Third Quarter 2008, Volume 22, Number 3

Ask the Surgeon | What’s New | Health Tip


Reflection and realism ensure benefits beyond the obvious

Changing the focal point of your face — your nose

Ask the Surgeon / Health Tip / What’s New

Implants advance and provide enhancements


How do I know what type of skin peel is right for my face? I am in my late-30s and starting to see fine wrinkles appear around my eyes. The peel interests me because I also want to see an overall improvement in skin tone as well.

Chemical peels are used to improve the appearance of the skin by removing the outermost layers so that new, regenerated skin can appear. Depending upon the type and strength of chemical used, peels vary in intensity and depth. For example, a TCA (trichloroacetic acid) chemical peel penetrates into the second layer of the skin. This peel treats moderate sun damage, fine lines, weathered skin, and pigment problems.

The chemical application takes 10 to 15 minutes and is often repeated over a period of weeks and effects smoother, fresher looking skin. Your facial plastic surgeon may choose to use a combination of chemicals to tailor the treatment specifically to your skin type and its needs. !


There are a number of new items on the market that provide sun protection. Try the continuous spray sunscreens that simplify the process of covering children from head to toe. There are also combination products that moisturize and protect your skin-just be sure the sun protection factor (SPF) is at least 15. If you are looking for defense against the mosquitoes while in the sun, there are sprays and gels that include insect repellent with sunblock.

Don’t worry you will not have to miss out the summer glow, check out the self-tanning options available. The spray varieties are easier to apply and some also include sunscreen. Once you pick the product that best meets your needs, remember to take into consideration the following rules:

  • Apply 30 minutes before going outside;
  • Re-apply every three to four hours and immediately after swimming or excessive sweating; and
  • Shield your eyes with sunglasses that provide 100 percent protection from UVA and UVB rays. !


The endoscope (a small, flexible tube with a light and camera lens) is making facial plastic surgery less invasive and more appealing to a wider audience. Have you heard of endoscopic facial rejuvenation? The surgeon makes small incisions, typically less than an inch, and inserts the endoscope probe and tiny instruments through the incision.

This allows the surgeon to monitor the progress of the procedure, while making the smallest refinements and adjustments. For an endoscopic facelift, the surgeon may make two or three small incisions concealed in the hairline or behind the ears. A surgeon can tighten loose muscles, smooth and tighten tissues, and reposition the cheeks fat pads. Due to the minimal invasiveness of this technique, the patient benefits from reduced bleeding and swelling and reduced recovery time. Endoscopic facial rejuvenation provides great results with minimal downtime. !

Refresh the skin
Your skin tone on your nose may not be what it once was—consider a chemical peel to remove the damaged outer layer of skin so that a new, refreshed layer may emerge. Other options that will improve the skin of your nose and entire face may include laser resurfacing and microdermabrasion. Talk with your facial plastic surgeon about your options and what will work best with your skin type.Once you and your physician determine the optimal plan for enhancing or improving your nose, it is time to schedule the surgery.

The procedure typically takes one to two hours, depending on the extent of the surgery. The incisions are usually hidden inside the nose when possible. Once adjustments are made, the tissues are re-draped over the new frame and the incisions are closed. A small plaster cast is applied to the outside of the nose. This will protect and aid in healing for the first week. Most of the swelling and bruising will disappear within the first week or two. The cosmetic results will not be noticeable for some time. In fact, the shape of the nose will continue to change and improve during the first few months, with final results taking up to 12 months. Depending on the extent of the surgery, you will be able to return to work one to two weeks after surgery.

Rhinoplasty may be your answer to improved health, increased self-confidence, and a younger looking you. Whether you are looking to improve the function or form of your nose, your surgeon will evaluate your needs and share what options will help you achieve those desired results. !