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COSMETIC PROCEDURES FOR THE FACE

Facelift, Forehead Lift, Eyelid Surgery, Nose Surgery, Ear Surgery, Chin Implants, Cheek Implants, Resurfacing, Injectables and Fillers

FACELIFT

A facelift (face and neck) is not any more a procedure reserved for the old. Modern facelift techniques allow any person, even with minimal imperfections or very first signs of aging to get a beautiful, safe, long lasting non-operated looking result. The contour can be improved by removing or re-positioning facial fat. The suspension is performed by tightening muscle and fascia. The skin is not used to pull but rather, with the help of gravity to re-drape over the face. No tension is placed on the incisions which follow natural folds of the face and ears, along or in the hairline, resulting in fine healed scars which mimic normal anatomy. By using the anatomy and gravity as guide a person can have a number of repeat procedures (secondary facelift) with equal safety and predictable results. A facelift is often accompanied by forehead lift and or blepharoplasty to result in full facial rejuvenation.

FOREHEAD LIFT

A Forehead lift is not only a complimentary procedure to the facelift but it can also dramatically correct inappropriate expression when the person appears angry, tired or sad. Besides correcting the position of the eyebrows, the foreheadlift will smooth the winkle lines, narrow the bridge of the nose, improve the hooding over the upper lids, support the temples and support the lower eyelids.

BLEPHAROPLASTY (Eyelid Surgery)

Blepharoplasty of upper and lower eyelids is helpful to persons with tired-looking sagging and baggy eyes. It will remove excess, skin, tighten the muscle and remove or reposition excess fat via minimal and anatomically positioned incisions. Upper blepharoplasty is also performed for medical reasons for persons with limited field of vision.

RHINOPLASTY (Nose Surgery)

Modern rhinoplasty is performed in such a way to enhance the shape of the nose while preserving the overall facial balance (complementary cheek or chin implants should also be considered). Rhinoplasty often requires modification of the tip of the nose, the nasal septum, the nasal profile, and the nasal bones in order to produce the desired result. It can be performed through a "closed" approach with all incisions placed inside the nose, or “open” with additional small incision across the base of the nose which allows for more control in reconstruction or grafting. Additionally, if the patient has difficulty in breathing due to the internal nasal structures, correction of those deformities can be performed at the same time as the alterations to the external appearance.

OTOPLASTY (Ear Surgery)

Ear surgery is performed to set prominent ears back closer to the head, or create a natural fold in loop ears deformity.

MENTOPLASTY (Chin Implant)

Chin implants are used to create a balance with the other facial features. It is often performed along with the facelift or a nose surgery.

CHEEK AUGMENTATION

Cheek implants should be used only in patients whose cheeks are truly deficient or have thinned or sunken due to age. Implant sizes and shapes can be individually tailored.

SKIN RESURFACING

Dermabrasion (sanding) uses fine wire brushes and carborundum bits to physically remove fine and medium wrinkles and improve the deep wrinkles.
Laser resurfacing, utilizing an Erbium or Carbon Dioxide (CO2) laser or a blend of both, to burn fine surface irregularities and may also tighten the deeper layers of the skin.
Superficial chemical peels are alpha-hydroxy, glycolic acid and salicylic acid and deep chemical peels are trichloroacetic acid or "TCA" and phenol. They can be used separately or in combination to achieve varying depths of penetration and resurfacing.

INJECTABLES: BOTOX AND FILLERS

BOTOX® Cosmetic blocks the transmission of nerve signals to the injected muscles to temporarily weaken and paralyze the muscles that cause wrinkles. It is used successfully for the forehead creases and lines in between the eyebrows. It is also used off label for the “crow feet” frown lines.
Facial creases and sometimes even fine lines can be filled, expression lines softened, and facial contours such as the lips and cheeks can be augmented with a variety of injectable facial fillers. Two most popular Restylane® and Juvederm™ are in the category of non permanent fillers. Other "filling materials", include Collagen, Zyderm®, Zyplast®, Captique™, Hylaform®, Perlane®, Radiesse®, Sculptra™, and autologous fat injections.

COSMETIC PROCEDURES FOR THE BODY

Breast Augmentation, Breast Lift, Breast Reduction, Liposuction, Tummy Tuck, Labiaplasty, Arm Lift, Lower Body Lift

BREAST AUGMENTATION

Breast augmentation is designed to help women with small or unevenly-sized breasts or decreased size breasts as a result of having children. The goal is a fuller, firmer, better-proportioned look, somewhat firmer, and shapelier breast. The skin incisions for placement of the implants can be made just above the crease beneath the breast, inside the areola, or through the armpit. A pocket for the implant can be created behind the muscle of the chest or behind the breast tissue. Both saline and silicone gel filled implants are currently FDA approved.

BREAST LIFT

Mastopexy or breast lift is designed to lift breasts that have sagged as a result of aging, gravity, loss of skin elasticity, pregnancy or weight loss. The goal is to return youthful shape lift and re-contour the breasts by removing the lower portions of the stretched skin and reforming a tighter and more supportive "bra" from the remaining skin. The incisions usually extend around the areolas (areola size can be modified), there can be a vertical component, as well as along the fold (circle, lolly-pop or anchor shape).

BREAST REDUCTION

Breast reduction surgery is most frequently done to provide relief from symptoms caused by large, heavy breasts such as back, neck, and shoulder pain. The procedure removes excess fat and breast gland tissue and tightens skin to produce smaller, lighter breasts. The resulting scars are similar to the breast lift but they are more likely to widen, which is easily offset by the physical relief and improved breast shape.

LIPOSUCTION

Liposuction (lipoplasty, liposculpture) is by far a most popular cosmetic surgery procedure today. This procedure requires minimal incisions (punctures) so the fat can be removed with small tubes. It is ideally suited for the removal and re-sculpting excess fat deposits in areas such as the abdomen, waist, hips, thighs, knees, chin, neck and upper arms that are resistant to diet or exercise in patients of "normal" body weight and good skin tone. It is not a procedure which should be performed for weight loss, and cannot eliminate "cellulite" or correct loose, hanging skin in which case skin excision procedures such as tummy-tuck, thigh-lift, arm-lift or face-lift may be indicated.

ABDOMINOPLASTY

Abdominoplasty (tummy tuck) is designed to give you a smoother, flatter, and tighter abdomen by removing the skin and fat from the belly button to the pubic mound and tightening the underlying muscle. It results in a horizontal scar across the pubic area and extending laterally. A new opening is also made for the re-positioned belly button. If the loose skin and muscles are limited only to the lower abdomen, or excess lower abdominal skin results from a liposuction; a modified abdominoplasty (mini tummy tuck) can be performed with a shorter horizontal scar and no incision around the umbilicus.

LABIAPLASTY

Labiaplasty can help women who experience pain, irritation, self-consciousness, hygiene issues or sexual dysfunction due to an enlarged labia.

BRACHIOPLASTY

Brachioplasty (arm Lift) removes excess skin and fat from the extremely flabby upper arms. It produces a long scar along the inner arm. In less serious cases a short-scar-Brachioplasty can be preformed combined with liposuction and results in a short horizontal scar hidden in the arm crease.

LOWER BODY LIFT

Dramatic weight loss from gastric bypass surgeries produces excess skin of the upper arms, back, hips, thighs, and buttocks. In cases of extreme and extensive skin laxity of the trunk, a circumferential "lower body lift" may even be performed which incorporates an abdominoplasty with a simultaneous hip, lateral thigh, and buttock lift. Such procedures produce significant scarring but the patients who are judged to be good candidates for these procedures usually find the associated scars an acceptable and worthwhile trade-off for their improved comfort and self-confidence when wearing normal clothes.