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Cosmetic Procedures

Head & Neck Surgical Associates’ physicians and surgeons perform a number of cosmetic procedures designed to meet your individual needs. These procedures are typically performed in the Futures Outpatient Cosmetic Surgery Center (FCSC). FCSC is an outpatient surgical facility located in the same building as HNSA. The center is a state-of-the-art, state licensed Type I Ambulatory Surgery Center that complies with and is certified by the state and federal Medicare/Medicaid program (the highest standard).

All of our physicians and nurses are certified by the American Heart Association in Advanced Cardiac Life Support. Your safety, satisfaction, privacy and comfort are our priority, and we are confident your cosmetic needs will be met in our exceptional facility.

Cosmetic surgery procedures offered include:

• Eye Lid Surgery (Blepharoplasty)
• Face Lifts (Rhitidectomy)
• Nasal surgery (Rhinoplasty)
• Laser Resurfacing
• Liposuction (Neck/abdomen/thighs/buttocks/arms)
• Cheek augmentation (Malar augmentation)
• Chin augmentation (Genioplasty)

HNSA also offers a number of non-surgical cosmetic procedures, many of which are performed by HNSA’s estheticians.

Non-surgical cosmetic procedures offered include:

• BOTOX® Cosmetic
• Glycolic Acid Peel
• Laser Hair Removal
• Microdermabrasion
• Obagi Blue Peel®
• Restylane®
• Thermage®

HNSA is pleased to offer a number of state-of-the-art cosmetic products for sale. You can purchase Obagi Nu-Derm®, M.D. FORTÉ®, SkinCeuticals®, Kinerase®, AVAGE® and Bare Escentuals Mineral Makeup at our office. Please call to make an appointment with one of our estheticians at (503) 525-3643 should you be interested in any of these products.

To learn more about HNSA’s cosmetic surgery offerings, please contact us for a complimentary consultation, or make a reservation for one of our upcoming cosmetic surgery seminars: Upcoming Events.

We look forward to meeting you and creating a specialized cosmetic program for you.

• Blepharoplasty (Eye Lift)
• BOTOX® Cosmetic
• Cheek Augmentation
• Forehead Lift / Brow Lift
• Genioplasty (Chin Augmentation)
• Laser Resurfacing
• Rhinoplasty (Nasal Surgery)
• Rhytidectomy (Facelift)

Blepharoplasty (Eye Lift)

Eyelift surgery, or blepharoplasty, is performed to improve the appearance of drooping eyelids and/or puffiness or bags around the eyes. A blepharoplasty may be performed on the upper eyelids, the lower eyelids, or all four lids and serves to remove excess fat, muscle and skin resulting in a more youthful appearance. It is often performed in combination with other procedures such as browlift, facelift, or skin resurfacing.

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BOTOX® Cosmetic

BOTOX® Cosmetic is a dilute, purified form of Botulinum toxin, which is an extremely effective muscle relaxant. Although BOTOX® Cosmetic is a toxin, there are little to no serious side effects. When BOTOX® Cosmetic is injected into the superficial muscles of the face, it relaxes these muscles and prevents the wrinkle lines caused by squinting, frowning, and raising our eyebrows. BOTOX® Cosmetic is ideal for improving and smoothing the skin between the eyebrows, the lines of the forehead, and the crow’s feet area around the eyes. BOTOX® Cosmetic is only used on the face around the eyes and forehead so as not to affect a patient’s smile. It is important to understand that BOTOX® Cosmetic is temporary and only relaxes the overall facial muscles that cause wrinkles. After treatment, most patients’ skin feels normal and they experience normal sensations in all treated areas. Muscles that are not treated and related to other expressions are not affected. Most patients see results within 4-5 days and the effect of BOTOX® Cosmetic lasts, on average, for 3-4 months.

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Cheek Augmentation

Cheek augmentation is performed to enhance cheek projection and improve facial proportions and esthetics. It is performed through incisions hidden in the mouth utilizing either alloplastic materials (cheek implants) or by using a bone graft. These procedures may be done alone or in combination with other cosmetic procedures.

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Forehead Lift / Brow Lift

The brow and forehead areas are often the first to show signs of aging. Sun, wind and gravitational forces cause the skin to lose its elasticity leading to wrinkling and a perceived heaviness in this region of the face. A forehead or brow lift is one option for minimizing the effects of these changes in your appearance. The procedure is performed by tightening the skin in the forehead region and removing excess skin, thus reducing the amount of wrinkling in the forehead region and minimizing the appearance of “drooping brows.” In some cases, the surgeon may remove a portion of the muscle that causes these vertical wrinkles. The goal of surgery is a smoother, more youthful appearance. While the average age range for this procedure is forty to sixty-five, it is often considered at an earlier age.

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Genioplasty (Chin Augmentation)

Chin augmentation, known as genioplasty, is performed to enhance chin projection and improve facial proportions and esthetics. It is performed through incisions hidden in the mouth by using either alloplastic materials (a chin implant) or by creating a bone cut in the chin and sliding the chin forward (osteoplastic genioplasty). These procedures may be done alone or in combination with other cosmetic procedures.

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Laser Resurfacing

Sun, wind and gravitational forces cause the skin to lose its elasticity leading to wrinkling and a perceived heaviness in this region of the face. Premature wrinkling is more common than ever before. Laser techniques offer men and women an option for reducing the appearance of these wrinkles, improving the look of pitted acne scars and removal of pre-cancerous growths called keratoses. The procedures outlined here will not produce perfect skin, however, you will find that the appearance of your skin is dramatically improved.

Laser resurfacing is used primarily to smooth facial skin that has wrinkled due to excessive exposure to the sun. High-energy, amplified light waves of carbon dioxide immediately vaporize the top layer of skin. There is no bleeding and minimal trauma to the surrounding skin. Patients should expect their skin to be red, as if sunburned, for approximately 6 weeks.

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Rhinoplasty (Nasal Surgery)

Surgery to correct the appearance of the nose, rhinoplasty, has been performed for many centuries. The nose is the most defining characteristic of the face, and as such, even a small change can drastically improve the appearance of one’s face. Rhinoplasties are often performed in conjunction with other facial plastic procedures.

There is no ideal nose. The most important consideration is creating harmony with the other features of the face. There are many important factors that must be considered prior to undergoing rhinoplasty including skin type, ethnic background, and age. We do not perform rhinoplasties on patients until they have reached full growth; in most cases this occurs around the age of fifteen or sixteen. The exception to this rule is if breathing is severely impaired.

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Rhytidectomy (Facelift)

Aging of the face is inevitable. As the years go by, the skin begins to loosen on the face and neck. Crow’s feet appear at the corners of the eyes. Fine forehead lines become creases and then, gradually, deeper folds. The jaw line softens into jowls and beneath the chin vertical folds appear at the front of the neck. Heredity, personal habits, the pull of gravity, and sun exposure contribute to the aging of the face. As the aging population grows, it is obvious why rhytidectomy has become the third most desired facial plastic surgery procedure.

As with all facial plastic surgery, good health and realistic expectations are prerequisites. Understanding the limitations of rhytidectomy is crucial and psychological stability is vital. There is no ideal in a facelift. Rather, the goal is to improve the overall facial appearance. Skin type, ethnic background, degree of skin elasticity, individual healing, basic bone structure, as well as a realistic attitude, are factors that should be discussed prior to surgery. This procedure is sometimes performed on patients in their thirties, and successful surgery has been performed on patients in their eighties. A facelift cannot stop aging, nor can it “turn back the clock.” What it can do is help your face look its best and and provide a healthier and more youthful appearance. Increased self confidence is often a benefit of a rhytidectomy, as well as all other facial plastic surgery procedures.

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