Diana Ponsky
84 statements · 3 topics · summaries given as host listed separately
Featured statements
I don't see it doing major harm, except for some of those IV infusions. You, we got to be careful of those IV infusions that have peptides and growth factors and things to make sure that they're compatible with your system.
within 5 years, 30% of our collagens deplete. And then it's, yes, in the 5 years around, yes, menopause, 30% of our collagen will deplete, and then 2% each year thereafter.
As people lose weight rapidly, they're seeing it in their faces the most. They become a little more gaunt, a little more, you know, um, hollow looking.
quote ·
Head and Neck Cancer
In open rhinoplasty, a small incision is made in the columella (the tissue between the nostrils) along with strategically hidden internal incisions, allowing the skin to be lifted to access and rebuild the underlying cartilage and bone.
Patients are seeking procedures earlier for two main reasons: increased awareness of skincare due to social media among millennials and teens spreading to whole households, and rapid aging effects from Ozempic weight loss.
clinical ·
Head and Neck Cancer
Post-trauma rhinoplasty is more complex than elective rhinoplasty because traumatic fractures are uncontrolled and can result in completely different shattering patterns compared to controlled surgical fractures.
Nothing matches these filters — clear the search or widen the filters.
Diana's statements about Facial Rejuvenation: Surgical & Non-Surgical Approaches 25 statements
Open the Facial Rejuvenation: Surgical & Non-Surgical Approaches collection →
11. Perimenopause: Facial Plastic Surgery with Dr. Diana Ponsky
Statement
Facial aging involves skin laxity, facial volume loss, jaw shortening and masculinization, and brow flattening (loss of arch)
Open
Quotation
within 5 years, 30% of our collagens deplete. And then it's, yes, in the 5 years around, yes, menopause, 30% of our collagen will deplete, and then 2% each year thereafter.
Open
Statement
Within 5 years around menopause, 30% of collagen depletes, followed by 2% annual loss thereafter
Open
Quotation
it's almost like a switch that you, like, one day notice, oh my. Gosh, my skin is not the same, you know, glowy skin that it used to be, and things are sagging.
Open
Quotation
if I had an identical twin and I didn't do all the things, good skincare, good sunblock, all that, and my twin did, we would look like 10 years different after a certain number of time had passed.
Open
Statement
Starting hormone replacement therapy earlier is a game changer for preventing facial aging changes
Open
Statement
Smoking contributes to lip line formation; repeated motions from straw use also contribute
Open
Statement
Smoking cessation is required 4 weeks before and 4 weeks after facial surgery for optimal healing
Open
Statement
Fillers are volumizing agents that do not lift tissue; they can create an illusion of lifting through sufficient volumization
Open
Statement
Fillers can infiltrate into muscle fibers, restricting movement and distorting facial function
Open
Quotation
It's infiltrating into those muscle fibers and so it's not allowing adequate room for movement.
Open
Statement
Collagen supplements provide building blocks but do not directly translate to collagen production in the body; there is no proven direct correlation or direct science supporting supplement claims
Open
Quotation
Just because you throw extra tires at it, doesn't mean that it's gonna make itself into a car with four wheels. It's just a building block of what you need to make collagen.
Open
Quotation
I don't see it doing major harm, except for some of those IV infusions. You, we got to be careful of those IV infusions that have peptides and growth factors and things to make sure that they're compatible with your system.
Open
Quotation
someone who is blonde, blue-eyed will age faster from a skin standpoint, but Their bony health would be better than a Asian.
Open
Statement
Blonde, blue-eyed individuals age faster from a skin standpoint but have better bony health than Asian individuals
Open
Quotation
osteoporosis also happens in the facial bones. So the jaw bones around the nose, certain things.
Open
Statement
In Asian individuals, jaw and chin recede faster due to bony changes than soft tissue changes
Open
Statement
Blonde, blue-eyed individuals develop etched lines faster even with optimal sunscreen use, but their cheekbones and jawbone withstand time better than Asian individuals
Open
Statement
Subtherapeutic minoxidil can be used preventively to curb hair loss associated with hormonal changes
Open
Diana's statements about Head and Neck Cancer 37 statements
Open the Head and Neck Cancer collection →
Surgeon Diana Ponsky: Wrong Labels and Winning Despite Them with Linda Kreter
Statement
Dr. Ponsky's family left Vietnam due to war, paying their way on a boat and traveling to Indonesian islands before coming to the United States with help from Catholic agencies.
Open
Statement
The family settled in Allentown, Pennsylvania where Dr. Ponsky's parents worked at Dunkin' Donuts and restaurants.
Open
Statement
Dr. Ponsky learned English primarily through reading after-school stories and Nancy Drew novels.
Open
Statement
Dr. Ponsky initially wanted to do pediatrics in medical school but eventually chose plastic surgery after working two years at the VA.
Open
Statement
At the VA, Dr. Ponsky treated veterans for head and neck cancer and broken noses, which led her to fall in love with the field of plastic surgery.
Open
Statement
Thinking you can change things is more positive and actionable than adopting a victim mentality where you have no ability to affect outcomes.
Open
Quotation
I think thinking that you can change things is a more positive or it's something I can do, right? Something that I can affect. So if I'm the victim, that means I have no ability to to change things, and it's done to me, whereas like if I think that, listen, I can, you know, find solutions out of it.
Open
Quotation
Labels are really interesting. Like once you call a kid shy, they think they're going to be shy forever, right, because they're labeled that way.
Open
Statement
Labels can become self-fulfilling: once you call a child shy, they think they're going to be shy forever.
Open
Quotation
I was different and I'm OK with being different. And, you know, I, um, sometimes work hard to be different.
Open
Statement
The current generation is much more proactive about experiences and more accepting of differences in people.
Open
Statement
Gender differences are more easily accepted now, and mixed-race children don't see color the way previous generations did in grade school.
Open
Statement
Increased exposure through travel and awareness of global differences has made diversity more the norm.
Open
Statement
The younger generation will look at something and if it says no, they won't even try, rather than asking and attempting.
Open
Quotation
Well, then you, you definitely will not make it if you don't try out. But if you do try out, you may make it or you may not.
Open
Quotation
If you decide that you can't do something, then for sure you can't do something. But if you decide that you're, you know, definitely want to do something, you're definitely gonna try and that you can do it, then, you know, you're, you will move the needle.
Open
Quotation
It was restoring their normalcy of life, like letting them forget somewhat, the results or the afflictions of the war.
Open
Statement
Domestic abuse victims have similar psychological needs as war veterans, not wanting to be reminded of periods when they were suffering, though the scale is different.
Open
Quotation
It's just a restoration of what they used to have, what they remember themselves to, to be.
Open
Statement
Invisible injuries like concussive injuries and PTSD are often more impactful than visible injuries but don't show unless you specifically look for or question about them.
Open
Statement
Some patients seek plastic surgery to satisfy self-esteem or confidence issues, looking for perfection which is often unachievable.
Open
Statement
Patients seeking to restore their outside to match how they feel inside (because people are feeling healthier and living longer) have more achievable goals.
Open
Statement
Patients who feel something is incongruent with their faces (like the nose) and have real reasons for it also have achievable goals.
Open
Statement
Dr. Ponsky is not equipped to treat invisible motivations like perfection-seeking that would make patients into different people than what they are.
Open
Quotation
I'm not equipped to, to, to treat all the invisible, um, motivations, the, the perfection, achieving, you know, things that, that make them a different person than what they are.
Open
Quotation
People see things on social media, they are expected to look a certain way, they're looking for the perfection portrayed in, in these by these influencers, half of which are not necessarily uh real or truthful.
Open
Statement
People see filtered images on social media and seek perfection portrayed by influencers, half of which are not real or truthful.
Open
Statement
Remote work has increased demand for plastic surgery because people want their in-person appearance to match the filtered images they portray online.
Open
Quotation
They have a filtered image of themselves that they're putting out and And when we reassimilate back into a society where we are, uh, in person, um, a lot of people wanted to go and meet it to become these entities that they were portraying online with filters.
Open
Statement
Patients are seeking procedures earlier for two main reasons: increased awareness of skincare due to social media among millennials and teens spreading to whole households, and rapid aging effects from Ozempic weight loss.
Open
Statement
Ozempic has brought rapid facial aging to the forefront; as people lose weight rapidly, they see it most in their faces, becoming more gaunt and hollow looking.
Open
Quotation
As people lose weight rapidly, they're seeing it in their faces the most. They become a little more gaunt, a little more, you know, um, hollow looking.
Open
Statement
The stigma around cosmetic procedures is fading as society accepts that people do things to better themselves, including losing weight and dressing better.
Open
Quotation
We're accepting that we do things to better ourselves, to lose weight, to dress better, and all that.
Open
Statement
Surgical results depend on what patients are made of—their existing bone structure, cartilage, and skin type—not on custom design like a car.
Open
Quotation
You, you can't just design it. It comes with what you're made of, what bones you have, what cartilage you have, what type of skin you have.
Open
Diana's statements about Practice Management & Professional Development 22 statements
Open the Practice Management & Professional Development collection →
Dr. Diana Ponsky
Statement
In emergency rooms at hospitals, one of the standard screening questions for most patients is 'do you feel safe in your home?'
Open
Statement
Double board certification in facial plastic surgery means completing standard otolaryngology training (head and neck anatomy, cancer resections, sinus surgeries, tonsillectomies) plus an additional year specializing in cosmetic and reconstructive facial procedures.
Open
Statement
Rhinoplasty has both functional components (breathing) and cosmetic components, and these can be addressed together in reconstructive cases.
Open
Statement
The nose is the one facial feature that should not be noticed; when it is noticed, it's because it doesn't match the rest of the face.
Open
Statement
In rhinoplasty, the internal nasal structures must be optimized first because the inside influences the outside; if internal congestion and swelling are not addressed, external swelling takes longer to resolve.
Open
Statement
Through the Face to Face program, surgeons see patients only after they have completed their journey with mental health experts and have fully extricated themselves from the abusive situation.
Open
Statement
Emotional healing from domestic violence is never completely done; survivors still experience pain when recounting their stories even years later, though it may lessen with time.
Open
Statement
The most common facial injury from domestic violence is a broken nose, as it is the easiest bone to fracture and is positioned prominently.
Open
Statement
Other common facial injuries from domestic violence include jaw injuries, eye socket (orbital) fractures, dental injuries, and soft tissue injuries such as lacerations from objects.
Open
Statement
Post-trauma rhinoplasty is more complex than elective rhinoplasty because traumatic fractures are uncontrolled and can result in completely different shattering patterns compared to controlled surgical fractures.
Open
Statement
Bruising and swelling from facial trauma is much more widespread than in controlled surgical settings.
Open
Statement
After facial trauma, healing may not occur properly, resulting in deviation, sunken areas, or loss of blood supply to cartilage.
Open
Statement
Reconstructive nasal surgery after trauma may require cartilage grafts from the ear or rib when the nose's own cartilage has not survived.
Open
Statement
The nose is the most unforgiving facial structure; every small injury can cause a visible defect.
Open
Statement
The bone and cartilage structure of the nose supports the overlying skin; without proper structure, the skin collapses.
Open
Statement
In open rhinoplasty, a small incision is made in the columella (the tissue between the nostrils) along with strategically hidden internal incisions, allowing the skin to be lifted to access and rebuild the underlying cartilage and bone.
Open
Statement
Chronic pain and inflammation from bodily injuries, along with psychological trauma, are more difficult to address than physical disfigurement.
Open
Statement
Survivors of domestic violence may still experience PTSD symptoms even after successful reconstructive surgery.
Open
Statement
Surgeons stay current with the latest techniques by attending professional meetings twice per year, where colleagues share innovations intended to shorten recovery time and minimize incisions.
Open
Statement
In the Face to Face program, surgeon services are provided pro bono, but facility fees, anesthesiologist costs (when not donated), and patient medications (antibiotics, sprays) may require funding.
Open
Statement
The Face to Face program connects patients with mental health experts who provide long-term support for emotional recovery.
Open
Summaries Diana gave as host · 11 summaries
Recaps of other experts' statements, not Diana's own clinical position.
Summaries Diana gave as host · Head and Neck Cancer 1 summary
Open the Head and Neck Cancer collection →
Surgeon Diana Ponsky: Wrong Labels and Winning Despite Them with Linda Kreter
Host summary
Diana Ponsky summarizing a resource: Studies and books have documented that restoring normalcy through reconstructive surgery helps veterans' self-esteem by letting them forget the afflictions of war.
Open
Summaries Diana gave as host · Practice Management & Professional Development 10 summaries
Open the Practice Management & Professional Development collection →
Dr. Diana Ponsky
Host summary
Diana Ponsky summarizing a resource: it was a hot stove, and we're trying to get things off, and my husband just whacked me accidentally
Open
Host summary
Diana Ponsky summarizing a resource: According to census data from multiple sources, approximately 1 in 2 women in the US encounter some form of violence from intimate partners, whether sexual, physical, or stalking.
Open
Host summary
Diana Ponsky summarizing a resource: Approximately 2 out of 5 men experience intimate partner violence.
Open
Host summary
Diana Ponsky summarizing a resource: I In the movie, the actress was also the victim. Her name is Lily in the movie, she's also the victim of her mom. She's been through domestic abuse as a kid, never to her, but she saw it through as being inflicted upon her mom, and so when she had a daughter, she stopped it.
Open
Host summary
Diana Ponsky summarizing a resource: Approximately 85% of domestic abuse victims are women.
Open
Host summary
Diana Ponsky summarizing a resource: About 70% of domestic violence injuries occur in the facial region.
Open
Host summary
Diana Ponsky summarizing a resource: you don't know what this has done for me. Um, it's completely changed my life around. My ex was in Russia, this was caused by him. And it took a bit to leave the country, uh, come to a new country, but that was the only way she could, she could do it safely.
Open
Host summary
Diana Ponsky summarizing a resource: this is pivotal for me. I go to work, I can apply for jobs and not feel like they're all looking. At my disfigurement, and it also, she also said it makes it easier for me to forget the old country and him associated with it.
Open