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Facial Procedures

Botox/Dysport

Injectable medications generally are delivered in the doctor's office. They relax muscles across the forehead or around the eyes or mouth to smooth wrinkles and fine lines. The treatments may cause temporary discomfort, bruising, numbness and/or stiffness.

  • Recovery is immediate. The effects last for three to six months.
  • Potential risks include facial asymmetry or sagging of the brow or eyelids.

Cheek Implants

Cheek Implants alter the basic shape and balance of the face by building promience to the cheekbones. The procedure is often performed on an outpatient basis, but some patients may require an overnight hospital stay. Patients may experience some short term discomfort, swelling, bruising and stiffness. Possible complications include shifting of the implant, development of scar tissue around it, or infection. Patients generally return to work within a week and to a normal appearance within a month. The results are permanent.


Chin Augmentation

Chin Augmentation alters the basic shape and balance of the face using carefully shaped implants to fortify a weak or receding chin. The procedure is generally performed on an outpatient basis. Potential complications include shifting of the implant, development of scar tissue around it, or infection. Patients generally return to work within a week and to a normal appearance within one month. Results are permanent.

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Ear Surgery

Ear Surgery helps set prominent ears closer to the head or reduces the size of larger ears. The procedure is generally performed on an out-patient basis. Potential complications include bleeding, infection, scarring, mismatched or artificial-looking ears, or recurrence of the protrusion which would require follow-up surgry. Patients generally return to work within a week and to strenuous activies within a two weeks. Results are permanent.

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Eyelid Surgery

Eyelid Surgery corrects drooping upper eyelids and puffy bags below the eyes by removing excess skin, fat and muscle. The procedure is generally performed on an out-patient basis. Potential complications include bleeding, infection, swelling at the corners of the eyes, development of dry eyes, a slight asymmetry in healing, difficulty closing the eyes completely (which is rarely permanent,) a drawing down of the lower lids which necessitates follow-up surgery, and blindness (which is extremely rare). Patients are generally reading again in 2-3 days and back to work and strenuous activity within two weeks. Results are long lasting.

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Face Lift

Face Lift improves sagging facial skin, jowls, and loose neck skin by removing excess fat, tightening muscles and redraping skin. The procedure is usually performed under 'twilight' anesthesia on an out-patient basis, but some patients may require brief hospital stays. Patients may experience temporary bruising, swelling, numbness and skin dryness or tenderness. Men may need to pursue laser hair removal where the beard is repositioned behind the ears. Potential complications include nerve injury, (which is usually temporary), infection, bleeding, scarring, asymmetry or change in hairline, skin loss, or hair loss. Patients usually return to work and to strenuous activity within two to three weeks. Results last up to 10 years.

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Facial Liposuction

Facial Lipsuction improves the contours of the face by removing resistant fat deposits. It is generally performed as an out-patient procedure and can be performed with techniques which infuse targeted fat cells with saline solution to reduce post-operative brusing and swelling. Commonly targeted areas include the chin, cheeks, neck and jowls. Side-effects include temporary bruising, swelling, numbness, soreness or fluid drainage. Potential complications range from asymmetry and skin rippling to discolorations, infection, and nerve injury. Patients generally return to work in one to two weeks, and back to strenuous activity within a month. Results are permanent.


Fat Injection

Fillers plump skin on the face or hands which has lost volume to the aging process. Filler materials range from body fat and collagen to natural acids to synthetic materials and are generally offered on an outpatient basis under local anethesia.

Fat Injections offer a short term solution for people who want to plump cheeks and lips, or to fill lines and wrinkles on the face. The injections are generally delivered during an out-patient procedure under local anesthesia. Fat cells are removed from the buttocks, stomach or thighs, then purified by the doctor. They are transplanted to desired areas with a series of injections. Patients may experience significant swelling and bruising which lasts for several weeks or months. Results are unpredictable. If the fat cells don't get a sufficient blood supply at the transplant site, the cells will not take and they will be reabsorbed into the body. Repeated treatments may be necessary. The effect can last as little as a few weeks or up to one year. Risk of complication is typically minimal.


Nasal Surgery

Nasal Surgery recontours the nose by adjusting the size, removing a bump, altering the tip, bridge, or span of the nostrils, or by changing the angle between the nose and upper lip. The procedure generally is performed on an out-patient basis and can cause temporary swelling, bleeding, bruising or headaches. Potential complications include infection, skin discoloration, or incomplete improvement requiring follow-up surgery. Patients generally return to work within two weeks and to strenous activity soon after. The result is permanent.


Neck Lift

Neck Lift is often performed in combination with a Face Lift and involves tightening the superficial muscles of the neck to define the jawline and neck. If the Neck Lift is done without a Face Lift, it is typically performed in conjunction with liposuction. The procedure generally is performed on an out-patient basis. Side effects may include short term swelling, bruising, bleeding and asymmetry. One potential complication of surgery is injury to facial nerves. Recovery takes about two weeks with results lasting for up to ten years.

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Radiesse

Fillers plump skin on the face or hands which has lost volume to the aging process. Filler materials range from body fat and collagen to natural acids to synthetic materials and are generally offered on an outpatient basis under local anethesia.

Radiesse is a non-toxic, non-allergenic synthetic injectable filler which is usually delivered in the doctor's office under local anesthesia. Patients may experience a little discomfort, swelling or bruising from the needle injection. Results are fully evident within about one week and can last for up to two years with touchups. Complications are rare.

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Restylane/Perlane

Fillers plump skin on the face or hands which has lost volume to the aging process. Filler materials range from body fat and collagen to natural acids to synthetic materials and are generally offered on an outpatient basis under local anethesia.

Restylane/Perlane are clear liquid gels composed of non-animal-based hyaluronic acid and is used to reduce or eliminate deep wrinkles. Injections are administered in the doctor's office under local anesthesia. Patients may experience some discomfort from the needle during injection and swelling which may last for a few days. Results are evident within one week and last for up to nine months. Common side-effects include temporary discomfort, swelling, bruising, numbness and/or redness. Occasionally, a patient will develop a granuloma, or lump, which could be painful or require surgical removal.

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Sculptra

Fillers plump skin on the face or hands which has lost volume to the aging process. Filler materials range from body fat and collagen to natural acids to synthetic materials and are generally offered on an outpatient basis under local anethesia.

Sculptra has been used across Europe since the 90s to improve hollowed cheeks, sunken eyes and wrinkles. Injections are performed in a doctor's office under local anesthesia. It generally requires three to six treatments to achieve the desired results which lasts up to two years. Allergic reactions are possible, but rare. Some patient may develop bumps beneath the skin which may be surgically removed.