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Cosmetic plastic surgery of the face can "turn back time" by reducing the appearance of wrinkles and lines, sun damage and sagging skin that can make you look angry, sad or tired. Listed below are some of the procedures we offer to help you look as young and energetic as you feel.
Facelift - Forehead Lift - Eyelid Surgery - Rhinoplasty - Lip Enhancement - Chin Augmentation - Otoplasty
Facelift
 You should look like you feel. In time, gravity, sun exposure, and the stresses of daily life take their toll on your face: deep creases appear around the mouth, the cheek hollows, the jaw line slackens, and folds and fat deposits appear in the neck. Our modern Facelift called the MACS Lift, overcomes the problems of previous facelifts. It elevates the fat and underlying support structures back to where they originally were (not backward like older facelifts), then redrapes the skin, also upward, giving your face a fresher, more youthful, natural and rested look. Our goal is to provide you the correction you desire, with as natural an appearance as possible. This is done through a short incision in front of the ear with less skin undermining, and, thus, less risk and faster recovery. This procedure is ideal for correcting the neck. Thus, if you think you only need a necklift, the MACS Lift is a better answer, as it corrects the lower face as well as the neck, and does so more safely, with the same or less surgery and generally faster recovery. You will require an incision behind the ear only if you have exceptionally lax skin in the neck. The MACS Lift is also an excellent choice if you need just a “touch up” at a younger age or have already had a facelift. To achieve complete rejuvenation, your skin, eyes and/or brow may need separate treatment.
Browlift, eyelid surgery, nose reshaping can provide you even more dramatic results, Incisions are in inconspicuous places such as behind the hairline and in natural folds where they generally fade to near invisibility in time. Results of a facelift do not last forever. However, the MACS Lift is designed to significantly slow the continued effects of gravity by suspending the face from solid fixed points on bone. For those who do have a recurrence of the problems that prompted a previous facelift or just want to "freshen" your appearance, the MACS Lift provides improved results more safety, and correction of many of the stigmata of previous facelifts.
The MACS Lift has a number of distinct advantages.
- It is applicable to everyone by modifying the technique slightly.
- It is safer than older facelifts since there is less skin undermining and less chance to injure the facial nerve (the nerve controlling facial motion).
- It prevents the loss of the sideburn and descent of the earlobe found in previous facelifts.
- The results are superior to and longer lasting than other procedures.
- You can expect to be able to return to most normal activities including work or social engagements within a week or
- two.
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Forehead Lift,
 A forehead lift, or browlift, can revitalize your drooping or lined forehead, helping you to look less angry, sad or tired. We remove or alter the muscles between your eyes and release the forces pulling your brows down to smooth lines and raise your eyebrows for a more youthful appearance. You can combine the procedure with other operations such as blepharoplasty (eyelid surgery) and facelifts to improve the look of your eyes and other areas of your face. However, if the descent of your brow which pushes the brow tissue into the upper eyelid areas is the main cause of your upper eyelid problem, then you may need only the browlift to correct both the brow and the upper eyelids.
We generally perform this procedure in a minimally invasive manner using four short incisions hidden in the hair and an endoscope, a slim instrument with a camera on the end. This reduces scars, hair loss and numbness and generally provides you an excellent improvement and fast recovery while maintaining a natural appearance. You should be able to return to most activities in a few days with minimal, or easily concealed bruising.
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Eyelid Surgery (Blepharoplasty)
 Since "the eyes reveal the soul," what do yours say about you? As we age, the fat around the eyes move around the eye to the lower lid and the skin and other tissues sag, making us look sad, tired and/or listless, hiding our inner vitality. Some of us inherit excess fat which further hides our normal sparkle. In extreme cases, the sagging of the upper lid can even interfere with vision. By removing excess or repositioning fat, skin and muscle from the upper and lower eyelids, blepharoplasty can rejuvenate your puffy, sagging or tired-looking eyes. It is typically a cosmetic procedure but can also improve vision by lifting droopy eyelids out of your field of vision. If you have surrounding problems, we can occasionally raise your eyebrows some, reduce the appearance of wrinkles between your eyebrows, or correct crow's feet some through an upper blepharoplasty incision with modifications of the procedure. Lower blepharoplasty will usually correct the dark circles under your eyes. Newer techniques give you better results that last longer and avoid many of the problems of the older methods. You can combine this procedure with others such as a facelift, forehead lift and/or BOTOX® treatments to achieve other desired results. We usually perform the procedure as an outpatient. You should be able to wear make-up and return to the public in 4-5 days. The fine incisions usually virtually disappear within several months.
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Rhinoplasty
Noses are very individual. They reflect not only your ethnicity, but your personality. However, when your nose does not fit your face, a rhinoplasty, one of the most common plastic surgery procedures can reshape, reduce or augment your nose, remove a hump, narrow your nostril width, change the angle between your nose and mouth to improve the balance between your nose and face. These better physical proportions can have a dramatic impact on the balance of how you feel about yourself. A rhinoplasty can also correct injury, birth defect, or other problems that affect your breathing. Rhinoplasty is usually an outpatient procedure performed under light general anesthesia and lasts two to three hours unless extensive work needs to be done on the airway. Insurance may cover rhinoplasty if external remodeling is done for reconstruction or the procedure, including internal airways remodeling, is to correct breathing problems, but not when done for cosmetic purposes.
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Lip Enhancement
 Full lips are sensual and a sign of youth. As we age, the upper lip elongates and the fullness of both lips is lost. We now have a variety of techniques available to enhance your lips giving them a fuller, sexier, more youthful appearance.
Collagen replacement therapy or injections with Juvederm® or Restylane® offer excellent immediate results. However, like your own collagen, your body will eventually absorb these and ongoing treatment is necessary to maintain results. Treatments generally last 3-12 months, but each individual re-absorbs the product at varying rates, so results can be different. We perform the injections in the office under local anesthesia. You can return immediately to your normal activities
If you desire a more permanent solution, we can use fat or "Alloderm®," a solid modified collagen sheet, as a graft. These techniques are relatively permanent, although touch-ups may be required from time to time to maintain desired fullness. For the upper lip, another option is excision of a strip of the stretched upper lip skin, hiding the scar at the lip or nose junction. This turns the red of the lip out, and can even give you a smiling appearance. All these procedures are performed under local anesthesia in our office surgical suite. You are able to return to most normal activities following the procedure, but, if you elect to use a sedative, you will need someone to drive you home. Swelling and some bruising will be present immediately following the procedure and can take a week or two to disappear completely. We can, however, show you how to easily disguise this with makeup.
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Chin Augmentation
 If you lack a chin that balances and defines your face a modern, solid implant can correct the problem and mimic normal bone. Your particular problem determines the specific implant used. This is also an excellent complement to Rhinoplasty, since increasing your chin prominence makes your nose appear smaller and balances facial features.
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Ear Surgery (Otoplasty)
Most ear surgery in the past has been to correct congenital problems such as "lop ear," "cupped ear" and "shell ear," oto set prominent ears back closer to the head, or to reduce the size of large ears. When done for these problems, the surgery is generally done at about five years of age when the ears are mature. Many of the same techniques are applicable to problems in adults caused by aging or previous facelift. Some of these problems are large or stretched earlobes, and lobes with large creases and wrinkles. The procedures in children generally lasts from two to three hours and may be performed as an outpatient in the hospital under general anesthesia. We treat most adults in the office as an outpatient using local anesthesia or at the time of revision facelift. Most people can resume normal activities immediately, as the sutures are usually hidden behind or on the back edge of the ear.
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