| THE SUBTLE FINESSE OF FACE LIFT & EYELID PROCEDURES |
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A great deal of finesse is required to achieve excellence in face-lift surgery. A successful
operation almost always dictates numerous adjustments in order to follow the natural
lines, muscles, and bone structure of each patient's face. By taking time to make these
small adjustments, the result is rewarding - the patient looks natural and not like
someone who has been "pulled too tight" by an overzealous surgeon. A common misconception among some surgeons is that
loose upper eyelids can always
be corrected by excising more skin. This is not so. Taking out too much skin results in
eyelids that won't close completely, subjecting the eyes to dryness from exposure. Often,
the problem of overhanging skin must be corrected by lifting the eyebrows (usually called
a brow lift or forehead lift). |
Likewise, taking too much skin from the lower lids
results in a "pulled-down" look. If the lower lids are baggy from too much fat
under the skin, it is possible to remove fat from the inside of the eyelids. This process
eliminates any visible external scars and also reduces the swelling and bruising more
quickly than when the scars are left on the outside. Baggy lower lids are not always
caused by too much skin or fat - sometimes they are due to sagging muscle, which must be
treated differently.
There is also a great deal of
finesse required in brow lift
surgery. If the inner ends of the eyebrows are lifted too much, it causes a
"concerned" or "sorrowful" expression, whereas lifting the outer ends
produces a "sinister" look. Excessive lifting of the entire brow can cause a
"surprised" appearance.
Unfortunately, facial wrinkles, especially in the eyelid area, cannot be removed by
surgery. Lasers are superb for
removing wrinkles, but skill and precision are essential to avoid scarring and create a
subtle improvement. Thus, it is essential to comprehensively analyze facial problems prior
to selecting treatment options. It is equally important to customize and individualize the
surgical procedure for each person to subtly create a "natural' result. |
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SKIN ENHANCEMENT
As mentioned previously,
lasers are very successful in removing wrinkles. While dermabrasion can also work well, it may only be used
on specific areas, whereas the laser
can be used on the entire face. However, the advantage of dermabrasion is a slightly
shorter recovery time than with laser resurfacing. In selected cases, Dr. Ascough also
performs light peels (or
TCA peels). While these peels do little to remove wrinkles, they can soften the surface of
the skin providing a softer, refreshed and younger look.
Botox is another tool that can,
at least temporarily, remedy deep frown lines in the forehead or "smile lines"
around the eyes. Botox paralyzes individual muscles and temporarily stops wrinkles from
forming with facial expression. |
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LASTING,
NATURAL LIP ENHANCEMENT Dr.
Ascough's "Lip Roll" procedure provides lasting, natural lip enhancement. Dr.
Ascough utilizes Collagen to
fill in lines and plump up the lips with immediate results. However, to permanently
enhance the lips, he prefers his improved "lip
roll" technique, a surgical procedure which rolls the red part of the
lip outward, producing a lasting, very natural appearance. This procedure can be used to
enlarge the upper or lower lip, or both. It can also be used to enlarge specific areas of
the lip. The advantage of this procedure is that it avoids the use of implants or foreign
substances. |
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| NOSE BEAUTIFICATION Rhinoplasty
(nasal surgery) should be performed by an experienced surgeon who can artistically create
an improvement that appears natural and in harmony with the rest of the face. |
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Simply
put: a nose should look like it belongs on its owner's face. Too many surgeons operate on
noses "by the book," performing all nose operations alike and not using proper
methods of measuring the eyes and facial bones to determine the ideal proportions. Dr.
Ascough's experience is an asset in performing nasal beautification procedures. For
example, many patients want a thinner nose. While extracting cartilage is often the way to
make a nose thinner, some people have very thick nasal skin and may need to have cartilage
added to achieve a smaller or thinner appearance. Others have odd-shaped cartilage in
their noses which may need to be partially removed, turned over, or otherwise re-shaped to
produce a pleasing result. |
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ARTISTIC BODY SCULPTING
Lipo-sculpture
or liposuction is not a
weight reduction procedure, but is excellent for contouring those troublesome spots that
just won't go away with diet and/or exercise. The fat removed will not return unless the
patient gains weight. The most common areas treated are the thighs, abdomen, love handles,
and under the chin. Lipo-sculpture can also be used to smooth out irregular contours
caused by scarring after surgery.
"Tummy tucks" are primarily
performed to tighten loose skin of the abdomen. The muscles of the abdominal wall can also
be tightened at the same time, holding the stomach flatter and tighter. |
Arm reduction
is a procedure through which the loose skin hanging from the upper arms is removed to make
a dramatically improved difference in the way the arms look, and in how one's clothes fit.
Thigh lifts
are similar to a face-lift for the upper thighs. The thigh skin is pulled upward,
smoothing the loose wrinkling in the upper inner thighs.
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Breast enlargement/enhancement is one of the most
common cosmetic procedures. Dr. Ascough's patients have experienced both happiness and
satisfaction after this procedure. A great deal of finesse is required to safely and
properly position the implant so that the breasts appear natural. The breast uplift, while more
involved than Breast Enhancement, can successfully create a more youthful shape for women
with sagging breasts. It is possible to both uplift and enlarge the breasts with implants
in the same operation.
Breast reduction is a
procedure for women who suffer from upper back and shoulder pain, neck aches, headaches,
and/or heat rash due to large, heavy breasts. These uncomfortable symptoms are relived
within a week after breast reduction surgery. Again, as in other cosmetic operations, a
great deal of skill is involved in achieving favorable results. |
Dr. Ascough
also performs these procedures: Restylane,
hair transplants, scar revision, chin implants,
cheek implants, ear surgery
or otoplasty.
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