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Face Procedures

Facelift (Rhytidectomy)

In time, gravity, sun exposure, and the stresses of daily life take their toll on our faces and necks. Deep creases appear beside the mouth, the jaw line slackens and becomes jowly, and the neck develops loose folds and fat deposits. Facelifts counteract these signs of aging by tightening muscle, removing fat, and trimming excess skin, giving your face a fresher, youthful look. After surgery, some patients look 10-15 years younger.

What can a facelift do for me?

Facelifts, technically known as rhytidectomies (literally, "removal of wrinkles"), rejuvenate the mid- to lower face and neck. Facelifts are most effective for patients who want to correct:

• Midface sagging
• Deep creases under the eyes
• Deep creases between the nose and mouth (nasolabial folds)
• Jowls due to loss of muscle tone
• Sagging areas of fat
• Loose skin and fat under the chin and jaw

What won't a facelift correct?

Facelifts can produce a dramatic improvement in appearance for patients with the problems mentioned above. However, facelifts do not stop the aging process; in time, signs of aging will gradually appear once again.

Further, facelifts will not rejuvenate the brow, eyelids, nose, and some of the midface. Patients who want to improve these areas may consider combining a facelift with a brow lift or eyelid surgery (blepharoplasty).

Injectable soft-tissue fillers, facial implants and skin resurfacing can also enhance the effects of a facelift.

Am I a good candidate for a facelift?

The best candidates for rhytidectomy:

• Wish to improve one or more of the signs of aging indicated above
• Are men or women whose faces have begun to sag, but whose skin still has some elasticity
• Are generally healthy
• Do not smoke
• Have realistic expectations
• Are considering a facelift for personal reasons, not because someone else is pressuring them to do so

During your consultation, Dr. Karlinsky will discuss whether a facelift is right for you.

How is a rhytidectomy performed?

Facelifts are typically outpatient procedures and may be performed in an office-based facility, surgery center or hospital. Patients may have a choice of IV sedation or general anesthesia. The procedure takes about two hours.

The way a facelift is performed varies depending on the surgeon, the patient's facial structure, and the extent of correction desired. The three most common incision techniques are:

• Traditional facelift: The "full" facelift for rejuvenating the face, jowls and neck, including fat sculpting, lifting and repositioning of muscle and deeper tissues, and skin trimming and redraping. The incision begins at the temples and travels down to the front of the ear, around the earlobe, and behind the ear to the lower scalp at the hairline. Sometimes, another incision is made under the chin.
• Limited-incision facelift: For limited rejuvenation around the eyes and mouth, including nasolabial folds and other deep creases. Short incisions are made at the temples and around the ear, and possibly in the lower eyelids and/or under the upper lip as well.
• Neck lift: A neck lift concentrates on jowls, loose skin on the neck, and fat under the chin. The incision is made around the ear lobe and behind the ear to the lower scalp.

In all three methods, incisions are closed with stitches or tissue glue. Scars are hidden in the hairline and natural contours of the face.

Please click here, to view before and after images of our Facelift procedure »

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Mini Facelift

A mini facelift is an alternative to the traditional facelift procedure that offers a more youthful and refreshed appearance through a less invasive, safer procedure. This procedure is ideal for patients who are in good overall health and have laxity in the lower facial area. Most patients who undergo this procedure are between the ages of 40 and 65, seeking to treat sagging skin in its earliest stages in order to maintain their youthful appearance.

During a mini facelift, the skin is lifted while the underlying muscles and tissues are tightened and excess fat is removed. The procedure takes one to two hours to perform on an outpatient basis, with patients able to return home a few hours later. A smaller incision is needed for this procedure than a traditional facelift.

The results of a mini facelift are visible right away and allow patients to enjoy a fresher and more natural appearance in the lower face, jowls and neck. It can effectively prolong or even eliminate the need for a traditional facelift.

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Eyelids (Blepharoplasty)

Blepharoplasty is a surgical procedure to improve the appearance of the upper eyelids, lower eyelids, or both, and give a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert.

Specifically, eyelid surgery can treat:

• Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision
• Excess fatty deposits that appear as puffiness in the upper eyelids
• Bags under the eyes
• Droopiness of the lower eyelids, showing white below the iris (colored portion of the eye)
• Excess skin and fine wrinkles of the lower eyelid

Is it right for me?

Eyelid surgery is usually performed on adult men and women who have healthy facial tissue and muscles and have realistic goals for improvement of the upper and/or lower eyelids and surrounding area. You should do it for yourself, not to fulfill someone else's desires or to try to fit any sort of ideal image.

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Ear Surgery (Otoplasty)

Ear surgery, or otoplasty, is a cosmetic procedure to improve the appearance of a person's ears. Although otoplasty does not affect hearing, it can provide great psychological benefits to anyone who has been teased about the size or shape of their ears, has had a serious ear injury, or simply wants to improve their appearance.

Otoplasty typically serves two functions: setting prominent ears back closer to the head, and reducing the size of large ears. Ear surgery may also be helpful for the following conditions:

• Large or protruding ears
• Lop ear (top of the ear folds downward or inward)
• Cupped ear (a small ear)
• Shell ear (no outer curve in the cartilage)
• Large, stretched, or torn earlobes
• Earlobes with large creases and wrinkles

Click here if you would like more information on any of our Face procedures, or if you would like to schedule a consultation with Dr. Victoria Karlinsky.

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