Facial aging occurs as a result of a combination of skin damage (due in large part to solar damage) and volume loss in tissues just under the surface of the face. The result is essentially “deflation,” in which the overlying skin sags, leading to flattened cheeks, thinned lips, jowling, and neck slackness. You might remember older facelift techniques – the ones that left people’s faces looking drawn and tight. These surgeries undermined facial tissue, took many hours to perform, were expensive and required long recovery times. The majority of facial rejuvenation procedures performed in my practice, such as the V2 FaceliftTM, involve significantly less surgical dissection, rely less on pulling and tugging, and more on volume restoration and enhancement with the patient’s own fat via micro-lipo fat transfer. The result is a more natural, less surgical look.
Gradual descent of the brows, laxity and droopiness of the eyelid skin, and bulging of the surrounding fat pads can lead to a tired, aged look that often makes patients look older than they feel. Elevation of the brow can be achieved with limited incisions via Endoscopic Brow Lift, but If an endoscopic approach is not an option, we will often utilize limited incision brow lifts and “internal” brow lifts as opposed to the older style “coronal” brow lift (which produced an extensive scar along the entire length of the scalp).
Blepharoplasty (Eyelid Surgery)
Surgery of both the upper and lower eyelids can dramatically improve a patient’s overall appearance. Upper lid surgery generally heals beautifully and helps open the eyes and brighten up the face. Lower lid surgery to remove laxity and bulging can remove some of the heavy, tired appearance associated with aging. In some instances, when vision is obstructed by brow or upper lid drooping (or, most commonly, a combination of the two), these procedures may be covered by insurance. due to either brow laxity, upper lid laxity, or a combination of the two (most commonly), these procedures may be covered by Insurance.
Rhinoplasty (Nasal Surgery)
Patients wanting work done on their noses most commonly complain of a prominent dorsal (top-of-nose) hump, a bulbous nasal tip, or difficulties breathing. Most patients want a better-looking nose that better complements the overall look of their face…not to wake up looking like a completely different person. Understanding this, our approach to Rhinoplasty is all about subtlety; sculpting the nose to create delicate, not dramatic change. Unless surgery is needed to correct deformities or injury, most surgery on the outside of the nose is considered cosmetic. Surgery on the internal airway, on the other hand, including the septum and nasal turbinates, is often considered to be functional in nature, and may be covered by insurance.
All facial rejuvenation procedures in this practice are performed under iv (’twilight’) sedation as opposed to general anesthesia, which causes patients less stress, post-operative nausea, and we believe less mental fogginess after surgery (especially elderly patients). In general, we try to avoid general anesthesia, especially if the procedure is purely cosmetic in nature.