Facial Plastic Sugery
Check Out this Buccal Fat Removal for Thinner Facial Contours!
At Goals, our facial plastic surgery is generally composed of a few common cosmetic procedures. The Brow Lift, Facelift, Neck Lift & Eyelid Lift.
What is a brow lift?
A Brow lift, also known as a forehead lift, is procedure to reduce wrinkles and improve fine frown lines, raising sagging eyebrows. Leaving your eyebrows looking younger and more defined without the presence of wrinkles.
The brow lift:
- Reduces the wrinkle lines that develop horizontally across the forehead, above the nose and between the eyes.
- Improves frown lines between your eyebrows.
- Raises sagging brows.
- Leaves eyebrows at an “alert”, youthful position.
Who is a good candidate for Brow Lift?
During your consult, we will perform a thorough examination of the subject area to determine if you are a good candidate for the procedure, taking into account, overall health and expectations.
A brow lift is for an individual looking to improve forehead wrinkles, frown lines between the eyes, and other skin folds/lines in the brow region. Brow lifts are also generally done in conjunction with other surgeries.
ENDOSCOPIC BROW LIFT: This procedure is done using special tools and smaller incisions, this allows for less trauma to the body, and lessens the possibility of scarring. Endoscopic Brow Lift usually helps speed up your recovery time. A tiny camera is inserted into the area, and the surgery is performed without opening up the entire forehead. The necessary amount of skin is removed, and any excess tissue is excised, leaving the forehead smoother and with better contours. This technique cannot be used if there is a significant amount of loose skin to be removed.
TRADITIONAL BROW LIFT: We create a longer incision, inside the hairline. This allows for more correction and removal of more skin. Any excess skin and forehead tissue is removed, and the necessary skin is tightened. The only drawback is a longer recovery period, as the procedure is slightly more invasive. However, it is recommended for patients who need more correction and suffer from more advanced signs of aging.
What is a Facelift?The “Lunchtime Facelift!”
A facelift, or rhytidectomy, is a surgical procedure to improve signs of aging in the face and neck. The goal is to improve the appearance of the face by lifting and tightening the skin and the sub-dermal muscle tissue.
A facelift improves:
- Overly relaxed, or sagging skin.
- Deep folds and lines along the mouth and nose.
- Unintended facial volume loss. Known to cause lines, folds, and facial depressions, especially along the jawline.
- Loose skin and excess fat in the neck area, causing the presence of a double chin or “turkey neck”.
During the tightening process, we create new, aesthetically pleasing facial contours, lost as a result of age and other factors.
Facial contours disappear over time due to thinning of the skin, loss of facial fat, gravity, sun damage, smoking, stress, and even genetics. Patients should be aware that a facelift will not alter your fundamental appearance or stop the aging process!
Who is a good candidate for a Facelift?
The ideal candidate for a facelift is a patient who wants to correct sunken in facial features, or wrinkles and fine lines along their face. An individual who has sagging skin, in need of tightening can benefit from a facelift the most. We will determine whether a “Full Facelift” or a “Mini Facelift” is necessary, as many patients may only have one or two sections of the face that require lifting or restructuring.
A facelift is performed using general anesthesia, whereas a mini lift may only need localized anesthesia. The procedure takes anywhere from 2-4 hours to complete. The doctor will make incisions around the ear in the natural skin folds and within the hairline. Excess skin is trimmed and pulled, while certain muscle and skin tissue is repositioned, filling facial depressions and restoring your facial profile.
The face is divided into 3 sections:
- Upper: forehead, brow line and upper eyelid
- Mid-Face: Cheeks, nose and lower eyelid
- Lower: Jowls of the lower face, jawline, and parts of the neck as well.
What is a Neck Lift?
A neck lift, or lower rhytidectomy, is a surgical procedure that improves visible signs of aging in the jawline and neck. Essentially a facelift for the neck area.
Who is a good candidate for a Neck Lift?
During your consult, Dr. Mordkovich will perform a thorough examination of the subject area to determine if you are a good candidate for the procedure, taking into account, overall health and expectations.
The loss of facial contours can be due to a variety of factors, including heredity, gravity, environmental conditions and stress.
If you aren’t ready for a full facelift, as you may not have many wrinkles on your forehead or brow-line, a neck lift may be for you. If you have excessive wrinkling of the neck skin, a double chin or “turkey neck” and jowl lines, then the neck lift is all you need.
Ideal candidates are those with:
- Excess fat and skin relaxation in the lower face.
- Excess fat deposits under the chin.
- Saggy neck skin.
- Muscle banding in the neck and abnormal contours.
The procedure can take a few hours depending on if you’d like to include it with a facelift. It is essentially broken into 3 phases, explained below.
Three Primary Components of Neck Lift:
Liposuction is used during the neck lift procedure in order to eliminate submental fat in the neck underneath the jawline, getting rid of your double chin.
Our doctors have perfected reshaping the platysmal muscle, addressing horizontal banding. In this procedure we will tighten and stretch this muscle, so you no longer see prominent cords in the neck. In certain cases, the muscle can also be trimmed to provide the highest level of tightness in the neck skin.
The process of excising the excess loose skin. Incisions are made at the hairline, temple and behind the ear in order to minimize scarring. The tissue is repositioned before lifting and smoothing.
What is Blepharoplasty or Eyelid Lift?
Blepharoplasty, or Eyelid surgery, is a surgical procedure to improve the appearance of the eyelids. Surgery can be performed on the upper and lower eyelids.
Eyelid surgeries can be performed to both enhance the aesthetics of your eyelids and improve any functional problems.
Who is a good candidate for blepharoplasty?
During your consult we determine if you are a good candidate for the procedure, taking into account, overall health and expectations.
The ideal candidate for eyelid surgery is generally suffering from the following:
- Loose, sagging skin around the eyes. Creating the appearance of folds, while disrupting your upper eyelid’s natural contours, in certain cases this can cause adverse effects to your vision.
- Fat deposits in the eyelid. Leading to puffiness and discomfort in the eye area.
- Under eye bags.
- Drooping eyelids that can expose the eye’s iris; leaving it vulnerable to debris and causing irritations.
- Excess skin and wrinkles.
Patients should be also be in good overall health, without any serious eye conditions made worse as a result of cosmetic surgery.
The procedure is done outpatient, and requires local anesthesia injected directly into the skin and muscle tissue, surrounding the eyes. This will allow you to heal much faster than general anesthesia and is also safer. Incisions are made along the eyelid(s), and we remove the excess skin/fat cells. The muscles around the eyelids are tightened, and incisions are closed, leaving you with a smoother, more aesthetically pleasing eyelid!
Aftercare For Facial Plastic Surgery
After your procedures are completed the staff will support you through your recovery. You will be provided with tips and certain directions to be followed in order to maximize your effects, and heal efficiently. Cold compresses will be used to reduce swelling and insure proper healing. Oral pain medication may be required during the first few days of recovery, as well as ointments to reduce scarring and speed up recovery.
For each individual procedure there are specific healing instructions, this is different patient to patient as well. Goals will monitor your improvement and stand by you throughout your healing process!