Cosmetic facial plastic surgery is surgery performed to enhance visual appearance of the facial structures and features.

It can be important because our facial expressions allow us to interact and communicate with each other and our appearance has indeed an impact on how others perceive us.

Facial plastic surgery is therefore a great way for people to enhance their cosmetic appearance and improve their self-esteem. Since confidence can be tied to physical appearance, looking great leads to feeling great.

The first step in considering facial plastic surgery is a meeting with the surgeon to discuss goals, alternatives, and potential risks and benefits of facial surgery. Its primary goal is to help patients decide whether or not plastic surgery is the right option for them and which surgical options are best for them to achieve the look they desire.

In fact, it is crucial for the candidate to have realistic expectations about the psychological and aesthetic benefits gained from the cosmetic procedure. With the wrong attitude and expectations, the outcome may be disappointing.

During the initial consultation, Dr Montemurro will therefore discuss realistic options and results that each patient should expect from any given cosmetic procedure.

Blepharoplasty

Surgery that may involve removing excess skin and fat in order to address droopy eyelids and bagginess below the eyes. During the aging process, the eyelids stretch and the muscles supporting them weaken. As a result, excess skin and fat may gather above and below the eyelids causing sagging eyebrows, droopy upper lids and bags under the eyes.

A blepharoplasty can address these issues, restoring a more alert and youthful appearance. In a typical procedure, the surgeon makes incisions following the natural lines of the patient´s eyelids, in the creases of the upper lids and just below the lashes in the lower lids. If needed, the incisions may extend into the crow’s feet (laugh lines) at the outer corners of the eyes. The incisions are then closed with very fine stitches, leaving nearly invisible scars.

Facelift/Necklift

Surgery performed to tighten the skin and the muscles in order to enhance firmness of the face and neck.

This procedure improves the signs of aging in the cheek region, jawline and neck by removing excess fat and skin relaxation which creates jowls, excess fat under the chin and loose neck skin.

As a result, patients will regain a fresher, tighter and firmer facial appearance. Typically, the incision is hidden in the natural contour of the ear and then extends around the earlobe and back into the hairline. If necessary, an incision under the chin allows the surgeon to remove fatty tissue and excess of skin in that area. Following surgery, the incisions are barely visible and easily concealed by hair or with makeup.

Forehead Lift/Browlift

Surgery to improve droopy eyebrows that can make a person appear sad or tired.

This procedure is performed endoscopically, through a few short incisions in the scalp.

The tissues are lifted and anchored in the new position with internal stitches, providing a natural and stable eyebrow elevation. The head does not need to be shaved and this technique leaves no visible scars, because the incisions are small and hidden behind the hairline.

Neck Liposuction

Surgery performed to remove excess fat under the chin or in the neck.

This procedure can sculpt a more youthful, contoured neck and jaw line.

Good candidates for liposuction of the neck are usually young patients who have excess fat along with adequate skin and muscle tone.

If the skin and/or muscle tone is lax, some type of neck lift procedure will likely be needed instead.

The operation is made through a small incision, usually 2-3 millimeters long, just large enough to allow the insertion of a hollow tube called a liposuction cannula.

Fat injection/Fat transplantation

Minimally invasive surgery that transfers fat from one part of the body to another in order to recontour the face, diminish nasolabial folds (between the nose and the lips) and provide definition to areas like the cheeks and chin.

Gives the face a fuller look and produces a very natural appearance by restoring lost facial volume, one of the most significant signs of aging.

Fat injections are made with a simple syringe and do not leave any type of scar.

Otoplasty

Surgery to reshape the ears in order to improve their appearance.

This procedure is usually performed to address prominent ears, a condition that can have a significant psychological impact on patients.

The ears are set back closer to the head by molding and trimming cartilage. All the incisions are generally hidden in the crease behind the ear and are therefore not visible.

Otoplasty will not affect hearing, as it involves only the outer ear.

Mentoplasty

Surgery to change the shape of the chin bone, giving more definition and volume.

This is usually accomplished by placement of a fitted implant directly on the bone of the chin, through a small incision made below the chin.

This procedure can be used to define an underdeveloped chin, or give it more prominence, providing better balance to the facial features.

After the surgery

Most facial plastic surgery procedures will be under general anesthesia, with the exception of upper blepharoplasty that can safely be performed under local anesthesia.

After any surgical procedure, patients can expect some discomfort. However, the postoperative pain is generally mild and can easily be controlled with pain medication. Depending on the extent of the surgery, some procedures can be completed on an outpatient basis (without the need to stay overnight) while others may require a hospital stay for a day.

Sutures will be removed in the office about a week after the procedure and most patients feel comfortable returning to work one to two weeks following their surgery, when swelling and bruising are reduced, and their appearance has improved. Postoperative bruising and swelling from surgical facial cosmetic procedures varies from person to person but usually begins to resolve by the end of the first week. It may however take one to three weeks for bruising and swelling to fully go away. Any activity that increases blood pressure may increase the amount of time it takes for postoperative swelling to resolve.

Depending on the facial plastic surgery procedure, patients should avoid aerobic activities for at least two to four weeks following surgery. Additionally, smokers should avoid doing so for four weeks before the surgery in order to optimize healing and minimize risks following the procedure.