This is a very frequently requested procedure by our patients, designed to correct aesthetic unconformities and correct certain breathing and airway problems associated with past trauma or deformity, such as deviated septum. When we perform this surgery, our main objective is to maintain a natural and aesthetic appearance, while greatly enhancing other features of the bony structure of the face. This surgery makes an often drastic change in appearance of the face depending on each individual.

Anesthesia: Local anesthesia with intravenous Sedation /or general anesthesia

Length of the Procedure: 2 to 3 hours

Length of Stay: Same day hospital discharge

Discomfort: Usually well controlled with prescribed pain medication, sometimes mild to moderate first 3 to 5 days.

Rest Period: 2 to 3 weeks of rest from certain activities. Aqua-plast cast and taping might cause un-wanted attention during first two to three weeks after surgery.

Final Result: Seen after 2 to 3 months. However the results continue to improve on upwards to 6 months.

This refers to a wide array of available procedures, designed to restore a youthful appearance to the face, with a re-draping of excess skin and a repositioning of the anatomical features that fight the aging process, natural to every individual. It enhances bony structures of the cheek bones and jawline, while ridding of fine wrinkles and deep sulcus formed from the facial expression movements and the long-standing effects of gravity. Usually combined with a brow lift, cosmetic eyelid surgery, and rejuvenation of the neck area as well as fat grafting to selected areas to restore depleted volume.

Anesthesia: Local anesthesia with intravenous Sedation / General Anesthesia

Length of the Procedure: 3 to 4 hours

Length of Stay: One day hospital stay

Discomfort: Usually well controlled with prescribed pain medication, sometimes mild to moderate first 3 to 5 days.

Rest Period: 1 to 2 weeks of rest from physical activity. At 1 week patient can perform most of daily activities.  Bruising may subside after two weeks, and facial elastic compression garments may draw un-wanted attention during first two weeks.

Final Result: Seen after 2 to 3 months

This procedure is an excellent complement to facial rejuvenation procedures, which are designed to restore a youthful and natural appearance, while enhancing aesthetic angles and bony definitions of the jawline. The most dramatic results are often obtained in patients who underwent massive weight loss, with severe laxity of skin and fat.

Anesthesia: Local anesthesia with intravenous Sedation

Length of the Procedure: 1 to 2.30 hours

Length of Stay: Same day discharge

Discomfort: Usually well controlled with prescribed pain medication, sometimes mild to moderate first 3 to 5 days.

Rest Period:  1 week from work related activities.

Final Result: Seen immediately.

A common complement to cosmetic eye lid surgery, designed to correct drooping eyebrows due to a laxity of tissues as a direct effect of aging. I perform this procedures through a minimally invasive approach, in which small incisions are placed in the scalp area, with repositioning and fixation through direct vision on a camera lens of the landmarks which fix the eyebrow into position. This restores a youthful appearance to the area around the eyes.

Anesthesia: Local anesthesia with intravenous Sedation

Length of the Procedure: 1 to 2 hours

Length of Stay: Same day hospital discharge

Discomfort: Usually well controlled with prescribed pain medication, sometimes mild to moderate first 3 to 5 days.

Rest Period: 1 week from work related activities.

Final Result: Result seem immediately, however final results may appear at 1 month after surgery.

This surgery is designed to restore a youthful appearance to the eye area, by getting rid of excess skin, re-draping fatty tissue and getting rid of the puffy or tired aspect of the eyelids. It restores a youthful and refreshed aspect to the eyes, with hidden scars in natural wrinkle lines.  This improves patient self-esteem, and in select cases improves function of the eyelids, facilitating reading and visual difficulties.

Anesthesia: Local anesthesia with intravenous Sedation

Length of the Procedure: 1 to 2.30 hours

Length of Stay: Same day discharge

Discomfort: Usually well controlled with prescribed pain medication, sometimes mild to moderate first 3 to 5 days.

Rest Period:  1 week from work related activities.

Final Result: Seen immediately. Final results may appear up to a month after surgery.

Often, patients desire correction of certain asymmetries in the face, or enhancement of bony structures to restore a more youthful appearance to the face. The use of fat grafting and high quality silicone implants can be used to correct these areas, through minimal invasion and adequate positioning with individual customization for each and every facial configuration. These procedures are excellent adjuncts to other facial rejuvenation techniques, and require minimal down time, allowing for a prompt return to patient daily activities.

Anesthesia: Local anesthesia

Length of the Procedure: 1 to 2hours

Length of Stay: Same day discharge

Discomfort: Minimal.

Rest Period: 3 days to 1 week from work related activities.

Final Result: Seen immediately.

BOTOX, DYSPORT, XEOMEEN– We use different Brands of botulinum toxin, all FDA approved with excellent long-term results, designed specifically to reduce fine line wrinkles produced by facial expression, which tend to deepen through time. This procedure reverts, and restores a youthful appearance to the face, improving the aspect of the skin and prolonging the need for surgical correction of wrinkles. It is a quick procedure, with minimal pain, which allows immediate reincorporation to daily activities within hours of application. It can be used by young patients, to prevent formation of wrinkles.  This procedure uses topical anesthesia and has minimum discomfort on application with immediate reincorporation to normal activities. Strenuous exercise should be avoided the first 24 hours

DERMAL FILLERS– These are specially designed, FDA approved substances, designed in laboratories with the strictest of safety measures, to produce naturally obtained hyaluronic acid, which can be placed in strategic areas of the face, neck, hands, chest, etc. To get rid of deep wrinkles and fine lines, as well as correct asymmetries due to scarring or trauma. This is most commonly used for lip augmentation, which produces immediate results enhancing the contour and volume of the lips. This procedure uses topical anesthesia and the length of the procedure is 30 to 40 minutes. The patient may return to normal activities within the next hour.

CHEMICAL  SKIN PEELS– This treatment is designed for a wide array of skin conditions, including but not limited to skin pigmentation, fine line scars, acne scarring, and rejuvenation purposes, to restore a youthful and healthy appearance to the face.  No anesthesia is required. The length of this procedure is 30 to 45 minutes and the patient may return to normal activities within 1 hour of having this procedure performed.