Facial plastic surgery and Nonsurgical Rejuvenation of the face is one of the many options for men and women to look and feel young again. Many women and men are not completely satisfied with one or more of their facial features. Fortunately, in the age of modern plastic surgery, there is no need to remain dissatisfied. Our highly skilled Physician Dr. E. Ronald Finger has many solutions including Anti-Aging Skin Care to turn back the clock.
At Finger and Associates Plastic Surgery Center we perform the latest procedures to refine our patients’ features, giving back self-assurance and satisfaction that go along with having the look that is desired. At our Savannah, Georgia practice, we offer Facial Plastic Surgery that includes, Brow Lifts, Blepharoplasty (Eyelid Lift) Traditional Facelifts, Nonsurgical Facelifts, Injectables and more.
Facial Plastic Surgery: Facelift
A facelift, also called rhytidectomy and meloplasty, is designed to eliminate signs of aging of the face. Generally, the most noticed signs are the jowls and neck region. The attention of the original facelifts was toward those areas. As time passed surgeons started including forehead and eyelid lifts. Recently we recognized that there was an inherent deflation from loss of facial fat that occurs with age. This results in loss of support of the skin and sagging of the middle part of the face as well. The recent face lifts are multi-layered, elevating the muscles and a structure called the SMAS, which is a supporting layer.
Modern facelifts look much more natural without some of the older undesirable signs, such as the wind-tunnel look, obvious scars or deformities of the ear lobes. Dr. Finger developed a facelift called the transmale subperiosteal midface lift, which we believe gives a more natural and longer lasting facelift and which is used by many surgeons throughout the country. At Finger and Associates, we often combine the facelift with eyelid lifts, forehead lifts, lip augmentation, fat injections and even laser treatment of certain wrinkles. Facelifts are usually done under a light general anesthesia. Recovery time for most swelling and bruising is 1 to 4 weeks, depending upon the adjunctive procedure done and the health and age of the patient.
Facial Plastic Surgery: Lip Enhancement
Most commonly, lips are enhanced with injectable products, such as Restylane and Juvederm products. These products can enhance the lips by adding volume and shape. Both Fraxel lasers and the injectable can be used to successfully minimize wrinkles around the mouth. There are now many options when it comes to fillers and even fillers that are specifically created for lips.
There are other ways to elevate the lips, including the corners (the commissure). Lip lift surgery and the valentine commissure lift are designed to reduce the visible signs of aging around the mouth. For women who wish to have lips that appear fuller and plumper, we generally use the mentioned injectables. The slightly more invasive surgical procedures are best for some patients, though.
As people age, the lips often begin to stretch vertically and droop at the corners. The lip lift is a procedure that is designed to raise the level of the lips, bringing them closer to the base of the nose. This requires removal of a small strip of skin just under the nose, but because the nose is narrower than the mouth, the lip lift elevates the central part of the lip only. This can make the corners of the mouth appear to turn down, creating or aggravating the illusion of perpetual sadness.
Fortunately, a procedure known as a valentine commissure lift can be performed at the same time (or alone, if a lip lift is not needed) to raise the corners of the mouth. By removing a small triangle of tissue at each oral commissure (the corner of the mouth), surgeons can turn the corners upward and eliminate the droopy, sad appearance.
After lip enhancement surgery, bruising and swelling are generally minimal. The sutures are removed five days after the procedure.
Facial Plastic Surgery: Lip Implants
With all the fabulous longlasting fillers lip implants are no longer frequently performed. However, in some instances, a patient may prefer the implant versus the temporary solution that fillers offer. As we age, we lose both fat in the upper lip as well as collagen, and this results in loss of volume and the youthful pout that many find attractive. Contributing to this loss is constant pursing of the lips, sipping from straws, whistling, and last but not least, smoking. The usual solution is injecting one of the products such as Restylane or Juvederm. Implants come in a variety of sizes and can be inserted in both the upper and lower lips under local anesthesia.
Facial Plastic Surgery: Fat Transfer
Fat transfers and injections involve removing fat from one area and injecting it into another. For anyone suffering from facial scars (such as those caused by acne), smile lines, or other aesthetic imperfections, fat transfer may provide an ideal solution. Fat injections are safe and effective and involve minimal discomfort. Fat transfer can also be used to augment the lips. Fat transfer injections are administered under local or general anesthesia and, unlike other chemicals or injectables, cannot cause allergic reactions because no foreign substance is present.
Facial Plastic Surgery: Ear Surgery, Otoplasty, Ear Pinning
Ear surgery, called otoplasty, is done to set protuberant ears back closer to the head or to reduce the size of large ears. For the most part, the operation is done on children between the ages of 4 and 14. Ears are almost fully grown by age 4, and the earlier the surgery, the less teasing and ridicule the child will have to endure. Ear surgery on adults is also possible and often performed.
The otoplasty is usually done under light general anesthesia or local as an outpatient procedure. The surgery usually takes 1-2 hours. The patient’s head will be wrapped in a bulky dressing for a few days, and after this a sweat band is recommended to be worn as much as possible for a week or more.
Although this procedure is fairly minor, the results can be dramatic resulting in a happy, less self-conscience patient.
Facial Plastic Surgery: Earlobe Repair
There are hardly any parts of the body that suffer from more trauma than a female’s earlobes. Clamp-on earrings compress the earlobes until they are flattened. The pierced earrings often are too heavy causing the hole to enlarge and even pull through the entire earlobe or the earring snags on something causing a tear through the lobe.
The solutions depend upon the problem. The flat earlobes can be regenerated with inflators such as Restylane, Juvederm, Sculptra or Artefill. If the earlobe is too large it can be trimmed down under local anesthesia.
If the earlobe has been torn, the margins of the tear must be trimmed and the lobe sutured closed. Then the ears can be pierced again in about 6 weeks.
Facial Plastic Surgery: Brow Lift
A brow lift, also commonly known as a forehead lift, is ideal for eliminating the furrows, frown lines, and other signs of aging above and around the eyebrows that can make a person look tired or aged. It is also helpful for people who have inherited a particularly heavy brow or deep creases in the forehead. Smoothing and lifting the skin in this area results in a more youthful, refreshed, and alert appearance.
Fortunately, brow lift surgery is one of the many facial plastic surgery procedures that can often be preformed endoscopically. Using specialized tools and very small incisions, a surgeon can lift and smooth the muscles of the forehead without causing extensive scarring or significant disturbance of surrounding tissues. Patients who undergo endoscopic brow lift surgery have shorter healing times and less discomfort. However, when the patient has excess skin that causes sagging, a more traditional approach will be required to reach the desired result. Incisions for traditional brow lift surgery are commonly hidden behind the hairline.
In certain cases, our Savannah, Georgia surgeons can perform a brow lift in combination with blepharoplasty, face lift surgery, or other facial plastic surgery procedures. Contact our practice to learn more about combining cosmetic procedures.