Blepharoplasty (Eyelid Surgery)
Blepharoplasty can rejuvenate puffy, sagging or tired-looking eyes by removing excess fat, skin and muscle from the upper and lower eyelids. It may be performed for cosmetic reasons or to improve sight by lifting droopy eyelids out of the patient's field of vision. Blepharoplasty can be combined with BOTOX® treatments, or to reduce the appearance of wrinkles, crow's feet or dark circles under the eyes.
 The procedure is usually performed in our office with local anesthesia and sedation and lasts 45 minutes to 90 minutes depending on how much work is done. Incisions are made along the eyelids in inconspicuous places (in the creases of the upper lids, and just below the lashes on the lower lids). The surgeon removes excess tissue through these incisions and then stitches them closed with fine sutures. In the case that no skin needs to be removed, the surgeon will likely perform a transconjunctival blepharoplasty, where the incision is made inside the lower eyelid and there are no visible scars.
Stitches are dissolved after three or four days and most people return to work in ten. Contact lenses may not be worn for two weeks. The effects of blepharoplasty can last for a long time and are sometimes even permanent.
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Facelift (Rhytidectomy)
In time, gravity, sun exposure, and the stresses of daily life take their toll on our faces: deep creases appear beside the mouth, the jaw line slackens, and folds and fat deposits appear on the neck. Facelifts counteract these problems by removing fat and tightening skin and muscles, giving your face a fresher, youthful look. After surgery, some patients appear 10-15 years younger.
A facelift can be combined with a browlift, eyelid surgery or nose reshaping for more dramatic results, or it can be restricted to the neck (necklift) if the patient's problems center there. Incisions are made in inconspicuous places such as behind the hairline and in natural folds of the face and ears, and scars fade to near invisibility in time. Results of a facelift do not last forever, but in another sense, the effects are permanent; years later, your face will continue to look better than if you had never had the procedure.
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Rhinoplasty (Nose Surgery)
One of the most common plastic surgery procedures, rhinoplasty is performed to reshape, reduce or augment a person's nose, remove a hump, narrow nostril width, change the angle between the nose and the mouth, or to correct injury, birth defects, or other problems that affect breathing. Rhinoplasty is usually an outpatient procedure performed under local anesthesia combined with sedation and lasts one to two hours.
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 Ear Surgery (Otoplasty)
Ear surgery for children or adults can set prominent ears back closer to the head and reduce the size of large ears. Surgery may also be helpful for "lop ear," "cupped ear" and "shell ear," large or stretched earlobes, and lobes with creases and wrinkles. The procedure takes from one to two hours and is performed in our office facility with local anesthesia combined with sedation.
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Dermabrasion
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Dermabrasion removes a layer of surface skin to improve the appearance of facial scarring due to acne, chicken pox, injury or other causes, as well as uneven pigmentation, wrinkles, sun damage, tattoos, age spots and certain kinds of skin lesions. The patient is sadated and the skin abraded with a high-speed rotary instrument for a dramatically smoother, fresher look. After the procedure it is normal to feel a sensation similar to sunburn for a week or so, at which time most patients are able to return to work. The newly revealed skin will likely appear pinker than usual for two to three months. Patients should be sure to adequately protect skin from sunlight.
Chemical Peels
Chemical peels remove damaged outer layers of skin on the face to smooth texture, reduce scarring, and remove blemishes and pre-cancerous growths to produce healthy, glowing skin. Peel formulas and strengths are tailored to each patient. Peels can be combined with other procedures such as facelifts for a younger look. They may be covered by insurance if they are performed for medical rather than cosmetic reasons.
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