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Minimally Invasive Procedures
We offer a variety of High Definition Minimally Invasive plastic surgery and cosmetic enhancement procedures. Below are just some of the many high definition procedures that we can perform to help you achieve the vibrant, natural look of your dreams. The goal of Minimally Invasive Procedures is to achieve beautiful, natural looking results as well as a shorter recovery period and optimal post surgical healing.This allows our clients to return to their normal activities as soon as possible after surgery If you have any questions about minimal scar plastic surgery or our High Definition Brazillian Techniques, or wish to schedule an appointment with Dr. Ashruf for an initial consultation, please feel free to give us a call. We welcome the opportunity to talk with you.
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Breast Augmentation
Breast augmentation, also known as mammoplasty, is a surgical enhancement procedure to accentuate the size and shape of a woman's breasts. While breast augmentation will make the breasts larger, the surgery will not move the breasts closer together or lift sagging breasts. Breast augmentation is tremendous help to patients who desire a fuller profile, who have lost breast volume due to pregnancy or nursing, or who have undergone breast reconstruction and want to gain a more natural look again.
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.
- Reconstruct breasts following a mastectomy or injury.
General Procedure
Breast augmentation involves making a small incision to insert a breast implant into the breast area in order to enlarge the breast. The surgery is commonly performed on an outpatient basis at a hospital or state-of-the-art surgical unit while the patient is under a general anesthesia and asleep. There are several possible locations for the small incision that will be used for inserting the breast implant. The most frequent technique utilizes an incision made in the lower portion of the breast. Another technique, though less frequently used, involves making an incision in the armpit. A third technique makes an incision around the areola (the darker skin surrounding the nipple). A newer technique uses an incision in the belly button, thus reducing the chance of scarring in the breast area. The best technique will be decided together between the patient and the surgeon during the consultation.
During surgery, the breast tissue is raised to create an open pocket under the breast tissue or beneath the chest wall muscle. Inserting an implant behind each breast can increase a woman's breast size by one or more bra cup sizes. Implants typically contain a saline solution (similar to saltwater) although in special cases the implants can contain a silicone gel. In some circumstances, particularly those in which there is breast asymmetry (uneven breast size), an inflatable implant may be used to allow the surgeon to adjust the level of inflation to attain breast symmetry and balance. Surgery typically lasts from 1 to 3 hours.
Recovery Process
Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and recovery time. Bandages are applied right after surgery to aid the healing process and to minimize movement of the breasts. Once the bandages are removed, a specialized surgical bra will need to be worn for several weeks. Patients sometimes report minor pain associated with the surgery. This pain can be treated effectively with oral medication. While complications are rare, patients can minimize potential problems by carefully following the directions given by the physician after surgery.
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Breast Lift
A breast lift, also known as a mastopexy, is a procedure to raise and reshape sagging breasts. As a woman ages, skin loses some elasticity which can cause the breasts to lose their natural shape and firmness. This procedure is designed to elevate the breasts and give them a more youthful appearance. A breast lift may also be completed in conjunction with breast enlargement surgery (augmentation).
Reasons for Considering a Breast Lift:
- Elevate the breasts due to sagging caused by the effects of aging and gravity.
- Firm the breasts if they have lost substance due to pregnancy and subsequent breast-feeding.
- Re-align your nipples/areolas if they point down or to the side.
- Bring back natural suppleness after weight loss.
General Procedure
The breast lift surgical procedure usually takes one and a half to three hours. Techniques vary, but the most common procedure involves an anchor-like incision along the underside of the breast. The incision goes around the area where skin will be removed, thus defining how the nipple will be relocated. When the excess skin has been removed, the nipple and areola are moved into a higher position. The skin surrounding the areola is brought down and together to reshape the breast.
Some patients, especially those with relatively small breasts and minimal sagging, may be candidates for modified procedures requiring less extensive incisions. One such procedure is the "doughnut (or concentric) mastopexy" in which circular incisions are made around the areola and a doughnut-shaped area of skin is removed. Recent innovations in breast lift techniques include minimal incision techniques and nipple sensation reducing procedures.
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 or under the muscle of the chest wall.
Recovery Process
Generally, post-operative instructions call for plenty rest and limited movement in order to speed up the healing process and recovery time. Bandages are applied right after surgery to aid the healing process and to minimize movement of the breasts. Once the bandages are removed, the patient will need to wear a specialized surgical bra for several weeks. Patients sometimes report minor pain associated with surgery which can be treated with oral medication. While complications are rare, patients can minimize potential problems by carefully following the post-operative directions given by the surgeon.
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Breast Reduction
Breast reduction (or reduction mammaplasty) is an enhancement procedure that reshapes the breasts in order to make them smaller, lighter, and firmer. Reduction is accomplished by removing excess fat, glandular tissue, and skin. Large breasts can cause physical pain as well as emotional and social anxiety. Women who take advantage of the breast reduction procedure find that they are able to lead a healthier, more comfortable life, in addition to enjoying a beautiful, more proportionate appearance.
Reasons for Considering a Breast Reduction:
- Back, neck or shoulder pain caused by heavy breasts.
- Sagging breasts produced by their large size.
- Disproportionate body frame attributed to oversized breasts.
- Restriction of physical activity due to the size and weight of the breasts.
- Painful bra strap marks and/or rashes as a result of large breasts.
General Procedure
Techniques for breast reduction vary; however, the most common procedure involves an incision that circles the areola. From the areola, the incision goes down and follows the natural curve under the breast. The surgeon then removes excess glandular tissue, fat, and skin. Next, the nipple and areola are repositioned to a higher position and held in place by stitches. Occasionally, liposuction alone can be used to reduce breast size. The best procedure can be determined during the initial consultation visit.
Of all plastic surgery procedures, breast reduction results in the quickest body-image changes. Patients are pleased with the elimination of physical pain caused by large breasts as well as a better proportioned body, an enhanced appearance, and better fitting clothes.
Recovery Process
Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and reduce the recovery time. Bandages are applied immediately following surgery to aid the healing process and to minimize movement of the breasts. Once the bandages are removed, a specialized surgical bra will need to be worn for several weeks. Patients sometimes report minor pain associated with surgery. Any pain can be treated with oral medication. While complications are rare, patients can minimize potential problems by carefully following the instructions given after surgery.
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Body Lift
A body lift, also known as a belt lipectomy, is a procedure to raise and reshape unsightly, sagging body contours. During the aging process, skin loses some elasticity, causing the mid-section to lose its natural shape and firmness. This procedure is designed to remove loose skin and related fat deposits, thus, providing a more youthful appearance. A body lift can be applied to the lower torso and upper legs including the abdomen, waist, inner/outer thighs, buttocks, and/or hips. Liposuction may also be completed in conjunction with a body lift.
Reasons for Considering a Body Lift:
- Reshape mid-body contour.
- Correct sagging skin and fat due to aging or excessive weight loss.
- Remedy weight gain and stretched skin caused by multiple pregnancies.
General Procedure
The precise procedure varies with each patient, depending on the body type and desired surgical outcome. Generally speaking, the body lift procedure entails making an incision that follows the upper and/or inner thigh, to the waistline. In more extensive surgeries, the incision goes completely around the waist and lower back. Adjustments to the buttocks and thighs require an incision at the crease of the buttocks. Excess skin is then removed, followed by the underlying fat deposits. Finally, the skin is pulled taught and sutured into the new configuration. The entire procedure can last from 3 to 7 hours. The surgery is performed under general anesthesia.
Recovery Process
Generally, post-operative instructions require plenty of rest and limited movement in order to speed up the healing process and recovery time. Bandages are applied right after surgery to minimize swelling and provide support. Tubes are often placed to drain excess fluids. The scars resulting from the incisions are permanent but are carefully placed so as to minimize visibility. Patients sometimes report minor pain associated with surgery which can be treated with oral medication. Recovery time varies with the extent of the procedure. While complications are rare, patients can minimize potential problems by carefully following the directions that are given after the surgery.
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Laser Skin Resurfacing
Laser skin resurfacing is a procedure that uses lasers to create a new, smooth skin appearance. The laser “ablates”, or destroys, the outer layers of skin which have been damaged by age, sun, acne, wrinkles, or pigmentation problems or spots. The destruction of the older layers of skin prompts the body to generate a new layer of skin cells which are unaffected by the previous skin condition. Some lasers may be inappropriate for darker skin complexions.
Reasons for Considering Laser Skin Resurfacing:
- Reduce or remove facial wrinkles, creases, and lines.
- Improve sun-damaged skin.
- Correct pigmentation problems and spots.
- Effectively treat scars from acne, birthmarks, moles, and tattoos.
- Tighten skin that has lost elasticity due to aging.
General Procedure
First, the face is cleansed of oils in order to prepare for the laser procedure, and an antibiotic ointment is applied. The laser is then used to ablate various layers of skin in a controlled manner until the appropriate depth of skin is reached. This procedure is commonly performed with a local anesthetic, with or without sedation.
Recovery Process
Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and recovery time. Antibiotic cream and bandages are applied to the affected area immediately following surgery in order to aid with the healing process, to minimize swelling, and to control the risk of infection. The skin will be red and may ooze. Some discomfort should also be expected.
Any pain associated with the surgery can be treated with oral medication. While complications are rare, patients can minimize potential problems by carefully following the post-operative directions. Recovery time varies with the extent of the resurfacing and the number of procedures completed.
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Liposuction
Liposuction (or lipoplasty) is a body-sculpting procedure to remove fat that is unresponsive to dieting and exercising. This procedure can be applied to nearly any area of the body and is commonly used on multiple areas during an operation. Liposuction results in a slimmer and better proportioned figure. 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 and create a more beautiful body.
Reasons for Considering Liposuction:
Eliminate fat from any of the following areas:
- Chin and Neckline
- Back
- Upper Arms
- Stomach and Waistline
- Hips and Buttocks
- Thighs and Knees
- Calves and Ankles
Create a more proportioned figure
Liposuction is not a replacement for proper exercise and diet. Instead, liposuction is a reduction procedure for stubborn areas where fat accumulates. Used in combination with several areas of the body, liposuction can provide a well proportioned body appearance. Ideal surgical candidates are those already in good physical condition but having stubborn areas that do not respond to diet and exercise.
General Procedure
Liposuction can be done under general anesthesia with the patient asleep or under local anesthesia where the area is numbed and the patient remains awake. Through a tiny incision, a narrow tube or “cannula” is inserted and used to vacuum out the fatty tissue beneath the skin. The surgeon determines the amount of fat to be removed by massaging the skin and squeezing the tissue. After eliminating the excess fat, the incisions are closed by applying a compression dressing or bandage to the area in order to prevent bleeding, reduce swelling, and support the affected area.
There are several different types of liposuction procedures, such as tumescent or ultrasound liposuction, that have developed as a result of recent advancements in new technologies. Together the patient and the surgeon can discuss which method(s) are best during the initial consultation visit. Liposuction can last from thirty minutes to several hours depending upon the amount of fat to be removed. Liposuction surgery is an excellent procedure that can benefit those who want to remove unattractive fatty deposits.
Recovery Process
New techniques allow for faster recovery from liposuction procedures. The length of the recovery will depend on how extensive of an operation the patient undergoes. Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and reduce the recovery time. A support garment may need to be worn for several weeks after the surgery, depending upon which area(s) are selected to utilize the liposuction procedure. Patients sometimes report minor pain associated with surgery which can be treated effectively with oral medication. While complications are rare, patients can minimize the risk for potential problems by carefully following the directions given after surgery.
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Tummy Tuck
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 (or abdominoplasty). A tummy tuck is the surgical removal of excess skin or fatty deposits from the abdomen, along with the repositioning of abdomen muscles into a tighter formation. This bodily enhancement procedure is designed for those who wish to have a flatter and tighter stomach. It is also helpful in remedying the vertical separation of abdomen muscles known as diastasis, which can occur following pregnancy.
Reasons for Considering an Abdominoplasty:
- Inability of dieting and exercise to improve the abdomen area.
- Excessive accumulation of skin following weight loss.
- Loss of skin elasticity or diastases (loose abdomen muscles) due to pregnancy.
- The removal of unsightly skin and fat deposits as well as the proper alignment of the abdomen muscles to produce a more flattering look.
General Procedure
Abdominoplasty surgery lasts anywhere from one to five hours, depending on the desired look and the patient’s unique physiology. To begin the procedure, an incision is made just above the pubic bone area. This incision goes horizontally across the lower abdomen and sometimes around to the back. The skin is then stretched away from the muscle tissue, and excess skin is removed. The abdomen muscle tissue is tightened to provide a firmly contoured stomach and well-defined waistline. Finally, the incision is closed; and the skin is stitched back into place. Sometimes the procedure requires an additional incision around the navel in order to provide the best results.
Recovery Process
Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and recovery time. As the body recuperates, the patient can expect some swelling, pain, and discomfort. Medication can be prescribed to relieve any pain caused by the procedure. The stitches will be removed shortly after the surgery depending on the procedure(s) involved. Normal activities can generally be resumed within two weeks. It may take up to a year for the body to completely adapt to the new abdominal configuration. With proper diet and exercise the striking results of the surgery will be long lasting.
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Botox®
Botox is a relatively new procedure using Botulinum Toxin which was developed to treat the visual signs of aging by reducing or removing wrinkles. The procedure is considered a safe, effective way of treating aging skin. Common areas for Botox injections include horizontal forehead furrows, vertical lines between the eyebrows and "crow's feet" around the eyes. Botox has proven to be the best non-surgical form of facial rejuvenation and is capable of producing phenomenal improvements in your appearance.
Reasons for Considering a Botox Treatment:
Excessive facial wrinkles.
Large wrinkles or furrows in your forehead.
Small wrinkles or "crow's feet" around your eyes.
A vertical "frown line" between your eyebrows.
General Procedure
The procedure works by altering the facial muscles beneath the skin that are related to wrinkles. A cream with local anesthetic will be placed on your skin prior to treatment, and ice will be immediately applied upon completion of the Botox treatment. Typically a small amount (1-2 cc's) of Botox is injected into the area of the wrinkle. Botox works by blocking the impulses from the nerve to the facial muscles, thereby relaxing them. The result is the underlying facial muscles relax and the skin begins to smooth out. The effects of a Botox treatment will last approximately three to six months after which the patient may choose to repeat the procedure.
Recovery Process
Patients generally return to their normal activities immediately after the procedure, however following the post-procedure guidelines will dramatically reduce the length and intensity of the recovery period. Patients should avoid engaging in heavy physical exercise, applying cosmetics, or laying down flat for a minimum of 4 hours after the injections. It is also advisable to avoid rubbing or massaging the injected area for at least 24 hours.
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Chemical Peels
A chemical peel is an aesthetic procedure performed to achieve better skin tone and to remove fine lines, especially on the face. The chemical solution removes outer layers of skin which are damaged by age, sun, acne, wrinkles, or pigmentation problems. Removing the outer skin prompts the body to generate a new layer of skin cells which are tainted by the previous skin condition. Chemical peels may not be appropriate for darker skin complexions.
Reasons for Considering a Chemical Peel:
- Reduce facial wrinkles and lines.
- Improve sun-damaged skin.
- Correct age spots and pigmentation problems.
- Lighten scars (especially from acne).
- Treat precancerous skin lesions.
General Procedure
At the time of your procedure, any active skin disease, infection, or acne needs to be under control in order to maximize results. There are several different types of chemical solutions which can be used, ranging from a mild solution to a very strong one. The surgeon will select what is best for the patient based on their skin condition, color, and desired result.
During the procedure, the skin is first cleansed of oils. A solution is then carefully applied and is allowed to remain on the skin for a short time in order to remove the layers of damaged skin. At this point, the skin will turn white, a frost-like effect. The skin is then neutralized and cleansed. Finally, an ointment is applied to the skin to aid in healing.
Recovery Process
Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and recovery time. An ointment and dressings are applied immediately following surgery to aid in the healing process and to minimize swelling. The skin will have a pinkish color, and a thin crust may form over the area that was treated. Patients sometimes report minor pain associated with the procedure, which can be treated effectively with oral medication. While complications are rare, patients can minimize potential problems by carefully following the post-operative directions given by the surgeon. Recovery time varies depending upon the extent of the chemical peel.
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Chin and Cheek Implants
High cheekbones and a strong jaw line have long had a history of allure. Along with the eyes, the cheekbones and jaw line form the most photogenic aspects of the face. Chin and cheek implants are a great way to enhance a facial profile by improving the overall proportion and balance of the face. With chin implants (mentoplasty), the symmetry of the face can be shaped and contoured. Cheek implants (malarplasty), also known as malar (high cheek) or submalar (low cheek) augmentation, can add fullness and definition to the face. Utilizing permanent chin and cheek implants can provide a rejuvenated, youthful facial profile.
Reasons for Considering a Chin and/or Cheek Implant:
- Extend or enlarge the chin if the chin is recessed or small.
- Create a more defined facial profile if the jaw, chin, or cheeks lack distinction.
- Bring the various aspects of the face into proportion.
- Round out the cheeks if they are hollow due to heredity or aging.
- Accent the upper cheeks making them appear higher and fuller.
General Procedure
With chin surgery, an implant is inserted in front of the jawbone in order to augment the chin or jaw. A small incision is made inside the mouth to allow the implant to be positioned in a pocket just under the skin. An alternate location for this incision is below the chin (on the outside). Chin surgery is commonly performed along with rhinoplasty (nose surgery). With cheek augmentation, incisions are made either inside the mouth, through the lower cheek, or directly below the bottom eyelid on the high cheek. Cheek surgery is often performed in conjunction with a facelift procedure. Both chin and cheek implant procedures normally last from 30 minutes to one hour.
Recovery Process
Immediately after surgery, the face will be fitted with bandages, taped, or otherwise secured in order to speed the recovery process and to reduce swelling. Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and recovery time. Keeping the head elevated during the initial recovery phase is also important. Patients sometimes report minor pain associated with surgery. Any pain can be treated effectively with oral medication. Patients may experience some swelling and bruising of the face which can be eased by using cold compresses. A liquid diet may be required for a few days, as chewing may be difficult. While complications are rare, patients can minimize potential problems by carefully following the post-operative directions given after surgery. The substance used for chin and cheek implants is made of durable, solid material that will last for years.
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Ear Surgery
Surgery of the ear, also known as otoplasty, is a procedure that helps reduce protrusion of the ear away from the head. Most often, ear surgery is performed on children between the ages of four to fourteen. Ears that “stick out” are often the source of teasing and ridicule in young children. This teasing can have a devastating effect on the child’s psyche.
Otoplasty is not limited to children and may also be performed on older patients. Cosmetic procedures are available for those individuals with large ears and for those with congenital (birth) irregularities that detract from their appearance. Additionally, an individual’s ears may exhibit abnormal traits due to their genetic make-up or an accidental injury, such as losing an ear or part of an ear. Otoplasty is used successfully for each of these situations. Regardless of the procedure, patients have been pleased with the long-lasting improvements to their appearance offered by ear surgery.
Reasons for Considering Ear Surgery:
- Bring proportion to the face if the ears “stick out” too much.
- Correct folded ear tips (lop ear).
- Reshape long or offset earlobes.
- Enhance very small ears or other congenital defects.
- Remedy an accidental injury, including the loss of an ear.
General Procedure
Ear surgery is commonly performed under general anesthesia for children and local anesthesia for adults. The standard otoplasty procedure brings the ears closer to the head. Otoplasty begins with an incision hidden in the crease behind the ear. This incision allows the cartilage located behind the ears to be reshaped in order to position them closer to the head. The procedure takes approximately one to two hours, depending upon the extent of surgery.
There are various surgical techniques involved in correcting irregularities other than protruding ears. These techniques can be discussed with your physician during the initial consultation.
Recovery Process
After the surgery is completed, large bandages will be wrapped around the head. This method secures the ear in place and assists with the healing process. The bandages are usually removed within a week and replaced with smaller dressings. Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and reduce the recovery time. Patients sometimes report minor pain associated with surgery. Any pain can be treated effectively with oral medication. While complications are rare, patients can minimize potential problems by carefully following the post-operative directions.
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Eyelid Surgery
Eyelid surgery (known as blepharoplasty) is a corrective procedure that can reduce dark circles or 'bags' under the eyes, remove excess wrinkles, and provide a more 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. The blepharoplasty surgery is often performed in conjunction with other facial procedures such as a face lift or rhinoplasty (nose surgery).
Reasons for Considering Eyelid Surgery:
- Dark circles or bags under the eyes.
- Excessive skin or wrinkles surrounding the eyelids.
- A tired appearance or puffiness due to inherited factors.
General Procedure
The surgical procedure includes tiny incisions made in the natural contours around the eyes which should leave no visible scarring. The surgeon will usually work on the upper eyelids first to remove any fatty tissue and tighten loose skin. Lower eyelids are completed next to eliminate puffiness and reduce dark circles. In some instances, laser technology may be used to smooth lower eyelid areas. Newer techniques may include Botox injections to firm fine lines and wrinkles.
The surgery generally takes about one to three hours and is performed in the physician's office. If additional cosmetic procedures are being performed, the eyelid surgery could last longer.
Recovery Process
Normally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and reduce the recovery time. Patients sometimes report minor pain associated with surgery which can be treated with oral medication. While complications are rare, patients can minimize the risk for potential problems by carefully following the post-operative directions given after the surgery. The healing process for this procedure is slightly longer than most other forms of cosmetic surgery; however, the benefits are long-lasting. Patients will have a more rested and youthful appearance.
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Facelift
A Facelift (Rhytidectomy) is a surgical procedure designed to smooth and firm the skin, providing a fresh, youthful appearance. Throughout one’s life, the sun’s radiation, stress, gravity, and other factors cause the skin to sag and fit more loosely. Areas of the face and neck, in particular around the jaw line, are especially prone to the aging process. Though these changes are gradual, wrinkles and other signs of aging can make individuals “feel older” than they really are.
Surgery for a facelift involves the contraction and realignment of facial and neck skin, and in some instances the removal of excess fat deposits. A facelift is often performed in combination with other facial cosmetic procedures and can be performed any time signs of aging begin to appear. However, patients are generally in their forties or older when they elect to undergo this procedure.
Reasons for Considering a Facelift:
- Sagging skin, muscles, and fat in the face and neck.
- Excess skin and fat on the neck.
- Sagging jaw line.
- Crease lines along the nose, mouth, and chin.
General Procedure
The standard procedure for a facelift commonly involves making small incisions just inside the hairline, following the contour in front of the ear, and continuing under the earlobe to the backside of the ear and to the lower scalp. Tissue and fat deposits are separated, the skin is stretched and tightened, and any excess skin is removed. If the neck line requires attention, an additional incision is made under the chin and the same procedure is again followed. Minuscule stitches are used to close the incisions and to reduce any chance of scarring. Metal clips or staples may also be utilized at the hairline.
A face lift may take several hours or longer depending on whether other cosmetic procedures are completed at the same time. Sometimes other procedures may be performed in separate appointments. There are several different facelift techniques that can be employed. Patients can discuss with their physician which method is best for them when they come in for their consultation.
Recovery Process
Immediately after surgery, the face is fitted with bandages in order to decrease the recovery time and to reduce swelling. Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing and recovery process. The stitches, clips or staples are normally removed within a week. Patients sometimes report some minor pain associated with surgery. Any discomfort can be treated effectively with oral medication. While complications are rare, patients can minimize potential problems by carefully following the directions given after the procedure.
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Rhinoplasty
Nose surgery (Rhinoplasty) is a procedure to reshape the nose in order to create a more pleasing look and, in some instances, to correct severe breathing problems. With approximately 400,000 operations performed each year, rhinoplasty is considered the most popular cosmetic procedure in the United States. Rhinoplasty usually involves reducing the size of the nose by removing and sculpting the nasal tissues in order to enhance the facial appearance. The results are unique to each individual, and depend upon such factors as skin condition and thickness, nasal and facial structure, genetic contributions, and age. Traditionally, a “nose job” was performed only to correct major problems. However, recent surgical innovations allow for individuals to benefit from more moderate improvements from the procedure as well. In general, having nose surgery provides the patient with a better facial balance and overall appearance.
Reasons for Considering Nose Surgery:
- Bring a better proportion to the nose and facial features.
- Reduce the size of the nose that is too large or too wide.
- Correct an overly arched or “Roman” nose.
- Re-form a crooked or elongated nose tip.
- Restore the nose if damaged from an accident or sports injury.
- Help with breathing problems by rebuilding the nasal passage.
- Treat nasal deformities caused at birth.
Note: If rhinoplasty is being utilized to correct a breathing problem or nose deformity, the procedure may be covered under the patient’s insurance policy.
General Procedure
The rhinoplasty procedure lasts from one to three hours. The surgeon may elect to utilize either local or general anesthesia, depending upon the complexity of the operation.
To begin the surgery, tiny incisions are made which allow the surgeon to access the underlying nasal structure. Once the skin is opened, the cartilage and bone are reshaped to form the basis for the new look. Two basic methods are utilized for performing nose surgery. These methods are referred to as the ‘open’ and the ‘closed’ techniques. The open technique allows for maximum visibility and control over the procedure. The incision used in the open technique is placed in-between the nostrils on the columella (the medial nostril strip). In the closed technique, the incisions are internal and heal faster; however, there is less surgical control over the outcome. The physician can discuss which technique is best when the patient arrives for the initial consultation visit.
Recovery Process
Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and to reduce the recovery time. Some swelling may be noticed; however, any swelling will disappear within a few weeks. A splint, bandages, and/or gauze are applied immediately following surgery to aid in the healing process and to minimize movement of the nose. Patients must refrain from smoking for several weeks before and after the surgery. In addition, any corrective glasses that are worn must be taped up and off the nose. The nose will need to be well-protected from the sun for the first year after the procedure while the body is adjusting to the new look. Patients sometimes report minor pain associated with the surgery. Pain can be effectively treated with oral medication and/or cold compresses. While complications are rare, patients can minimize the risk of potential problems by carefully following the post-surgical directions given by the surgeon.
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