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Procedures - Facial Cosmetic Surgery
Facelift (Rhytidectomy)
This procedure is performed to improve the most visible signs of aging by removing excess fat, tightening underlying facial muscles and redraping the skin of the face and neck. A facelift can be performed alone or in conjunction with other facial procedures. The best candidates for a facelift is a man or woman whose facial and neck skin have begun to sag, but whose skin still has some elasticity and whose underlying bone structure is strong and well-defined. While a facelift can make you look younger and fresher boosting your self-confidence, it can't give you a totally different look.
As with any procedure, complications can occur. They are usually minor or temporary. Dr. Weider will discuss these with you during your consultation. Smoking greatly increases the possibility of developing a wound healing problem. Be sure to discuss any history of smoking with Dr. Weider. In addition make sure to inform the doctor about any use of herbal or diet medications as these seemingly innocuous medications can lead to problems during or after surgery.
During your consultation, Dr. Weider will explain the techniques and anesthesia he would recommend, the type of facility where the surgery would be performed, and the risks and costs involved. Don't hesitate to ask him any questions you may have.
Blepharoplasty (Eyelid Surgery)
Eyelid surgery (technically called blepharoplasty) is a procedure to remove fat--usually along with excess skin and muscle from the upper and lower eyelids. Eyelid surgery can correct drooping upper lids and puffy bags below your eyes - features that make you look older and more tired than you feel, and may even interfere with your vision. However, it won't remove crow's feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows.
Blepharoplasty usually takes one to three hours, depending on the extent of the surgery. In a typical procedure, the surgeon makes incisions following the natural lines of your eyelids; in the creases of your upper lids, and just below the lashes in the lower lids. The incisions may extend into the crow's feet or laugh lines at the outer corners of your eyes. Working through these incisions, the surgeon separates the skin from underlying fatty tissue and muscle, removes excess fat, and often trims sagging skin and muscle. The incisions are then closed with very fine sutures.
If you have a pocket of fat beneath your lower eyelids but don't need to have any skin removed, Dr. Weider may perform a transconjunctival blepharoplasty. In this procedure the incision is made inside your lower eyelid, leaving no visible scar. It is usually performed on younger patients with thicker, more elastic skin.
Browlift (forehead lift)
A forehead lift or "browlift" is a procedure that restores a more youthful, refreshed look to the area above the eyes. The procedure corrects drooping brows and improves the horizontal lines and furrows that can make a person appear angry, sad or tired.
In a forehead lift, the muscles and tissues that cause the furrowing or drooping are removed or altered to smooth the forehead, raise the eyebrows and minimize frown lines. Your surgeon may use the conventional surgical method, in which the incision is hidden just behind the hairline; or it may be performed with the use of an endoscope, a viewing instrument that allows the procedure to be performed with minimal incisions. Both techniques yield similar results -- smoother forehead skin and a more animated appearance.
Rhinoplasty
Rhinoplasty, or surgery to reshape the nose, is one of the most common of all plastic surgery procedures. Rhinoplasty can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils, or change the angle between your nose and your upper lip. It may also correct a birth defect or injury, or help relieve some breathing problems.
The best candidates for rhinoplasty are people who are looking for improvement, not perfection, in the way they look. If you're physically healthy, psychologically stable, and realistic in your expectations, you may be a good candidate.
In your initial consultation, Dr. Weider will ask what you'd like your nose to look like, evaluate the structure of your nose and face, and discuss the possibilities with you. He will also explain the factors that can influence the procedure and the results. These factors include the structure of your nasal bones and cartilage, the shape of your face, the thickness of your skin, your age, and your expectations.
Rhinoplasty usually take about two hours, though complicated procedures may take longer.
During surgery the skin of the nose is separated from its supporting framework of bone and cartilage, which is then sculpted to the desired shape. The nature of the sculpting will depend on your problem and your surgeon's preferred technique. Finally, the skin is redraped over the new framework.
When the surgery is complete, a splint will be applied to help your nose maintain its new shape. Nasal packs or soft plastic splints also may be placed in your nostrils to stabilize the septum, the dividing wall between the air passages.
Lip Enhancement
Lip enhancement (augmentation) is considered by patients who desire fuller lips. As we age the lips frequently atrophy which can produce a stern, more serious expression. Lip enhancement can be performed on its own or in conjunction with other techniques to bring about a fresher more youthful appearance. Lip enhancement can be performed by a variety of techniques. They can be divided into those that involve injecting a substance to fill out the lips (injectables) and techniques that involve placement of a solid substance within the lips to augment them (implantables).
Both techniques can be performed using the patient's own tissue or tissue from a variety of other sources. Most of these procedures can be performed in the office under local anesthesia. During your consultation, Dr Weider will discuss your goals and describe the various treatment options available to you as well as their advantages and drawbacks.Botox ® Cosmetic (Botulinum Toxin type A)
Botox has received a lot of press lately as it was recently approved for use by the FDA to treat glabellar (brow) wrinkles. In fact, Botox has been used widely for over twelve years to treat a variety of conditions caused by hyperactive muscle activity. Botox works by blocking the release of acetylcholine, the subtance that stimulates muscles to contract. Used in very small doses and injected precisely, Botox can temporarily deactivate the muscle that cause wrinkles above and between the eyebrows, across the forehead and adjacent to the eyes (crow's feet).
The procedure is performed in the office and there is no downtime. The effect lasts three to four months and possibly longer with regular use. Side effects are rare and will be reviewed with you by Dr. Weider during your consultation. For more information: http://www.botox.com
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