Chin Augmentation

Chin surgery, or mentoplasty, is a surgical procedure to reshape the chin either by enhancement with an implant or reduction surgery on the bone.  Chin surgery helps provide a harmonious balance to your facial features so that you feel better about the way you look.

Did you know?

Many times Dr. Markelov may recommend chin surgery to a patient having rhinoplasty in order to achieve facial proportion, as the size of the chin may magnify or minimize the perceived size of the nose.

Am I a good candidate for chin surgery?

Improving the shape of the chin can be accomplished with several techniques. A consultation with Dr. Markelov can provide you with the information you need to make the best choice.

What should I expect during chin surgery?

In chin surgery, incisions are made either in the mouth or under the chin. Dr. Markelov either sculpts the bone or inserts a synthetic implant to change chin contour.

What post-operative instructions will I need to follow after my chin surgery?

Post-operative discomfort can be controlled with prescribed medications. Chewing will probably be limited immediately after chin surgery, and a liquid and soft food diet may be required for a few days after surgery. After approximately six weeks, most swelling will be gone, and you can enjoy the results of your procedure. Rigorous activity may be prohibited for the first few weeks after surgery. Normal activity can be resumed after approximately ten days.

Ear Surgery (Otoplasty)

Ear surgery, also known as otoplasty, can improve the shape, position or proportion of the ear. Otoplasty can correct a defect in the ear structure that is present at birth that becomes apparent with development or it can treat misshapen ears caused by injury. Ear surgery creates a natural shape, while bringing balance and proportion to the ears and face. Correction of even minor deformities can have profound benefits to appearance and self-esteem.

If protruding or disfigured ears bother you or your child, you may consider plastic surgery.

Did you know?

The way ears affect your appearance is determined primarily by the way they harmonize your face and head. Most people prefer ears that lie close to the head and extend from the level of the brow to the base of the nose.

Am I a good candidate for ear surgery?

Children who are good candidates for ear surgery are healthy and generally 5 years of age or older (when a child’s ear cartilage is stable enough for correction), cooperative and able to communicate their feelings. Teenagers and adults who are good candidates for ear surgery are healthy, non-smoking individuals with a positive outlook and specific goals in mind for ear surgery.

What should I expect during my ear surgery?

You won’t remember anything about your ear surgery, as you’ll be fully sedated using IV sedation or general anesthesia. Incisions for otoplasty are generally made on the back surface of the ear. When incisions are necessary on the front of the ear, they are made within its folds to hide them. Internal, non-removable sutures are used to create and secure the newly shaped cartilage in place.

What post-operative instructions will I need to follow after my ear surgery?

Following your surgeon’s instructions is key to the success of your ear surgery. It is important that the surgical incisions are not subjected to excessive force, abrasion, or motion during the time of healing. Dr. Markelov will give you specific instructions on how to care for yourself.

Facelift

A facelift – also known as a rhytidectomy – is a cosmetic surgery used to restore a more youthful appearance to the face and neck. This surgery is often used when less invasive office procedures, such as cosmetic injections, fail to deliver adequate results. Dr. Markelov’s facelift can remove deep lines and creases and sagging on the face. It can also be used to restore youthful volume to the face and improve underlying muscle tone that contributes to the formation of jowls. Though a facelift cannot stop the aging process, it can take many years off the face – especially when paired with brow lifts or eyelid surgery, which help lift and rejuvenate the eyes and brow line.

Did you know?

That facelifts are among the top five cosmetic surgeries performed in the United States each year? More than 100,000 of the procedures are administered in America every year – the majority of which are performed on women. In fact, 9 out of every 10 facelifts are performed on females, most of whom are over the age of 40.

Am I a good candidate for a facelift?

You may be a candidate for a facelift if you are a healthy non-smoker who is bothered by changes to your facial muscle tone or skin. To find out more about facelift and whether this procedure could be right for you, schedule a consultation with Dr. Markelov.

What should I expect during my facelift procedure?

Your surgery will either be performed under IV sedation or general anesthesia. Dr. Markelov will form an incision along the crease where your ear meets your face. Depending on the extent of your procedure, your incision may also extend upward or downward along the hairline. Dr. Markelov will thin sculpt and redistribute fat within the face, neck and along the jowl. Excess skin will be trimmed away and the underlying muscles and tissues will be lifted to form a more youthful appearance.

What post-operative instructions will I need to follow after my facelift?

Facelift recovery takes several weeks, during this time it is normal to experience soreness and swelling. Be sure to take all prescribed medications as instructed and follow up with Dr. Markelov within 3 to 5 days to ensure that healing is progressing normally.


Forehead Lift (Brow Lift)

A brow and forehead lift is a surgical procedure used to raise the eyebrows and eliminate deep creases, furrows and frown lines that form between the brows and along the forehead. Also known as expression lines, these wrinkles are often too deep to adequately respond to topical applications or cosmetic fillers. In more severe cases, the brow may hang low or sag over the eyes, causing the face to appear tired or heavily aged. Lifting the brow can restore a more youthful appearance that can last many years.

Did you know?

That a brow and forehead lift can be paired with other cosmetic procedures to further correct the facial changes caused by aging? In addition to a brow lift, many men and women also undergo eyelid surgery to lift baggy eyelids, as well as a full facelift to correct a sagging jowl or other age-related skin and muscle issues along the lower face and neck.

Am I a good candidate for a brow lift?

You may be a candidate for a brow lift if you have a sagging brow or deep lines and wrinkles on your forehead and around your upper eye area. A consultation with Dr. Markelov will help you determine whether a brow lift is right for you based on your overall health and expectations for the outcome of your surgery.

What should I expect during a brow lift procedure?

You won’t remember anything about your brow lift procedure, as you’ll be fully sedated using IV sedation or general anesthesia. During this time, Dr. Markelov will make an incision – either along your hairline or across the top of your head from ear to ear. It is via this incision that your surgeon will carefully lift your forehead and remove excess skin from your scalp.

What post-operative instructions will I need to follow after my forehead and brow lift surgery?

Dr. Markelov’s office will provide clear and specific instructions for your recovery period. You will awaken from your procedure with your forehead and brow area wrapped to help prevent swelling and bruising. A thin tube may be present to drain any excess blood or fluid that may collect under the skin. At home, you may need to apply topical medications or take oral prescriptions to facilitate a healthy healing process. You may also be instructed to avoid certain activities in the days following your procedure and to follow up with Dr. Markelov at an office visit within a few days.


Neck Lift

A neck lift, or lower rhytidectomy, is a surgical procedure that improves visible signs of aging in the jawline and neck, such as: excess fat and skin relaxation in the lower face that creates jowls, excess fat deposition under the chin, loose skin with muscle bands, which create abnormal neck contour. The loss of youthful contours in the face and neck can be due to a variety of factors, including heredity, gravity, environmental conditions, and stress.

Some people feel they are not ready for a full facelift because the upper face is still pleasing. However, many patients will note excess wrinkling of the neck skin, a “turkey wattle” or double chin, and jowl lines. When the neck area doesn’t match the upper facial appearance, a neck lift may be a good solution.

Did you know?

Rejuvenation procedures that can be performed in conjunction with a neck lift are: a brow lift, to correct a sagging or deeply furrowed brow, fat transfer, to add fullness to the lips and cheeks and reduce the appearance of wrinkles, or eyelid surgery, to rejuvenate aging eyes.

Am I a good candidate for a neck lift procedure?

You may be a candidate for a neck lift if you are a healthy non-smoker who is bothered by excess fat under the chin or loose skin with muscle bands, which create abnormal neck contour. To find out more about neck lift and whether this procedure could be right for you, schedule a consultation with Dr. Markelov.

What should I expect during my neck lift procedure?

Neck lift procedure can be performed using IV sedation or under general anesthesia. A traditional neck lift incision often begins in the hairline at the level of the sideburn, continues down and around the ear and ends in the posterior hair. Fat may be sculpted or redistributed from the jowls and neck. The tissue underlying the neck skin is repositioned, and commonly the platysma muscle is tightened. Skin is redraped over the uplifted contours and excess skin is trimmed away. Limited neck lift incision usually involves an incision under the chin for liposuction of this area and for repair of the muscle.

What post-operative instructions will I need to follow after my neck lift procedure?

Neck lift recovery takes several weeks, during which time it is normal to experience soreness and swelling. Be sure to take all prescribed medications as instructed and follow up with Dr. Markelov within a few days to ensure that healing is progressing normally.


Eyelid Surgery

An eyelid surgery – also known as a blepharoplasty – is a procedure used to rejuvenate the appearance of the upper and lower eyelids. Age and genetics can cause drooping, sagging, and excess folds around the eyes. This can contribute to both cosmetic and visual complications, including a tired and aged appearance, as well as difficulty seeing. Eyelid surgery with Dr. Markelov can take years off of the eyes, eliminating under-eye bags, removing upper eye puffiness and reducing the amount of excess skin surrounding the eyes.

Did you know?

That certain conditions can interfere with the healing process following an eyelid surgery? Eye diseases like glaucoma, retinal detachment and dry eye can inhibit eyelid surgery recovery. Other medical conditions can increase the risk associated with the procedure, such as cardiovascular disease, thyroid disease and diabetes. It is important to let your doctor know if you suffer with any of these conditions.

Am I a good candidate for an eyelid surgery?

You may be a candidate for eyelid surgery if you are a non-smoking adult in good health. It is important that you have realistic expectations for the outcome of your blepharoplasty. Remember that the eyelids are part of the face. The appearance of a drooping upper lid may also be due to relaxation of the forehead skin and eyebrow. Sometimes a drooping eyelid is caused by stretching of one of the upper eyelid muscles, the levator muscle. A consultation with Dr. Markelov can help you determine whether your facial tissues and eye muscles are healthy enough to undergo a blepharoplasty procedure.

What should I expect during my blepharoplasty procedure?

This procedure can be performed in the office under local anesthesia, IV sedation or general anesthesia in the operating room. Dr. Markelov will carefully form an incision discreetly along the natural crease of the eyelid or along the lower lash line. It is via those incisions that excess skin can be removed, the muscles tightened, and fat deposits redistributed.

What post-operative instructions will I need to follow after my eyelid surgery?

The eyelid surgery recovery period will require that you follow special instructions provided by Dr. Markelov. These instructions are designed to facilitate a complete recovery free of complications. When you awaken from surgery, your eyes may be covered in lubricating ointment. In the following days, you may be responsible for applying topical medications or taking oral prescriptions to prevent infection. It is normal to experience some swelling and bruising following the procedure, but most discomfort should subside within a few weeks.


Lip Augmentation

Many people dream of having full, voluminous lips like those of celebrities and models that grace magazine covers. But genetics, aging and lifestyle factors like smoking can all cause the lips to appear thin and diminutive. Lip augmentation is a solution for people who want to enhance narrow lips or otherwise rejuvenate lips that have become wrinkled with age. Patients have several options for lip augmentation, including injectible fillers, synthetic implants, and grafted organic implants. Fillers are injected into the lips and offer only temporary results. Implants, on the other hand, offer long-lasting results that can provide enhanced lip volume for several years, or even a lifetime.

Did you know?

That lip augmentation is one of the most popular cosmetic procedures? The American Society of Plastic Surgeons reports that doctors performed more than 25,000 lip enhancement procedures in 2011 – a number that represents a nearly 50 percent increase since 2004. And, because thin lips can be caused by both aging and genetics, lip augmentation has become a standard procedure among patients of all ages.

Am I a good candidate for lip augmentation?

Your candidacy for lip augmentation depends on the type of augmentation you will undergo. Dr. Markelov can help you decide whether lip enhancement is an option for you; and if so, whether certain lifestyle habits like smoking could affect the outcome of your procedure.

What should I expect during a lip augmentation procedure?

Your experience will depend on the type of augmentation you undergo. Injectible fillers, which offer temporary enhancement, are usually performed under local anesthetic during an office visit that is likely to last only a few minutes. Lip grafts or synthetic implants require more time and are often performed with light sedation. However, all lip enhancement procedures are performed on an outpatient basis, allowing patients to return home the same day.

What post-operative instructions will I need to follow after my lip augmentation?

If you opted for permanent lip implants, you’ll be instructed to sleep on your back and keep your head elevated in the days and weeks following the procedure. You’ll also need to take any medications as prescribed and use cold compresses to minimize swelling. If you have stitches, you’ll need to avoid touching them with your tongue, as this can increase your risk of an infection.

Nose Surgery (Rhinoplasty)

A nose surgery – also known as a rhinoplasty or a ‘nose job’ – is a procedure used to change the shape and proportions of the nose. It has gradually grown in popularity over the past few decades and in 2012 was the third most common cosmetic surgery among women in America. Many people pursue nose surgery with Dr. Markelov in an effort to define or minimize certain characteristics, such as the nasal tip, the width of the bridge, nasal asymmetry, or humps and depressions visible along the nose profile. Most often, these traits are a result of genetics. However, some individuals require nose surgery to correct misshapen noses caused by injury or facial trauma. Additionally, some rhinoplasty patients undergo the procedure to correct structural abnormalities that may be an obstruction to breathing.

Did you know?

That unlike most other types of cosmetic procedures, the results of a nose surgery can take as long as a year or more to become fully refined? Immediately following the procedure, patients experience swelling that lasts several months. Even after swelling subsides, the cartilage will continue to evolve and take on a more permanent shape over time.

Am I a good candidate for rhinoplasty?

You may be a candidate for rhinoplasty if you are a non-smoker and in good physical health. Nose surgery is generally reserved for patients who are at least 13 years of age with fully developed facial features. You will need to consult with Dr. Markelov to determine whether the procedure is right for you.

What should I expect during rhinoplasty?

Rhinoplasty is performed under general anesthesia, so it will be important to avoid eating and drinking on the day of your procedure. Your surgeon will make an incision on the inside of your nose or on the outside of your nose between your nostrils. From that incision, steps will be taken to either reduce the underlying nose structure or otherwise augment it.

What post-operative instructions will I need to follow after my nose surgery?

When you awaken, your nose will be bandaged and in a splint to facilitate healing. Dr. Markelov will provide specific instructions to avoid certain activities in the weeks following your procedure. You may also be prescribed medications to help with pain, swelling or to prevent infection. The swelling surrounding your nose will subside after a few weeks, although it will take many months for the contour of your nose to take its final shape.