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 The first thing people notice about you is your face. Whether it is your eyes or your smile, you are constantly aware of the impression you make on other people. When wrinkles, sun spots and other evidence of aging become more noticeable, cosmetic plastic surgery may be the answer.
With cosmetic plastic surgery you can turn back the hands of time. Not only will you look and feel younger you will also feel more confident and vibrant.
Please read more about some of the procedures that we offer that can help you look and feel years younger.
Your face is where aging leaves its most noticeable imprint. Facial rejuvenation surgery may involve procedures to reduce signs of aging in your mid-face, lower face and neck, as well as your eyelids, forehead and brow regions. Treatments to minimize fine skin lines and deeper wrinkles may also be performed. Frequently, multiple facial procedures can be performed at the same time.
Your therapeutic plan will be individualized to address your specific needs and personal objectives.
A facelift smoothes loose skin on your face and neck, tightens underlying tissues and removes excess fat thereby correcting the visible signs of aging. Deep cheek folds, jowls, lax skin on the front and sides of your neck as well as the cord-like structures in your neck may be successfully addressed in this fashion.
There are many variations to the facelift procedure and the placement of incisions. Dr. Sherwyn believes in performing quite a thorough procedure attending to the cheek, jowl and neck regions as the individual's needs require. All too often a limited approach to these areas is taken falling short of what is both desired and required. Hence, it is customary for Dr. Sherwyn to reposition the deeper tissues as well as the facial skin in order to restore a more youthful contour to the face. In addition, a comprehensive evaluation and management of the neck is essential in order to achieve successful rejuvenation. Too often the neck is not addressed directly - as a result, it is not rendered as clean or crisp as possible. Hence, the entire skin envelope of the neck is often repositioned in concert with removal of excess fat and muscle tightening in order to eliminate the cord-like structures which typify the aging neck.
It must be the goal of every facelift to conceal each and every incision. For what has this procedure truly accomplished if a patient becomes burdened, if not fettered, by unsightly, visible scars. Individuals who present in consultation for this procedure are told as a matter of record that they will be able to wear their hair in a ponytail or any style they so chose without any evidence that they had undergone facial rejuvenation surgery. Toward this end, incisions are placed along the margin of the ear as opposed to in front of the ear with attention given to recreating the normal architecture of the ear at the procedure's completion. Attention, too, is given to the location of the sideburn, the location of the incision behind the ear and the quality of the resultant line of closure.
For those individuals who have undergone prior facial rejuvenation surgery elsewhere and who are left with the stigmata of conspicuous scars and malpositioned hairlines much can be done to improve if not eradicate these unsightly sequelae. This office has been quite successful in this regard both with respect to enhancement of existing scars as well as sideburn and hairline reconstruction.
Whereas the results of a facelift do not last forever, in another sense the effects are permanent; years later, your face will continue to look better than if you had never had the procedure.
 Cosmetic eyelid surgery, as a rule, addresses both the skin and fat of the upper and lower eyelid regions. Herein, blepharoplasty can rejuvenate puffy, sagging or tired-looking eyes. Yet, by necessity, cosmetic eyelid surgery must be considered within the context of the overall aesthetics of the periorbital, or eyelid, region. Herein, precision is critical.
Typically, an upper blepharoplasty removes the excess fat and lax, drooping skin of the upper eyelids. Particular attention must be given to providing for clean, crisp, symmetric upper eyelid regions with an indiscernible resultant line of closure. However, a careful examination is required in order to determine an individual's need for a brow lift, upper blepharoplasty, or both. The majority of persons seeking rejuvenation of the upper eyelid region are candidates for both brow elevation as well as upper blepharoplasty. Whether one is a candidate for both procedures, however, does not mandate the need to do both at the same time. Indeed, the brow elevation may be performed prior to the upper blepharoplasty or vice versa. It is imperative, however, that should an upper blepharoplasty be performed first in a patient with brow descent provisions be made to provide for future brow lift by not removing excessive amounts of skin.
For those persons with brow descent who may or may not be candidates for upper blepharoplasty or who have had a previous upper blepharoplasty there exists a relatively new, little known technique called the transpalpebral, or eyelid, approach to the brow. Herein, either at the time of upper blepharoplasty, utilizing a prior blepharoplasty incision or simply utilizing the natural upper eyelid crease that all occidentals maintain, the muscles of the eyebrow region responsible for both folds and furrows as well as brow descent are approached via the upper eyelid and eliminated. Modification of these muscles will automatically effect passive elevation of the brow. A true elevation may be performed via the upper eyelid, termed browpexy, a procedure particularly useful in the male population or those with a receding hairline. The result is not only a more smooth resultant contour but brow elevation. When performed properly, the procedure eliminates the need for the use of Botox in this region.
Treatment of the lower eyelids often requires an external, or transcutaneous, approach entailing the use of an incision just below the lower lashes. Through this incision, excess skin, muscle and fat may be removed. However, once again, a careful evaluation is required in order to determine the individual's needs. For example, lax, loose, or malpositioned lower eyelids may require a canthoplasty to tighten or reposition them. Occasionally, the fat itself may be repositioned to simultaneously eliminate puffiness and soften the bony rims which often become evident with facial aging. If lower eyelid skin is not excessive, an internal, or transconjunctival, approach may be used whereby fat is removed or repositioned through an incision placed inside the lid on the conjunctival surface. Herein, there is no external incision and no need for sutures. This approach affords the opportunity to simultaneously use a laser, or chemical peel, to resurface the lower eyelid skin thereby eliminating fine lines and wrinkles while achieving a degree of skin tightening.
 Upper facial rejuvenation must be considered within the context of the overall aesthetics of both the forehead and periorbital, or eyelid, regions. Herein, precision is critical.
A careful examination is required in order to determine an individual's need for a brow lift, upper blepharoplasty, or both. The majority of persons seeking rejuvenation of the upper face are candidates for both brow elevation as well as upper blepharoplasty. Whether one is a candidate for both procedures, however, does not mandate the need to do both at the same time. Indeed, the brow elevation may be performed prior to the upper blepharoplasty or vice versa. It is imperative, however, that should an upper blepharoplasty be performed first in a patient with brow descent provisions be made for future brow lift by not removing excessive amounts of skin.
A brow lift, also referred to as a forehead lift or upper facelift, addresses the folds, furrows, creases of the forehead and brow regions as well as the loss of tone that causes descent of your eyebrows and hooding of your upper eyelids. A brow lift is often performed along with a lower facelift or other facial rejuvenation procedures.
The traditional, or coronal (open), approach to the brow entails an incision placed within the hair-bearing scalp or at the front of the hairline. Herein, the muscles responsible for the creases and furrows can be modified or eliminated as needed, excess skin removed and the eyebrows lifted to a more pleasing position. This particular technique is best suited for those individuals who maintain heavy, deep folds and furrows wherein the muscles responsible can be approached directly through an open approach.
The endoscopic (closed) brow lift represents an alternative approach. This is a minimally invasive technique quite similar in principle to the arthroscopic procedure which orthopedic surgeons perform. Herein, several small incisions are placed within the hair-bearing scalp through which instrumentation are passed to effect the desired outcome.
Regardless of the particular technique utilized, the surgeon has very definite control as to the degree of brow elevation achieved and, hence, can respect the patient's wishes for either a conservative or less than conservative result.
For those persons with brow descent who may or may not be candidates for upper blepharoplasty or who have had a previous upper blepharoplasty there exists a relatively new, little known technique called the transpalpebral, or eyelid, approach to the brow. Herein, either at the time of upper blepharoplasty, utilizing a prior blepharoplasty incision or simply utilizing the natural upper eyelid crease that all occidentals maintain, the muscles of the eyebrow region responsible for both folds and furrows as well as brow descent are approached via the upper eyelid and eliminated. Modification of these muscles will automatically effect passive elevation of the brow.
A true elevation may be performed via the upper eyelid, termed browpexy, a procedure particularly useful in the male population or those with a receding hairline. The result is not only a more smooth resultant contour but brow elevation. When performed properly, the procedure eliminates the need for the use of Botox in this region.
Achieving harmony of facial features is one of the most important goals of cosmetic (aesthetic) plastic surgery. Facial plastic surgery can reshape the nose or reduce prominent ears. Sometimes enhancing a single facial feature improves facial balance thereby enhancing overall appearance.
The goal of rhinoplasty is to reshape the nose so that it complements other facial features.
Reshaping is generally performed using incisions inside the nose. In some instances, an "open" technique is required which entails the use of an incision on the column of skin between the nostrils. Herein, the nose can be reduced, or built up, by adjusting its supporting structures. This is accomplished either by removing or adding bone and cartilage allowing the skin and soft tissues to assume their new shape over this "scaffolding". In addition, breathing problems consequent to irregularities in the internal structures of the nose can be addressed thereby improving the nasal airway. This can be done as an isolated procedure or in conjunction with alterations which would influence the external appearance of the nose.
Refinement of the nose, unlike any other aesthetic procedure, demands great skill by the surgeon in order to produce the desired result while simultaneously avoiding an operated look. Knowledge of anatomy is critical as is the fundamental concept that alteration of one component part profoundly affects the others thereby exerting a profound influence on external appearance.
Otoplasty can improve the shape, size or position of the ear. A reduction in size or correction of protrusion often enhances facial balance, harmony and improves the overall facial aesthetic.
Ear surgery may be performed at any age though it is often recommended for children as they near total ear development at age five or six. Correction prior to school age helps avoid potential psychological trauma from classmates.
During otoplasty, the supporting tissue of the ear, or cartilage, is reshaped in order to produce the desired outcome. Careful assessment of the ear from different views during procedure helps to ensure this outcome. This is accomplished through incisions placed behind the ear. As the ear may be conceptually divided into upper, middle and lower regions each can influence overall appearance and therefore may need correction as an isolated entity or in combination with the others. Once again, correct examination and diagnosis lead to proper treatment.
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