During the natural course of aging, the ligaments that hold the soft tissue of the face become lax, skin becomes redundant and the fat pads of our faces begin to migrate south. Surgical procedures that counteract these effects can provide a wonderful rejuvenation to the aging face. Dr. Rozanski and Dr. Schlieder are well-versed in a plethora of facial rejuvenating surgical techniques including brow lift, neck lift, eyelid blepharoplasty, rhinoplasty and facial resurfacing with a CO2 laser. They also offer a range of injectables from BOTOX® to fillers.
Cosmetic Surgery Facelift
Otherwise called a rhytidectomy, this procedure removes visible signs of aging around the face and neck through either a traditional facelift, the limited incision facelift or the neck lift.
Neck lifts treat loose neck skin, sagging jowls and fat accumulation under the chin with an incision in front of your earlobe that wraps around behind the ear to end in the hairline behind your ear. While a neck lift can be performed as a single treatment, it can also be performed in conjunction with a facelift.
BOTOX® is actually a brand name for a cosmetic form of botulinum toxin type A. BOTOX is commonly used to temporarily erase fine lines in the forehead, frown lines and crow’s feet. Botulinum toxin type A works by blocking nerve signals to the muscle, which is then unable to contract. While the effects will eventually wear off, the results diminish the appearance of wrinkles and fine lines.
Dermal fillers are gel-like substances injected underneath the skin to replace the subcutaneous fat that is lost as you age, adding youthful volume and firmness to the skin. Your skin may also be affected by levels of sun exposure, genetics, smoking and other lifestyle choices.
Dermal fillers are great options for patients who would like to:
- Plump thin lips
- Erase wrinkles and creases
- Reconstruct facial trauma
- Fill in concave scarring
- Decrease the shadow of the lower eyelids
- Magnify shallow contours in the cheekbones, jawline and/or chin
Laser resurfacing works by applying short, intense beams of light to problem areas on your skin. This simultaneously removes the exterior layer of skin (or epidermis) while heating the layer of skin beneath (dermis), which stimulates the development of new collagen fibers. This results in new, firmer, smoother skin taking the place of the old, damaged skin — especially when it comes to facial wrinkles, blemishes and scars.
This procedure is commonly referred to as a “nose job” and is used to change the shape of the nose, including size, width at the bridge or nostrils, humps or depressions, enlarged or bulbous tips of the nose, and asymmetrical nostrils or alignment of the nose. It can also restore proper function to nasal air passages like in the case of a deviated septum, which obstructs breathing.
This procedure is commonly called an "eyelift" and is used to remove under-eye bags that create a perpetually “tired” appearance or sagging eyelids that can obstruct the vision. It works by removing excess fat and tissue from your eyelid and/or beneath the eye.
A brow lift (also known as a forehead lift) reduces wrinkles across your forehead and between your eyes by placing the eyebrows higher on the face. It also improves frown lines and raises sagging brows that can make the upper eyes seem "hooded."
Genioplasty changes the shape and position of the chin for a more desirable profile. It is also sometimes performed at the same time as jaw repositioning surgery to ensure harmony between the two features. It can also be a corrective measure to treat pain caused by bite misalignment or conditions like TMJ.
This procedure reshapes the size and profile of the ears, usually making the outer contours smaller or bringing them closer to the head. It can also be used to correct deformities of the ears like microtia.