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Face

Facial reconstructive surgery or aesthetic facial plastic surgery is highly specialized surgery that refers to a variety of operations that can be performed in order to restore or change facial features to improve your appearance. Recent advances in the development of miniaturized instruments, new materials and improved surgical techniques have expanded the range of plastic or cosmetic surgery operations that can be performed on the face. We offer a comprehensive array of cosmetic surgical solutions and cutting-edge techniques that produce exceptional results to enhance they way you look and feel.

Many patients don’t need a full or lower facelift to address their needs! For patients with thickened neck bands, “waddles”, and/or crepey aged-looking neck skin, often a source of disharmony with an otherwise youthful vibrant face, the neck lift is an excellent treatment option.

Neck lifts are procedures that can be performed with local anesthesia and mild oral sedative/analgesic, however, we always perform these surgeries under the Anesthesiologist’s supervision. The procedure has three basic components or options based on the condition of the aging or hanging neck.

The first component is neck liposuction. This is performed, as with all components, after local anesthesia is employed for a comfortable experience. A small incision is hidden in a crease under the chin and diluted local anesthesia is infused to provide complete numbness and breakup fat globules if present. A small cannula is then used to create dozens of tiny tunnels or tracts that stimulate a wound healing and contraction process.

If neck or “platysmal” bands are present they are attenuated or eliminated by a combination of myotomy and what we refer to as “corset platysmaplasty”. These procedures reduce the thickness of these hypertrophic or overthickened muscles to provide an angled contour to the neck when seen in profile view.

Finally, an incision disguised behind the ear and the hairline behind hair is made and loose redundant skin is carefully elevated and pulled to achieve a smooth and youthful contour to the neck. Small sutures and clips are used to close the incisions. These are removed within a week or so and swelling is typically pretty limited. Bruising is moderate to minimal in most patients and resolves as all bruises resolve.

The anatomic changes that occur in the upper face associated with aging include; the descent or drooping down of the eyebrows over the orbital rim, hooding of eyelid skin over the lid shelf (where eye shadow is worn) and increasing wrinkles – horizontally oriented associated with the individual contracting the muscles that lift the eyebrows and vertical lines between the eyebrows – the result of making a frowning expression. These changes become more profound with age as the skin loses its elasticity and the effects of gravity and facial expression take their toll. More than just aging, the effects described have a marked effect on making one look tired, angry and/or frustrated. The brow and upper face provide very important social clues as to the “well-being” of an individual.

It is important to remember that the same loss of skin elasticity of the forehead skin profoundly affects the eyelid skin causing crepeness and skin hooding, independent of the eyebrows descent. This eyelid condition is often referred to as dermatochalasis and is treated either with or without browplasty with eyelid surgery known as blepharoplasty.