Plastic & Reconstructive Surgery at the Facial Institute

In the past decade with advancements in medical science and surgical techniques, the field of plastic surgery has undergone tremendous changes and become highly specialized. At the Alpha Surgical Group and Facial Institute, we pride ourselves in being able to offer you this highly specialized individual care. We have surgeons who specialize exclusively in regional plastic surgery such as: Oculoplastic & Orbital Reconstructive Surgery, Facial Plastic & Reconstructive Surgery, and Rhinoplasty. This gives you access to specialists with the latest treatments and most advanced techniques.

  F A C I A L   R E J U V E N A T I O N

The aging process affects every individual differently. Genetic, environmental and gravitational forces have significant impact on the facial appearance. Facial rejuvenation cannot exclusively rely on surgery. The Comprehensive Facial Rejuvenation ConsultationT will discuss non-invasive and surgical management tailored to each specific patient. Facial plastic surgeons, Oculoplastic surgeons, skin care specialists, anti-aging physicians and make-up consultants are utilized to enhance the overall experience and outcome. A systematic approach will be undertaken to address the face, eyes and neck in its entirety in order to obtain a balanced, natural and un-operated appearance.

There are many non-invasive procedures that can be utilized to improve the facial appearance. Many patients will not need any further surgical intervention.

Many of these procedures are explained in more detail in the Cosmetic section and at the FacialInstitute.com site. The options include:

  • Laser resurfacing
  • Chemical peels
  • Soft tissue augmentation and fillers
  • BOTOX®
  • Collagen
  • Restylane®
  • Radiance®
  • Juvederm
  • Sculptra
  • FAMI facial rejuvenation: Facial Autograft Muscle Injection
  • FAB facelift (non-surgical)
  • Facial fat transplantation

Alternatively, the patient may also benefit from facial plastic surgical intervention. All regions of the face will be evaluated in order to achieve a balanced and aesthetically pleasing outcome. Surgical and non-surgical methods are often combined in order to get the best results. The following regions and surgical options will be discussed:

  • Rhinoplasty- (nose job)
  • Blepharoplasty - plastic surgery of the eyes
  • Brow lift - endoscopic forehead lift
  • Facelift (rhytidectomy)
  • Midface lift
  • Cheek implants (malar and submalar)
  • Chin augmentation
  • FAMI - fat grafting

In conclusion, a facelift alone cannot be considered complete facial rejuvenation. A comprehensive approach must be utilized to obtain consistent results that are natural and long-lasting.

  R H I N O P L A S T Y    

As with all facial plastic surgery, good health and realistic expectations are prerequisites. Understanding nasal surgery is also critical. Since there is no ideal in rhinoplasty, the goal is to improve the nose aesthetically, making it harmonize better with other facial features.

Skin type, ethnic background, and age are important factors to be considered in discussions with your surgeon prior to surgery. Before the nose is altered, a young patient must reach full growth, usually around age fifteen or sixteen. Exceptions are cases in which breathing is severely impaired.

Before deciding on rhinoplasty, ask your facial plastic surgeon if any additional surgery might be recommended to enhance the appearance of your face. Many patients have chin augmentation in conjunction with rhinoplasty to create a better balance of features.

Whether the surgery is desired for functional or cosmetic reasons, your choice of a qualified facial plastic surgeon is of paramount importance. Many facial plastic surgeons are trained in both ear, nose, throat, and facial cosmetic surgery, which provides you, the patient, with the highest level of training and expertise. Your surgeon will examine the structure of your nose, both externally and internally, to evaluate what you can expect from rhinoplasty. You are most likely to be pleased with the results of your surgery if you have a realistic idea of what nasal surgery can and cannot do.

The definition of rhinoplasty is, literally, shaping the nose. First, incisions are made and the bone and cartilage support system of the nose is accessed. The majority of incisions are made inside the nose, where they are invisible. In some cases, an incision is made in the area of skin separating the nostrils. Next, certain amounts of underlying bone and cartilage are removed, added to, or rearranged to provide a newly shaped structure. For example, when the tip of the nose is too large, the surgeon can sculpt the cartilage in this area to reduce it in size. The angle of the nose in relation to the upper lip can be altered for a more youthful look or to correct a distortion.

 

 B L E P H A R O P L A S T Y    

Blepharoplasty (also known as cosmetic eyelid surgery or eyelift) is one of the most commonly performed procedures in plastic surgery. Depending on your age, ethnicity, gender and facial structure we customize an individualized treatment plan to achieve a more youthful healthy appearance. The arch of a women's eyebrow, the contour of her lid, the height of her eyelid fold, and the angle of her eyes are only a few of the aesthetic considerations that must be taken into consideration when performing eyelifts for women. Similarly, the level, shape and contour of men's eyebrows and eyelids need to be evaluated. Cosmetic eyelid surgery for men must be evaluated and performed in a very specific fashion, giving attention to their specific needs.

 P T O S I S   S U R G E R Y :  

Ptosis or (droopy eyelids) can be caused by number of reasons. The most common reason is acquired ptosis which means the person develops droopy eyelids with age. This can give the false impression of a constant tired look. This problem can be corrected surgically in an outpatient setting.

 B R O W   L I F T :

Once you have undergone a full evaluation, depending on your individual needs your doctor may recommend a brow lift. This procedure is usually combined with blepheroplasty or mid face lift to achieve the best outcome. There are number of surgical techniques which can be individualized for your needs. During your initial consultation your doctor will go over these and together develop the best treatment plan for you.

 M I D   F A C E   L I F T :    

The triangular area formed between the two corners of the eyes and the corner of the mouth makes up the mid face. With age this structure descends. A mid-face lift can be used to create a more youthful natural appearance. Depending on the patients needs this procedure is usually combined with blepheroplasty, face-lift or brow-lift. Our goal is to create a harmonious, youthful appearance.

 F A C E   L I F T :    

Aging of the face is inevitable. As the years go by, the skin begins to loosen on the face and neck. Crow's feet appear at the corners of the eyes. Fine forehead lines become creases and then, gradually, deeper folds. The jawline softens into jowls, and beneath the chin, another chin or vertical folds appear at the front of the neck. Heredity, personal habits, the pull of gravity, and sun exposure contribute to the aging of the face. As the aging population grows, it is obvious why rhytidectomy has become the third most desired facial plastic surgical procedure.

 C H I N   A U G M E N T A T I O N :   

Chin enhancement can restore or create improved facial balance and harmony. A weak chin may make a normal nose appear more prominent and a large nose appear even more prominent. . In men a "weak" chin can be said to be feminizing. The end result should be a balanced relationship within the structure of the face . Depending on your needs we customize a surgical treatment program to achieve and restore facial harmony.

 F A C I A L   R E C O N S T R U C T O N    

  • Facial Nerve Paralysis :

There are numerous causes for facial nerve paralysis. The most important treatment objective for individuals with facial paralysis is prevention of unwanted eye complications, restoration and reconstruction of facial movement, restoration of a dynamic smile, and improvement of facial aesthetics. There are many surgical and non-surgical options that can be utilized. Please visit facialparalysis.info for more information.

  • Major Facial Reconstruction :

In the last ten years there have been major advances in facial reconstruction. Major facial reconstruction after head and neck trauma and cancer surgery is extremely complex and time-consuming. It often requires transfer of bone and tissue from other regions of the body to restore normal function and aesthetics. The transfer of these tissues requires microscopic attachment of arteries, veins and nerves in order to allow completion of the reconstruction. These microsurgical procedures, also known as microvascular free flap reconstruction, require extensive training and expertise. Typically, these operations require two teams of surgeons and take between 8-12 hours.

 F A C I A L   I N S T I T U T E    

For more information, please see our websites devoted solely to each subspecialty:

 


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David M. Alessi, MD, FACS  

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