Facial Cosmetic Surgery

Facial Liposuction

Liposuction is a very common, popular procedure. It is designed for the permanent removal of fatty tissue, commonly referred to as “cellulite”. It is an elective procedure that allows the cosmetic surgeon to remove undesirable, subcutaneous fat in isolated areas that do not respond to diet and exercise.

Liposuction is most successful in people with good skin tone who have fatty deposits. It is not a treatment for obesity. If weight gain occurs following liposuction, the fat will be deposited in areas that have not been treated. The procedure can be repeated, if necessary. To maintain the safety of the procedure, there is a limit on how much can be done at one time.

A variety of factors can affect the results: Physical condition, genetic makeup, diet, exercise, smoking, alcohol intake, and skin elasticity.

Facial contours made irregular by fat can be improved by this procedure; it cannot correct contours that are irregular for other reasons, such as muscle weakness or hernia. However, combined with other procedures, liposuction can correct these other deformities with good results.

The Procedure


Recovery


Possible Complications


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Chin Surgery (Genioplasty)

Mentoplasty can increase or reduce the size of the chin. The best candidate for chin surgery is the individual with a receding or protruding chin and a normal dental bite. For those whose bite needs correction, jaw surgery in conjunction with mentoplasty may be necessary. There are two basic procedures used in mentoplasty: one involves moving the chin bone forward or backward and the other involves the use of an artificial chin prosthesis to add size to a receding chin. To move the bone forward or backward, the surgeon cuts through the chin bone. The lower portion of the bone is then moved forward or backward and wired or fixed to keep it securely in position. A chin prosthesis can also be used to create a more prominent jaw. Using this technique, a prosthesis, similar in consistency to the natural chin and sized to fit the patient, is placed in front of the bone to increase the chin’s prominence.

Cheek Implant (Malar Augmentation)

Malar augmentation can give definition to a face that has a flat contour because of underdeveloped cheekbones. The best candidate is the individual with a long narrow face or very round face and flat cheeks. This surgery can help to create the appearance of higher, more prominent cheekbones. During the procedure an incision is made either inside the mouth or immediately below the lower eyelids. Most frequently, using the internal approach, the surgeon makes an incision between the upper gums and the cheek. The surgeon then elevates the soft tissue, creating a small pocket over the cheekbone. A prosthesis, similar in consistency to the natural cheekbone and usually triangular in shape, is then inserted and placed over the cheekbone.

Eyelid Surgery

As we all know, the eyes are a prominent facial feature. Although the eyes are expressionless structures, the surrounding skin conveys emotion. The tissue, muscle, fat, hair and lashes all contribute to the wide array of expressions.

Before Surgery


Unfortunately, wrinkles and deep lines as well as puffiness under the lids develop as you age. In addition, exposure to the sun as well as hereditary factors contribute to the aging process, all resulting in changes of expression. In many cases, people may look fatigued, worn out and older than their true age. Beyond possible visual impairment, these changes in your appearance can cause stress and anxiety.

Our surgeons are trained in several surgical procedures, such as blepharoplasty and brow lift, in order to eliminate the majority of these problems.

Blepharoplasty

We can perform blepharoplasty to correct sagging eyelids, bags or pouches beneath the eyes, as well as excess folds around the eyes. This surgical procedure involves the removal of excess skin and fat on upper and lower eyelids and is often performed in conjunction with other surgical procedures including facelifts, eyebrow and forehead lifts.

Post-Operative Information


Insurance


Blepharoplasty can be done under general anesthesia (with you asleep) or under IV Sedation. Both are very comfortable options. Pre-medication is utilized prior to surgery to decrease swelling after the operation.

“Our surgeons are trained in several surgical procedures, such as blepharoplasty and brow lift”

One of our surgeons will trace the natural lines and creases of your face and make incredibly fine incisions from the inner to the outer edge of the eyelid. Surgery on the upper eyelid is performed first with the incision made in the fold of the lid. Any excess fat and skin are removed from the underlying compartments. The amount of fat excised is determined by the degree of protrusion of fat when pressure is applied to the area. Small sutures are used to close the incision and special ointments and dressings may be applied. The surgery can take up to 2 hours. In certain cases, lower eyelid incisions are made inside the lid. Laser may be used at the same time to reduce wrinkles.

New Minimally Invasive Brow Lift

Drs. Roach and Ouellette perform Brow Lifts to raise eyebrows, thus creating a smoother, more youthful appearance. This procedure can be performed in conjunction with a blepharoplasty.

This technique allows the surgeon to perform a brow lift through a single, upper lid incision used for a conventional blepharoplasty. Using a resorbable material, the brow is lifted and secured in its new position. Now the patient has an opportunity to regain a youthful, beautiful appearance around the eyes, without undergoing the more traditional brow lift.

Post-Operative Information


Insurance


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Rhinoplasty

Drs. Roach and Ouellette perform rhinoplasty in order to reshape the nose. Appearance can be improved for those people who are dissatisfied with the shape and size of their nose. Nasal reconstruction was one of the first cosmetic procedures ever developed and is among those most frequently performed today. Rhinoplasty is a surgical procedure in which deformities of the nose are corrected by removing, rearranging or reshaping bone or cartilage.

Reasons for Surgery


Before Surgery


Method of Surgery


Post-Operative Information


Otoplasty

In cases of protruding or over-developed ears, the procedure of otoplasty may be an option. Otoplasty is commonly referred to as “pinning back” of the ears.

Before Surgery


It is available for children once their ears have stopped developing around the age of six. Over-developed ears can be the cause of psychological stress and trauma and should be treated at a young age before it becomes a serious issue.

“Drs. Roach and Ouellette are trained in several surgical procedures, in order to eliminate the majority of the problems related to protruding ears.”

Botox® Cosmetic Injections

Botox® Cosmetic treatment is a revolutionary approach to reversing the affects facial wrinkles. Crow’s feet, worry lines, and laugh lines can all be a thing of the past. These are referred to as dynamic wrinkle lines and all are treatable with this procedure. Cosmetic denervation is the process of injecting Botox® Cosmetic into the tiny facial muscles that create the wrinkles.

Before Treatment


The Botox® Cosmetic Procedure


Post-Treatment Information


Restylane®

What is Restylane®?


What is Restylane® made of?


What can you expect?


What should patients do prior to treatment?


Is Restylane® safe?


Can Restylane® be used anywhere on the face?


How long does Restylane® last?


How often should I have Restylane® treatments?


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How is Restylane® different from Botox®?


How is Restylane® different from bovine collagen?


Do the injections hurt?


How much do Restylane® treatments cost?