Face


 

Eyelid Surgery

Eyelid surgery improves the appearance of the upper eyelids, lower eyelids, or both, and gives a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert. If you have excessive, sagging, or wrinkled upper or lower eyelid skin, you may be a candidate for an eyelid surgery with Dr. Arkoulakis in New Jersey. Eyelid surgery can be beneficial if you have an overabundance of upper eyelid skin, which interferes with vision.

Why Eyelid Surgery?
Cosmetic eyelid surgery, called blepharoplasty, is a surgical procedure to improve the appearance of the upper eyelids, lower eyelids, or both, and give a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert. Specifically, eyelid surgery can treat:
» Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision
» Excess fatty deposits that appear as puffiness in the upper eyelids
» Bags under the eyes
» Vision Impairment
» Droopiness of the lower eyelids, showing white below the iris (colored portion of the eye)
» Excess skin and fine wrinkles of the lower eyelid

Is Eyelid Surgery Right For Me?
Eyelid surgery is usually performed on adult men and women who have healthy facial tissue and muscles and have realistic goals for improvement of the upper and/or lower eyelids and surrounding area. The procedure is usually achieved on an outpatient basis at our Edison, NJ surgery facility while under local or general anesthesia. Good candidates for Eyelid Surgery in Metuchen or Edison New Jersey are:
» Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
» Non-smokers
» Individuals with a positive outlook and specific goals in mind for blepharoplasty
» Individuals without serious eye conditions

You Must Inform Your Doctor If You Have Any Of These Medical Conditions:
» Eye disease such as glaucoma, dry eye or a detached retina
» Thyroid disorders such as Graves disease and under or overactive thyroid
» Cardiovascular disease, high blood pressure or other circulatory disorders or diabetes

Procedure: Correct drooping upper eyelids and puffy bags below the eyes by removing excess fat, skin, and muscle. (Upper-eyelid surgery may be covered by insurance if used to correct visual field defects)
Length: 1 to 3 hours.
Anesthesia: Usually locally with sedation or general.
In/Outpatient: Usually outpatient.
Side Effects: Temporary discomfort, tightness of lids, swelling, bruising. Temporary dryness, burning, itching of eyes. Excessive tearing, sensitivity to light for first few weeks.
Risks: Temporary blurred or double vision. Infection, bleeding. Swelling at the corners of the eyelids. Dry eyes. Formation of whiteheads. Slight asymmetry in healing or scarring. Difficulty in closing eyes completely (rarely permanent). Pulling down of the lower lids (may require further surgery). Blindness (extremely rare).
Recovery: Reading: 2 or 3 days. Back to work: 7 to 10 days. Contact lenses: two weeks or more. Strenuous activities, alcohol: about 3 weeks. Bruising and swelling gone: several weeks.
Duration of Results: Several years. Sometimes permanent.
 


 

BoTox (Botulinum Toxin)

The cosmetic form of botulinum toxin, often referred to by its product name Botox, is a popular non-surgical injection that temporarily reduces or eliminates frown lines, forehead creases, crows feet near the eyes and thick bands in the neck. The toxin blocks the nerve impulses, temporarily paralyzing the muscles that cause wrinkles while giving the skin a smoother, more refreshed appearance. Studies have also suggested that Botox is effective in relieving migraine headaches, excessive sweating and muscle spasms in the neck and eyes.

Botox is for wrinkles caused by the use of facial muscles, such as:
» Lines between the eyes caused by squinting or frowning
» Crows feet caused by squinting, laughing, excessive weeping
» Forehead lines

If you have crow’s feet around your eyes or wrinkles on your forehead, you may be a candidate for Botox. Botox is not for wrinkles where there are no muscles in the area. There has to be a muscle activity causing the wrinkle, line or fold for Botox to work effectively. In addition, Botox can be effective for treating cases of profuse sweating (hyperhydrosis), since it blocks sweat glands.
 


 

Collagen / Fat Injections

Procedure: Plump up creased, furrowed, or sunken facial skin; add fullness to lips and backs of hands. Works best on thin, dry, light-colored skin.
Length: 15 minutes to 1 hour per session.
Anesthesia: Collagen: usually none; local may be included with the injection. Fat: local.
In/Outpatient: Outpatient.
Side Effects: Temporary stinging, throbbing, or burning sensation. Faint redness, swelling, excess fullness.
Risks: Collagen- allergic reaction including rash, hives, swelling, or flu-like symptoms; possible triggering of connective-tissue or autoimmune diseases.(A skin test is required before collagen treatment to determine whether an allergy exists.) Both: Contour irregularities, infection.
Duration of Results: Variable; a few months to 1 year.
 


 

Ear Surgery (Otoplasty)

Procedure: Set prominent ears back closer to the head, or reduce the size of large ears. Most often done on children between the ages of 4 and 14 years. (Occasionally covered by insurance.)
Length: 2 to 3 hours.
Anesthesia: Young children: usually general. Older children or adults: general or local, with sedation.
In/Outpatient: Usually outpatient.
Side Effects: Temporary throbbing, aching, swelling, redness, numbness.
Risks: Infection of cartilage. Excessive scarring. Blood clot that may need to be drained. Mismatched or artificial- looking ears. Recurrence of the protrusion, requiring repeat surgery.
Recovery: Back to work or school: 5 to 7 days.
Strenuous activity, contact sports: 1 to 2 months.
Duration of Results: Usually permanent.
 


 

Facelift (Rhytidectomy)

Procedure: Improving sagging facial skin, jowls, and loose neck skin by removing excess fat, tightening muscles, redraping skin. Most often done on men and women over 40.
Length: Several hours.
Anesthesia: Local with sedation, or general.
In/Outpatient: Usually outpatient. Some patients may require short inpatient stay.
Side Effects: Temporary bruising, swelling, numbness and tenderness of skin; tight feeling, dry skin. For men, permanent need to shave behind ears, where beard-growing skin is repositioned.
Risks: Injury to the nerves that control facial muscles or feeling (usually temporary but may be permanent). Infection, bleeding. Poor healing; excessive scarring. Asymmetry or change in hairline.
Recovery: Back to work: 10 to 14 days. More strenuous activity: 2 weeks or more. Bruising: 2 to 3 weeks. Must limit exposure to sun for several months.
Duration of Results: Usually 5 to 10 years.
 


 

Facial Implants

Procedure: Change the basic shape and balance of the face using carefully shaped implants to build up a receding chin, add prominence to cheekbones, or reshape the jawline.
Length: 30 minutes to 2 hours.
Anesthesia: Local with sedation, or general.
In/Outpatient: Usually outpatient. Occasionally overnight hospital stay.
Side Effects: Temporary discomfort, swelling, bruising, numbness and/or stiffness. In jaw surgery, inability to open mouth fully for several weeks.
Risks: Shifting or imprecise positioning of implant, or infection around it, requiring a second operation or removal. Excess tightening and hardening of scar tissue around an artificial implant (“capsular contracture”), causing unnatural shape.
Recovery: Back to work: about 1 week. Normal appearance: 2 to 4 weeks. Activity that could jar or bump face: 6 weeks or more.
Duration of Results: Permanent.
 


 

Forehead Lift (Brow lift)

A Forehead or Brow lift is implemented to raise heavier brows, open up the eye area and get rid of frown lines between your brows. A Forehead Lift is often performed at the same time as a face and eyelid lift to help create a more youthful appearance with longer lasting results.

Procedure: Minimize forehead creases, drooping eyebrows, hooding over eyes, furrowed forehead and frown lines by removing excess tissue, altering muscles and tightening the forehead skin. May be done using the traditional technique, with an incision across the top of the head just behind the hairline; or with the use of an endoscope, which requires 3 to 5 short incisions. Most often done on people over 40.
Length: 1 to 2 hours.
Anesthesia: Local with sedation, or general.
In/Outpatient: Usually outpatient.
Side Effects: Temporary swelling, numbness, headaches, bruising. Traditional method:Possible itching and hair loss.
Risks: Injury to facial nerve, causing loss of motion, muscle weakness, or asymmetrical look. Infection. Broad or excessive scarring.
Recovery: Back to work: 7 to 10 days, usually sooner for endoscopic forehead lift. More strenuous activity: several weeks. Full recovery from bruising: 2 to 3 weeks. Limit sun exposure for several months.
Duration of Results: Usually 5 to 10 years.
 


 

Nose Surgery (Rhinoplasty)

If you are displeased with the appearance of your nose, Dr. Nolis Arkoulakis can perform a rhinoplasty, or what is commonly called a “nose job,” to improve its aesthetic. Even a minor modification to your nose can have a dramatic affect on your facial appearance, resulting in a boost in your self-esteem.

If you’re looking to change the size or shape of your nose, contact Arkoulakis Plastic Surgery in Edison, New Jersey for a consultation today. Dr. Arkoulakis can also perform a revision rhinoplasty if you;re unhappy with the results from a previous Rhinoplasty procedure.

Procedure: Reshape nose by reducing or increasing size, removing hump, changing shape of tip or bridge, narrowing span of nostrils, or changing angle between nose and upper lip. May also relieve some breathing problems. (May be covered by insurance.)
Length: 1 to 2 hours or more.
Anesthesia: Local with sedation, or general.
In/Outpatient: Usually outpatient.
Side Effects: Temporary swelling, bruising around eyes, nose and headaches. Some bleeding and stiffness.
Risks: Infection. Small burst blood vessels resulting in tiny, permanent red spots. Incomplete improvement, requiring additional surgery.
Recovery: Back to work: 1 to 2 weeks. More strenuous activities: 2 to 3 weeks. Avoid hitting nose or sunburn: 8 weeks. Final appearance: 1 year or more.
Duration of Results: Permanent.
 


 

Facial Implants

Procedure: Change the basic shape and balance of the face using carefully shaped implants to build up a receding chin, add prominence to cheekbones, or reshape the jawline.
Length: 30 minutes to 2 hours.
Anesthesia: Local with sedation, or general.
In/Outpatient: Usually outpatient. Occasionally overnight hospital stay.
Side Effects: Temporary discomfort, swelling, bruising, numbness and/or stiffness. In jaw surgery, inability to open mouth fully for several weeks.
Risks: Shifting or imprecise positioning of implant, or infection around it, requiring a second operation or removal. Excess tightening and hardening of scar tissue around an artificial implant (“capsular contracture”), causing unnatural shape.
Recovery: Back to work: about 1 week. Normal appearance: 2 to 4 weeks. Activity that could jar or bump face: 6 weeks or more.
Duration of Results: Permanent.