Forrest S. Wells, M.D.
Surgical versus Non-surgical
More and more of today's population look to ways to improve their appearance without lengthy recovery time. As a result, the cosmetic industry has adapted to meet the patients' expectations. Many non-surgical options that are available today were not available 5 to 10 years ago; nevertheless, some signs of aging are still best managed by surgery. Part of your consultation for facial rejuvenation will be spent discussing a surgical versus a non-surgical approach.
BOTOX® is one of the most effective non-surgical treatments for wrinkles that appear on the forehead and between the eyebrows. It also is used to treat lines around the eyes, often referred to as "crow's feet."
Using a small needle, BOTOX® is injected indirectly into the muscle as an office procedure. A topical anesthetic is applied to numb the skin, and the patient is usually able to return to work immediately. As with every procedure, there are risks associated with the use of BOTOX®; however, complications are rare and are usually temporary, because BOTOX® itself is a temporary treatment. The most common complication is temporary bruising, particularly around the eyes.
Increasingly, a variety of products are available for injection in order to decrease wrinkles and to change facial features such as the lips. One of the earliest well-known injectables is collagen; however, today's newer products last longer and have less risk of complications. Dr. Wells will be able to guide you in selecting the most appropriate product for your desired goals.
Chemical peels are used to rejuvenate skin that is wrinkled or blemished; it is especially useful for sun-damaged skin. These chemicals cause the top layers of skin to peel away, allowing new skin cells to form and produce smoother, more youthful skin. Chemical peels are most often performed as an office procedure, usually using a mild sedative that is taken by mouth one hour prior to the procedure.
Dr. Wells' office staff is familiar with the latest skin care products. These are products that are used at home under the supervision of a physician or aesthetician to promote healthy, youthful skin. Additionally, our aesthetician is capable of performing a number of office procedures such as micordermabrasion, milder chemical peels, exfoliating facials and laser hair removal. One rapidly growing aspect of this service is the prevention and treatment of acne in adolescents.
Often a face lift is necessary to improve deep wrinkles or excess skin of the lower face and neck. Facial aging involves a loss of skin elasticity and firmness as well as the development of sagging tissue and wrinkles. These visible signs of an aging face can impact how we feel about ourselves and how others perceive us. A facelift can correct sagging skin and tissue to restore a more youthful appearance. Often one of the benefits of a face lift is correction of what is commonly known as "turkey neck." For that reason, a lower face lift is often combined with liposuction of the neck to obtain the maximum result.
A face lift is usually done as an outpatient procedure. Incisions are placed in natural anatomic borders to make the scars inconspicuous. Although recovery and discomfort can resolve quickly, bruising and visible signs of surgery may last for several weeks.
Blephoraplasty or cosmetic eye surgery
It has been said that the gateway to the soul is through the eyes. They draw attention and convey expression. Hereditary factors and the signs of aging can influence the appearance of our eyes, so their appearance is not a true reflection of how we feel. However, tired-looking eyes give the impression that one is tired. Eyes, including the eyelids, age just as the rest of the face does; in some instances individuals develop excess fat or skin at a much earlier age. Therefore it is not unusual for this operation to be performed on a younger person than a face lift, for example.
Incisions are made in the upper or lower lids and both skin and fat is resected. This surgery is performed as an outpatient basis. Recovery is usually very quick and discomfort is minimal, but bruising can last several weeks.