Facial Procedures in Littleton Colorado

Facelift (rhytidectomy):

Certain characteristic signs of facial ageing often develop as we age. Wrinkles may occur on the forehead and brow (glabellar rhytids), in the "crow's feet" area (lateral canthal rhytids), and around the lips (perioral rhytids). In addition to these affected areas, deep creases may develop along the nose-cheek boarder (nasolabial folds), and along the chin-cheek boarder (marionette lines). In some patients, signs of facial ageing occur predominantly in the lower face and neck. Frequently, "jowling" can be seen along the jawline and hanging bands of skin are seen in the neck producing the "turkey-waddle" deformity. The most effective and long-lasting treatment for these common signs of facial ageing is the facelift. The facelift attempts to correct this constellation of signs by addressing all areas of the face and the neck simultaneously. The modern facelift can achieve this effect by re-suspending the connective tissue (SMAS) layer of the face, yielding a more long-lasting and natural facial rejuvenation. This modern SMAS facelift is superior to the skin-tightening facelift of the 70s and 80s in both durability and aesthetic quality. At the Baker Center for Plastic Surgery in Littleton Colorado; just minutes from Denver, our goal is to always tailor each operation to the specific needs of each patient.

Forehead Rejuvenation (brow lift):

Forehead Rejuvenation (brow lift): Signs of aging may become evident in the forehead as horizontal creases and "frown lines" between the eyebrows that are exacerbated by facial animation. Also with advancing age, the brow itself may descend giving one a "tired" or "angry" appearance. The most effective and long-lasting way to correct these changes is to undergo a brow lift surgery using an endoscope to facilitate the procedure. The goal of this procedure is to achieve a brighter, more youthful appearance while avoiding the unnatural permanently-surprised look. The modern approach is to correct brow drooping only as much as is needed, and to primarily lift the outer one-third of the brows.

Eyelid Rejuvenation:

The eyelids may often show signs of aging that are exaggerated and premature. This unfortunate development is often inherited from our ancestors. Hanging redundant skin in the upper eyelids, and puffy "bags" in the lower eyelids can make one appear older and chronically tired. This is particularly distressing in those individuals who feel and act like the active, vibrant people they are. The most effective way to correct these signs is to undergo a blepharoplasty of the upper and lower eyelids. This procedure involves surgically removing excess skin and fat tissue from around the eyes to restore a more vibrant and youthful appearance in the eyes. The goal of this procedure is to remove just the right amount of skin and fat without being too aggressive. In this way, we can avoid the "sunken-in" or "hollowed-out" look seen with very advanced age.

Neck Lift:

Some individuals may be troubled by signs of ageing in the neck region. Loose skin may hang down and form vertical bands known as the "turkey-waddle" deformity. Alternatively, adipose (fat) tissue may accumulate under the chin and jaw producing the "double-chin" appearance. The most effective treatment for these deformities is the chin tuck (cervicoplasty). This procedure involves correcting the neck bands (platysmaplasty) and removing excess fatty tissue (cervicosubmental lipectomy). The chin tuck is often performed as part of a facelift procedure and can restore the youthful appearance and beauty of the neck.

Chemical Peel:

In certain individuals, facial wrinkles are extremely fine and are distributed around the eyes, lips, and over the entire face. In these cases, it may not be necessary to undergo a facelift procedure to correct these fine wrinkles. Instead, dramatic improvement can often be achieved by a carefully-performed facial chemical peel. This procedure works by producing a mild, controlled chemical injury at the level of the epidermis and superficial dermis. The result of this mild injury is that the skin in the treated area becomes smoother, tighter, and the appearance of fine wrinkles is diminished.

Injection of Fillers and Botox®:

Certain areas of the face may develop deeper wrinkles due to the action of underlying muscles that control facial expressions. Frequent problem-areas include "frown lines" between the eyebrows, "crows feet" in the temporal areas, and "marionette lines" around the chin. The FDA has recently expanded the use of botulinum type A neurotoxin (Botox®) for the temporary correction of these wrinkles. Precise injection of this toxin will result in a temporary paralysis of certain muscles of facial animation which will eliminate the overlying wrinkles for a period of 4-6 months. Certain deep facial wrinkles do not result solely from the contractions of underlying facial muscles, and these wrinkles will not be corrected by Botox® injection. Instead, they are often correctable by the injection of temporary filler materials such as collagen or hyaluronic acid derivatives. The results of injections with filler materials can be dramatic, but these results are only temporary lasting 4-6 months on average. The principle is to apply the appropriate corrective technique to the given deformity.

Aesthetic Surgery of the Nose (rhinoplasty):

The nose is one of the dominant features of the face. Both inherited and acquired deformities of the nose may be a major concern of certain individuals. Small alterations of the underlying support structures of the nose often yield profound alterations in the appearance of the nose after rhinoplasty. In certain individuals, special attention may be required along the top of the nose (nasal dorsum), or at the nasal tip. This is why a detailed knowledge of nasal anatomy and a careful assessment of the individual patient's complaint is essential for a successful outcome.