Facial Procedures Cont.

Neck Lift

The neck is often one of the first areas of the body affected by the signs of aging, resulting in wrinkled, hanging skin that can make you look much older than you feel. A neck lift is a surgical procedure that sculpts and smoothes the neck for a younger, natural-looking appearance with no clear signs of surgical intervention.

During a neck lift, liposuction may be used to remove fat, while additional procedures remove excess skin and tighten the neck muscles for a younger-looking appearance. Many patients choose to combine a neck lift with a facelift, forehead lift or eyelid surgery to maximize results.

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Otoplasty (Ear Pinning)

Otoplasty, or ear surgery, is a cosmetic procedure to improve the appearance of a person's ears. Although otoplasty does not affect hearing, it can provide great psychological benefits. Otoplasty is most commonly performed to set unusually prominent ears back closer to the head, called ear pinning, or to reduce the size of abnormally large ears. Ear surgery may also be helpful to reconstruct abnormally small ears or lop ears or to repair ears which have been damaged by injury or cancer surgery.

The otoplasty procedure generally lasts two to three hours and is performed on an outpatient basis. The type of anesthesia used typically depends on the age of the patient. General anesthesia is recommended for very young patients, while local anesthesia and a sedative may be used for older children and adults. The otoplasty procedure begins with a small incision made behind the ear. The cartilage is then sculpted and bent into its new position to achieve the desired appearance. To achieve a more symmetrical appearance, both ears may be operated on even if only one has a problem.

Patients usually feel back to normal a few hours after the procedure, although the ears may ache or throb for a few days. Prescription medication will be made available to help alleviate any discomfort. A few days after the otoplasty procedure, the bandages will be replaced with a surgical dressing that should be worn for about a week after which time the stitches will be removed. Otoplasty patients should avoid sleeping on their side for the first two weeks after surgery. After about one week following otoplasty, patients are usually able to return to their normal routines.

Rhinoplasty (Nose Reshaping)

Rhinoplasty, or nose surgery, is one of the most common plastic surgery procedures. During a rhinoplasty, the surgeon is able to reshape, reduce or augment a patient's nose for cosmetic, and sometimes functional, purposes. A rhinoplasty may be performed to correct a birth defect, to repair an injury, to improve breathing or simply to improve a patient's appearance.

Candidates for rhinoplasty should be at least 13 years old since it is important that patients have finished their facial growth before proceeding with this surgery. Patients considering rhinoplasty should be in overall good health, should not be smokers, and should have realistic expectations about the outcome. Rhinoplasty is usually an outpatient procedure performed under IV sedation or general anesthesia and takes from 1 to 2 hours. There are two methods for performing a rhinoplasty: open and closed. The surgeon will choose the appropriate procedure for each individual patient.

Immediately after surgery, the patient's nose and eyes are usually bruised and swollen. Splints and some packing material will remain inside the nose for a few days. Most patients feel like themselves within a few days and are able to return to regular activities in about a week.

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