Surgical Face Procedures
Eyelid Surgery (Blepharoplasty)
Cosmetic eyelid surgery can "energize" tired appearing eyes. Excess skin and fat ("bags") can be removed giving the eyes a more alert and rested appearance. Although usually done to minimize the effects of aging, many young people can benefit from this surgery. The upper eyelids or lower eyelids may be done separately or together usually as an outpatient procedure. The specific method used for your eyelid surgery is in part determined by your features and surgeon's preferences and may involve either local or general anesthetic. One approach to the lower eyelids called "transconjuntical blepharoplasty" does not require an external incision. Resurfacing techniques such as chemical peel or laser resurfacing can sometimes be used with blepharoplasty to minimize fine wrinkles around the eyes.
Forehead lift or "brow lift" can help correct the "droop" appearance and "smooth" the forehead minimizing frown lines. Depending on the particular problems. This might be accomplished with an "open" technique or endoscopically with minimal incisions. This procedure can also be combined with other procedures such as blepharoplasty.
A neck lift is usually part of a facelift but may be performed alone. The repair of the playsma muscles helps redefine the neck. The surgery of the neck is reached through incisions around the ears and through tiny incisions under the chin. When there is a good deal of extra skin, it needs to be removed as part of the lift. This placement of the incisions permits hiding the scars behind the ears. There is some degree of swelling and possibly bruising in most patients but usually very little in the way of pain or discomfort. Swelling is mostly resolved in two to three weeks, but some swelling will persist. Most patients are quite "presentable" within one to two weeks.
Facelift surgery can improve the most visible signs of aging by removing excess skin and fat and tightening muscle about the face and neck, but it can not stop the aging process. Incisions begins above the hairline at the temples, extend in a natural line in front of the ear and continue behind the earlobe to the lower scalp. Generally speaking, skin is separated from the fat and the fat is removed from around the neck and chin to improve contour. The surgeon tightens the underlying muscle, pulls the skin back and removes the excess. Stitches are used to secure the layers of tissue and close the incisions. This is an outpatient procedure often done under general anesthesia that can be combined with other procedures such as blepharoplasty and forehead lift.
Ear Surgery (Otoplasty)
There are several variations of deformity of the ears, each of which must be treated in a different manner. Basically, otoplasty is performed to correct excess protrusion of the ears and 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 mechanism.
The procedure consists of an incision on the back side of the ear, with the removal of a small segment of skin. The cartilage is exposed, and it is thinned or cut so that the ear will be placed in a normal position and have a normal configuration. Stitches are used to hold the cartilage in place and to close the skin incision. A bulky type dressing is applied completely around the head so that both ears can be protected, swelling minimized and discomfort limited.
Nose Surgery (Rhinoplasty)
In general, rhinoplasty, cosmetic nose surgery, is designed to reduce excess cartilage and bone in the nose, removing irregularities and bumps to give a straightened, smooth and, usually, smaller appearance. Adding tissue to enhance certain features of the nose can also occur. The overall trend in modern rhinoplasty is away from over-reduction of tissue which can reduce the ability to breathe through the nose and towards individualized treatment of each segment of the nose to give a balanced and refined look without compromising function. Click here for Frequently Asked Questions most commonly asked of Dr. Lugger and his staff. (This will link them to the FAQ page)