NYC Surgical Associates: Pearl River Location


We’re excited to announce our new state-of-the-art location in:

Pearl River, New York



NYC Surgical Associates’s 6th location is conveniently located at 150 South Pearl Street, Pearl River, NY 10965. We are excited to extend our services to Rockland County and Greater New York.


NYC Surgical Associates: Safe and Effective Care

Experience the very latest in medical technology and minimally-invasive surgical techniques. Our Pearl River location will specialize in the following treatment categories, and more!

  • Varicose Veins
  • Spider Veins
  • Hernia Treatment
  • Lymphedema
  • Lipedema
  • Breast Reduction
  • Excess Skin Remove
  • Fibroid Treatment
  • Excess Sweating


For more information, please contact us today at 917-983-6310.


What Are Varicose Veins?

What are varicose veins?

Varicose veins are painful, dilated and twisted veins that appear as bulges underneath the skin. They are the result of chronically dilated and inflamed small veins that have slowly stretched out under years of pressure. They usually become an issue for cosmetic reasons, but many people complain about pain and discomfort related to them as well.

Varicose veins are inherited genetically and they are more common in women.  Things that increase the pressure in the veins of the legs tend to increase your risk of having varicose veins.  Pregnancy and obesity are two very common factors that can herald the arrival of varicose veins.  The increased intra-abdominal pressure makes it harder for blood to get back up from the legs and increases the pressure in the leg veins. Veins are relatively thin walled and not suited to handle higher pressure, so they accommodate increased pressure by dilating and stretching out.

Because the progression of varicose veins is slow at early stages, people usually don’t complain much about them until they have reached a more advanced stage. Varicose veins cause pain and itching. They are usually associated with an underlying chronic venous insufficiency, and it is often the presence of varicose veins that leads people to get their venous reflux treated.

How do they affect you?

The presence of varicose veins can cause many different problems. They can spontaneously bleed and ulcerate, lead to chronic wounds and scars, and can cause skin pigmentation and discoloration.  They can even increase your risk of having a deep venous thrombosis or pulmonary embolism. Sometimes the varicose veins themselves can become infected, inflamed and thrombosed.

What are your treatment options

The good news is that they are easily treated with modern minimally invasive techniques in the hands of a skilled surgeon. The treatment no longer requires incisions and is usually done through a needle or an IV.  The new techniques have low risk and no downside. It may require a few treatments, but they usually last less than an hour and there is almost no recovery time required.


Interested in a consultation?

For more information about varicose veins and NYC Surgical’s treatment options, please contact us at 877-221-3955.

What is a Hernia?

What is a hernia?

Hernias are most commonly recognized as a bulge that pops out of your abdomen or groin, but what exactly are they?


How do you get a hernia?

Hernias are a protrusion of a cavity’s contents outside of the cavity that they normally reside in.

One way that hernias form is from increased pressure within the abdomen, which pushes through a natural weakness in the abdominal wall muscles and forms a bulge outside the abdominal compartment. This type of hernia usually presents later in life and is often associated with obesity and heavy lifting.

Another way hernias form is embryologically due the failure of a natural hole to close. Both pathways result in a bulge, where the contents of the abdomen show up as a painful mass that pops out every time a patient does anything to increase the pressure in their belly. These types of hernias have been present since birth.

Hernias are often associated with other medical problems, anything that makes you strain or cough frequently has the potential to give you a hernia. Hernia’s in women often occur during a pregnancy.

There are also a couple less common types of hernias that can protrude through openings in your pelvis or your back.

The active process where body parts herniate through a defect is called a herniation. Hernias form through a weakness or defect in the muscular or fibrous layers that normally keep the contents inside the cavity.


How do you treat a hernia?

Unfortunately, hernias don’t resolve on their own and the mechanical process of a hernia means that unless the defect is repaired, hernias don’t go away and they tend to get larger.

Hernias can be dangerous because of a couple complications that are associated with them. Normally hernias will go back inside the defect that they come through. This is called “reducing” a hernia. A hernia that can be easily reduced, or reduces on its own when you lay down, is unlikely to cause a problem, but when a hernia is unable to be reduced it is referred to as incarcerated.

An incarcerated hernia is a problem because it is stuck outside the cavity it belongs in. Say that a segment of your intestine is incarcerated; this means that its blood supply and its supply of oxygen has to travel all the way across the compartment that it originated from, then through a tight opening in order to get to its target destination, your intestine. This makes that loop of intestine very easy to cut off from its blood supply, and once that happens, swelling and increased pressure from ischemia cut off the blood supply even further and strangle that intestine. Unsurprisingly, this process is called, “strangulation.”

But neither of these outcomes need to occur. Hernias are one of the oldest surgical problems in history and surgeons have been describing and fixing them for as long as there has been written history. The primary challenge to fixing a hernia is how to close the hernia defect without tension. Anything that pulls the edges of the defect apart will also pull through the sutures that are placed to close the hernia.

Multiple innovative techniques have been described to address the problem of reducing tension on a hernia closure, and the best hernia surgeons tailor each repair to each individual patient, using all the techniques at their disposal.


Suffering from a hernia?

For more information about NYC Surgical’s hernia treatment options, please contact us at 877-221-3955.

Spider Veins: what are your treatment options?

Spider veins are problematic and cause significant distress when they appear on the legs. People often go to great lengths to have beautiful legs, and it is frustrating to do everything right only to have a cosmetic issue arise that negates all of the hard work that was put into your legs.

So what can be done about spider veins, and how do these different treatments compare with each other?

Spider Vein Treatment Options



Traditional sclerotherapy is the most effective treatment available and it has been used for over 100 years. It’s inexpensive, reliable, involves minimal pain and has few associated complications. Traditional sclerotherapy takes 10-20 minutes to perform.

Commonly used agents for sclerotherapy include detergents and osmotic agents.

Polidocanol is the most commonly used detergent in our practice, it also functions as a local anesthetic. Detergents work by scarring the inner wall of the spider veins which causes them to be reabsorbed by your body after a month or so. Polidocanol is a relatively mild and forgiving agent.

The detergent sclerosants like polidocanol are often mixed with air to form a foam.  This is called foam sclerotherapy.  Foam sclerotherapy accomplishes three things. It reduces the amount of agent that is required, it increases the amount of surface area where the sclerotherapy agent comes in contact with the inside of the vein, and it displaces the blood in the vein to improve chances that the vein will scar down and disappear.  Foam sclerotherapy is usually reserved for larger spider veins.

The most commonly used osmotic agent for sclerotherapy is hypertonic saline. It also works by damaging the inner wall of the spider vein. Hypertonic saline is a slightly stronger agent, and works better than polidocanol but requires greater experience to use. Hypertonic saline burns slightly when it is injected. Because the ingredients are found naturally in your body, allergic reactions are unlikely. For spider veins on the face, sclerotherapy with hypertonic saline has excellent results.

Laser sclerotherapy is used in some centers for spider veins. Its use is limited, because it has a higher cost, is more painful and is not as effective as traditional sclerotherapy. It does work well for spider veins on the face.

Compression Garments

Graduated compression garments are sometimes used to treat spider veins. They are painless and can help improve pain associated with underlying venous reflux but they can also be annoying to wear all the time

Lifestyle Changes

Lifestyle changes, like diet, exercise and leg elevation don’t make spider veins go away, but they can slow the progress of spider veins.

Other Options

There are other treatments that involve passing electrical current through a wire to induce scarring that will eliminate spider veins, but they involve an increased cost without a clear benefit. Unfortunately topical treatments and supplements that are advertised as being able to eliminate spider veins are completely useless.

Despite recent advances in technology. Traditional sclerotherapy is still the best treatment and the one that we use the most.

Want to Learn More?

For more information about looking and feeling your best, please contact NYC Surgical Associates or call 877-221-3955.

How to Shed Weight after the Holidays

How to Shed Weight after the Holidays

An endless selection of cookies, eggnog, pies, and gigantic meals makes weight gain during the holidays almost inevitable. Research shows people in the United States can gain significant weight during the holidays, especially around Thanksgiving and Christmas. Here are some simple steps you can take for weight loss after the holidays.

Steps to Weight Loss after the Holidays

Drink water before and during meals to add volume and weight to your meal, which helps you feel full faster.

Set realistic goals, such as one or two pounds per week. Starving yourself in hopes of achieving fast results is bad for your health and usually backfires.

Take small steps to achieving those goals. Avoid the temptation to make sweeping changes in your life, as these can be hard to sustain over time. In fact, starvation even for a couple of days puts your body in prime craving mode, which leaves you in grave danger of binge eating. Instead, make one small change each week, such as exchanging your nightly cupcake for an apple.

Eat more often to prevent excessive hunger that leads to overeating. If you find yourself eating huge suppers because you are ravenously hungry, for example, try eating a low calorie mid-afternoon snack and reduce the size of your evening meal.

Eat nutritious meals. Good nutrition helps you stay feeling fit and energized even as you cut calories.

Give food cravings a time out. Food cravings often develop out of boredom or stress, and typically go away within a few minutes. When food cravings hit, identify your emotions and environment. Learn to avoid and control food cravings by going for a short walk or finding another distraction when similar emotions and environments arise – your craving for food will subside.

Set one-third of your meals aside when you go out to eat. In an effort to satisfy every customer, many restaurants offer super-sized portions. Ask your server for a to-go bag when you order your food and put a third of it in the bag when your food arrives.

Reduce your alcohol intake. Alcoholic drinks are high in calories; mixed drinks are the liquid equivalent of a rich dessert. Alcohol also lowers your inhibitions, leaving you vulnerable to snacking temptation.

Increase your activity levels so that you burn more calories than you take in.

Get enough sleep. Harvard School of Public Health cites several studies that show a strong connection between inadequate sleep and weight gain.

Have a cup of black coffee or tea, no sugar, if you run out of energy in the middle of the day. Coffee and tea have zero calories and plenty of caffeine.

Consult with a health care professional for more weight loss tips that help you lose weight and keep it off after this holiday season.


Want to learn more?

For more information about looking and feeling your best, please contact NYC Surgical Associates or call 877-221-3955.

How to Tell If You Have Spider Veins

Spider veins are fairly common in the western world, and we see them all the time in our practice, but how do you know if you have them?

They can be difficult to see, as they usually measure less than a millimeter wide, and often occur in the legs in locations that are difficult to see behind the knee or on the back of your thighs or calves. To examine these areas by yourself with a mirror is challenging as it’s a couple feet away looking at a reflection, not necessarily with optimum lighting.

Spider veins have a predilection for the ankles and feet, so you may first notice the veins in these areas. On closer inspection they range in color. They can be blue, purple or even red. Often they will form a small cluster in close proximity where they seem to be almost connected and appear web-like, which is why they have been referred to historically as spider veins.

You may have your attention first called to your spider veins by friends or family members who notice them, which can make you self-conscious and sometimes people can end up preferring pants as a result. This is unfortunate and unnecessary because these veins can be treated effectively with sclerotherapy injections.  

People with darker skin or significant freckles can have a more difficult time seeing their spider veins. Freckles in particular act as a natural camouflage. For this reason people with spider veins often spend more time in the sun or in tanning beds to hide them.

Spending a lot of time on your feet or in a seated position can lead to spider veins, so if you have a job or lifestyle that requires a lot of time standing, you are much more likely to have spider veins. The same is true for people who have spider veins that run in their families.

If there is any suspicion of spider veins, they should be evaluated fully. It doesn’t take a long time  to evaluate them, and we can treat them with sclerotherapy on the same visit, usually in less than an hour. It’s definitely preferable to being limited to pants year-round.


Want to Learn More?

For more information about looking and feeling your best, please contact NYC Surgical Associates or call 877-221-3955.

5 Exercises for Healthier Veins

Why are Healthy Veins Important?

About half of all adults in the United States have some sort of vein disease, according to the Society of Interventional Radiology, and about a quarter of all American adults have varicose veins. The good news is that regular physical activity can give you healthier veins, especially if you do enough of the right exercises.

Veins transport blood from the far reaches of your body back to your heart. These blood vessels must be healthy to move blood upwards against the force of gravity. A series of one-way valves help the veins do this by opening and closing to trap blood in small segments inside the blood vessels, so that the blood does not flow backwards towards your feet.

Unhealthy veins and poorly functioning valves allow blood to accumulate and pool in your lower legs. The pressure of pooling blood causes the veins to bloat, twist, and turn into spider veins and varicose veins.

Exercise is good for veins because it promotes good blood circulation. Contracting and relaxing your muscles also stimulates the opening and closing of the valves. When you contract your muscles, the pressure of the tightening muscle squeezes against the veins to push blood upwards towards your heart, and the valves open to allow blood to move from one segment of vein to the next. Relaxing your muscles causes the valves to close again to prevent blood from flowing backwards, a condition known as reflux.

Five Exercises to do Today for Healthier Veins Tomorrow

While most forms of physical activity are good for your health, some exercises are particularly good at promoting good veins health.

1. Leg lifts

Sit or lie on a mat on your back with your legs straight out. Slowly lift one leg and hold it in the air, allowing the blood to move from your feet towards your hips before lowering your leg back down to the floor. Repeat the exercise with your other leg.

2. Standing calf raises

Rest your hands against a wall or sturdy object. Rise onto your tiptoes, hold the position for a moment, and then lower back down again.

3. Bicycle legs

Lie on your back and raise your feet in the air, bending your legs at your knees. Pedal your legs as if you were riding a bicycle. You can also do this exercise one leg at a time, alternating legs between sets.

3. Side lunges

Stand with your legs about hip-width apart. Step to the right while keeping your toes pointed forward and holding your body low. Straighten your left knee to shift your weight to the right, flexing your hip and knee into a side lunge. Hold the position for a moment before returning to center; repeat the lunge by moving your body to the left.

5. Walking

Walking pumps the muscles in your calves and lower legs to open and close the valves within the veins there.

These five exercises, along with other forms of activity, can improve the health of your veins and reduce the appearance of varicose veins and spider veins.

Want to Learn More?

For more information about looking and feeling your best, please contact NYC Surgical Associates or call 877-221-3955.

Pelvic Pain

What is pelvic pain?

Pain occurring in the lower abdomen (the area from below your belly button to above your legs) is called pelvic pain. Pelvic pain is a symptom shared by a laundry list of potential causes. Some of these are cause for concern, especially if you normally do not experience pain, and suddenly have intense pain which quickly gets worse. Such pain can be due to a serious condition, such as ectopic pregnancy. This is potentially life threatening, and should immediately be treated by a doctor. While sometimes the case, fortunately, most pelvic pain does not represent a life or death issue.

Often, pelvic pain is a chronic issue, occurring regularly and lasting more than 3 months. Chronic pelvic pain is capable of interfering with daily life. Work, social gatherings, and sex are a few activities affected by chronic pelvic pain. When this goes on long enough, some patients can even experience a psychological impact.

What are the symptoms?

Common symptoms include discomfort, such as heaviness and aching, as well as occasional sharp pain. Often pain intensifies and abates with menses, urination, or intercourse, though not always. Additionally, there are many atypical ways that people experience pelvic pain and there is no “one size fits all” approach to this problem. A few atypical symptoms include pain in a nearby area such as the lower back, or the hip, which is actually due to a pelvic process, a constant feeling of bladder fullness, and a constant feeling that you need to have a bowel movement, even when you do not.


Fortunately, many causes of pelvic pain can be investigated and treated. With so many possibilities, the actual cause may take some time to find. A few examples include uterine fibroids, endometriosis, and pelvic congestion syndrome. If any of this sounds familiar, don’t give up! Once found, the underlying cause may not be so scary. In many cases minimally invasive procedures may be all that is needed for treatment, so you can go on to lead a better quality of life.

Have questions?

For more information about looking and feeling your best, please contact NYC Surgical Associates or call 877-221-3955.

Spider Veins: 10 Must-Know Facts

Spider Veins: Here’s what you need to know

1. You got them from your parents
Spider veins are genetic. While certain activities can make them worse, they aren’t your fault, you inherited a predisposition for them from your parents.

 2. They aren’t varicose veins
While spider veins are usually related to underlying venous insufficiency, they are not varicose veins. Varicose veins are larger dilated veins that bulge out and curve underneath the skin

3. Treatment of underlying venous reflux will help
Treating the underlying venous reflux won’t make your spider veins go away permanently, but it will significantly slow their advance.  They won’t come back as frequently.

4. Sclerotherapy is an effective treatment
There are other ways to treat spider veins, but other treatments are not as effective. In particular, laser is not as effective.

5. They don’t go away overnight
They often appear to vanish immediately with sclerotherapy, but the process actually takes 1-3 months for them to go away.

6. They get worse with age
Spider veins are progressive, they tend to multiply and increase in size with age.

7. They can appear almost anywhere
Although they appear most commonly on the legs, spider veins can appear on the face, hands, breast and almost anywhere else. Don’t worry, we can treat those also!

8. Pregnancy and obesity can make them worse
Anything that increases the pressure on the venous system can make them appear for the first time, or exacerbate them.

9. Most people have them
About 80% of the population has spider veins. 

10. They are small dilated blood vessels in the skin
They are less than a millimeter in size, but can be highly visible depending on your skin complexion.

Have questions?

For more information about looking and feeling your best, please contact NYC Surgical Associates or call 877-221-3955.

Diet and Workout Myths Debunked

Want to get fit?

That’s a daunting goal. There are no guarantees, but one way to help you reach your goal is to understand how your body works and what types of food and exercise it needs to build muscle and burn fat. Debunk these common diet and workout myths so you don’t make mistakes and set your progress back.

Myth 1: Gained weight = gained fat.

When you begin a new weight training routine, it’s perfectly normal to gain a little starter weight because muscle builds faster than fat burns away. This means for the first week or two, you might notice a little extra bulk. Don’t worry – soon the fat-burning will catch up with the muscle-building and you’ll you look lean and healthy.

Myth 2: Fruits and vegetables are equally nutritious.

Actually, veggies have more minerals, vitamins and anti-cancer properties than fruit. The high fructose content in fruit isn’t necessarily good, either. While you obviously shouldn’t entirely cut fruit from your diet, fill up more on vegetables throughout the day and choose fruit as a healthy alternative to candy and desserts.

Myth 3: A healthy diet eliminates salt.

Like any other mineral, salt (sodium) is necessary for good health. The trick is to limit, but not eliminate, your intake. American diets tend to be very high in sodium, which is why you always hear about the importance of cutting back. Still, a healthy diet includes 1,000mg to 2,000mg of salt each day.

Myth 4: Women Tone, Men Build

Actually, women and men build muscle in a similar way. The biggest difference between the genders is that, since men have more testosterone, they’re naturally able to build more muscle mass. Women tend to prefer the term “tone” because they want long, lean muscles rather than the bulk men are usually after. Regardless, the best way to build and tone muscle is to complete three sets of eight to 12 reps with moderate to heavy dumbbells.

Myth 5: Carbohydrates are unhealthy.

Carbs are fuel for intense workouts. If you eliminate them completely, even your brain will cease to function properly. The trick is to source your carbs correctly. Vegetables are filled with slow-digesting carbs, meaning they act like whole grains, but with fewer calories. Eating veggies as your primary source of carbs helps you stay leaner, feel fuller and build muscle more effectively.

Want to learn more about looking and feeling your best?

For more information about looking and feeling your best, please contact NYC Surgical Associates or call 877-221-3955.