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We believe facial cosmetic surgery involves techniques intended for the “enhancement” of appearance through surgical and medical techniques, and is specifically concerned with maintaining normal appearance, restoring your appearance, or enhancing it. Our goal is to use our medical finesse and experience to obtain the desired results for our clients.
At Michigan Facial Aesthetic Surgeons, Dr Carron specializes in the only endoscopic surgical procedure for the face – the brow and mid-facelift. Due to the progressive nature of endoscopic surgery, Dr. Carron continuously stays up-to-date with new instruments developed to optimize the procedure. Though he is only one of Detroit’s few surgeons to take facelifts to the next level, for Dr. Carron it’s simply another real-life example of a driven, double-board certified surgeon and a relentless focus on patient care.
Rhinoplasty is the name given to the operation to correct deformities of the nose and restore nasal respiration. Rhinoplasty is also commonly referred to as a “nose job” or nasal surgery. The most popular request for rhinoplasty in Michigan is because the patient desires an improvement in appearance.
Prior to the rhinoplasty procedure, photographs are taken in order to study the nose and face and plan the nose surgery much the same as a builder plans a house. In this way the object is not only to improve the shape of the nose but also the appearance of the entire face. Our goal at Michigan Facial Aesthetic Surgeons is for other people to not even notice the changes in your nose because our goal is accentuate other features during rhinoplasty. Most commonly, rhinoplasties bring out your eyes.
Visit Rhinoplasty Michigan which focuses on Deviated Septum correction and Revision Rhinoplasty.
The procedure usually takes about 2 to 3 hours and can be done under both local anesthesia with sedation or general anesthesia. All rhinoplasty procedures are performed at one of our accredited hospital or surgical centers near you in southeastern Michigan and Detroit. At the completion of surgery, a small adhesive tape-compound splint is applied to the nose and sometimes a small amount of soft packing is placed just inside the nostril (not the entire nasal passage). The premedication taken during the week prior to surgery plays a tremendous part in the reduction of swelling and discoloration. The dressings and the packing are removed in the office about 5 or 6 days following the nose surgery.
At the end of one week most of the swelling and discoloration about the eyes has disappeared in 90% of patients. Some swelling is present in diminishing amounts for several weeks; the patient is particularly conscious of this in the morning when first arising and notices that it is much reduced as the day progresses. If work needs to be done on the nasal septum, there may be a varying degree of nasal blockage after the dressings are removed. Medicines may be given to relieve this. The average patient may return to work about a week after surgery.
After all dressings have been removed, the patient visits the office several times over the following year in order to check for progress. During this time, the patient must be very careful that the nose is not injured in any way. Protection must be taken from prolonged exposure to direct sunlight. Eyeglasses must not be worn unless they are suspended from the forehead with adhesive tape for the first 6 weeks. The nose may be gently blown after 3 weeks. The use of nasal saline irrigation and ointments is very important during this period to ensure proper healing. There is no contraindication to gently cleaning the outside of the nose, or to the use of cosmetics. It is not advisable to lift heavy weights or do heavy aerobic exercise for 2 weeks after surgery. It is however very important to move and remain active in the immediate post-operative procedure.
No matter how much has been taken from your nose, we always make room for improvement. We can get your nose back to looking as normal as possible, and take away the nose that looks “over operated”. Whether you feel your nose is too big, or too small due to your nose job, it is highly unlikely that any nose is beyond repair, so if you’ve had several revision rhinoplasty procedures and you’re still not satisfied with your nose job revision don’t hesitate to contact us.
Prior to the revision rhinoplasty procedure, photographs are taken in order to study the nose and face to develop a plan for the surgery. In this way the object is not only to improve the shape of the nose but also the appearance of the entire face. It is our goal for other people to not even notice the changes in your nose. By reducing the attention drawn to the nose we hope to accentuate your other features during revision rhinoplasty.
If both upper eyelids and lower eyelids need correction, they are done at the same time. The blepharoplasty eyelid surgery takes about two hours; however the patient is lightly sedated and feels no pain or discomfort. There is minimal disability associated with eyelid surgery which allows early return to one’s routine. And, your blepharoplasty procedure may be covered by your insurance plan.
Each blepharoplasty eyelid surgery is followed with varying degrees of swelling and discoloration that usually subsides in 7-10 days. The use of cold compresses will reduce swelling and the thread-thin scars can usually be hidden by make-up. After several months these scars gradually blend in well with the surrounding skin and become perceptible only by close scrutiny.
Several weeks after your procedure we advocate a light peel to further tighten the skin around the upper eyelids and lower eyelids. This is an easy procedure that is done in-office with zero side effects. Excess skin and fullness of the upper eyelids may not always be due to the eyelids but associated with eyebrow complexes that have descended below their normal anatomic positions.
Listen to an audio description of the blepharoplasty eyelid procedure.
Botox is a neuromodulator that works to lessen the effects of age and sun on the fine lines around the eyes, forehead, face and neck. The alternatives are Dysport and Xeomin. Neuromodulators are very different than fillers such as Restylane, Perlane, Voluma, Juvederm, Sculptra and Radiuses which work not to paralyze the muscles but add volume to areas of sagging skin, enhance facial highlights, and fill in deeper creases and scars in the face.
It is important to emphasize that only fellowship trained, board-certified physicians perform your Botox sessions and filler injections.
Drooping of the outer ends of the eyebrows is frequently one of the first signs of aging in most people from the Detroit area. It causes the upper lid skin to appear redundant until it spills onto the eyelashes themselves. Pre brow lift patients often complain that their eyes appear to be getting smaller or deeper-set and that any mascara or eyeliner they apply usually ends up high on the upper part of the lids a short while after it has been applied. We can perform a brow lift procedure that dramatically improves the drooping of the eyebrows.
A brow lift creates the appearance of large, youthful eyes – there is often a lessening of the “crow’s feet” that comes with aging skin around the eye. Depending on the amount and the location of the person’s hair, incisions may be hidden directly above the brows, in forehead creases or along the front of the hairline. Brow lift and forehead corrections are not benefited by the facelift or blepharoplasty operation but can be dramatically improved with a brow lift and forehead lift – 3 to 5 small incisions placed behind the hairline to allow small telescopes to help elevate the brows.
The brow lift operation generally takes about 45 minutes to an hour and can be performed under local with a light sedation or under general anesthetic. Mild swelling and discoloration usually develops around the eyes but disappears in most cases by the 7th day after surgery. On occasion a small drain may be used to prevent accumulation of small pockets of fluid. This is removed the day after brow lift surgery. A large bulky dressing is worn for 72 hours or as needed.
Listen to an audio description of the brow and forehead lift procedure.
Full cheek bones have always been a hallmark of attractiveness and facial beauty. They frame the eyes and balance the nose, lips, and chin. Fuller cheeks may be augmented in patients with weak or underdeveloped cheek bone contour. We can also redevelop the cheek bones to patients who have undergone trauma to the facial skeleton.
Techniques used to improve the volume of the cheek include transfer of the patients’ own adipose tissue or placement of silicone implants. The implant size is carefully selected prior to surgery to ensure coordination with all existing facial features. A well concealed incision under the upper lip is utilized to facilitate placement of the implant. The new implant will rapidly adjust to the new location and deliver the appropriate volume and fullness to the cheek area.
This is an outpatient operation that is requires relatively little time. Post-operative swelling is temporary and discoloration is easily camouflaged with cosmetics for the first week. Augmentation of the cheek may be coordinated with other procedures to maximize facial harmony.
Listen to an audio description of the cheek augmentation procedure.
These effects of aging and sun exposure are best eliminated by the chemical peel or dermabrasion. These peels remove the outermost layers of the skin to promote a more smooth, uniform and wrinkle free skin. The peel has also been used to remove precancerous lesions in and around the face. Dermabrasion achieves the same result by gently sanding the outer layers of the skin allowing it to regenerate without the fine lines and wrinkles.
After the face is washed and degreased, a peeling solution is applied to the skin with cotton swabs. Once the peel is complete, the face is washed daily and ointment applied until healing is complete. The skin is reddened as though it had been sunburned and is wrinkle free but the redness resolves.
Make up can be applied after 10 days and a mild bleaching agent may be used 6 weeks after the procedure. The pink color of new skin usually remains for 6-8 weeks. Strict avoidance of prolonged sun exposure is advocated for 3-4 months. Adhering to such recommendations ensures a very lasting benefit measured in years.
All peels can be done on an outpatient basis. The deepest peels require close observation and hydration and must be done in an accredited facility. The light and medium depth peels can be done under local and in the office.
Brow lifts are for both men and women of all ages. The better health you’re in the better chances you’re a good candidate. Dr Carron takes an independent evaluation of each patient and their idiosyncrasies to make sure nothing interferes with the procedure.
With an Endoscopic brow lifts the eyebrows are raised through small incisions in the scalp. This is a minimally invasive procedure performed under anesthesia. In most cases, the endoscopic procedure creates less bruising and a faster healing time. Expect to have some mild swelling and bruising around your forehead area for a few days after surgery. You can expect Dr Carron to be up-to-date on your recovery that normally takes a week.
What you can expect with a brow lift:
Mid-face is known as the portion of the face that lies above the mouth and below the eyes. Once we reach our mid-thirties gravity takes ahold of our older skin and it begins to sag creating a hollow, older look. However, Dr Carron has the solution to looking older, please reach out to us today for a consultation.
You can expect the following concerns to be address with a mid-facelift.
A mid-facelift is performed endoscopically using a small camera and incisions that are entirely hidden behind the hairline. The mid-facial cheek tissues are restored to their natural position using absorbable sutures. As these sutures dissolve, the cheek tissues naturally adhere to the underlying bone and remain in a higher, more youthful position.
Immediately after surgery, we begin a healthy recovery process by creating bandages to fit your face and combat swelling with surgical drains. During your first post operative visit, Dr Carron will remove everything, and you’ll be ready for light activities. Generally, patients do not experience much pain but may have discomfort while chewing. The recovery process lasts for two weeks in which you will have regular appointments with Dr Carron to ensure your progress is on track.
Our facelift procedure is designed to remove wrinkles caused by loose skin and to tighten the fatty tissues of the face and neck resulting in a more youthful appearance.
It’s natural for everyone who contemplates a traditional facelift surgery is concerned with the degree and duration of improvement. The extent of improvement depends on the degree of wrinkling present; if it is marked, the results may be dramatic. If early laxity is of concern and the facelift is performed preemptively to maintain a youthful neck and jawline, the improvement may be more subtle – remarks will often be made that the skin looks more “alive.”
The duration of the facelift procedure is approximately 10 years. As such, we, at Michigan Facial Aesthetic Surgeons, describe aging using the escalator analogy. If we think of aging as progressively moving up on an escalator, we can think of the facelift as moving you ten steps back. The escalator does not stop, nor does normal aging. However, with sun protection and adherence to a daily skin regimen, you can protect your investment for many years to come.
Visit Facelift Michigan to learn more about specialty procedures like the Liquid Facelift and the Mini Lift.
The facelift surgery is usually done as an outpatient under local anesthesia with sedation or under general anesthetic at a fully accredited facility at Crittenton or Beaumont Hospital. We use recent technical advances in Michigan health to achieve your desired look with the minimal amount of surgery possible. Such minimally invasive facelift techniques ensure quicker down times and a speedier recovery.
There is little pain in the post-operative period. A large dressing will remain on you for one to two days to keep the cheek and neck skin in place while healing initially occurs. The face is somewhat discolored and swollen following surgery; the swelling subsides in a few days while the discoloration takes about one week to fully disappear. The patient returns on two occasions for suture removal and to check on healing. Women may begin to wear make-up after 7-8 days and should be able to return to work soon after that.
We are board-certified, fellowship trained otolaryngologists and facial plastic surgeons who trained with master surgeons in the field of facial plastic surgery in Michigan and beyond. We do not believe a cookie-cutter operation is in your best interest. Each surgery is specifically tailored to your desires. We want to form lasting bonds with our patients and are with you every step of the way from preoperative consultation to decades in the postoperative period!
Submental lipectomy is not sufficient for some people and a formal facelift operation is required as well. This is particularly true if there is excess skin at the jowls, along the jawline or neck. These two procedures are often performed together to give the face and neck a smooth and more youthful appearance.
Listen to an audio description of the submental lipectomy procedure.
Areas commonly addresses are the temples, cheeks, and orbits specifically the tear-trough. The goal of the procedure is to restore lost facial volume with patients’ own tissue. Using adipose tissue for grafting material is safe, natural and permanent.
Immediately after injection, the area will look completely corrected but the volume may temporarily diminish over the next few months as some of the adipose cells ultimately reabsorb. Remaining living adipose cells take hold and repopulate the area of the defect. The total healing time for this to occur is approximately 9 months. On occasion, a second injection may be required after a year for a final touch-up.
Overall, fat harvest and transfer is a powerful, natural and safe technique to improve contour or re-establish lost facial volume.
The surgery may be done under local or general anesthesia on patients in adolescence and beyond. The operation is performed through a small incision concealed in a natural skin crease under the chin. This procedure does not require hospitalization. The acute healing is usually complete in one week.
A medical grade silicone implant is the material used to increase chin projection. It has been used is tens of thousands of cases and has the highest record of safety and satisfaction. The implants come in multiple shapes and sizes and the surgeon may also custom tailor the implant for the patients unique needs. It becomes very difficult to detect the presence of the material in the chin after a short time has elapsed because it has practically the same consistency as the surrounding tissue. This is a powerful means to restore a weak chin profile and improve facial harmony alone or in conjunction with other procedures.
Listen to an audio description of the chin augmentation procedure.
In some people extra tissue is gradually deposited below the chin until the so-called “double-chin” is formed. This hanging mound of excess tissue obliterates the ideal concavity of the chin-neck line and contributes to the appearance of aging. Other people suffer from the “turkey-gobbler” deformity due to vertical bands of lax platysma muscle and skin which run from the chin to the base of the neck.
Some double-chins may effectively be eliminated by a procedure known as submental lipectomy, where a 4 millimeter incision is made in a natural crease below the chin. Excess fat is gently removed, and the skin of the upper part of the neck is tightened. A small bandage is applied and removed three days later. There is negligible post-operative discomfort, and the scar is concealed when it matures. The procedure takes approximately one hour and can be performed under local anesthesia with a touch of sedation for comfort.
Note: Submental lipectomy is not sufficient for some people and a formal facelift operation is required as well. This is particularly true if there is excess skin at the jowls, along the jawline or neck. These two procedures are often performed together to give the face and neck a smooth and more youthful appearance.
Otoplasty is the name given to the procedure used to reposition and alter the shape of the external ear.The operation is usually performed prior to beginning elementary school, before age 6, to avoid classroom teasing.
The procedure is done on an outpatient basis. A general anesthetic is given to young children while a local anesthesia and a touch of sedation are used in the adult. Post-operative discomfort is quite minimal and easily controlled with oral medication.
Incisions heal into thin white lines and are conveniently concealed behind the ears. A headdress is worn for one week while healing is most critical followed by a headband for the next two.
Overall, otoplasty is a tremendously powerful operation used to reposition the ears and to restore “normalcy” and prevent the cruel and unwarranted teasing by others.
Listen to an audio description of the otoplasty procedure.