Allison t. Pontius, md, and Alain Polynice, MD, marry their facial and body plastic surgery talents

Oil and water. Cats and dogs. General aesthetic plastic surgeons and facial aesthetic plastic surgeons. None of these pairings are known to coexist particularly well.

Except, perhaps, the physicians at Plastic Surgery Associates of New York on Manhattanโ€™s fashionable Upper East Side. There, one finds a perfect match between facial plastic surgeon Allison T. Pontius, MD, and practice partner Alain Polynice, MD, a classically trained aesthetic plastic surgeon who specializes in body work.

โ€œYou donโ€™t often find plastic surgeons from our respective subspecialties getting along as well as we do,โ€ says Pontius, a board-certified otolaryngologist. โ€œFor a lot of facial plastic surgeons and general plastic surgeons, there are substantial turf issues at stake.โ€

Pontius and Polynice (who is certified by the American Board of Plastic Surgery and maintains memberships in the New York Regional Society of Plastic Surgery, the American Society of Plastic Surgery, and the American Burn Association) have resolved their turf issues simply by marrying their talents.

โ€œThe way I see it, if you have practitioners from these two areas of subspecialization, and both are well trained, there is no reason they should be antagonists,โ€ Polynice says. โ€œThere is instead every reason they should work in tandem, combine forces, and so be able to provide the best possible care and results.โ€

PRACTICE PROFILE
Names: Alain Polynice, MD, and Allison T. Pontius, MD
Location: New York City
Specialty: Facial and body plastic surgery; nonsurgical procedures
Years in practice: 7
Number of patients per day: 10
Number of new patients per year: 250
Days worked per week: 5
Days surgery performed per week: 3
Number of employees in practice: 7
Office square footage: 2,000

Pontius concurs. โ€œAs an ear-nose-and-throat [ENT] specialist, my training for 6 years was the face. Nasal anatomy. Sinus surgery. Rhinoplasty. Facial trauma. These are all part and parcel to what an ENT deals with. Accordingly, those in my field bring to the table a different realm of knowledge about facial anatomy.

โ€œHowever, there is no question but that the future direction of things is moving our respective academies closer together. I think surgeons in the two subspecialties are realizing that neither is the enemy of the other.โ€

A Marriage That Works
At least for Polynice and Pontius, this marriage of face and body specialists works because Polynice and Pontius are married to each otherโ€”literallyโ€”and have been since 2003.

โ€œThe best thing about being husband and wife and practicing together is that we always have someone to bounce ideas off or to get help from in the operating room,โ€ Pontius says. โ€œMy husband and I get along well, and patients pick up on this, which helps them feel comfortable with us. They know intuitively we are going to work together to solve their concerns.โ€

The partners complement each otherโ€™s personal qualities as well as their clinical skills: Whereas he is the more artistically minded, she is better equipped for organization. โ€œDr Polynice is the spontaneous one. For me, I like there to be a plan of acยญtion before I do anything,โ€ Pontius shares.

They each operate 3 days per week, working side-by-side on one of those days. โ€œThe vast majority of our surgeries are performed on-site,โ€ Polynice says, indicating that his plush, 2,000-square-foot office features two state-of-the-art operating rooms and a recovery area. โ€œHowยญยญever, if the surgery involves procedures that call for an overnight recovery, then itโ€™s performed in the hospitalโ€”usually at St Vincentโ€™s Hospital, which is nearby.โ€

It is noteworthy that the physicians have elected to situate their practice amid some of the worldโ€™s biggest names in aesthetic plastic surgery. โ€œThis neighborhood is seen as the place to go for plastic surgery, because itโ€™s where all the best doctors are,โ€ Pontius says.

โ€œYes, it was a major financial investment for us to set up shop here, and we are taking a huge risk,โ€ she continues. โ€œBut we feel itโ€™s entirely worth it. We felt the timing was ideal for bringing new faces like ours into the area. And weโ€™ve found that, even in New York, people are looking for new talent.โ€

Discovery of Plastic Surgery Assoยญciates of New York by those new-talent-seeking patients most often occurs as a result of word-of-mouth promotion spread by satisfied patients and augmented through favorable mentions by important and influential media voices.

โ€œWeโ€™ve spoken with a public-relations [PR] agency to help us increase our exposure,โ€ Pontius says. โ€œPR professionals have the ability to get your name out. They can get news about you placed in the magazines most responsible for shaping perceptions of whatโ€™s hot and whatโ€™s not. PR is a lot more effective than paid advertisingโ€”at least it is for us in this particular market.โ€

Plastic Surgery Associates of New York attracts mainly women, perhaps more than it might if the physician team were composed solely of men. โ€œItโ€™s a definite plus in the eyes of women patients that Iโ€™m a woman,โ€ Pontius says. โ€œThere are surprisingly few practices in this neighborhood where the plastic surgeon is a woman.โ€

A Holistic Approach
Even so, a key selling point for the practice is its use of holistic treatments. โ€œWe believe in offering not only the surgical procedure but also a wide variety of adjunctive services that address the total person so that our patients can look and feel as best as possible,โ€ she says. โ€œA lot of patients fall into the trap of not seeing the big picture. They might come in for, say, a facelift but donโ€™t realize the harm they do to themselves when they sunbathe and bake their skin, or smoke cigarettes. or have a poor diet. We try to help patients deal with these wrong lifestyle choices in order to achieve the best possible results from what we offer.โ€

Working with patients preoperatively in this manner does notโ€”as might be imaginedโ€”raise expectations beyond reason. Instead, its primary effect is to convey the notion that the physicians deeply care about them as human beings. โ€œPatients usually appreciate that Iโ€™m concerned about the harm theyโ€™re doing to themselves by smoking or eating poorly, and they appreciate that Iโ€™m interested in their entire well-being,โ€ Pontius says.

In some instances, patients are referred outside the practice to other types of physicians for physical examinations, blood work, and cardiac testing to ensure safety and to help determine the most appropriate surgical plan or alternative interventions. Many of these patients are also seen by providers of acupuncture and other alternative medicine, sciences that Pontius and Polynice support as elements of their own practiceโ€™s holistic approach.

Part and parcel of this approach is the use of supremely high-quality skin care products. Those available at Plastic Surgery Associates of New York are custom formulated using a process that Pontius oversees. โ€œSkin care has always been a passion of mine,โ€ she says. โ€œThere are a lot of good skin care products out there, but what makes ours better are, first, the fact that they are medical-grade products and, second, the fact that they employ only those ingredients scientifically proven effective.

โ€œWe start with ingredients such as retinoids, antioxidants, and glycolic acid. Then, we combine them with the latest technologyโ€”peptides, green tea, and neurotransmitter inhibitors, for instance. Patients who use them notice improvement after about 2 weeks.โ€

Currently, the skin care line is sold only in-office, but the couple is sizing up the possibility of someday developing nonmedical formulations that could be distributed through high-end department stores and other exclusive outlets.

All About Breasts
Many of the clinical philosophies embraced by Plastic Surgery Associates of New York are on display in a recent book Polynice cowrote, titled Your Complete Guide to Breast Reduction and Breast Lifts. Released in May, the 110-page paperback, published by Addicus Books, is a consumer reference written in lay language that details everything a woman might conceivably need to know about how a naturally massive bosom can be attractively downsized and reshaped.

โ€œAlthough our culture admires females with large breasts, some women whose breasts are large without benefit of enhancement procedures sometimes are very embarrassed by them,โ€ Polynice says. โ€œBut the leading reason they seek breast reduction is not because of embarrassment but because they want relief from physical sufferingโ€”they want to put an end to the back and neck pain they experience and the problems associated with poor posture resulting from all that weight theyโ€™re carrying on their chests.

โ€œThis is a condition that affects quite a few women. Last year, more than 114,000 women had breast-reduction surgeryโ€”a 35% increase since 2000, according to the most recent statistics released by the American Society of Plastic Surgeons.โ€

Your Complete Guide to Breast Reduction and Breast Lifts covers such topics as choosing a plastic surgeon, preparing for surgery, undergoing surgery, pain management, and follow-up care. Contained in its pages are dozens of before-and-after photos of women who have undergone breast reductions and breast lifts.

Polynice authored the book with Aloysius Smith, MD, a partner in Plastic Surgery Associates of New York. (Smith splits his time between his well-established practice in Westchester County and the Manhattan office.) Polyniceโ€”fellowship-trained in aesthetic plastic surgery at the Mayo Clinic in Rochester, Minnโ€”was introduced to Mayo alumnus Smith in 2000 by a mutual friend, the chairman of the plastic surgery department there. The two hit it off, and Smithโ€”who had completed his training 15 years earlierโ€”invited Polynice in early 2001 to join him in his New York City practice.

The Big Apple was a very different place from the locales Polynice remembers from his youth. โ€œI grew up all over the Caribbean. My dad was in the hotel business, and we moved from one resort to another during my childhood,โ€ says Polynice, who is fluent in French and Spanish as a result of his island-hopping upbringing.

At about the time he was 8 years old, Polynice decided to become a plastic surgeon. โ€œIโ€™m sure I didnโ€™t know what that meant then, but I must have been on to something, because that has been my focus since before going to medical school,โ€ he says.

Polynice was an undergraduate student in France. From there, he went to medical school in the Dominican Republic, finishing in 1989, then back to France for a year of general surgery training in Toulouse. He completed his general surgery training at North Shore University Hospital on Long Island, NY. This was followed by a burn fellowship at New York Cornell (now New York Presbyยญterian) Hospital.

In 1998, Polynice began his Mayo Clinic plastic surgery fellowship, a 2-year experience that subsequently led into a traveling fellowship that took him to Australia, Hong Kong, Taiwan, Italy, France, England, and South America.

Saving Face
It was at the Mayo Clinic that Polynice met Pontius. He caught sight of her on Pontiusโ€™s first day of surgical internship and was immediately struck by Cupidโ€™s scalpelโ€”er, arrow. โ€œI knew right away that she was the one for me,โ€ he says.

Pontius concurs. โ€œ It was pretty much a case of love at first sight,โ€ she tells. โ€œDr Polynice was my senior residentโ€”the first stitch I ever placed, he was the one who taught me how to do it. We worked really well together, and we knew we had something special. Thatโ€™s why we decided to go into practice together.โ€

Pontius arrived at the Mayo Clinic by way of the University of California, Santa Barbara, not far from where she was born and raised. Interestingly, a career in medicine is not what she intended for herself. โ€œI was going to become an environmental-protection attorney. I wanted to save the planet,โ€ she says.

After receiving her diploma with highest honors in environmental studies in 1993, Pontius began to realize that she might be more effective at helping improve the worldโ€™s ecology by narrowing her focus from the global to the personal. It was at that point she decided to go into medicine.

โ€œI came to the conclusion that if people felt better about themselves, they would treat each other better; and if they treated each other better, they would also be more inclined to treat the environment better,โ€ Pontius says, confessing that she was influenced in her choice by her father, a respected Southern California physician.

Pontius then enrolled at Tulane University School of Medicine in New Orleans, completing that program in 1999 (she was in the top quarter of her class). Her general surgery internship at the Mayo Clinic started that same year. In 2000, she advanced to otolaryngology residency at the University of Texas Southwestern Medical Center in Dallas, and finished that portion of her training in 2004. With that behind her, Pontius next undertook a yearlong facial plastic surgery fellowship with Edwin Williams III, MD, at the New England Laser and Cosmetic Surgery Center in Latham, NY.

Now in practice with her husband, the ideas about environmentalism that preceded her shift into medicine remain intact. โ€œI suppose in some sense Iโ€™m still saving the planet. But instead of doing it one piece of litigation at a time, Iโ€™m doing it one face at a time,โ€ she quips.

Incorporated within Plastic Surgery Associates of New York is a hair-restoration clinic that Pontius runs, and plans call for adding a wellness center. Meanยญwhile, there is no shortage of interesting cases coming through the doors. Of those, the ones Polynice and Pontius enjoy most involve a total transformation of face and body. These tend to be their most complex cases, and they afford the couple the opportunity to demonstrate why it is possibleโ€”desirable, evenโ€”for facial plastic surgeons and general plastic surgeons to work as a team.

โ€œWe each bring to the table a set of special skills and insights that complement those the other one possesses,โ€ Polynice says. โ€œIndependently, weโ€™re each very good plastic surgeons. Together, weโ€™re an unbeatable combination.โ€

Rich Smith is a contributing writer for Plastic Surgery Products.