boosting Wellness Routines For Staying Healthy At Home 

While the chances of it happening are slim, a laceration, physical trauma, or complication from a past cosmetic surgery procedure can happen at any time. In a moment when hospitals are grappling with depleted supplies and the [spread of the coronavirus disease (COVID-19)](https://aedit.com/aedition/message-from-aedit-founder-regarding-covid-19-coronavirus-pandemic), patients might be concerned about whether or not the emergency room is their best option in the face of an unexpected aesthetic emergency. While limiting contact through social distancing is recommended, getting proper help is still possible and encouraged.

To understand the most effective methods for getting medical assistance during this time, The AEDITION spoke with two board certified providers about what to do if urgent care is needed. 

## **Is the Emergency Room the Best Option?** 
When it comes to non-aesthetic health emergencies, the ER remains the best place to seek care — especially in critical situations. But, for patients who are experiencing complications in the aftermath of a cosmetic or plastic surgery procedure, it may be best to reach out to your plastic surgeon first. 

“I would encourage people to stay away from the ER because of the many sick COVID-19 patients. That being said, the first thing the patient should do is call their plastic surgeon,” explains [Kevin Tehrani, MD](https://aedit.com/provider/kevin-tehrani-md-91), a board certified plastic and reconstructive surgeon and founder of New York’s Aristocrat Plastic Surgery & MedAesthetics. “Most plastic surgery practices will still be open for follow-up appointments and any emergencies that may have arrived as a result of their procedure.” 

The reasoning behind staying away from a hospital in this critical time is due to social responsibility on all fronts. “During a pandemic, most people will want to stay as far away from a hospital as possible, to reduce potential exposure to COVID-19 patients and also to avoid the inevitable long wait times because these places are overburdened,” explains Beverly Hills-based board certified facial plastic and reconstructive surgeon [Jonathan Cabin, MD](https://aedit.com/provider/jonathan-cabin-md-956). “In addition, many socially-minded patients may want to avoid hospitals to prevent extra patient burden when they are dealing with an onslaught of very sick patients.”

Post-op complications aren’t the only aesthetic concern that might need tending to right now. When dealing with lacerations (i.e. cuts that go through the skin and, sometimes, the muscle), Dr. Cabin explains that “there is a lot of skill that goes into not only closing up a laceration, but doing so in a way that leads to optimal healing and minimal scarring.” While many level one and level two trauma centers have plastic and reconstructive surgeons on call who can treat you, not every hospital does. 

If you have a relationship with a board certified plastic surgeon and the laceration occurs during normal business hours, you can certainly reach out and see if they would be able to treat you. But, if you don’t or the trauma occurs in the middle of the night, going to the emergency room remains a viable option.

## **If the ER Is the Only Option**
Of course, in the event of an emergency when rapid attention is required, the ER is a must. “In any true post-operative emergency – for example, sudden extensive bleeding – the best thing is to go straight to the nearest ER,” Dr. Cabin says. In an effort to get the best care and limit potential exposure to COVID-19, he recommends patients call ahead to the ER to let them know you are coming. And don’t forget to keep your plastic surgeon in the loop, too. “You should also try to alert your surgeon as to what is going on so that they can be involved in your care,” he says. “This is always the best option.”

## **Dealing With a Post-Op Emergency**
In matters of health, safety and affirmative action are vital. Dr. Tehrani advises that patients call their plastic surgeon “as soon as the trauma happens to see if they can temporarily treat themselves without leaving the house at all.” 
 
When experiencing a plastic surgery emergency during a pandemic, taking extra precautions is not just important for the patient but for the caretakers as well. If an in-person appointment is necessary, the suggested course of action is for patients to call ahead and make an appointment. “We will do a pre-screen over the phone to ensure no one is infected prior to coming into our office,” Dr. Tehrani explains. “We also advise patients to not come into the office if they are sick.”
 
Those who show no symptoms and are able to travel to the office should remember to sanitize prior to the visit. “Patients should be taking all the preventative measures before coming into our office such as [washing their hands](https://aedit.com/aedition/how-to-wash-hands-best-creams-tips-to-prevent-dry-skin), practicing social distancing, and staying at home,” Dr. Tehrani says. “As soon as the patient is seen, we advise them to wash their hands and sanitize — we have hand sanitizers in every room of our facility — and go straight home.” 

## **Dealing With an Aesthetic Emergency**
While not related to a post-op crisis, lacerations are still considered an aesthetic emergency that are best cared for by a plastic and reconstructive surgeon. “Lacerations are rarely life-threatening but are, nonetheless, considered urgent because, when not treated within a certain timeframe (usually six to eight hours), there is a higher risk of infection, [scarring](https://aedit.com/aedition/minimizing-scars-after-surgery), and – in certain locations like with the face – functional issues,” Dr. Cabin explains. “That being said, certain lacerations also involve damage to vital blood vessels, nerves, cartilage, or bone, and thus may be considered true emergencies for other reasons.”

As mentioned above, patients who have an existing relationship with a plastic surgeon can reach out to the practice directly. “Patients have the option to call a plastic surgeon, who can potentially see them in the office,” Dr. Cabin says. “Some plastic surgeons — myself included — will also offer house calls for patients who can’t or don’t want to leave their home.”

And if you don’t have a surgeon on speed dial? “Call any doctor you know and trust and ask them if they can refer you to a plastic surgeon they respect,” he suggests. “If this isn’t possible, patients can also try calling into their local emergency room or urgent care, explaining the situation, and asking for a referral.” 

## **What to Do If You Need to Leave the House**
If the situation does require a trip to the ER or a plastic surgeon’s office, here’s how to keep yourself safe and well: 

- **Only Bring One Person**: “Try to come with, at most, one friend or family member to limit the number of people and decrease chances of viral exposure,” Dr. Cabin says, adding a person exhibiting any signs of illness (think: fever, cough, aches, breathing trouble) should only be treated in an emergency room.
- **Use Protective Gear**: “If you have a mask at home, it is best to put it on before seeing the doctor to protect the doctor from potential COVID-19 infection,” Dr. Cabin explains. If you do not have a mask and cannot safely locate one, he says the doctor will likely be able to provide one.
- **Medicate Mindfully**: If you have a laceration, avoid taking taking any aspirin or NSAIDS (i.e. Advil, ibuprofen, Motrin) for pain prior to seeking medical attention, as they can cause excessive bleeding. “If you are in pain, take Tylenol,” Dr. Cabin recommends. 
- **Clean the Wound**: To ensure minimal damage is done before your visit, cover the laceration with a clean bandage ASAP. If it is a deeper cut with a lot of bleeding, Dr. Cabin says to “hold pressure with a pressure bandage or with your hand.” 

## **Staying Healthy After Your Visit**
Along with keeping everything sanitary and practicing social distancing, recovery needs to be done in accordance with [doctor’s orders](https://aedit.com/aedition/the-ultimate-guide-to-the-post-surgery-products-that-help-your-recovery). When recovering in the midst of a widespread virus, it is possible to do so with limited outside interaction. “Every patient is given careful, typed instructions and all supplies needed for care,” Dr. Cabin explains. “So, they are not required to go to the pharmacy unnecessarily.” If a patient feels that they’re experiencing symptoms of COVID-19 or have tested positive, “it is important to let the doctor know so that they can take precautions after this exposure,” he says.

## **The Takeaway** 
“Patients should know that many plastic surgeons, including myself, are here to help,” Dr. Tehrani says. “Many of our offices are still open because we are seeing follow-up patients and, therefore, have the resources to help healthy patients with their emergency aesthetic needs.” 

When dealing with an aesthetic emergency, quick thinking and rapid action are vital to prevent further damage. Taking the necessary precautions during a pandemic can be beneficial not just for the patient but for healthcare providers as well. So, while going to the ER remains a viable option, it may be avoidable in favor of a trip to the plastic surgeon — assuming you call ahead.

Although rare, lacerations, aesthetic trauma, and plastic surgery emergencies do happen. The AEDITION spoke with two board certified providers about what to do if urgent care is needed.

What To Do If You Have A Plastic Surgery Emergency

Here’s What To Do If You Have A Plastic Surgery Emergency

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