Facial Procedures

Brow Lift

The effects of time and gravity cause the forehead to sag. As a result, the eyebrows flatten and descend causing excess skin to accumulate in the upper eyelids (hooding). At the same time, wrinkles develop transversely across the forehead and across the bridge of the nose, and vertically between the eyebrows. The forehead/brow lift corrects these problems and produces a youthful, alert, and attractive appearance, generally using a minimally invasive procedure.

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Eyelid Lift

Blepharoplasty, or eye-lid lift, removes excess skin and fat pads from around the eyelids. The shape of the eye lids may be rejuvenated, creating a more alert, youthful, rested and pleasant appearance.

Eye lids may look old and tired for any of these reasons:

  • Fat pads under the lids may cause the appearance of bags
  • Extra skin may give the appearance of “hooding” of the upper lids and creases on the lower lids
  • Muscle hypertrophy (overdeveloped or overactive eyelid muscles from squinting)
  • Crow’s feet, or fine lines in the skin
  • Dark circles
  • Sagging of eye-lid support

Blepharoplasty typically involves removing the extra skin, hypertrophied muscle, and fat pads as needed through an inconspicuous incision. When necessary, the eyelids can be tightened, and the outer corner can be elevated to create a tighter eye lid with a more youthful look.

When considering blepharoplasty, the surrounding structures must also be considered. Frequently for example, “hooding” of the upper outer corners of the lid results from the forehead/brow sagging. This condition is called brow “ptosis” or sagging. Signs of brow ptosis include a flattening eyebrow shape and descent of the eyebrows so that they are at or below the upper rims of the bony eye sockets.

Another commonly encountered situation is asymmetry of the eyebrows. Interestingly, many patients are unaware of even significant asymmetry. A brow lift can correct or improve this situation. It is usually better to do a brow lift before blepharoplasty to optimize rejuvenation without jeopardizing the ability of the lids to close completely.

Problems like crow’s feet and dark circles cannot be treated by blepharoplasty and brow lifts alone. These problems are usually treated with skin care products, microdermabrasion, and resurfacing with Coblation.

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Facelift

Full Facelift

A face lift removes excess skin and wrinkles, tightens weakened facial and neck muscles, and elevates deeper structures to a more youthful condition. Depending on your exact needs, you can expect to see a rejuvenated forehead, eyes and cheeks. Your neck and jaw line will be more chiseled, and a double chin and jowls should be greatly improved or eliminated.
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Facelift (Lower)

A lower face lift improves the appearance of your cheeks and neck by tightening the skin, lifting the deeper structures and removing fat in undesirable areas. Neck and jaw lines will be more chiseled, and double chin and jowls should be greatly improved or eliminated. Deep creases from the nose to the corner of the mouth or jaw (nasolabial folds, or marionette lines) will be eliminated or softened. Overall, you should expect a more youthful appearance.For the purpose of this discussion, a lower face lift will be used interchangeably with cheek lift and neck lift. Generally, the lower face lift will be defined as surgical rejuvenation of the face bounded by the cheek bone superiorly and the collar bone inferiorly, the ear laterally, and the “marionette lines”, medially.
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Facelift (Mini)

Rhytidoplasty is the formal term for “face lift”. This operation restores a more youthful appearance by lifting, tightening, and removing excess skin. The weakened muscular support structures are also tightened, and excess fat is removed, repositioned, or sculpted to recreate a pleasing youthful appearance of the cheeks.For the purpose of this discussion, a “mini”-face lift will be used interchangeably with cheek lift, and will be defined as surgical rejuvenation of the face bounded by the cheek bone superiorly and the lower jaw inferiorly, the ear laterally, and the “marionette lines”, medially. Other face lift components will be addressed in other sections.
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Neck Lift

A neck lift improves the appearance of your neck by tightening the skin, lifting the deeper structures and sculpting undesirable fat. Neck and jaw lines will be more chiseled, and the double chin should be greatly improved or eliminated. Your neck may appear longer and more graceful. Overall, you should expect a more youthful appearance.
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Neck Liposuction

Liposuction of your neck will give your chin and jaw line a more defined and sculpted appearance. Your neck will also appear thinner and more graceful. In men, a more masculine or athletic look is restored. In general, removing even small amounts of fat greatly improves the neck’s appearance.

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Chin Implant

Attractive faces are “balanced” and “harmonious” in proportions. Aesthetically, the face is described as being equally divided in 1/3’s vertically and 1/3’s horizontally. This 1/3 “rule” has actually been used by artists for thousands of years to create attractive works of art. Although most faces don’t fit perfectly into the 1/3’s rule, the rule is an excellent way to assess the face and plan for surgical improvement as appropriate.

The chin contributes to the proportions of the lower 1/3 of the face in three dimensions. The chin has projection, width, and vertical height. The chin may be deficient in any or all of these dimensions. When deficiencies occur, it may cause the lower face to appear too short, the chin to appear pointy, the face to be round, and the lower jaw to lack definition. Overall, an unbalanced face detracts from its potential attractiveness.

A weak chin or jaw line may be caused from a short lower jaw, an underdeveloped chin, poor occlusion (the teeth don’t come together correctly), a neck fat pad, other neck structures, or combination of the above. Each cause must be assessed prior to surgery.

It is important to remember that a chin implant is chosen to add volume and shape as needed. Implants come in many sizes, shapes, and proportions, and additionally, they can be sculpted to meet the unique needs of each patient. As such, the implant will restore balance to the face and improve the attractiveness by augmenting the chin. The implant will NOT correct a short lower jaw, poorly occluding teeth, or unaesthetic neck structures.

Although in many cases, additional procedures may be necessary (braces, jaw surgery, liposuction, etc.) to achieve an optimal result, patients frequently opt for the implant alone.

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Otoplasty

Otoplasty or ear pinning reduces the size of your ears, re-creates the delicate and intricate shape of the ears, improves symmetry between the ears, and brings the ears closer to the head. The overall effect of otoplasty is to reduce the prominence of ears and to restore balance and harmony to the face. The result is an enhanced natural attractiveness. Frequently after otoplasty, the patient reports greatly improved self-esteem and self-confidence. It is not unusual for hairstyles to change (no longer hiding the prominent ears) and even clothing styles to change. Adults who have otoplasty usually say that they wish that they had had the procedure much earlier in their lives.

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Skin Resurfacing

People usually get about 98% of their total sun exposure before age 21! Over time, the damage to the skin from ultraviolet radiation exposure, oxidants in the environment, cigarette smoking, and other lifestyle choices becomes manifest, and can lead to the appearance of premature aging. As a result, the skin may start to appear thickened and dull, fine line and wrinkles appear, and the pigmentation becomes “blotchy”. Skin can also start to sag. Coblation is a procedure that effectively treats damaged skin and recreates a long lasting youthful appearance to the skin.

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Earlobe Repair

Many people wear pierced earrings. Over time, heavy earrings can stretch the hole in the earlobe. Occasionally, hoop or large earrings can get pulled and this can also cause stretching of the piercing or even a complete tear though the earlobe. In either case, the resulting earlobe may look unattractive. The lobe may no longer be able to support pierced earrings, may only support hoop earrings, or the earrings may be malpositioned. Earlobe repair corrects all of these problems in just a few minutes.

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