Face, Eyes, Nose



What is a Facelift?

A facelift, or rhytidectomy, is a surgical procedure that improves visible signs of aging in the face and neck. A facelift is considered the most comprehensive approach and the ‘gold standard’ for treating facial wrinkles and sagging caused by aging. As a restorative surgery, a facelift does not change your fundamental appearance and cannot stop the aging process.

What does a Facelift Do?

A facelift removes excess skin, tightens underlying tissue and redrapes skin on the face and neck to correct visible signs of aging such as:
• Sagging skin in your midface and/or jawline
• Deep creases extending from your nose to the corners of your mouth (nasolabial folds)
• Lines extending from each corner of your mouth down your chin (marionette lines)
• Facial fat (volume) that has fallen or diminished
• Sagging and loss of muscle tone in the lower face, resulting in jowls
• Creased and sagging skin in your neck
• Loose skin and excess fatty deposits under the chin and jaw which can give even a person of normal weight the appearance of a double chin

When Should I Consider a Facelift?

• If you feel that your face does not reflect your youthful spirit and energy level
• If you determine that your facial sagging and excess skin is a social or career obstacle
• If you show signs of facial aging but still have some skin elasticity
• You do not feel as though you like yourself any more

There are a few different approaches that can be used with a facelift procedure. This will determine the length and placement of your incision(s), which will be concealed in a natural facial crease or in your hairline.



What is Eyelid Surgery?

Eyelid surgery, or blepharoplasty, is a surgical procedure that improves the appearance of the eyelids and the area surrounding your eyes. The procedure can be performed on your upper eyelids, lower eyelids or both to give you a rejuvenated appearance. A common reason many seek eyelid surgery is that they are constantly told that they look tired.
Whether you want to improve your appearance or are experiencing functional problems with your eyelids, eyelid surgery can rejuvenate the area surrounding your eyes and help you look more rested and alert.

What does Eyelid Surgery Do?

Eyelid surgery repositions or removes fat deposits, tightens muscles and tissues and removes excess skin to improve:
• Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision
• Puffy appearance to the upper eyelids, making your eyes look tired and sad
• Excess fatty deposits that appear as puffiness in the eyelids
• Bags and dark circles under the eyes
• Drooping lower eyelids that reveal white below the iris
• Excess skin and fine ‘crepe paper’ wrinkles of the lower eyelid
• Upper eye surface that is too small or not smooth enough to apply makeup

When Should I Consider Eyelid Surgery?

• If you have excess, hanging skin covering the natural fold of the upper eyelids
• If you have loose skin hanging down from the upper eyelids over the eyelashes
• If your upper and lower eyelids appear puffy, making your eyes look tired and aged
• If you have deep grooves under your eyes
• If you are a female and you are unable to apply makeup on the upper eyelid because the lid is obscured by drooping tissue

Based on a preoperative evaluation of factors such as your underlying facial muscle structure, bone structure, and the symmetry of your eyebrows, Dr. Brown will decide how much skin, muscle, and/or fat to remove. Incisions for eyelid surgery will be concealed within the natural structures of the eyelid region.



What is a Neck Lift?

A neck lift, also known as a lower rhytidectomy, platysmaplasty or cervicoplasty, is a surgical procedure that improves visible signs of aging in the jawline and neck. The neck is one of the first places where we show our age. Some people feel they are not emotionally ready for a facelift because they are not as bothered by the aging in their upper face. Still, many patients will feel that the excess wrinkling of their neck, a “turkey neck” or double chin, and jowl lines that make them look older than they are.

What does a Neck Lift Do?

A neck lift tightens the skin and underlying muscles to enhance the contour of the jawline to improve:
• Excess fat and skin wrinkling in the lower face that create jowls
• Excess fatty deposits under the chin
• Loose neck skin
• Webbing of the muscles in the neck

When to Consider a Neck Lift

• You have a “turkey neck” that makes you look much older than your age
• Your neck has developed folds and lines
• You have excess skin and wrinkles on your neck
• You feel your neck is too fat
• You have lost the distinct jawline of your youth and want to restore it
• Your neck area doesn’t match the upper facial appearance
• You desire a sleeker neck with a distinct jawline

There are a few different approaches that can be used with a neck lift procedure. This will determine the length and placement of your incision(s), which will be concealed in a natural facial crease or in your hairline. A separate incision under the chin is often necessary for liposuction of this area and for repair of the muscle.



What is a Brow Lift?

A brow lift, also known as forehead lift or browplasty, reverses the effects of gravity and tightens the soft tissues of the forehead to restore a more youthful contour to your forehead skin, upper eyelids and eyebrows. As one ages, it is common for the brow to assume a flat or horizontal position. If a sagging brow inhibits your facial expression, a brow lift can help rejuvenate your appearance.

What Does a Brow Lift Do?

Brow lift surgery involves repositioning the skin and eyebrow upward and fixing them in a more youthful position to correct:
• Sagging or low eyebrow position
• Upper facial heaviness
• Deep horizontal creases across the forehead
• Frown lines or furrows between the eyebrows or across the top of the nose
• Excess skin or fatty tissue hanging over the eyes that create a hooded appearance

When Should I Consider a Brow Lift?

• The outside of your brow sags, resulting in a sad expression
• The central portion of your brow hangs down, making you look angry
• You have frown lines between your eyes
• If you are a female and you are unable to apply makeup on the upper eyelid because the lid is obscured by drooping tissue

There are various brow lift methods, involving various incision lengths in different locations.



What is Nose Surgery?

Nose surgery, or rhinoplasty, improves the appearance and proportion of the nose to create facial harmony and can also correct impaired breathing caused by structural defects in the nose.

What Does Nose Surgery Do?

Nose surgery can improve:
• Nose size in relation to facial balance
• Nose width at the bridge
• Nose profile with visible humps or depressions on the bridge
• Nasal tip that is enlarged or bulbous, drooping, upturned or hooked
• Nostrils that are large, wide, or upturned
• Nasal asymmetry
• Deviated septum

When Should I Consider Nose Surgery?

• You are unhappy with the shape, size or angle of your nose
• Your nose is too large, too small or not in proportion to the rest of your face
• You have a nasal hump or a nasal tip that is drooping, too elevated or wide
• You have breathing problems resulting from irregularities inside your nose

Correction of a deviated septum, one of the most common causes of breathing impairment, is achieved by positioning the nasal cartilage into proper alignment.



What is Ear Reshaping?

Cosmetic ear surgery, also known as otoplasty or ear pinning, is an aesthetic procedure that alters the size, protrusion, position, or proportion of the ears. For children, otoplasty is recommended as they near total ear development, which occurs at approximately ages five to six. The outcome of ear reshaping surgery varies greatly depending on the changes that are desired, but these procedures can greatly improve self-confidence, especially in children and teenagers. Correction of the ears helps eliminate potential psychological trauma from the teasing of classmates.

What Does Ear Shaping Do?

An otoplasty reshapes the supporting tissue of the ears to reposition them closer to your head and/or improve symmetry.

When Should I Consider Ear Surgery

• You were born with overly large or small ears
• Your ears are disproportionate to your head
• Your ears stick out prominently
• You have suffered an injury that has negatively impacted the shape or positioning of your ears

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