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Plastic and Reconstructive Surgery: Facial Cosmetic Procedures

Brow Lift

A brow lift tightens and lifts forehead skin, removing unsightly wrinkles and restoring your youthful appearance.

A traditional brow lift starts with an incision discreetly placed along the hairline near the top of the head. Forehead skin is tightened, and excess skin and tissue are removed. This procedure is typically recommended for patients over 40. An endoscopic brow lift involves the use of an endoscope. During this technique, several small incisions are made along the hairline, an endoscope (a device with a light attached that is used to look inside a body cavity or organ) is inserted beneath the skin, the forehead skin and underlying muscles are lifted and tightened, and surplus skin and tissue are removed. An endoscopic brow lift is recommended for younger patients with newly forming brow lines and wrinkles.

Both types of brow lift are done on an outpatient basis under anesthesia, and either can be combined with a facelift, collagen or BOTOX® injections, or eyelid surgery for more dramatic results. The procedure takes about one to two hours, and temporary side effects may include swelling, bruising, headaches, or numbness.


Cheek Implant

A cheek implant requires the placement of an implant via an intraoral incision or externally via a lower eyelid incision. This procedure is performed using local anesthesia with an oral sedative or general anesthesia, which means being put to sleep. In most cases, facial implant surgery is completed on an outpatient basis. The length of surgery will depend on which part of the face is affected, but it commonly lasts between one to two hours. During recovery, patients will experience bruising and swelling. Because an implant is inserted into the body, there is a risk of the facial implant shifting or infection. If this happens, a follow-up operation may be necessary.


Chin Implant

During a chin implant, an implant is inserted intraorally via a lower lip incision, or by making an incision under the chin. The procedure takes 30 minutes to an hour and is also performed using local anesthesia with an oral sedative or general anesthesia. Following the chin implant procedure, patients will experience bruising and swelling. As with the cheek implant, there is a risk of implant shifting and infection which may require a follow-up operation.


Ears

Otoplasty is the surgical revision of the ears. This procedure is most often done to set prominent ears back closer to the head or to reduce the size of the ears. Otoplasty can also correct other ear conditions, such as abnormally large ear lobes and ear tip folds.

The surgery works best on children aged four to 14, but some adults do undergo ear surgery. There are several ways the ear can be reshaped. One involves cutting out the cartilage (the main structural component) of the ear. Another involves folding and stitching that cartilage instead of cutting it away. In either case, a small, inconspicuous incision is made in the ear, allowing access to the cartilage for the necessary procedure. After the surgery is complete, the incision site is secured with stitches.

The actual surgery will last about two to three hours, depending on the complexity of the procedure. For adults undergoing otoplasty, a local anesthetic is used with a sedative, or general anesthesia may be required. A child will likely receive general anesthesia to ensure that he or she does not move during the operation. The surgery is completed within a few hours and patients go home the same day. Sometimes, in the case of children, an overnight stay in the hospital is required.

Complications are rare and most people are extremely satisfied with the results. Side effects include pain and swelling. As a preventive measure, an antibiotic may be prescribed to fight against infection.


Eyelid Surgery

Eyelid surgery, or blepharoplasty, can dramatically improve the appearance of skin around your eyes, making you look well rested, refreshed, and more youthful. Eyelid surgery can also restore vision that is impaired by sagging eyelids.

Eyelid surgery is a surgical method of removing excess skin, fat, and muscle from the eyelid. An incision is made along the upper or lower eyelid, and then the unwanted skin, excess fat, and occasionally unnecessary muscle are removed. Lastly, the incision is stitched closed. Typically, once healed the incisions are not visible. Performed as an outpatient procedure under monitored anesthesia, eyelid surgery takes about one to two hours. Side effects last about ten days and include swelling, bruising, dry eyes, and light sensitivity.

For more information, please visit our description procedures on eyelid surgery:


Facelift

A facelift can rejuvenate skin and restore a more youthful look by removing unwanted wrinkles and excess skin on the face and neck. Facelift is a surgical procedure that is intended to tighten up loose skin and wrinkles, making you look refreshed.

In the facelift cosmetic surgery procedure, an incision is placed inconspicuously along the hairline, under the chin, and in front of the ear. Facial and neck skin is then lifted and tightened, and the excess skin is removed. To complete the facelift, remaining skin is smoothed and sutured. The procedure may take up to four hours, depending on your skin's condition and desired results. Most patients experience only minor pain and discomfort. However, “social” recovery time may be more limiting, secondary to the expected bruising and swelling that can occur after surgery.

For more information, please visit our description procedures on facelift:


Facial Implants

Facial implants are used to improve facial contours and to enhance certain features of the face, including cheeks or jaw line. The surgery may be elective, or may be needed as the result of prior facial surgery or trauma to the face.


Lip Enhancement

As people age, the lips lose fullness and begin to show more lines and creases. The procedure of adding fullness to the lips can make someone look younger instantly.

UF Health Plastic Surgery at Jacksonville offers the following lip enhancement procedures:

Collagen injections are the most common and easiest of all procedures to enhance the lips. This procedure takes twenty to thirty minutes and is done under local anesthesia. Patients can expect some swelling for the first sixteen to twenty-four hours following the injections. Once some of the swelling subsides, the fullness of the lips will last three to six months.

Alloderm tissue is also used to create full lips. This latest technique involves a new type of implant material, Alloderm. Alloderm is human tissue and is thought to last longer than other materials. Performed under local or general anesthesia, small incisions are placed in the corners of the mouth and Alloderm is threaded through the lips. The openings are sutured closed. Patients are advised to limit talking, and are required to be on a liquid or soft foods diet until the sutures are removed in approximately one week to ten days.

Dermal fat grafts are gaining popularity as a choice for lip augmentation. In this procedure, tissues are obtained from the patient for use in the lips while other procedures are being performed. For example, if a patient is undergoing a tummy tuck or face-lift, the excess tissue removed in these procedures can be tailored and trimmed into shapes that are ideal for lip augmentation. The tissue excised from behind the ear in a face-lift incision can be threaded through the upper or lower lip. Incisions can be hidden in the corners of the lips, and the tissue from the patient’s own body can be threaded across the lips. The new tissue produces a fuller effect in the lips, giving the face a more youthful appearance. This procedure takes approximately one hour and is done under local or general anesthesia.


Rhinoplasty

Nose reshaping, or rhinoplasty, can straighten a crooked nose, correct breathing abnormalities, or reduce the size of an overly large nose by changing the shape of the bridge, tip, or nostrils. Rhinoplasty improves facial symmetry by creating a nose that is in proportion to the rest of your facial features. Another benefit of the procedure is the self-confidence that comes from knowing that others are looking into your eyes rather than at your nose.

Rhinoplasty is performed on an outpatient basis under general anesthesia. Incisions are made inconspicuously along the nostrils to avoid visible scarring. Cartilage is scraped away to remove a hump, or it is broken and meticulously reset to achieve a reduction in size. The procedure takes about two to three hours, and side effects can include swelling, bleeding, bruising on the nose and around the eyes, headaches, and stiffness. Daily activities can be resumed in one to two weeks after rhinoplasty, but strenuous activity should be avoided for three to four weeks.

For more information, please visit our description procedures on nose reshaping: