Procedures: Face

Otoplasty (Ear Surgery)

Ear surgery typically serves two functions: setting prominent ears back closer to the head, and reducing the size of large ears. Surgery may also be helpful for “lop ear,” “cup ear,” as well as large or stretched earlobes. Although surgery for adults is available, the operation is also performed on children, which may prevent a child from being teased in school.

Otoplasty may be performed in a hospital, office-based facility or an outpatient surgery center. General anesthesia is recommended for very young patients, while local anesthesia and IV sedation are used for older children and adults.

During surgery to correct prominent ears, a small incision is made behind the ear, revealing the cartilage which is then sculpted, bent into its new position and stitched into place. In some types of otoplasty skin is removed but the cartilage is left in one piece and merely bent back on itself for a smaller-looking ear. A bandage is wrapped around the head to ensure the new positioning. To achieve better balance, both ears may be operated on even if only one has a problem. You should not expect your new ears to match exactly; even normal, natural ears are not identical.

Patients of all ages usually feel back to normal after a few hours, although the ears may ache or throb for a few days. Bandages are replaced with a surgical dressing after a few days, and stitches are removed within the week. Adults often return to work in five days and children may return to school in seven.

Fat Grafting

Fat grafting, also known as autologous fat transfer or liposculpture, is a surgical procedure that involves restoring lost volume in the face with the patient’s own fat, taken from the abdomen, thighs or other areas. This procedure is effective in treating sunken cheeks, facial lines, acne scars and other areas of lost volume that have developed as a result of aging, sun damage and other conditions.

Unlike fillers and other volume-enhancing treatments, fat grafts are taken from the patient’s own body, and as a result cannot cause an allergic reaction. The fat is naturally accepted by the body. Autologous fat grafts also last longer than synthetic materials.

During the fat grafting procedure, fat is harvested from the donor area by inserting a cannula and suctioning out the fat, similar to liposuction. This is done under local anesthesia to minimize any potential discomfort. The harvested fat is then purified so that only the fat cells are grafted. Once the fat is ready to be placed, it is injected into the targeted area through a cannula until the desired appearance is achieved.

This procedure is performed on an outpatient basis in Dr. Cohen’s office or a surgical facility. Because of the different aspects involved, treatment time can vary significantly depending on each patient’s individual procedure.

Pediatric Plastic Surgery

Pediatric plastic and reconstructive surgery is an important type of procedure for external deformities that requires special care and precision. Children’s plastic surgery makes up about 3% of all plastic surgery procedures. Doctors in this field are trained to work with the growing bodies of children to ensure proper development and functioning. Reasons for pediatric plastic surgery can be a result of birth defects, trauma or cosmetic purposes and include cleft lip and palate, craniosynostosis, ear and nose problems, birth marks, burns and other traumatic injuries and more. Surgeons can work with families from before birth and into adulthood.

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