Other Face Procedures
When choosing a plastic surgeon to operate on your face, it is important to keep in mind that a conservative approach is usually best. No one wants a “tight” or unnatural-looking face. Our doctors’ goal is not to drastically change a patient’s appearance, but rather to make the best of his or her existing attractive features. Several procedures are available at our practice to accomplish this, from face lift surgery to less-invasive alternatives such as BOTOX® Cosmetic and Restylane® injections. These procedures are performed at our Minneapolis, Minnesota on-site surgical center.
BOTOX® injection is a straightforward and safe procedure that takes approximately 10 minutes. BOTOX® injections target specific muscles responsible for wrinkles and relaxes them for several months at a time. Once the muscles are at rest, the skin becomes smoother and looks more relaxed. This treatment takes several days to take effect and lasts two to six months. Side effects are unlikely, but they are possible.
BOTOX® Cosmetic derives from a natural, purified protein that is produced by a bacterium, Clostridium botulinum. This purified protein, when used in tiny quantities by experienced injectors, is safe and effective. In 1949, scientists from London discovered that BOTOX® injections blocked muscular action. A San Francisco ophthalmologist first used BOTOX® injections to treat eye disorders in humans in 1981. BOTOX® Cosmetic works by irreversibly binding to the receptors in the muscle fibers that contract and cause lines or creases. New receptors form constantly, which is why the results of BOTOX® injections last for different lengths of time in different patients. Freshly prepared BOTOX® Cosmetic is essential for the best and longest response; therefore, we use several vials of freshly-prepared BOTOX® Cosmetic daily at our Minnesota practice.
BOTOX® injections are used for other non-cosmetic conditions, especially neurological disorders. These include neck spasms, involuntary facial spasms, eye muscle disorders, and headaches. Cosmetic uses include treatment of facial wrinkles, frown lines, forehead creases, reduction of crow’s feet, and rejuvenation of the aging neck. BOTOX® injections can also block sweating, and can reduce migraine headache triggers. Most patients compare the injection sensation to a bee sting, but this discomfort is temporary. Most patients go right back to work or continue their activities immediately after the procedure.
Eighty percent of patients respond by day 30. Most patients see improvement in one to two weeks. BOTOX® treatment results last up from two to six months and on average for four months.
People seeking to reduce the appearance of minor signs of facial aging, such as facial creases and wrinkles, are pleased to learn that it is not always necessary to undergo a face lift, brow lift, or other major surgical procedure in order to improve these areas. Facial fillers are now available that can be easily injected into creases and lines to diminish them and restore a youthful smoothness and fullness to the face. These injectable fillers can also be used for lip enlargement and to improve the appearance of recessed scars. The results are immediate – patients see the improvements in their faces right away.
Though all of these fillers are injected by our doctors and do not involve surgery, the results they achieve are not permanent. They are long-lasting, however, and many patients enjoy their results for many months.. The injectable fillers used at our practice are Restylane®, Perlane®, JUVÉDERM™, and Radiesse®. Please schedule a consultation with Minneapolis Plastic Surgery, LTD., serving the Minneapolis / St. Paul area and all of Minnesota, to speak with our plastic surgeons and determine whether your aesthetic issue can be improved with one of these fillers. Our cosmetic surgeons can also explain to you the differences between the fillers and recommend the best option for you.
The neck is one of the first highly visible areas of the body to show age. This is because the skin of the neck is thin, delicate, and easily affected by the process of aging and sun exposure.. With time, loose neck skin can make the platysma muscles in the front of the neck noticeably apparent as raised bands or vertical skin folds. Through a small incision under the chin, these muscles can be tightened through the platysmaplasty procedure to define and lift the neck, creating a younger, more slender look. Liposuction of the neck is sometimes used in conjunction with platysmaplasty to reduce the fat causing a double chin. Because having visible platysma muscles in the neck is often a telltale sign of aging, our doctors are often able to take years off a patient’s appearance by simply operating on the neck.
A strong, well-defined chin lends an air of authority to the face, creating a more attractive facial proportion. Small solid silicone implants have been developed specifically for implantation in the chin, and are designed to fit securely to the bone beneath the facial tissues. The implant does not move, and feels just like the normal chin. Though the chin may not seem to be a significant contributor to facial beauty and harmony, it is actually quite important. Chin implants may be recommended to patients requesting rhinoplasty surgery, as a weak or retrusive chin can make a large nose appear bigger. Rhinoplasty combined with chin implant placement provides enhanced results beyond what either operation alone can achieve, and can give a more balanced facial harmony between the middle (nasal) third and lower (chin and mouth) third of the face. Chin implant surgery is performed through an incision made just behind the crease between the underside of the chin and neck. Intraoral incisions can also be used, but increase the risk of infection requiring removal of implant.
Cheek implants create facial contour and a youthful appearance, and, best of all, they can be customized to create the best final results for an individual patient’s existing facial structure. These small implants are placed through an incision just below the lower eyelid lashes so the scar is not visible after surgery. Incisions inside the mouth can also be used, but have a higher rate of infection requiring removal of implant. Cheek implants can subtly enhance the cheekbones and produce an attractive and natural-looking effect. Cheek implants are often placed in conjunction with other facial plastic surgery procedures, such as face lift and eyelid surgery.
Fat grafting offers the opportunity for patients to transfer small amounts of living fat to other areas of their body where more fullness is desirable, such as the under eye region, cheeks, lips, and in some facial creases. Indentations or contour irregularities after trauma or other surgery can also be improved with fat grafts, which provide long-lasting living tissue graft from a patient’s own cells. First, our surgeons remove fat from a donor area such as the abdomen, being careful not to damage the fat cells. The fat to be removed for grafting cannot be gathered through traditional liposuction (too traumatic to the fat grafts), though liposuction may be used in combination with fat grafting for body contouring purposes. The fat to be used for grafting is injected carefully into the desired areas. Both harvest and grafting can be done under local anesthesia if desired, or combined with other surgery while under anesthetic.
After fat grafting, swelling is visible, but gradually diminishes, as only 30-40% of the grafted fat cells survive long-term. The rest of the fragile fat cells and fluids are reabsorbed over several weeks, leaving only the living cells. Injecting too much fat does not improve results, it simply increases the number of cells that do not survive. Thus, more than one fat grafting procedure is usually necessary to produce the desired results, but it is worth it for many patients to achieve long-term results using their body’s own resources.
Ears that are enlarged, protruding, or deformed can be the target of relentless teasing, both in childhood and adulthood. Some children can withstand the teasing, but many others develop a self-consciousness that can follow them for life. Otoplasty is a procedure performed on both children (age 4 and up in most cases) and adults that can reduce the abnormal protrusion, minimize certain parts of the ears, and otherwise correct the appearance of many ear abnormalities.. The results of this surgery are extremely natural-looking and the scars are usually concealed on the backside of the ear; it is highly unlikely that anyone would ever suspect that the ears had been operated on. A gauze head bandage is applied for two days, and head elevation is recommended for two weeks after surgery, along with avoidance of strenuous activities or exercise. Sutures are removed after 7 days; children may have absorbable sutures. During the day nothing other than reduced activity is needed, but at night a headband or sweatband and shower cap or rain bonnet (to keep the headband on) is necessary to prevent inadvertent bending of the corrected ear cartilages. This is worn for a month to reduce the risk of losing the internal sutures that hold the ears in their new position. Restitching can be necessary in up to 10% of patients. Infection or bleeding is rare, but can have serious cosmetic impact. This risk can be reduced by taking antibiotics, keeping the ear suture lines clean, and avoiding aspirin or ibuprofen-containing medications for two weeks before and after surgery.
Earlobe repair is a common surgery for those who have torn earlobes due to earrings. Depending on how the earlobes are torn, the procedure will differ, but the repair most often involves making tiny incisions adjacent to the torn area and suturing the earlobe together so that the trimmed edges heal as one. The procedure is done under local anesthesia, takes about 15 minutes per earlobe, and heals with minimal risk of bleeding, infection, or unsatisfactory scarring. After the repaired earlobe heals for 6 weeks, our plastic surgeons perform complimentary ear piercing so that you may wear earrings again.
Minneapolis Plastic Surgery, LTD. has performed facial surgery for transgender patients who would like their facial features to be surgically altered to look more masculine or more feminine. Some of the surgeries we offer include rhinoplasty, forehead contouring, facial resurfacing after electrolysis, laser hair removal, and tracheal shaving to reduce the prominence of the Adam’s apple.
Our surgeons and staff have worked with both female-to-male and male-to-female transgender patients for many years, performing such procedures as breast augmentation, mastectomy (top surgery), brow reduction (bone contouring), tracheal shave, rhinoplasty, and other facial or body plastic surgery. Other services offered by our Carillon Clinic, such as laser hair removal, are also helpful to many of our patients. We do not perform transgender genital procedures at this time. Please contact our office in the Minneapolis / St. Paul area for a complimentary consultation at any point in your transgender process for a thoughtful, non-judgmental analysis of your concerns.
Our practice offers many surgical and non-surgical procedures for aesthetic improvement of the face, including BOTOX® and Restylane® injections. To learn which is best for you, please contact our Minneapolis, Minnesota practice and schedule a complimentary consultation with our plastic surgeons.
Please contact Minneapolis Plastic Surgery, LTD. if you have any questions about our procedures or would like to schedule a complimentary consultation with one of our plastic surgeons.
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Minneapolis Plastic Surgery, LTD.
4825 Olson Memorial Highway (Hwy 55) Suite 200
Minneapolis, Minnesota 55422
Phone: (763) 545-0443
Fax: (763) 545-2784