Facial Plastic Surgery
- Why choose a facial plastic surgeon for your procedure?
- Who should consider a facial rejuvenation procedure?
- Facial Rejuvenation Procedures
- Non-Surgical Facial Rejuvenation
The general purpose of a brow lift is to restore droopy eyebrows (brow ptosis) to their original position. In addition, this procedure can address loose or wrinkled forehead skin and underlying tissue as well as any “hooding” of the upper eyelid. To understand the benefits of a brow lift, one must be aware of how the natural brow position changes as we age. The effect of gravity, how active our forehead and eyebrow muscles are, and previous eyelid surgeries can cause the forehead and brows to descend. Patients with low brows often report that they always look tired or worried or angry. There are different types of eyebrow lifts and depending on one’s current eyebrow position and facial structure, Dr. Lieberman can determine the best approach to maximize the patient’s appearance.
|Before Brow Lift||After Brow Lift|
The soft tissue of the earlobes is important in the overall aesthetics of the face and neck, particularly in the profile. Unfortunately, this delicate tissue is easily stretched or torn. Heavy earrings can significantly stretch an ear piercing over time or even tear the earlobe entirely. A traumatic tear can happen when an earring is accidently caught in a brush or piece of clothing or when a child unknowingly pulls on an earring. As we age, our earlobes can elongate and become disproportionately large…not exactly aesthetically pleasing! Fortunately, repairing a torn or stretched earlobe is a relatively simple procedure with much to be gained.
Dr. Lieberman can perform the minimally invasive procedure under local anesthesia in his office. It is generally a matter of opening the skin, removing any damaged tissue and suturing the incision closed. In the event that an earlobe has become very elongated, he may elect to trim excess tissue and reshape the earlobe to create a more youthful appearance. There is no downtime or post-operative restrictions with respect to physical activity. The sutures are removed on post-operative days 5 and 7 and when desired, Dr. Lieberman can re-pierce 4 weeks after the surgery.
When the earlobe has become wrinkled and thin, Dr. Lieberman can use dermal fillers (e.g. Restylane, Juviderm Ultra) as a volumetric enhancement to replace lost fullness. Not only will the lobe have a rejuvenated appearance, earrings with post backs will sit more firmly against the ear as opposed to drooping and looking as though they are falling out.
|Before Dermal Filler||After Dermal Filler|
|Before Dermal Filler||After Dermal Filler|
Otoplasty (Ear Pinning)
|Before Otoplasty||1 Week After Otoplasty|
The graceful and complex curves of the ear make it one of the most interesting parts of the body. Well-formed ears are an important component of our overall appearance even though few of us stop to consider this.
Protruding or prominent ears can be a source of embarrassment to adults and children alike. Often the condition provokes teasing at an early age and can have a significant impact on a child’s self-esteem and self-confidence. Fortunately, prominent ears can be surgically corrected in a child as young as 4 years because the ears are fully developed at this point. Adults who have protruding or large ears are also often sensitive about their appearance as well.
Otoplasty is a surgery designed to make the ears appear less prominent by positioning them closer to the head and by reducing them to a more proportioned size. In addition, the procedure can reshape the ears and give them symmetry. Protruding ears may take on various forms, such as a “Dumbo” like characteristic. Alternatively, ears can protrude due to a lop ear where the top folds downward or inward. A person could also have a “shell” ear that is lacking an outer fold in the cartilage.
Whether done as a child or an adult, otoplasty patients are among the happiest of plastic surgery patients. Though what is actually done is subtle, the impact on a patient’s appearance is dramatic.
Otoplasty is an outpatient surgery that Dr. Lieberman performs under general anesthesia for young children but can be accomplished in his office surgery room with just local anesthesia for adults. While changing the shape of the ear will not affect hearing, it will certainly add a renewed feeling of self-confidence to the patient’s well being.
Dr. Lieberman begins the surgery with an incision just behind the ear, in the natural fold where the ear is joined to the head. He will then remove the necessary amounts of cartilage and skin to achieve the desired effect. In some cases, Dr. Lieberman will trim the cartilage, shaping it into a more desirable form and “pin” the cartilage into place with permanent, internal sutures to secure it. In other instances it is not necessary to remove any cartilage at all. After sculpting the cartilage to the desired shape, Dr. Lieberman will use sutures to hold the ear in the new position and to close the incision that was made behind the ear.
Soft dressings are applied to the ears and remain in place for a few days post-operatively. Any discomfort after the surgery can be reduced by the pain medication that Dr. Lieberman prescribes. Otoplasty patients should wear a headband continuously for the first post-operative week and then only while sleeping for the next 4 weeks. The headband will help to hold the ears in the desired position. The sutures will be removed a week after the surgery. Because the incision is made in the natural crease behind the ear, the problem of visibility is inconsequential and the scar usually heals as a faint thin line.