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Facial Surgery
The upper third:
The enemies of the face, specifically from the eyelids to the hairline are time, age and gravity. As these factors take hold, the area begins to descend and wrinkles develop both horizontally and vertically, yielding a tired or even angry looking appearance.
Endoscopic Brow Lift
An endoscopic browlift is a minimally invasive technique made through several small incisions hidden in the hairline. The muscles responsible for the wrinkles are brought back to their original position creating a natural, refreshed look. The procedure allows for a quick and easy recovery time, without compromising the end result.
Traditional Brow Lift
This procedure repositions the brow under direct vision. Depending on the need to alter a patient's hairline or amount of forehead show, the incision can be made within the hairline or in front of the hairline.
Browpexy
This procedure when performed is usually done at the time of upper eyelid surgery. It repositions the brow through the incision made in the eyelid crease made for the upper blepharoplasty.
Blepharoplasty (Eyelid Lift)
"The eyes are the window of the soul”...unknown author
What good is a beautiful window with a breathtaking view, if the blinds are half closed? It is the skin,muscle, and fat around the eyes that are constantly moved when expressions are changed. Over time, it is aging that can cause some of these expressions, specifically fatigue, to appear permanent. An eyelid lift, or blepharoplasty, is designed to restore a more youthful appearance to your eyes. It may involve the upper lids, the lower lids, one or both. Patients typically return to work in seven to ten days
The middle third
Facelift
A facelift is not the same for any two people. In general terms, it restores volume and repositions the face to regain a more youthful appearance. The facelift addresses sagging, loose skin of the midface, deep folds in sides of the nose and mouth, and creates definition along the jaw line.
By repositioning the muscles, skin and fat in the face via the inside of the mouth, or through a skin incision, a longer lasting, more natural result is achieved. Additionally, there are patients who benefit from restoring volume with facial implants placed scarlessly through the mouth as an adjunct. Other patients require filler material or laser resurfacing at the time of surgery to achieve the best possible outcome.
There are many facelift options available which are variations of the same technique. One's you may may heard includie the VIP Lift, Quick Lift, Mini-Lift, S Lift, SOOF Lift, Weekend Lift, Precision Lift, Four-dimensional Facelift, Space Lift, Lifesthyle Lift, and Dr. Blyer’s signature CAMEO lift.
Mid-facelift
A mid-facelift lifts the cheek fat up onto the cheekbones and raises the corners of the mouth, improving the appearance of those with a chronically sad look. The incisions are made hidden, in the hairline and in the mouth. This helps to even out the cheek creases around the mouth, giving a softer and happier look, and provides a younger appearance.
Rhinoplasty (Nose reshaping)
The nose is the most prominent feature of the face and, when in the proper proportions, achieves harmony between all of the facial features, particularly the eyes and chin. Rhinoplasty, one of the most popular cosmetic procedures, improves the shape and size of the nose so that it is in balance with the rest of the face. In most cases, a change in the way one looks can be seen immediately. The procedure can be performed “open” or ”closed” depending on the extent of work needed. Most patients can return to work within one week.
Lips
Angelina Jolle, Scarlet Johansson, Julia Roberts, Eva Mendes, and Jessica Alba have all helped bring lips into the public eye, more than ever before. Soft, natural, plump, full, rolled out lips have become synonymous with a young sexy look. There is no one simple answer for every lip, and this has become an area of great interest and expertise to me. I have lectured around the country on procedures to create the youthful lip. Enhancement of the lip is truly an art.
Patients interested in lip augmentation range from the young patient interested in more voluminous modelesque lips, to the older patient looking for a more youthful pouty lip.
There are predictable changes in the aged lip that can easily be corrected. These include:
1. Loss of lip volume (most notably in the central area)
2. Loss of definition of the “lip stick” line
3. Vertical wrinkles of the lip
4. Loss of definition of philtral columns and Cupid’s bow
5. Loss of pout
6. Lengthening of the lip (resulting in less visibility of teeth)
Injectibles
Fillers such as Juvederm®, Restylane®, and Perlane®, can address many goals in the quest for the perfect lip. These fillers are a fantastic quick fix and are temporary, lasting between 4 and 6 months and are covered in the “injectables” section. For more in depth information on the different fillers available and which may be best for you, please click here.
As we remember from Chemistry 101, liquid takes the shape of its container. These fillers are liquid, and injecting a filler in an inappropriate candidate will make for an unnatural look. We have all seen this in patients walking down the street, something we call the “Daffy Duck” look.
Perma Facial Implant™
This product is an excellent option for lip augmentation. Particularly in a patient who already tried a filler and likes the way it looks. Lip implants in some circles have fallen out of favor because of a marred history of getting hard, creating a tethered appearance when smiling, and even extruding through the lip. This implant is not anything like its predecessors. The implant is tapered and shaped like a lip. It is made from a safe (non-leakable) silicone. The results are natural. The procedure is quick and painless. The results are forever. If you change your mind about the look you desire at a later date and want this implant removed, it is simple and non-deforming to do so. For more information on this implant please click here.
No one in the Northeast has placed more Perma Facial Implants™ than Dr. Blyer. He was the pioneer in bringing this product to New York and has a tremendous pool of patients who love it.
Lip Lift
Lip lengthening that occurs with age is a product of the weakening of facial attachments that support the upper lip, in conjunction with atrophy of the skin and muscle surrounding the lip.
This can result in a decrease in the display of the front teeth, giving the appearance of an older, unhappy look. The most appropriate procedure to correct this is a lip lift. Often patients are mistakenly treated by doctors with a filler. Under the nasal sill, a small area of tissue should be removed and the lip is lifted to the proper position. The incisions are well camouflaged under the nose and a youthful look is restored. This procedure can be performed with local anesthesia with or without twilight sedation.
Ear recontouring
Prominent ears can be emotionally distressing, especially for young children. Using the latest techniques the cartilage of the ears can be recontoured or repositioned so they lay clsoer ot the head and have a more harmonious appearance. Children as young as five years old can have this procedure, aswell as many adults who are self-conscious aobut the ears.
Earlobe reduction
This is a simple quick procedure that makes a tremendous diffference in providing a more youthful appearance. As we age, the earlobes tend to become large and droopy. Even with the most cared for wrinkle-free skin. the earlobe can be a dead giveawya for an older chronological age.
The lower third
Mentoplasty or Genioplasty (Chin Enhancement)
A balanced facial appearance depends on the shape and size of one’s chin in relationship to one’s nose. Chin surgery can reduce or augment the chin to give the face a more proportional appearance. A prominent chin can be modified via a hidden incision in the mouth. A less prominent chin can be augmented by placing an implant either in an incision hidden in the mouth or hidden in the crease below the chin. Patients are normally able to return to work and other normal activities in less than a week depending on the size and surgical approach for placement.
Neck Lift
A neck lift can be performed as an isolated procedure or together with a facelift. Patients who are candidates for a neck lift include those who have excess skin under the chin, referred to by patients as “turkey neck”, or bands of muscle that create an older appearance. A neck lift creates a refined, smooth, youthful appearance to the neck.
The procedure is often performed in conjunction with liposuction of the neck.
Facial Liposuction
Although liposuction was initially designed for contouring the body, it can now be used to enhance the facial features. Facial liposuction can make a dramatic change in the way one looks by removing the excess fat from cheeks, chin and neck. The result is a more striking and youthful facial silhouette. The surgery is done on an outpatient basis
Orthognathic “Jaw Alignment” Surgery
Orthognathic surgery corrects an improper bite or jaws that are positioned incorrectly. Corrective jaw surgery repositions misaligned jaws. This not only improves facial appearance, but also ensures that teeth meet correctly and function properly. The affect of surgically moving the jaws will have an impact on the nose, cheek bones, neck line, and chin.
Facial Implants
Facial implants are a safe, permanent, yet reversible method of enhancing volume to the face which is commonly lost with aging. It is very common to place these implants to create beautiful modelesque cheek bones, pouty lips, a more prominent chin, or to add volume to the prejowl area. The implants are placed through hidden incisions (often through the mouth). The recovery for this procedure is usually minimal.
Fat transfer
As we age, it is a known fact that we lose volume. Fat transfers are very popular and an excellent long term option to treat areas of the face. The improment one can appreciate is not only in the direct effect from volume enhancement, but the changes noted in the skin. Fat contains a tremendous amount of stem cells. These stem cells can improve the skin texture and pigmentation. Taking fat from the inner thigh, knee or lower abdomen are the most common donor sites. The fat is then prepared and injected in the face, much like a filler. Excess fat is stored in our facility and saved for future treatments. The downtime is just a few short days and the results last for years. Please see our articles about fat transfer on this site.
Treating the SKIN
There is compromise for beautiful skin. Today it is most important factor in having a youthful face. Sun damage, brown spots, broken capillaries, wrinkles, smoker's lines around the mouth are all skin maladies that can be addressed via laser or chemical peel.
Laser resurfacing
Laser resurfacing can improve minor facial flaws, such as:
Fine lines or wrinkles around or under your eyes, forehead or moutth
Scars from acne or chickenpox
Aged or sun-damaged skin or liver spots
Improve your complexion if you have yellowish or grayish skin tones
Birthmarks, warts or enlarged oil glands on the nose
Laser technology is a constantly evolving science. Depending on your cosmetic concerns and time for recovery, your laser treatment can be tailored to your desire. The results we see after laser resurfacing are typically nothing short of spectacular. Extended periods of redness (erythema) is what often scares a patient away from going foward with this procedure. Using PRP (platelet rich plasma) as an adjunct with the treatment quickens the healing time and can reduce that time of erythema by 75%.
Laser micropeel
For those who want to reduce fine lines, even out skin texture, remove minor pigment changes, improve the shine of their skin and wear less make-up the laser micropeel has become etremely popular. The downtime can be as short as a few days and the only anesthesia needed is topical numbing cream. Please see our video seciton for a live microlaser peel.
Chemical Peel
There are many different peels, each with a different depth of penetration. Chemical peels can reduce wrinkles, and improve skin texture, color, and tone. Our esthetician offers many superfical peels (please see noninvasive services), and Dr. Blyer administers our more medical grade peels with tremendous satifaction.
