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Facial cosmetic surgery has come a long way since its humble beginnings.  The advancement in technology alone has provided the industry with a much broader range of facial surgical options.  We offer a variety of facial surgery and rejuvenation procedures that will enhance the natural beauty of your face.  Talk to the doctor during your initial consultation about your goals for facial rejuvenation. The facial services we offer include:

• Sculptra Aesthetic
• Facelift
• Forehead Lift (Brow Lift)
• Eyelid & Brow Surgeries
• Chin & Cheek Implants
• Ear Surgery
• Lip Augmentation and Fillers
• Chemical Peels
• Dysport Treatments
• Rhinoplasty
• Fat Transfer

 

Sculptra Aesthetic

Welcome to the new age of anti-age! Our office is happy to introduce Sculptra® Aesthetic as a treatment option for patients who desire a more youthful facial appearance. Sculptra ® Aesthetic is the first facial injectable that gives you subtle results over time by replacing lost collagen. It helps correct shallow to deep facial wrinkles and folds that appear with aging.

Age doesn't have to look the way it used to. It's more subtle. More gradual. Shouldn't your anti-age be just as subtle? 
 

Sculptra ® Aesthetic works to replace lost collagen in a series of treatments administered by a Sculptra trained physician like Dr. Charles Day. On average, three injection sessions are needed over a period of a few months, which can last up to two years. The number of injection sessions and the number of injections per session vary from person to person. 

 

Facelift

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A Facelift (Rhytidectomy) is a surgical procedure designed to smooth and firm the skin, providing a fresh and youthful appearance. Throughout one’s life, the sun’s radiation, stress, gravity, and other factors cause the skin to sag and fit more loosely. Areas of the face and neck, and in particular around the jaw line, are especially prone to the aging process. Though these changes are gradual, wrinkles and other signs of aging can make individuals “feel older” than they are.

Surgery for a facelift involves the contraction and realignment of facial and neck skin, and in some instances the removal of excess fat deposits.  A facelift is often performed in combination with other facial cosmetic procedures, and can be performed any time signs of aging start to appear.

Reasons for Considering a Facelift:

• Sagging skin, muscles, and fat in the face and neck.
• Excess skin and fat on the neck.
• Sagging jaw line.
• Crease lines along the nose, mouth, and chin.

The most important thing to understand about a facelift and facial aging, is that everybody ages differently. Aside from genetics, there are a wide variety of different causes to your skin aging, including sagging of excess skin, deflation of the face due to weight loss, changes to the bony structure around the mouth and eyes, and bulging of fat around the lower eyelids. Other causes are still in the process of being fully understood, but the point still stands: people skin ages differently. What this means that no single operation or procedure should be applied to all people. Instead, talk to your plastic surgeon. They should be comfortable with a variety of different facelift techniques in order to help 'customize' your treatment.

 

Upper Eyelid & Brow Surgery

Eyelid surgery is one of the most commonly performed cosmetic operations. It's done by a wide variety of surgeons to improve the excess skin that hangs over the upper eyelids. At ASA, we emphasize that the upper eyelid should never be evaluated for problems by itself: the appearance of the upper eyelid is heavily dependent on the position of the eybrow, and there are many factors to consider when preparing for surgery.

 

Upper Eyelid Surgery

Eyelid surgery (known as blepharoplasty) is a corrective procedure that can reduce dark circles or “bags” under the eyes, remove excess wrinkles, and provide a more youthful appearance to the eyes. One of the first things people notice about you is your eyes. During the aging process, wrinkles, lines, and puffiness contribute to a tired or aged look.  The blepharoplasty surgery is often performed in conjunction with other facial procedures such as a face lift or brow lift.      

Reasons for Considering Eyelid Surgery:

• Dark circles or bags under the eyes.
• Excessive skin or wrinkles surrounding the eyelids.
• A tired appearance or puffiness due to inherited factors.

Eyelid surgery is one of the most commonly performed cosmetic operations. It's done by a wide variety of surgeons to improve the excess skin that hangs over the upper eyelids. At ASA, we emphasize that the upper eyelid should never be evaluated for problems by itself: the appearance of the upper eyelid is heavily dependent on the position of the eybrow, and there are many factors to consider when preparing for surgery.

 

Lower Eyelid Surgery

Lower Eyelid surgery is most commonly performed due to patient dissatisfaction with lower eyelid “bags”. Lower lid surgery is done by a wide variety of surgeons across a broad range of specialties. Here at ASA, we emphasize that the lower eyelids should never be evaluated for problems by themselves. The appearance of the lower eyelid is heavily dependant on the position of the midface, or cheekbone area. If you learn nothing else about the lower eyelids, please take home the fact that the lower eyelids and the midface are an integral unit. One should never be evaluated without simultaneously evaluating the other. Problems with lower lid position after cosmetic surgery are common, and difficult to correct when serious.

 

Chin and Cheek Implants

High cheekbones and a strong jaw line have long had a history of allure.  Along with the eyes, the cheekbones and jaw line form the most photogenic aspects of the face.  Chin and cheek implants are a great way to enhance a facial profile by improving the overall proportion and balance of the face.  With chin implants (mentoplasty), the symmetry of the face can be shaped and contoured.  Cheek implants (malarplasty), also known as malar (high cheek) or submalar (low cheek) augmentation, can add fullness and definition to the face.  Utilizing permanent chin and cheek implants can provide a rejuvenated, youthful facial profile.

Reasons for Considering a Chin and/or Cheek Implant:

• Extend or enlarge the chin if the chin is recessed or small.

• Create a more defined facial profile if the jaw, chin, or cheeks lack distinction.

• Bring the various aspects of the face into proportion.

• Round out the cheeks if they are hollow due to heredity or aging.

• Accent the upper cheeks making them appear higher and fuller.

General Procedure

With chin surgery, an implant is inserted in front of the jawbone in order to augment the chin or jaw.  A small incision is made inside the mouth to allow the implant to be positioned in a pocket just under the skin.  An alternate location for this incision is below the chin (on the outside).  Chin surgery is commonly performed along with rhinoplasty (nose surgery).  With cheek augmentation, incisions are made either inside the mouth, through the lower cheek, or directly below the bottom eyelid on the high cheek.  Cheek surgery is often performed in conjunction with a facelift procedure.  Both chin and cheek implant procedures normally last from 30 minutes to one hour.

Ear Surgery

Surgery of the ear, also known as otoplasty, is a procedure that helps reduce protrusion of the ear away from the head.  Most often, ear surgery is performed on children between the ages of four to fourteen.  Ears that “stick out” are often the source of teasing and ridicule in young children.  This teasing can have a devastating effect on the child’s psyche.

Otoplasty is not limited to children and may also be performed on older patients.  Cosmetic procedures are available for those individuals with large ears and for those with congenital (birth) irregularities that detract from their appearance.  Additionally, an individual’s ears may exhibit abnormal traits due to their genetic make-up or an accidental injury, such as losing an ear or part of an ear.  Otoplasty is used successfully for each of these situations.  Regardless of the procedure, patients have been pleased with the long-lasting improvements to their appearance offered by ear surgery.

Reasons for Considering Ear Surgery:

• Bring proportion to the face if the ears “stick out” too much.

• Correct folded ear tips (lop ear).

• Reshape long or offset earlobes.

• Enhance very small ears or other congenital defects.

• Remedy an accidental injury, including the loss of an ear.

General Procedure

Ear surgery is commonly performed under general anesthesia for children and local anesthesia for adults.  The standard otoplasty procedure brings the ears closer to the head.  Otoplasty begins with an incision hidden in the crease behind the ear.  This incision allows the cartilage located behind the ears to be reshaped in order to position them closer to the head.  The procedure takes approximately one to two hours, depending upon the extent of surgery.

There are various surgical techniques involved in correcting irregularities other than protruding ears.  These techniques can be discussed with your physician during the initial consultation.

Recovery Process

After the surgery is completed, large bandages will be wrapped around the head. This method secures the ear in place and assists with the healing process.  The bandages are usually removed within a week and replaced with smaller dressings.  Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and reduce the recovery time.  Patients sometimes report minor pain associated with surgery.  Any pain can be treated effectively with oral medication. While complications are rare, patients can minimize potential problems by carefully following the post-operative directions.

 

Nose Surgery

Nose surgery (Rhinoplasty) is a procedure to reshape the nose in order to create a more pleasing look and, in some instances, to correct severe breathing problems.  With approximately 400,000 operations performed each year, rhinoplasty is considered the most popular cosmetic procedure in the United States.  Rhinoplasty usually involves reducing the size of the nose by removing and sculpting the nasal tissues in order to enhance the facial appearance.  The results are unique to each individual, and depend upon such factors as skin condition and thickness, nasal and facial structure, genetic contributions, and age.  Traditionally, a “nose job” was performed only to correct major problems.  However, recent surgical innovations allow for individuals to benefit from more moderate improvements from the procedure as well.  In general, having nose surgery provides the patient with a better facial balance and overall appearance.

Reasons for Considering Nose Surgery:

• Bring a better proportion to the nose and facial features.

• Reduce the size of the nose that is too large or too wide.

• Correct an overly arched or “Roman” nose.

• Re-form a crooked or elongated nose tip.

• Treat nasal deformities caused at birth.

General Procedure

The rhinoplasty procedure lasts from one to three hours.  The surgeon may elect to utilize either local or general anesthesia, depending upon the complexity of the operation.

To begin the surgery, tiny incisions are made which allow the surgeon to access the underlying nasal structure.  Once the skin is opened, the cartilage and bone are reshaped to form the basis for the new look.  Two basic methods are utilized for performing nose surgery.  These methods are referred to as the ‘open’ and the ‘closed’ techniques.  The open technique allows for maximum visibility and control over the procedure.  The incision used in the open technique is placed in-between the nostrils on the columella (the medial nostril strip).  In the closed technique, the incisions are internal and heal faster; however, there is less surgical control over the outcome.  The physician can discuss which technique is best when the patient arrives for the initial consultation visit.

Recovery Process

Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and to reduce the recovery time.  Some swelling may be noticed; however, any swelling will disappear within a few weeks.  A splint, bandages, and/or gauze are applied immediately following surgery to aid in the healing process and to minimize movement of the nose.  Patients must refrain from smoking for several weeks before and after the surgery.  In addition, any corrective glasses that are worn must be taped up and off the nose.  The nose will need to be well-protected from the sun for the first year after the procedure while the body is adjusting to the new look.  Patients sometimes report minor pain associated with the surgery.  Pain can be effectively treated with oral medication and/or cold compresses.  While complications are rare, patients can minimize the risk of potential problems by carefully following the post-surgical directions given by the surgeon.

Lip Augmentation

Lip augmentation is a procedure designed to make the lip or lips fuller, more youthful, and more sensuous in appearance. This procedure can also help to decrease the lines around the mouth known as “smoker’s lines” that wick lipstick.

 

Will my lips be swollen after and for how long?
All substances used for lip augmentation will lose volume to differing degrees (see the above question). This means that it is necessary to over-augment at the time of the procedure to allow for the inevitable shrinkage that will occur. Swelling after Alloderm implantation is typically much less that fat grafting, and resolves much more quickly.

Is this procedure permanent?
At the present time there is no permanent substance for lip augmentation. Some fillers such as Alloderm last much longer than Bovine collagen or injection of one’s own fat.

 

Chemical Peels

A chemical peel is an aesthetic procedure performed to achieve better skin tone and to remove fine lines, especially on the face.  The chemical solution removes outer layers of skin which are damaged by age, sun, acne, wrinkles, or pigmentation problems.  Removing the outer skin prompts the body to generate a new layer of skin cells which are tainted by the previous skin condition.  Chemical peels may not be appropriate for darker skin complexions.

Reasons for Considering a Chemical Peel:

• Reduce facial wrinkles and lines.

• Improve sun-damaged skin.

• Correct age spots and pigmentation problems.

• Lighten scars (especially from acne).

• Treat precancerous skin lesions.

General Procedure

At the time of your procedure, any active skin disease, infection, or acne needs to be under control in order to maximize results.  There are several different types of chemical solutions which can be used, ranging from a mild solution to a very strong one.  The surgeon will select what is best for the patient based on their skin condition, color, and desired result.

During the procedure, the skin is first cleansed of oils.  A solution is then carefully applied and is allowed to remain on the skin for a short time in order to remove the layers of damaged skin.  At this point, the skin will turn white, a frost-like effect.  The skin is then neutralized and cleansed.  Finally, an ointment is applied to the skin to aid in healing.

Recovery Process

Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and recovery time.  An ointment and dressings are applied immediately following surgery to aid in the healing process and to minimize swelling.  The skin will have a pinkish color, and a thin crust may form over the area that was treated.  Patients sometimes report minor pain associated with the procedure, which can be treated effectively with oral medication.  While complications are rare, patients can minimize potential problems by carefully following the post-operative directions given by the surgeon.  Recovery time varies depending upon the extent of the chemical peel and can sometimes take several months.

 

Dysport Treatment

Dysport® is a relatively new procedure using Botulinum Toxin which was developed to treat the visual signs of aging by reducing or removing wrinkles.  The procedure is considered a safe, effective way of treating aging skin.  Common areas for Dysport® injections include horizontal forehead furrows, vertical lines between the eyebrows and "crow's feet" around the eyes.  Dysport® has proven to be the best non-surgical form of facial rejuvenation and is capable of producing phenomenal improvements in your appearance.

Reasons for Considering a Dysport Treatment:

• Excessive facial wrinkles.

• Large wrinkles or furrows in your forehead.

• Small wrinkles or “crow’s feet” around your eyes.

• A vertical “frown line” between your eyebrows.