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Face

Facelift

In time, gravity, sun exposure and the stresses of daily life take their toll on our faces and necks. Deep creases appear beside the mouth, the jaw line slackens and becomes jowly, and the neck develops loose folds and fat deposits. Facelifts (Rhytidectomy) counteract these signs of aging by tightening muscle, removing fat and trimming excess skin, giving your face a fresher, youthful look.

Reasons for Considering a Facelift

Facelifts are most effective for patients who want to correct:

  • Deep lines and wrinkles in the face and neck
  • Loose, sagging skin in the cheeks and jawline
  • Deep folds in the creases between your nose and mouth
  • Jowls due to loss of muscle tone
  • Sagging areas of fat

Your Facelift Consultation

During your initial consultation, you will meet with Dr. Burnett and staff. Your previous surgeries, your medical history, medications you are presently taking and your overall physical and emotional health will be reviewed. Your skin quality will also be evaluated. Photographs may be taken for your medical record. Dr. Burnett will determine what you benefit from most and whether or not additional procedures will be necessary for you to achieve your desired results. Recovery time, risks and limitations associated with surgery will be also be discussed. The doctor’s patient coordinator will review surgical costs and scheduling with you.

The Facelift Surgery

Facelifts are typically outpatient procedures and will be performed in a surgery center or hospital and usually require general anesthesia. The procedure may take several hours depending on the extent of the correction desired and the technique used by the doctor. This is discussed during the consultation and determined in accordance with your desired results.

The traditional facelift (full facelift) involves making small incisions just inside the hairline and travels down to the front of the ear, around the earlobe and behind the ear to the lower scalp at the hairline. Tissue and fat deposits are separated, the skin is stretched and tightened and any excess skin is removed. Small stitches are used to close the incisions. Scars are hidden in the hairline and natural contours of the face.

Recovery from Facelift Surgery

After your surgery, Dr. Burnett will fit your face with bandages in order to reduce swelling and decrease the recovery time. Stitches, clips or staples are usually removed one week after the surgery.

At first, you may experience swelling, numbness, bruising and a feeling of tightness or tension in the face and neck. Your face may look uneven or distorted, and your facial muscles may feel stiff. Most of these usually resolve within 3 to 6 weeks and sensation typically returns to normal within a few months. Many patients return to work by the third week. Cosmetics can be used to minimize the appearance of bruising.

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Eyelid Surgery

Several factors, including aging, sun damage, smoking, stretching and obesity, can cause the eyelids to droop and sag as the supporting tissues deteriorate. This area is often one of the first to deteriorate, as the skin of the eyelid is thinner than the rest of the face. Eyelids that droop or bulge can cause people to appear much older or fatigued than they actually are.

Eyelid surgery, also known as blepharoplasty, improves the appearance of the upper eyelids and/or lower eyelids. It gives a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert.

Candidates for Eyelid Surgery

The best candidates for blepharoplasty are individuals who are in good overall health and who do not smoke or have any serious eye conditions. If you have loose, sagging skin or puffy bags around your eyes, this procedure can help reduce these unwanted effects and leave the eyes looking young and fresh.

Consultation for Eyelid Surgery

A consultation with Dr. Burnett is the first step to learn how eyelid surgery can improve the appearance of your upper eyelids and/or lower eyelids. A discussion of your goals and an evaluation of your individual case will take place at this office visit as well as a thorough discussion of the likely outcomes of the surgery and the potential risks and complications.

The Eyelid Surgery

The eyelid surgery is performed under local anesthesia with sedation. General anesthesia may be used under some circumstances. The procedure can take anywhere from 1 to 3 hours and is usually performed in a surgery center or hospital on an outpatient basis.

If the upper eyelid is being treated, an incision is made along the natural crease of the eyelid. Once the incision is made Dr. Burnett will remove any fatty tissue and tighten the loose skin. Lower eyelids are completed next to eliminate puffiness and reduce dark circles. For the lower lids, an incision is made just below the lash line.

Recovery from Eyelid Surgery

Following eyelid surgery, Dr. Burnett may recommend applying lubricating ointment and eye drops to keep your eyes moist and comfortable. Cold compresses are also recommended to help aid the healing process and minimize side effects such as swelling.

Patients can usually return to work within two days, but should avoid exercise and strenuous activities for at least two weeks. Swelling and other side effects usually subside within two weeks after surgery. Dr. Burnett will give you specific instructions on how to care for your eyes after surgery.

Results

Results of eyelid surgery are visible as swelling and bruising subside, and will continue to improve for up to a year after surgery. This procedure is designed to produce long-lasting results. While surgery cannot prevent your eyes from aging, most patients are satisfied with their results. Patients experience a more rested and youthful appearance.

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Brow Lift

Brow lift surgery is intended to gently raise the tissues of the forehead and reduce the appearance of frown lines, heavy eyelids, and crow’s feet. Over time, a person’s brow can descend and lead to a tired, almost grumpy facial expression. The procedure is often combined with other operations such as blepharoplasty (eyelid surgery) and facelifts to improve the look of the eyes and other areas of the face.

Reasons for Considering a Brow Lift

The cosmetic improvements that can be achieved through this surgery are subtle, but often very beneficial. Signs of aging that appear around the forehead are often temporarily treated with Botox, but for a more comprehensive and long-lasting solution, the brow lift is an excellent choice for many patients.

Some of the conditions that commonly see improvement with this procedure include the following:

  • Lax upper eyelid skin
  • Wrinkles around the eyes, i.e. crow’s feet
  • Drooping brow
  • Forehead lines/creases
  • Distorted brow shape

Brow Lift Consultation

At your consultation, Dr. Burnett will evaluate you on an individual basis, discuss goals and expected outcomes and explain potential risks and complications. Dr. Burnett will answer any questions you may have about the brow lift procedure and can discuss any of your concerns.

Brow Lift Surgery

There are two different techniques that can be utilized for this procedure; the endoscopic technique and the traditional brow lift. Both techniques are performed under general anesthesia. The most appropriate technique will be determined by Dr. Burnett and will depend on the patient.

The traditional brow lift is performed through a relatively long incision made in the hairline, stretching ear to ear across the top of the forehead. The forehead skin is lifted, tissue is removed and muscles are adjusted.

The endoscopic brow lift is performed through several small incisions in the hairline. A tiny camera and delicate instruments are used to perform the procedure.

What to Expect Following Brow Lift Surgery

Patients may experience some numbness, discomfort and swelling. Strenuous activity should be avoided for 2 to 3 weeks. Stitches will be removed 1 week after surgery. Postoperative instructions will be provided and should be followed closely.

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Chin and Cheek Implants

For centuries, well-defined facial features have been considered traits of physical beauty. Prominent cheek bones and a strong chin provide balance and definition. Possessing these features can even enhance your self-confidence. For those lacking these natural marks of distinction, make-up was their only alternative.

Thanks to modern technology, there is a safe and permanent method to correct a receding chin and provide those high cheekbones. Chin augmentation (mentoplasty) and cheek implants (malar augmention) will provide you with a more vibrant, rejuventated and youthful appearance. These procedures can also benefit those with asymmetries or congenital defects.

Reasons for Considering a Chin and/or Cheek Implants:

  • Extend or enlarge the chin if the chin is recessed or small.
  • Create a more defined facial profile if the jaw, chin, or cheeks lack distinction.
  • Bring the various aspects of the face into proportion.
  • Round out the cheeks if they are hollow due to heredity or aging.
  • Accent the upper cheeks making them appear higher and fuller.

The Chin and/or Cheek Implant Surgery

Both chin and cheek implantation procedures can be performed on an out-patient basis using general anesthesia. The implant shape is determined pre-operatively by Dr. Burnett during the consultation. There are several different shapes and sizes which may be utilized depending on the desired result. The implants are most often placed through a small incision in the mouth. An alternate location for this incision is below the chin (on the outside). With cheek augmentation, alternate locations for the incision would be through the lower cheek or directly below the bottom eyelid on the high cheek. The surgery for these procedures normally last from 30 minutes to one hour.

What to Expect Following Chin and/or Implant Surgery

Following surgery, you can expect to experience some discomfort and swelling in the chin and jaw area for several days after your procedure. You will likely have some difficulty with smiling and talking, and it’s also common to feel a stretched or tight sensation. This is only temporary and should go away after a week. You may also experience some bruising around your chin and your neck.

If the incision was made in your mouth, you will probably have to follow a liquid and soft food diet for the first few days after surgery. While recovering from chin surgery is quick compared to other types of facial cosmetic surgery procedures, there will be some restrictions on your activities for a short period after your surgery. Normal activity usually can be resumed after about 10 days and rigorous activity after a few weeks.

Stitches that are placed in the mouth are often the dissolving kind, which will dissolve in ten days to two weeks. Non-dissolving sutures will be removed in one week at your postoperative appointment.

Results

The substance used for chin and cheek implants is made of durable and non-toxic materials that will last for years. Once the healing process is completed the new implants should feel like a normal part of you. No one will be able to tell that there is an implant in place. The ultimate result will provide an enhanced facial contour and a more youthful appearance.

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Ear Surgery

Many individuals, starting from childhood, are unhappy with the size or shape of their ears. Or, for some, the ears protrude more than they should, are asymmetrical, or droop too low. Otoplasty, also referred to as ear plastic surgery, is available to cosmetically alter the ears. The procedure can have a dramatic impact on a person’s appearance, confidence, and overall quality of life.

Torn earlobes are a relatively common occurrence that can occur from earring injuries. The most common approach is to excise the hole and surgically close it. You can often re-pierce the ears in 3-6 months. There are more complicated ways to fix the earlobes but these options are ultimately less than optimal. This surgery is often done in the office under local anesthesia.

The correction and reconstruction of gauged ear lobes often require flaps of earlobe tissue that are rearranged to reconstruct the earlobes. Re-piercing of the earlobes can occur 3-6 months later depending on the healing. This surgery can also be done in the office under local anesthesia.

Candidates for Otoplasty

Candidates for otoplasty may be those who feel self-conscious about their ears and want to improve their appearance. Healthy men and women, as well as children as young as five, may make an excellent Otoplasty candidate. People experiencing a malformation, asymmetry, or an unusual protrusion of the ears can find satisfying results through an Otoplasty. It is also important that you are in good general health, and have realistic expectations about the outcome of the procedure. Dr. Burnett will discuss with you your otoplasty goals so that you understand what can be achieved by the surgery.

The Otoplasty Surgery

Ear surgery is commonly performed under general anesthesia for children and local anesthesia for adults. The standard otoplasty procedure brings the ears closer to the head. Otoplasty begins with an incision hidden in the crease behind the ear. This incision allows the cartilage located behind the ears to be reshaped in order to position them closer to the head. The procedure takes approximately one to two hours, depending upon the extent of surgery.

There are various surgical techniques involved in correcting irregularities other than protruding ears. Dr. Burnett will discuss these techniques with you during the initial consultation and he will determine what surgery is best for each patient.

Recovery from Otoplasty Surgery

After the surgery is completed, large bandages will be wrapped around the head. Initially there may be mild discomfort, but Dr. Burnett will make sure patients are resting comfortably at home with the appropriate pain medications. Bruising and swelling may occur, but will diminish over the next two to three weeks. A headband may be required, to assist appropriate healing of the ears. Patients are normally feeling well enough to return to work or school in seven to ten days.

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