What to Expect
Botox and facial fillers
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Ear surgery usually takes about two to three hours, although complicated procedures may take longer. In a standard procedure, your surgeon makes a small incision in the back of the ear to expose the ear cartilage. The surgeon will then sculpt the cartilage and bend it back toward your head.
Another technique involves a similar incision in the back of the ear. Skin is removed and stitches are used to fold the cartilage back on itself to reshape the ear without removing cartilage. Ear surgery is usually performed as an outpatient procedure (you'll return home that same day), but occasionally the doctor may recommend it be done on an inpatient basis. In this case, the hospital stay is usually only overnight.
Eyelid surgery is usually done on an outpatient basis (you'll return home that same day) and generally takes one to three hours. In a typical procedure, the surgeon makes incisions following the natural lines of your eyelids — in the creases of your upper lids and just below the lashes in the lower lids. The incisions may extend into the crow’s feet (laugh lines) at the outer corners of your eyes. Working through these incisions, the surgeon separates the skin from underlying fatty tissue and muscle, removes excess fat, and often trims sagging skin and muscle. The incisions are then closed with very fine stitches, leaving nearly invisible scars.
If you have a pocket of fat beneath your lower eyelids but don’t need to have any skin removed, your surgeon may perform what's called a transconjunctival blepharoplasty. In this procedure, the surgeon makes the incision inside your lower eyelid, so it leaves no visible scar. We usually perform the transconjunctival blepharoplasty on younger patients with thicker, more elastic skin.
Techniques for facelifts vary depending on your facial features, your surgeon’s preferences, and the desired results. The procedure may be performed on an outpatient basis (you'll return home that same day) or require a short hospital stay (usually just one night), depending on what the surgeon thinks is best.
Typically, the incision is hidden in the natural contour of the ear and then extends around the earlobe and back into the hairline. Following surgery, the incisions are easily concealed by hair or with makeup. Working through these incisions, the plastic surgeon frees the skin from its underlying tissues and pulls it upward and back. The excess skin is then removed.
In some cases, the deeper tissues may also be repositioned to restore a more youthful contour to the face. If necessary, an incision under the chin allows the surgeon to remove fatty tissue in that area and smooth the cord-like structures of the underlying muscle in the neck.
Your plastic surgeon will explain additional procedures that can be performed with a facelift. For example, a facelift is often combined with a brow or forehead lift, eyelid surgery, nose reshaping, liposuction of the face and neck, neck lift, and skin treatments. Your treatment plan will be customized to your personal needs and goals.
Forehead lift or brow lift
To perform a brow lift, the surgical team begins by tying your hair with rubber bands in front of and behind the incision area. Your head will not be shaved, although hair immediately in front of the incision line may need to be trimmed. In most cases, the incision will start at about the level of your ears and run across the top of your forehead. If you have a high or receding hairline, the surgeon may make the incision just at the hairline to avoid making the forehead appear even higher. By wearing hair down on the forehead, most scars will not be noticeable.
Liposuction of the face and neck
Liposuction of the face and neck is usually performed on an outpatient basis (you'll return home that same day). The procedure generally takes from 30 minutes to two hours, depending on the area and amount being suctioned. To begin the procedure, the surgeon makes a small incision just large enough to allow the insertion of a hollow tube called a cannula. The opposite end of the cannula is attached to a machine that creates a strong vacuum. Your surgeon manipulates the cannula deep within the fat layers under the skin, breaking up the fat, and suctioning it out.
Nose and nasal tip surgery
Rhinoplasties are usually done on an outpatient basis (you'll return home that same day), but complex procedures may require a short inpatient stay (overnight in the hospital). A typical procedure usually takes one to two hours. During the surgery, your surgeon separates the skin of your nose from its supporting framework of bone and cartilage, which is then sculpted to the desired shape. The skin is then re-draped over the new framework.
Many plastic surgeons perform rhinoplasty from within the nose, making their incision inside the nostrils. For more complicated rhinoplasties, your surgeon may need to use an "open" approach. In this case, the surgeon makes a small incision across the columella (vertical strip of tissue separating the nostrils). Following surgery, a splint will be applied to help your nose maintain its new shape. Nasal packs or soft plastic splints also may be placed in the nostrils to stabilize the septum (the dividing wall between the air passages).