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Face

Facelift

In time, gravity, sun exposure, and the stresses of daily life take their toll on our faces: deep creases appear beside the mouth, the jawline slackens, and folds and fat deposits appear on the neck. Facelifts counteract these problems by removing fat and tightening skin and muscles, giving your face a fresher, youthful look -- after surgery, some patients appear as much as ten or 15 years younger.

Facelifts are most often performed on people in their 40s-60s, however those in their 70s or 80s can potentially have facelifts as well. The procedure can be combined with others (browlift, eyelid surgery, nose reshaping) for more dramatic results, or it can be concentrated primarily to the neck (necklift) if the patient's problems center there.

Facelifts are usually outpatient procedures and may be performed in an office-based facility, surgery center or hospital, typically under local anesthesia combined with a sedative, or general anesthesia. The procedure itself varies depending on the surgeon and the patient’s facial structure (i.e. where the incisions are placed, whether one or both sides of the face are worked on at once, in which order the steps are performed).

Results of a facelift do not last forever, but in another sense, the effects are permanent; years later, your face will continue to look better than if you had never had the procedure.

» Contact us for more information on Facelift

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Blepharoplasty (Eyelid Surgery)

Blepharoplasty can rejuvenate puffy, sagging or tired-looking eyes by removing excess fat, skin and muscle from the upper and lower eyelids. It may be performed for cosmetic reasons or to improve sight by lifting droopy eyelids out of the patient's field of vision. Blepharoplasty can be combined with BOTOX® treatments to raise the eyebrows or reduce the appearance of wrinkles, crow's feet or dark circles under the eyes.

The procedure is usually performed in an office based or outpatient facility with local anesthesia combined with a sedative. The procedure lasts 45 minutes to a few hours depending on how much work is done. Incisions are made along the eyelids in inconspicuous places (in the creases of the upper lids, and just below the lashes on the lower lids). Dr. Austin removes excess tissue through these incisions and then stitches them closed with fine sutures. In the case that no skin needs to be removed, Dr. Austin may perform a transconjunctival blepharoplasty, where the incision is made inside the lower eyelid and there are no visible scars.

Stitches are removed after four to five days and most people return to work in 7-10 days. Your final result will appear over time, generally within several weeks. It may take up to a year for incision lines to fully refine. While eyelid surgery can be expected to correct certain conditions permanently, you will continue to age naturally.

» Contact us for more information on Blepharoplasty

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Injectable Fillers

When you smile, laugh, frown, or look puzzled, you contract the muscles of your face. Over time, these contractions produce permanent furrows and deep wrinkles in the skin, especially around the eyes and mouth, between the eyebrows, and on the forehead. These lines can make you look older, sad, angry or tired. Injectable fillers can not only prevent you from deepening these lines during natural facial movements, they can also erase these marks of aging, leaving you looking younger and refreshed.

Injectable products, include fillers such as JUVÉDERM® and Restylane®, and also BOTOX® Cosmetic to help reduce certain facial creases. Injectables, such as JUVÉDERM®, Restylane® and BOTOX® Cosmetic are FDA-approved and safe for use by most patients. Many of the fillers are made from substances found naturally in the body, or synthetically made to mimic natural substances or stimulate collagen production. These fillers are injected directly into the skin of the targeted area to restore volume and reduce the appearance of fine lines and wrinkles. At our practice, we offer patients several different injectable filler options in order to provide the best possible results for their individual needs.

» Contact us for more information on Injectable Fillers

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Ear Surgery (Otoplasty)

Ear surgery typically serves two functions: setting prominent ears back closer to the head, and reducing the size of large ears. Surgery may also be helpful for "lop ear," "cupped ear" and "shell ear," large or stretched earlobes, and lobes with large creases and wrinkles. Surgeons are also able to construct new ears for patients who are missing them from injury or other causes.

Although surgery for adults is available, the operation is most often performed on children aged four to 14 -- ears are almost fully grown by age four, and early surgery can prevent a child from being teased in school.

Otoplasty lasts from two to three hours and may be performed in a hospital, office-based facility or an outpatient surgery center. General anesthesia is recommended for very young patients, while local anesthesia and a sedative are used for older children and adults.

During surgery, a small incision is made behind the ear, revealing the cartilage which is then sculpted, bent into its new position and stitched into place. In some types of otoplasty skin is removed but the cartilage is left in one piece and merely bent back on itself for a smaller-looking ear. A bandage is wrapped around the head to ensure the new positioning. To achieve better balance, both ears may be operated on even if only one has a problem.

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