Rhinoplasty
As the aging progresses, skin wrinkling and a loss of tone can occur in the forehead area as it does in the eyelids and lower parts of the face. This may cause sagging of the eyebrows, resulting in a tired or sad look and aggravating the problem of excess skin of the upper eyelids. It may also result in deepening of the horizontal expression lines and wrinkling in the forehead itself. There may be deep, vertical frown lines between the eyebrows in the center of the forehead. The forehead lift is designed to correct or improve these problems.

The operation is performed under local anesthesia with sedation or general anesthesia. Incisions are placed behind the hairline above the ear and continue over the top of the head. In some cases, incisions may be placed in front of the hairline. Improvements are made beneath the skin and to the deep muscles; the skin and the muscle are then tightened to give a fresher, more youthful appearance.

Some patients may be candidates for an endoscopic forehead lift, which requires several very small incisions at or within the hairline instead of the longer incision used for a conventional forehead lift. Using an endoscope, the plastic surgeon can modify the muscles that cause frown lines and, when needed, elevate the brows.
The forehead lift may be done in conjunction with other facial rejuvenating procedures.

After surgery, there will be some temporary swelling and discoloration that may involve the eyelids and lower portions of the face as well. There will also be some numbness of the portions of the scalp, which will be prolonged.

You will be permitted to wash your hair shortly after the surgery. The stitches or skin clips will be removed a week or two after the operation.

The eyes are focal point of the face and contribute substantially to your overall facial appearance. Bags beneath the eyes, wrinkled drooping layers of skin on the eyelids, and sagging eyebrows give the entire face a perpetually tired or sad expression.

Aesthetic eyelid surgery can "brighten" the face and restore a more youthful appearance by reducing the fat and extra skin that causes these conditions. Blepharoplasty is often performed along with a face-lift or with other facial rejuvenating procedures.

The surgeon may operate on the upper and lower eyelids as necessary, removing excess skin and muscle as well as eliminating or repositioning fat under the skin that creates puffiness and bagginess of the eyelids. Incisions are hidden within natural folds or beneath lash lines, or sometimes may be placed inside the lower eyelid if removal of skin is not necessary.

Sometimes the upper eyelid problem is aggravated by sagging of the eyebrows, and this may require correction with a brow lift.

Because eyelid skin is thin, you should expect some swelling and black-and-blue discoloration after surgery. Your eyes may be temporarily sensitive to light and susceptible to excess tearing or dryness. You may want to wear dark glasses for a couple of weeks to protect your eyes from wind and sun irritation and avoid eye strain from prolonged reading or television viewing. You will be able to resume wearing makeup and contact lenses shortly after your surgery.

Chin augmentation (genioplasty or mentoplasty) can strengthen the appearance of a receding chin by increasing its projection. Simultaneously, it can create better harmony between the chin and other facial features for a more balanced profile. Chin augmentation will not affect your bite or jaw function.

There are two techniques for adding prominence and contour to your chin. One, performed through an incision inside the mouth, requires moving the chinbone. The other approach involves insertion of an implant. The incisions to insert the implant may be made inside the mouth or on the underside of the chin. In the latter case, surgery usually leaves a faint scar that is barely visible underneath the chin.

To permit proper healing following chin augmentation, you may be placed on a liquid diet for a day or two. The area may be taped or bandaged.

Similarly, in some cases the cheekbones may be built up (augmented) by placing an implant over them. This is usually performed through an incision inside the mouth, but it may be done through a lower eyelid or brow lift incision.

After a chin or cheek augmentation, you will most likely be up and about the same day as surgery and back to work within one or two weeks.