With the invention of Finesse Sculpting Rhinoplasty, Dr. Sachs has made the concept of “nose-job” surgery obsolete. His operation actually sculpts and shapes the nasal tissues into a new, completely natural nose without breaking bones or cutting tip cartilages. (A method that universally produced artificial, scooped out, piggy, pointed noses.)He has also pioneered the reconstructive efforts to “re-do” poorly performed “nose-jobs” by being the first surgeon to use cartilage glues to build new nasal features. Tissue Clay is also extensively used to redo bad nose jobs by building up the bone and cartilage that were destroyed in the previous operations.
Dr. Sachs developed the use of Titanium for nasal reconstruction. In his landmark presentation, entitled “The Use of Titanium in Revisional Rhinoplasty” on February 2, 2002, at the 18th Annual Scientific Meeting of the American Academy of Cosmetic Surgery, he spoke about the state of the art techniques he invented. Nasal tip surgery has always presented a challenge to the rhinoplastic surgeon. Dr. Sachs’ recently written research article entitled “Non-Excisional Tip Refinement Technique for Cosmetic Rhinoplasty” explores his techniques for refining the tip of the nose without excising cartilage, allowing for a more naturally appearing tip while maintaining the structural integrity of the nose.

Dr. Sachs has revolutionized cosmetic eyelid surgery with the invention of his non-surgical Fat Melting Blepharoplasty. With this new technique, a specially designed needle, literally evaporates the fat away from above and below the eyes, as opposed to the traditional method of actually cutting through the skin and muscle and removing the fat with a scalpel. This is especially significant because there is minimal recovery time; a person can be back at work within five days. Other advantages include more natural contouring of the eyelid, increased operative safety and longer-lasting results. Dr. Sachs has also described a new congenital entity called “Periorbital Fat Herniation Syndrome," which is a puffiness under the eyes seen in young people due to the actual weakness of the ligaments around the eye. A special laser operation to repair this is also one of his contributions. Other research has described new ways of making paralyzed eyes open and close again using muscle transpositions and microsurgical nerve reconstructions as well as repairing lower lids which droop (ectropion). The potential injury to the eye during cosmetic nasal surgery has also been extensively analyzed on Dr. Sachs’ research laboratories.
Recently a new technique has been developed using a sophisticated carbon dioxide ultra pulse laser to melt away the bagginess overlying the cheekbones that sometimes develops as patients age. This entity is called malar festoons, which until now were only eradicated by disfiguring surgery which actually excised them and the facial tissue above them.

Kinetic reconstructions refer to plastic surgical operations which replace mobile parts of the face (tongue, facial muscles of expression) with kinetic equivalents. After five years of research, Dr. Sachs and his associates were the first to successfully reconstruct and implant a functioning and mobile tongue in 1981, into a patient whose tongue was removed because of cancer.
This historic effort opened up a totally new field of Facial Plastic Surgery, one which replaced mobile tissues after they had been removed surgically or by trauma with equally kinetic tissue. This operation is now being performed successfully around the world.
A further development of this concept was presented in Dr. Sachs’ landmark paper on Facial Reanimation (making the face move again after paralysis from stroke, trauma, surgery or infection), entitled “Dual Simultaneous Systems”. This research, described for the first time, a technique which allowed more natural smiles and facial expressions to be restored so that previously paralyzed patients could chew without blinking and blink without smiling, a task which heretofore was impossible.
Dr. Sachs was recently awarded his second patent pending for a micro computer device implanted behind the ear which will cure facial nerve paralysis. Ongoing clinical and research trials are being supervised by the Sachs Foundation.

New techniques invented by Dr. Sachs include the “de-gloving” procedure for operating on the inside of the nose, by lifting the soft tissues of the face off the bony skeleton without external incisions or scars.
In addition, he has invented a new tracheal re-attachment operation that provides the additional length of trachea needed to reconstruct the neck after cancer or trauma without requiring the chest to be opened.
Perhaps the most exciting new development that has come out of Dr. Sachs’ research laboratories in the past ten years is TISSUE CLAY, which is a substance that can replace human bone and cartilage. It is used for reconstructing noses, building up cheek bones and chins and filling in soft tissue defects on the face after trauma, cancer or poorly performed cosmetic surgery.
Autogenous Tissue Transfer is a new technique developed by Dr. Sachs, which allows the patient’s own tissue to be transferred into areas needing reconstruction. It is particularly efficacious for building up new lips and for filling in wrinkles around the face.

Most recently Dr. Sachs has been awarded 2 patent pendings. Patent # 09/855,942 has been awarded for a device that Dr. Sachs invented which will electronically cure facial nerve paralysis. Patent # 09/954,070 was awarded to Dr. Sachs for a system of nasal reconstruction based on Titanium entitled mMaximum internal nasal support system (MINSS). This is a device that will revolutionize reconstructive rhinoplastic surgery.