Dr. Hirmand

04/03/2026

What if aging isn’t a one-way trajectory, but a biological program that can be slowed, repaired - and even reversed?

A new Cell study demonstrated that gene-engineered stem cells reversed multiple hallmarks of aging in primates. These senescence-resistant cells (SRCs), fortified with the longevity gene FOXO3, improved cognition, bone density, immune balance, reproductive health, and epigenetic aging - with measurable molecular reversal across tissues.

While SRCs are not yet not tested in human, this study marks a turning point/
It reinforces a simple truth: aging is biologically targetable - and the future of longevity lies in repairing the mechanisms beneath the surface.

Read the full article via the link in bio: https://www.nature.com/articles/s41419-025-07958-6

03/29/2026

03/27/2026

In the office today thinking about how something as simple as light can have such different effects in tissue depending on the wavelength. In plastic surgery we often focus on scalpels and energy devices… meantime LED light therapy has quietly become a very useful adjunct. Different wavelengths, different biologic responses… all using light to support the skin’s ability to heal and regenerate. Always fascinating to see physics and biology intersect in medicine.

03/23/2026

My shape-preserving blepharoplasty.
Every eye has its own unique character, and my goal is always to restore - not change - what makes each person’s eye shape unique.
The best blepharoplasty should not announce itself; it should simply make someone look brighter, less tired, and still entirely like themselves.

03/18/2026

“Thank you so much for taking care of me yesterday, everything was world class.”

A kind message from one of our wonderful patients who traveled across the globe to New York City for blepharoplasty, micro-fat transfer, and facial rejuvenation with me.

03/17/2026

A touch of green for St. Patrick’s Day 💚
Today in our office! A moment of celebration and fun amidst a busy day of caring for our patients.
Wishing everyone a happy St. Patrick’s day!

☘️ ❤️ ☘️

03/14/2026

Today on World Sleep Day, let me point out that your skin health is shaped not only by what you apply to the skin or treatments you do, but also by the physiologic repair processes that occur during sleep.

Sleep is when the body enters repair and regeneration mode. Pay attention to the results of the following interesting research:

In a study of women in their 40s limited to 4 hours of sleep per night for six consecutive nights, measurable changes in skin quality were observed:

• 𝐇𝐲𝐝𝐫𝐚𝐭𝐢𝐨𝐧 𝐝𝐞𝐜𝐫𝐞𝐚𝐬𝐞𝐝 𝐚𝐟𝐭𝐞𝐫 𝐣𝐮𝐬𝐭 𝐨𝐧𝐞 𝐧𝐢𝐠𝐡𝐭
• 𝐖𝐫𝐢𝐧𝐤𝐥𝐞𝐬 𝐚𝐧𝐝 𝐬𝐮𝐫𝐟𝐚𝐜𝐞 𝐫𝐨𝐮𝐠𝐡𝐧𝐞𝐬𝐬 𝐢𝐧𝐜𝐫𝐞𝐚𝐬𝐞𝐝
• 𝐆𝐥𝐨𝐰 𝐚𝐧𝐝 𝐭𝐫𝐚𝐧𝐬𝐩𝐚𝐫𝐞𝐧𝐜𝐲 𝐝𝐢𝐦𝐢𝐧𝐢𝐬𝐡𝐞𝐝
• 𝐄𝐥𝐚𝐬𝐭𝐢𝐜𝐢𝐭𝐲 𝐬𝐡𝐨𝐰𝐞𝐝 𝐭𝐡𝐞 𝐠𝐫𝐞𝐚𝐭𝐞𝐬𝐭 𝐝𝐞𝐜𝐥𝐢𝐧𝐞

Who knew that one the most powerful forces in skin quality happens quietly each night during sleep. It gives the term Sleeping Beauty a whole new meaning! Sometimes the most powerful aesthetic intervention is simply giving the body the time it needs to repair itself. If you notice a different in your skin or appearance when you donot sleep enough, leave a comment, send me note and share.

03/13/2026

Welcome to today’s AMA!

Today’s question: how do I mentally prepare for surgery day?

For me it really begins the night before. Good sleep. Nothing complicated or mysterious there - but very important. Operating days require focus and stamina.

Then early morning yoga. Helps me breathe, stretch a bit, and settle into the day ahead.

And then… the OR. Once the day starts, everything narrows to the patient, the anatomy, and the plan.

03/12/2026

I am honored to have been recognized as a 2026 Castle Connolly Top Doctor through a peer-nominated process that recognizes the top 7% of physicians nationwide. Receiving this recognition for 20 consecutive years further validates my passion for meticulous patient care, innovation, and education. I am grateful to my peers and to my amazing patients, who continue to inspire me every day.

03/08/2026

03/04/2026

Do not miss the current W Magazine’s newest beauty piece, “From Deep-Plane Facelifts to Blepharoplasty, Welcome to Plastic Surgery’s New Era.”

Thank you and for seeking and sharing my perspective on Blepharoplasty, a topic that is at the core of practice for 25 years. From my shape preserving approach to aesthetic surgery, we discussed the nuances of modern eyelid rejuvenation.

This is a comprehensive and thoughtful exploration of a new era in aesthetic surgery.