Face & Head

The most visible area for aging or needing correction – the head and face is your portal to the world and their eyes are on you. Choose a specific procedure to learn more about or browse around to figure out what might work best for you.

Facelift

Also known as rhytidectomy.

A facelift is the most comprehensive approach to treating facial wrinkles and sagging caused by aging. The surgery varies in range from minimally invasive ‘lunchtime lifts’ to more extensive, sophisticated surgery. A facelift removes excess skin, tightens underlying tissues and muscle and redrapes skin on the face and neck. It can correct midface sagging, marionette lines, jowls and a double chin, maintaining its reputation as the ‘gold standard’ for facial rejuvenation. Every year, thousands of people undergo successful facelift surgery and are pleased with the results.

When to Consider a Facelift

  • If you feel that your face does not reflect your youthful spirit and energy level.
  • If you determine that your facial sagging and excess skin is a social or career obstacle.
  • If you show signs of facial aging but still have some skin elasticity.
  • One day you look in the mirror and realize that time, gravity, sun exposure and heredity have taken a toll and you simply do not look like yourself any more.

Pros

  • A facelift can improve many areas of the face in one surgery.
  • Can last for ten years or more and can make you appear ten to fifteen years younger.
  • Can re-contour the neck and jawline better than all other techniques.

Cons

  • A facelift will not create a ‘new’ you, just a younger version of yourself.
  • There will be some downtime associated with this procedure.
  • Depending on your age and skin type, you may want a secondary procedure later on.

Am I a good candidate for a facelift?

The following are some common facial characteristics that make you an appropriate candidate for a facelift:

  • Sagging skin in your midface and/or jawline
  • Deep creases extending from your nose to the corners of your mouth (nasolabial folds)
  • Lines extending from each corner of your mouth down your chin (marionette lines)
  • Facial fat (volume) that has fallen or is displaced
  • Sagging and loss of muscle tone in the lower face, resulting in jowls
  • A double chin, resulting from loose skin and excess fatty deposits under the chin and jaw
  • Creased and sagging skin in your neck

Eyelid Surgery

Also known as eye lift or blepharoplasty .

When to Consider Eyelid Surgery

  • If you have excess, hanging skin covering the natural fold of the upper eyelids
  • If you have loose skin hanging down from the upper eyelids over the eyelashes
  • If your upper and lower eyelids appear puffy, making your eyes look tired and aged
  • If you have deep grooves under your eyes

Pros

  • You will eliminate the puffiness and bags under your lower lids and the hooded skin on your upper lids, making you appear younger and healthier.
  • You may no longer have vision problems related to overhanging eyelids.
  • Any scars from the eye lift will be hidden in your natural eyelid creases, making them almost indiscernible.

Cons

  • It will take time to see results after surgery.
  • You’ll likely be bruised and swollen and your eyes may be itchy and dry following the procedure.
  • If your eyebrows droop and you have creases in your forehead, you may also need a brow lift.

Am I a good candidate for eyelid surgery?

The following are some common reasons why you may want to consider eyelid surgery:

  • You have excess skin obscuring the natural fold of the upper eyelids
  • You have loose upper eyelid skin that impairs your vision
  • You have a puffy appearance to the upper eyelids, making your eyes look tired and sad
  • You have excess skin and fine, ‘crepe paper’ type lower eyelid wrinkles
  • You have bags and dark circles under the eyes
  • Your upper eye surface is too small or not smooth enough to apply makeup

Brow Lift

Also known as forehead lift or browplasty.

A brow lift or forehead lift reverses the effects of gravity and tightens the soft tissues of the forehead to restore a more youthful contour to your forehead skin, upper eyelids and eyebrows. There are various brow-lift methods, which involve different length incisions in different locations and, sometimes, an endoscope. A youthful brow at rest is positioned above the orbital rim, with a gradual arch laterally, and the lateral end or ‘tail’ of the brow located higher than the medial end. As one ages, it is common for the brow to assume a flat or horizontal position. If a sagging brow inhibits your facial expression, a brow lift is a time-tested method for rejuvenating the upper third of your face. Every year, thousands of people undergo successful brow-lift surgery and are pleased with the results.

When to Consider a Brow Lift

  • Sagging or low eyebrow position creates a tired, sad or grumpy appearance
  • You have deep horizontal creases across the forehead
  • You have frown lines or furrows between the eyebrows or across the top of your nose
  • You have excess skin or fatty tissue hanging over your eyes

Pros

  • Repositions a low or sagging brow that hangs over the upper eyelid
  • Raises the eyebrows to a more alert and youthful position
  • Makes you look happier, friendlier and more approachable

Cons

  • Only a highly experienced board-certified plastic surgeon can determine if this procedure will achieve your goals.
  • Choice of brow-lift technique is very important to outcome, so this procedure is very clinician dependent.</>
  • You may also need blepharoplasty (eyelid surgery), as a forehead lift does not improve baggy eyelids or crow’s feet.

Am I a good candidate for a brow lift?

The following are some common reasons why you may want to consider a brow lift:

  • The outside of your brow sags, resulting in a sad expression.
  • The central portion of your brow hangs down, making you look angry
  • You have frown lines between your eyes.
  • If you are a female and you are unable to apply makeup on the upper eyelid, because the surface area has been obscured by drooping tissues as you have aged.
  • If you gently lift the skin above your eyebrow into a pleasing position and it eliminates most of the excess skin in your upper eyelid, a brow lift may be right for you.

Ear Surgery

Also known as otoplasty or ear reshaping.

Cosmetic surgery of the ear, or otoplasty, is an aesthetic procedure that alters the size, position, or proportion of the ears. The outcome of ear reshaping surgery varies greatly depending on the changes that are desired, but these procedures generally improve self-confidence, especially in children and teenagers. If the ears stick out, ear pinning can be performed to flatten the ears against the head. If one ear is positioned higher than the other, ear repositioning can create symmetry. Large, oversized ears can be addressed alone or in conjunction with other ear issues.

When to Consider Ear Surgery

  • If you were born with overly large or small ears
  • If your ears are disproportionate to your head or oddly placed
  • If your ears stick out prominently
  • If you have suffered an injury that has negatively impacted the shape or positioning of your ears

Pros

  • Ear surgery can improve the shape and proportion of your ears.
  • Ear surgery can provide a boost to your self-confidence and is a low-risk procedure that can be performed on children over the age of five.
  • Results generally last a lifetime with minimal fluctuations.

Cons

  • Young children might have trouble dealing with aftercare and recovery.
  • Ear symmetry may be affected.
  • Permanent scarring or numbness of the ear or face may result.

Am I a good candidate for ear surgery?

The following are some common reasons why you may want to consider ear surgery:

  • If your ears have reached their full size, which usually happens around age six. Children are common patients for this procedure.
  • A set-back otoplasty, which is a procedure to reduce the prominence of ears that stick out too much, can be performed on adults as well as children.

Facial Implants

Also known as chin implants or cheek implants.

Facial implants are designed to augment, reconstruct, or rejuvenate your facial contours. They are available in a wide range of sizes and styles and restore contour and/or proportion to your face. Facial implants can be used to augment your chin and jaw, to provide the sculpted cheekbones that you desire, or to supplement the tear trough area.

When to Consider Facial Implants

  • If you have a weak, receding chin and wish to make it more projecting and improve your jawline
  • If you wish to enhance the definition and fullness of your cheeks
  • If you wish to restore contour and proportion to your facial structures made deficient by aging
  • If you wish to correct facial asymmetry or deformities resulting from injury or congenital conditions

Pros

  • Corrects facial asymmetry and deficiencies especially in the chin, cheek or jaw
  • Does not require procedures on other parts of the body (such as fat grafting from one’s abdomen to add volume to one’s face)
  • Procedures are relatively quick to perform and have permanent results

Cons

  • Infection is possible, which could lead to implant removal
  • Contour abnormalities can occur if implants shift or become mal-positioned
  • Damage to facial nerves and musculature is possible

Am I a good candidate for facial implants?

The following are some common reasons why you may want to consider facial implants:

  • You have a weak, receding chin and wish to improve the appearance of your profile by increasing the projection of your chin
  • You have an undefined or weak jawline that does not help frame your face or distinguish your neck
  • You wish to enhance the definition and fullness of your cheeks
  • You wish to restore contour and proportion to your facial structure made deficient by aging
  • You wish to correct facial deformities resulting from injury or congenital conditions

There are many alternatives that can alter the structure of your face. Along with facial implants, your aesthetic plastic surgeon might also discuss options such as fat grafting, bone re-positioning, bone grafting and dermal grafting.

Lip Enhancement

Also known as lip injections and lip augmentation

The Basics

Having full, plump lips is often considered a sign of good health, beauty and youth. Whether you were born with thin lips or your lips are thinning due to the natural aging process, there are many ways to enhance them. Lip injections using natural or synthetic fillers can keep your lips plump for months at a time. Lip implants and other surgical procedures can also be performed for a more permanent solution. Other options include lip lifts, vermillion (lip) advancement and permanent makeup. Every year, thousands of people undergo successful lip enhancement and are pleased with the results.

When to Consider Lip Enhancement

  • Your lips have always been thin and disappears when you smile
  • As you age, your lips have become thinner and less full
  • You feel self-conscious about how your lips look
  • Having fuller lips will help balance out your face

Pros

  • Some lip injections are temporary and can be modified to your preference
  • Implants and surgical enhancement provide a permanent solution
  • Quick one-day recovery for injections and a week for most lip surgery

Cons

  • Temporary fillers will require injections every few months
  • Lip asymmetry is a possibility
  • Removal of implants is difficult

Am I a good candidate for a lip enhancement?

The following are some common reasons why you may want to consider lip enhancement:

  • Good candidates for lip enhancement want to plump up thin lips or create a fuller look. If you smile and your top lip or both lips disappear, you may benefit from lip augmentation.
  • Some techniques can improve uneven lips, the shape of your mouth and gum-show when you smile.
  • On the other hand, if your lips are too large and overwhelm your face, speak to your plastic surgeon about lip reduction surgery.

Neck Lift

Also known as platysmaplasty or cervicoplasty

The neck is one of the first places where we show our age. Fatty jowls, a “turkey wattle,” vertical banding and horizontal creases all work together to make us look older than we feel. A neck lift enhances the appearance of the neck by tightening the skin and underlying muscles and improving the contour of the jawline. This procedure is often performed in conjunction with liposuction, a facelift, or a cheek lift but may also be done as a stand-alone procedure.

When to Consider a Neck Lift

  • If you have a turkey wattle that makes you look much older than your age
  • If you feel your neck is too fat
  • If you have lost the distinct jawline of your youth and want to restore it
  • If you have excess skin and wrinkles on your neck

Pros

  • Can significantly improve your neck and jawline
  • Can be done as a stand-alone procedure if other facial surgery is not needed or desired
  • Can provide you with a more youthful profile

Cons

  • Your neck may feel tight for months after surgery
  • Possible fluid accumulation or bleeding after surgery
  • May make your other facial aging more noticeable if only the neck has been treated

Am I a good candidate for a neck lift?

The following are some common reasons why you may want to consider neck lift:

  • You desire a sleeker neck with a distinct jawline that separates your neck from your face
  • You have excess skin and fat in your neck
  • Your neck has developed folds and lines

Nose Surgery

Also known as rhinoplasty, nose reshaping or nose job

When to Consider Nose Surgery

  • If you are unhappy with the shape, size or angle of your nose
  • If your nose is too large, too small or not in proportion to the rest of your face
  • If you have breathing problems resulting from irregularities inside your nose
  • If you have a nasal hump or a nasal tip that is drooping, too elevated or wide

Pros

  • The shape, angle and size of your nose will be improved
  • Structural problems that restrict breathing and cause congestion can be corrected
  • Rhinoplasty can have a significant impact on your self-image and self-confidence

Cons

  • Depending on the type of surgery, you may develop scars at the base of your nose
  • You may have skin problems or breakdown of skin tissue associated with the use of grafting materials
  • It will take time to adjust to your new look

Am I a good candidate for nose surgery?

The following are some common reasons why you may want to consider rhinoplasty:

  • Your nose is too large or too small
  • Your nose does not seem to fit with the rest of your face
  • Your nose is crooked, badly shaped, or out of alignment
  • You have nasal blockage inside your nose and have trouble breathing
  • You have a birth defect that you would like improved
  • You would like improvement, not perfection, in the appearance of your nose