Face

Facelift

In time, gravity, sun exposure, and the stresses of daily life take their toll on our faces: deep creases appear beside the mouth, the jaw line 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. 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. After surgery, some patients appear 10-15 years younger.

Cheek lift

The cheek lift is a procedure done under local anesthesia.  A strip of skin is removed in front of and just underneath the ear, and the soft tissue just below the skin is tightened.  There is minimal bruising and discomfort.  The stitches are right in front of the ear and just under the ear lobe and can be discretely hidden with your hair.  Many people return to work within a few days.  The cheek lift will tighten your jowls and cheeks.  If you think of a facelift procedure producing an 8-10 years younger difference, the cheek lift is about 3-5 years.  Often it is done when someone does not want to take the time for a formal facelift or is not quite ready to do the whole face and neck but does want to have some facial rejuvenation.

Blepharoplasty

Blepharoplasty, also known as eyelid surgery or an eyelid lift, can rejuvenate puffy, sagging or tired-looking eyes by removing excess fat, skin and muscle from the upper and/or lower eyelids. The procedure may also tighten eyelid muscles or tissue. Eyelid surgery may be performed for cosmetic reasons or to improve side or peripheral vision by lifting droopy eyelids that may be obstructing the patient's sight.

Brow Lift

Browlifts (forehead lifts) can revitalize drooping or lined foreheads, helping you look less angry, sad or tired. Using  traditional methods, browlifts involve the removal or alteration of the muscles above the eyes to smooth lines and raise the eyebrows for a more youthful appearance. The procedure is often combined with other operations such as blepharoplasty (eyelid surgery) and facelifts to improve the look of the eyes and other areas of the face.

While browlifts are typically performed on patients aged 40-60 to counteract the effects of aging, anyone with lined or inelastic skin on the forehead - whether it's caused by muscle activity or inherited conditions - is eligible. The procedure is usually performed in an office-based facility or surgery center under local anesthesia and sedation.

Lip Augmentation

Lip augmentation increases the size of the lips through a variety of surgical and nonsurgical techniques that provide temporary or permanent results, depending on the type of material used. This procedure may be performed on one or both lips, and offers patients noticeable yet natural-looking results through a single treatment session. Injectable fillers such as Restylane® and Juvederm, are performed on an outpatient basis and are injected directly into the lips for safe, noticeable results that can last for several months.

Fat injections of the lips is more involved but can be done under local anesthesia.  There will be swelling for a few weeks afterwards, but the fat is a more "permanent" augmentation.

This procedure is often combined with others, such as a facelift, rhinoplasty or chin augmentation to achieve a fully rejuvenated, balanced facial appearance.

Fat Injections

Autologous fat (your own fat) can be harvested from your body and then injected into your face (or other areas of your body).  This is typically done for loss of fat in the face as it ages, but it can also be used for asymmerty and deformity.  It is most often used in the lips and nasolabial fold (the creases at the cheek to lip connection), to either enhance the appearance, or restore a more youthful mouth.  It can be done under local anesthesia.

Chin Augmentation

Although many people do not notice it, a weak chin can significantly affect facial appearance, causing the nose to look larger or the neck to look loose. Chin augmentation is often performed to provide a more balanced facial appearance and create a chin that is stronger, wider or longer, depending on each patient's individual goals. Also known as mentoplasty, chin augmentation is often performed in conjunction with rhinoplasty or other facial procedures in order to achieve optimal results.  During the mentoplasty procedure, an implant made of silicone or another soft, flexible material is inserted into the chin through a small incision underneath.  The chin can also be augmented by one of the long lasting fillers or by fat if desired.  Often, patients come to the office desiring a smaller nose when, in fact, a chin augmentation provides a better balance to the facial features.

Otoplasty

Otoplasty, or ear surgery, is a cosmetic procedure to improve the appearance of a person's ears. Although otoplasty does not affect hearing, it can provide great psychological benefits. Otoplasty is most commonly performed to set unusually prominent ears back closer to the head, called ear pinning, or to reduce the size of abnormally large ears. Ear surgery may also be helpful to reconstruct abnormally small ears or lop ears or to repair ears which have been damaged by injury or cancer surgery.

Ear Lobe Repair

Ear lobes can be torn completely or a piercing can be stretched until there is a long unattractive slit in the lobe.  Sometimes the hole can be so long that it no longer holds your earring securely.  The earlobe is typically repaired using about a five layer closure to get the optimal result with the least visible scar.  The ear can then be re-pierced 3 months after the repair.  This is done under local anesthesia.

Cheek Implants

Whether or not we notice it consciously, full cheeks are often a part of how we judge a person's face. Cheek implants can have a major impact on the appearance and self-confidence of patients whose cheeks have thinned or sunken due to age, illness or other causes.  A cheek implant or augment can enhance the eyes.   Implant sizes and shapes to augment the cheek are tailored to each patient's desired appearance.

Scar Revision

Scar revision is performed to reduce the appearance of scars caused by injury or previous surgery. While many scars fade over time and eventually transform to become barely noticeable, many patients experience disruptions to the healing process that cause scars to become red, raised, indented or otherwise deformed. There are many surgical methods of scar revision, only some of which may be appropriate for a particular type of scar or its location.