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Face

Face | Eyes | Breast | Liposuction | Body Contouring | Skin Care/Botox | Male |

Rhytidectomy:
Also known as a "facelift," rhytidectomy rejuvenates the aging face and neck by removing excess skin and tightening the deeper facial tissues. This is an effective procedure for sagging neck lines and jowls, and deep wrinkling of the face. In order to obtain the best results, rhytidectomy is often combined with other procedures such as browlift, eyelid surgery or liposuction under the chin, but this varies from patient to patient. The surgery can be performed under local or general anesthesia, and usually lasts several hours. Incisions are typically placed around the ear and within the hair-bearing scalp to minimize their visibility. During the surgery, the surgeon separates the skin from the face, tightens the deeper tissues and redrapes the skin in a pleasing manner. Excess skin and tissue is removed. Small drainage tubes may be placed under the skin to remove excess fluid, and these are usually removed in one or two days. After the surgery, an overnight stay is routine. Most patients resume household activities within one or two days. Pain and discomfort following the surgery are typically controlled with oral pain medication, and are not severe. Most stitches are removed within one week after surgery, and within ten days to two weeks most patients can return to work. Some bruising and/or swelling may persist longer, depending on the exact nature of the surgery and the patient.



Browlift:
Browlift or forehead lift procedures improve drooping eyelids, frown/forehead lines, and "crow’s feet." In order to obtain the best results, the browlift is often combined with other procedures such as eyelid surgery or rhytidectomy. Multiple techniques are used by surgeons to perform browlift surgery, and the best procedure is selected based upon the individual patient’s needs. The surgery usually lasts from one to three hours, and can often be performed on an outpatient basis. Local or general anesthesia may be selected. Incisions are typically concealed within or at the hairline, and "minimal access" or "endoscopic" surgery may be selected to ensure the smallest incisions possible. Depending on the technique and patient, these surgeries may remove excess skin and/or over-active muscles causing wrinkling. Pain and discomfort following the surgery are typically controlled with oral pain medication, and are not severe. The patient can usually shampoo the hair with a day or two after surgery. Stitches or clips are removed within ten days to two weeks, and within one week to ten days most patients can return to work. Some bruising and/or swelling may persist longer, depending on the exact nature of the surgery and the patient.


Rhinoplasty
is surgery to reshape the nose. Rhinoplasty is often used to decrease or increase the size of the nose, to reshape or reposition the tip of the nose, or to alter the shape/size of the nostrils. Congenital or birth defects may be improved, and breathing difficulty may also be corrected. The surgery can be performed under local or general anesthesia, and usually lasts for one or two hours. A variety of techniques may be utilized, depending on the goals of the patient and the surgeon’s preferences. In many cases, the incisions are hidden inside of the nostrils. The surgeon may also choose to perform an "open" rhinoplasty, in which a small additional incision is placed across the columella (the skin which separates the nostrils). This "open" technique is often selected in complex procedures or in cases where surgery was previously performed. During the surgery, the surgeon typically sculpts the bone and cartilage framework of the nose to achieve the desired result. Excess bone, cartilage or skin may be removed or repositioned. In some cases, cartilage taken from the nasal septum (the wall of tissue dividing the two nasal air passages) or the ear is used to add structure or support where needed. Other materials are sometimes used as well. Breathing difficulty may be improved by surgery on the septum ("septoplasty") or other techniques. After the surgery, a splint is often placed to protect the nose. Packing may also be placed in the nostrils for a few days. Most patients resume household activities within one or two days. Pain and discomfort following the surgery are typically controlled with oral pain medication. Most stitches/splints are removed within one week after surgery, and within one to two weeks most patients can return to work. Most bruising and/or swelling resolves within two weeks; more subtle swelling may persist longer, depending on the exact nature of the surgery and the patient.



Other Procedures

A variety of other procedures may be useful in facial rejuvenation. Buccal Fat Pad Excision involves excision of excess cheek fat through a small incision on the inside of the cheek, and narrows the midface region. Chin and Cheek Implants may be used to increase the prominence of these areas. Liposuction is often used to remove excess fat from the neck and below the chin. Lip Augmentation can be accomplished via collagen injection, or through surgical methods which add tissue to the lip.


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