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 to raise the eyebrows or reduce the appearance of wrinkles, crow's feet or dark circles under the eyes.
The procedure is usually performed in an office with local anesthesia and lasts 45 minutes to a few hours 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 removed 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 be dramatic and last for years.
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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. Results depend on the patient's nasal bone and cartilage structure, facial shape, skin thickness and age (teenagers should have had their growth spurt). Insurance may cover rhinoplasty if it is done for reconstructive or medical reasons, but likely not for cosmetic purposes.
Rhinoplasty is usually an outpatient procedure performed under either local or general anesthesia and lasts one to two hours unless more extensive work needs to be done.
Surgeons use one of two techniques: the incision is either made within the nostrils, thus hiding scars after surgery, or across the columella (the vertical strip of tissue separating the nostrils) in an "open" procedure, where scars are small and hidden on the underside of the base. In both procedures the skin is lifted, the bone and cartilage sculpted, and the skin replaced and stitched closed.
For a short time after surgery you may experience puffiness, nose ache or a dull headache, some swelling and bruising, bleeding or stuffiness. Most patients feel like themselves within two days and return to work in about a week.
Complications are rare and, when they occur, minor. These may include infection, nosebleed, or a reaction to the anesthesia.
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A browlift, also known as a forehead lift, is a surgical procedure that effectively reduces the appearance of wrinkles and furrows on the forehead and elevates your eyebrows to produce a vibrant, younger-looking appearance for patients experiencing unwanted signs of aging.
This procedure is often combined with others, such as a facelift, blepharoplasty or chemical peel, for optimal results. Your doctor will develop a custom treatment plan for you based on a thorough evaluation of your skin and goals for treatment.
During the endoscopic browlift procedure, several tiny incisions are made along the scalp, into which surgical instruments are inserted. The surgeon uses these instruments to lift the skin of the forehead and remove any excess fat, muscle or skin from the area. Screws or sutures may be placed to keep the skin and muscle in place as the area heals, before the incision is stitched closed.
This procedure takes one to two hours to perform under local anesthesia with sedation, with patients able to return home the same day. Any stitches or screws can usually be removed after one to two weeks.
After a browlift, patients may experience mild discomfort, numbness and swelling, although these symptoms usually subside after a few days and can be managed with medication prescribed by your doctor. As compared to a traditional browlift procedure, patients will experience significantly less bruising, less scarring and shorter recovery times with the endoscopic procedure.
The results of the endoscopic browlift are noticeable right away, and will continue to improve as swelling and other symptoms subside. Most patients are able to return to work and other normal activities within a few days, although physical activity should be avoided for longer. With realistic expectations, many of our patients are highly satisfied with the results of their procedure.
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