The aging process can lead to loose, sagging skin around the jaw, neck and lower face. The facelift procedure, technically known as rhytidectomy, rejuvenates the face by elevating and contouring excess skin from the lower face and neck. In many cases unwanted fat is also removed from the neck. The standard facelift procedure does not include improvements to the upper and lower eyelids or the forehead.
Patients undergoing a facelift procedure often choose to include upper and/or lower eyelid (Blepharoplasty) and forehead surgery (Browlift) to compliment the lower face rejuvenation. Nose reshaping (Rhinoplasty) can also be performed with the facelift procedure in select patients.
A facelift alone usually requires about 2.5-3 hours. Incisions are hidden in the hairline and in natural skin creases. If excess fat is present in the neck, Dr. Fealy rejuvenates this area with liposuction performed through a small incision under your chin. A ‘full’ facelift includes eyelids, forehead, neck, and lower face and can take 4-6 hours. These outpatient procedures are performed under general anesthesia. Depending on the patient and procedures performed, facelift stitches are removed in five to seven days. Patients return to work in one to two weeks.
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With time, aging and stress, the forehead can develop deep, horizontal and vertical lines as well as heavy, sagging eyebrows. These changes can make a person look older and more tired than they feel, and convey unintended emotions like anger and aggression. An Endoscopic browlift provides a more refreshed appearance by smoothing the forehead reducing frown lines, and elevating the brow. In some cases, the procedure can also raise sagging upper eyelids.
Dr. Fealy is an expert in the use of the Endoscope, a surgical system that allows him to use small incisions and use a small camera to see under the skin while he works. Specialized thin instruments are used to perform the procedure.
The Endoscope is an advance because it removes the need for one long incision. Instead, three to five incisions less than an inch long are made to accommodate the small instruments. One instrument, the ‘scope’, carries a tiny camera and light; the surgeon sees what he is doing by watching his movements on a television monitor. With the Endoscopic technique, the doctor lifts the forehead skin and supporting tissues, makes the necessary alterations and then fixes the tissues to the bone in a higher position. Most patients return to their usual routines in five to 10 days.
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One of the most delicate and demanding cosmetic procedures is the rhinoplasty, or nose reshaping. A human nose is a three-dimensional complex structure composed of bone, cartilage, connective tissue and skin. It literally requires years of study, just to understand the subtle anatomy of the nose. Removing a small piece of cartilage can make a significant difference in the way a nose looks after healing.
Dr. Fealy has not only mastered surgery of the nose, he has mastered the surgical repair of noses that were incorrectly reshaped during a previous surgery. Technically, it’s a procedure known as secondary, or revision, rhinoplasty.
During many nasal reshaping procedures, small chin implants are inserted to create aesthetic facial proportions and a more balanced profile.
Look at some before-and-after pictures of Dr. Fealy’s nasal reshaping patients.
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Eyelid surgery, a procedure technically known as a blepharoplasty, is a very popular procedure. Excess upper eyelid skin can obscure vision as well as make a person look haggard and prematurely aged, and drooping lower eyelids can add to the effect.
Removal of this excess skin and fat creates a dramatic improvement in appearance. The result is a more open, brighter look to your eyes and a more rested appearance for your entire face.
An upper and/ or lower blepharoplasty is relatively modest in cost, takes between an hour or two to perform, and usually heals within four to five days.
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