Saturday, April 13, 2024

Facial Plastic And Reconstructive Surgery

What Is The Recovery Like

MUSC ENT: Facial Plastic & Reconstructive Surgery

The first 24 hours after your rhinoplasty in Toronto will involve a few different factors. When ready, youll head home with gauze taped under your nose as some minor bleeding is expected. Luckily, recovering from rhinoplasty in Toronto is not often described as painful, but difficulty breathing through the nose is common. Due to expected swelling, the first few days will be uncomfortable, and youll receive a prescription for pain medication.

Facial bruising in the eye area is common. In most cases, discolouration and inflammation will appear more dramatic than they feel because your facial tissue is very vascular. That same abundant blood flow will also help you to heal quickly. You may have stitches inside your nose which usually dissolve on their own. In some cases, a splint may be temporarily placed over your nose to protect it until the new shape is set. Youll have a return visit to meet with your Toronto rhinoplasty surgeon within a day or two of your procedure.

There are a few restrictions to keep in mind for safe, comfortable healing after Toronto rhinoplasty:

  • Avoid blowing your nose for 4 weeks and refrain from bending over or heavy lifting all of which increase blood pressure in the face.
  • Youll need to switch to contacts if you normally wear eyeglasses.
  • While you wont be permitted to press anything onto the nose, cold compresses on the cheek area may be permitted early post-procedure.
  • If It Bothers You Lets Fix It

    Were here to help you address any concern, large or small, with compassion and respect. And while we offer a full range of nonsurgical treatments, there are some facial issues that can only be addressed through surgery. At Ohio State, youll be cared for by one of our board certified facial plastic surgeons and a support team of health care professionals. All are dedicated to your comfort and personal well-being. Many procedures can be completed under local anesthesia on an outpatient basis, and you can expect to return home the same day. More complicated cases deserve the level of care only available through an inpatient stay. Ultimately, well work together to decide what works best for your situation, and because facial surgery is typically elective, we can plan procedures to fit your schedule. Whatever treatment you choose, our physicians will take the time to explain every detail of your care so you know what to expect before, during and after surgery. Follow-up not only ensures an optimal final result, but also gives us an opportunity to discuss any lingering concerns you might have or to explore additional procedures you might want.

    Advances In Biomaterials And Bioengineered Interfaces

    The use of rigid implants is crucial for adequate bone immobilization in skeletal facial reconstruction. Historically, there have been postoperative complications of hardware use including pain from plates, loosening of screws, palpability of metal plates, temperature sensitization due to implants, increased maxillary and frontal sinus infections, radiographic artifacts, and hypersensitivity reaction to various alloys.78The use of nonmetallic materials would reduce these postoperative concerns, and research in this area is promising. Resorbable fixation material has been well studied in pediatric craniofacial surgery with good results.79107Eppley studied the use of plates and screws composed of a specific poly L-lactic acid-polyglycolic acid material, concluding it can be effectively and safely used in the midface.78

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    How Is The Surgery Performed

    Your Toronto rhinoplasty surgery will be carried out according to your unique needs and your surgeons technique. The nose has many parts and various tissue, including bone, cartilage and skin. Your Toronto rhinoplasty surgeon may alter the following:

  • The nasal bridge: width, height, symmetry
  • The nasal tip: width, projection and refinement
  • The nose base: including alar flare
  • The septum: straightening and clearing breathing passages
  • Your rhinoplasty in Toronto will be done using general anaesthesia, which puts the patient comfortably to sleep. Small incisions will be made either entirely within the nostrils, or within nostrils and across the columella

    Depending on desired changes, typical steps to alter the nose will include reducing a bony hump, reducing cartilaginous structures at the bridge, sculpting tip cartilage, and altering nostrils. The diverse possibilities mean that rhinoplasty in Toronto differs significantly between patients. Some noses require removal of cartilage and fat, while others will require the addition of cartilage taken from other areas of the body

    Functional operations focused on septum repair, or the turbinates will not necessarily create visible change apparent after surgery.

    The structures of a persons nose sometimes appear different than expected once the operation s underway, and previous surgery or structural abnormalities add layers of complexity requiring expertise.

    Management Of Facial Fractures

    Facial Plastic &  Reconstructive Surgery

    The ultimate goal in treating facial fractures is to obtain an accurate and stable reduction while minimizing external scars and deformity. For ZMC injuries that have fracture instability or comminution, an open reduction and internal fixation is indicated with the coronal approach as the main access for complex zygomatic arch repairs. This approach can lead to alopecia, loss of sensation posterior to the incision, risks of traction injury to the frontal branch of the facial nerve with temporal hollowing, and excessive blood loss. More recently, endoscopy has been used to assist in the treatment of ZMC and Le Fort III fractures. Endoscopy can be performed through stab incisions and thus avoids the need for extensive coronal exposure for zygomatic arch repairs.75Endoscopy allows for in situ reduction and fixation under magnified visualization while only requiring small, well-concealed incisions.

    Mandibular fractures were traditionally treated with closed reduction or open reduction with wire osteosynthesis. In addition, rigid internal fixation was developed and involved placement of interfragmentary titanium plates.

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    Basic Principles Perioperative Management And Miscellaneous Topics

  • Amir Allak, Christian P. Conderman
  • M. A. J. Scott Bevans, Heather E. Lee
  • Brandyn Dunn, Giriraj K. Sharma, Jacob O. Boeckmann, Brian J.-F. Wong
  • Taylor Robinson Pollei, Nathan Johnson
  • Jennings Boyette, Philip K. Robb Jr., Irene A. Kim
  • Eric W. Cerrati, Jon-Paul Pepper
  • Jeffrey D. Markey, Jon Robitschek
  • Sagar Patel, James A. Owusu
  • James Teng, John Michael Harbison
  • Dana K. Petersen, Christian P. Conderman
  • Gregory S. Dibelius, Colleen F. Perez
  • Matthew Keller, Tristan B. Klosterman
  • Facial Plastic And Reconstructive Surgery Education

    We provide residency and fellowship training in the full spectrum of cosmetic and reconstructive facial plastic surgical procedures. Trainees gain comprehensive experience working with New York Citys diverse patient population in a variety of high-volume settings within our academic medical center, including a Level 1 trauma center in a public hospital, the Veterans Affairs healthcare system, and the private practices of our faculty members.

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    Advances In Facial Reanimation

    Current management of facial reanimation uses static biomaterial implants such as polymer or allograft tissue matrices to support de-enervated sagging tissue or microsurgical transfers of muscle to give movement to the paralyzed side. There is research into regenerative implants that could be composed of autologous myocytes cultured on matrix scaffolding that can respond to neural input for control.112There is also research in tissue-engineered constructs that have the potential to regenerate cells in various scaffolds as well as development of novel neuromuscular interfaces and replacement tissues for restoring facial function to create a more natural result in facial reanimation surgery.113Further studies are exploring neuroelectrical prosthetic devices to drive paralyzed musculature based on cues from the healthy side. For example, Ledgerwood et al developed an electroactive polymer artificial muscle device that could potentially restore lost muscular contraction for use as an eyeblink prosthesis.114

    In terms of advancements in surgical techniques, there are procedures being developed to drive the native facial muscles with the masseteric branch of the trigeminal nerve with minimal injuries to the donor site, as well as studies on using a cross-facial nerve grafts for the reanimation of the paralyzed face.115116117118Cross-facial nerve grafts utilize the contralateral healthy facial nerve to reinnervate the paralyzed muscles.119120

    Surgical Art & Science

    Facial Plastic and Reconstructive Surgery: Johns Hopkins | Q& A

    Surgery on the face requires skill and talent. Surgeons need the ability to fix and repair muscle and skin. They also need to create appealing symmetry. UVA facial plastic surgery specialists have the precision, skill, and experience to correct and align your features. We serve patients from throughout the region.

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    Facial Nerve And Paralysis Treatment

    Facial nerve and facial paralysis treatments may include:

    Noninvasive treatments: Botulinum toxin or steroid injections to reduce swelling may be effective treatments for facial nerve problems and facial paralysis.

    Direct nerve repair: The surgeon reconnects healthy ends of a damaged nerve. This treatment may be effective if a patient has an injury in a small portion of the facial nerve.

    Nerve graft: The surgeon takes a small piece of nerve from elsewhere in the body and places it in the face. They may use this technique if the two damaged ends of the nerve are too far apart to reconnect. The graft is like a small bridge to connect the two ends.

    Nerve transfer: The surgeon takes a healthy functioning nerve from a donor and transfers it to the patient.

    Hypoglossal nerve transfer: The hypoglossal nerve controls movement in the tongue for swallowing and speaking. The surgeon creates a small cut in the hypoglossal nerve and attaches it to facial nerves. This partial cut allows nerves to grow into the hypoglossal nerve without damaging its function.

    Masseteric nerve transfer: The masseteric nerve is one of the nerves that extends from the ear through the cheek and jaw. The surgeon can connect the masseteric nerve to another facial nerve that controls smiling. After surgery, patients can bite down to smile. They typically go through rehabilitation and retraining to get used to this movement.

    Why Choose Ucla Health For Facial Plastic Surgery

    At UCLA Health, we have one of the nations leading programs in aesthetic and reconstructive surgery focusing solely on the face and neck. From minimally invasive and noninvasive procedures to the most complex facial surgeries, our goal is to improve your quality of life.

    Highlights of our program include:

    Established expertise: All our facial plastic surgeons are board certified by the American Board of Facial Plastic and Reconstructive Surgery. This means we can offer the highest level of expertise in face and neck surgery. We have pioneered many of the procedures used today in facial cosmetic surgery and our combined experience totals more than 50 years of practice.

    Unparalleled success rate: We lead the nation with an unsurpassed 99.5% success rate in free flap surgery, in which we transplant tissue from one part of your body to another. Our surgeons have performed thousands of these procedures over the past several decades.

    Groundbreaking treatments: You have access to a full spectrum of treatments, from cosmetic procedures to treatment for facial paralysis. Our surgeons continually advance the field of facial plastic surgery and performed the first total face transplant surgery on the West Coast.

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    Transforming Lives Around The World

    Since 2007, our center has provided volunteer surgical and support services to patients in underserved areas of the world, transforming lives and ensuring a healthier future. Using technology such as telemedicine to reach remote areas, we envision a future where patients everywhere have access to surgery, speech therapy, and all the expertise they need for the best possible result.

    Dr. Desai volunteers annually in Peru as part of the non-profit organization Healing the Children. Accompanied by Johns Hopkins speech therapists, nurses, pediatric anesthesiologists and administrators, he performs facial reconstructive surgery on children with craniofacial diseases, including cleft lip and palate, as well as other congenital deformities such as vascular malformations and trauma. He also led mission trips to Pune, India. Dr. Desais work has earned him a humanitarian grant from the American Academy of Facial Plastic and Reconstructive Surgery.

    American Academy Of Facial Plastic And Reconstructive Surgery

    Mohs Surgery and Skin Cancer
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    The American Academy of Facial Plastic and Reconstructive Surgery is a medical society for facial plastic and reconstructivesurgeons. It exists to promote high quality facial plastic surgery, and runs courses, workshops, scientific presentations, and a training program.

    The academy represents more than 2,700 facial plastic and reconstructive surgeons throughout the world. It is a National Medical Specialty Society of the American Medical Association and holds an official seat in both the AMA House of Delegates and the American College of Surgeons board of governors. Its members are surgeons whose focus is surgery of the face, head, and neck, and who subscribe to a code of ethics.

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    Why Choose Weill Cornell Medicine

    Multidisciplinary care from leading experts: Facial and reconstructive surgery can be highly complex, so it is important to receive care from highly trained experts who can collaborate with other specialists as needed. The multidisciplinary team at Weill Cornell Medicine provides a personalized approach to treating face, head and neck aesthetic conditions. When you choose Weill Cornell Medicine, you have access to a network of doctors and specialists, which may include plastic and reconstructive surgeons, neurologists, facial nerve physical therapists and speech therapists.

    Weill Cornell Medicine partners with NewYork-Presbyterian, one of the top hospital systems in New York City and the U.S.

    Comprehensive care focusing on comfort and compassion: We understand that the surgical treatment of face and neck conditions can negatively impact your physical and emotional lives. As our patient, we work closely with you to make the process as comfortable and successful as possible. In our state-of-the-art surgical suites, our surgeons use the latest regional anesthetics and medications that allow you to recover quickly and heal faster.

    Our facial plastic and reconstructive surgeons are nationally recognized leaders in their fields. All patient care is based on the latest research and knowledge about facial surgical treatments including research being conducted by our own physicians.

    Cosmetic And Reconstructive Expertise

    Our facial plastics team members are national leaders in patient experience and all have outcome ratings in the top 1%. We offer:

    • Accomplished and experienced anesthesia and nursing care teams.

    • Comprehensive skin care program with a licensed aesthetician.

    • Leading-edge laser and 3D technologies for minimal recovery time.

    • Ongoing research published in leading medical journals.

    • Research labs to improve facial paralysis outcomes.

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    Facial Plastic And Reconstructive Surgery Clinic

    The UCSF Facial Plastic and Reconstructive Surgery Clinic specializes in caring for patients with irregularities of the face and neck. These irregularities may be congenital or acquired later in life. With all patients, our goal is to restore natural form and function.

    Treatments we provide range from minimally invasive procedures to advanced operations that include tissue rearrangement, microvascular free tissue transfer, bone replacement and dynamic facial flaps. Our surgeons can restore movement to paralyzed faces, return skin color and contour to patients with deformities, and improve critical functions such as breathing, swallowing and speech.

    Doctor referral required

    Case Management & Social Work

    Connect with a team that can help you find resources, solve problems and advocate for you during treatment at UCSF.

    Mindfulness-Based Stress Reduction Class

    This eight-week class teaches mindfulness practices that can reduce stress and improve your overall health, such as meditation and body awareness.

    Patient Relations

    We welcome feedback about your experience at UCSF Health. Find out how to contact us with comments, questions or concerns.

    Spiritual Care Services

    Chaplains representing many faiths are available around the clock to provide support, comfort and counsel to patients, families and caregivers.

    Facial Plastic & Reconstructive Surgery

    Ethnic Facial Plastic and Reconstructive Surgery: Johns Hopkins | Q& A

    Facial plastic and reconstructive surgeons are specialty trained in facial anatomy, cosmetic facial surgery, rhinoplasty and facial reconstructive techniques.

    Facial cosmetic surgeons address issues involving the aging face with surgical and nonsurgical approaches. Facial cosmetic surgery is available for improving the appearance of the eyebrows, eyelids, nose, chin, cheeks, and ears. Surgeries that address the aging face include facelifts, blepharoplasty, brow lifts, rhinoplasty, and chin lifts. Nonsurgical options include skin resurfacing, volume restoration utilizing the latest filler technologies and neuromodulators for relaxation of overactive facial muscles leading to premature wrinkling. Reconstructive surgery is offered to patients with facial deformities resulting from trauma, removal of malignant neoplasms and congenital malformations.

    Facial plastic and reconstructive surgeons are able to address a number of functional and cosmetic issues of the face and neck. As experts in treating the various challenges of facial surgery, our facial cosmetic and reconstructive surgeon is committed to creating a natural, youthful and individualized result for each patient. The minute, delicate, and functional movements of the face make it extremely important for a facial cosmetic surgeon to have a high level of expertise and experience to fully understand benefits and risks of different surgical techniques.

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    Different Types Of Rhinoplasty

    How many different kinds of rhinoplasty procedures can you list? Many people are surprised to learn techniques for this popular procedure vary beautifully. The following are possible options for your rhinoplasty in Toronto. Schedule a consultation with Dr. Solomon to discover which suits you best.

    Primary Rhinoplasty

    When operating on a nose for the first time, this is referred to as primary. Many people will have one and only one nose job to achieve the enhancement they want.

    Secondary/Revision Rhinoplasty in Toronto

    A second nose surgery may be performed to correct structural or aesthetic problems that persist after, or because of a primary nose job. Some possible issues are minor while others are challenging to correct., Highly experienced facial surgeons are best equipped to perform revision work.

    African American Rhinoplasty

    African American patients often seek rhinoplasty work for alar flare reduction or a decrease in nasal tip width. While a variety of nose shapes and sizes present, and each patient has their own aesthetic goals, the general aim of an African American rhinoplasty is to achieve a more proportionate, harmonious look while maintaining ethnic characteristics that suit a persons face.

    Asian Rhinoplasty

    The goal of Asian rhinoplasty is often to build up the radix or address the nasal width and tip, yet the aim will be to enhance features and maintain their notable ethnic qualities for a natural look.

    Persian Rhinoplasty

    Injection Rhinoplasty


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