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Facial Aesthetic Surgery

Facial aesthetic surgery is used to help people who want to restore their face to a more youthful contour. As we age, facial tissue that was more prominent higher on the face begins to descend with gravity, creating sallow cheeks, folds around the nose and some jowling. To restore the face to a more youthful appearance a plastic surgeon reshapes the face by restoring volume and removing excess tissue in various areas of the face, primarily the cheeks.

Procedural Details -

The traditional face lift surgery involves making an incision along the front of the ear and around towards the back and into the hairline. Through these incisions, the surgeon will free the skin from underlying tissue and undermine all the skin in the cheek area to the nasal labial fold and down along the chin. He will then reposition the skin and tissue to a higher plane in the face to restore volume to the cheek area and to tighten any sagging skin. If the neck also needs to be restored to a youthful contour, the surgeon dissects the platysma muscle and tightens that muscle as well. The surgeon performs the reshaping of the face one side at a time.

Another surgical approach involves freeing the SMAS (superficial muscular aponeurotic system) layer that lies below the skin and fat. Using this method the surgeon is able to tighten the underlying structures by moving that SMAS layer higher. This approach is more complex and carries with it potential injury to the facial nerves that run underneath this layer.

After reshaping the face and neck, the surgeon pulls the skin up and back and removes any excess skin. The surgeon leaves a little drain in place to help drain excess fluid in the tissues and removes it the next day. The surgery usually takes about four hours. Typically, you spend one night in the hospital and go home the next day. Total recovery from the surgery is about two weeks.

After surgery, your face may be swollen for several weeks. The majority of the swelling will be gone after that time, but there still may be some subtle traces of swelling. Cold compresses can be used to keep the swelling down. There may also be some bruising that may take several weeks to resolve. If you have high-blood pressure, you definitely want to keep that under control to minimize any risk of bleeding.

Breast Implant

Augmentation mammoplasty, or breast augmentation is a surgical procedure to increase the size, shape or fullness of a woman's breasts. The surgeon places silicone, saline or alternative composite breast implants under the chest muscles or breast tissue.

Breast augmentation is done to:
  • Enlarge breasts that are naturally small.
  • Restore breast size and shape after pregnancy, weight loss or breastfeeding.
  • Restore symmetry when the breasts are asymmetrical
  • Restore the breast(s) after surgery as treatment for breast cancer or some other condition or event that affected the size and shape of the breast.

What are breast implants?

A breast implant is a medical prosthesis that is placed inside the breast to augment, reconstruct or create the physical form of the breast.

The outer layer of breast implants is made of firm silicone. The inside of the implant is filled either with salt water (saline solution), silicone gel, or a composite of alternative substances. Makers of breast implants say they should last for at least ten years.

Rhinoplasty

Rhinoplasty is surgery to reshape the nose. It can make the nose larger or smaller; change the angle of the nose in relation to the upper lip; alter the tip of the nose; or correct bumps, indentations, or other defects in the nose. During Rhinoplasty, We make incisions to access the bones and cartilage that support the nose. The incisions are usually made inside the nose so that they are invisible after the surgery. Depending on the desired result, some bone and cartilage may be removed, or tissue may be added (either from another part of the body or using a synthetic filler). After the surgeon has rearranged and reshaped the bone and cartilage, the skin and tissue is redraped over the structure of the nose. A splint is placed outside the nose to support the new shape of the nose as it heals. Rhinoplasty may be done using general or local anesthesia. It is usually done as an outpatient procedure but sometimes requires a 1-night stay in the hospital or surgery center.

Hair Transplant

Hair transplantation is a surgical technique that moves hair follicles from a part of the body called the 'donor site' to a bald or balding part of the body known as the 'recipient site'. It is primarily used to treat male pattern baldness. In this minimally invasive procedure, grafts containing hair follicles that are genetically resistant to balding, (like the back of the head) are transplanted to the bald scalp. Hair transplantation can also be used to restore eyelashes, eyebrows, beard hair, chest hair, pubic hair and to fill in scars caused by accidents or surgery such as face-lifts and previous hair transplants. Hair transplantation differs from skin grafting in that grafts contain almost all of the epidermis and dermis surrounding the hair follicle, and many tiny grafts are transplanted rather than a single strip of skin. Since hair naturally grows in groupings of 1 to 4 hairs, current techniques harvest and transplant hair "follicular units" in their natural groupings. Thus modern hair transplantation can achieve a natural appearance by mimicking original hair orientation. This hair transplant procedure is called follicular unit transplantation (FUT). Donor hair can be harvested in two different ways: strip harvesting, and follicular unit extraction (FUE).

Mastopexy and Reduction

Sometimes the breast loses its shape, and the nipples drift below the breast crease – making it necessary for the tissue to be lifted. Our philosophy is to achieve the greatest improvement of shape and to leave the smallest scar possible. For the majority of patients, this means creating a limited incision, which can be just around the nipple or can extend vertically in the shape of a lollipop. In the most extreme cases, the incision goes around the nipple, straight up and down, and in the breast crease. A breast lift and a breast reduction use the same method to improve the shape of the breast – the difference being, that with a breast reduction, tissue is removed in a very precise fashion to achieve the desired volume.

Liposuction

The liposuction procedure is done through tiny incisions that are well hidden by the creases in your skin. A solution of salt water, numbing medicine and medication to prevent bruising is injected into the tissue, while fat is removed using a wand. Additional techniques, such as ultrasounds (vasers) and lasers, are utilized in certain circumstances.

Abdominoplasty (Tummy Tuck)

Tummy tucks remove skin and tighten the musculature. The incision and resultant scar are placed very low, just above the pubic hair. If the patient has an incision from a C-section or a hysterectomy, this incision is used and sometimes made slightly longer. The length of the incision determines the amount of skin that can be removed. Muscles are tightened through the incision, and the skin is then pulled in a downward direction to provide a tight and smooth contour. Often times, this is performed in conjunction with liposuction, which is a wonderful addition to reduce “love handles” and improve the contour of the waist. Tummy tuck recovery varies with the magnitude of the procedure.