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Many men and women wish to rejuvenate their face and
do not want to undergo surgery nor can they afford to
take time off their busy daily schedule for recovery
period.
Such patients can benefit from several safe and effective
procedures that are available today. These procedures
can be performed in office during ones lunch break,
and allows return to normal activity without any downtime.
Such “lunch-hour” procedures are intended
to produce gradual, effective, and natural results.
Satisfactory rejuvenation can be achieved by a single,
or more effectively, by a combination of complementary
procedures performed at once or different times. Some
of these procedures are geared toward eliminating wrinkles,
lines, and creases. Yet others are geared toward soft
tissue augmentation, sun spot elimination, and replacement
of dead skin cells with fresh glowing cells. Some of
these procedures tone and tighten skin by stimulating
dermal collagen, therefore, giving it a more youthful
appearance.
Variety of treatments is available today. Treatment
plan must be tailored to each individual needs. Dr.
Kerendian will evaluate your wishes and needs, and
will arrange a treatment plan that matches your schedule
and lifestyle.
Factors such as aging, genetics, sun damage, smoking,
and stress result in signs of an aging face to appear
sooner in some than others. These signs include appearance
of wrinkles, deepening of creases, sagging facial muscles,
sagging fat pads, and even sagging skin in severe cases.
In addition, facial fat atrophy (fat loss) occurs with
aging which enhances signs of aging.
Aging is unavoidable, but eliminating signs of aging
is possible. Facelift / necklift (rhytidectomy) is a
surgical procedure that eliminates signs of an aging
face and neck. This is accomplished by making a fine
incision in the natural folds of the ear which continues
behind the ear. The incision is well hidden, and it
is hardly detectable once healed. Through this incision,
the sagging fat pads are repositioned, the sagging muscles
are tightened, and skin is redrapped to eliminate deep
wrinkles and folds. Often face and neck need to be treated
to achieve the best aesthetic results. Dr. Kerendian
strongly believes in the concept of “3-demential
facelift” for those who have had facial fat loss.
This concept uses technique of fat transfer to rebuild
the cheekbone prominence and restore the volume that
a youthful face possesses. This will avoid the unappealing
“pulled-look” and results in a natural and
rejuvenated face that one once had.
Facelift does not stop the clock, but can take your
appearance back in time; often 10-20 years.
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The forehead and eyebrows play a vital role in an individual’s
appearance. The descent of the eyebrow produces a sad,
angry, and tired look as well as causing fullness to
the upper eyelids. There are many procedures available
to elevate the eyebrows in order to improve one’s
appearance, and often times alleviate the need to perform
upper eyelid surgery.
Cosmetic eyebrow lift procedures have traditionally
involved large incisions, usually from ear to ear, with
extensive surgery and post-operative recovery. While
excellent results have been obtained with this technique,
patients have often developed redness, irritation, itching,
and loss of hair along the incision site. In addition,
temporary but significant loss of sensation to the forehead
and scalp may occur. However, Dr. Kerendian uses the
Endoscopic Brow Lift Technique that eliminates large
incision and scar, and minimizes complications associated
with the traditional technique.
Endoscopic brow elevation is the most current and state-of-the
art method of forehead and eyebrow lifting. This advanced
method involves making very small incisions behind the
hairline and uses a specialized lighting system and
camera to perform surgery. With this technique, post-operative
recovery is simpler, and the time necessary to get back
to normal daily activities is greatly reduced. Most
importantly, aesthetic results have been extremely pleasing
and patient satisfaction is very high.
Over years, repeated contractions of small muscles
under skin results in dynamic wrinkles in face and forehead.
Many men and women are troubled by repeatedly being
told that they have an “angry look” or a
“worry look. These are usually due to overactive
delicate muscles under the skin.
A simple injection of Botulinum Toxin, known as Botox,
can improve appearance of worry lines, frown lines,
crow’s feet, laugh lines, angry look, and worry
look. Botox works by weakening these overactive facial
muscles very precisely. Therefore, the overlying skin
remains smooth and wrinkle-free while allowing normal
facial expression to be unaffected. The effect of Botox
is not permanent. Results last about Four to Six months
and the procedure may be repeated if sustained effect
is desired.
Botox is a safe and effective method of removing certain
facial lines and wrinkles. It only takes 5-10 minutes
to perform with virtually no recovery or down time.
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The eyes are the windows to our soul, charm and beauty.
Yet, they are the first to betray us and show early
signs of aging. Many men and women are troubled by the
dark circles or bulges of their lower eyelids, or by
heavy and droopy upper eyelids that make them appear
old and tired.
Eyelid lift, also called Blepharoplasty, is an effective
procedure to rejuvenate upper and/or lower eyelids.
Upper Blepharoplasty involves a very tiny incision that
is placed in the natural eyelid fold and usually undetectable
once it is healed. Through this incision, excess fat
and skin is removed. Your surgeon must be experienced
in determining if sagging forehead/ eyebrow is causing
your upper eyelid problem. In these cases, forehead/brow
lift procedure alone or in conjunction with blepharoplasty
must be considered to achieve the best aesthetic result.
Lower Blepharoplasty involves an incision under the
lower eyelashes. However, Dr. Kerendian often uses the
Transconjuctival Technique that avoids any visible scar.
This advanced technique removes excess fat in the lower
eyelids while minimizing complications associated with
traditional technique such as weakening of lower eyelid
muscles.
Blepharoplasty can be safely performed under local
anesthesia with sedation. Recovery period is short.
Most patients return back to their normal routine within
a few days.
Facial harmony is the key to facial beauty. Nose plays
a significant role in harmony of the face. A slight
improvement on the nose can make a big improvement in
facial beauty.
Cosmetic nose surgery, known as Rhinoplasty, is a procedure
that can alter displeasing appearance of the nose whether
it is due to heredity or injury. Alterations in any
parts of the nose are possible. An enhancement in nose
may be achieved by increasing or decreasing its size
or shape, removing the hump and reshaping the bridge,
refining the tip, lifting the tip, changing the size
or shape of the nostrils, or straightening a crooked
nose. Every nose is different and a treatment plan needs
to be tailored to individual needs.
When performing rhinoplasty, Dr. Kerendian focuses
to create a natural appearing nose that matches ones
face in a safe manner without compromising nasal breathing.
After surgery, a splint is applied on nose for about
one week to help maintain the new shape. Some swelling
and bruising is expected which is alleviated by cold
compresses and medication.
Many factors combined, or individually, can cause the
lips and the skin around them to become damaged, lose
their elasticity and fullness.
Several procedures are available to enlarge thin lips,
smoothen wrinkles, restore curvature, and obtain more
proportional lips. The most common method of lip augmentation
is injection of special fillers into the lips to obtain
the desired shape and size. This procedure is safely
performed in the office under local anesthesia. There
is virtually no down time or recovery period. Another
popular method of lip augmentation is by harvesting
fat from other parts of the body and transferring to
lips. The material used determines longevity of the
results. The overall satisfaction rate is very high
among those who undergo lip enhancement procedure.
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Facial bone structure is the foundation for facial
beauty. Many men and women who wish to enhance their
facial features turn to facial implants. Implants are
commonly used for chin and cheek augmentation.
An underdeveloped or receded chin is often an oversight
not recognized by the patient. A weak chin can give
the appearance of a large nose or a short neckline.
In males, a recessed chin may lead to a false perception
of timidness or weakness. Chin augmentation can be performed
by insertion of an implant through an incision hidden
in the mouth or in the natural fold under the chin.
Cheeks lose their volume and descend lower on the face
with aging. Cheek augmentation can rebuild this volume
and turn a flat and dull face into a 3-dimential glamorous
face. This procedure is performed through the mouth,
therefore avoiding any visible scar.
Fat transfer is an alternative method for chin and cheek
augmentation.
Chin and cheek augmentation are some of the most satisfying
procedures performed in plastic surgery. They can make
a dramatic improvement in facial harmony and beauty.
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