The Newbury Center

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The Newbury Center is located at 69 Newbury Street, Boston, MA in the heart of Boston's Back Bay.
Our mission is to offer the most consistent, natural, and lasting plastic surgery results, and to provide this service in a discreet and elegant setting.

Selected as one of "America's Top Physicians" 2003 by the Consumer Research Council of America
Voted "Boston's Best" Facial Plastic Surgeon 2002 by The Improper Bostonian Magazine

Scar revisions range from the simple excision and reclosure of an unsightly scar, to the complicated redirecting and release of scar tension and tissue. In addition, techniques such as dermabrasion, laser resurfacing, or punch grafting may be used to optimize the final result. Dr. Alsarraf cautions that not all scars can be removed in their entirety, but has himself published a teaching article on one advanced technique for scar revision, entitled "Geometric Broken Line Closure," in a special issue of the Facial Plastic Surgery Clinics of North America dedicated to scar revision advances. This article, along with Dr. Alsarraf's other publications, is available for your review at The Newbury Center.
Most scar revisions take less than 1 hour and can be performed in either the office or an out-patient hospital setting, depending on patient preference.
Rhinoplasty is the art of altering the form and function of the nose, and remains one of the most difficult plastic surgery operations performed today. Examples of poorly done nose jobs abound in the public eye and media. For this reason, Dr. Alsarraf completed his American Academy of Facial Plastic Surgery (AAFPRS) training with Calvin M. Johnson, Jr, the author of the landmark text "Open Structure Rhinoplasty" and one of the fathers of modern rhinoplasty.
Dr. Alsarraf's goal is to create a natural appearing result that maintains the patient's nasal function. To achieve this end, the underlying nasal structure is reshaped to provide a more attractive and pleasing profile that does not appear operated upon or unnatural. Dr. Alsarraf has himself published several articles and chapters on specific rhinoplasty techniques, including in depth discussions of "The Post-Traumatic Rhinoplasty" and "The Saddle Nose Deformity" for special issues of the Facial Plastic Surgery Clinics of North America. These articles, along with Dr. Alsarraf's other publications, are available for your review at The Newbury Center.
The rhinoplasty procedure takes approximately 1-2 hours and is performed in the out-patient hospital setting. No nasal packing is placed, and most patients experience minimal pain or bruising.
Obagi Nu Derm
Because even the best surgical procedures cannot correct all of the signs of aging that time and the environment have caused on the texture, coloration, and quality of the facial skin, we recommend the use of a Retin-A based skin therapy regimen for many of our patients. In contrast to more invasive procedures such as laser resurfacing or chemical peels, a maintenance program such as Obagi is a safe and reliable method for diminishing fine lines and wrinkles, smoothing the skin surface, and eliminating uneven or blotchy discoloration. Dr. Alsarraf also performs skin resurfacing procedures, but often recommends that his patients first start on a Retin-A based system for several weeks prior to undergoing such treatment.
A full line of Obagi products is available at The Newbury Center and a consultation may be scheduled at your convenience.

"In addition to the Obagi Nu Derm skin therapy regimen, which works wonders at erasing the signs of sun damage and aging from the skin of the face, we also now offer Hocus Pocus, the hand and body potion that targets these same signs of aging on the hands, chest, and body. Hocus Pocus is a special formulation of the same prescription strength vanishing creams found in the Obagi Nu Derm system, but carefully titrated to maximize their effects on
the skin of your hands and body. Because even if you lie about your age, chances are, your hands and chest don't. Hocus Pocus is available by prescription exclusively at The Newbury Center, and comes in a 2 ounce cream."
Dr. Ramsey Alsarraf specializes in cosmetic surgery of the face and neck. Many of the procedures that he performs are designed to rejuvenate the aging face, such as the facelift, browlift, or blepharoplasty. In addition, he performs a wide range of other cosmetic facial plastic surgery procedures and has a specific interest in rhinoplasty and nasal reconstruction. Dr. Alsarraf has himself published many technical articles and book chapters on procedures such as the deep plane facelift, rhinoplasty, malar or cheek augmentation, and scar revision. The Newbury Center also offers a full line of Obagi Skin Therapy products. Please choose from the list below to find out more about each individual procedure.

Although The Newbury Center specializes in cosmetic facial plastic surgery procedures such as the facelift, browlift, blepharoplasty, and rhinoplasty, Dr. Alsarraf also performs a wide range of general facial plastic surgery procedures as well. These range from focused techniques such as ear reconstruction or pinning (Otoplasty), to the removal and closure of facial skin cancer defects. In addition, straightforward procedures that can be performed include mole removal, earlobe reduction, dermabrasion, septoplasty, and minor cosmetic surgery revisions.
Most of these procedures take less than an hour and are performed in either the office or an out-patient hospital setting.

There are several methods used for augmenting or increasing the fullness and projection of the lips. These range from the simple injection of collagen in the office setting, to the insertion of a permanent Gortex implant. For patients who desire something in between, Dr. Alsarraf recommends the use of Alloderm, an acellular human dermis graft, which lasts longer than collagen but avoids many of the potential complications of a permanent synthetic graft.
Lip augmentation takes 1/2 to one hour and is performed in either the office or the out-patient hospital setting, depending on the procedure that is chosen.
The facelift is designed to rejuvenation the sagging shapes of the aging face while maintaining a natural, unoperated upon appearance. Dr. Alsarraf specializes in the deep plane facelift, a surgical technique that creates a longer lasting and more natural result. Other, older forms of the facelift can create a pulled or wind blown appearance or produce results that fade quickly over time. Dr. Alsarraf has published a detailed account of the deep plane facelift entitled "The Facelift: Technical Considerations," in a special Rhytidectomy issue of Facial Plastic Surgery. This article and Dr. Alsarraf's textbook The Aging Face: A Systematic Approach, which also focuses on the deep plane facelift technique, are both available for your review at The Newbury Center.

The facelift procedure takes approximately 3-4 hours and is performed in a hospital setting. Many patients elect to have a browlift or blepharoplasty at the time of their facelift, in order to maintain a balanced facial rejuvenation.

Fellow, American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), Calvin M. Johnson, Jr, MD, New Orleans, LA
Resident, Department of Otolaryngology-Head and Neck Surgery, University of Washington School of Medicine, Seattle, Washington
Research Fellow, Department of Epidemiology, University of Washington School of Public Health, Seattle, Washington, M.P.H., Epidemiology
Surgical Intern, Department of Surgery, University of Washington, Seattle, Washington
Research Fellow, Istituto di Biometria e Statistica Medica, Istituto Nazionale per Lo Studio e La Cura dei Tumuri, Milan, Italy
Research Technician, Joint Center for Radiation Therapy, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts

Massachusetts Eye and Ear Infirmary, Boston, MA , Harvard Medical School Associate Staff Appointment, Facial Plastic Surgery (current)
Tulane University Medical Center, New Orleans, LA , Instructor, Facial Plastic Surgery (previous)
University of Washington Medical Center, Seattle, WA , Resident Physician, Otolaryngology-Head and Neck Surgery (previous)

Board Certified, American Board of Medical Specialties (ABMS), American Board of Otolaryngology-Head and Neck Surgery (ABO), May 9, 2001

American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), Member, Fellowship Trained, 1998-present
American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS), Diplomate, 1995-present
American Medical Association (AMA), member, 2000-present

Journal: Facial Plastic Surgery, Guest Editor, Evidence Based Medicine and Outcomes Research, 2001.
Publication: Disease Management & Health Outcomes, Editorial Reviewer, 2000.
Journal: Otolaryngology-Head and Neck Surgery, Editorial Review Panel Member, 1998-present.

Gaboriau, H, Alsarraf, R, Murakami, CS, Larrabee, WF, "Lawsuits in the Field of Facial Plastic Surgery," Arch Facial Plast Surg (in press).
Alsarraf, R, Alsarraf, NW, Larrabee, WF, Johnson, CM, "Cosmetic Surgery Procedures as Luxury Goods: Measuring Price and Demand in Facial Plastic Surgery," Arch Facial Plast Surg, 4(2): 105-110, 2002.
Alsarraf, R, Larrabee, WF, Anderson, S, Murakami CS, Johnson, CM, "Measuring Cosmetic Facial Plastic Surgery Outcomes: a Pilot Study," Arch Facial Plast Surg, 3(3): 198-201, 2001.
Alsarraf, R and Johnson, CM, "The Radix Graft in Cosmetic Rhinoplasty," Invited Commentary, Arch Facial Plast Surg, 3(2): 120-121, 2001.
Weymuller, EA, Alsarraf, R, Yueh, B, Deleyiannis, FWB, Coltrera, MD, "Analysis of the Performance Characteristics of the UW QOL and Modification of the Instrument," Arch Otolaryngol Head Neck Surg, 127(5): 489-493, 2001.
Alsarraf, R and Larrabee, WF, "Outcomes Research and Facial Plastic Surgery," Arch Facial Plast Surg, 3(1): 7, 2001.
Alsarraf, R, Larrabee WF, Johnson, CM, "Cost Outcomes of Facial Plastic Surgery: Regional and Temporal Trends," Arch Facial Plast Surg, 3(1): 44-47, 2001.
Kezirian, E, Alsarraf, R, Lykins, C, Futran, ND, "Imaging Quiz Case 3," Arch Otolaryngol Head Neck Surg, 126(12): 1501-1502, 2000.
Futran, ND and Alsarraf, R, "Microvascular Free-Flap Reconstruction in the Head and Neck," JAMA, 284(14): 1761-1763, 2000.
Alsarraf, R, "In Search of a Hammer," Otolaryngol Head Neck Surg, 123(4): 525- 526, 2000.
Goldman, ND, Alsarraf, R, Nishioka, G, Larrabee, WF, "Malar Augmentation with Self-Drilling Single Screw Fixation," Arch Facial Plast Surg, 2(3): 222-225, 2000.
Alsarraf, R, "Outcomes Research in Facial Plastic Surgery: a Review and New Directions," Aesth Plast Surg, 24(3): 192-197, 2000.
Alsarraf, R, Alsarraf, NW, Kato, BM, Goldman, ND, "Meta-analysis in Otolaryngology," Arch Otolaryngol Head Neck Surg, 126(6): 711- 716, 2000.
Weymuller, EA, Yueh, B, Deleyiannis, FWB, Alsarraf, R, Kuntz, AL, Coltrera, MD, "Quality of Life in Head and Neck Cancer," Laryngoscope, 110(3): S4- S7, 2000.
Alsarraf, R and Sie, KC, "Brain Stem Stroke Associated with Bupivicaine Injection for Adenotonsillectomy," Otolaryngol Head and Neck Surgery, 122(4): 572, 2000.
Weymuller, EA, Yueh, B, Deleyiannis, FWB, Alsarraf, R, Kuntz, AL, Coltrera, MD, "Quality of Life in Patients with Head and Neck Cancer- lessons learned from 549 prospectively evaluated patients," Arch Otolaryngol Head Neck Surg, 126(3): 329-336, 2000.
Alsarraf, R, Kriet JD, Weymuller EA, "Quality of Life Outcomes Following Osteoplastic Frontal Sinus Obliteration," Otolaryngol Head and Neck Surgery, 121(4): 435-440, 1999.
Alsarraf, R, Goldman, ND, Kuntz, C, Stanley, RB, "Isolated Intracranial Mucocoele," Arch Otolaryngol Head Neck Surg, 125(9): 1023-24, 1999.
Alsarraf, R and Gates, GA, "The Real Cost of Otitis Media," Invited Commentary, Acta Paediatrica, 88: 487-488, 1999.
Alsarraf, R, Carey J, Sires, BS, Pinczower E, "Angiography Contrast Induced Transient Cortical Blindness," American Journal of Otolaryngology, 20(2): 130-32, 1999.
Alsarraf, R, Jung, CJ, Perkins, J, Crowley, C, Alsarraf, NW, Gates, GA, "Measuring the Indirect and Direct Costs of Acute Otitis Media," Arch Otolaryngol Head Neck Surg, 125(1): 12-18, 1999.
Alsarraf, R and Bailet, JW, "Self-inserted Sphenoid Sinus Foreign Bodies," Arch Otolaryngol Head Neck Surg, 124(9): 1018-20, 1998.
Alsarraf, R, Mathison, S, Futran, N, "Symptomatic Presentation of an
Enlarged, Ossified Triticeal Cartilage." American Journal of Otolaryngology, 19(5): 339-41, 1998.
Alsarraf, R, Jung, CJ, Perkins, J, Crowley, C, Gates, GA, "Otitis Media Health Status Evaluation: A Pilot Study for the Investigation of Cost-Effective Outcomes of Recurrent Acute Otitis Media Treatment," Annals of Otology, Rhinology, Laryngology, 107(2): 120-8, 1998.
Bump, EA, Cerce, B, Alsarraf, R, Pierce, S, Koch, C, "Radioprotection of DNA in Isolated Nuclei by Naturally Occurring Thiols at Intermediate Oxygen Tension," Radiation Research, 132: 94-104, 1992.
Bump, EA, Alsarraf, R, Pierce, S, and Coleman, CN, "Elevation of Mouse Kidney Thiol Content Following Administration of Glutathione," Radiotherapy and Oncology, 23: 21-25, 1992.

Johnson, CM and Alsarraf, R , The Aging Face: a Systematic Approach, WB Saunders: Harcourt, Philadelphia, 2002.
Alsarraf, R, To, WC, Johnson, CM, "The Deep Plane Face-lift," in Facial Plastic Surgery, ed. L. Bucky (in press).
Larrabee, WF, Alsarraf, R, Goldman, ND, "Facelift Applied Anatomy and Aesthetics," in Facial Plastic and Reconstructive Surgery, ed. DM Toriumi et al. (in press).
Larrabee, WF and Alsarraf, R, "Preoperative Assessment of the Facial Plastic Surgery Patient," in Facial Plastic and Reconstructive Surgery, ed. DM Toriumi et al. (in press).
Alsarraf, R, "Outcomes Instruments in Facial Plastic Surgery," in Facial Plastic Surgery, ed. R Alsarraf and M Burnett; 18(2):77-86, 2002.
Most, SP, Alsarraf, R, Larrabee, WF, "Outcomes of Facial Cosmetic Procedures," in Facial Plastic Surgery, ed. R Alsarraf and M Burnett; 18(2):119-124, 2002.
Alsarraf, R, Burnett, M, "Outcomes Research in Facial Plastic Surgery," in Facial Plastic Surgery, ed. R Alsarraf and M Burnett; 18(2):71-72, 2002.
Larrabee, WF and Alsarraf, R, "Special Considerations in Rhinoplasty," in Head & Neck Surgery-Otolaryngology, 3rd Edition, ed. BJ Bailey, Lippincott: Philadelphia, 2001.
Alsarraf, R and Johnson, CM, "The Facelift: Technical Considerations," in Rhytidectomy, Facial Plastic Surgery, ed. FM Kamer, 16(3): 231-238, 2000.
Goldman, ND and Alsarraf, R, "Post-Traumatic Rhinoplasty," in Advances in Rhinoplasty, Facial Plastic Surgery Clinics of North America, ed. GR Holt, 8(4): 503-14, 2000.
Alsarraf, R and Murakami, CS, "The Saddle Nose Deformity," in Functional Reconstructive Rhinoplasty, Facial Plastic Surgery Clinics of North America, ed. CS Murakami, 7(3): 303-310, 1999.
Alsarraf, R and Pinczower, E, "Snoring, Sleep Apnea, and the Facial Plastic Surgery Patient," in Functional Reconstructive Rhinoplasty, Facial Plastic Surgery Clinics of North America, ed. CS Murakami, 7(3): 373-377, 1999.
Alsarraf, R and Gates, GA, "Economic Costs and Consequences of Otitis Media," in Evidence-Based Otitis Media, eds. RM Rosenfeld and CD Bluestone, BC Decker Inc, London, 1999.
Alsarraf, R and Murakami, CS, "Geometric Broken Line Closure," in Scar Revision and Camouflage, Facial Plastic Surgery Clinics of North America, ed. TD Wang, 6(2): 163-67, 1998.

Johnson, CM and Alsarraf, R, "The Aging Face: A Systematic Approach," American
Academy of Facial Plastic & Reconstructive Surgery (AAFPRS) 8th International Symposium, New York, NY, May 2002.
Gaboriau, H, Alsarraf, R, Murakami, CS, Larrabee, WF, "Preoperative Psychological
Assessment of Facial Cosmetic Patients." American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), COSM, Palm Desert, CA, May 2001.
Gaboriau, H, Alsarraf, R, Murakami, CS, Larrabee, WF, "Lawsuits in the Field of
Facial Plastic Surgery." American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), COSM, Palm Desert, CA, May 2001.
Alsarraf, R and Gates, GA, "Measuring the Indirect and Direct Costs of Acute Otitis Media." Presented at the American Society of Pediatric Otolaryngology, COSM, Palm Beach, FL, May 1998.
Alsarraf, R, Tampakopoulou, D, Mueller, BA, Murakami, CS, "Maternal Alcohol Consumption During Pregnancy and the Risk of Congenital Oral Cleft Malformations," Presented at the American
Cleft Palate-Craniofacial Association, New Orleans, LA, April 1997.
Alsarraf, R, "The Union of Medicine and Philosophy: A Reevaluation of Yalom's Theory of Existential Psychotherapy and the Notion of Authentic Human Existence," Yale Journal of Biology and Medicine, Spring 1994.
Alsarraf, R, "Mobile Unit Screening for Prostate Cancer Among Inner- city Elderly," Semi-finalist proposal for the Secretary's Award for Innovations in Health Promotion and Disease Prevention, Public Health Reports, 109 (2): 11-12, 1994.
Alsarraf, R, "Energy Equilibrium, Body Composition, and Gastric Cancer: a study of the relations between caloric intake, body size, and gastric cancer in Northern Italy." Poster presented at the International Medical Sciences Student Congress, Istanbul, Turkey, May 1993.
Alsarraf, R, Bump, EA, Down, J, Coleman, CN, "Improved Methods for Glutathione Analysis in Tissue," The Journal of Cell Biology, 107 (6), December 1988. Poster presented at the joint conference of the American Society of Cell Biology and the American Society of Biochemistry and Molecular Biology (ASCB/ASBMB), San Francisco, CA, January 1989.

Alsarraf, R, Facelift Outcomes Evaluation (FOE), Rhinoplasty Outcomes Evaluation (ROE), Blepharoplasty Outcomes Evaluation (BOE), Skin Rejuvenation Outcomes Evaluation (SROE). Aesth Plast Surg, 24(3): 192-197, 2000.
"The High Cost Of Otitis Media," cover story, Advance for Speech-Language Pathologists and Audiologists, 8(33): 6-8, 1998.
Alsarraf, R, Otitis Media Diary (OMD), US Library of Congress, 1996.
Alsarraf, R, Otitis Media Clinical Severity Index, (OM-CSI), US Library of Congress, 1996.
Alsarraf, R, "There is nowhere to run," and "for WL," (poetry) Voiding the Void, 40: 3, 2001.
Alsarraf, R, "she waits," and "he watches," (two poems) Yale Medicine, 27 (1): 14-15, Fall/Winter 1992-3.
Alsarraf, R, "without Helen," and "troy was empty," (two poems) The Harvard Freshman Advocate, May 1988.

After graduating from Harvard University and the Yale University School of Medicine, the Director of The Newbury Center, Dr. Ramsey Alsarraf, completed his residency training in Seattle before obtaining a prestigious American Academy of Facial Plastic & Reconstructive Surgery (AAFPRS) fellowship with Calvin M. Johnson, Jr, one of the fathers of cosmetic facial plastic surgery. Dr. Alsarraf, a member of the AAFPRS, is board certified by the American Board of Medical Specialities (ABMS) and the ABO, with subspecialty training in cosmetic facial plastic surgery. He is a nationally respected author, editor, and lecturer, and has published over 30 articles and book chapters, in addition to co-authoring the recently published full length textbook specializing in the application of the deep plane face-lift, entitled The Aging Face: A Systematic Approach.
Ramsey Alsarraf, MD, MPH, PC

mail@thenewburycenter.com
Collagen may be injected into the lips, deep creases or folds of the face, to create a fuller or more youthful appearance. Dr. Alsarraf prefers the use of human acellular collagen (Dermalogen or Cymetra) rather than the older, bovine collagen, because no skin testing is required as it is not associated with allergic reactions. Collagen lasts less than six months in most patients, but can be repeated indefinitely. Other options for lip or facial augmentation include the use of Alloderm or a Gortex implant, if a more permanent result is desired.
Collagen injections take only a few minutes to perform in the office setting. Topical anesthesia with a local anesthetic block is often employed for patient comfort.
The use of synthetic implants is a safe and effective means of augmenting various regions of the face and achieving a more youthful or attractive appearance. Dr. Alsarraf prefers the use of Silastic and Gortex implants for such augmentation because they have proven to provide a natural appearing result and are well-tolerated in most patients. A chin implant may help balance facial symmetry at the time of the rhinoplasty procedure, while a cheek (or malar) implant may increase the projection of the cheekbones and rejuvenate the midface region. Dr. Alsarraf has himself published a technical review of one method of cheek augmentation, entitled "Malar Augmentation with Self-Drilling Single Screw Fixation," in the Archives of Facial Plastic Surgery. This article, along with Dr. Alsarraf's other publications, is available for your review at The Newbury Center.
Placement of a chin or cheek implant takes about an hour and is generally performed in an out-patient hospital setting.
The browlift attempts to restore the youthful position of the eyebrow, as well as to eliminate the deep wrinkles of the forehead, the area above the nose, and between the eyes. Although the endoscopic browlift is appropriate in some patients, many patients do best with the open browlift, which has stood the test of time. In any case, the incisions for the browlift are generally well hidden behind the hairline in most patients.

The browlift procedure takes approximately 1 hour and is performed in an out-patient hospital setting. It is often performed in conjunction with the facelift, so that a balanced rejuvenation of the overall facial aesthetic is produced.
Botox has been used for several years to decrease the fine lines and wrinkles of the forehead and between and around the eyes by freezing the small facial muscles that create them. It is a safe and effective method of treating these wrinkles, however, the effects are temporary, lasting less than 6 months in most patients. The browlift is the definitive treatment for the aging lines and wrinkles of the brow and forehead.
Dr. Alsarraf has been featured on several local and national television features, discussing the use of Botox for facial rejuvenation, including the CBS News Magazine Program "48 Hours."
The injection of Botox takes only a few minutes and is performed in the office setting.
The blepharoplasty rejuvenates the aging appearance of the upper and lower eyelids. Dr. Alsarraf performs the transconjunctival or incisionless lower lid blepharoplasty in most patients because it limits the visibility of skin incisions and is an effective method of addressing the bulging fat of the lower lids. The upper lid blepharoplasty is often performed in conjunction with the browlift to correct the aging eyebrow as well as the redundant tissue of the lid itself.
The blepharoplasty procedure takes 1/2 to 2 hours and is performed in an out-patient hospital setting. Like the browlift, the blepharoplasty may be performed at the time of the facelift in order to achieve a uniform and balanced facial rejuvenation.
This reference textbook outlines how to obtain the most consistent, natural, and long-lasting results, based on the techniques of Dr. Ramsey Alsarraf and Dr. Calvin M. Johnson, Jr. Their expert guidance and lavish illustrations show how to manage the patient from the initial consultation through postoperative care and maintainence, covers the selection and application of surgical techniques- featuring both new and classic approaches, including the innovative deep-plane facelift, browlift, and blepharoplasty, and offers in depth discussions of how these techniques are tailored to each individual patient in a comprehensive and systematic manner.
The Director of The Newbury Center, Dr. Ramsey Alsarraf, MD, MPH, PC, is a graduate of Harvard University and the Yale University School of Medicine. He is a fellowship trained member of the American Academy of Facial Plastic & Reconstructive Surgery (AAFPRS) and a board certified staff surgeon of the Massachusetts Eye & Ear Infirmary, with subspecialty training in cosmetic facial plastic surgery. In addition to his recently published textbook, "The Aging Face: A Systematic Approach," Dr. Alsarraf has published over 30 articles and book chapters on the nuances of facial plastic surgery and is truly a leader in his field.
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