Face Procedures

Facelift in Cleveland, Ohio

by Dr. Daniel Medalie
Facelift | Brow Lift | Blepharoplasty | Rhinoplasty | Botox | Cleveland OH Facelift | Brow Lift | Blepharoplasty | Rhinoplasty | Botox | Cleveland OH
BEFORE AFTER
Facelift | Brow Lift | Blepharoplasty | Rhinoplasty | Botox | Cleveland OH Facelift | Brow Lift | Blepharoplasty | Rhinoplasty | Botox | Cleveland OH
BEFORE AFTER
Facelift | Brow Lift | Blepharoplasty | Rhinoplasty | Botox | Cleveland OH Facelift | Brow Lift | Blepharoplasty | Rhinoplasty | Botox | Cleveland OH
As people grow older, the skin of the face begins to wrinkle and sag, with the help of gravity and time. Exposure to the sun, genetic influences and other factors can contribute to the effects of aging. A facelift can correct these conditions and give people a more youthful appearance. This procedure typically involves the tightening of facial and neck skin and muscles, as well as the removal of excess skin. Facelift incisions are placed in areas where they are minimally visible. The objective is to elevate the underlying structures and re-drape the skin on the face in order to give a more youthful, healthy and rested appearance.
The surgery is performed on an outpatient basis, although some of our patients prefer to take advantage of the extended stay unit. The discomfort associated with a facelift is usually minimal to moderate. Bruising and swelling are expected, but this will resolve in two to three weeks following the surgery. As with any plastic surgery procedure, the healing process with a facelift is gradual and final results may not be apparent for several weeks, but the benefits from the surgery will last for years.
Over time, I have come to realize that merely removing excess skin and fat and then suturing the tissue tighter does not always give the best rejuvenation. It can lead to a "pulled tight" unnatural appearance. In many patients the loss of volume can be as much a sign of aging as excess skin. For this reason, I almost always perform fat injection at the same time as face lifting. This "autologous fat transplantation" helps to restore the natural youthful curves of the aging face in a way that pulling never can.There is even some evidence that "stem cells" in the transplanted fat have effects above and beyond volume restoration. They have been hypothesized to thicken the overlying skin collagen and help reverse the effects of time, gravity and sun exposure.
The patient in the pictures to the side of this text (bottom case) came to see me at my Cleveland West side office to ask about facial rejuvenation. After careful consultation it was decided to perform a Face Lift, Brow lift, Upper and Lower Lid Blepharoplasty (eyelid surgery), Fat injection to the cheeks, naso-labial fold and lips and a Mouth Corner Lift. This was a big operation and a second round of fat injection was performed at a later date to minimize the extent of swelling. After the surgery was complete the patient was completely satisfied with her new look.
For more information about Face Lift, please visit the American Society of Plastic Surgery site, by clicking on this link.

Brow Lift in Cleveland, Ohio

by Dr. Daniel Medalie
A forehead lift or "brow lift" is used to correct a drooping brow line (eyebrow area), reducing the horizontal lines and furrows (worry lines) that often make a person appear angry, sad or tired. The procedure creates a refreshed, youthful appearance to the forehead area above the eyes.

When performing a forehead lift procedure, muscles and tissue areas that droop or cause creases are removed or corrected to smooth the skin on the forehead to reduce frown lines and raise the eyebrows. There are two surgical methods, and during your initial consultation, the procedure that works best for you will be recommended. The first is the most conventional method, where a surgical incision is hidden just above the hairline. Brow lifts are also performed using an endoscope, which enables the procedure to be performed with a minimal number of incisions. While the traditional method can sometimes attain more lift,both methods create smoother, flatter skin on the forehead.
For more information about Brow Lift, please visit the American Society of Plastic Surgery site, by clicking on this link.
Facelift | Brow Lift | Blepharoplasty | Rhinoplasty | Botox | Cleveland OH Facelift | Brow Lift | Blepharoplasty | Rhinoplasty | Botox | Cleveland OH
BEFORE AFTER

Blepharoplasty in Cleveland, Ohio

by Dr. Daniel Medalie
Blepharoplasty, or eyelid tucks, are very common in patients over 40. This is a procedure to remove fat, along with excess skin, from the upper and lower eyelids. Eyelid surgery can correct drooping upper lids and the puffy bags under the eyes - features that make you look older and more tired than you feel. The effect is to give the eyes a more rested, youthful look with a brighter appearance.

Blepharoplasty can be performed on the upper lids, lower lids or both and can also be performed in conjunction with other facial procedures. The patient on the right has had a laser blepharoplasty, which is a procedure using a laser to resurface and tighten the skin of the upper and lower eyelids. The incision to remove fat is placed inside the lid to minimize scarring and post-operative lid droop.
For more information about Blepharoplasty, please visit the American Society of Plastic Surgery site, by clicking on this link.
Facelift | Brow Lift | Blepharoplasty | Rhinoplasty | Botox | Cleveland OH Facelift | Brow Lift | Blepharoplasty | Rhinoplasty | Botox | Cleveland OH
BEFORE AFTER

Laser Resurfacing in Cleveland, Ohio

by Dr. Daniel Medalie
Laser Resurfacing is a series of intense Pulsed Light treatments that improve the appearance of rosacea, flushing, sun damaged skin, and skin texture. Treatment also improves mild acne scars, corrects dark circles around the eyes, reduces large pores, fine lines, and stimulates deep tissue collagen remodeling. The example on the right demonstrates the dramatic decrease in wrinkling around the mouth that can be achieved with laser resurfacing.

For more information about Laser Resurfacing, please visit the American Society of Plastic Surgery site, by clicking on this link.
Facelift | Brow Lift | Blepharoplasty | Rhinoplasty | Botox | Cleveland OH Facelift | Brow Lift | Blepharoplasty | Rhinoplasty | Botox | Cleveland OH
BEFORE AFTER

Rhinoplasty in Cleveland, Ohio

by Dr. Daniel Medalie
Rhinoplasty is performed to change the appearance of the nose to be more aesthetic and pleasing. Sometimes the hump is removed, usually the nose is thinned out at the tip and slightly elevated. It is usually necessary to narrow the nose at the time of surgery.
A splint and packing are removed by the 7th day and most people are presentable in approximately a week to 10 days. If you have difficulty breathing, your insurance may pay for a portion of the procedure.
For more information about Rhinoplasty, please visit the American Society of Plastic Surgery site, by clicking on this link.
Facelift | Brow Lift | Blepharoplasty | Rhinoplasty | Botox | Cleveland OH Facelift | Brow Lift | Blepharoplasty | Rhinoplasty | Botox | Cleveland OH Facelift | Brow Lift | Blepharoplasty | Rhinoplasty | Botox | Cleveland OH Facelift | Brow Lift | Blepharoplasty | Rhinoplasty | Botox | Cleveland OH
BEFORE AFTER BEFORE BEFORE

Otoplasty in Cleveland, Ohio

by Dr. Daniel Medalie
Otoplasty, or ear surgery, is a surgical procedure performed to correct large, protruding or otherwise deformed ears for a more proportionate appearance. Unlike most other plastic surgery procedures, otoplasty is most commonly performed on children, as the ears are typically finished growing by the age of four. Early treatment helps reduce teasing and any effect on self-esteem that large or misshapen ears may cause. Otoplasty may often be performed to correct ears damaged by an accident or injury.
During the otoplasty procedure, an incision is made behind the ear to remove or reshape the cartilage and adjust the size and position of the ears for a more natural-looking appearance. For children, this procedure is usually performed under general anesthesia, while adults usually only require local anesthesia and sedation. Both ears may be operated on in order to achieve better balance. The results of the otoplasty procedure are permanent and scars will fade with time to become less noticeable.
Facelift | Brow Lift | Blepharoplasty | Rhinoplasty | Botox | Cleveland OH Facelift | Brow Lift | Blepharoplasty | Rhinoplasty | Botox | Cleveland OH
Otoplasty Before Otoplasty After