Early changes in the face and neck can now be treated with a procedure that maximizes results while minimizing recovery. A mini-facelift uses the same principles involved in a full facelift but targets the specific needs of today’s active lifestyle.
Are you a candidate for a mini-facelift? If you have prominent jowls, loss of a refined jaw line, or loose skin in the neck – a mini-facelift may be perfect for you. Also, some patients who have had a prior facelift many years ago are candidates for a ‘touch-up’ facelift using the mini-lift approach.
The surgical procedure A mini-facelift utilizes a shorter incision that is hidden around the ear, but otherwise provides the same long-lasting results of a full facelift. The deeper tissues of the face are approached through small incisions, and these layers are tightened. After trimming excess skin the incisions are closed with fine sutures, often combined with surgical clips which permit surgery without shaving hair from the incision site. The procedure is performed with a combination of mild sedatives, local anesthesia, and a mild intravenous anesthesia, and there is little discomfort. Following the surgery, a dressing is placed to protect the face and apply mild pressure overnight. Post operative expectations Recovery from a mini-facelift is 3-5 days, with return to full activity by one week. This is a great option to quickly become the new, younger version of you!
The neck is one of the first structures to be affected by aging in both males and females. As early as the 30’s, 40’s, or 50’s, people may notice looseness and/or sagging of neck skin, fatty deposits in the sub-mental area (double chin) and even vertical muscle bands extending the length of the neck. These changes may become bothersome and embarrassing for some people. The manifestation of aging on the neck can be treated with a number of surgical techniques. A composite neck lift for example, may be performed in conjunction with a facelift or by itself. Incisions, technical steps and patient recovery are similar to a standard facelift. However, smaller and minimally invasive variations of neck lifts are successfully done for patients with less extensive needs. For example, fatty deposits in the sub mental area (double chin) are usually addressed with simple neck liposuction or direct excision of fat. Fat excision is done through a small incision placed in a naturally occurring line below the chin, making it nearly invisible. This same incision can be used to tighten the muscles that often cause banding in the neck area. Men who are concerned with sagging skin on the neck, but do not want a full facelift, are excellent candidates for this procedure.
Blepharoplasty, more commonly known as eyelid surgery, is a procedure designed to remove and reposition the fat, muscle, and skin surrounding the eye to create a tighter, more alert and youthful look. In some cases, when sagging of the eyelids is extreme, patients find that their eyesight is improved after Blepharoplasty, due to the removal of the obstruction. Eyelid surgery is a corrective procedure that can reduce bags under the eyes, remove excess wrinkles, to provide the youthful appearance to the eyes. One of the first things noticed about a person is their eyes. During the aging process, wrinkles, lines, and puffiness contribute to a tired or aged appearance.
Lower Lid Blepharoplasty The procedure for lower lid Blepharoplasty consists of reshaping the lower eyelid, removing excess fat and skin that make up the ‘bags’ or the tired, sagging appearance under the eyes. This is done either using a trans-conjunctival or trans-cutaneous method, described below. Transconjunctival blepharoplasty is ideal for patients who have large bags under their eyes and little or no wrinkling In a Transconjunctival Blepharoplasty, the surgeon, working through a small incision inside the lower lash line, repositions fat deposits higher in the eye socket to eliminate bags and excessive puffiness in the area, leaving the patient with a younger, more vital appearance. Transcutaneous blepharoplasty is ideal for patients who have loose, sagging skin around the eyelids that requires tightening. In a Transcutaneous Blepharoplasty, working through a small incision below the lower lash line, the surgeon tightens the lower eyelid and the skin covering it, leaving the patient looking alert and rejuvenated. Excess fat is also removed as needed. Upper Lid Blepharoplasty Upper lid Blepharoplasty involves removing excess skin, fat, and muscle in the upper eyelid area in order to create a more youthful and alert appearance, and in some can improve the patient’s eyesight by correcting obstructive sagging eyelids.. In upper lid Blepharoplasty, the surgeon smoothes and lifts the upper eyelid skin, creating a more alert, youthful appearance.
A sagging, furrowed brow is often one of the most visible signs of aging. As people get older, they begin to lose elasticity in their skin, and the muscle and fat begins to lose its tone. At the brow line, this can create deep wrinkles that appear as a perpetual scowl, as well as a hooded appearance that makes one look old and tired. The Browlift procedure is designed to reverse these effects by removing excess skin, and by tightening and raising the tissue in the brow area to restore a vital, youthful look. There are two primary types of Browlift procedure currently in use, the open Browlift, and the endoscopic Browlift. Which procedure is the best choice depends entirely on the patient’s individual goals and needs, and the decision should be made in consultation with an experienced plastic surgeon. Open Browlift The traditional open brow lift, also called the coronal brow lift, is preferred by many patients who have extensive drooping in the brow and the upper eyelid. In a coronal brow lift, the surgeon lifts and smoothes the forehead by an incision in the scalp behind the hairline, eliminating deep furrows, then tightens the skin over the area, pulling it taut to create a tighter, firmer brow line. Endoscopic Browlift The endoscopic Browlift, a less invasive alternative to the open Browlift, is a modified procedure that can be ideal for patients who suffer from drooping and wrinkling in the brow area, and who prefer less invasive procedure. In an endoscopic Browlift, the surgeon accesses the brow area through small scalp incisions with a thin flexible scope. The surgeon then smoothes any deep furrows and tightens the skin along the brow to eliminate wrinkling, to create a calmer and more youthful looking brow line.
Rhinoplasty is what is commonly referred to as a nose job Simply, it is any surgery procedure designed to reshape the nose, whether for cosmetic or for reconstructive purposes. Rhinoplasty procedures vary significantly from patient to patient, and any individual cosmetic procedure may consist of one or more of the following: . Reduce and/or reshape the bridge, nostrils, or tip of the nose . Better define the nose . Reshape and straighten the nose . Change the angle of the nose, either for cosmetic purposes or to resolve breathing problems Depending on the individual factors involved in any given cosmetic nose surgery, the surgeon may choose either a closed or open procedure for Rhinoplasty. Closed Rhinoplasty A closed rhinoplasty is a procedure in which an incision is made on the inside of the nose. This limits the applicability to procedures that can be effectively performed via a small incision with limited access. Benefits of closed rhinoplasty are that it is less invasive, bruising and swelling are minimized, the scars are completely hidden from view, and the recovery times are shorter. Open Rhinoplasty An open Rhinoplasty is a procedure in which incisions are made, both on the inside of the nose, as in the closed Rhinoplasty, and on the columella, the small area between the nostrils. Because open Rhinoplasty procedures offer greater access to the nose, it is frequently more applicable for complicated or precise procedures. Because open Rhinoplasty is a more invasive procedure, however, bruising and swelling are greater and the recovery period is a bit longer than with a closed procedure.
Otoplasty, cosmetic surgery to the outer ear is one of the few procedures commonly performed on children. By about age four, ears are almost fully grown. As such, many parents and children choose an Otoplasty procedure to correct issues with oversized or protruding ears while the child is still young, as the condition will generally not be outgrown or improve with time. Although Otoplasty procedures are, of course, available for adults and older teens, most procedures are performed on children between four and fourteen years old. This cosmetic ear procedure is most often done under local anesthetic and sedation, although general anesthesia may be used on younger children so they are able to sleep through the procedure. While there are a variety of techniques in current use, the most common procedure involves reshaping the cartilage and excising excess skin at the back of the ear. In most procedures, the surgeon makes a very small incision at the back of the ear through which the cartilage making up the ear is carefully reshaped to achieve the desired shape and size.
Breast augmentation is a procedure in which implants (silicon) are used to enlarge and enhance the breasts size, giving the breasts more natural contour and giving the body more aesthetically pleasing proportions. Reasons for Considering Breast Augmentation: . Enhance body shape if breasts are too small. . Increase breast volume after pregnancy and nursing. . Equalize a difference in breast size (cup size) to gain breast symmetry. Each breast augmentation procedure is customized to best accomplish that patient’s individual goals and needs, so there are a number of decisions to be made about the placement, type of implants, and the type of incision used for the procedure. Breast Implant Placement There are various positions in which breast implants can be placed, each with its own benefits and drawbacks eg subcutaneous, submuscular or partially subcutaneous and partially submuscular. Types of Implants There are two primary types of implants currently available: silicone and saline-filled. Silicone implants are the most commonly used in augmentation but saline implants have specific indications. Silicone implants consist of an outer shell made of rubber-like silicone, and a filling of silicone in a gel consistency. Currently silicone breast implants have been approved by the FDA for all women 20 years and older. Silicone implants are available in a variety of types, shapes, and sizes. Your surgeon will help you decide which will be best for you. You will also have an opportunity to “try on” silicone implants in various sizes and shapes during your private breast implant sizing session with our patient care coordinator. How is Breast Augmentation Performed? Breast augmentation involves making a small incision to insert a breast implant into the breast in order to enlarge the breast. The surgery is commonly performed on an outpatient basis at a hospital while the patient is under a general or local anesthesia. There are several possible locations for the small incision that will be used for inserting the breast implant. The best technique will be decided together between the patient and Dr. during the consultation. Types of Incision The three most common incisions are in the infra-mammary fold, trans-axillary , and peri-areolar. Each approach has its’ advantages and disadvantages. Your surgeon will discuss with you to reach the best approach. What is the Recovery Process for Breast Augmentation? Recovery requires 5-10 days of limited activity. Patients can usually return to work after or during this, and they may gradually increase their level of activity between 2-4 weeks
Breast lift, or mastopexyis a surgery in which the breasts are lifted and tightened, and excess sagging skin is removed, recreating the appearance of firm, youthful breasts. Many women find that, due to aging or childbirth, their breasts have begun to sag, losing their elasticity and firmness, a condition also known as ptosis. A breast lift reverses this damage, essentially turning back the clock and recreating the appearance of ‘perky’ young breasts. Depending on the specific problems to be addressed, a breast lift procedure may consist of discrete procedures that tighten skin to eliminate the sagging effect, reduce the size of the areola (the dark area of skin surrounding the nipple), and move the nipple higher up on the breast. In some cases, when there has been significant loss of breast tissue, a breast augmentation can be performed simultaneously with the breast lift. What does a Breast Lift Involve? In most breast lift procedures, the surgeon removes the excess skin that creates the sagging appearance, then raises the nipple , creating the appearance of a more youthful breast. The skin surrounding the areola is brought down and together to reshape the breast. The breast lift surgical procedure usually takes one and a half to two hours. The incision goes around the area where skin will be removed, thus defining how the nipple will be relocated.br> The breast lift procedure may be performed under general anesthesia or, in some more minor procedures, with local anesthesia and sedation. . If the patient is having an implant inserted along with the breast lift, the implant will be placed in a pocket directly under the breast tissue. Recovery: As with most operations recovery requires 10 days of limited activity. Patients can usually return to work after this, and they may gradually increase their level of activity between 2- 4 weeks
Breast reduction:,is a procedure in which the size of the breasts is reduced through removal of excess tissue and skin. Breast reduction surgery is a frequent choice for women who are uncomfortable with their large breasts and who suffer from problems such as the following: . Back, shoulder, and neck pain . Skin rashes and excess sweating under the breasts. . Mastodynia (breast pain) . Sagging breasts produced by their large size. . Restriction of physical activity due to the size and weight of the breasts . Discomfort from excess pressure of bra straps . Self-consciousness about breast size . Difficulty finding clothing that fits In cases in which the breasts are so large that they cause medical problems, such as back pain. Large breasts can cause not only physical discomfort but emotional distress as well. Women who have breast reduction find that they are able to live more comfortable and healthy lives, in addition to enjoying a more proportional appearance. In most breast reduction procedures, the surgeon removes excess tissue and skin, creating a smaller, firmer breast, and raises the nipple and areola higher on the breast to accommodate the new breast proportions, and create a smaller, natural looking breast. A breast lift is frequently included to create a more youthful appearance. The final scar is designed to be as a circle surrounding the areola with a short vertical one under the areola, in the lower most pole of the breast , this scar location is the most likely to be concealed. The breast reduction procedure is most commonly performed under general anesthesia. Recovery Process As with most operations recovery requires 10-14 days of limited activity. Patients can usually return to work after this, and they may gradually increase their level of activity between 2-4 weeks.
Liposuction – Tumescent & Ultrasonic
Liposuction is a procedure in which a surgeon removes targeted areas of fat using a device consisting of a thin metal tube (a cannula) and a suction device.
Liposuction is primarily used to eliminate areas of fat that have been resistant to diet and exercise, and areas of fat that have accumulated simply due to the aging process. Specifically, many people will develop pockets of fat around the abdomen, hips, legs, and neck, as we age and get “fat shifting.” Genetics can be a component as well. Liposuction results in a slimmer and better proportioned contour. Liposuction is used effectively to reduce love handles, saddlebags, a double-chin, a bulge around the waistline, or other unsightly fatty deposits in order to develop a better shape.
During liposuction, the surgeon targets very specific areas of fat for removal, sculpting and contouring the patient’s body to achieve more youthful looking, aesthetically pleasing proportions.
Liposuction techniques in use today:
is a procedure in which a solution of a dilute anesthetic is injected into the area of fat to be removed, allowing the surgeon to effectively target the area to be treated.
Ultrasonic – Ultrasound Assisted Liposuction
Ultrasonic liposuction is a procedure in which the surgeon targets the fat to be removed using a specialized cannula that emits ultrasonic energy. Ultrasonic liposuction is especially useful when targeting areas of fibrous fat, which can be difficult to remove otherwise. This type of fat is most common in areas such as the back and, for men, the chest.
Sometimes simply dieting and exercising are not enough to take care of waistline problems. In such cases, a patient may wish to consider a tummy tuck .The Tummy Tuck, or Abdominoplasty, is a procedure used to tighten lax abdominal muscles and remove excess skin and fatty deposits from the abdominal wall. This procedure is designed for those who wish to have a flatter and tighter abdominal wall. Abdominoplasty is a popular option for women who have lost elasticity in their abdominal area due to pregnancy, and others who have experienced sagging, fat deposits, and loss of elasticity as a result of aging, weight loss, or other factors. Following the procedure, patients have a firmer, leaner, and more sculpted looking abdomen and a slimmer waist. Depending on each patient’s unique needs and goals, an Abdominoplasty may consist of any one or more of the following procedures to resolve specific problems: . Tightening excess skin to eliminate loose and sagging skin . Tightening the underlying abdominal muscles to create a firmer abdominal wall . Removing excess fat to eliminate a protruding tummy There are two general types of Abdominoplasty in current use: Complete and partial. Complete Tummy Tuck classic Abdominoplasty is a procedure in which the surgeon flattens the epigastric area, ridding the patient of unwanted fat in the belly, and tightening sagging skin. The surgeon accomplishes this by removing excess skin and fat, translocating the navel, and tightening the abdominal muscles, creating a slimmer waistline. Mini-abdominoplasty is a less extensive type of the Abdominoplasty procedure, requiring a smaller incision. Unlike the complete Abdominoplasty, the partial Abdominoplasty is localized below the navel area, and does not involve translocating the nave
Arm, buttock and thigh lifts are performed to reduce excess skin and fat of individuals in whom diet, exercise, or liposuction alone will not correct the aesthetic imbalance. Candidates for this type of body contouring procedure are usually those who have had extreme weight gains or losses or have developed laxity due to age. Arm Lift Patients who have lost weight or who have loose skin of the arm may wish to consider Brachioplasty or arm lifts. This is one of the most gratifying body contouring operations that is performed following completion of bariatric surgery. Thigh Lift A thigh lift is performed to remove excess fat and skin from the inner thigh. Many patients opt to get this procedure after they lose a significant amount of weight. It can be done under general or regional anesthesia.
Body Contouring for Men The hormonally-induced “spare tire” around your middle section? This area is made up of dense, fibrous tissue which in the past was difficult to remove. Our physicians use the innovative Ultrasonic and laser techniques to successfully remove this unwanted fat from the body. A small incision is made in the skin just large enough to insert a small hollow tube called a cannula. The cannula suctions the fat from the designated areas to create the desired look. This body contouring procedure is performed in our surgery center, usually under a general anesthesia. Generally, our patients are back to work in 3 to 5 days and can resume sport activities in 2-3 weeks.
What is Gynecomastia? Gynecomastia is the overgrowth of male breast tissue. Typically, all men have some amount of this tissue, but in some cases it grows excessively. This is an occasional problem in adolescent boys and older men. Fortunatly men no longer need to keep this covered up with clothing. Outpatient surgical procedures can now be performed in our facility that let men return to a normal apperance after one operation.