Face

Browlift (Forehead Lift)

Browlifts can revitalize drooping or lined foreheads, helping you look less angry, sad or tired. Using either traditional or minimally invasive (endoscopic) methods, browlifts involve the removal or alteration of the muscles above the eyes to smooth lines and raise the eyebrows for a more youthful appearance. The procedure is often combined with other operations such as blepharoplasty (eyelid surgery) and facelifts to improve the look of the eyes and other areas of the face.

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 to raise the eyebrows or reduce the appearance of wrinkles, crow’s feet or dark circles under the eyes.

Ear Surgery

Otoplasty, or ear surgery, is a surgical procedure performed to correct large, protruding or otherwise deformed ears for a more proportionate appearance. Unlike most other plastic surgery procedures, otoplasty is most commonly performed on children, as the ears are typically finished growing by the age of four. Early treatment helps reduce teasing and any affect on self-esteem that large or misshapen ears may cause. Otoplasty may often be performed to correct ears damaged by an accident or injury.

The results of the otoplasty procedure are permanent and scars will fade with time to become less noticeable.

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. Results depend on the patient’s nasal bone and cartilage structure, facial shape, skin thickness and age (teenagers should have had their growth spurt).

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. Contact lenses can be worn immediately but glasses will have to be taped to your forehead or propped on your cheeks for up to seven weeks.

Facial Implants

Whether we notice it or not, full cheeks are often a part of how we judge a person’s face. Cheek implants can have a major impact on the appearance and self-confidence of a person whose cheeks have thinned or sunken due to age, illness or other causes. Likewise, the chin helps provide harmony to the facial features. Patients often seek a smaller nose when, in fact, a chin augmentation provides a balance to the facial features.

Implant sizes and shapes to augment the cheek and chin areas are tailored to each patient’s desired appearance. The implants are placed during an outpatient procedure under local or general anesthesia, which usually takes less than an hour to perform. Dr. Gayle will make the necessary incisions in inconspicuous locations to allow for minimal scarring.

Scar Revision

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.

For more information on Facial Procedures or to schedule an appointment, call us at 212.452.5121.

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