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Face & Neck Lift - Laser Skin Resurfacing - Eyelid Surgery
Brow lift/ Forhead lift - Rhinoplasty - Chin Enhancement/ Reduction

 

Rhinoplasty (Nose Surgery)

One of the most common plastic surgery procedures, rhinoplasty is performed to reshape, reduce or augment a person’s nose, remove a hump, narrow nostril width, change the angle between the nose and the mouth, or to correct injury, birth defects, or other problems that affect breathing. Rhinoplasty is usually an outpatient procedure performed under general anesthesia and lasts one to two hours.

Before the nose is altered, a young patient must reach full growth, usually around age fifteen or sixteen. Many patients have chin augmentation in conjunction with rhinoplasty to create a better balance of features.

The Procedure
As rhinoplasty is very individualized, Dr. Kadz takes into consideration multiple factors, including but not limited to skin type, facial dimensions, bone structure and your goals in determining the surgical approach.  Generally however, incisions may be confined to the inside of the nose, referred to as closed rhinoplasty, or may involve an additional small incision under the tip of the nose, referred to as open rhinoplasty.

The majority of incisions are made inside the nose, where they are invisible. First, incisions are made and the bone and cartilage support system of the nose is accessed. 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, cartilage in this area can be sculpted 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.

The tissues are then redraped over the new frame and the incisions are closed. A splint is applied to the outside of the nose to help retain the new shape while the nose heals. Soft, absorbent material may be used inside the nose to maintain stability along the dividing wall of the air passages called the septum. Alternatively, soft nasal supports that permit nasal breathing post-operatively can be placed.

After The Surgery
Some discomfort can occur during the first couple of days after surgery but can be controlled with pain medication may be prescribed.  A little bleeding is common during the first few days following surgery, and you may continue to feel some stuffiness for several weeks. Within six or seven days after surgery, the splint and stitches are usually removed. Bruising may also occur and should fade so that you feel comfortable enough in social situations by around the tenth day after surgery. Swelling is also common and can take months to fully fade. Patients are typically able to return to work within one to two weeks, though strenuous activities should be avoided for two to three weeks.

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Chin Enhancement/Reduction

Also known as Mentoplasty, Chin surgery is a relatively straightforward procedure that can make a major difference to your facial features by providing a more balanced profile.  Chin surgery involves reshaping of the chin either by enhancement with an implant or reduction surgery on the bone. As mentioned earlier, Dr. Kadz may recommend chin surgery to a patient having nose surgery in order to achieve facial proportion, as the size of the chin may magnify or minimize the perceived size of the nose. Chin surgery helps provide a harmonious balance to your facial features so that you feel better about the way you look.  Another possibility for improvement through chin surgery is supplemental liposuction in which excess fatty tissue is removed to redefine the chin or neckline. If you have a double chin with excess skin, fat or muscle cording beneath your chin, then a facelift may not adequately correct this area. To take care of this problem properly, a small incision is made underneath your chin, and the fat in this region is removed using liposuction. The muscles that cause the bands in this area can be also cut or sutured together. This procedure is often performed in conjunction with a standard neck or cheek lift.

The Procedure
To augment the chin, an incision is made either in the natural crease line just under the chin or inside the mouth, where gum and lower lip meet. By gently stretching this tissue, a space” pocket” is created where an implant can be inserted. This has the added benefit of tightening the submental neck skin (skin below the chin). The implant, made of synthetic material (silicone) feels much like natural tissue normally found in the chin, is available in a wide variety of sizes and shapes. This allows custom fitting of the implant to the configurations of the patient's face. After implantation, fine sutures are applied to close the incision. When the incision is inside the mouth, no scarring is visible. If the incision is under the chin, the scar is usually imperceptible.

In chin reduction surgery, incisions are made either in the mouth or under the chin. The bone is sculpted to a more pleasing size. For orthognathic surgery, the surgeon will make an incision inside the mouth and reposition the facial bones. The procedure, depending on the extent of the work, takes from less than an hour to approximately three hours. Reduction Genioplasty is a form of chin reduction often used to treat an overly developed chin. This surgery aims at altering a protruding chin by removing excess bone from the chin bone. If you have an under-projected chin, Dr. Kadz alters it by detaching the tip of the chin bone and sliding it forward to augment the contour. Genioplasty is performed through an incision inside the mouth in the area of the lower lip. The tip of the chin is then carefully detached with a dental saw, moved forward and stabilized with wires and plates. This makes the chin more prominent. The surgery may result in swelling for several weeks to months while the bone heals..

Double Chin Correction
If you have a double chin with excess skin, fat or muscle cording beneath your chin, then a facelift may not adequately correct this area. To take care of this problem properly, a small incision is made underneath your chin, and the fat in this region is removed using liposuction. The muscles that cause the bands in this area can be also cut or sutured together. This procedure is often performed in conjunction with a standard neck or cheek lift. A chin implant may also be added to change the basic shape and balance of the face. It is especially useful in enhancing a profile for people with a receding chin and it can reshape the jawline as well.

After the Surgery
Immediately after surgery, the surgeon usually applies a dressing that will remain in place for two to three days. You will experience some tenderness. Post-operative discomfort can be controlled with prescribed medications. Chewing will probably be limited immediately after chin surgery, and a liquid and soft food diet may be required for a few days after surgery. Most patients feel a stretched, tight sensation after the surgery, but this usually subsides in a week.

After approximately six weeks, most swelling will be gone, and you can enjoy the results of your procedure. Rigorous activity may be prohibited for the first few weeks after surgery. Normal activity can be resumed after approximately ten days.

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Face & Neck Lift - Laser Skin Resurfacing - Eyelid Surgery
Brow lift/ Forhead lift - Rhinoplasty - Chin Enhancement/ Reduction