What It Does :
It tightens loose face and neck skin for a younger and fresher appearance. The shaggy cheeks and jowls, as well as, the upper part of the neck are lifted and tightened and become more defined. It does not treat lines or wrinkles unless fillers are used at the same time.

Best Candidates :
Men and ,usually over 40 with wrinkled or sagging facial tissues and signs of aging. In general, the younger and more elastic the skin, the better and longer lasting are the results.

Types of Anesthesia :
Local Anesthesia, Twilight Anesthesia (I V Sedation) or General Anesthesia

Length of Surgery :
2-3 hours

Length of Hospital Stay :
Outpatient or Overnight Hospital Stay

Length of Stay In The Country :
You should plan on being in the country for 8 days post-operatively, until the sutures are removed.

Swelling :
Lasts for 2-3 weeks

Bruising :
Lasts for 2-3 weeks

Dressings :
Removed in 2 days

Stitches :
Removed in 7-8 days

Back To Work :
Within 2 days with bruising

Activity and Exercise :
Resume after 2-3 weeks

Final Result :
This may take 6 months to 1 year although you will start looking good in a few weeks after the procedure. The effects last up to 10 years.

Sun Protection :
SPF-30 preferably with zinc oxide.

Types Of Facelifts

Smas Facelift SHORT SCAR FACELIFT This is a variation well suited for patients with less neck looseness. The incision is limited to front of the ear with no extension or a very small extension to the back of the ear. MID FACELIFT The lift is limited to the cheek complex and a small incision is employed MACS FACELIFT This is minimal access cranial suspension where the neck, jowl and cheeks are lifted and suspended to the covering of the bone and muscles and less dissection is performed. THREAD LIFT OR FEATHER LIFT These are variation of thread lifts and are done through very small cuts under local anesthesia. There is little downtime but these last only for 1-2 years and need to be repeated at that time. There is also no skin tightening and these procedures are not suitable for people with loose skin. The best candidates are men and women in their forties with little skin laxity. ENDOSCOPIC FACELIFT Endoscopy is used to lift different parts of the face. The usual areas are either the midface, the forehead or the neck.

What It Does :
It tightens loose neck skin for a younger and fresher appearance.

Best Candidates :
Men and women usually over 40 with wrinkled or sagging neck skin.

Types of Anesthesia :
Local Anesthesia, Twilight Anesthesia (I V Sedation) or General Anesthesia

Length of Surgery :
2 hours

Length of Hospital Stay :
Outpatient

Length of Stay In The Country :
You should plan on being in the city for 8 days post-operatively, until the sutures are removed.

Swelling :
2-3 weeks

Bruising :
2-3 weeks

Dressings :
Removed in 2 days (1-5)

Stitches :
Removed in 7-8 days

Back To Work :

Within 2 days with bruising.

Activity and Exercise :
Resume after 2-3 weeks

Final Result :
This may take 6 months to 1 year although you will start looking good in a few weeks after the procedure.

Sun Protection :
SPF-30 preferably with zinc.

What It Does :
Removes excess fat, muscle and skin from upper and lower eyelids giving them a more awake and youthful look, while improving the contour. It does not by itself improve crow's feet or wrinkles around the eye. Pigmentation also is not changed by doing this procedure.

Best Candidates :
Men and women usually after 40 years in age related eyelid looseness. Eyelid looseness and bulges of fat in the upper and lower eyelids are as common in men as in women. Eyelid skin thins with age and the fat around the eyeball may start protruding out and becomes visible through the thin eyelid skin as fat bulges or puffiness above or below the eye. The looseness of skin may also impair field of vision and the brows may sometimes have to be lifted to improve field of vision.

Types of Anesthesia :
Local Anesthesia, Twilight Anesthesia (I V Sedation) or General Anesthesia

Length of Surgery :
1-2 hours

Length of Hospital Stay :
Outpatient

Length of Stay In The Country :
You should plan on being in the country for 7 days post-operatively, until the sutures are removed.

Swelling :
1-2 weeks

Bruising :
2-3weeks

Dressings :
None

Stitches :
Removed in 5-7 days

Back To Work :
Within 2-5 days

Activity and Exercise :
May resume in 2 weeks

Final Result :
6 months to 1 year

Sun Protection :
Important with sunglasses

What It Does :
A "nose-job" or Rhinoplasty is a surgery designed to improve the shape of the nose for cosmetic purposes as well as sometimes for function. The width of the nose, the height, the tip as well as the nostrils can be reshaped. The rhinoplasty procedure can be used to augment the weak parts and reduce the bumps and disproportionate parts. The nose will look more proportionate to the face and more aesthetically pleasing. This can be coupled with procedures to improve breathing.

Best Candidates :
Men and women preferably after adulthood

Types of Anesthesia :
Local Anesthesia, Twilight Anesthesia (I V Sedation) or General Anesthesia

Length of Surgery :
1-3 hours

Length of Hospital Stay :
Outpatient or Overnight

Length of Stay In The Country :
You should plan on being in the country for 7 days post-operatively, until the sutures are removed.

Swelling :
1-6 months

Bruising :
Improves within 7-14 days

Dressings :
Dressings are removed in 5-10days. Packing, if put in, will be removed in 1-7 days, but in average it is usually removed in 2 days. A splint is usually kept for a week or longer.

Stitches :
6-7days

Back To Work :
1 to 2 weeks

Activity and Exercise :
No aerobic activity for 2 weeks. No contact sports for 6 weeks. Glasses should be avoided first few weeks. Avoid blowing the nose for 2 weeks.

Final Result :
1 year

Special Instructions :
Avoid all nasal medications for 3 months before surgery.

What It Does :
To increase chin projection and augment and define the chin and jaw lin an implant is inserted beneath the skin and subcutaneous fat and muscle layer. It is often secured in place with sutures or screws.
A "genioplasty" or sliding of the chin bone is also a procedure to improve projection and definition of the chin.

Best Candidates :
Men and women with retrusive or underprojected chins often in conjunction with rhinoplasty to restore balance to the face.

Types of Anesthesia :
Local Anesthesia, Twilight Anesthesia (I V Sedation) or General Anesthesia

Length of Surgery :
1 hour

Length of Hospital Stay :
Outpatient

Length of Stay In The Country :
You should plan on being in the city for 7 days post-operatively, until the sutures are removed.

Swelling :
2-3 weeks. Worst first 2-3 days

Bruising :
2-3 weeks

Dressings :
Removed in 2 days

Stitches :
Removed in 7-8 days

Back To Work :
Within 2 days with bruising

Activity and Exercise :
2-3 weeks Avoid contact sports for 6 weeks.

Final Result :
6 months to 1 year

Sun Protection :
SPF-30 preferably with zinc

What It Does :
Augments and contours cheeks through hidden incisions using silicone or other implant materials.

Best Candidates :
Patients with underdeveloped cheeks after adulthood.

Types of Anesthesia :
Local Anesthesia, Twilight Anesthesia (I V Sedation) or General Anesthesia

Length of Surgery :
1 hour

Length of Hospital Stay :
Outpatient

Length of Stay In The Country :
You should plan on being in the country for 3 days post-operatively, until the sutures are removed.

Swelling :
2-3 weeks

Bruising :
2-3 weeks

Dressings :
Removed in 2 days

Stitches :
Absorbable stitches

Back To Work :
Within 2 days with bruising

Activity and Exercise :
2-3 weeks

Final Result :
6 months to 1year

Sun Protection :
SPF-30, preferably with zinc

What It Does :
Transplantation of hair from areas of relative abundance to thinning areas or areas of hair loss. All grafts are obtained from the patient's own hair.

Best Candidates :
Men and women with established thinning hair on their scalp but with good growth and density of hair on the back and sides of the head.

Types of Anesthesia :
Local Anesthesia

Length of Surgery :
4-5 hours

Length of Hospital Stay :
Outpatient

Length of Stay In The Country :
You should plan on being in the city for 8 days post-operatively, until the sutures are removed.

Swelling :
2-3 weeks

Bruising :
Mild 2-3 weeks

Dressings :
Minimal for 2 days

Stitches :
Donor site sutures 7-8 days

Back To Work :
Within 1-2 days

Activity and Exercise :
Avoid strenuous exercises for 2 weeks

Final Result :
6 months to 1 year

What It Does :
It raises droopy or ptotic eyebrows and improve the furrows between the eyebrows and horizontal lines on the forehead. The procedure tightens loose brow skin, or removes excess skin in some cases.

Best Candidates :
Men and women with droopy eyebrows

Types of Anesthesia :
Local Anesthesia, Twilight Anesthesia (I V Sedation) or General Anesthesia

Length of Surgery :
2-5 hours

Length of Hospital Stay :
Outpatient

Length of Stay In The Country :
You should plan on being in the city for 8 days post-operatively, until the sutures are removed.

Swelling :
2-3 weeks

Bruising :
2-3 weeks

Dressings :
Removed in 2 days

Stitches :
Removed in 7-8 days

Back To Work :
2 days with bruising but may take up to a week

Activity and Exercise :
2-3 weeks

Final Result :
6 months to 1 year

Sun Protection :
SPF-30 preferably with zinc