Procedures

Facial Surgery 

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We have all heard the old saying �You are only as old as you feel!�  Well, what if you feel young but your face says otherwise?  What can be done to help your face reflect the youthful person you are inside?  The answer lies in facial plastic surgery.

There are a variety of procedures that can be done to the face to turn back time.  Often it is as simple as a mini lift.  Other times it requires a full facelift.  Typically we begin the process by bringing you to meet with Dr. Shienbaum.  During your initial complimentary consultation he will ask you what areas bother you most.  Then he will give you any surgical or non-surgical options to correct this problem area. 

Facelifts are very individualized procedures.  The amount of loose skin you have along the jawline, fatty deposits you may have along the neck, folds and creases along the face, and wrinkles all play a roll in the doctor�s game plan for your surgery.  Typically our facial surgery patients require a unique combination of procedures to meet all of their needs.  Below we will review the most common of the procedures we use here in our office.  Just keep in mind that you may or may not require any or all of these.

A true facelift involves making an incision along the hairline.  Depending on the amount of lose skin on the face the incision may extend behind the ear if necessary.  Facial and neck tissue may be separated.  Fat may be trimmed or suctioned and underlying muscle may be tightened.  After this, the excess skin is pulled up and back, trimmed and sutured in place.  Dr. Shienbaum uses a combination of dissolvable internal and external sutures; depending on the particular need of each patient.

The recovery from a facelift can take from two to three weeks.  You would need at least seven to ten days off work.  Two weeks would be best.  There is a fair amount of bruising and swelling that can take a month or more to resolve so if you are planning this around your high school reunion, you might want to have the surgery a couple of months prior to the big event!

NECK PLICATION:

Frequently the first area of the face to show signs of aging is the neck.  Loose skin begins to accumulate there and gives you the look of waddle neck!  Depending on the amount of lose skin the neck area Dr. Shienbaum may be able to perform a neck plication to tighten the skin.  A small incision is made just under your chin.  Any excess fatty tissue is suctioned out and the lose skin is pulled tight, trimmed and sutured.  There is very little discomfort or recovery.  This procedure is often done when a patient is first noticing that gravity has taken it�s toll, and we are able to therefore postpone a full facelift for a few years.

LASER SURGERY:

One of the more popular treatments of wrinkles today is laser resurfacing.  The �laser peel� uses a CO2 laser to removed areas of damaged or wrinkled skin, layer by layer.  The procedure can be used on the whole face, but typically Dr. Shienbaum does a combination laser / TCA peel.  The laser works best on areas of deep wrinkling such as those found around the mouth and eyes.

Laser causes a significant wounding of the skin and can take extended periods of time for complete healing.  The initial healing phase takes about 7 � 14 days.  After that point the skin is left pink, like you have a bad sunburn.  It can take 1 � 3 months for the pink color to fade.  However, you are able to use make-up to cover the discoloration.

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