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Facial Surgery
Eyelid
Surgery/Blepharoplasty
 When
we meet someone, we are often drawn to their eyes. This
surgery treats the delicate areas around the eyes, which are the first
areas to show signs of aging or fatigue. Eyelid surgery (blepharoplasty)
removes excess skin and muscle, as well as protruding fat, from around
the upper and lower eyelids. It can correct droopy upper eyelids and
puffy bags below the lower eyelid. The exact procedure depends on your
needs and the condition of the eyelids. Some people need only their
upper or lower lids treated. Some may need both. Eyelid surgery can be
done alone or in conjunction with other procedures used to restore a
fresher, more youthful, appearance.
The surgery is performed in the hospital or ambulatory care center. When
performed alone, it can be done under local anesthesia or general anesthesia, if
desired. It is a same day surgery and you are followed closely in the office
post-operatively.
The incisions are placed within natural folds in the eyelid and usually heal
exceptionally well and are not visible. The sutures are removed about 5 days
after surgery. You are able to return to work in
approximately one week.
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Face Lift
A face lift is a
procedure that can make your face look younger and fresher. It can turn back the
hands of time by lifting your sagging cheeks, smoothing your jawline, tightening
the loose skin of your neck, removing excess fat below your chin and improving a
"turkey gobbler" appearance of your neck. It will improve the jaw line (jowls),
changes in the neck that occur as a natural result of aging or heredity, and
changes resulting from the skin's loss of tone and elasticity. Complimentary procedures
involving skin care and ancillary services will help to further improve the
negative effects of gravity, sun exposure and daily stress, as well as to help
you maintain your
result. Face lifts are chosen by men and women and can enhance self-confidence
in those who decide to have them.
Dr. Friedlander will customize the procedure for you and address your areas of
concern. You may choose to add eyelid surgery or other ancillary procedures to
create a balanced look. The description which follows is the "classic"
face lift. There are others, such as a neck lift and a mid face lift, which Dr.
Friedlander also performs and will advise you if you are a good candidate for
them. Dr. Friedlander will carefully review your medical history and the medications
which you are taking. There are conditions which could conceivably cause problems during
surgery such as uncontrolled high blood pressure, blood clotting problems, and others
which will be discussed if they apply to you. If you smoke, she will counsel you on the increased risks
associated with smoking. This is true for all surgeries, not only face lifts.
During the surgery,
incisions are classically made in the hairline, as well as in front of and behind the ears.
Newer techniques may not use an incision behind the ear. A
small incision may also be made under the chin. These incisions result in
minimal scarring which can be easily covered by hair or makeup. The skin and underlying fat
are separated from the muscle. The fat may be thinned or suctioned to improve
the overall contour of the face, neck and jaw line. The muscles of the face and
neck will be tightened to provide longer lasting correction. The skin is lifted
and redraped by pulling it upward and outward, and the excess skin is removed.
Stitches around the ear are removed 5-7 days after the surgery, and stitches or
staples hidden within the hair are removed 10-12 days after the surgery.
Face lift surgery
has been revolutionized by "tissue glue". "Tissue
glue" (fibrin sealant) is a relatively new and safe product in plastic
surgery, although it has been used on over 6 million patients over the last 20
years for cardiac, neurosurgical, and general surgical procedures. Significantly
less swelling and bruising occurs post-operatively. Messy drains and bulky
dressings are rarely used today. Dr. Friedlander still advises you take 2 weeks
off from work, but indicates that many of her patients are "lunching
out" 2-3 days after the surgery. Some swelling and bruising are normal
after surgery and begin to disappear after a few days. Strenuous activity must
be limited for at least four weeks after surgery.
Forehead
Lift/Brow Lift
A forehead lift addresses the area of the upper face. It restores a more
youthful, refreshed look to the area, making you look less tired, angry, or sad,
by correcting drooping brows and improving the horizontal lines on your
forehead. It is frequently performed with an upper lid blepharoplasty and can be
performed with a face lift to provide facial balance and harmony.
The goal of the procedure is to raise the brow to a more
aesthetically appealing position. It will also improve fullness over the outside
corner of the lid, a scowling appearance of the eyes and horizontal frown lines
of the forhead. It is not intended to create a look of surprise or what is
commonly called the "deer in the headlights" look. Botox
is not a substitute for a forehead lift, it can give you an idea of what to
expect. Dr. Friedlander will show you potential areas of benefit during your
consultation.
Several different
approaches may be used, such as an endoscopic approach, a lateral brow and
transblepharoplasy approach and rarely a coronal approach. Most often, only
small incisions are required. The procedure is often performed with face
lift and/or blepharoplasty. There may be some postoperative swelling or
bruising, which resolves relatively quickly. You are able to return to work in a
week if no other surgery is being performed.
[ Surgical
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Other
Facial Surgery
Cosmetic
surgery of the face encompasses much more than has already been
described. Many of the procedures discussed can be used as stand
alone procedures to enhance one's appearance and maintain facial
balance. These include liposuction of the neck, chin
augmentation (implants) and the use of facial fillers, such as
fat and collagen. Other fillers, such as Restylane and Artecoll
will be used once they are FDA approved. The procedures
recommended are individualized to fulfill your needs and goals.
Cosmetic
surgery of the face frequently deals with problems associated
with aging. One procedure that shouldn't be overlooked is
surgery performed to correct protruding "Dumbo" ears.
The problem develops in early childhood and can effect
psychological development. Girls frequently wear their hair down
to cover their large ears. A surgical procedure known as
Otoplasty can improve this condition by reshaping the ears. An
incision is placed behind the ear and the cartilage is folded
and stitched, providing a more natural contour, closer to the
head. A bandage is worn for several days after the surgery. The
ears show immediate improvement and the swelling disappears
after several weeks.
FAQ
How much risk is involved in aesthetic surgery?
Is it painful?
How long will it take me to heal?
When will I look normal again?
What about anesthesia?
How often am I seen after surgery?
Am I a good candidate for surgery?
Are there scars?
Where is the surgery performed?
What medications should I avoid before surgery?
How do I schedule the surgery?
Can I go on vacation right after the surgery?
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636 Morris Turnpike
Suite 2G
Short Hills, New Jersey 07078
Tel: (973) 912-9120
Fax: (973) 912-8070
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E-Mail
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