Procedures

Forehead Lift (Browlift)

Forehead Lift (Browlift) SacramentoBrowlifts can revitalize drooping or lined foreheads, helping you to look less angry, sad or tired. Using either traditional or minimally invasive (endoscopic) methods, browlifts involve the removal or alteration of the muscles above the eyes to smooth lines and raise the eyebrows for a more youthful appearance. The procedure is often combined with other operations such as blepharoplasty (eyelid surgery) and facelifts to improve the look of the eyes and other areas of the face.

While browlifts are typically performed on patients aged 40-60 to counteract the effects of aging, anyone with lined or inelastic skin on the forehead - whether it's caused by muscle activity or inherited conditions - is eligible. The procedure is usually performed in an office-based facility or surgery center under local anesthesia and sedation.

Traditional browlift: For a full forehead/brow lift, the surgeon makes a coronal (headphone-shaped) incision behind or within the edge of the hairline, going from ear to ear. The incision may be placed further back or more to the front depending on the height of the forehead and the effect Dr. Pichler wants to achieve. Then the forehead skin is lifted, tissue is removed, muscles are adjusted and the eyebrows may be lifted. Excess skin is trimmed and the incision is closed with stitches or clips. Incisions eventually heal without any visibility. For a more limited brow lift, the incisions may be shorter and do not require extending across the top of the head.

Endoscopic browlift: After the hair is tied as with the traditional procedure, Dr. Pichler makes three to five short incisions (less than an inch long) behind the hairline. The endoscope is placed in one so that Dr. Pichler can see beneath the skin without having to make a large incision, while he lifts the skin and adjusts muscles through the other incisions. If the eyebrows are lifted they will be stitched or screwed (temporarily) into place. The site is washed and the rubber bands are removed. Some surgeons will protect the stitches with gauze or bandages.

With both procedures, you will be on your feet and able to wash your hair in a day or two, and many patients return to work or school in 7-10 days or less. Swelling and bruising should fade by the third week.

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Ear Surgery (Otoplasty)

Ear Surgery (Otoplasty) SacramentoEar 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," "cupped ear" and "shell ear," large or stretched earlobes, and lobes with large creases and wrinkles. Surgeons are also able to construct new ears for patients who are missing them from injury or other causes.

Although this surgery is also helpful for adults, the operation is especially beneficial in children aged four to ten, preventing the child from being teased in school.

Otoplasty lasts from 1 ½ to 2 hours and 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 a sedative are used for older children and adults.

During surgery, 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.

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. Otoplasty leaves a faint scar on each ear that fades with time.

You should not expect your new ears to match exactly; even normal, natural ears are not identical.

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Chin & Cheek Implants

Chin & Cheek Implants SacramentoWhether or not we notice it consciously, full cheeks are often a part of how we judge a person's face. Cheek implants can have a major impact on the appearance and self-confidence of patients whose cheeks have thinned or sunken due to age, illness or other causes. Implant sizes and shapes are tailored to each patient's desired appearance. Patients can restore fullness and achieve a defined facial contour through this safe procedure.

Chin implants help to improve the appearance of a weak chin, achieving a harmonious balance to the facial features and enhancing the facial profile. With implant placement, patients can create a stronger chin and even lengthen the entire face. This treatment offers permanent results that can be customized to achieve your unique desired look.

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Lip Augmentation

Lip Augmentation SacramentoLip augmentation is a cosmetic procedure used to increase the size of the lips through surgery or injections. This procedure can be performed on the upper or lower lip, or both at the same time, and may offer temporary or permanent results depending on the type of material used. Most patients desiring larger, fuller lips are able to achieve their desired results with just one simple procedure.

Fuller lips can be achieved through several different cosmetic techniques. Most lip augmentation options involve an injection of a facial filler to increase the size of the lips, although implants may be used as well. The best procedure for you depends on your overall health and desired results, along with several other determining factors. Dr. Pichler will discuss these factors with you to help you decide which treatment option is best for you to achieve the full lips you desire.

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