Nasal surgery, often called a "nose job" or by its technical name, "rhinoplasty" is usually performed to alter the size, shape and/or the function of the nose. Contrary to popular belief, the exact appearance of the nose cannot be determined before surgery. A patient is not able to pre-select a particular nose since changes are limited by factors such as skin and bone thickness, nostril size and general facial configuration.
With this in mind, the patient must be very comfortable with their plastic surgeon's surgical and aesthetic judgment before proceeding. It is against this backdrop that Dr. DeWeese's combination of intuition, compassion and technical skill enables him to excel at performing nose surgeries.
The length of time required to perform the operation is usually between two and four hours. The surgical procedure is done through incisions made inside the nose, ensuring that scars are not visible. If work on the nasal tip is necessary, or if a revision surgery is being performed, it is frequently helpful to expose the cartilages of the nose and repair them directly.
Modern concepts in rhinoplasty include building up the nose to achieve an aesthetically pleasing form (rather than just breaking the bones and removing tissue). Whatever the work being done, it is essential that your surgeon individualize the surgery: he or she must take the time to "diagnose" each unique nose, and everything done to the nose should be easily explainable to the patient. In addition to aesthetic benefits of rhinoplasty, any problems with the internal airway are concurrently addressed, leading to improved breathing after nasal surgery.
As one would expect, the cost of the procedure depends on the extent of the modifications performed. The surgery package price includes the surgeon's fee, the anesthesiologist's fee, and the hospital and operating room expenses.
After the operation, patients typically experience discomfort in the form of headaches and a feeling of stuffiness. Swelling and bruising may occur, usually around the eyelids. Bruising generally subsides within seven to ten days, as does the majority of any swelling. It is important to note that the ultimate result of the rhinoplasty won't be evident for at least six months, as it takes that long for the mild residual swelling to dissipate.
“Facial rejuvenation” is a blanket term describing cosmetic facial surgery done for the purposes of improving appearance. Also known by the more common, “face lift,” improvement is achieved by tightening the skin and facial muscles and, where needed, removing fat. The degree of improvement varies from individual to individual and is influenced by the physical traits of the skin, degree of sun damage, underlying bone structure and a variety of other factors.
A facelift operation typically lasts between three to five hours, depending on the extent of the procedure. It is usually performed using local anesthesia under intravenous conscious sedation, though sometimes a general anesthetic is advised. You will discuss with Dr. DeWeese which anesthesia option is best for you.
In the provision of proper care to his patients, photographs are as important to the plastic surgeon as X-rays are to physicians in other medical specialties. Therefore, photos are taken before and after facial rejuvenation surgery. These photographs can be used to track progress and results, and become a part of the patient's confidential medical record.
The cost for a facelift depends on the extent and complexity of the operation. The surgery package price includes the surgeon's fee, the anesthesiologist's fee, the hospital and operating room expenses.
Some degree of swelling and bruising is usual for most patients, but there is normally very little pain or discomfort. Swelling is generally resolved within two to three weeks, but, occasionally, some swelling may persist. Most patients are quite "presentable" within two to three weeks.
For the first 24 to 48 hours after surgery, bed rest is prescribed. Dr. DeWeese requires an overnight stay in the hospital following the procedure to minimize the chance of bleeding after surgery.
For the first week, patients should plan on resting at home. They may be able to move around the house, but should not venture outside except for doctor visits. During this time, no sports or exercise is allowed. Once a patient feels up to it, he or she may go out to a movie, for an easy walk, to a casual dinner, etc. More strenuous physical activity may gradually be resumed in the second to third week.
If you've ever thought that your profile could stand for improvement, but didn't know quite how, a chin implant may be right for you. Chin augmentation is a cosmetic procedure where an implant is placed against the bone beneath the skin and muscle of the lower jaw, allowing for a more proportional look to a person's face.
Exciting new developments in chin augmentation include new implant shapes some with textured surfaces as well as numerous newly-designed and biocompatible implants.
The chin implants used in augmentation surgery are usually made of dimethylpolysiloxane, which is a solid silicone compound. Occasionally, other materials may be used. Prior to the surgery, Dr. DeWeese will carefully outline and discuss with you the type, size and method of placement of the implants to be used.
The procedure is frequently performed in conjunction with rhinoplasty or a facelift, though it may be completed as an isolated operation. It is usually done as an outpatient procedure under local anesthesia and intravenous conscious sedation. There is mild discomfort associated with the injection of the local anesthetic; however, patients often do not recall the procedure at all due to the sedation medication given prior to the injection of the anesthetic.
In order to insert the implant, an incision is made inside the lower lip to avoid any visible scar. Alternatively, it can be made through the skin under the chin in a sufficiently inconspicuous area. In either case, the procedure takes approximately one hour to perform.
After the surgery, elastic tape may be placed on the face to help hold the implant in place during the healing phase. At this time, patients may experience some discomfort, which usually responds to oral pain medication.
The exact cost of the procedure depends on the approach used and the type of implant employed. The surgery package price includes the surgeon's fee, the cost of the implant, the anesthesiologist's fee, the outpatient hospital and operating room expenses.
Swelling stemming from the operation should begin to subside within three to five days, along with any discomfort. It is not uncommon for some temporary numbness in the lip or weakness of the smile to occur. This is just due to the body's inflammatory response to any surgical procedure; usually, within one to three weeks, both of these functions are returned to normal. It is expected that you will be “presentable” in approximately one week.
Patients must remain somewhat quiet and sedentary for the first week after chin augmentation surgery. This is necessary to allow swelling to diminish and minimize the chance of bleeding in the area around the implant. After the first week (in the absence of other procedures that require a longer convalescence), normal activity may be resumed. Avoid sports or exercise for a month following the surgery.
Ear surgery, or otoplasty, is usually performed to set prominent ears closer to the head to make them appear smaller. For the most part, this “ear pinning” operation is performed on children between the ages of 4 and 14. Ears are almost fully grown by age 4, making otoplasty a viable option even for youngsters. From a practical (and often emotional) standpoint, the earlier the surgery, the less teasing and ridicule the child will have to endure. Ear surgery on adults is also common and there are generally no additional risks associated with ear surgery on an older patient.
There are several deformities of the ears that can lead to abnormalities, and each must be treated in a different manner. The goal of any otoplasty is to correct excess protrusion of the ears to place them in a more normal, less conspicuous position. It should be noted that both ears are never exactly alike, even in the normal state, and that perfect symmetry is therefore not a reasonable expectation.
The operation has no adverse effects upon the hearing.
The operation takes approximately 3 hours and is not painful. The procedure consists of an incision on the backside of the ear, with the removal of a small segment of skin. The cartilage is exposed and thinned or cut to cause the ear to rest in a normal position with a normal configuration. Stitches are used to hold the cartilage in place and to close the incision. A bulky dressing is applied completely around the head to protect both ears, minimize swelling, and limit discomfort.
The surgery can be performed under either local anesthesia with intravenous sedation, or general anesthesia. Patients usually go home from the hospital the same day as the surgery. The exact cost of the procedure depends mainly on the anesthetic used. The package price for surgery includes the surgeon's fee, the operating room costs, the anesthesiologist's fee and any hospital fees.
In the provision of proper care to his patients, photographs are as important to the plastic surgeon as X-rays are to physicians in other medical specialties. Therefore, photos are taken before and after ear pinning surgery. These photographs can be used to track progress and results, and become a part of the patient's confidential medical record.
Post-operative discomfort is minimal. Whatever discomfort there may be is short-lived and easily handled with standard pain medication. Dressings stay in place for one to two weeks, with your doctor changing them periodically. A bandana or bandage is worn over the head and ears at night for an additional two weeks to avoid injuring the ears while sleeping. Physical activities should be limited for two weeks to avoid increased swelling and discomfort.
When the bandages are removed, the ears will appear swollen and bluish in color. This is normal and will be evident for approximately four weeks. Slight swelling will be noticeable for a few weeks. The bulky bandage does impair hearing.
The eyes are said to be the windows to the soul. More than any other facial feature, your eyes reveal the most about how you feel. When your eyes are bright and alert, you appear energized, well rested and in control.
If you believe that your eyes are making you look tired, sad, or older than you really feel, cosmetic eyelid surgery (also called blepharoplasty) may be the right choice for you. Eyelid surgery can remove the excess fat and drooping skin of the upper eyelids, minimize bags under the eyes and tighten the lower eyelid skin. The result is a more alert and rested appearance.
Blepharoplasty is performed to reduce the wrinkling and/or bulging of eyelid tissue. Not all patients need to have both excess skin and excess fat (bags under the eyes) removed. In many cases only one procedure is needed. Not every wrinkle and fold of skin around the eyes can be removed. Most recently, there have been innovations in eye surgery to preserve and redistribute fat around the eyes rather than just to remove it. This results in a less hollow appearance.
The surgery takes approximately one-and-a-half to three hours to complete, depending on whether the upper eyelids, lower eyelids, or both are done. The procedure is most often performed under local anesthesia with intravenous conscious sedation.
The exact cost of blepharoplasty depends on the technique and the anesthetic used. The surgery package price includes the surgeon's fee, the outpatient hospital and operating room expenses and the anesthesiologist's fee.
There is usually little pain. Bruising and swelling of the eyelids varies with each patient and is usually slight. Most importantly, patients experience blurry vision and dryness for several days. Prolonged use of the eyes, as in watching television, surfing the web or reading is to be avoided. Most of the swelling and bruising is gone within five to ten days, but it is not unusual for some discoloration to last longer.
No one is immune to the effects of aging. But a forehead lift, also known as a brow lift, can minimize some of aging's most visible signs: drooping eyebrows, hooding over the eyes, forehead furrows and frown lines that can to make a person appear angry, sad or tired.
In a forehead lift, certain facial muscles and skin are removed or altered to smooth the forehead, raise the upper eyelids and minimize frown lines. The result can be a more alert, more animated, more youthful appearance. Forehead lifts are often done in conjunction with other rejuvenating procedures such as facelift surgery, eyelid surgery or nose reshaping.
Your plastic surgeon will help you decide which surgical approach will best achieve your cosmetic goals: the classic, or "open" method, or the endoscopic forehead lift. It is imperative to make sure you understand the technique that your doctor recommends and why he or she feels it is best for you.
If your hair is very short, you may wish to let it grow out before surgery, so that it's long enough to hide the scars while they heal.
Whether your forehead lift is performed in an outpatient facility or in the hospital, you should arrange for someone to drive you home after surgery, and to help take care of you for a day or two.
The surgery package price includes the surgeon's fee, the outpatient hospital and operating room expenses and the anesthesiologist's fees, and varies depending on the number of other associated procedures performed.
Patients may experience some numbness and temporary discomfort around the incision, which can be controlled with prescription medication. Patients who are prone to headaches may be treated with an additional longer-acting local anesthesia during surgery as a preventive measure.
Most of the visible signs of surgery should fade completely within about three weeks. Minor swelling and bruising can be concealed with special camouflage makeup.
Although you should be up and about in a day or two, plan on taking it easy for at least the first week after surgery. You should be able to shower and shampoo your hair within two days, or as soon as the bandage is removed. Coloring your hair should be delayed at least six weeks following the procedure.
Most patients are able to return to work or school in a week to ten days. Vigorous physical activity should be limited for several weeks, including jogging, bending, heavy housework, sex, or any activity that increases your blood pressure. Prolonged exposure to heat or sun should be limited for several months.
Dermabrasion (also called “dermaplaning”) refinishes the skin’s surface through a method of controlled surgical sanding or scraping. The treatments soften any prominent edges of surface irregularities, giving the skin a smoother appearance. Dermabrasion is most often used to improve the look of facial skin left scarred by accidents or previous surgery, or to smooth out fine facial wrinkles, such as the radial lines around the mouth.
Dermabrasion is also sometimes used to remove the pre-cancerous growths called actinic or solar keratoses. Dermaplaning is commonly used to treat the deep crater type of acne scars. These procedures can be performed on small areas of skin or on the entire face. They can be used alone, or in conjunction with other rejuvenative procedures such as facelift or blepharoplasty.
Dermabrasion and dermaplaning can be performed fairly quickly. The procedures usually take from a few minutes to an hour and a half, depending on how large an area of skin is involved. It's not uncommon for the procedure to be performed more than once, or in stages, especially when scarring is deep or a large area of skin is involved.
In dermabrasion, the plastic surgeon sands and scrapes away the outermost layer of skin with a rough wire brush, or a burr containing diamond particles that is attached to a motorized handle. The scraping continues until the surgeon reaches the safest level that will make the scar or wrinkle less visible.
Immediately following the procedure, your skin will be very red and swollen. Chewing and talking should be kept to a minimum. You may experience some tingling, burning, or aching; but any pain you feel can be controlled with elevation of the head and with medications prescribed by your surgeon. The swelling will begin to subside in a few days to a week.
Most dermabrasion or dermaplaning patients require two weeks at home prior to returning to work or school. Even then, sometimes camouflage makeup is required to cover the redness. Recovering patients should avoid any activity that could result in contact with the face for at least two weeks. More active sports should be avoided for six weeks. Chlorinated swimming pool water and other harsh chemicals should be avoided for at least four weeks.
Above all, it's important to protect treated skin from the sun and wind until the pigment has completely returned to it. This process usually takes six months.
Behind liposuction, rhinoplasty is the second most popular aesthetic procedure performed on men. A simple reduction in the dorsal hump, shortening of the overall length, or narrowing of a bulbous tip, can make a major change in the aesthetic balance of a man’s face, taking him from a 5 to a 9.5!
Chin augmentation is another facial balancing procedure. Confidence is associated with a strong chin, one only need to ponder the profile of any male movie star or superhero to understand beauty ideal of a prominent chin. This can usually be created by insertion of a solid Silastic implant through a small incision on the inside of the lower lip under local anesthesia.
Ear pinning or setback can erase years of teasing and embarrassment. A small incision made behind each ear under local anesthesia allows access to the ear cartilage, which can be reshaped to reduce the protrusion of the ears.
Facelift remains the gold standard procedure for facial rejuvenation. This procedure performed on men requires far more finesse than on women. Men often have less hair under which to camouflage the necessary incisions. Their skin is more vascular because of their beard so they are more prone to bleeding and bruising complications. They are often more secretive and concerned about anyone knowing they’ve had an aesthetic procedure. They often have a greater need for an accelerated course of healing. Because nearly half of Dr. DeWeese’s face-lift patients are men, he understands their specific needs. He’ll get you through it and back at work looking refreshed like you had a great vacation. Looking Glass also offers Precision Tx, a less invasive laser procedure that achieves great results without the need of long facelift type incisions.
Many men seek improvement in the appearance of the area around the eyes, the saying; “the eyes are the windows to the soul” is not too far from the truth. They seek a more refreshed alert appearance, trying to rid them of the tired, angry look. Blepharoplasty, or eyelid lift, is a surgical procedure that achieves this by removing excess skin and/or fat from the upper and/or lower eyelids.
Fractional carbon dioxide laser resurfacing using the SmartSkin device causes a generalized tightening the facial and neck skin and erases sun damage and pigmentation issues. It can be used alone or combined with the Precision Tx laser treatment.
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