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The Division of Facial Plastic Surgery of the Department of Otolaryngology prides itself in delivering cutting-edge techniques in all aspects of facial plastic and cosmetic surgery.
Faculty
The division is run by two full-time, academic surgeons double board-certified in Otolaryngology and in Facial Plastic and Reconstructive Surgery.
Minas
Constantinides, M.D., F.A.C.S.
Philip
J. Miller, M.D., F.A.C.S.
Anil Shah,
M.D.
Functional and Reconstructive Surgery
Nasal Surgery
Nasal obstruction often is due to weakness in the nasal sidewalls
and nasal tip. A deviated nasal septum can contribute to the obstruction.
Sometimes a broken nose can lead to new nasal obstruction as well
as new nasal deformity. Facial plastic surgery can correct many
of these problems, building strength and support into a weak, collapsing
tip and straightening the nose inside and out. Our surgeons collaborate
with the Division of Rhinology to address sinus problems simultaneously.
As a result, both functional and cosmetic problems are corrected
with only one surgery.
Facial Trauma
All types of facial soft tissue and bony injuries as a result of
motor vehicle accidents, assault, or expertly treated. The latest
reconstructive techniques are utilized, including artificial bone
and other new implants. The emphasis is to treat the injured area
as non-invasively as possible. When possible, endoscopic techniques
and hidden incision lines are utilized, allowing for more rapid
healing and less scarring.
Defects left after removing skin and other
facial cancers
Working closely with dermatologic, head and neck, and general surgeons,
all types of soft tissue defects are repaired with an emphasis to
producing the best functional and cosmetic result possible. Reconstructions
range from minor scar revisions to reconstructions of the entire
nose.
Facial Paralysis and Spasm
Facial paralysis can be a devastating problem. It is caused by trauma,
other surgical procedures or Bell’s palsy. Our surgeons are experienced
in nerve grafting, facial slings to lift the weak portions of the
face, and in the use of Botulinum toxin (Botox) to reduce the spasm
seen after nerve recovery. We work closely with neurologists, skull
base surgeons, head and neck surgeons, and rehabilitation physicians
to provide multidisciplinary care for these problems.
Congenital Malformations
Ear deformities from birth, Microtia, is a difficult problem for
the child and their family. Working with the ear surgeons in our
department, we can construct a new ear from rib cartilage, providing
improved function and form.
Cosmetic Surgery
Nasal Reshaping (Rhinoplasty)
Even when the nose works well, sometimes it just does not fit the
face. It may be too big, too small, too long, or too short. It can
detract from the natural beauty of the eyes or lips. Improving the
shape of the nose so that other facial features are enhanced, is
a special expertise of our surgeons.
Facial Rejuvenation Surgery
Surgical procedures and techniques to help our patients look younger
and less tired is performed utilizing the latest minimally invasive
and cutting-edge techniques. Facelifts, eyelid lifts, forehead lifts,
and neck liposuction are commonly performed.
Cosmetic Ear Reshaping (Otoplasty)
Children and adults alike can have ears that are too prominent.
Utilizing cartilage-sparing techniques, the ears can be safely and
predictably reshaped to make them appear more natural.
Noninvasive Techniques
Sometimes a deeper crease can be filled to make it look less obvious.
Commonly filled creases include the folds between the nose and mouth,
and the marionette lines that can turn down the corners of the mouth.
Collagen, Cymetra, and other fillers are used. Sometimes, a patient’s
own fat can be transferred to these areas for a longer-lasting result.
Botulinum toxin (Botox) has gained popularity in improving the appearance
of forehead lines and crows feet around the eyes. It is commonly
used in these areas for temporary (4 to 6 month) improvement.
Chemical peels and microdermabrasion techniques are employed by
both the physicians and their skin care specialists to improve wrinkling
due to age and excess sun exposure. We provide a full-service skin
care program for all of our patients, maximizing their improvements
postoperatively as needed.
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