Facial cosmetic surgery has grown and developed in exciting ways, and Dr. Edmon Khoury remains current with techniques that integrate cutting-edge technology for traditional procedures to deliver outstanding results with minimal discomfort or recovery time. Every patient will have specific desires, and there are numerous safe options to help restore a youthful appearance and increase personal confidence. This group of cosmetic treatments can reverse the effects of aging on targeted areas of the face and neck. They include traditional procedures such as brow lifts and neck lifts, and more advanced procedures such as liposculpting, where liposuction is used to selectively remove fat cells and provide more youthful contours. Facial procedures performed at Denver Cosmetic Surgery include:

Facelift Procedures

These are the most popular procedures performed to address the effects of aging in the face and neck. Facelifts encompass an overall approach to battling sagging skin and tissue in these areas. Facelifts are generally more extensive than procedures that only target specific problem areas. The results typically last longer as well, often 10 years or more. Depending on factors such as age and the patient’s desired outcome, facelift procedures can consist of a:

• Mini-lift

• Standard Facelift

• Full Facelift

Facial Procedure Comparison Chart

	Minilift »	Regular Facelift »	Full Lower Facelift »	Laser/VASER Assisted Facelift »	Non Surgical Laser/VASER  Facial Sculpting »
Can it be performed in a minimally invasive setting under local anesthesia?	Yes	Yes	Yes	Yes	Yes
Can be performed while awake and sedated?	Yes	Yes	Yes	Yes	Yes
Can be performed completely sedated?	Yes	Yes	Yes	Yes	Yes
Average Procedure time?	90min	2hrs	2.5hrs	3hrs	60-90min
Main areas of improvement?	Jaw Line	Jaw and Neck Line	Gold standard for Jaw Line and Neck	Gold standard for Jaw Line and Neck	Jaw Line and Neck
Average Age Group?	40s	50s to 60s	50s and above	40s and above	40s
Average Recovery Time?	5-7 days	7-10 days	10-14 days	5-7 days	5-7 days
Average amount of swelling and potential bruising?	Mild	Mild-Moderate	Moderate	Minimal	Minimal
Is the muscle under the skin addressed?	Yes	Yes	Yes	Yes	No
Post procedure discomfort level?	Mild	Mild to Moderate	Moderate	Mild to Moderate	Minimal
Is the neck specifically addressed?	No	No	Yes	Yes	Limited
Is the laser/VASER used to assist in the lift?	No	No	No	Yes	Yes
Can laser be added to the procedure?	Yes	Yes	Yes	Part of the Procedure	Part of the Procedure

Eyelid Procedures

Eyelid surgery, or blepharoplasty, is a surgical procedure that improves the appearance of both the upper and lower eyelids. More specifically, blepharoplasty is used to treat any sagging, puffy, or loose eyelid skin that becomes increasingly apparent as we age. Both effective and minimally invasive, they are one of the most frequently performed procedures in the United States and can be a quick and easy way to regain a more youthful appearance. Denver Cosmetic Surgery offers:

• Upper Eyelid Procedures

• Lower Eyelid Procedures

Neck Lift

A neck lift is usually performed in combination with a facelift, but it is also an option as a standalone procedure for many patients. It is not uncommon for issues related to the neck to appear prior to other changes in the face. For example, loose skin may develop as a result of weight changes unrelated to aging.

With a recovery time similar to a mini-lift (about 5 to 7 days), it addresses issues such as sagging skin, muscle banding (“turkey neck”), and heavy or full necks. It is performed through limited incisions behind the ear and under the chin within the natural skin crease. It is also performed under local anesthetic with oral sedation to alleviate any anxiety.

Liposculpting

Liposculpting, when performed with a Smartlipo® machine, allows for selective removal of fat and additional tightening of the skin. This is accomplished by utilizing laser technology to disrupt fat cells under the skin while preserving other vital structures that are normally damaged during conventional liposuction. It also results in minimal bleeding and a quicker recovery.

Liposculpting is most commonly performed to the neck, but it also can be extended to the jowls and face. In some patients, it can be used to tighten facial tissue, alleviating the need for facelift surgery. It can occasionally substitute for a traditional neck lift. Patients who in the past were not candidates for conventional liposuction now may be great candidates for liposculpting. The procedure is performed under local anesthesia with the option of oral sedation.

Forehead Lift

A forehead lift is also referred to as a brow lift and can be performed in many ways. Over time, the brows descend and droop to crowd the upper eyelid. Ideally, a female brow should be slightly above the bony rim of the upper eye, and a male brow should be at the same level as this rim. A brow lift allows for repositioning of the brow to a more youthful location.

This procedure is performed endoscopically through minimal incisions behind the hairline, allowing natural positioning of the brows and removal of forehead wrinkles to soften frown lines. This minimally invasive approach allows for less discomfort, quicker recovery, and a fresher look.

Temporal Brow Lift

A temporal brow lift is a minimally invasive procedure used to lift the outer brows. It is a great option for patients who still have good overall brow positioning, but brows have dropped at the outer edges. The benefits include a shorter recovery, less swelling, and improved crow’s feet around the eyes.

Laser Resurfacing

Laser resurfacing is an excellent method to rejuvenate aging skin. Both carbon dioxide (CO2) and Erbium lasers are used, depending on the needs of the patient. After the outer layer of the skin is targeted by the laser, the deeper, healthier skin layer provides the basis for a new skin surface. The new skin will feel tighter with fewer wrinkles and will have better tone and texture. Patients may select laser resurfacing as a standalone procedure to improve their skin, or as a complement to other facial procedures.

Fat Transfer

Fat may be used as a filler to augment many areas of the face. Fat has several advantages over traditional synthetic fillers because it is the patient’s own tissue and lasts longer. Several sessions may be necessary because the body reabsorbs a certain percentage of the transferred fat. Once the desired goal is achieved, there is no need for repeat injections. Fat is usually harvested from the abdominal area and is used to add volume to the cheeks, lips, facial creases, and depressions in the temple area and jawline.

Frownplasty

This is a quick and minimally invasive procedure that addresses deep frown lines between the brows. A special suture is used to release the deep crease from the underlying tissue. It is followed by augmenting the depression with fat or some other filler. In some patients, this alleviates the need for injections, while others will experience enhanced results from injections.

Chin and Cheek Implants

Both procedures augment the contours of the face and are typically performed under local anesthesia. Chin implants are used to increase the projection of a “weak chin,” which is most noticeable from the side view. Depending on the patient, chin implants can also improve the angulation of the neck. An incision is placed within the natural crease under the chin, which is concealed by natural skin contours. Once healed, patients perceive the implants as their normal anatomy. Cheek implants are used to augment flat and droopy cheeks, restoring youthful fullness to the mid face for an enhanced facial profile.

Mid Face Lift

A mid face lift is not a facelift in the traditional sense of the term. It is a procedure that elevates the cheeks to a more youthful position. It is performed through incisions in the lower eyelid and can be performed in conjunction with lower eyelid surgery. A mid face lift not only restores volume to the mid face but also softens the nasolabial crease. There are also minimally invasive alternatives that elevate the cheeks through minimal incisions behind the hairline at the temple.

Buccal Fat Pad Removal

Buccal fat pad extraction is a procedure for reducing prominent cheeks by the proportional removal of buccal fat pad tissue. The removal of the buccal fat pad is usually done under local anesthesia; the procedure itself takes less than one hour. The buccal fat pad is removed through an incision in the mouth, towards the back of the oral cavity, near the second upper molar. The experience is comparable to wisdom teeth removal. Recovery time is usually less than a week.

Dr. Khoury

Dr. Khoury only practices the most advanced techniques with advantages such as smaller incisions, faster healing, and hardly-visible scarring. All procedures can be performed under either local anesthetic or mild sedation without the need for general anesthesia. Not only does this eliminate the surgical risks associated with ‘going under’ for a procedure of this nature, but it also reduces any fears people might have about receiving general anesthesia. This is just another testament to the skill and ability Dr. Khoury passes on to all of the patients who trust him with their appearance.

A facial rejuvenation procedure can be a life-changing experience, improving the way that you feel about yourself and giving you a sense of confidence and well being. Dr. Khoury is an expert in facial rejuvenation techniques and will work with you to determine the procedures that will be best for you based on your goals and preferences. It is important to recognize that for all medical procedures, including the procedures performed by Dr. Khoury, individual results and experiences may vary.

Dr. Khoury is double-board certified in Facial Plastic Surgery and Otolaryngology/Head and Neck Surgery. He operates out of a state-of-the-art facility that is fully accredited by the AAAHC (Accreditation Association for Ambulatory Health Centers).

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