Facial Plastic Surgery
Brief descriptions of each facial procedure are listed below on this page. However, for more detailed information, including faqs on each surgery, please click on the name of the desired procedure below.
Browlift (forehead lift) surgery is designed to elevate the outer brow. The elevation of the brow not only restores a youthful slope to the brow, but it also lifts skin off the outer upper lid. Additionally, wrinkles across the forehead and between the eyebrows can be treated by resecting the muscles in these areas, a surgical Botox that is permanent. Brow Lift may involve either small incisions concealed in the hairline or a longer incision over the top of the scalp, generally still behind the hairline.
A facelift (rhytidectomy) addresses the “jowl” area on the lower face as well as the cheek and neck. Incisions are modified for the individual patient, but generally extend from the sideburn, around in front of the ear, and then behind the ear in the hairline. On a thin face with little skin excess, a minifacelift may be done with similar incisions. An incision under the chin may be needed for more extensive tightening on the neck.
Eyelid surgery (blepharoplasty) is used to reduce the amount of excess tissue around the eyes that often results in a tired appearance. Upper blepharoplasty removes excess skin from the upper lid and sometimes a small amount of fat. Lower blepharoplasty generally involves removal of skin as well as fat that may be producing bags under the eyes. Occasionally, the fat alone may be removed, resulting in no visible scars.
A necklift is similar to the neck portion of the facelift, but does not focus on treating the upper face. The incisions may either be similar to the facelift incision, or confined to the incision below the chin. Suture suspensions may also be employed in combination with the lift to produce a more dramatic effect.
Facial implants may be placed as a primary procedure, but are often done in combination with other procedures such as a facelift, chin and / or neck liposuction, brow lift, neck lift, rhinoplasty, and other cosmetic procedures, to complement a result. Recovery depends on the area being treated and if additional procedures have been performed during the same surgical visit.
Rhinoplasty techniques must vary depending on the desires of the patient and the operative plan. There are two basic approaches to rhinoplasty: open and closed. For reducing the hump on the top of the nose and improving a person’s profile, the closed technique works very well. This involves incisions inside the nose only and may or may not involve breaking the nasal bones to reset their position. If there are to be extensive changes to the tip of the nose (usually to change a boxy tip), then the open rhinoplasty approach is often used. This involves the incisions inside the nose as well as a small incision across the columella (the thin strip of skin extending from the upper lip to the tip of the nose).
Otoplasty (ear pinning) is designed to correct protruding ears. This may be addressed either as a child (as young as 6) or in adults. The incisions are confined to the skin behind the ear and involve some combination of sutures, cartilage excision and skin removal.
Lip augmentation can be achieved through soft tissue augmentation. This may require multiple injections to distribute the filler for enhanced lip fullness and to raise or define a cupid’s bow or vermillion border. Loss of volume in the lips may be the result of aging, or some people are simply born with thin lips. Enlarging the lips is directed at increasing the visibility of the pink portion of the lip (for women, the area where lipstick is applied).
A person’s own tissue may be used for lip augmentation either in the form of skin or fat. Fat is the more common choice because it is easily harvested from almost anywhere on the body with minimal scarring, there is no risk of allergic reaction, and a portion of the transferred fat will become permanent. Repeat sessions can then be used to tailor the final volume.
Injectable fillers used by Dr. Houser include Juvederm Ultra, Juvederm Ultra Plus, and Voluma. These work in the same way as fat transfers without the need to transfer fat from another part of the body. Recovery time is usually about 1 week, depending on the area(s) treated.
Botox® is a chemical that is injected into muscles to reduce movement, thereby reducing wrinkles. Treatment is highly effective, but may require 2 or 3 treatments to smooth the wrinkle, usually every 3 months.