Surgeons often fill frown lines with fat to decrease the appearance of lines between the eyebrows. The grafts are either injections of fat or strips of fat, often harvested from skin left over after a face-lift. Large grafts may absorb but smaller grafts are more likely to succeed and be permanent. Even if the graft absorbs there is usually some improvement due to the release of fibrous bands and scar tissue.
When fat is introduced under the skin, the fat closest to the surrounding tissue picks up a blood supply more quickly and so is likely to survive. Fat in the center of the graft may not get a new blood supply and may die (necrose) and eventually be converted to scar tissue. This may be lumpy. Fat grafts are not new and in one form or another have been in use for over a hundred years.
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Customized treatment plans for individual patients using the latest techniques and technology make it possible to successfully compensate for thinning hair or baldness. During a hair transplant, thin strips of skin containing hair are taken from the back of the scalp. The hair follicles are then dissected meticulously into 1-, 2-, 3-, and 4-follicular unit grafts and placed in tiny holes in the bald or thinned area. The grafted hair falls out after the procedure but then grows back and should last as long as the hair from the area in which it was taken
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One of the most common plastic surgery procedures, rhinoplasty is performed to reshape, reduce or augment a person's nose, remove a hump, narrow nostril width, change the angle between the nose and the mouth, or to correct injury, birth defects, or other problems that affect breathing. Results depend on the patient's nasal bone and cartilage structure, facial shape, skin thickness and age (teenagers should have had their growth spurt). Insurance may cover rhinoplasty if it is done for reconstructive or medical reasons, but likely not for cosmetic purposes.
Rhinoplasty is usually an outpatient procedure performed under either local or general anesthesia and lasts one to two hours unless more extensive work needs to be done.
Surgeons use one of two techniques: the incision is either made within the nostrils, thus hiding scars after surgery, or across the columella (the vertical strip of tissue separating the nostrils) in an "open" procedure, where scars are small and hidden on the underside of the base. In both procedures the skin is lifted, the bone and cartilage sculpted, and the skin replaced and stitched closed.
For a short time after surgery you may experience puffiness, nose ache or a dull headache, some swelling and bruising, bleeding or stuffiness. Most patients feel like themselves within two days and return to work in about a week. Contact lenses can be worn immediately but glasses will have to be taped to your forehead or propped on your cheeks for up to seven weeks.
Complications are rare and, when they occur, minor. These may include infection, nosebleed, or a reaction to the anesthesia.
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Thermage™ is a quick, easy and non-invasive alternative to a face lift. It can also be used on the hands, abdomen, arms, legs, and buttocks. Using painless radiofrequency energy, Thermage "lifts" and tightens loose and sagging skin to restore youthful vigor to patients' skin. The Thermage device stimulates collagen production and temporarily reduces wrinkles while keeping the skin surface cool and comfortable. There is no incision or recovery time. Results vary from person to person but can last for a few years.
