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Aesthetics and Facial Plastics

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fotolia 8446182Our board certified plastic surgeons specialize in plastic and reconstructive surgery of the face, nose, and sinuses. We work closely with each patient to develop an individualized plan of treatment and are dedicated to helping our patients achieve a natural post-surgical look.

Facial plastic surgery makes it possible to correct many flaws and signs of premature aging. By changing how you look, cosmetic surgery can help change how you feel about yourself. Our physicians stress natural and subtle cosmetic procedures, which enhance rather than change one’s appearance. As with all elective surgery, good health and realistic expectations are a prerequisite.

For additional information about any of the following procedures, please feel free to ask your physician about your treatment options.

Rhinoplasty

fotolia 2174627Rhinoplasty, also known as nose surgery, nose reshaping, or a nose job, is a plastic surgery procedure which reshapes the nose in order to create a more aesthetic facial appearance. Rhinoplasty may also help to improve nasal function.

The appearance of the nose can be changed in a variety of ways. The procedure can be performed to reshape, reduce or augment a person’s nose, remove a hump, narrow nostril width, change the angle between the nose and the mouth, or to correct injury, birth defects, or other problems that affect breathing. Results depend on the patient’s nasal bone and cartilage structure, facial shape, skin thickness and age (teenagers should have had their growth spurt). It can be reduced or increased in size, a hump can be removed, the nostrils can be narrowed, the tip or bridge of the nose can be reshaped, and the angle between the nose and upper lip can be changed. Altering the appearance of the nose can often help to achieve facial balance and enhance the other facial features. Good candidates for rhinoplasty include men and women over the age of sixteen who are healthy and are looking to improve the appearance of the nose.

Revision Rhinoplasty

Revision rhinoplasty is a plastic surgery procedure which rebuilds and reshapes deformities of the nose that have resulted from a previous rhinoplasty surgery. It may also be referred to as secondary or tertiary rhinoplasty. Revision rhinoplasty is a highly customized and individualized surgery. Good candidates include healthy men and women who are unhappy with the current appearance of their nose following a previous rhinoplasty surgery and are seeking an improvement.

Face Lift

In time, gravity, sun exposure, and the stresses of daily life take their toll on our faces: deep creases appear beside the mouth, the jawline slackens, and folds and fat deposits appear on the neck. Facelifts counteract these problems by removing fat and tightening skin and muscles, giving your face a fresher, youthful look -- after surgery, some patients appear as much as 10 or 15 years younger.

The procedure can be combined with others (browlift, eyelid surgery, nose reshaping) for more dramatic results, or it can be restricted to the neck (necklift) if the patient’s problems center there. Incisions are made in inconspicuous places such as behind the hairline and in natural folds of the face and ears, and scars fade to near invisibility in time. Results of a facelift do not last forever; you may want to have another procedure in five or ten years. But in another sense, the effects are permanent; years later, your face will continue to look better than if you had never had the procedure.

Eyelid Surgery

BlepharoplastyBy removing excess fat, skin and muscle from the upper and lower eyelids, blepharoplasty can rejuvenate puffy, sagging or tired-looking eyes. It is typically a cosmetic procedure but can also improve vision by lifting droopy eyelids out of the patient’s field of vision. The procedure is usually performed in an office with local anesthesia and lasts 45 minutes to a few hours depending on how much work is done. Blepharoplasty cannot be used to raise the eyebrows or reduce the appearance of wrinkles, crow’s feet or dark circles under the eyes, but the procedure can be combined with others such as a facelift and BOTOX® Cosmetic treatments to achieve these results.

Contour Threads™

ContourThreadsFor patients who desire a younger appearance of the mid-face and brow without undergoing a facelift or brow lift, a new minimally invasive procedure is available. FDA-approved Contour Threads™ are thin, flexible sutures that are threaded underneath the skin from the ear to the hairline to rejuvenate sagging foreheads, eyebrows and cheeks. When the threads are pulled gently, tiny barbs lift the sagging tissue into a subtly higher, more youthful position that reflects the patient’s natural facial contours. The sutures are left in place to maintain the effects, which are further enhanced and supported over time as the body produces natural collagen and elastin fibers around the threads. The entire procedure takes about an hour under local anesthesia.

Contour Threads™ are colorless, so they can’t be seen even in patients with pale or thin skin. They are made of polypropylene, a material used in dissolveable stitches. The threads can be removed later on for patients who choose to have a facelift or brow lift or who wish to reverse the procedure.

Otoplasty

OtoplastyAlso known as ear surgery, otoplasty is a plastic surgery procedure which can reduce the size of large ears or reposition prominent or protruding ears so that they are closer to the head. Otoplasty can also reshape misshapen or irregular-looking ears to make them appear normal. The surgery may be performed on younger patients once the ears are fully grown, typically around the age of four. Performing the surgery at a young age can be very beneficial, lessening the psychological and emotional discomfort a child may have to endure. Some patients prefer to undergo otoplasty in adulthood.

BOTOX® Cosmetic

BOTOXBOTOX® Cosmetic is a non-surgical injection which can temporarily smooth dynamic lines and wrinkles of the face and neck. A variety of wrinkles can be treated, including forehead creases, frown lines, crow’s feet, and neck bands. Botox, which is the cosmetic form of botulinum toxin, works by blocking the nerve impulses and temporarily relaxing the muscles responsible for wrinkling. The result is a smoother, more youthful and refreshed appearance.

Good candidates for Botox include men and women who are healthy and have lines that are not yet deeply etched into the skin. Botox is not appropriate for everyone, including women who are pregnant and individuals with certain neuromuscular disorders such as ALS, myasthenia gravis, or Lambert-Eaton syndrome.

Injectable Fillers - Restylane®, Juvederm™, Radiesse®, and Sculptra™

Injectable fillers are substances which can be injected beneath the skin to fill in facial hollows, folds, and wrinkles. There are a variety of fillers available including Restylane®, Juvéderm™, Radiesse® and Sculptra™. Most fillers offer temporary results and will require repeat treatment in order to maintain the effect. Good candidates for injectable fillers include men and women who are looking to correct a loss of volume or improve facial lines or wrinkles.

Both Restylane® and Juvederm™ are made of hyaluronic acid. Restylane® can smooth wrinkles, shape facial contours and sculpt the lips, providing results lasting up to one year. Juvéderm™ can fill in deep facial folds, lines and wrinkles, contour facial features like the chin and cheeks, and restore fullness to the lips, providing results lasting up to six months.

Radiesse® is made of calcium hydro-xylapatite and can be used to treat wrinkles, creases, and scars. Results may last one to two years. Sculptra™, made of polylactic acid (PLLA), may be used to fill in sunken cheeks, hollow eyes, indentations, folds, and other sunken areas of the face with results lasting up to two years.

Facial Implants

FacialImplantsFacial implants may be used to augment or create symmetry in the cheeks, chin, or jawline. Cheek implants may be used to add prominence to the cheek bones while a chin implant can improve a weak or undersized chin. This is a fairly simple plastic surgery procedure which can provide long-lasting improvement. Good candidates for cheek or chin implant procedures include healthy men and women who are looking to improve a lack of volume in the cheek, chin or jaw area.