Facial Cosmetic Surgery

Dr. Galoob has more than 30 years of experience performing Cosmetic Facial Surgery. Concepts in facial rejuvenation have changed during that time. Newer, more predictable and safer techniques have been developed. In addition to advances in surgical technique, there have been philosophical changes regarding the type of result desired and the goals of procedures.

More and more people today wish to avoid dramatic changes in their appearance (sometimes called the "operated look") instead preferring a natural , refreshed appearance. ("less is more")

Dr. Galoob performs many forms of cosmetic facial procedures based on the needs and desires of the patient. The procedure is individually designed to meet the patient's needs and desires. He will discuss this at length with each patient during consultation and pre-procedure visits.

Before Surgery

Prior to surgery, a complete medical history is taken in order to evaluate the general health of the patient. A thorough examination of the eyes and face is made to determine the most effective surgical approach. The amount, distribution and type of excess skin to be removed is carefully noted. If eyelid surgery is planned, an examination by an Ophthalmologist or Optometrist may be recommended to determine visual acuity and any interference of upper eyelid skin with vision. A preoperative health screening is performed to make sure that the patient is healthy before any procedure. Smoking is a known cause of healing problems after surgery and patients are asked to stop for at least one week prior and for 3 weeks after the procedure. Photographs are taken before and after surgery in order to evaluate the final results.

Types Of Facial Cosmetic Surgeries

Cosmetic Eyelid Surgery

Anesthesia consists of IV Sedation and local anesthetic injections. A licensed nurse is specifically assigned to constantly monitor vital signs and give medications under the Doctor's direction. Patients are kept at a twilight level of consciousness that allows them to relax and rest and the surgery to be easily performed. Most patients have no recollection of the surgical procedure.

The upper eyelid incision is made in the fold of the lid. On the lower eyelid, the incision is made directly below the eyelash. Excess fat and skin are removed from the underlying compartments. Small sutures are used to close the incision and special ointments and dressings may be applied. The procedure can take from one to two hours depending upon the extent of the surgery. Bruising usually lasts for 10-14 days. Women may be allowed to use eye makeup ten days to two weeks after surgery. Some insurance companies will pay part or all the costs of surgery if it is performed as a result of visual impairment.

Facelift and Necklift

Incisions are made inside of the hairline and the temple, running in front of (or inside) the ear then around the earlobe and behind the ear, ending in the hair of the scalp. Loose skin is separated form underlying tissue and is pulled up and back and excess skin is removed. Connective tissue and sagging muscles are tightened. Neck muscles are tightened if necessary. Tiny sutures are used to close the incision. Dr. Galoob strives to place incisions so that any resulting scars are completely hidden from view. After surgery, loose bandages are applied to the area and remain for a few days.

Out of town patients are asked to remain in a local hotel for one to two days. Patients must have someone to drive them and to stay with them at the hotel. Pain connected with the surgery is minimal to moderate and is controlled with oral medication. Healing and final results may not be apparent for several weeks. Most patients who have had a facelift are delighted with their more attractive, rested appearance.

Forehead & Brow Lift

The Brows and Forehead are strong contributors to facial appearance. The position of the eyebrow in most people is slightly above the rim of the eye socket. Placement of the brow at this location gives an impression of youth and vitality. Brow and forehead lifts are designed to raise eyebrows to a natural level and reduce ridges and furrows on the forehead.

Tiny V shaped incisions are made just inside the front hairline (V-Y BROW LIFT). Upward shifting of the V shaped tissue allows lifting of the brows. Scars are hardly noticeable. Most patients are street ready within 10 to 14 days. Sometimes insurance companies will cover this procedure.

Rhinoplasty - Nose Surgery

Rhinoplasty is performed to enhance cosmetic appearance or correct breathing problems. Deformity and disfigurement of the nose may be hereditary or may be associated with trauma or congenital birth defects. With surgery, the size of the nose can be reduced, the bridge straightened, the tip better defined, the nostrils narrowed and the ability to breathe improved.

Rhinoplasty is performed using either sedation or general anesthesia. Most procedures last from one to three hours. Incisions are hidden internally or at the base of the nostrils which is very inconspicuous after healing.

After the procedure, small cotton strips are placed into the nose to absorb any drainage. These delicate strips will remain in place for 24 hours and are removed in the office without discomfort. Bruising and swelling, particularly under the eyes, may last 10 to 14 days. Following the removal of the bandages, the new shape of the nose will be apparent, although subtle swelling, particularly at the base of the nose and at the tip, will gradually fade over the next several months. Final healing and appearance can take as long as a year. Most patients can return to work within a week to 10 days. Patients have minimal discomfort after the procedure.

Otoplasty - Ear Surgery

Otoplasty is the surgical correction of protruding ears, abnormalities in the shape of the ears and asymmetry between two ears. It may be performed at any age after the ears have reached full size, usually around five to six years of age.

Cosmetic ear surgery is usually performed using local anesthesia with or without IV sedation. There are two principal objectives for this surgery. First, the ears are re-positioned closer to the head ("pinned back"); second the cartilage is sculpted to create the folds and contours that may not have developed adequately. The incisions are behind the ear where they are not visible.

A bandage is worn for several days following surgery. This protects the ears and allows them to heal in their new flatter position. The stitches will dissolve in four to six weeks. Usually there is some bruising and swelling which will go away in about a week.

Most adults can return to work in about five days, and children can go back to school (without participating in strenuous activity) after about one week. The patient will need to wear a cotton headband for about a month to help prevent injury before final healing.

Harry Galoob MD

Facial Cosmetic Surgery

Facial Cosmetic Surgery

Before Surgery

Types Of Facial Cosmetic Surgeries

Harry Galoob MD