Patients seek facial plastic surgery for a variety of reasons. Some have birth deformities, are victims of accidents or have skin cancer. Other patients choose to treat some of the signs of premature aging or change the shape or size of a facial feature that has bothered them for many years. Whatever the reason for your interest in facial plastic surgery, it should be understood that facial plastic surgery can help to increase self-confidence and self-esteem. In general, when people look better, they tend to feel better as well.

Below is a description of some of the facial plastic procedures that we perform. If you have a desire to explore your options for treating any of these conditions, please schedule a consultation to find out how facial plastic surgery might be right for you. More information can be found at our facial plastic website; evmsfacialplastics.com

Rhinoplasty/Septoplasty
Rhinoplasty is surgery where the cartilage and bone of the nose are reshaped or reconstructed providing a smaller, straighter or more refined appearance. The nose is reshaped so that it is in harmony with the other facial structures creating a natural and unoperated appearance. Rhinoplasty is performed on patients of all ages from teenagers who have reached full growth to mature adults. Functional septorhinoplasty may be performed for patients with difficulty breathing through their nose and is often covered by insurance carriers.

Cosmetic facial rejuvenation

Blepharoplasty (Eyelid surgery):
The eyelid is usually one of the first areas to show signs of aging. The eyelids develop excess skin and fat, bags, pouches and/or wrinkles that may cause both cosmetic and functional (impaired vision) problems. Blepharoplasty may be performed to remove excessive skin and protruding bags from the eyelids providing you with a refreshed and more alert appearance.

Forehead or Brow lift:
Over time excessive use of the forehead muscles can lead to the formation of wrinkles and furrows of the forehead and between the eyebrows. As we age the eyebrows may also become depressed and can often times contribute to the excessive upper eyelid skin. This can result in a sad, fatigued or even scowling appearance. A browlift may be performed to decrease the forehead lines and wrinkles and elevate the brows to help give you a more alert and refreshed appearance.

Rhytidectomy (facelift):
The skin and soft tissues of the face and neck loosen and descend as we age due to gravity and weakening of the ligaments that help to support these structures. The jawline softens and jowling develops, excess skin develops under the chin and vertical muscule bands in the neck may become evident. A facelift, or rhytidectomy can significantly improve these signs of aging allowing patients to look up to 10 years younger. During a facelift, excess skin of the face is removed and the underlying muscles are tightened to provide a longer lasting result.

Lip augmentation/rejuvenation:
The lips contribute significantly to define ones facial appearance, provide for speech and display of emotions and also are the focus of intimate touch on the face. It is important to recognize that the preference for lip appearance is very personal. Lips vary in appearance due to ones gender, age and ethnicity and all of these must be accounted for when considering lip enhancement procedures. Various procedures and surgeries may be performed to help augment or rejuvenate the upper and lower lip providing a full, youthful look while avoiding excess augmentation

Facial Implants:
Enhancing the contours of the existing facial bony structure can help to create harmony with other facial features resulting in a more aesthetic balance to your face. Facial implants such as chin implants and cheek implants can create a more angular and youthful appearance to your face and can have a remarkable aesthetic impact.

Skin Resurfacing:
Premature wrinkling of the skin is more common now than ever before. The appearance of facial wrinkles may be accelerated in patients with a genetic predisposition, significant sun exposure, smoking, poor nutrition or other medical skin disorders. Skin resurfacing may be performed to regenerate a new layer of skin that is characterized by reduced wrinkles, with improved texture and color. Skin resurfacing may be performed through laser resurfacing, chemical peeling and dermabrasion.

Injectables:

BOTOXó
The earliest lines and wrinkles to form are those located in the areas of the muscles of facial expression. These "dynamic" wrinkles form due to repetitive contraction of facial muscles in areas such as the corners of the eyes (crow´s feet), between the eyebrows and on the forehead.

Botulinum Toxin Type A (BOTOXó) may be used to weaken these muscles, reducing the pull of the muscle on the skin and flattening out the wrinkles. It also may be used in certain patients with prominent muscle bands in the neck to help create a more youthful neckline. BOTOXó is injected in the office and is usually very well tolerated. The results last approximately 3-4 months.

FILLERS
Deeper creases or folds form as the surrounding skin and soft tissues on the face descend with the effects of aging and gravity. Injectable fillers such as collagen or hyaluronic acid provide an excellent minimally-invasive way to fill creases or depressions in areas such as the nasolabial folds, marionette lines or around the lips. They may also be used for lip augmentation. There are many forms of injectable fillers that may be used including; collagen, fat transfer, hyaluronic acid (JuvadermÔ, RestylaneÒ) and calcium hydroxyapetite (RadiesseÒ). Discussing the options during your consultation will enable you to make the decision that is best suited for you. The length of the results will vary depending on the product that is used.

Otoplasty:

Children who have prominent ears are often victims of teasing with cruel nicknames like "dumbo" or "mickey mouse." This is often a source of humility and may negatively impact their self-esteem. These children may benefit from an otoplasty, which is a surgery to reshape prominent or mishappen ears. The recovery time is one week and the results are permanent.

Soft tissue reconstruction of face,head or neck:
Patients undergoing resection of skin cancers will require reconstruction of the defect that remains. Reconstruction will very from local skin flaps to flaps from regional areas of the face or neck, depending on the size and location of the defect. Care is taken to preserve function while achieving aesthetic reconstruction of the defect.

Facial nerve paralysis
Various surgical procedures may be performed in order to achieve improved function and symmetry in patients who experience facial nerve paralysis. Surgeries may provide symmetry at rest or may provide reinnervation to allow patients to animate.

Congenital deformities
Children that are born with congenital deformities including cleft lip and palate or microtia (mishappen ears) will often require a number of surgical procedures in order to optimally repair the deformities. These special children are cared for by a multidisciplinary team in order to optimize their treatment and provide them with the best possible care. As otolaryngologist and plastic surgeons, we are able to provide a more comprehensive understanding and treatment including lip and ear reconstruction, treatment of hearing and speech problems as well nasal reconstruction that is often required in cleft patients.

Post-trauma reconstruction
We treat patients who require acute repair of facial trauma, as well as delayed effects of trauma including scar revision.