Gravity, sun exposure, and the stresses of daily life take their toll on our faces and necks. Deep creases appear beside the mouth, the jaw line slackens and becomes jowly, and the neck develops loose folds and fat deposits. Facelifts counteract these signs of aging by tightening muscle, removing fat, and trimming excess skin to give your face a fresher, youthful look. Patients often look 10-15 years younger after surgery.
Facelifts are most effective for patients who want to correct:
- Midface sagging
- Deep creases under the eyes
- Deep creases between the nose and mouth (nasolabial folds)
- Jowls due to loss of muscle tone
- Sagging areas of fat
- Loose skin and fat under the chin and jaw
The specific facelifting procedure chosen depends upon the degree of skin laxity and descent. Younger patients with mild jowling are excellent candidates for mini- or short scar facelifts. With a mini-facelift, the incision is confined to around the ear and the recovery period is less. Full facelift incisions extend from the hair tuft in front of the ear to the hairline behind the ear, and are necessary to correct more advanced facial aging.
Browlifts can revitalize drooping brows, helping you to look less 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 a blepharoplasty to improve the look of the eyes.
Blepharoplasty (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. The procedure is often performed in the office with local anesthesia. Blepharoplasty 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.
Otoplasty (ear surgery)
Ear surgery, or otoplasty, is a cosmetic procedure to improve the appearance of a person’s ears. Although otoplasty does not affect hearing, it can provide great psychological benefits to anyone who has been teased about the size or shape of their ears, has had a serious ear injury, or simply wants to improve their appearance.
Otoplasty typically serves two functions: setting prominent ears back closer to the head, and reducing the size of large ears. Ear surgery may also be helpful for the following conditions:
- Large or protruding ears
- Lop ear (top of the ear folds downward or inward)
- Cupped ear (a small ear)
- Shell ear (no outer curve in the cartilage)
Over time, a pierced earlobe can become stretched if a person frequently wears large or heavy earrings. In addition to creating a long or wide opening, earrings may tear completely through the lobe. A torn earlobe may also result from trauma, such as having an earring pulled off or caught on clothing.
Torn earlobes can be repaired in the office under local anesthesia. Sutures are removed after one week. Earlobes are then repierced 4-5 weeks after the repair.
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.
Implant sizes and shapes to augment the cheeks 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. The incisions are placed within the mouth and are thus inconspicuous.
A weak or retruded chin can significantly affect facial appearance, causing the nose to look larger or the neck to look loose. Chin augmentation or mentoplasty is often performed to provide a more balanced facial appearance and create a chin that is stronger, wider, or longer. Chin augmentation is often performed in conjunction with rhinoplasty or other facial procedures in order to achieve a balanced facial profile. The implant can be placed through a small incision beneath the chin or through an incision inside the mouth.
Liposuction is a minimally invasive cosmetic procedure used to remove localized areas of fat from the face and neck through a small thin tube called a cannula. The fat from the targeted area is suctioned through this tube to help patients achieve a slim and balanced appearance. Neck liposuction in often performed in conjuction with other procedures, but may also be performed alone in the office with local anesthesia.
Hairline advancement is a procedure that is used to lower the hairline along the forehead. This is generally done to reduce a high forehead and provide balance to the overall shape of the face. For a hairline advancement procedure, the incision will be made along the edge of the hairline so that any resultant scar will be well camouflaged by the hair. Through this incision, the forehead can be made shorter and the hairline will be repositioned further forward. The surgery lasts for approximately two to three hours.
The recovery from a hairline advancement procedure typically takes one week, and the sutures will be removed at this time. The results are often immediately visible and are long lasting. Some patients choose to add a browlift while they will be undergoing a hairline advancement in order to revitalize sagging brows and maximize the effect on the upper portion of the face.
Skin Cancer Excision/Reconstruction
Skin cancers are treated most effectively by surgical excision. Removal may leave behind large wounds or scars, and these deformities can be emotionally upsetting . Fortunately, plastic surgery can be performed to repair the wound and restore your skin to a more healthy and natural appearance.
Dr. Losquadro often works with Mohs surgeons to ensure that skin cancers are removed as effectively and aesthetically as possible. Mohs surgeons are dermatologists with specialized training to excise skin cancers in layers until the entire cancer is removed. Mohs surgery has the highest cure rate and removes the least amount of tissue. Repair can often be performed the same day or the day after the removal procedure. The specific reconstructive procedure chosen depends upon the size and location of the defect and may involve direct closure, skin grafting, or local skin flaps.
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 reduce the appearance of severe or unattractive scarring. There are many surgical methods of scar revision, and the particular method chosen depends upon the size and location of the scar.
Facial Trauma Repair
Facial trauma can be caused by an accident, injury, or illness, leaving patients with physical disfigurements that can significantly affect their everyday lives. Fortunately for these patients, there are several procedures available to restore the appearance of the face, as well as the patient’s self-confidence about the way they look. Facial fractures are often repaired with titanium plates and screws placed via inconspicuous incision within the mouth, eyelid, or hairline.