The midface

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.

There are many facelift options available which are variations of the same technique.  One's you may have heard include the VIP Lift, Quick Lift, Mini-Lift, S Lift, SOOF Lift, Weekend Lift, Precision Lift, Four-dimensional Facelift, Space Lift, Lifestyle Lift, and Dr. Blyer’s signature CAMEO lift or his U lift.

A common question is the disctinction between a mini facelift and a full facelift.  A mini facelift has an incision that stops right behind the earlobe.  A full facelift extends behind the ear into the hairline.   A full facelift will better address a loose neck. 

Facelifts can be, but are rarely done as an isolated procedure.  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. Fat transfers are yet another option that is very popular to restore volume and give a great result for a facelift.  When combined with a facelift this is often referred to as a Space lift.  This restores the underlying volume that is lost.  Treating the skin with laser resurfacing or chemical peels are also done as an adjunctive procedure.  When looking in our facelift albumn, please look through our other albumns as facelifts may be in there as well. 

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.  This can often be accomplished with a browlift procedure. 

The U-lift TM

A small amount of blood is removed, similar to a blood test and prepared for treatment.  From the sample, platelets and fibrin in plasma are removed and prepared for injection.  The injections can be used to improve fine lines and wrinkles, around the mouth, eyes, forehead and add volume to the cheeks, jawline, or chin wherever it may be needed.  Using infrared and radiofrequency technology the growth factors within the platelets are activated and they start to work.  Where injected, they repair existing damage to skin and help grow new collagen, improving skin texture, coloring, and minimizing wrinkles.  This technique was invented by Dr. Blyer and has received wide commendation by the press. 

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.

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.  This is true, even with the most cared for wrinkle-free skin. the earlobe can be a dead giveawya for an older chronological age.

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 improvement 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 multiple years. 

Common areas of fat transfers (injections) include:

1. the temples or corner of the brow (brown area)

2. under the eyes ('tear trough deformity'- green area)

3. nasolabial folds ('laugh lines' - yellow area)

4. jowl area ('marionette lines'- blue area)

5. chin (pink area)

6. Cheek bone ('malar region' white area )

Please see our articles about fat transfer on this site in news section.

 
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.  The incisions are made inside the mouth so there are no visible scars.  These patients often are perceived as having a very gummy smile, a large lower jaw or receded jawline. Oftentimes this procedure is covered by medical insurance.