This is the “upper lid lift”. In this procedure upper eyelid skin is excised and upper eyelid fat and/or muscle is re-contoured. As with the lower lid surgery, fat preservation is important to prevent a hollow look in the future. Equally important is adequate assessment of lax brow and forehead skin. Sagging brows can compound the appearance of the heavy eyelid and must be assessed. Heavy brows can also be corrected at the same surgery.
Lower Lid Blepharoplasty
This refers to surgery correcting “lower eyelid bags”. As we get older, the ligaments keeping the eyelid fat close to the face become lax and fat appears to bulge out; hence the “bags” under the eyes. Additionally, the skin under the eyes can appear puffy and change from day to day because of allergies and fluid retention. Several different techniques exist to correct the bulging fat. Older techniques focus on removing the fat, which time has taught us creates a hollow appearance years later. This is why we believe in fat repositioning whenever possible. Through incisions on the inside of the eyelid, herniated fat can be moved to lower areas of the face, recreating a youthful contour.
Also known as an endoscopic forehead lift. Unlike brow lifts of the past, this is performed in a minimally invasive fashion using a surgical endoscope and camera connected to a monitor. Small access incisions hidden in the scalp allow for lifting of the eyebrows. This procedure can be combined with an endoscopic midface lift to elevate cheek fat pads that have descended over time.
Also known as "Ear Pinning", correction of protruding ear lobes can be done under local anesthesia in the office, or, as with children, in the operating room. Cartilage preserving techniques are used to prevent sharp visible creases or edges of cartilage.
This procedure is often used to increase the projection of the chin away from the face. This can be done either non-surgically with dermal fillers or surgically with a chin implant. The position of the chin is often overlooked, but it can dramatically affect the harmony of the face. It is important to take it into consideration during a rhinoplasty or facelift consultation because it can improve the contour of the face and jowel as well as give the illusion of a smaller nose, improving the outcome of a rhinoplasty.
Cleft Lobule Repair
This is commonly referred to as an “ear lobe repair”. Enlarged or torn ear piercings or more dramatic ear gauge holes can all be repaired with a simple in office procedure completely awake.
Buccal Fat Excision
The buccal fat pads are located in the mid cheek and contribute to the roundness of the face in some patients. These can be removed through a small incision from the inside of the cheek. Patient selection is important to prevent looking hollow or "guant" many years later.
This is an in office, awake, surgical procedure that corrects a long or heavy upper lip. As we get older, the shape of the facial bones change and regress, creating the appearance of a longer sagging upper lip with less "red lip" showing. Many will try to correct this with dermal fillers. While this helps to a certain extent, at some point the filler only pushes the lip forward in space. A lip lift however results in eversion of the lip, and thus more of the plump "red lip" is visible.