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Botox
Many wrinkle lines are caused by thin muscles under
the surface pulling on the skin. If those muscles can
be relaxed, the wrinkles will vanish. Removing wrinkles
without surgery is possible in some cases through the
use of Botox, a muscle relaxant. A purified, diluted
form of botulinum toxin, Botox works by blocking the
nerve stimulation of muscles. The muscles do not receive
the message to contract, and they relax, thereby smoothing
out the wrinkles. Botox is injected in minute amounts
with a tiny needle. No anesthesia is necessary, and
the risks are minimal. Botox is most effective when
used around crow's feet, frown lines and forehead wrinkles.
A secondary benefit is that botox treatment in the frown
line region seems to lessen the severity of migraine
headaches.
The treatment usually takes anywhere from a few days
to a week to take effect. The benefits will last from
3-6 months.
Botox was approved by the FDA for the treatment of
wrinkles, although physicians who used it in the past
to alleviate eye spasms found that it also diminished
nearby wrinkles.
Brow or Forehead
Lift
This is a minimally invasive procedure that involves
adjustments to the eyebrow position and reductions in
forehead wrinkles through buttonhold incisions in the
scalp. This technique is so powerful that it has reordered
the priorities in facial rejuvenation. It is now possible
to safely and easily restore the youthful appearance
of the upper third of the face.
Facial implants
Chin and cheek implants are used to enhance the chin
area and the mid-facial region, creating a better facial
balance. In many cases, chin and cheek implants can
delay the need for a full facelift. Patients undergoing
Rhinoplasty often elect to have chin implants as well,
to give their face better equilibrium.
Skin Fillers
The search for a stable, safe, predictable injectable
material has been a theme throughout the history of
plastic surgery. There have been many disasters along
the way. At times people have been injected with mineral
oil, olive oil, paraffin, and other chemicals with horrible
consequences. Even in recent times, some patients have
been illegally injected with liquid silicone in an effort
to contour their face or body. The long-term complications
of liquid silicone injection can be devastating. At
the Center, we are committed to using only safe techniques
that will provide our patients with the results they
want without compromising their health or well-being.
Several new products were recently approved by the
FDA and are avilable at our Center. These include: Restylane,
Scultra, fat injections and others
Ear Surgery (Otoplasty)
Otoplasty or ear surgery can help correct ears that
stick out and achieve a more normal appearance. A relatively
simple operation, in otoplasty the incisions are hidden
behind the ears. The ear cartilages (structural supports)
are reshaped and fixed in place. Most insurance carriers
currently consider otoplasty to be a non-covered cosmetic
procedure.
Right Ear
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Right Ear
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Left Ear
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Left Ear
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Eyelid Lift (Blepharoplasty)
Cosmetic alteration of the eyelids has been and remains
one of the most popular types of aesthetic surgery for
men and women alike. Eyelid surgery has the potential
to make patients look younger, more rested, even happier
without making them look like someone else.
There have been great advances over the last two decades
in the understanding of the eyelids and in the technical
ability to alter them. Not long ago there was only one
operation that could be offered for the upper or lower
eyelids. Now there are a myriad of approaches to eyelid
surgery including: hiding incisions on the inside of
the eyelids; fat transfers; skin pinch techniques; and
a variety of lid tightening options to prevent that
tell-tale, pulled down look.
Another significant advance is the increased understanding
of the relationship between the eyelids and the rest
of the face. The upper lids are intimately related to
the brow and forehead. Droopy eyebrows are addressed
at the same time as the upper lids for the optimal result.
Similarly, the mid-face (the cheeks and cheekbones)
can greatly influence the appearance of the lower lids.
The entire face, not just the area of primary concern,
is assessed to determine the best course of action.
It is important for all patients to understand not just
the nature of the surgery, but also the limitations.
Appropriate expectations are likely to lead to a happy
patient with a much improved appearance.
Facelift (Rhytidectomy)
It is important to understand that there is no one
facelift technique. The "modern facelift"
is actually a variety of operations that can be tailored
to meet a patient's highly individual needs.
In the beginning, facelifts were performed by stretching
the skin as tightly as possible. Not only did this result
in an unnaturally tight appearance, but the positive
effects did not last that long. Fortunately, that is
no longer the case.
Today's face-lifting techniques have benefited from
the last generation of surgical refinements. A layered
approach can now be used to tighten the structures under
the skin. The outcome is a smoother, more natural looking,
longer-lasting approach to restoring the youthful appearance
of the face.
Liposuction and structural fat grafting can allow
us to precisely modify smaller areas of the face.
An improved understanding of facial aging has led to
earlier intervention. It is far better to act early
and correct problems as they develop, rather than to
wait until the face has an aged appearance. This will
avoid the difficult problem of trying to catch-up.
The goal is to carefully evaluate a patient's concerns
as well as their features and to plan a face-lifting
procedure that will address their individual needs and
provide a natural look.
Nasal Contouring
(Rhinoplasty)
Rhinoplasty, more commonly known as a "nose job",
is a procedure enjoyed by the young and old and by men
and women. There are many ways to modify and improve
the appearance of the nose. Each patient is thoroughly
evaluated and treated in a manner tailored to meet their
needs.
When considering rhinoplasty, it is important to remember
the nose has a very important function: breathing. It
sounds obvious, but very often and with inexperienced
surgeons, the focus is on the cosmetic. There should
never be any sacrifice of the functional role of the
nose in an effort to make it look better. It is important
to select a surgeon who is fully trained and board certified
in plastic surgery.
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