At Mira Aesthetic Medical Center we love seeing our patients transformation throughout their journey with us. It is truly rewarding to see the confidence we are able to restore to our patients through procedures like Rhinoplasty, Fat Transfer, Face Lifts, and more. Here are a few examples of what results would like for patients looking for weight loss, body contouring, reconstructive and aesthetic solutions.
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A variety of facelift procedures are available. They range from simple to complex. The more extensive the sun damage and aging changes, the more complex the procedure needs to be to provide the desired result. It is often better to “intercept” aging changes early and perform more limited procedures for correction. The Easy Lift is for individuals with moderate aging changes.
The nose is one of the most noticeable facial features, defining and accentuating the rest of the face. Surgery to cosmetically alter its shape is one of the most popular procedures available today. Common problems include a hump, a nose that is too long or wide, deformity, and obstructions of the nasal cavity are all problems that can be corrected with rhinoplasty. The best candidates for the surgery are people with realistic expectations and good health. It is important to remember that in rhinoplasty, perfection can never be the goal. Since the nose is the most defining characteristic of the face, a slight alteration can greatly enhance one’s appearance. Patients older than their mid to late teens are normally preferred.
PRIOR TO SURGERY
A complete medical history and a careful examination with blood tests will be done in the initial preoperative visit to determine the general health of the patient. The surgeon will also evaluate the shape and structure of the patient’s nose, and determine the extent of surgery required given the description of ones desired nose. The surgeon will also discuss other options available to help achieve the desired facial look, such as a chin augmentation, in addition to the rhinoplasty to create a better balance of features. Photographs may also be taken before and after surgery to evaluate the extent of improvement. Moreover, the surgeon will discuss the procedure, realistic expected results, type of anesthesia to be used, and possible risks of surgery. Some insurance companies will pay for a rhinoplasty to correct a nasal obstruction. Preoperative instructions generally include taking certain vitamins and elimination of certain drugs to minimize the possibility of excess bleeding. Furthermore, antibiotics may be prescribed for the days prior to surgery in order to prevent infection.
Rhinoplasties are generally performed at an outpatient surgical facility or the physician’s office under general or local anesthetic, depending on the patient and doctors preference. The complete surgery can take anywhere from one to two hours. Two basic incision techniques are available. In the “closed” method the incisions are made inside the rim of the nostrils and scars are mostly hidden. In more complicated cases, the “open” technique must be used, in which the incisions are made at the base of the nose and nostrils. This procedure allows better visibility of the surgical area. After the cuts are made, the skin is lifted and certain amounts of cartilage and bone are removed or rearranged to give the nose a new shape. Any breathing obstructions can also be corrected at this time. The skin is then draped over the restructured nose and the incisions are closed. A splint is then applied to the outside of the nose and nasal pads may be used inside the nostrils to stabilize the dividing wall between the air passages.
Patients usually are free to go home after surgery but supervision will be required to help around the house for a day or two. The nasal pads are removed within two days and the splint and non-dissolvable stitches are removed within a week. Pain and discomfort from the surgery can be controlled with medication and normal swelling and bruising will occur around the eyes and treated areas. However, cold compresses and elevation of the head can reduce these side effects. It is also common to have a little bleeding and nasal stuffiness; the physician will explain when it is safe to lightly blow the nose. All bruises and facial discolorations will disappear within 2-3 weeks but it is important to still be careful not to hit the nose, let it sunburn, or wear glasses. In addition, any activity that raises blood pressure should be avoided for the first several weeks. One must remember that final results may not be seen until up to a year after surgery, although the bruises would have subsided before this time.
Each year thousands of rhinoplasties are performed successfully. Complications are rare but as with any surgery, inherent risks are present. Patients can minimize these risks by carefully following the physician’s pre- and post-operative directions.
As a person ages, the skin surrounding the eyes tends to lose elasticity and the area under the eyes accumulates excess fat. This can cause the face to appear bloated, giving it an older appearance. In severe cases, sagging skin can hinder normal eyesight. Blepharoplasty is a surgical procedure that can restore a youthful appearance to the eye area. The upper and lower eyelids are lifted and excess fat cells or loosened skin are removed from the affected area. The procedure is limited to the eyelids and does not attempt to improve other areas of the face.
A fat transfer can be used to correct skin defects such as deep furrows and wrinkles on the face and other depressions on other areas of the body. This procedure re-contours the face and corrects facial or body deformities.
Active FX is a fractional laser skin resurfacing procedure performed in a single treatment, with minimal downtime, here in our office. Fractional resurfacing has emerged recently as the new gold standard for treating aging skin, as well as pigmentation and scars.
The Active FX is a new, less invasive version of the CO2 resurfacing laser. Just like a CO2 laser, the Active Fx uses the same technology that is considered the gold standard for reducing wrinkles, lines and pigmentation. The critical difference is that the Active FX is a fractionated laser, like the Fraxel. Unlike the traditional CO2 laser that requires anesthesia, Active FX requires only topical anesthetics.
In one 30 minute treatment, the Active Fx laser improves lines under the eyes and around the lips better than any other laser on the market today. During the same treatment, Active Fx wil shrink pores, reduce pigmentation and eliminate lines throughout the rest of the face. After three to five days of mild swelling and about a week of sunburn-like redness, the skin is dramatically improved. The treatment also stimulates collagen growth so improvements continue for several months after the procedure. The treatment can be repeated after 6 months, but most people are satisfied with the results of their first procedure.