:: Ear Surgery (Otoplasty)

Procedure:

Set prominent ears back closer to the head, or reduce the size of large ears. Most often done on children between the ages of 4 and 14 years. (Occasionally covered by insurance.)

Length:

2 to 3 hours.

Anesthesia:

Young children: usually general. Older children or adults: general or local, with sedation.

In/Outpatient:

Usually outpatient.

Side Effects:

Temporary throbbing, aching, swelling, redness, numbness.

Risks:

Infection of cartilage. Excessive scarring. Blood clot that may need to be drained. Mismatched or artificial- looking ears. Recurrence of the protrusion, requiring repeat surgery.

Recovery:

Back to work or school: 5 to 7 days.
Strenuous activity, contact sports: 1 to 2 months.

Duration of
Results:

Usually permanent.

:: Eyelid Surgery (Blepharoplasty)

Procedure:

Correct drooping upper eyelids and puffy bags below the eyes by removing excess fat, skin, and muscle. (Upper-eyelid surgery may be covered by insurance if used to correct visual field defects)

Length:

1 to 3 hours.

Anesthesia:

Usually local with sedation or general.

In/Outpatient:

Usually outpatient.

Side Effects:

Temporary discomfort, tightness of lids, swelling, bruising. Temporary dryness, burning, itching of eyes. Excessive tearing, sensitivity to light for first few weeks.

Risks:

Temporary blurred or double vision. Infection, bleeding. Swelling at the corners of the eyelids. Dry eyes. Formation of whiteheads. Slight asymmetry in healing or scarring. Difficulty in closing eyes completely (rarely permanent).

Pulling down of the lower lids (may require further surgery). Blindness (extremely rare).

Recovery:

Reading : 2 or 3 days. Back to work: 7 to 10 days. Contact lenses : two weeks or more. Strenuous activities , alcohol: about 3 weeks. Bruising and swelling gone : several weeks.

Duration of
Results:

Several years. Sometimes permanent.

:: Facelift (Rhytidectomy)

Procedure:

Improving sagging facial skin, jowls, and loose neck skin by removing excess fat, tightening muscles, re-draping skin. Most often done on men and women over 40.

Length:

Several hours.

Anesthesia:

Local with sedation, or general.

In/Outpatient:

Usually outpatient. Some patients may require short inpatient stay.

Side Effects:

Temporary bruising, swelling, numbness and tenderness of skin; tight feeling, dry skin. For men, permanent need to shave behind ears, where beard-growing skin is repositioned.

Risks:

Injury to the nerves that control facial muscles or feeling (usually temporary but may be permanent). Infection, bleeding. Poor healing; excessive scarring. Asymmetry or change in hairline.

Recovery:

Back to work: 10 to 14 days. More strenuous activity : 2 weeks or more. Bruising: 2 to 3 weeks. Must limit exposure to sun for several months.

Duration of
Results:

Usually 5 to 10 years.

:: Facial Implants

Procedure:

Change the basic shape and balance of the face using carefully shaped implants to build up a receding chin, add prominence to cheekbones, or reshape the jawline.

Length:

30 minutes to 2 hours.

Anesthesia:

Local with sedation, or general.

In/Outpatient:

Usually outpatient. Occasionally overnight hospital stay.

Side Effects:

Temporary discomfort, swelling, bruising, numbness and/or stiffness. In jaw surgery, inability to open mouth fully for several weeks.

Risks:

Shifting or imprecise positioning of implant, or infection around it, requiring a second operation or removal. Excess tightening and hardening of scar tissue around an artificial implant ("capsular contracture"), causing unnatural shape.

Recovery:

Back to work: about 1 week. Normal appearance: 2 to 4 weeks. Activity that could jar or bump face: 6 weeks or more.

Duration of
Results:

Permanent.

:: Forehead lift (Browlift)

Procedure:

Minimize forehead creases, drooping eyebrows, hooding over eyes, furrowed forehead and frown lines by removing excess tissue, altering muscles and tightening the forehead skin. May be done using the traditional technique, with an incision across the top of the head just behind the hairline; or with the use of an endoscope , which requires 3 to 5 short incisions. Most often done on people over 40.

Length:

1 to 2 hours.

Anesthesia:

Local with sedation, or general.

In/Outpatient:

Usually outpatient.

Side Effects:

Temporary swelling, numbness, headaches, bruising. Traditional method: Possible itching and hair loss.

Risks:

Injury to facial nerve, causing loss of motion, muscle weakness, or asymmetrical look. Infection. Broad or excessive scarring.

Recovery:

Back to work : 7 to 10 days, usually sooner for endoscopic forehead lift. More strenuous activity: several weeks. Full recovery from bruising : 2 to 3 weeks. Limit sun exposure for several months.

Duration of
Results:

Usually 5 to 10 years.