Introduction
New York City, a bustling metropolis, is home to a plethora of medical professionals, including those specializing in ankle - related treatments such as ankle replacement and ankle laser lipolysis. In this comprehensive article, we will explore the rankings of doctors in these fields and also touch upon the charging standards for ankle laser lipolysis. We'll refer to top Google search results to provide accurate and reliable information to help you make informed decisions about your ankle - related healthcare needs.
Best Doctors for Ankle Replacement in New York City
Overview of Ankle Replacement Doctors
Healthgrades has identified a significant number of doctors who perform ankle replacement in New York City. In New York overall, 931 doctors perform this procedure, with an average rating of 4.1 stars. In Brooklyn specifically, there are 2083 doctors who perform ankle replacement, also with an average rating of 4.1 stars.
Top - Rated Doctors in New York
Here are some of the top - rated doctors for ankle replacement in New York City:
Doctor's Name | Rating | Location |
---|---|---|
Dr. Constantine Demetracopoulos, MD | 3.90 out of 5 stars | 535 E 70th St, New York, NY 10021 |
Dr. Scott Ellis, MD | 4.40 out of 5 stars | 535 E 70th St, New York, NY 10021 |
Dr. Jonathan Deland, MD | 4.00 out of 5 stars | 535 E 70th St, New York, NY 10021 |
Dr. Daniel Polatsch, MD | 4.20 out of 5 stars | 210 E 64th St fl 5, New York, NY 10065 |
Dr. Paul Cagle, MD | 4.70 out of 5 stars | 300 Cadman Plz w # 1301, Brooklyn, NY 11201 |
Dr. Charles Jobin, MD | 4.80 out of 5 stars | 51 West 51st Street, New York, NY 10019 |
Dr. Vipul Patel, MD | 4.90 out of 5 stars | 263 7th Avenue, Brooklyn, NY 11215 |
These doctors have a significant number of past patient ratings, which indicates their experience and the trust patients have placed in them. For example, doctors with at least 28 or more past patient ratings in New York and at least 3 or more in Brooklyn can be considered to have a good track record.
Top - Rated Podiatrists in New York City
Renowned Podiatrists in Manhattan
Dr. Rimawi and Dr. Patel are among the most renowned podiatrists in New York City. They focus on foot deformities, bony bumps such as bunions, and sports - related injuries. Their expertise lies in minimally invasive bunion and hammer toe surgery, and they place importance on both functionality and an aesthetically pleasing result with minimal to no visible scarring.
Patients have given them excellent reviews. For instance, patients have described Dr. Rimawi as courteous, professional, and very knowledgeable. They appreciate how he spends ample time with patients, explains things simply, and is very reassuring about their concerns. Dr. Patel is also highly recommended as an excellent doctor and talented surgeon with a wonderful bedside manner.
How to Find the Best Podiatrist
If you're looking for the best podiatrist in New York City, here are some tips:
- Reach out to friends and family for recommendations. Personal referrals can be a great way to find a trusted doctor.
- Search online for “best foot doctor near me,” “best podiatrists near me,” or “top podiatrists near me.” Reading online reviews can give you an idea of other patients' experiences.
- Schedule consultations with potential podiatrists to get to know their practice and see if you feel comfortable with them.
Ankle Laser Lipolysis in New York City
What is Ankle Laser Lipolysis?
Ankle laser lipolysis is a cosmetic procedure used to remove stubborn fat from the ankles and calves. Stubborn fat in these areas is often difficult to resolve through diet and exercise alone. The FDA - approved minimally invasive Smartlipo Triplex workstation is commonly used in this procedure. It features three laser wavelengths (1064 nm, 1320 nm, and 1440 nm) and comes with intelligent delivery systems such as SmartSense™, ThermaGuide™, and ThermaView™ that promote patient safety by preventing over - treatment.
Who is a Good Candidate for Ankle Laser Lipolysis?
Adults who meet the following criteria are eligible for the laser liposuction procedure:
- Have bulky calves and thick and poorly defined ankles
- Have significant localized fat deposits in specific regions of the calves such as the lower lateral fibular, medial tibial, or the ankle area
- Have circumferentially heavy legs or legs that are fat as a whole
- Pinch test results should be higher than the minimum 2 cm in the calves and 1 cm in the ankles
- Be between 20 – 30 years of age and healthy
- Have realistic expectations about what liposuction can achieve
- Have good skin tone and skin elasticity with no sun damage or sagging
- Have a positive outlook and realistic expectations
The procedure is not recommended for people with a history of hyper - coagulation, including deep venous thrombosis or thromboembolic events, signs of a tendency toward venous insufficiency and edema, larger lower extremities secondary to hypertrophy of muscle tissue, or active phlebitis.
Benefits of Ankle Laser Lipolysis
There are several benefits associated with ankle laser lipolysis:
- High - definition body sculpting: It can help in achieving well - shaped, slimmer legs by precisely targeting and removing fat deposits.
- Short treatment time: Compared to some traditional surgical procedures, the treatment time is relatively short.
- Reduced downtime: Most patients are able to return to normal daily activities within 1.5 days.
- Less bleeding and bruising: The laser energy helps in coagulating blood vessels, resulting in less bleeding and bruising during and after the procedure.
- Proven skin tightening effects: It encourages the production of collagen, which provides excellent skin tightening effects. This helps in avoiding the loose skin that can sometimes occur after fat removal.
- Outpatient procedure under local anesthesia: The procedure is performed under local anesthesia, and patients can go home the same day, reducing the stress and cost associated with a hospital stay.
Charging Standards for Ankle Laser Lipolysis
Determining the exact charging standards for ankle laser lipolysis in New York City can be complex as it depends on various factors:
- Clinic Reputation: Well - known and highly - regarded clinics may charge more due to their reputation for quality and safety.
- Surgeon's Experience: Experienced surgeons who have performed a large number of ankle laser lipolysis procedures may charge a premium for their skills and expertise.
- Extent of the Procedure: If more fat needs to be removed or if additional areas of the leg are being treated in conjunction with the ankles, the cost will be higher.
- Technology Used: Clinics using the latest and most advanced laser technology may charge more than those using older equipment.
On average, the cost of ankle laser lipolysis in New York City can range from a few thousand dollars to over ten thousand dollars. It is important to consult with multiple clinics and surgeons to get accurate quotes and understand what is included in the price, such as pre - operative consultations, the procedure itself, post - operative care, and any follow - up appointments.
Mechanism of Laser Lipolysis
Proposed Mechanisms of Action
Goldman proposed that two properties must be considered in determining the efficacy of laser lipolysis given a particular device: wavelength and energy delivered. Different wavelengths, including 924, 968, 980, 1064, 1319, 1320, 1344, and 1440 nm, have been evaluated for interactions within the subcutaneous compartment.
Some authors have suggested that certain wavelengths lead to superior lipolysis. For example, the 924 nm wavelength has the highest selectivity for fat melting, but may not be as effective for skin tightening as other modalities unless combined with another wavelength. The 1064 nm wavelength has good tissue penetration but relatively low fat absorption, and its heat distribution can contribute to skin - tightening. The 1320 nm wavelength demonstrates greater fat absorption with less tissue penetration and scatter, making it potentially safer for treatment around more fragile areas.
Photoacoustic, photo mechanical, and photothermal effects are additional theorized mechanisms of action in laser lipolysis. However, heat is considered the primary stimulant for lipolytic and skin - tightening effects. An internal temperature between 48 and 50 °C must be reached for collagen denaturation and subsequent skin tightening, while external temperatures between 38 and 41 °C are identified as safe and efficacious.
Advantages and Disadvantages
Advantages
- Fast patient recovery: Most patients can return to normal daily activities quickly, often within 1.5 days.
- Reduced postoperative pain, ecchymoses, and edema: Coagulation of blood and lymphatic vessels helps in minimizing these issues.
- Safety: The safety of laser lipolysis has been well - documented, with a low rate of systemic adverse events and a relatively low touch - up rate compared to traditional liposuction.
- Skin tightening: It has a well - established skin - tightening effect, which continues to improve over several months due to neo collagenesis.
Disadvantages
- Inadequate for large areas: Laser lipolysis alone may not be sufficient for large - scale fat removal, and many surgeons consider it an adjunctive treatment to liposuction.
- Difficulty in depth perception: The flexibility of the laser fiber cannula can make it difficult for surgeons to perceive the exact depth in the tissues.
- Thermal injury risk: There is an inherent risk of thermal injury due to the narrow window between heat accumulation that denatures and stimulates collagen and dermal - epidermal burns.
- Increased procedural time: When combined with suction aspiration, the procedural time can be longer, although the liquefaction of adipose tissue may make fat removal easier.
- High equipment cost: The cost of the laser equipment can be over $100,000, which may be a barrier for some physicians.
Ankle Treatment Options at Mount Sinai
Non - Surgical Treatments
Mount Sinai orthopedic specialists and podiatrists approach each foot and ankle condition by developing a personalized treatment plan. For non - surgical treatments, they typically recommend the following:
- Ice packing and rest: Useful for simple ankle sprains and strains, stress fractures in the toes, and other injuries.
- Medications: Such as non - steroidal anti - inflammatory drugs or cortisone injections to reduce pain and inflammation due to arthritis or bunions.
- Foot taping or padding: Protects the affected area, like bunions and heel pain.
- Physical therapy (PT): Focuses on reducing pain by strengthening feet and ankles through exercise. It also helps with arthritis and ankle instability, especially after orthopedic surgical procedures.
- Splinting, bracing, or casting: Provides support for sprains, strains, fractures of the ankle or foot, and other injuries.
Surgical Treatments
If a surgical procedure is deemed necessary, the orthopedic surgeons at Mount Sinai use minimally invasive arthroscopy whenever possible. They perform advanced surgical procedures, including:
- Arthroscopic surgery: To examine the condition with a tiny camera or repair damaged tissue.
- Fracture management: To relieve pain, prevent further injury, and remove any injured tissue causing pain.
- Nerve release / reconstruction: To relieve pressure on the nerve.
- Tendon release / reconstruction: To decrease tension on the tendon and allow the muscle to move freely.
- Total ankle replacement: For severe ankle conditions.
Integrated Care
Mount Sinai foot and ankle orthopedic surgeons work closely with other medical specialists, including anesthesiologists, specialty nurses, rehabilitation therapists, social workers, and pain management physicians. They also consult with specialists in cardiology, geriatrics, hematology, nephrology, pulmonology, and rheumatology as needed to ensure the best possible outcome for patients.
Conclusion
In conclusion, New York City offers a wide range of medical expertise for ankle - related treatments, whether it's ankle replacement, podiatry services, or ankle laser lipolysis. When it comes to ankle replacement, there are numerous highly - rated doctors, and patients can choose based on their ratings, location, and experience. For ankle laser lipolysis, it is a promising cosmetic procedure with specific patient eligibility criteria and various benefits, but it also has its limitations and cost - related considerations.
Whether you are considering a medical treatment for a foot or ankle injury or a cosmetic procedure, it is crucial to do thorough research, consult with multiple professionals, and have realistic expectations. If you have more questions or are ready to explore your ankle - related treatment options, reach out to the recommended doctors in New York City or consult with local medical clinics. Share this article with others who may benefit from this valuable information and continue your journey towards better ankle health and aesthetics.