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Surgical Facial Refinements
The Art of Rhinoplasty
Nothing has more impact on individual looks than the size and shape of the nose. Because the nose is the most defining characteristic of the face, a minor alteration can vastly improve one's appearance. Since there is no ideal in rhinoplasty, the goal is to improve the nose aesthetically, making it harmonize better with other facial features.
Individual characteristics such as skin type, ethnic background, and age are important items to be discussed with Dr. Tietze prior to surgery. In cases where breathing is severely impaired, a septoplasty may be performed at the same time.
The definition of rhinoplasty is literally, shaping the nose. It is often combined with straightening of the septum, which corrects and optimizes the nasal airway.
Incisions can usually be made inside the nose, where they are invisible. In some cases, an incision is made in the area of skin separating the nostrils. The underlying support structures of bone and cartilage are then sculpted to provide a newly shaped framework for your nose’s new profile. A splint is applied to the outside of the nose to help retain its fresh aesthetic shape while it heals. Soft, absorbent material may be used inside the nose to maintain stability along the dividing wall of the air passages called the septum. Alternatively, soft nasal supports that permit nasal breathing post-operatively can be placed.
A shapely, well-proportioned nose will complement your natural beauty and give you the image you desire.
Ear Pinning (Otoplasty)
Protruding ears can be one of the most common physical characteristics which cries out for facial cosmetic surgery. Children are often candidates for otoplasty, typically done between the ages of 4 and 14. Ears are almost fully grown by age 4 and the earlier the surgery, the less teasing and ridicule the child will have to endure. When it comes to otoplasty, conventional wisdom is “the earlier, the better”.
Kids aside, more and more adults are seeking out this procedure, which improves self-esteem with relative ease. Adults often choose this surgery in conjunction with other facial cosmetic surgical procedures.
Whether young or simply wanting to be young again, through this short surgical procedure, Dr. Tietze will reshape your ears so that they follow the shape of the head to produce a beautiful aesthetic image.
Otoplasty is usually covered by OHIP for children under 16 but is considered a cosmetic procedure in adults.
Eyelid Lift (Blepharoplasty)
Excess fat and skin can make eyelids droop and sag. This can make you look older than you feel and may also impair vision. Blepharoplasty corrects these problems and also removes puffiness from under the eyes that make you look worn and tired. The result is a youthful, lively look to your eyes to match how you feel inside. This operation will not correct dark circles, fine lines, or low eyebrows.
In upper eyelid surgery, Dr. Tietze marks the individual lines and creases of the lids in order to keep scars as invisible as possible along these natural folds. Through small incisions along the natural creases of your eyelids, excess fat, muscle, and loose skin are removed. Fine sutures or steristrips are then used to close the incisions, thereby minimizing the visibility of any scar.
In lower eyelid surgery, Dr. Tietze makes the incision in an inconspicuous site along the lashline and smile creases of the lower lid. The unwanted tissue is then trimmed away before the incision is again closed with fine sutures or steristrips, leaving you with virtually undetectable scars.
Blepharoplasty can be done under local anesthesia with sedation or general anesthesia.