Leo R. McCafferty, M.D., F.A.C.S., aesthetic plastic surgery

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Posts Tagged ‘face lift’

Rhinoplasty in Profile

Tuesday, August 31st, 2010

The nose: it provides a sense of character and facial balance, but for some, it also can be a source of breathing problems and even aesthetic embarrassment.

Yet, whether the concern is form, function or a combination of the two, rhinoplasty—also known as a “nose job”—can help free breathing, alter the size and shape, and improve the way you look and feel about your face’s most central feature.

Rhinoplasty: Then and Now

In the 70s, rhinoplasty took a much more “cookie cutter” approach with patients. Most noses that underwent surgery looked the same—transforming unique facial features into tiny, turned-up noses that simply didn’t suit every patient.

Fortunately, today there is no one-look-fits-all rhinoplasty solution for patients. Qualified plastic surgeons understand how important it is to analyze a patient’s nose, ask them what they like and don’t like, and work to marry surgical skills to correct problem areas on a case-by-case basis.

We also examine the chin and neck at this time. A recessed chin, for instance, can make a nose look bigger. A double-chin can also affect the way the nose appears. Balance becomes the key to an effective rhinoplasty.

If we don’t feel we can achieve a look that balances naturally with the patient’s face, or if surgery would impair proper functioning, then we explain that rhinoplasty may not be a good fit for that patient.

Technology Meets Technique

One way to help us understand what a patient likes and doesn’t like about their nose, while demonstrating what the nose could look like after rhinoplasty, is with computer imaging.

Because the facial profile is two-dimensional, it’s easy to generate and morph photographs into helpful Before and After shots. This ensures we’re on the same page with the patient, and helps us achieve the most successful results.

The Rhinoplasty Process

Rhinoplasty typically takes from an hour to an hour-and-a-half, and it’s performed under local sedation. Patients feel no pain during the procedure. They leave our office with a small amount of packing in each nostril, and a little plastic splint on the nose itself.

The packing is removed in one to two days, and the splint comes off in a week.

That day, makeup may be needed to cover any remaining bruising under the eyes, but often patients can return to work, safely run errands, go out to lunch, and other routine events with little to no makeup, and without anyone even knowing they had surgery.

One word of caution—it does take a full six weeks from the day of surgery for the nose to heal. So rhinoplasty patients must remember to avoid contact sports and any other activity which might cause impact to the surgery.

But if a bump, bulbous tip, air intake issue or other related problem is affecting how you feel about yourself, rhinoplasty is a wonderful solution to improve your appearance and your breathing.

Contact us today to schedule your personalized evaluation.

The Face Lift Process

Tuesday, August 17th, 2010

Thinking of a face lift but unsure of the process it involves? Dr. Leo McCafferty shares the details in this YouTube video.

Why Customized Face Lift Procedures Are So Important

Monday, August 16th, 2010

You hear a lot about “mini lifts,” “one hour lifts” and other trade name face lift procedures in magazines and on television. But because each face is unique, a customized face lift procedure becomes essential to get the best results. Dr. Leo McCafferty talks about how he helps patients find the right facial rejuvenation solution for them.

Putting Your Best Face Forward: Facelifts and Facial Rejuvenation

Thursday, June 3rd, 2010

You’ve probably seen the names in magazine ads or on television: “Mini Lifts,” “Lunch Time Lifts,” Lifestyle Lifts,” “Quick Lifts,” “One-Hour Lifts,” and others. Maybe you’re wondering if one might be the right way to freshen your look.

When it comes to trade names for specialized facelift procedures, we believe these terms only add confusion.

No two faces are alike and, consequently, no two facelifts can be alike. A “mini-lift” for one person might be a “maxi-lift” for another, so we view facelifts, not as specific, one-size-fits-all surgery techniques, but as facial rejuvenation– a pre-planned process tailored specifically to help each patient look their personal best.

Careful Planning for Successful Rejuvenation
We begin by spending time with each patient, discussing the patient’s goals, what they like and don’t like about their look, and analyzing the face. At this point, we encourage a patient to bring in photos of themselves from twenty or thirty years ago—even high school yearbook pictures. This is not to try to take the patient back to that point in their life, but to better understand the facial features, their placement, and restore them so the patient’s look becomes refreshed and natural.

After analysis, some patients may find they don’t even need a facelift. Injectible fillers like Restylane or Juvederm may do the trick to restore deflation of the face. Fat injections can also be an effective tactic to plump the tissue. Even eyelid surgery alone can make a difference in creating a more youthful, refreshed appearance. Our consultation will help determine the right plan for you.

Preparing for a Facelift/Facial Rejuvenation
If surgery is the appropriate facial rejuvenation tactic to take, there are a number of things we ask patients to do to prepare:

  • Stop smoking for three weeks prior to surgery and two weeks after surgery. Why? Smoking adds risk to any form of surgery. Carbon monoxide in cigarettes competes for oxygen in the bloodstream. This oxygen is necessary to heal wounds. Nicotine also narrows the blood vessels, constricting the blood flow to the tissue. These factors make it more difficult for wounds to heal, and increases the risk of infection.
  • Take time for a proper skincare program, to achieve best results. Our in-house aestheticians consult with each patient about the patient’s current skincare regimen. We examine the products a patient is already using and may eliminate or add products to ensure success.
  • Discontinue all vitamins and herbs that might thin the blood, and increase risks during surgery. It’s our job to analyze a patient’s medications, understand their social habits and suggest adjustments accordingly for safe, long-lasting results.
  • Take arnica, a homeopathic medication, as well as eat moderate servings of pineapple. Both of these help decrease post-surgical bruising.

Recovery and the Results of Rejuvenation
In the past, facelift surgery was more invasive, leading to longer healing times, but with today’s smaller incisions, recovery time is shorter and more convenient, with minimal if any discomfort.

Twenty-four hours after facial rejuvenation, the bandages come off and are exchanged for a lighter bandage. In just 48 hours, patients can safely shower.

Seven days after surgery the last stitches are removed. At this point, one of our aestheticians will guide the patient with makeup. It’s not unusual for a patient to leave this appointment feeling confident enough to join friends for a lunch out!

In ten days, patients can return to work, normal activity, and normal makeup, with no one suspecting they’d had surgery.

During the second and third weeks, patients can return to low impact exercise—anything where the head remains above the waist, so swelling will not occur.

Discover A Fresher, More Youthful Look
With proper pre-operative planning, facial rejuvenation can be a safe, effective way to rediscover a refreshed and natural look.

Contact us today for your facial analysis consultation.


Member, American Society of Plastic and Reconstructive Surgeons; Member, American Society for Aesthetic Plastic Surgery