Facial Plastic And Cosmetic Procedures

ONABOTULINUMTOXIN-A is the active ingredient in Botox*.  The treatment involves several tiny and virtually painless injections into certain facial muscles to block the nerve impulses that cause muscle contraction.  The resulting relaxation of these muscles diminishes the look of lines and wrinkles.  The target area for Botox* Cosmetic is the forehead, the "worry lines" between the brows, and crows feet around the outer eyes toward the temples.  Additional treatment areas can include the lines above the upper lip (smokers lines), and the two bands that stretch the length of the neck vertically.  This simple injection is performed in the office and takes about 15 minutes.  The results last approximately 3 months.  Consecutive treatments tend to have a longer lasting effect and eventually the time between treatments can be increased resulting in less treatments required to maintain the results.

As with all injections, there is always a risk of bruising, bleeding, swelling, and/or tenderness at the injection site.  Although not guaranteed, it can be advisable to refrain from blood thinners and alcohol for up to one (1) week prior to treatment in order to minimize the chances of bruising or bleeding.

Juvederm* injectables are specially formulated hyaluronic acid fillers that are injected into target areas in order to plump or fill areas of the face that have deeper lines or have a hollowed appearance.  Target areas include the cheeks, lips, nasolabial folds (lines on the sides of the mouth and chin), and temples.

Depending on the treatment area, level of movement, and metabolism, the results can last from 6 to 18 months before the need for subsequent treatments is required.

As with all injections, there is always a risk of bruising, bleeding, swelling, and/or tenderness at the injection site.  Although not guaranteed, it can be advisable to refrain from blood thinners and alcohol for up to one (1) week prior to treatment in order to minimize the chances of bruising or bleeding.

Torn or stretched earlobes can result from trauma, heavy earrings, or gauging and can significantly affect appearance and self-confidence. Earlobe repair is a minor surgical procedure that reconstructs the earlobe to restore its natural shape. During the procedure, the torn or stretched tissue is carefully excised, and the earlobe is sutured back together using fine stitches to ensure minimal scarring and a natural-looking result. The procedure is typically performed under local anesthesia in an outpatient setting, with a recovery period that allows most patients to resume normal activities within a few days. This simple yet effective surgery provides a solution for those seeking to repair damaged earlobes and regain their confidence.

During the procedure, Dr. Brill is also able to re-pierce the ear. Call our office for more details. 

Resurfacing procedures can reverse up to 10 years of aging in one treatment.  C02 Laser treatment is performed in the outpatient setting and is typically (but not always) performed along with another facial surgery procedure.  

The down time varies, keeping in mind that the skin cycle is approximately 6 weeks.  Until that time, varying degrees of redness, swelling, peeling, and tenderness may be expected as your skin proceeds thru it's normal regenerative cycle.  

Moles, lesions, scars, etc. can be unsightly and/or worrisome.  Most excisions can be performed in the office setting under local anesthesia.  As a facial plastic surgeon, Dr. Brill is experienced in the appropriate techniques required for minimal scarring as is desired for retaining the integrity and appearance of the face.  Lesions of the face, neck, scalp, shoulders, and selective other areas of the body can be examined and excised and sent for biopsy.

Rhinoplasty, commonly referred to as a "nose job", is a surgical procedure designed to reshape and enhance the appearance of the nose, as well as improve its function. This procedure can address various concerns, such as reducing or increasing the size of the nose, changing the shape of the bridge or tip, narrowing the nostrils, or correcting nasal asymmetry. Additionally, rhinoplasty can resolve functional issues like breathing difficulties caused by structural abnormalities, such as a deviated septum.

Recovery typically involves a period of swelling and bruising, with most patients able to resume normal activities within a few weeks. The final results of rhinoplasty become fully apparent as the swelling subsides over several months. Rhinoplasty offers both cosmetic and functional benefits, helping patients achieve a more balanced facial appearance and improved nasal function.

Blepharoplasty, or eyelid surgery, is a procedure designed to improve the appearance of the upper and/or lower eyelids, giving you a more youthful and refreshed look. This surgery can address issues such as drooping upper eyelids, excess skin, puffiness, and under-eye bags.

During the procedure, a small incisions along the natural creases of your eyelids to remove or reposition excess skin, fat, and muscle. This helps to smooth out the eye area and reduce signs of aging. Recovery involves some swelling and bruising, usually resolving within one to two weeks. Most people can return to their normal activities after about ten days. Blepharoplasty not only enhances the aesthetic appearance of your eyes but can also improve vision obstructed by sagging upper eyelid skin. 

A brow or forehead lift is a cosmetic procedure designed to raise sagging eyebrows, reduce forehead wrinkles, and eliminate frown lines, giving you a more youthful and refreshed appearance. This procedure involves lifting and tightening the skin and underlying tissues of the forehead and brow area. Incisions are typically made along the hairline or in the natural creases of the forehead to minimize visible scarring. Recovery involves some swelling and bruising, with most patients resuming normal activities within a couple of weeks. A brow/forehead lift can significantly enhance the overall appearance of your upper face, making you look more alert and rejuvenated. 

A neck lift or neck liposuction is a procedure aimed at improving the contour of the neck and jawline by removing excess fat and tightening loose skin. This surgery is ideal for addressing issues such as a double chin, jowls, and sagging neck skin. During the procedure, small incisions are made under the chin or behind the ears to remove excess fat and tighten the underlying muscles and skin. Recovery involves some swelling and bruising, with most patients returning to normal activities within two weeks. A neck lift or neck liposuction can dramatically improve your profile, providing a more defined and youthful appearance.

A facelift is a surgical procedure that tightens and lifts the skin and underlying tissues of the face to reduce signs of aging such as sagging skin, deep wrinkles, and jowls. An upper facelift focuses on the upper part of the face, including the cheeks and midface area, while a lower facelift addresses the lower face and jawline. 

During the procedure, incisions are made along the hairline and around the ears to minimize visible scarring. Recovery involves some swelling and bruising, with most patients resuming normal activities within two to three weeks. A facelift can significantly rejuvenate your appearance, giving you a smoother and more youthful look. 

Chin augmentation is a procedure designed to enhance the shape and size of the chin, providing better facial balance and a more defined profile. This is typically achieved using implants or by reshaping the existing bone. Recovery involves some swelling and bruising, with most patients returning to normal activities within a week. Chin augmentation can enhance your facial proportions, boosting your confidence and improving your overall appearance.

Otoplasty, or ear surgery, is a procedure designed to correct the shape, position, or size of the ears. It is often performed to reduce prominent ears or to fix ear deformities caused by injury or congenital conditions. Recovery involves minimal discomfort, with most patients returning to normal activities within a week. Otoplasty can enhance the symmetry and proportion of your ears, leading to a more balanced and natural appearance.