Today, nearly one-third of those seeking facial rejuvenation surgery are under fifty years old. Many of these patients complain about wrinkles and frown lines in the brow and forehead area. A forehead lift or browlift can smooth out the wrinkles and correct drooping brows and heavy lids to provide a younger, friendlier looking appearance. It is also useful to correct a hairline that is too high or too low. A browlift can be performed alone or with other cosmetic procedures.
Browlift can be performed as an outpatient procedure. When the classical or "open" method is used, the incision is hidden just inside or near the hairline. The eyebrows are then carefully repositioned.
Chin Surgery (Mentoplasty)
Surgical procedure to reshape the chin either by enhancement with an implant or reduction surgery on the bone. This procedure is frequently performed in conjunction with nose surgery (rhinoplasty) to enhance one's profile. Pre-operative computer imaging allows patients to see what they may look like following surgery.
If an incision is made inside the mouth, you will be asked to follow a special diet for a few days. With an external incision, no such restrictions will be made.
Nose Surgery (Rhinoplasty)
Corrective nasal surgery, also known as rhinoplasty, is designed to improve the appearance of the nose by shifting, altering or removing underlying bone and cartilage. The interior restructuring of the nose allows the skin to remold over a new framework, correcting previous flaws.
Nasal surgery is an intricate cosmetic procedure. It requires the surgeon to maintain a delicate balance between two surgical goals – improving the function of the nose and restoring harmony to the face. To accomplish the first goal, Dr. Strasser must correct any anatomical deformity that may affect the physical appearance of the nose or its internal functions (breathing). To ensure proper facial harmony, he must consider other facial characteristics and tissue thickness before performing surgery.
Nasal surgery is generally performed on an outpatient basis. The entire surgical procedure is performed through an incision made inside of the nose. If a reduction or change is made in the size or shape of the nostrils, a small external incision is required.
Patients should expect some initial swelling, numbness, and firmness of the nasal tip and the area between the eyes. Although most patients appear presentable within two weeks, the final settling and softening of the nose will take longer. Please keep in mind that it will take time for the final contour changes to take place – this is a gradual process and cannot be hurried. Following surgery, you should avoid injury from trauma and sunburn and must refrain from wearing glasses for about three months.
Eyelid Surgery (Blepharoplasty)
Eyelid surgery (blepharoplasty) is used to correct tired looking, bulging, or wrinkled eyelids. Although most patients who benefit from this procedure are in their late thirties or older, some patients with hereditary bulging of the lower eyelids will benefit greatly even in their twenties.
To perform eyelid surgery, Dr. Strasser makes an incision on the upper eyelid crease and in the lower eyelid just under the eyelashes or inside the eyelid.
To minimize swelling, we recommend that you use ice packs and keep your head elevated (even while you sleep) for 24 hours following surgery. Some bruising is to be expected but will subside within a week or two.
A facelift (rhytidectomy) is performed to restore youthfulness to an aging face. The procedure involves placement of incisions in inconspicuous areas that allow Dr. Strasser to tighten loose skin, along with underlying tissue and muscle.
After facelift surgery, bandages are applied to the head and neck – these are usually removed within 24 hours. Though some bruising and swelling is to be expected, keeping your head elevated after surgery can minimize these problems. You will be able to resume most normal activities within two weeks after receiving a facelift. At this time you should appear younger and more refreshed, with very few signs of having undergone surgery.
Ear Surgery (Otoplasty)
Otoplasty (ear surgery) is the surgical correction of protruding or otherwise abnormal ears. Protruding ears are the most visible ear deformity and can cause self-consciousness and embarrassment, especially in school age children. Surgical correction of protruding ears can be effective in patients as young as five years old.
Dr. Strasser performs otoplasty by contouring the ears’ flexible cartilage structures. A variety of techniques are available to correct the position of the ears.
Patients must wear a full head dressing for seven days after surgery to protect the ears and prevent accumulation of fluid under the skin during the early healing period. This procedure has no effect on hearing and balance and the minor pain associated with the operation is easily controlled with medication.
Facial implants are specially formed solid materials compatible with human tissues, designed to enhance or augment the physical structure of your face. The precise type and size of facial implants best suited for you requires an evaluation of your goals, the features you wish to correct, and surgeon’s judgment. If you are bothered by a small chin, weak jaw, or lack of facial contour, plastic surgery with facial implants may benefit you. While any area of your face can be augmented with implants, the cheek or malar area, chin, and jaw are the most common sites for facial implants.
Chin implants can increase the size and projection of a chin that is not in proportion with the forehead and mid-face.
A small or recessed chin can also be described as one that seems to disappear into the neck of an individual of normal weight, rather than appearing as a distinct facial feature.
Jaw implants increase the width of the lower third of your face.
Much like the chin, a weak jaw can be thought of as one that is not well defined and distinct from the neck or one that slopes rather than angles from the ear to the chin.
In some cases, both the chin and jaw can contribute to facial imbalance.
Cheek implants increase the projection of the cheekbones. They add volume to areas that may be recessed or flat.
During your facial implants recovery, bandages or dressings may be applied to keep the surgical site clean and to support the position of the implant during initial healing once your procedure is finished. You will be given specific instructions about how to care for the surgical site, medications to apply or take orally to aid healing and reduce the potential for infection, specific concerns to look for at the surgical site or in your general health, and when to follow up with your plastic surgeon.
The following surgical procedures are only a small fraction of the possibilities.
Post Mohs reconstruction is used after cancers are removed using a technique to remove the cancer while preserving as much normal tissue as possible. These are usually done on the face but any part of the body may be addressed depending on circumstances. The reconstructive options are numerous ranging from single stage to multiple stages depending on the location and extent of cancer involvement.
Reconstructive Surgery is done to restore form or function lost to trauma (injuries to face, neck, arm, trunk or legs due to your own fault or the fault of others). The purpose of the surgery is to restore as much normalcy as possible. Examples would include among others, ears or noses cut off or bitten off, dog bites and auto accident injuries.
Cancer reconstruction of the face (see Post Mohs) and breast are common procedures. There are numerous options available depending on the patient’s desires.
Eugene STRASSER, M.D., F.A.C.S., P.A.
1505 University Drive
Coral Springs, Florida 33071