Procedures - Face

Facelift
A facelift refers to the correction of the neck, jowls, cheeks, nasolabial folds and the malar/eyelid junction areas. The procedure is designed to reverse the effects of aging caused by gravity, fat loss and sun damage. This is achieved by addressing the skin, fat and muscle in such a way that results in a more youthful, healthy, natural and non- surgical appearance. My surgical technique has evolved over the past 25 years. The modern standard facelift is bidirectional. The skin is moved back and underlying connective tissues are shifted upward.
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Blepharoplasty
There are many different procedures designed to improve the appearance of the eyelids and the orbital area around the eyes. A list of improvements might include; giving the upper eyelids a more open look, altering somewhat the native ethnicity of the eyelid when requested, or diminishing the puffiness, lining or hollowness of the lower eyelids. Eyelid surgery may involve either lid or both upper and lower lids. With time, upper eyelids become saggy with excess lax skin, redundant or lax muscle and excess fat. Hooding or heaviness of the upper eyelid occurs on a congenital basis or is acquired with age. This heaviness often results in a tired or sleepy appearance. Cosmetic improvement is not the only reason to consider an upper blepharoplasty. Function can also be a factor. Vision can be compromised when the upper lid droops (ptosis) and partially covers the pupil.
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Brow Lift
In conjunction with a facelift, I often perform forehead surgery (forehead / frown procedure ) to elevate drooping brows, to give an open, alert upper eyelid, and to soften frown lines. Advances in forehead surgery include the use of mini incision endoscopic surgery, employment of “detection defying” hairline technique, and improved versions of the coronal technique. Because each approach has merit, the important issue is to match each patient with the technique that is best for him / her. A hairline incision approach works well if the patient has a high forehead with receding hair.
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Rhinoplasty or Nose Reshaping
Rhinoplasty is the term given for the cosmetic surgical correction of the nose. The goal of cosmetic nasal surgery is to establish a pleasing profile with facial harmony. Attention is drawn away from the nose, not to it. I have performed well over 1100 rhinoplasties ranging from 13 to 76 years of age. Females usually attain their full facial growth potential around 14 to 15 years. Males are usually candidates for nasal surgery from 15 to 16 years and sometimes older. The incision is inside the nose. For more challenging corrections, the surgeon may prefer to use the open technique to give more visibility to the surgeon. The open method has a small incision at the base of the nose that is well camouflaged.
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Cosmetic Surgery of the Lips
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