Facial Procedures


FACELIFT SURGERY (Rhytidectomy)

Over time, there are changes to the facial skin and soft tissues that can be exacerbated by weight changes, and sun exposure. The facial skin loses elasticity and begins to sag. The volume of our faces generally begins to shift from higher positions to lower ones and the cheeks may become hollow and jowls develop. The neck contours may begin to develop bands and the once crisp angle between the jaw and neck becomes more obtuse. Skin folds and wrinkles become more prominent through changes in muscular action and gravity.

Facelift surgery is designed to correct these problems. During the procedure, the facial skin is elevated and drooping tissues are repositioned. Excess volume can be removed from areas that have developed fatty deposits using facial liposuction. In other areas that have experienced atrophy or tissue loss, fat can be grafted to help restore this lost volume. This is followed by redraping the skin in a gentle fashion to avoid a "pulled look" and to create a face with a natural appearance.

The incisions necessary to perform a facelift can be individualized to fit a specific patient's needs. The incision generally begins inside the hairline in the temporal region, continues in a natural crease around the earlobe, and then extends to the nape of the neck. An additional incision may be necessary underneath the chin to adequately address problems in the neck. These incisions are used to tighten the underlying muscles and reposition drooping tissues.

The procedure causes little discomfort which is relieved with pain medication. Some mild bruising and swelling is common after surgery and usually subsides within 2-4 weeks. In women, cosmetics can be applied after the sutures are removed. Activities that may elevate the blood pressure are recommended to be avoided during the first two weeks. Heavy lifting is not permitted during this time period.

Facelift surgery is well suited to be performed in our AAAHC fully accredited ambulatory outpatient SurgiCenter. The procedure can be performed under local anesthesia with sedation or with general anesthesia. In patients with more significant surgical needs or those with other medical problems, the surgery will be performed in the hospital.

Thousands of facelift surgeries are successfully performed each year. Nevertheless, you should be aware of the potential hazards of surgery and specific risks associated with facelift surgery. Postoperative complications such as delayed healing, nerve damage, infection, or localized collections of blood are uncommon. Smokers should be aware that smoking is strongly discouraged for 4 weeks before and after the surgery. Complications arise more frequently when a patient continues to smoke. Risk of complications can be minimized by closely following Dr. McKane's advice on follow-up care during the healing process.

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BROW LIFT SURGERY (Forehead Lift)

Over time, there are changes to the facial skin and soft tissues that can be exacerbated by weight changes and sun exposure. The facial skin loses elasticity and begins to sag, the volume of our faces generally begins to shift from higher to lower positions; and the brow and eyelids are no exception. In addition, skin folds and wrinkles become more prominent through changes in muscular action and gravity.

Browlift surgery is a procedure designed to correct these problems. It elevates and redrapes the forehead skin to elevate the brow into a more youthful position. It is a powerful procedure that can refresh the appearance of the eye. Browlift surgery can also be designed to correct problems with both forehead and glabellar wrinkles. The procedure is performed using incisions that are placed at or within the hairline, or possibly in a preexisting wrinkle. The incisions are individualized to a patient's needs, and Dr. McKane performs short scar brow lifts if possible.

The procedure causes mild discomfort that can be relieved with pain medication. Some mild bruising and swelling is common after surgery and usually subsides within two to four weeks. In women, cosmetics can be applied after the sutures are removed. Activities that may elevate the blood pressure are recommended to be avoided during the first two weeks, and heavy lifting is not permitted during this time period.

Brow lift surgery is a well-suited procedure for our AAAHC- accredited outpatient SurgiCenter. The procedure can be performed under local anesthesia with sedation or with general anesthesia. Patients who have more significant surgical needs or those with other medical problems will have their surgery performed in the hospital.

Each year, numerous men and women undergo brow lift surgery. Nevertheless, you should be aware of the potential problems of surgery and the specific risks that are typically associated with this procedure. Postoperative complications such as delayed healing, nerve damage, infection, or localized collections of blood are uncommon. Temporary numbness, discomfort, and itching are also possible complications that may arise after brow lift surgery. Smokers should be aware that they will need to quit at least four weeks before and after the surgery. This is because complications develop more frequently when a patient continues to smoke. Closely stick to Dr. McKane's advice on follow-up care during the healing process, as this will help to minimize your risk of complications.

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MID FACELIFT SURGERY (Mini Facelift Surgery)

Over time, there are changes to the facial skin and soft tissues that can be exacerbated by weight changes and sun exposure. The facial skin eventually loses elasticity and begins to sag, while the volume of our faces generally begins to shift from higher to lower positions. The cheeks may also become hollow, flattened, and descend. Skin folds and wrinkles become more prominent through changes in muscular action and gravity.

A mid facelift is an operation designed to correct these problems. It involves elevating the cheeks to eliminate laxity and sagging, which is often performed in conjunction with lower eyelid surgery. The procedure can restore harmony to the mid facial region. In most cases, a mid facelift can be performed as part of a facelift, while in other patients, incisions in the temporal region or lower eyelid may be necessary.

The procedure causes the patient little discomfort, which can be relieved with pain medication. Some mild bruising and swelling is common after surgery and usually subsides within two to four weeks. In women, cosmetics can be applied after the sutures are removed. Activities that may elevate the blood pressure are recommended to be avoided during the first two weeks. Heavy lifting is not permitted during this time period.

Mid facelift surgery is a well-suited procedure that can be performed at our AAAHC-accredited outpatient SurgiCenter. Local anesthesia with sedation or with general anesthesia can be utilized for this type of facial rejuvenation. In patients with more significant surgical needs or those with other medical problems; the surgery will be performed in the hospital.

Mid facelift surgeries are performed frequently each year. Just like all cosmetic surgery procedures, you should be aware of the potential risks and complications associated with this procedure. Nonetheless, uncommon postoperative complications, delayed healing, nerve damage, noticeable scarring, infection, or localized collections of blood may arise. In addition, smokers must quit at least four weeks before and after surgery in order to prevent further problems. Risk of complications can be minimized by closely sticking to Dr. McKane's advice regarding the healing process.

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EYELID SURGERY (Blepharoplasty)

While aging naturally affects a person's facial skin and soft tissues, weight changes and sun exposure can exacerbate this. Commonly, the eyelid skin loses elasticity and sags. Wrinkles and skin folds, or bags, can develop in the orbital region as a result of these changes. This can lead to an individual having a very "tired" appearance despite plenty of rest.

Eyelid surgery, or blepharoplasty, is a procedure designed to remove excess skin and fat from the upper and lower eyelids. It can eliminate the conditions that contribute to a tired appearance and give the orbital region a refreshed appearance. In patients who are experiencing vision problems from the excess skin, a reconstructive blepharoplasty can help with this condition. Eyelid surgery is performed through an incision in a natural crease in the upper eyelid, or through an incision very close to the lid margin in the lower eyelid. Occasionally, lower lid eyelid surgery can be performed through an incision on the inner aspect of the eyelid and, in these patients, no scar will be visible.

The procedure commonly causes the patient little discomfort, which can be relieved with pain medication. The eyelid skin is extremely thin; therefore, mild bruising and swelling is typical after surgery for about two to four weeks after surgery. In women, cosmetics can be applied after the sutures are removed, and the activities that may elevate the blood pressure are recommended to be avoided during the first two weeks. Heavy lifting is not permitted during this time period.

Eyelid surgery is well suited to be performed in our AAAHC-accredited outpatient SurgiCenter. The procedure can be performed under local anesthesia with sedation or with general anesthesia. For patients with more significant surgical needs or those with other medical problems, the surgery will be performed in the hospital.

Thousands of individuals undergo eyelid surgery each year; yet, you should be aware of the potential problems of surgery and specific risks associated with eyelid surgery. Delayed healing, eye or vision problems, infection, or localized collections of blood are uncommon postoperative complications. Smokers must note that they will need to quit for at least four weeks before and after surgery in order to reduce the risk of complications developing. Risk of complications can be minimized by closely sticking to Dr. McKane's instructions regarding your follow-up care during the healing process.

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NOSE SURGERY (Rhinoplasty)

Nose surgery, or rhinoplasty, can be performed in patients wishing to address the contours of the nose. Undesirable nasal contours may be congenital, acquired through trauma, or developed as a result of other changes that occur with aging. The size or width of the nose can be reduced using different techniques. The surgery is highly specialized and designed around an individual's needs.

Dr. McKane performs nose surgery through a very small incision made underneath the nose. This gives him full exposure to the bones and cartilages, allowing very precise surgical manipulation to achieve the patient's goals. Cartilage can be trimmed and sutured with meticulousness to optimize the external appearance of the nose. A dorsal hump can be shaved and the nasal bones brought together to create a fine bridge with an excellent profile. The tip cartilage can be reshaped to make the nose more refined in contour. The angle between the lower portion of the nose and the upper lip can be improved by elevating or lowering the tip. In patients who have a disproportionately wide base; this can be narrowed by excising small skin wedges. Dr. McKane makes fine incisions in the bones using a special instrument for greater control of the postoperative results. This is done instead of "breaking" the nose during surgery.

Rhinoplasty causes the patient little discomfort, which can be relieved with pain medication. Mild bruising and swelling in the orbital region is typical after surgery and usually subsides within two weeks. Swelling of the nasal skin resolves gradually and the final result may not be fully apparent for a period of time, even up to a year. A small nasal splint will be used after surgery to help protect the nose and to control swelling of the nasal skin, as it is rarely necessary to pack the nose after surgery. Activities that may elevate the blood pressure are recommended to be avoided during the first two weeks. Heavy lifting is not permitted during this time period, and glasses should not be allowed to rest on the bridge of the nose for the first six weeks after surgery.

Nose surgery is a well-suited procedure for our AAAHC-accredited outpatient SurgiCenter. This procedure can be performed under local anesthesia with sedation or with general anesthesia. Patients with more significant surgical needs or with other medical problems will need to undergo their surgery at a hospital.

Each year, thousands of nasal surgeries are successfully performed. Nevertheless, it is important to be aware of the potential hazards of surgery and understand the specific risks associated with rhinoplasty. When performed primarily to improve the patient's appearance, postoperative complications such as infection and bleeding are rare. Poor healing may necessitate a second operation, and smokers should know that smoking is strongly discouraged the four weeks before and after surgery. If a patient continues to smoke, problems will arise more frequently. Risk of complications during your healing process can be minimized by closely following Dr. McKane's instructions.

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LIP AUGMENTATION (Lip Enhancement)

Many women desire bigger lips for a sexier, fuller appearance. Those who have thin lips due to their genetics or due to aging can benefit from lip augmentation. While soft tissue injectables provide a temporary solution to this problem, women who wish to achieve a more permanent augmentation of the lips may want to consider Permalips™

The Permalips™ procedure is performed using the patient's own tissues as a graft, which is obtained from within the hairline in the region of the ear. It is then placed through inconspicuous incisions on the inside of the lip. This procedure creates a very soft and natural feeling, and eliminates the need for repeated injections over time.

Permalips™ causes little discomfort, which can be relieved with pain medication. Some mild bruising and swelling is common after surgery and usually subsides within two to four weeks. In women, cosmetics can be applied after the sutures are removed. Activities that may elevate the blood pressure are recommended to be avoided during the first two weeks, such as heavy lifting.

Permalips™ is well suited to be performed in our AAAHC-accredited outpatient SurgiCenter; however, in patients with more significant surgical needs or those with other medical problems, the surgery will be performed in the hospital. This procedure can be performed under local anesthesia with sedation or with general anesthesia.

Lip augmentation procedures are frequently performed each year. Even with this in mind, you should be aware of the potential complications and specific risks that are associated with lip augmentation. Postoperative complications such as delayed healing, nerve damage, infection, or localized collections of blood are uncommon. Also a rare possibility is the development of uneven upper and lower lips and firmness in the lips. In order to help prevent complications from arising, smokers should be aware that smoking is strongly discouraged the four weeks before and after lip augmentation. It is essential that patients closely stick to Dr. McKane's instructions on follow-up care during the healing process.

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CHIN AUGMENTATION SURGERY (Augmentation Mentoplasty)

A strong chin is a highly masculine feature and desirable in men. It can contribute to an individual's appearance of strength and confidence. In women, an overly recessive chin can take harmony away from the appearance of the lower face and nose. In both sexes, a chin augmentation can improve the nose, lip, and chin relationships and dramatically improve the appearance of the face.Chin augmentation can be performed using a variety of procedures including those that involve making incisions in the bone, and adjusting the position of the chin and the lower jaw. Other techniques involve the use of implants. The procedure is tailored to an individual patient's needs. If an implant is selected, it can be placed using a very small incision hidden in a natural crease beneath the chin. If facial liposuction is considered at the time of a chin augmentation, it may have a dramatic impact on the appearance of the lower portion of the face.

Augmentation mentoplasty causes little discomfort, which can be relieved with pain medication. Some mild bruising and swelling is common after surgery and usually subsides within two to four weeks. In women, cosmetics can be applied after the sutures are removed. Activities that may elevate blood pressure are recommended to be avoided during the first two weeks. Heavy lifting is not permitted during this time period.

Chin augmentation is well suited to be performed in our AAAHC-accredited outpatient SurgiCenter. The procedure can be performed under local anesthesia with sedation or with general anesthesia, and in patients with more significant surgical needs or those with other medical problems, the surgery will be performed in the hospital.

Chin augmentation is a successfully performed procedure among both men and women each year. The potential hazards of surgery and specific risks associated with this procedure are important to be aware of, however. Although regarded as rare postoperative complications, delayed healing, nerve damage, infection, localized collections of blood, or malposition or loss of the implant are among the type of problems patients must understand. During the four weeks before and after the surgery, smokers will need to quit; this helps to prevent problems from arising. Closely sticking to Dr. McKane's advice on follow-up care during the healing process will minimize your risk of complications.

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EAR PINBACK SURGERY (Otoplasty)

Patients with prominent ears are often very self-conscious about them. Usually, they have suffered in childhood due to the jeering of their peers, which often extends into adulthood. Ear pin back surgery, or otoplasty, is designed to decrease the prominence of the ears and set back their position to make them appear more normal. This procedure can be very rewarding to patients and oftentimes, encourages them to change their hairstyle or pierce their ears to show them off once it is completed.

Otoplasty is performed through an incision made behind the ear. This provides access to the ear cartilage, which can be weakened or sutured to manipulate them into a normal position. This incision usually heals very well, and is often not visible except during close inspection of the backside of the ear.

The procedure causes the patient very little discomfort, which can be relieved with pain medication. Some mild bruising and swelling is common after surgery and usually subsides within two to four weeks. An athletic headband will be advised for use during sleep and during any activity that may injure the ears. Activities that may elevate the blood pressure are recommended to be avoided during the first two weeks. Heavy lifting should be avoided during this time period.

Ear pin back surgery is a well-suited procedure than be performed in our AAAHC-accredited outpatient SurgiCenter. Local anesthesia with sedation for mature patients or general anesthesia in those patients who are young, or who desire it, is used for ear pin pack surgery. Patients with more significant surgical needs or those with other medical problems will be required to undergo the procedure at a hospital.

Ear pin back surgeries are successfully performed each year. Nevertheless, please be aware of the potential hazards of surgery and the specific risks associated with this procedure. Some of the uncommon postoperative complications include delayed healing, nerve damage, infection, or localized collections of blood. Other potential problems are mismatched or artificial-looking ears, temporary throbbing, and the need for a secondary surgery. Smokers should refrain from smoking at least four weeks before and after the surgery. This is because complications arise more frequently when a patient continues to smoke. To minimize your risk of complications, it is important to closely stick to Dr. McKane's advice on follow-up care during the healing process.

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DR. BRICE W. MCKANE

Cosmetic Surgery Associates
2530 West Holcombe
Houston, TX 77030

800-544-1269
713-661-5255