FACIAL SURGERY                                                                                    COLUMBUS, GROVEPORT, LANCASTER, OHIO                                (FACELIFT, NECKLIFT, EYE LIFT, BOTOX, FILLERS, RESTALYNE, RHINOPLASTY, NOSE JOB, IMPLANTS)

-FACELIFT
-BLEPHAROPLASTY (EYELID SURGERY)
-BROWLIFT/ FOREHEAD LIFT
-RHINOPLASTY (NOSE RESHAPING)
-FACIAL IMPLANTS
-OTOPLASTY (PROTRUDING EAR SURGERY)
-BOTOX®
-INJECTABLE FILLERS
-COLLAGEN
-FAT
-RECONSTRUCTIVE SCAR REVISION
-POST SKIN CANCER RECONSTRUCTION
-SKIN CARE
-CHEMICAL PEELS
-LASER TREATMENTS

FACTS ABOUT THE FACE

Your face is an essential part of your identity. Usually, it is the first thing people notice about you. Your face conveys expressions, feelings and moods. Unfortunately, there may be a facial feature that seems out of place to you; or your face may display the effects of the natural aging process. Dr. Lichten understands your concerns and he specializes in a variety of facial cosmetic and reconstructive surgical procedures that can enhance your appearance and reverse the effects of aging. You can improve your outward appearance and, in turn, restore the confidence that comes with it.

When choosing a surgeon, it is important to select a doctor who is well trained in his field. Dr. Lichten can assist, for example, in creating a nose that fits in with your other features and looks natural, or he may be able to eliminate wrinkles and drooping eyelids that appear as you age. He will also explain to you in detail the benefits and the limitations of the procedures you desire. By doing so, you will be better equipped to make the surgical decision that is right for you.

Following are some of the most popular facial surgeries:
 

FACELIFT

The facelift has the most comprehensive effect on your appearance. A facelift may tighten and rejuvenate the contour of the face, restoring it to its appearance at a more youthful time.

The facelift offers improvement in the removal of wrinkles and folds, often times smoothing the lines that form between the nose and mouth and lifting sagging mid-face skin. A facelift may also eliminate and/or reduce large jowls that can occur with age, significantly improving the jaw line. Since the muscles of the neck can slacken along with those on the face, underlying muscles in this region may be tightened and excess skin removed as well.

Facelift may be combined with other procedures such as those done on the eyelid, forehead, or nose. Liposuction may be used to assist with rejuvenation of the neck.
 

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BLEPHAROPLASTY (EYELID SURGERY)

Your eyes reveal more about your age and emotional state than any other facial feature. As an example, droopy, puffy eyes and eyelids may create a fatigued, older appearance than your age. Blepharoplasty, commonly referred to as cosmetic eyelid surgery, can restore the skin around the eyes to a more youthful state as well as reduce the signs of aging. When your upper lids have sagged, the surgery may even serve to improve impaired vision. Blepharoplasty may be combined with other surgeries, such as a facelift.
 

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BROWLIFT/ FOREHEAD LIFT

When horizontal lines on the forehead and creases above the nose occur as part of the aging process, you may look tired, sad, angry and older than your chronological years. This is when you may opt to have a browlift, often times done with a facelift. Dr. Lichten may make discreet, often unnoticeable incisions in the scalp and hairline where skin can be raised and tightened. Dr. Lichten may also be able to complete this surgery with the use of an endoscope (fiberoptically illuminated video camera) to minimize incisions. Muscles can be repositioned and the brow will heal in this new position. In both cases, a more awake, younger appearance, may occur.

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RHINOPLASTY (NOSE RESHAPING)

If you are unhappy with the size and/or the shape of your nose, you may become dissatisfied with the way your entire face looks. Rhinoplasty can adjust the shape of your nose (including the tip and/or “hump”) and the tilt of the nose to better fit your face. The procedure can also correct a crooked nose and the breathing abnormalities that arise due to problems with the internal structures of your nose.
 

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FACIAL IMPLANTS

Facial implants, most often to the cheeks and chin, alter the basic shape and balance of the face. Implants can serve to build a receding chin, add prominence to cheekbones or reshape the jawline. Implants may improve the overall proportions of facial features, boosting self-esteem and making one appear more youthful. At Central Ohio Plastic Surgery, we will discuss your concerns in detail and help you choose the best option for your specific complaints.
 

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OTOPLASTY (PROTRUDING EAR SURGERY)

When a child or adult has especially large or protruding ears, self-confidence can suffer and teasing can occur. It is not unusual to hear a child refer to another with large ears as, “Dumbo.” Ear pinning, surgically referred to as otoplasty, can change the size and shape of the ears. Most often performed between the ages of five and fifteen, the surgery can be performed on adults as well. Ear pinning is a highly effective procedure that may improve not only appearance, but self-esteem too. It is usually a relatively fast and safe procedure.

Dr. Lichten also can perform surgery to correct torn or drooping earlobes.  This can usually be done as an office based procedure any you can return to work the same day.

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BOTOX®

Botox® cosmetic is the purified protein form of botulinim toxin. It is a safe and effective treatment for the temporary reduction of lines and wrinkles in areas such as the forehead, crow’s feet and between the brows. Essentially, Botox® injections paralyze the muscle activity that causes wrinkles to develop. Additionally, Botox® has also been shown to be an effective treatment for excessive underarm perspiration, muscle contractions and migraine headaches. Treatments may be performed in the office and you can return to work the same day. The effects are temporary and Botox® injections typically need to be repeated every 3 to 6 months.
 

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INJECTABLE FILLERS

Injectable fillers are used to fill in wrinkles or creases that develop as the face ages. This produces smoother, more youthful appearing skin. Fillers may also be used to add fullness to the lips and cheeks. The results may be temporary and, depending on the filler used, may need to be repeated every 3 months to 2 years.

Dr. Lichten offers a variety of facial injection techniques to patients who wish to reduce the appearance of fine lines and/or to enhance their lips. Fine lines around the nose, mouth, lips and in the cheeks and chin are gently smoothed with Restylane® which typically lasts six months.
 

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COLLAGEN

Collagen is the fibrous protein that gives the skin its structure and has been used for decades to replenish the skin’s volume loss. Collagen is generally safe to smooth out facial lines, wrinkles and scars as well as to plump pouty lips. The effects of collagen injections usually last from four to six weeks and can be repeated as necessary. Skin testing may be necessary as allergic reactions are possible. Although Collagen has largely been replaced with fillers like Restalyne®, it is still used in some people.
 

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FAT

Because fat from one area of a patient’s body, usually from the buttocks and thigh, is extracted to fill another, there is no chance of allergy of incompatibility. Fat injections can be used to fill in wrinkles and lines, create contours in the face, enhance lips and fill in scars. While usually long lasting, fat injections are not permanent and the results may be unpredictable.

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RECONSTRUCTIVE SCAR REVISION

Many factors determine the severity of scarring. Some of the most significant include the size of the wound, its depth, blood supply to the area, the skin tone and the way the body heals. Scars may take 18 months to 2 years to fully mature and fade. If after this time, you are still dissatisfied with the appearance of a scar, you may consider surgical revision. No surgeon can completely remove a scar, but often the appearance of a scar can be improved. Scar revision is a surgical procedure specifically used to improve the appearance of scars that have not responded to medical modalities such as cortisone drugs, steroids or skin gels. Several surgical techniques can be utilized; schedule a consultation to discuss which surgical option may be right for you.
 

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POST SKIN CANCER RECONSTRUCTION

After skin cancer has been diagnosed and removed, reconstructive surgery is often necessary to close or cover the treated area and to restore the natural appearance of the skin involved in the cancer excision. The face is often the target of such surgeries. Dr. Lichten may perform your skin lesion resection in conjunction with the immediate reconstruction, or you may be referred to or sent from another surgeon who performs the cancer resection. Dr. Lichten will then utilize your body’s tissues to close the wound and provide the most aesthetically pleasing result for your specific situation.

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CHEMICAL PEELS

Chemical Peels are an office based procedure in which a chemical, such as a mild acid, is applied to the skin to create a controlled peeling of the outer layer of the skin.  This is an excellent option to improve facial wrinkles and the overall appearance of the skin.  At Central Ohio Plastic Surgery, Inc., we feature the Obagi Blue Peel.  More information is available at www.Obagi.com.   Patients usually need to pre-treat their skin with Retin-A for 2 months prior to chemical peel and you must not use Acutane for two years before a chemical peel.

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LASER TREATMENTS

At Central Ohio Plastic Surgery, we use lasers for tattoo removal, the treatment of small visible blood vessels in the face and legs, hair removal, and facial resurfacing.  Lasers may also be used to remove the outer layer of skin for rejuvenation.  We use a variety of different lasers, each with a specific wavelength that corresponds to the intended target.  Laser treatments may require more than one session to achieve the desired result.  Pretreatment with Retin-A may help prepare the skin and Acutane must be avoided for two years before the procedure.

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Central Ohio Plastic Surgery, Inc. maintains this web site to provide information of a general nature about its practice and the specialty of plastic surgery.  The information is provided with the understanding that Central Ohio Plastic Surgery, Inc. and Dr. Lichten are not engaged in rendering plastic surgery medical advice or recommendations.  Any information in the messages, postings or articles on the web site should not be considered a substitute for consultation with Dr. Lichten to address individual medical needs. Your particular facts and circumstances will determine the plastic surgery treatment that is most appropriate for you, if any. All information contained within the www.OhioPlastic.com web site is the copyrighted property of Central Ohio Plastic Surgery, Inc.  Reproduction, redistribution or modification of the information for any purpose is prohibited without the express written permission of Central Ohio Plastic Surgery, Inc.