Rhytidectomy Facial aging is a very complex process that requires skillful individual evaluation if proper results are to be obtained. There are aging changes in all tissues of the face – skin, fat, muscle and bone. In addition, there are changes in shape, volume and position of these facial tissues. Dr. Adamson will identify the involved tissues and aging processes with you to help you achieve beautiful facial aesthetics.
A facelift / necklift in general is a procedure that tightens, lifts and shapes the soft tissues of the face. There are many different ways to do a facelift. Dr. Adamson’s technique for facelift creates a very natural, rejuvenated appearance with long lasting results.
Dr. Adamson’s technique is as follows: Through incisions that are well hidden in the temporal scalp, in front of and behind the ears the facial skin is elevated. A structure called the SMAS (sub-muscular aponeurotic system) is elevated as a tissue flap. This special flap carries the fat and muscles of the face. By elevating and tightening the SMAS in the proper vectors, Dr. Adamson is able to elevate the cheeks, re-shape the jaw-line, contour/remove the jowls and tighten the neck. By placing the majority of the tension on the SMAS rather than the skin, (as in other types of facelifts) this lift creates a natural, beautiful rejuvenation without the “overpulled” look of some lifts.
Fat is removed from the neck with direct excision (more reliable and predictable than liposuction). Bulging submandibular glands may also be partially or completely removed to optimize the contour of the neck and jawline.
Volume – During the facelift procedure, Dr. Adamson re-creates the facial volume and shape of a beautiful or handsome youthful face with facial fat grafting techniques. These grafts help restore the soft tissue volume around the eyes, cheeks, and mouth that we lose in the aging process and cannot be achieved with a facelift alone.
The procedure is performed as an outpatient in the accredited surgery center under general anesthesia performed by the anesthesia team. It is usually recommended to take 2-3 weeks away from social engagements while you recover.
Dark circles? Sagging of the eyelids creates a tired, sometimes saddened appearance. Upper eyelid sagging can also create visual obstruction.
Upper and lower eyelid blepharoplasty are procedures that rejuvenate the eyes creating a youthful, rested, healthy appearance.
Upper eyelid blepharoplasty is performed by removing the excess skin above the upper eyelid crease (supratarsal crease). The skin is tightened and the incision is closed hiding very nicely within the crease. Recovery is minimal, but there can be bruising and or swelling for 1-2 weeks. The procedure is performed in Dr. Adamson’s office under local anesthesia or in the surgery center.
Lower eyelid blepharoplasty is performed by creating a well hidden incision just below the eyelash line of the lower eyelid. The skin is lifted and excess skin is removed. If necessary, bulging lower eyelid fat is removed or repositioned. The eyelid muscle (orbicularis oculi) is then elevated and tightened and the skin incision is closed. Recovery is minimal, but there can be bruising and or swelling for 1-2 weeks. The procedure is performed in the surgery center under anesthesia.
Full lips and cheeks and shapely eyelids and eyebrows create a youthful appearance of the central face. Study the pictures of children and young adults to see the distribution of fat of the central facial features. Dr. Adamson performs expert facial fat grafting as a lone procedure or in combination with other procedures to restore the youthful volume of the central face.
The first step in facial augmentation with fat grafts is to harvest the fat grafts using liposuction techniques. The fat is rinsed to purify the fat grafts. The purified fat grafts are then injected through tiny needle punctures in the skin (no incisions) with a syringe, through a tiny blunt tipped cannula in multiple layers into the treatment areas to achieve the desired shape and contour. Fat deposits of the abdomen, inner knees and thighs make the best donor sites for the fat graft harvesting.
The transferred fat is a graft-meaning it will grow a new blood supply at the recipient site and survive there long-term. Fat graft survival is very dependent on the technique used and the experience of the Plastic Surgeon. I expect about 60% of the fat to survive permanently. Survival in the lips is lower at about 20% because of movement (talking, smiling, eating). I usual over-graft to compensate for expected fat loss/absorption.
The procedure is performed in the office under local anesthesia or as an outpatient in the accredited surgery center under general anesthesia performed by the anesthesia team. Bruising and swelling usually last 1-3 weeks.
The nose is one of the most important and visible aesthetic features of the face. An imperfect nasal shape can detract from an otherwise beautiful or handsome face. Imperfect nasal features can be a familial / genetic trait or can be created by trauma and nasal fractures. Rhinoplasty is the surgical procedure to reshape the nose and correct nasal imperfections.
The procedure is performed as an outpatient in the accredited surgery center under general anesthesia performed by the anesthesia team. It is usually recommended to take 1-2 weeks away from social engagements while you recover.
Full lips are beautiful and alluring. We lose volume in the lips as we age. Dr. Adamson can create full, beautiful, shapely lips with Fat Grafts or other fillers such as Restylane, Juvederm, Radiance and others.
Lip augmentation is usually performed in the office under local anesthesia with minimal recovery or downtime.
Unwanted facial hair is easily removed in the privacy and comfort of Dr. Adamson’s Sarasota office. Dr. Adamson uses the time tested state of the art Lumenis Lightsheer Diode Laser with patented “Chilltip” for maximal treatment benefit with minimal discomfort.
Because hair grows in various phases from periods of dormancy to active growth it requires 4-6 treatments to achieve the best results. There is minimal to no downtime. All skin types can be treated with the Lightsheer laser.
Prominent ears can detract from a person’s appearance and unfortunately, can be a source of ridicule for children and adults. Otoplasty is the procedure performed by Dr. Adamson to reset the prominent ears closer to the head.
The incision is placed behind the ear and is almost invisible. The cartilage is re-shaped and re-contoured through the incision. The procedure takes about 1-2 hours and is performed as an outpatient in the accredited surgery center under general anesthesia performed by the anesthesia team. Sutures are removed in 1 week.
A tennis type head band is worn full time for the first week and then at night for 5 more weeks. Children must avoid contact activities for 6 weeks.
