 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. A neck lift or chin liposuction is performed to remove excess fat beneath the chin and tighten loose skin in the neck. A less invasive alternative to a facelift, the procedure can produce dramatic results in the patient whose chin and/or neck has sagged with age or after weight loss.
Results of a facelift and necklift do not last forever, but in another sense, the effects are permanent; years later, your face and neck will continue to look better than if you had never had the procedure.
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Eyelid surgery 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. The procedure is usually performed in an office with local anesthesia in as little as 45 minutes. Eyelid surgery can be combined with a facelift or BOTOX® treatments to raise the eyebrows or reduce the appearance of wrinkles, crow's feet or dark circles under the eyes.
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 Browlifts can revitalize drooping or lined foreheads, helping you to look less angry, sad or tired. Using either traditional or minimally invasive (endoscopic) methods, the muscles above the eyes are altered to smooth lines and raise the eyebrows for a more youthful appearance. The procedure is often combined with other operations such as blepharoplasty and facelifts to improve the look of the eyes and other areas of the face.
In a traditional browlift the surgeon makes a coronal (headphone-shaped) incision behind the hairline, stretching between the ears and across the top of the forehead. In a minimally invasive (endoscopic) browlift the surgeon makes three to five short incisions; then an endoscope -- a slim instrument with a camera on the end -- is placed in one incision while the surgeon works through the other incisions.
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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. Rhinoplasty is usually an outpatient procedure performed under either local or general anesthesia and lasts one to two hours.
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 Ear surgery is typically performed to set prominent ears back closer to the head, or to reduce the size of large ears. Surgery may be helpful for "lop ear," "cupped ear" and "shell ear," large or stretched earlobes, and lobes with large creases and wrinkles. Surgeons are also able to construct new ears for patients who are missing them due to injury or other causes. The operation can be performed on children as young as four years of age when the ears are fully grown, in order to minimize teasing in school. The procedure lasts from two to three hours and may be performed in a hospital, office-based facility or an outpatient surgery center under general or local anesthesia.
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Full and vivacious lips have always been recognized as aesthetically important features. Some of us, however, are born with thin, ill-defined lips, or our lips lose their fullness with age. But the appearance of our lips is now within our control. Fine lines and wrinkles, thin lips and a drooping corner of the mouth are all areas that can be aided with injectable fillers. The market is ever changing, with new products appearing rapidly. Care is individualized to provide a safe and effective treatment option.
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 Scar revision is performed to reduce the appearance of scars caused by injury or previous surgery. Scars are by definition permanent, but surgery can narrow, fade and otherwise reduce the appearance of severe or unattractive scarring, which is especially helpful in areas of cosmetic importance such as the face and hands.
There are many surgical methods of scar revision, only some of which may be appropriate for a particular type of scar or its location. These include surgical excision, skin grafts, flap surgery and Z-plasty (repositioning a scar so that it aligns with the face and is less noticeable). The effectiveness of scar reduction depends on a number of factors, including the nature of the injury, your body's healing mechanism, the size and depth of the wound, how much blood supplies the area and the thickness and color of your skin.
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