Facial Surgery

Microneedling

Tuesday, July 8th, 2014

We are excited to introduce microneedling (also known as collagen induction therapy, or CIT) to the practice!  This evolving technique uses an electronic device to create controlled channels or microwounds into the skin.  These micro-passages stimulate the normal wound healing cascade by releasing growth factors, leading to the production of new collagen, elastin, and microscopic blood vessels (capillaries).  The micro-channels may also be used to aid delivery of cosmeceuticals, growth factors, and bioactive peptides into the dermis.  Microneedling has many uses, including improving scars (acne scars, surgical scars), reducing stretch marks, improving fine lines, and helping create more even skin pigmentation.  Unlike laser treatments and deep chemical peels, microneedling causes minimal injury to the skin.  This makes microneedling a versatile technique, being able to treat areas that lasers cannot like the neck, chest, and hands.  Collagen induction therapy is an area of growing interest in cosmetic plastic surgery. Come visit and learn more about microneedling!

Thursday, June 26th, 2014

I just came back from a fantastic meeting in Las Vegas.  This was a multidisciplinary meeting with plastic surgeons, dermatologists, ophthalmologists, and ENT facial surgeons from around the world.  I was looking for an opportunity to see how physicians in other specialties address issues that I see as well.  For instance, how do ophthalmologists who do cosmetic eyelid surgery treat patients with baggy eyelids?  How do ENT facial surgeons do facelifts?  I have been to many, many meetings in the past where plastic surgeons talk about how they do things; this was an opportunity to meet with many types of doctors.  I spent time talking with a doctor from Dublin, Ireland who gives talks around the world about research showing that Botox may actually be medically helpful in patients with depression.  Another interesting doctor I spent time with was an ophthalmologist from Beirut, Lebanon.  We talked about fat grafting around the eyes, as well as life in Lebanon in general.  The meeting exceeded my expectations.  So much information!  The only 'downside' is that now my office staff will have so many new things to integrate into the practice!

Facelift surgery: away with those jowls!

Thursday, November 7th, 2013

I love doing facelifts. There's some real art and finesse involved. Every millimeter counts. Usually a person considering facelift surgery notices loose facial skin, jowls, and a loss of the youthful neck contour. During the procedure tissues under the skin are lifted and tightened, then excess skin is trimmed away. The incisions are placed in inconspicuous areas, with the result being a refreshed, rejuvenated appearance. As with most cosmetic procedures several different techniques have been created, each technique trying to address particular anatomical areas differently. If you watch much television you've probably even seen infomercials about one of these techniques. However, no matter which technique is used, the concepts are similar: the tissues under the skin are tightened first, then the excess overlying skin is removed. This allows the fatty tissues in the jowls to be re-positioned and trimmed, neck muscles tightened, and tissues in the cheek elevated. It sounds kind of scary, but really most people have minimal pain and are very happy with their results.

If you're thinking about this type of surgery, come visit. We use Vectra 3-dimensional imaging to help identify what areas are of most concern to you. The image on the right is an example: while we can easily see the jowls and loose skin, areas of sun damage, pigment changes, and subtle contour irregularities may also be more readily assessed. You'll love the staff in the office, and we can help visually restore that beautiful inner you!

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