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New York Cosmetic and Plastic Surgery
Face Lift
In time, gravity, sun exposure, and the stresses of daily life take their toll on our faces: deep creases appear beside the mouth, the jaw line slackens, and folds and fat deposits appear on the neck. Facelifts counteract these problems by removing fat and tightening skin and muscles, giving your face a fresher, youthful look. After surgery, some patients appear 10-15 years younger.
A facelift can be combined with a browlift, eyelid surgery or nose reshaping for more dramatic results, or it can be restricted to the neck (necklift) if the patient’s problems center there. Incisions are made in inconspicuous places such as behind the hairline and in natural folds of the face and ears, and scars fade to near invisibility in time. Results of a facelift do not last forever, but in another sense, the effects are permanent; years later, your face will continue to look better than if you had never had the procedure.
Rhinoplasty
 One of the most common plastic surgery procedures, rhinoplasty is performed to reshape, reduce or augment a person’s nose, remove a hump, narrow nostril width, change the angle between the nose and the mouth, or to correct injury, birth defects, or other problems that affect breathing. Results depend on the patient’s nasal bone and cartilage structure, facial shape, skin thickness and age (teenagers should have had their growth spurt). Insurance may cover rhinoplasty if it is done for reconstructive or medical reasons, but likely not for cosmetic purposes.
Rhinoplasty is usually an outpatient procedure performed under either local or general anesthesia and lasts one to two hours unless more extensive work needs to be done.
Surgeons use one of two techniques: the incision is either made within the nostrils, thus hiding scars after surgery, or across the columella (the vertical strip of tissue separating the nostrils) in an "open" procedure, where scars are small and hidden on the underside of the base. In both procedures the skin is lifted, the bone and cartilage sculpted, and the skin replaced and stitched closed.
For a short time after surgery you may experience puffiness, nose ache or a dull headache, some swelling and bruising, bleeding or stuffiness. Most patients feel like themselves within two days and return to work in about a week. Contact lenses can be worn immediately but glasses will have to be taped to your forehead or propped on your cheeks for up to seven weeks.
Complications are rare and, when they occur, minor. These may include infection, nosebleed, or a reaction to the anesthesia.
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Neck Lift
The neck may sag as a result of aging or weight loss, and is often affected before the face. Loose neck muscles can lead to an appearance of bands on the neck or drastic drooping of the skin. A neck lift is a surgical procedure that can smooth and tighten the skin on the neck and provide a more toned and youthful appearance. The results of this procedure offer a drastic improvement to the appearance of the neck and subtle changes to overall appearance. A neck lift may be performed alongside a facelift, or may be performed alone, after which your friends and family may not even realize that a surgical procedure was performed.
A neck lift procedure includes both a cervicoplasty to remove excess skin and a platysmaplasty to remove or alter muscles in the neck. Liposuction can also be used to remove excess fat during a neck lift. This takes two to three hours and may be performed under general anesthesia or local anesthesia with sedation, depending on the preference of the patient. Most procedures are performed within an outpatient basis.
Swelling and bruising may occur shortly after the procedure and last up to ten days. Most people can return to work and other regular activities within two weeks after a neck lift procedure.
There are certain risks involved in a neck lift, as there is with any surgical procedure including problems with anesthesia or infection. There is also a risk of facial nerve damage that may occur during surgery and can result in muscle paralysis. Although these complications are rare, they emphasize the importance of choosing a skilled and experienced surgeon for your cosmetic procedures.
Forehead Lift/Browlift
 Browlifts can revitalize drooping or lined foreheads, helping you to look less angry, sad or tired. Using either traditional or minimally invasive (endoscopic) methods, browlifts involve the removal or alteration of the muscles above the eyes to smooth lines and raise the eyebrows for a more youthful appearance. The procedure is often combined with other operations such as blepharoplasty (eyelid surgery) and facelifts to improve the look of the eyes and other areas of the face.
While browlifts are typically performed on patients aged 40-60 to counteract the effects of aging, anyone with lined or inelastic skin on the forehead – whether it’s caused by muscle activity or inherited conditions – are eligible. The procedure is usually performed in an office-based facility or surgery center under local anesthesia and sedation.
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