Procedures : Face & Face Lift Surgery

Face Lift Surgery
(Rhytidectomy)

Over time, the long-term effects of gravity, exposure to sun, dry air, and general stress takes its toll on an individual's face and neckline.  Jowls can develop under the jawline with folds and fat deposits.  Sometimes creases begin to form between the nose and the mouth.

A face lift can considerably reduce these signs of aging by removing excess fat, tightening the underlying muscles, and redraping the skin around the neck and face.  Face lifts can be done alone, or frequently performed in conjunction with another procedure such as a browlift, eyelid surgery, or nose reshaping.  If your problem areas are limited to the neck, a more conservative procedure, known as a "necklift" will be recommended.  In some cases, a face lift can reduce the outward signs of aging by ten or fifteen years.

In the classic procedure of face lift surgery, excess facial skin is freed from the underlying tissues and the excess is trimmed and tightened. In some instances, the deeper tissues are repositioned and lifted to provide a more youthful contour to the face. The removal of fat and smoothing of the structures of the neck and suspension of the neck is generally performed through a small incision beneath the chin.

An endoscopic face lift is performed if you do not have a significant excess of loose skin and overall good tissue tone. In this minimally invasive procedure, small incisions are placed in inconspicuous areas usually within the hairline to provide tightening of the deeper tissues and lifting of the tissues beneath the skin.

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www.plasticsurgery.org

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Eyelid Surgery
(Blepharoplasty)

Eyelid surgery (blepharoplasty) is designed to remove excess skin and fat from the upper and lower eyelids.  The procedure can correct drooping upper lids that tend to sag with time and the puffy bags below the eyes.   Blepharoplasty can be done as a single procedure, or in conjunction with other facial surgery such as a face lift or a browlift.

The fat and loose skin is removed from the upper eyelid area through an incision that is hidden within the natural eyelid fold. The incision does extend slightly up to the outside corner of the eye towards the eyebrow to allow it to blend into existing creases. When the upper eyelid problem is aggravated by sagging of the eyebrows this can be treated with a browlift (go to browlift).

To treat the lower eyelids, an incision is made just beneath the eyelash line and through this incision the excess fatty tissue leading to the lower eyelid bags is removed and sometimes repositioned and the excess skin is tightened. Occasionally, in younger patients or if the lower eyelid skin tone is satisfactory, a transconjunctival lower eyelid lift can be performed through an incision on the inside of the lid. An additional procedure that is sometimes used is laser resurfacing of the lower eyelid skin to achieve a small degree of tightening combined with the approach through the inside of the eyelid.

For additional informatio, please visit:
www.plasticsurgery.org

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Forehead Lift
(Browlift)

A forehead lift or "browlift" is used to correct a drooping browline (eyebrow area) reducing the horizontal lines and furrows (worry lines) that often make a person appear angry, sad or tired.  The procedure typically creates a refreshed, youthful appearance to the forehead area above the eyes.

When performing a forehead lift procedure, muscles and tissue areas that droop or cause creases are removed or corrected to smooth the skin on the forehead to reduce frown lines and raise the eyebrows.  There are two surgical methods, and during your initial consultation the procedure that works best for you will be recommended.  The first is the most conventional method where a surgical incision is hidden just above the hairline.  Browlifts are also performed using an endoscope which enables the procedure to be performed with a minimal number of incisions.  While the traditional method can sometimes attain more lift, both methods are designed to create smoother, flatter skin on the forehead.

For additional informatio, please visit:
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Surgery of the Nose
(Rhinoplasty)

Surgery to reshape the nose, (rhinoplasty) is among the most common plastic surgery procedures.  This procedure can reduce or increase the size of the nose, remove an unwanted hump, change the shape of the tip or the bridge, narrow the width of the nostrils, or change the angle between the nose and the upper lip.  

Reshaping is generally done through incisions inside the nose. In some instances an “open technique” requires an incision on the under side of your nose between the nostrils. By removing a small wedge of skin at the base of the nostrils, the base of your nose can be narrowed with the size of the nostrils reduced. The scars on the nose generally fade over time and ultimately should be barely visible.

Your nose can be reduced or built up by altering the internal supporting structures either by removing or adding cartilage or other types of soft tissue fillers. This “tenting” will allow the skin and soft tissues to assume their new shape.

Your breathing problems can be caused by irregularity of the internal structures of the nose and adjustments to these can be made to improve your nasal airway. This can be done at the same time as and in conjunction with the rhinoplasty procedure.

For additional informatio, please visit:
www.plasticsurgery.org

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Otoplasty

Otoplasty, or ear pinback, is performed to correct protruding ears.  It happens to be one of the few cosmetic surgeries performed on children.

An incision is placed in the natural creases behind the ear and the cartilage of the ear is weakened so that it bends into a new shape. The cartilage is also stitched into position to hold the ear into position. Recovery normally takes one to two weeks and results can be noticed after a few months.

For additional informatio, please visit:
www.plasticsurgery.org

 

Lip Enhancement

Full and vivacious lips have always been recognized as aesthetically important features.  Some of us however, are born with thin, ill-defined lips.  But the appearance of our lips is now within our control.  Dr. Dibello can discuss with you several options for lip enhancement. 


 

Surgery of the Chin

Chin surgery can change the shape of the chin to reduce or enhance the chin to bring it into balance and proportion with the other facial features.   The contour of the chin can be reshaped to be smoother, or more angular in appearance.

The most common approach for adding prominence and improving the contour of the chin is by the insertion of a chin implant either through an incision inside the mouth or under the chin through the skin. In either case, the surgery usually leaves only a faint scar, which is barely noticeable. Another approach for strengthening the appearance of your receding chin is through a procedure to actually move the chin bone through an incision inside the mouth.

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