Broad based practice of cosmetic and reconstructive surgery
Facial cosmetic, rhinoplasty, breast all aspects including revision breast surgery, body contouring, Vaser liposuction
Education and Training
George Washington University
Mechanical Engineering 1978
University of Michigan Medical School 1981
American Board of Plastic Surgery - Plastic Surgery
Plastic SurgeryAmerican Board of Plastic SurgeryABPS
Dr. Roger J. Friedman M.D.'s Expert Contributions
What to expect after a facelift? In my practice my patients leave my surgery center in a bulky dressing serving two purposes. It is intentionally bulky to get in your way and limit your neck motion and secondly to apply gentle pressure. The most common post operative complaints are soreness around the ears, the location of the incisions, and tightness in the neck as those muscles are tightened during the surgery. Soreness take a pain pill, tightness take a muscle relaxant. The dressing is changed the day after surgery and a similar one are applied which is then removed on day 4 with your sutures. On day 8 you return for a quick check by me and for makeup. You will be presentable with makeup at 8 days and doing well at one month. You will have numbness of your cheek for a period of months. As the numbness resolves, you will experience itching. Roger Friedman, MD READ MORE
Nasal surgery is incredibly safe. An operation I perform weekly. I prefer to do this procedure with you completely asleep. This is not a painful operation. The most common complaints are a stuffy nose due to swelling inside forcing you to breathe out of your mouth making your mouth and lips dry. Roger Friedman, MD READ MORE
Calf augmentation is not unhealthy. There are two ways this can be accomplished: using your own fat or the placement of calf implants.The calf implants are designed to mimic the two heads of the gastrocnemius muscle. That said, you will need two implants per leg. Out patient surgery either way. Roger Friedman, MD READ MORE
Nasal surgery is not a painful operation. The most common complaints are "stuffy nose" from swelling inside the nose and a "dry mouth" as you are forced to breath out of your mouth, like having a bad cold. Saline nasal spray and Afrin (no more than twice a day and no more than 5 days) may be helpful for the stuffy nose and vaseline on your lips and drink a lot of liquids for the dry mouth. Roger Friedman, MD READ MORE
As long as you are healthy and you are being treated by a board certified Plastic Surgeon, the procedure should be extremely safe READ MORE
This is a very straight forward operation which I perform on a regular basis taking an hour to an hour and a half, out patient with a several day recovery. Results are great and recovery uneventful. Exercise is limited during the first two weeks. READ MORE
Contact your plastic surgeon. There is an eye drop which can help counteract the Botox effect in your lid opening mechanism, READ MORE
The only non-surgical way to address breast asymmetry is a bra. I am sorry your friend's experience seemed so long, it shouldn't have been. I would reconsider a breast reduction of the larger size unless you prefer that size than you may need a lift on the larger size and an augmentation on the smaller. I routinely perform intercostal nerve blocks at the time of breast reduction, after you are asleep. This involves injections of a long acting local anesthetic along the ribs, anesthetizing the nerves to the breast. You then get less narcotics during the procedure and less chance of nausea post-operative. You then require less pain medicine after the procedure and are more active sooner. Often, my patients will drive themselves to their visit on day 4. Return to work is typically at approximately one week and at most 1 1/2. Exercise is gradually resumed at 2 weeks. Roger Friedman, MD READ MORE
First, congratulations! You have lost a whole person! In light of the amount of weight you have lost, sight unseen in all likelihood you will need to have that excess skin excised in the form of a tummy tuck and brachioplasty (arms). The scars for the most part can be hidden based on the design of the procedures. Roger Friedman, MD READ MORE
The first question is, what is the position of your eyebrows? If your eyebrows are low, they contribute more skin to your upper lids. If that is the case, you need a brow lift. If the brows are above the rim of your eye and there is still extra skin, then you need that upper lip skin removed. Either procedure is outpatient. Roger Friedman, MD READ MORE
Weight loss after liposuction is a bonus. The goal of liposuction is to improve contour. Vaser/ultrasonic liposuction does provide a component of skin tightening. It does not replace skin removal if the skin excess is significant. Liposuction enables the surgeon to selectively remove fat in areas where you are having a difficult time with weight loss alone. READ MORE
Without evaluating your nose, it is difficult to say to what degree improvement is realistic. Typically, asymmetries can be corrected through a combination of removing a hump if present, braking the nose to provide alignment, and cartilage grafts to address asymmetries. READ MORE
I leave nasal splints on for 4-5 days. They serve two purposes: protection and help to minimize swelling. Roger Friedman, MD READ MORE
I have a scar because of a fall from when I was a kid. Can the mark be cleared through a cosmetic surgery?
It cannot be eliminated but it may be able to be minimized by a scar revision performed under local anesthesia. READ MORE
First, Breast Reduction patients are some of my happiest patients. I have never had a person regret having a breast reduction only regret waiting so long. Risks may include: infection, bleeding, scars, sensory changes of the nipple, asymmetry, need for revision and depending how the procedure is performed might impact on the ability to breast feed (this is procedure dependent). READ MORE
Breast augmentations are safe and as far as healing the incision is typically limited to 3cm. I would want your sugar to be under control and would anticipate no issues. READ MORE
For girls, I wait until one year after you start your menstrual period. For boys, once they are well into puberty, usually around 15. READ MORE
Tummy tuck can have three components: skin removal, fat removal and muscle tightening. You may need all or some of the above. This is determined at your consultation. Depending on the extent of your procedure will determine the discomfort. There are multiple factors that can help to minimize the discomfort: oral medications for pain and tightness, abdominal wall blocks (TAP blocks) and pain pumps which provide local anesthesia for several days. READ MORE
Not the simplest of questions. The first is the location and the second the orientation. You will have a scar, but these factors play a role. All scars are initially red and raised. Massage, time, and sunscreen will help to give you the best scar. If in spite of this the scar does not heal to your satisfaction, a scar revision could be considered. This is typically performed with local anesthesia. READ MORE
There are two factors which can contribute to discomfort associated with a tummy tuck: muscle tightening and liposuction. Abdominal wall blocks called TAP blocks help to minimize the discomfort as do pain pumps. Many physicians are providing oral medication prior to the procedure which also seems to help: gabapentin and tylenol. READ MORE
First question is what kind of work do you do? If raising your arms above your head or extensive lifting that would take longer. Otherwise, you should be back to work within 4 or 5 days. READ MORE
Depending on the extent of the procedure, it may be 2 hours or more. READ MORE
In all likelihood you will have stitches. They can be covered with neutral colored tapes, which will help to hide the stitches. A day after the stitches are removed, I allow my patients to apply makeup. Roger Friedman, MD READ MORE
My daughter is 4 years old and has burnt her hand by dropping hot water. Is skin grafting recommended for her considering age?
This would depend on the extent of the burn. If it is first or second degree, it should heal uneventfully with dressing changes. If deeper, it may require a skin graft. This could be determined at pathetic time of a physical examination. Please call my office to schedule a consultation. Roger Friedman, MD READ MORE
Areas of expertise and specialization
Faculty Titles & Positions
- George Washington and Georgetown Universities, Clinical Faculties -
- Clinical Faculty George Washington University
- Clinical Faculty Georgetown University
- Skin Cancer
- Breast Cancer
- Univ Of Mi Hosps & Hlth Ctrs, Plastic Surgery; Univ Of Mi Hosps & Hlth Ctrs, General Surgery
- University of Michigan Program
- University of Michigan (General and Plastic surgery)
- Facial cosmetic, rhinoplasty, breast cosmetic and reconstructive and body contouring including VASER liposuction
- University of Michigan
- Hand, Microvascular, Cosmetic and Breast Surgery Fellowships in Honolulu and San Francisco
Professional Society Memberships
- American Society of Plastic Surgeons, American Society of Aesthetic Plastic Surgery
What do you attribute your success to?
Developing relationships with my patients, listening to their concerns, educating the patient with regard to the procedure of interest and then presenting options and goals. Computer imaging is often used to assist in this education process.
Teaching and speaking
November, 2012 guest lecturer at the 1st Kuwait Aesthetic Meeting in Kuwait
Topics presented: Augment Mastopexy
Rhinoplasty with Spreader Grafts
Rhinoplasty with Goretex Grafts
Combining Abdominoplasty, Breast Surgery and Liposuction as an outpatient procedure
Favorite Place to Vacation
Hobbies / Sports
- Sailing, Snow Skiing, tennis and bicycling
Favorite professional publications
- Journal of the American Society of Plastic Surgery
- Sibley Hospital
- Suburban Hospital
- Shady Grove Hospital
Dr. Roger J. Friedman M.D.'s Practice location
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Patient Experience with Dr. Friedman
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Few things in the medical procedures world are risk free. If you factor in human error, bad judgment on the side of the patient and the surgeon, you get potentially bad results that could result in someone regretting the decisions made.Plastic surgery is not risk free. It carries its own risks and...
- Everything You Need to Know About Blepharoplasty
What is blepharoplasty?Sometimes known as eyelid surgery, blepharoplasty is a delicate surgical procedure performed on the eyelids. Its purpose is to improve the general appearance of the upper and lower eyelids. It can, therefore, be categorised as a plastic or cosmetic surgical operation. All...
- Thinking About Getting a Nose Job? Here is What You Need to Know
What is it? Rhinoplasty, commonly known as a nose job, is a surgical procedure done to reshape the nose to improve its appearance. This is a cosmetic surgery done for people who are unhappy with the way their nose looks, or to correct certain deformities which resulted from injuries to their nose...
- Botox May Take Away Your Facial Expressions
People who receive Botox injections eliminate the ability to have clear facial expressions, according to a new study published in, Social Psychological and Personality Science. According to the American Society for Aesthetic Plastic Surgery, Botulinum Toxin Type injection was the most common form...
- How is Laser Skin Resurfacing Useful?
Laser resurfacing is a cosmetic procedure that removes layers of the skin, and allows new skin to take its place. The new skin is supposed to look more youthful. In this technique, a short pulsating stream of laser is focused on the uneven skin. It is also known by other names including laser peel,...
- Reasons Why You Would Need Plastic Surgery
Plastic surgery is a choice made by a person who wants to look different, feel different, or just show off the new and improved version of him or herself. Most people have different reasons for undergoing plastic surgery.Sometimes one needs to see a psychiatrist before undergoing plastic surgery,...
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