Facelift
No one patient undergoes the same exact
facelift. It is very important when performing the surgery to avoid
creating "telltale" signs,
or unfavorable looking results that make the face appear "unnatural." This
would include distortion of the ear shape, hairline and/or sideburn.
Dr. Wallach usually works on the deeper layers of the face to provide
the so-called "lift" and create a "natural" result. The deeper tissues
of the face are mobilized to recreate the soft tissue appearance of
a youthful face. Most importantly, he does not "pull' on the skin which
can result in a distortion of the face. He uses the analogy of a bed
to describe this. The deeper tissue of the face is like the mattress
of a bed and the skin is like a sheet covering the mattress. In order
to smooth out the bumps in the mattress, or improve the contour of
the face you have to work on the mattress, or the deeper tissues of
the face. Dr. Wallach always tries to provide the maximum result with
the minimum amount of incisions. Therefore, some patients may undergo
a short- scar facelift (mini-facelift) to improve their neck and jowls
while others may require a more involved procedure that improves the
neck, jowls, and cheeks as well. The surgical procedure usually takes
between 2 and 4 hours to perform. The recuperation is from 1-2 weeks.
Dr. Wallach has presented at national meetings and published articles
on this subject in peer-reviewed journals.
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Eyelid Surgery
Eyelid surgery is a great "eye-opener" for
many patients and should not be confused with the rejuvenation performed
with a brow lift (see Brow Lift Surgery section). The youthful, natural
looking eye is essential to provide harmony with the rest of the face;
it is often the first area requested to be treated. It can be done
in conjunction with other face rejuvenating procedures. Dr. Wallach
recreates a natural looking youthful eye by removing only necessary
fat and skin from the upper and lower lids. He tries to conserve as
much of the soft tissue in and around the eye to prevent the "hollowed-eye" look
which is a sign of aging. Dr. Wallach will often treat the lower eyelids
using an incision on the inside of the lid. The surgical procedure
usually takes between 1-2 hours to perform with a recuperation time
of about 7-10 days.
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Brow Lift Surgery
Brow lift
surgery is a great way to rejuvenate the upper 1/3 of the face. In
fact, many patients seeking eyelid surgery would benefit more from
a brow lift than just "doing their eyes." The
aging brow takes on a "tired" and sometimes "angry" look. Furrows between
the eyes appear, transverse forehead lines develop, and the eyebrows
descend. A properly performed brow lift can treat these complaints
without creating a "startled-look." Dr. Wallach uses the most modern
techniques and for many patients he can perform this using three to
five small incisions behind the hairline using a small television camera
called an endoscope. This eliminates the more traditional incision
that extends from ear to ear across the scalp. The surgical procedure
usually takes between 1-2 hours with a recuperation time of 7-10 days.
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Rhinoplasty
Nasal surgery has
evolved over the years from a "cookie
cutter, one-type fits all" procedure to now individualizing the surgery
to provide a natural result while also maintaining or improving breathing
for most patients. This may mean removing a bump on the nose or refining
the tip shape in some patients. There are some patients that have a 'flat
and wide' nose that may need narrowing of the nose or even raising
of the profile of the nose. The surgical procedure usually takes between
1-2 hours with a recuperation of 1-2 weeks. Dr. Wallach has presented
at national meetings and published papers on rhinoplasty in peer-reviewed
journals.
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Otoplasty
Corrective ear surgery
whether it is for prominent ears or for one of several ear deformities
is a relatively straightforward procedure that can change the size and
shape of the ear. This is most commonly performed on young children during
early school years but it is not uncommon to perform it on older patients.
Incisions can be placed either behind the ear or in a crease within the
ear. The ear cartilage can than be treated by removing a portion of it
or folding it on itself and securing it in position with sutures. The
surgical procedure usually takes 2-3 hours to perform and the recuperation
takes about 1 week. The actual techniques applied are dependent upon
the nature of the deformity. Dr. Wallach has published an article on
this subject in a peer-reviewed journal.