One of the most common plastic surgery procedures, rhinoplasty is performed to reshape, reduce or augment a person's nose. 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.
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.
Dr. Sabini uses one of two techniques: the incision is either made within the nostrils, 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.
To view before and after images click Rhinoplasty.
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Blepharoplasty can rejuvenate puffy, sagging or tired-looking eyes by removing excess fat, skin and muscle from the upper and lower eyelids. It may be performed for cosmetic reasons or to improve sight by lifting droopy eyelids out of the patient's field of vision. Blepharoplasty can be combined with BOTOX® treatments to raise the eyebrows or reduce the appearance of wrinkles, crow's feet or dark circles under the eyes.
Incisions are made along the eyelids in inconspicuous places (in the creases of the upper lids, and just below the lashes on the lower lids). Dr. Sabini removes excess tissue through these incisions and then stitches them closed with fine sutures. In the case that no skin needs to be removed, Dr. Sabini will likely perform a transconjunctival blepharoplasty, where the incision is made inside the lower eyelid and there are no visible scars.
To view before and after images click Blepharoplasty.
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 Browlifts can revitalize drooping or lined foreheads, helping you to look less angry, sad or tired. Using either traditional or minimally invasive (endoscopic) methods, browlifts involve the removal or alteration of the muscles above the eyes to smooth lines and raise the eyebrows for a more youthful appearance. The procedure is often combined with other operations such as blepharoplasty (eyelid surgery) and facelifts to improve the look of the eyes and other areas of the face.
While browlifts are typically performed on patients aged 40-60 to counteract the effects of aging, anyone with lined or inelastic skin on the forehead - whether it's caused by muscle activity or inherited conditions - is eligible. The procedure can be performed in a surgery center under sedation anesthesia.
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Ear surgery typically serves two functions: setting prominent ears back closer to the head, and reducing the size of large ears. Surgery may also be helpful for "lop ear," "cupped ear" and "shell ear," large or stretched earlobes, and lobes with large creases and wrinkles. Dr. Sabini is also able to construct new ears for patients who are missing them from injury or other causes.
Although surgery for adults is available, the operation is most often performed on children aged 5 to 14 -- ears are almost fully grown by age four, and early surgery can prevent a child from being teased in school.
Otoplasty lasts from two to three hours and may be performed in a hospital, office-based facility or an outpatient surgery center. General anesthesia is recommended for very young patients, while local anesthesia and a sedative are used for older children and adults.
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Facial liposuction sculpts the face by by removing areas of fat from the cheeks, chin or neck (“neck lift”). For patients looking to tone the cheeks or jowls without the need to tighten sagging skin, liposuction can be an effective and less invasive alternative to a facelift.
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 In time, gravity, sun exposure, and the stresses of daily life take their toll on our faces: deep creases appear beside the mouth, the jaw line slackens, and folds and fat deposits appear on the neck. Facelifts counteract these problems by removing fat and tightening skin and muscles, giving your face a fresher, youthful look.
A facelift can be combined with a browlift, eyelid surgery or nose reshaping for more dramatic results, or it can be restricted to the neck (necklift) if the patient's problems center there. Incisions are made in inconspicuous places such as behind the hairline and in natural folds of the face and ears, and scars fade to near invisibility in time. Results of a facelift do not last forever, but in another sense, the effects are permanent; years later, your face will continue to look better than if you had never had the procedure.
To view before and after images click Rhytidectomy.
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