Facial Plastic Surgery

Before considering facial plastic surgery, it is highly recommended to check the plastic surgeons credentials and certifications. Dr. Brian P. Maloney is certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology. His facial reconstructive plastic surgery specialties are the following:

Facelift

A facelift, technically known as a rhytidectomy (surgical removal of wrinkles), is a cosmetic surgery procedure used to give a more youthful appearance. It usually involves the removal of excess facial skin, with or without the tightening of underlying tissues, and the redraping the skin on the patient's face and neck. The first facelift was performed in Berlin in 1901 by Eugene Hollander. In 2004, the facelift was the fifth most popular cosmetic surgery performed after liposuction, rhinoplasty, breast augmentation and blepharoplasty (eyelid surgery).

Facelifts work best in women with thin skin and good bone structure. They are best for eliminating loose skin folds in the neck and wrinkles in the cheeks. The areas not well corrected by a facelift include the nasolabial folds and marionette lines which are more suitably treated with injectable fillers. A facelift leaves long scars. However, the portion of the scars in front of the ear are usually inconspicuous. The scar behind the ear is hidden from casual view. Hair loss in the portions of the incision within the hair-bearing scalp can occasionally occur. In men, the sideburns can be pulled backwards and upwards, resulting in an unnatural appearance. Furthermore, the thicker, hair bearing skin common in men does not tend to drape well, often resulting in an overly taut appearance. In women, one of the telltale signs of having had a facelift is an earlobe which is pulled downwards and/or distorted. If too much skin is removed, the face can assume a pulled-back, "windswept" appearance.

Facelifts are commonly combined with eye surgery (blepharoplasty) and skin resurfacing (chemical peels or lasers). They are typically performed under general anesthesia or deep twilight sleep. The most common complication is bleeding which usually requires a return to the operating room. Less common complications include damage to the facial nerve and necrosis of the skin flaps.

Eye Surgery - Eyelid Surgery

Eye surgery, also known as ophthalmic surgery or ocular surgery, is surgery performed on the eye or its adnexa, typically by an ophthalmologist. Although most eye surgery can be performed by an experienced general ophthalmologist, more complex procedures are usually done by a facial cosmetic plastic surgent who is board certified

An eyelid is a thin fold of skin that covers and protects an eye. With the exception of the prepuce and the labia minora, it has the thinnest skin of the whole body. The levator palpebrae superioris muscle retracts the eyelid to "open" the eye. This can be either voluntarily or involuntarily. The human eyelid features a row of eyelashes which serve to heighten the protection of the eye from dust and foreign debris. Palpebral ("blepharo"): relating to the eyelids.