FACIAL PLASTIC SURGERY
As we age, our facial structure and skin texture change. Youthful contours and fullness are lost. The skin sags and wrinkles. The cheeks hollow and the jaw line loses it angles and jowls form. Facial plastic surgery can help to achieve a rejuvenated appearance.*
A facelift, or lower facelift, is a surgical procedure designed to remove excess loose skin, reduce wrinkles and tighten underlying support structures of the face and neck.* It does not stop the aging process, and when done correctly does not change your basic appearance.*
When there is laxity of the cheeks, jaw line, and neck, facelift surgery may be the best option. As we age the underlying facial support structures, ligaments and muscles stretch and loosen. A facelift rebuilds the structure and foundation of the face and may help with facial contours to have a more youthful appearance.*
Facelift surgery is often combined with other procedures to achieve an ideal outcome and address aging of the upper face at the same time.* Injectibles can help with volume, and lasers and chemical peels can improve skin texture and pigmentation problems.* If you desire to simply treat the neck and not the entire face, an isolated necklift may be a good option.*
This is a surgical procedure that specifically addresses and enhances the appearance of the neck.* This lift will tighten the neck muscles, remove excess skin and fat, and improve the profile of the neck.* A necklift can only be accomplished with surgery.*
A well-defined neck is characteristic of a youthful appearance. As we age, the neck muscles (the platysma) lose elasticity and the neck skin sags, fat accumulates and these muscles can appear more prominent. The result is neck bands, or platysmal bands. These thick, chord-like bands develop across the front of the neck, and are often called a “turkey neck”.
Are you unhappy with the size, shape, or angle of your nose? Do you have trouble breathing through your nose? The nose is one of the most prominent facial features and contributes to overall facial proportions and appearance. Whether done for congenital, traumatic, or cosmetic reasons, a rhinoplasty can be transformative and boost your self-confidence.* With Dr. Waltzman’s expertise, you will be surprised at how much better you feel about your appearance and yourself.*
What is a rhinoplasty?
Nose reshaping, or a rhinoplasty, is a surgical procedure that reshapes the nose to a more aesthetically pleasing shape and size to improve your appearance.* The surgery is typically performed under IV sedation or general anesthesia in an outpatient surgery setting. Incisions are typically made in the columella (the fleshy skin in between the nostrils) and extend into the nostrils. Occasionally, Dr. Waltzman will need additional cartilage for grafting or support.* This cartilage can come from the nasal septum, the ear, or from a rib.
After surgery you may have splints inside your nose and on the top of your nose to preserve the new shape, protect your new nose from trauma, reduce skin swelling and hold the bones in place while they heal.* Drainage from the nostrils is common for 2-3 weeks after surgery.* Your stitches and splints will be removed in the office. Swelling after a rhinoplasty is common and typically takes several months for the majority of the swelling to resolve.* It is not uncommon for a small amount of swelling to remain in the tip of the nose for up to 1 year.*
What are the benefits of a rhinoplasty?
The objective of a rhinoplasty is to enhance facial balance and proportion.* The reasons for a rhinoplasty are almost unlimited. Perhaps you had a broken nose, there is a bump on the bridge of your nose, your nose is too large for your face or the tip of your nose points downward, the tip is too large, the nose is not centered, or an old injury caused an asymmetry.
Often the cosmetic procedure is combined with a functional procedure to repair or reshape the septum, called a septoplasty. The septum is the partition between the nasal cavities. A deviated septum is a structural and functional defect due to displacement of the cartilage. It can block one side of the nose and cause difficulty breathing. It also causes the nose to dry out and can contribute to nose bleeds.
Nasal obstruction is fairly common. Many people have trouble breathing through their nose. Often this causes a person to breathe through their mouth, which creates its own problems with dryness and dental issues, as well as poor sleep.
Is a rhinoplasty covered by insurance?
A septoplasty is often covered by insurance. But the cosmetic procedure is elective and will not be covered by insurance. A reconstructive rhinoplasty is performed to reconstruct the nose after skin cancer or major trauma.* Reconstructive procedures are often covered by insurance.
Am I a candidate for a rhinoplasty?
If you are healthy and don’t smoke, and facial growth is complete, you may be a good candidate. It is important that you have realistic expectations about what can be achieved with a nose job. You are a good candidate if you desire improvement, not perfection, in the appearance of your nose.*
Your consultation with Dr. Waltzman is where you will discuss your goals and preferences for surgery including changes in appearance and any breathing issues. He will evaluate your health status and provide you with options for reshaping your nose.* He will take photos and recommend a course of treatment.
Just remember no nose job is absolutely perfect. Although you may desire a specific style, a nose that looks good on someone else may not look good on you. One size does not fit all. The goal is a natural appearance.* An attractive nose is one that is in harmony with your facial features. With Dr. Waltzman’s technical expertise and artistic skills you will be in good hands. Give us a call today.
Do you look tired or angry? Bags under your eyes? Drooping eyelids? Do you find yourself raising your eyebrows to open your eyes? Eyelid surgery can enhance and the appearance of the areas around your eyes and help to have a more youthful appearance.* It can also address some functional problems with your eyelids and vision.* The appearance of the skin around your eyes can communicate exhaustion and a lack of vitality, even after a good night’s sleep. Surgery of the eyelids can dramatically improve your appearance.* Often after a blepharoplasty, friends may comment that you look refreshed or rested, but are unable to tell what has changed.
What does blepharoplasty treat?
Eyelid surgery can treat:
- Loose, excess skin that causes folds and detracts from the youthful natural contours of the upper and lower lids that may even impair your vision
- Bulging fat that create puffiness in the upper and lower eyelids
- Bags under the eyes
This is a surgical procedure that is performed under local anesthesia, IV sedation, or general anesthesia, depending on what type of surgery is being done. Incisions are strategically placed in the natural eyelid creases in the upper lids, making them well hidden.* For the lower lids, precision is required to avoid changing the natural shape of the eyes. Incisions are placed close to the lower eyelashes, and are well hidden when completely healed.*
What about my eyebrows?
Sometimes, treating the eyelids alone is not sufficient to obtain the desired correction, and elevation of low set eyebrows is necessary. First, it’s important to establish the natural position of the eyebrows. In men, the ideal location of the brow is at the bony prominence above the eye (the supraorbital rim). In women, the ideal brow is slightly above the supraorbital rim. Blepharoplasty does not adjust the position of the brow. Only a brow lift can accomplish this.*
In reality, some people with heavy upper eyelids actually have a combination of droopy brows (brow ptosis) and excess eyelid skin. In that case, a blepharoplasty will be recommended in conjunction with a brow lift.* In fact, only performing a blepharoplasty may actually accentuate the problem.*
After a proper evaluation of the eyebrow/eyelid complex, and a discussion of your concerns, Dr. Waltzman will determine the most beneficial combination of procedures.
If your eyelids interfere with your vision, insurance coverage may be available. Dr. Waltzman’s friendly and helpful staff will assist you with insurance related issues.
Often, a blepharoplasty is combined with other facial rejuvenation procedures to attain even better results. For instance, fat transfer or fat repositioning around the eyes can help to achieve facial harmony. A peel around the eyes can improve fine lines and dark circles. You will benefit from the expertise of a well-trained and specialized plastic surgeon. During a consultation with Dr. Waltzman, you will discuss your concerns and discuss your treatment options.
What is a brow lift?
A brow lift, or forehead lift, is a surgical procedure that raises the eyebrows, and helps to correct the lateral hooding of the eyelids that cannot always be corrected with eyelid surgery alone.* The descent of the eyebrows is one of the first signs of aging, and can cause a person to look unhappy, angry or fatigued. This lift also reduces wrinkle lines and improves frown lines.* The goal is to provide you with a refreshed, natural look that opens the eye by lifting the brow while retaining the natural shape of the eyes.* Both men and women can benefit from a brow lift.*
A traditional “open” brow lift involves an incision in the hairline from temple to temple across the forehead. Today, many brow lift operations are able to be performed with an endoscope. This minimally invasive technique requires several small incisions in the hairline that provide access for the surgeon’s endoscope and tools to lift the brow and release the muscles that cause grooves and creases between the brows, and horizontal grooves in the forehead. The endoscopic brow lift provides a natural and pleasing appearance.* Dr. Waltzman will recommend the best type of procedure for you based on your anatomy and degree of correction required.
What is the ideal location of the brow?
In men the most aesthetically pleasing brow is one that is located at the bony prominence also called the boney ridge above the eye socket, and is at the same horizontal level for both eyebrows. In women the most aesthetically pleasing brow is just above the bony prominence. The position of the eyebrows significantly influences facial expression and the ability to project your mood. People focus on your eyes when you are talking. A brow lift can help rejuvenate your eyes and forehead, so that you appear as you really feel, happy and rested.*
Brow lift consultation
Dr. Waltzman will examine your face and determine whether a brow lift is appropriate to achieve the results you desire.* This determination includes analysis of both the eye brow and eyelids. In some cases, a blepharoplasty alone may provide the correction you need. In other cases, a combination of a brow lift and blepharoplasty may be recommended to achieve the results you seek.* Dr. Waltzman will listen to your surgical goals and offer his recommendations.
Am I a brow lift candidate?
- Do you find yourself subconsciously raising your eyebrows to open your eyes? This subconscious reflex activates the forehead muscles to lift the brows, and creates horizontal forehead lines.
- Do you have heavy frown lines between your eyes? Do they make you look serious or angry?
- Do you look tired and your eyelids droop? Do people tell you that you look tired or angry?
If you are bothered by these signs of aging and you are healthy, don’t smoke, and have a positive outlook and realistic goals, a brow lift may be right for you.
The objective is a natural, subtle improvement in brow elevation.* It will open up the eyes, providing a more rested and youthful appearance.* Sometimes it can create a dramatic effect especially when combined with blepharoplasty.* For precisely this reason, the best approach is to schedule a consultation with Dr. Waltzman to your options.
In Long Beach and the surrounding areas, contact Dr. Waltzman today for a consultation.
* Results and patient experience may vary.