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New Hampshire Plastic Surgery Practice Introduces New Volumizing Injectable

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Dr. Richard Zeff now offers JUVÉDERM VOLUMA™ XC, the first and only FDA-approved hyaluronic acid filler for treating age-related midfacial volume loss.

Stratham, NHNew Hampshire plastic surgeon Richard L. Zeff, MD, PA has announced his practice is now offering JUVÉDERM VOLUMA™ XC as an injectable treatment option. Recently approved by the Food and Drug Administration (FDA), JUVÉDERM VOLUMA™ XC is the first and only hyaluronic acid filler approved to treat age-related volume loss in the cheeks and mid-facial region for patients 21 and over.

In a recent blog post on Dr. Zeff’s website titled, “Introducing JUVÉDERM VOLUMA™ XC,” Cindy Wrocklage, RN, CSPN, nurse injector at the New Hampshire practice, details the distinctions between JUVÉDERM VOLUMA™ XC and other cosmetic injectables, the benefits of treatment, and what patients can expect from the procedure.

According to Dr. Zeff, JUVÉDERM VOLUMA™ XC can be injected into targeted areas using a tiny needle. He says most treatments can be completed during a lunch break, typically only requiring up to 30 minutes of the patient’s time. Dr. Zeff notes results generally appear immediately after the procedure, and they can often be expected to last for up to two years.

Dr. Zeff says some aspects of JUVÉDERM VOLUMA™ XC that make this treatment unique compared to other dermal injectables on the market include:

Lifting effect – volume can be restored to deflated-looking cheeks, often resulting in a youthful, rejuvenated appearance
The only FDA-approved filler of its kind to treat mid-facial volume loss
Results are typically longer lasting – 18 months to two years after treatment

Ultimately, Dr. Zeff says this product is approved for anyone over the age of 21 who would like to nonsurgically restore age-related volume loss in the midface. He encourages those who are interested in this anti-aging treatment to consult with an experienced cosmetic surgeon and aesthetic nurse injector.

About Richard L. Zeff, MD, PA
Dr. Zeff, a board-certified plastic surgeon, earned his medical degree from the University of Miami. He completed his surgical internship at New York University Bellevue Hospital and his plastic surgery training at Loyola University Medical Center in Chicago. Dr. Zeff is a member of several respected medical organizations, including the American Society of Plastic Surgeons, the American Society for Aesthetic Plastic Surgery, and the New Hampshire Medical Society. He is available for interview upon request.

To learn more about Dr. Zeff and his practice, please visit or


Richard L. Zeff, MD, PA
137 Portsmouth Ave.
Stratham, NH 03885

Rosemont Media


Dr. Richard Zeff and our team are excited to add the newly FDA-approved JUVÉDERM VOLUMA™ XC to our list of cosmetic injectables. It is the only filler of its kind approved for age-related volume loss in the cheeks and mid-face.

Our nurse injector, Cindy Wrocklage, RN, CPSN, recently answered some common questions about this nonsurgical procedure:

Q: What would you say are the main distinctions between JUVÉDERM VOLUMA™ XC and other JUVÉDERM products?

Cindy: JUVÉDERM VOLUMA™ XC is the first and only hyaluronic acid filler approved by the FDA to correct age-related volume loss to the mid-face.

Q: What are the differences between JUVÉDERM VOLUMA™ XC and other products in general, such as Perlane-L® or Restylane-L®?

Cindy: Other hyaluronic acid fillers are used for the correction of fine lines and wrinkles. JUVÉDERM VOLUMA™ XC is better suited for large scale volumizing.

Q: What are the chief benefits of this treatment?

Cindy: JUVÉDERM VOLUMA™ XC is a true lifting filler. The aging process can cause the cheeks to flatten and sag. By using this product to replace lost volume to the cheeks, the face can be recontoured, and a more youthful curve can be restored.

Q: Who should consider JUVÉDERM VOLUMA™ XC treatment?

Cindy: Anyone over the age of 21 who feels they would like an enhanced contour and a more youthful profile to their cheeks and midface can benefit from treatment.

Q: How long does it usually take for optimal results to appear?

Cindy: Results are usually seen immediately, but it is normal to have some post-injection redness, swelling and/or bruising, which generally lasts for only a few days.

Q: Is there anything else you would like to add about JUVÉDERM VOLUMA™ XC?

Cindy: With optimal correction, results can last 18 months to two years, which is considerably longer than any of the current fillers on the market.

Contact Us for More Information

If you have any questions about JUVÉDERM VOLUMA™ XC, or if you would like to schedule a consultation, please contact us today.

Dr. Richard Zeff and Tracy Thaden Attend SkinMedica Educational Summit

Accompanied by our clinical aesthetician Tracy Thaden, Dr. Richard Zeff has recently returned from SkinMedica’s Educational Summit, an exclusive forum handpicked for outstanding aesthetic medicine practitioners. The prestigious invitation to this event acknowledged Dr. Zeff as an elite physician on a national level, and allowed our practice to learn more about the constantly evolving scientific advances within the SkinMedica line.

We are constantly committed to evaluating skin care product lines to offer the very best to patients, and SkinMedica is a line that delivers. Stop by the office to learn more, or contact us to schedule your complimentary skin evaluation with Tracy.

New Hampshire Plastic Surgeon Discusses Breast Augmentation and the Goal of “Natural-Looking” Results

Dr. Richard Zeff uses his 25 years of surgical experience to give his breast augmentation patients a natural look while minimizing postoperative discomfort.

Stratham, NH – Over the past ten years, as more studies have shown breast implants to be safe and breast augmentation has become increasingly accepted as part of our culture, Dr. Richard L. Zeff has seen his New Hampshire plastic surgery patients become more interested and comfortable with the procedure. “As my practice has grown over the last 25 years, I have seen the number of breast augmentation patients steadily increase to a current average of over a hundred per year. The majority of new patients are referrals from friends or acquaintances who were happy with their experience. There is also an increased comfort level with the safety of the procedure and the implants themselves.”

Dr. Zeff says, as breast augmentation procedures have evolved over the years, he has modified his technique and postoperative care in order for patients to achieve the best possible results with the least discomfort. For instance: during the pre-surgery consultation process, Dr. Zeff uses Mentor’s “Volume Sizing System” so that his patients can experience a variety of implant sizes. Dr. Zeff says this system allows patients to get an estimate of the breast cup with a range of sizes, and ultimately have more realistic surgical expectations for results.

In regard to the choice between saline and silicone breast implants, Dr. Zeff highlights a recent trend toward silicone gel-based implants. “While more expensive [than saline breast implants], gel implants feel more natural and are less likely to show rippling, especially in thinner patients.” The U.S. Food and Drug Administration has approved the use of silicone breast implants for breast augmentation procedures in patients aged 22 and above, and for breast reconstruction procedures in patients of any age. Saline breast implants are approved for breast augmentation procedures in patients who are 18 and over.

Regardless of implant choice, Dr. Zeff, a board-certified plastic surgeon, says his focus is always on safety, in addition to techniques that can yield the most natural-looking results and a swift recovery. “Every measure is taken to avoid a result that is too hard looking or artificial,” says Dr. Zeff. “This includes avoiding drugs that can cause complications as well as meticulous surgical methods.” Plus, all of Dr. Zeff’s breast augmentation patients receive a postoperative protocol that includes early exercises and massages to help them recover faster.

Dr. Zeff says, although it should not be assumed that implants will last a lifetime, the manufacturers have high standards of quality control. He says those standards, coupled with the skills of an experienced plastic surgeon, can lead many patients to experience very long-lasting results.

About Richard L. Zeff, MD
A graduate of Tufts University, Dr. Richard Zeff earned his medical degree at the University of Miami and is certified by the American Board of Plastic Surgery. He completed a surgical internship at New York University Bellevue Hospital, followed by his residency in general surgery in Des Moines, Iowa, and plastic surgery training at Loyola University Medical Center in Chicago, Illinois. He is a member of the American Society of Plastic Surgeons, the American Society of Aesthetic Plastic Surgery, the New England Society of Plastic and Reconstructive Surgeons, and other medical organizations. Dr. Zeff has operated his private practice in New Hampshire since 1986. He is available for interview upon request.

For more information about Richard L. Zeff, M.D., P.A. Plastic & Cosmetic Surgery, please visit: and


Dr. Richard Zeff
137 Portsmouth Avenue
Stratham, NH 03885

Rosemont Media

Summer is Calling!

Getting ready for a fabulous summer?  Be confident and carefree.  Call our office today to schedule laser hair removal!


And don’t forget to protect your skin during all that summer fun.  Unsure which sunscreen is best for your skin? Our clinical skin care specialists can help you determine which are your must have products for keeping your skin healthy and free from the damaging effects of the sun.

Stay tuned- we’ll soon be sharing news about an exciting event we’re hosting this summer!

May Is Skin Cancer Awareness Month!

Did you know that 1 in 5 Americans will develop skin cancer in their life? Protect yourself with these helpful tips from The Skin Cancer Foundation. Whether you’re looking to protect your skin or help reverse the damaging effects of the sun, visit our Skin Care page and learn more about the treatments and products we offer.  Or even better, call our office today at (603) 775-7444 to schedule a consultation with Dr. Zeff or one of our certified, experienced clinical aestheticians.

Congratulations Tracy Thaden!

 We are truly honored that, while attending the 19th Annual International meeting of the “Society of Plastic Surgical Skin Care Specialists” in New York, our very own Clinical Esthetician and Medical Assistant, Tracy Thaden, was one of the few estheticians selected from across the country to serve on the  ’SkinMedica’ product Advisory Board.




Always in the know to keep you in the GLOW!!

New Hampshire Plastic Surgeon Offers Advice on Selecting a Plastic Surgeon

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New Hampshire plastic surgeon Dr. Richard Zeff highlights useful guidelines for choosing the right plastic surgeon for one’s cosmetic surgery procedure.

Stratham, NH — According to Dr. Richard Zeff, a board-certified plastic surgeon in New Hampshire, taking time to select the right plastic surgeon for one’s cosmetic procedure plays an important role in achieving optimal results. Dr. Zeff recommends that, whenever possible, the patient should seek the opinion of other healthcare professionals. At the very least, however, he urges patients to ensure that their plastic surgeon is certified by the American Board of Plastic Surgery.

During consultation, Dr. Zeff says a plastic surgeon should be open to questions and provide detailed information about the treatment or procedure in which the patient is interested. He notes, “Videos are helpful, and an enthusiastic staff is encouraging, but patients must interact and feel comfortable with the surgeon in whom they are placing substantial trust. There is no substitute for meaningful time with the plastic surgeon.”

In reference to how he conducts his consultations at his New Hampshire plastic surgery practice, Dr. Zeff says: “Over the years I have tried to find a format that suits everyone. I like to start by giving a description of the procedure, highlighting what I have learned from other patients over more than twenty five years as a plastic surgeon. After examining the patient, I then answer as many questions as possible. I have found that in this way I can explain both what I feel is important, and what the patient wants to know. This detailed process also gives us both an excellent opportunity to evaluate each other.”

The New Hampshire plastic surgeon goes on to say that if patients are not fully confident following their consultation, the best option is to seek additional consultations from other plastic surgeons. This will offer patients the opportunity to learn more and have a better basis for comparison.

Dr. Zeff stresses that patients should take ample time to select the best surgeon for their needs. He says that plastic surgery – be it a surgical procedure like breast augmentation or a nonsurgical treatment like laser skin resurfacing – is a major decision that should not be taken lightly. The right plastic surgeon, he adds, is at the core of this decision and is vital to achieving one’s overall cosmetic goals.

About Richard L. Zeff, MD

Dr. Richard Zeff is a graduate of Tufts University and earned his medical degree at the University of Miami. He is certified by the American Board of Plastic Surgery and is an active member of the American Society of Plastic Surgeons, the American Society for Aesthetic Plastic Surgery, and the New England Society of Plastic and Reconstructive Surgeons. He is dedicated to providing New Hampshire and beyond with a comprehensive variety of cosmetic procedures ranging from breast augmentation and liposuction, to facelift surgery and laser skin resurfacing. Dr. Zeff is available for interview upon request.

Lytera Skin Brightening – Now Available

It’s new and it’s here! Introducing Lytera, the latest scientific breakthrough to lighten and brighten your skin just in time for spring. Contact us today to reserve yours!

FAQ: “In what order do I apply my products?”

A balanced lifestyle, careful cleansing, and appropriate hydration lead to healthy, glowing skin. Choosing the right skin care products requires careful consideration by you and your skin care professional.

A frequently asked question is “In what order do I apply my products?”

Applying products in proper sequence allows for optimal performance of your skin care products.

1. Cleanse

Cleanse the skin a.m & p.m. Cleansing is a vital starting point. Your cleanser must be effective yet gentle. Avoid cleansers that strip away the skin’s protective lipids and actively inflame the skin. Skin Cleansers help to remove dirt, excess sebum, bacteria, cosmetics and exfoliate surface skin cells.

2. Tone

Apply toner a.m & p.m. Toners prepare the skin for hydration. Toners restore the natural PH balance of the skin, reduce excess oil and help minimize large pores.

3. Serums

Your skin care regimen may call for more than one Serum. Serum helps combat redness and fine lines. Composed of molecules much smaller than those in a moisturizer, a serum is absorbed into the skin quickly and more deeply for a more intensive effect. Think of serums as a multi-vitamin for your skin nourishing, enhancing and boosting its performance.

4. Eye Treatment

If your skin care regimen includes an eye treatment, it should be applied after your serums and before your moisturizer a.m & p.m. The skin around the eyes is very delicate, thin and susceptible to damage. Consequently, it’s also one of the first places we see changes.

5. Hydrate and Protect

Using products that are specific to your skin type allows you to hydrate and protect the skin a.m & p.m. As we age, the skin tends to become drier, gradually losing its ability to retain moisture. Skin that is kept well moisturized has a healthy glow, and remains soft and supple.

6. Sun Protection

It is essential for everyone to include a SPF15 or greater sunscreen with UVB and UVA protection as a final step in your morning routine and to re-apply product as necessary throughout the day, especially with prolonged exposure to the sun. Ultraviolet, (UV), causes skin damage resulting in hyperpigmentation, age spots, wrinkles as well as skin cancer.

Contact us today to schedule a consultation with our plastic surgeon serving New Hampshire (NH), Maine, Vermont, and all of New England.

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