Cosmetic Surgey - Procedures
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Face Procedures

Rhytidectomy | Facelift
All facial surgery: Feel OK @ 2weeks. Look better than Pre-op @ 4 weeks, subtle/soft improvement for 6 months.

Rhytidectomy Procedure
Improving sagging facial skin, jowls, and loose neck skin by removing excess fat, tightening muscles, redraping skin. Most often done on men & women over 40.

Length
4 hours

Anesthesia
General / Usually outpatient. Some patients may require short inpatient stay.

Side Effects
Temporary bruising, swelling, numbness & tenderness of skin; tight feeling, dry skin. For men, permanent need to shave behind ears, where beard-growing skin is repositioned.

Risk
Injury to the nerves that control facial muscles. Numb feeling (usually temporary but may be permanent). Infection. Poor healing. Excessive scarring. Asymmetry or change in hairline.

Recovery
Back to work 10 to 14 days.

Exercise
1/3 Intensity @ 3weeks, 2/3 Intensity @ 6 weeks, Full intensity @ 8weeks

Fading & Scar Improvement
6 to 12 months

Hair Care
Color or highlights @ 4 weeks

Bruising
2 to 4 weeks

Swelling
Moderate/Significant 4 weeks, Subtle(Mild) 2 to 3 months, all of which are dependent upon extent of procedure(s).

Duraton of Results
Usually 5 to 10 years

Office Visits
1st Visit: 1 day / 2nd Visit 5 days

Anticipated # of office visits 7 to 10 the first 3 months, 6 months then yearly.

Garment Worn
Neck strap for 4 to 6 weeks
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Blepharoplasty | Eyelid Surgery
Blepharoplasty Procedure: Correct drooping upper eyelids and puffy bags below the eyes by removing excess fat, skin and muscle.

Length
1 to 2 hours

Anesthesia
Local with sedation. Occasionally general Usually Outpatient

Side Effects
Temporary discomfort, tightness of lids, swelling, bruising.

Temporary dryness, burning, itching of eyes. Excessive tearing, sensitivity to light for first few weeks.

Risk
Temporary blurred or double vision; impaired vision (extremely rare.) Infection. Swelling at corners of eyelids; tiny whiteheads. Slight asymmetry in healing or scarring. Difficulty in closing eyes completely (rarely permanent). Pulling down of the lower lids (may require further surgery)

Recovery
Back to work 5 to 7 days

Exercise
1/3 Intensity @ 3 weeks, 2/3 Intensity @ 6 weeks, Full Intensity @ 8 weeks

Reading
2 or 3 days

Contact Lenses
2 weeks or more.

Bruising
2 to 4 weeks

Swelling
Moderate/Significant 4 weeks, Subtle/Mild 2 to 3 months, all of which are dependent upon extent of procedure(s).

Duration of Results
Many years. Sometimes permanent.

Office Visits
1st 5 days / 2nd Visit 10 to 4 days

Anticipated # of office visits 2 to 3 the first 3 months, 6 months then yearly

Garment Worn
N/A
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Brow Lift | Forehead Lift
All facial surgery: Feel OK @ 2 weeks. Look better than Pre-op @ 4 weeks, subtle/soft improvement for 6 months.

Forehead Lift
Browlift Procedure: Minimize forehead creases, drooping eyebrows, hooding over eyes, furrowed forehead, & frown lines by lifting excess tissue & redraping skin.

Length
2 hours

Anesthesia
General / Outpatient Surgery

Side Effects
Temporary swelling, numbness, headaches, bruising. Possible itching & hair loss at incision sites for several months. Change in hairline (RARE) unless planned.

Risk
Injury to facial nerve, causing loss of motion, muscle weakness, or asymmetrical look. Infection. Broad or excessive scaring.

Recovery
Back to work 7 to 10 days

Exercise
1/3 Intensity @ 3 weeks, 2/3 Intensity @ 6 weeks, Full Intensity @ 8 weeks.

Fading & Scar Improvement
6 to 12 months

Hair Care
Color or highlights @ 4 weeks

Bruising
2 to 4 weeks

Swelling
Moderate/Significant 4 weeks, Subtle/Mild 2 to 3 months, all of which are dependent upon extent of procedure(s).

Duration of Results
Usually 5 to 10 years

Office Visits
1st Visit 1 day / 2nd Visit 5 days

Anticipated # of office visits 7 to 10 the first 3 months, 6 months then yearly

Garment Worn
N/A
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Otoplasty | Surgery of Prominent or Deformed Ears
Procedure: Set prominent ears back closer to the head, or reduce the size of large ears. Most often done on children between the ages of 4 to 14 years old.

Length
2 hours

Anesthesia
Young children General / Outpatient Surgery Older children or adults General or local with sedation / Outpatient Surgery

Side Effects
Temporary throbbing, aching, swelling, redness, numbness.

Risk
Infection of cartilage. Excessive scarring. Blood clot that may need to be drained. Asymmetry of result. Recurrence of the protrusion, requiring repeat surgery.

Recovery
Back to work 5 to 7 days. Avoid contact sports 2 months

Exercise
1/3 Intensity @ 3 weeks, 2/3 Intensity @ 6 weeks, Full Intensity @ 8weeks

Bruising
2 to 4 weeks.

Swelling
Moderate/Significant 4 weeks, Subtle (Mild) 2 to 3 months, all of which are dependent upon extent of procedure(s).

DURATION of RESULTS: Usually permanent.

Office Visits
1st 3 to 5 days / 2nd Visit 10 to 14 days

Anticipated # of office visits 2 to 3 the first 3 months, 6 months then yearly.

Garment Worn
Head band at night for 4 weeks
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Rhinoplasty | Cosmetic Correction of the Nose
Rhinoplasty (Cosmetic Correction of the Nose)
Septoplasty (Corrects Airway Obstruction)

Procedure
Reshape nose by reducing or increasing size, removing hump, changing shape of tip or bridge, narrowing span of nostrils, or changing angle between nose & upper lip. May also relieve some breathing problems.

Length

1 to 2 hours

Anesthesia
Local with sedation or General / Usually Outpatient

Side Effects
Temporary swelling, bruising around the eyes and nose. Headaches. Bleeding.

Risk
Infection. Small burst blood vessels resulting in tiny, permanent red spots. Incomplete improvement, requiring additional surgery.

Recovery
Back to work 5 to 7 days.

Exercise
1/3 Intensity @ 3weeks, 2/3 Intensity @ 6 weeks, Full Intensity @ 8 weeks.

Bruising
2 to 4 weeks.

Swelling
Moderate/Significant 4 weeks, Subtle (Mild) 2 to 3 months, all of which are dependent upon extent of procedure(s).

AVOID hitting nose or sunburn
8 weeks.

Final Appearance
1 year or more

Duration of Results
Permanent

Office Visit
1st 7 days / 2nd Visit 4 weeks

Anticipated # of office visits
2 to 3 the first 3 months, 6 months then yearly

Splints or Tape
for 7 days
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Facial Implants | Cheek and Chin Augmentation
Procedure
Change the basic shape & balance of the face using carefully styled implants to build up a receding chin, add prominence to cheekbones, or reshape the jawline. Implants may be made of natural or artificial material. Fat grafting may be used as a natural tissue alternative to facial augmentation in certain
individuals.

Length
30 minutes to 2 hours

Anesthesia
Local with sedation, or general Usually Outpatient

Side Effects
Temporary discomfort, swelling, bruising, numbness and/or stiffness. In jaw surgery, inability to open mouth fully for several weeks.

Risk
Shifting or imprecise positioning of implant, or infection around it, requiring a second operation or removal. Excess tightening & hardening of scar tissue around an artificial implant (“capsular contracture”), causing unnatural shape.

Recovery
Back to work 7 - 10 days

Exercise
1/3 Intensity @ 3 weeks, 2/3 Intensity @ 6 weeks, Full Intensity @ 8 weeks.

Bruising
2 to 4 weeks

Swelling
Moderate/Significant 4 weeks, Subtle (Mild) 2 to 3 months, all of which are dependent upon extent of procedure(s).

Duration of Results
Permanent with implants. Fat grafting may require several treatment sessions.

Office Visits
1st 3 to 5 days / 2nd Visit 10 to 14 days

Anticipated # of office visits: 3 to 5 the first 3 months, 6 months then yearly

ICING
4 to 5 days SOFT FOOD: for 7 days
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Botox® Cosmetic
Botulinum Toxin Type AProcedure: Inject a highly diluted protein toxin with a fine needle into facial expression muscles. Temporary muscle paralysis softens skin lines and furrows caused by specific muscle action.

Length
15 minutes Office Procedure with topical or no anesthesia.

Side Effects
Temporary stinging, possible bruising.

Risk
Poor or asymmetrical effect. Migration of toxin to other muscles causing unwanted and/or asymmetrical result. Drooping of eyelid or double vision that may last for several weeks. Temporary nature of effect with need for repeat treatment.

Recovery
Ice to area treated for 2 hours. No exercise for 24 hours. Do not rub treated area(s) for 48 hours. Remain upright for 4 hours.

Duration of Results
3 to 5 months before repeat treatment needed.
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Injectable Facial Fillers
Juvederm(Hyaluronic Acid)

Radiesse (Hydroxyappetite) Uses
Fillers and volumizers are designed to restore facial contour and reduce the appearance of lines and wrinkles due to aging. Typically, Hyaluronic acid fillers are used to add definition to the nasolabial folds, the lips and fine lines around the mouth.  Hydroxyappetite is used as a deeper facial volumizer to enhance the cheeks (moldable cheek implant) or correct early jowling and restore a natural jaw line.

Procedure
Office based injections of hyaluronic acid or hydroxyappetite with a small needle into fine lines around the mouth, the forehead, or to add volume to the cheeks and jaw line.

Length
approx. 30 minutes    Office Procedure with topical anesthesia/dental blocks

Side Effects
Temporary stinging, fullness, faint redness, bruising requiring cover-up

Recovery
Immediate.    Cold pack 1 to 2 hours after injection.

Duration of Results
6-18 months

Office Visits
1st and 2nd treatment 4 to 6 weeks apart
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