PROCEDURES

 A rhinoplasty, known by most patients as a “nose job” or “nose reshaping” surgery, is a great option for individuals interested in achieving well-proportioned facial and nasal features. The majority of our patients request rhinoplasty surgeries for aesthetic enhancement purposes, but we do operate on individuals because it can tremendously improve their quality of life. For example, rhinoplasties are a common method to correct internal nasal deformities for individuals suffering from impaired breathing.

For this procedure, minimum age is of significant importance as nasal growth should be complete prior to surgery. Therefore, adolescents and young adults are commonly the starting age group for this procedure. Most patients are primarily motivated by the prospect of a more aesthetically pleasing appearance while others are more interested in improving breathing. In addition to the age and facial developmental requirements, ideal candidates are in general good health, do not smoke and have set realistic expectations.

Common cosmetic concerns such as a hump seen on a profile, drooping tip, a bulbous tip or asymmetries can be corrected using various surgical maneuvers performed by Dr. Burres. Changes to the structural framework inside the nose are made in order to accomplish the desired outside appearance. Internal changes can also be made to improve existing breathing complications. Dr. Burres will spend an extensive amount of time with you during your pre-operative consultation, explaining the possible maneuvers and procedures that could be performed to achieve your desired look and/or to correct an existing breathing problem.

There are two ways to access the internal structures of the nose for making aesthetic and functional improvements. The closed method is surgery performed through the nostrils and does not leave a visible scar. The open method includes an incision across the skin between the nostrils (columella). The open approach leaves a small scar but can accomplish more goals.

Those requiring simple changes such as hump removal and minor tip modification is an ideal candidate for a closed procedure. It also works well for those only requiring internal work to correct a breathing disorder. Advantages of this method include less swelling and more efficiency during surgery. 

Patients will experience puffiness, nose ache or a dull headache, some swelling and bruising, bleeding or stuffiness after surgery. Most patients begin to feel better about 2 days after surgery and generally can return to work within a week. Results will become gradually apparent as swelling subsides and can sometimes take up to a year to achieve a final appearance. Contact lenses can be worn immediately, but it may take about 6 weeks for glasses to be comfortably worn. Patients with realistic expectations are generally very happy with the shape of their new nose and it is important to remember that exact results depend on the patient’s nasal bone and cartilage structure, facial shape, skin thickness and age.

Some patients may experience deformities caused by a previous operation. In this case, revision or secondary rhinoplasty can be done to correct these abnormalities. It can be considered a more difficult procedure to perform than a primary rhinoplasty as scaring may be more prevalent and there is less cartilage to work with.

The information about rhinoplasty was reviewed by Dr. Steven Burres. If you have any questions, please don’t hesitate to contact us using our contact form below.

 A neck lift concentrates on jowls, loose skin on the neck, and fat under the chin. The incision is made around the ear lobe and behind the ear to the lower scalp.

In all three methods, incisions are closed with stitches. Scars are hidden in the hairline and natural contours and creases of the face.

Swelling, numbness, bruising, and a feeling of tightness or tension in the face and neck is common post-surgery and may last from 2-4 weeks. Your face may look uneven or distorted, and your facial muscles may feel stiff. Facial sensations typically return to normal within a few months. Most patients are considered “socially acceptable” after about 10 days and many return to work by the second or third week. Dr. Burres and his staff will carefully review post-surgery care instructions with you to ensure your recovery is as smooth as possible.

Your lips are one of your most sensual and delicate facial features. Their appearance define how we are perceived and contribute to our communications. Don’t trust them to just any plastic surgeon!

Whether you are born with smaller lips than you want, or you have lost your full pout over time, lip lift surgery is a long-lasting way to restore the youthful and proportionate appearance of the lips. When you treat the lips, it can impact the entire balance of the face. Lip lifts are outpatient procedures that typically take just an hour or two to complete and involve a relatively short recovery process. The results can be both dramatic and long-lasting. Dr. Burres offers customizable lip rejuvenation at his office, offering his patients an effective way to refresh their looks and restore their confidence.

A lip lift is a surgical procedure that raises the position of the upper lip. The surgery can also add fullness like a dermal filler or fat transfer, but at the same time, it enhances the actual shape and definition of the lip. As the lip is lifted, the distance between the nose and upper lip is also shortened. This effect can be very aesthetically pleasing for some patients and another advantage of choosing surgery over injectable treatments.

Dr. Burres offers different techniques for his lip lift, depending on your goals. If you want to enhance your cupid’s bow, the lift will focus on the center portion of the upper lip. If a perpetual frown is your concern, Dr. Burres can also use this surgery to correct downturned corners of the mouth.

If you are dissatisfied with the way your lips look, or if you have noticed changes to your lips over time, a lip lift might be the right choice for you. Patients tend to benefit from lip lifts most if they have any of the following goals:

• Increase lip size or add volume and fullness to the lips
• Hide significant gaps between the bottom of the nose and the upper lip
• Reduce signs of aging around the lips and mouth
• Desire a more proportionate smile and balance to the facial features

If you are considering a lip lift, now is the time to schedule a consultation with Dr. Burres. He will ask you about your issues and goals in detail to determine whether a lip lift will be the best option for you.

A lip lift may seem like a simple, straightforward procedure that any plastic surgeon can perform. However, to ensure a natural, proportionate result, you want to be sure you work with a surgeon that has extensive experience in lip lift techniques. Dr. Burres will take the time to understand your precise goals so that he can tailor your procedure to your exact expectations. With ample experience and a variety of techniques to draw from, Dr. Burres offers the highest standard of care and the best possible results.

Dr. Burres performs lip lifts in his office under local anesthesia. He places a tiny incision just under the base of the nose, taking care to position the incision so residual scarring will be minimal. Through this incision, a small section of skin is removed, and the upper lip line is raised to expose a portion of the upper teeth and create a fuller pink part to the lip.

If the goal is to address a downturned mouth, incisions will be placed at each corner. Dr. Burres removes a narrow wedge of skin while releasing the DAO muscle. These steps prevent the corners from automatically turning down. Most lip lifts take about one to two hours to complete. You will be able to head home shortly after your procedure.

The sensitive area of the mouth is prone to swelling and possibly bruising after a lip lift. You will be instructed to use ice packs and pain relievers for the first few days to keep you comfortable during the early part of your recovery. It is also helpful to keep your head elevated when sleeping at night to minimize swelling.

Dr. Burres will meet with you once a week for six weeks. During the first two appointments, he will remove your stitches and replace them with tape. After the taping period, you will use a patented silicone scar gel twice a day for three months to continue the healing process and minimize your postoperative scarring. Dr. Burres will also provide you with specific instructions for your recovery based on your particular situation.

When your lips are rejuvenated, your entire appearance can be refreshed and enhanced. A lip lift offers long-lasting results with minimal discomfort and downtime involved. The procedure can be customized to your precise needs for a truly natural, beautiful look.

 The chin is not a feature you necessarily think about, but when the chin is weak or underdeveloped, it can throw the entire proportion of the face off kilter. A weak chin may add prominence to the nose or forehead, or affect the definition of the whole jawline. Fortunately, there are ways to augment the chin to create a more attractive facial profile and balance your features beautifully.

Chin enhancement surgery, usually referred to as chin augmentation or genioplasty, is typically performed to sharpen facial features and create more defined contours around the neck and jowls. While it is a practical solution when performed alone, it can also be combined with other surgeries such as rhinoplasty, a facelift or neck shaping to enhance the proportions of the face further. Dr. Burres has performed many chin implant surgeries and will listen to your aesthetic goals before recommending the best treatment plan for you.

A chin implant is a biocompatible device designed to simulate the shape and size of a well-proportioned chin. Most implants are silicone, although there are some other material options as well. Dr. Burres prefers the soft, natural feel of the silicone implant for nearly all his patients, believing it gives them the most natural results. The implant is placed underneath the skin and soft tissue, on top of the lower jaw bone to ensure the stability of the device.

Chin implants typically offer long-lasting results. As long as you continue to like your new facial profile and you don’t experience any complications after surgery, there is no reason to remove the implants at any time. Different shape options are available, which allow him to tailor your procedure to your desired outcome and the proportions of the rest of your facial features.

If you would like to correct your recessed or “weak” chin to achieve better facial symmetry, chin implants surgery can help you feel more confident in your appearance. Specifically, chin implant surgery can be ideal for patients who want to:

• Increase their facial proportions by creating a more natural ration between their chin size and their other facial features
• Augment a weak or recessed chin to strengthen the facial profile
• Sharpen the neck or jawline for a more defined look
• Minimize the full or “double” chin effect often caused by a small chin bone

Chin augmentation is highly effective for the right patient, but it is not appropriate for everyone. Dr. Burres takes time at your initial consultation to understand your concerns, listen to your aesthetic goals and evaluate both your medical history and your current health condition to determine whether chin implant surgery is the right step for you.

A chin implant offers numerous benefits to the right patient:

• Enhance the facial profile by increasing the projection of the lower face.
• Camouflage early jowl formation for a more youthful appearance.
• Increase the width of the lower face by widening the chin.
• Lengthen the face by increasing the vertical chin height.
• Diminish the appearance of dimpling often caused by a loose chin.
• Create balance, symmetry and proportion to the entire face

Chin Implant Overview Dr. Burres will perform your chin augmentation using local anesthesia. The choice may depend on your preference, as well as the extent of the correction you require. If you opt to have additional procedures at the same time as your chin enhancement, you may need to have general anesthesia, so you are comfortably asleep throughout the process.

Once the anesthesia is administered, Dr. Burres creates a small incision either underneath the chin or inside the mouth. You can rest assured the no matter which location is chosen; the residual scarring will be nearly undetectable after your procedure. Using this opening, he will place a small silicone implant around your existing chin bone to augment its size and shape, creating a more naturally attractive jawline. He will meticulously stitch the incision closed using layering techniques that promote quick healing and place a bandage over the area. Most chin surgeries take an hour or less to complete, and you will go home shortly after your procedure. However, if you have an additional procedure, operating time could increase accordingly.

You may be a bit sore and swollen after your surgery for a few days. Dr. Burres will prescribe pain medication, and you may also have antibiotics to take after surgery to prevent post-operative infection. Dr. Burres will advise you to take about two weeks after chin surgery to rest and recover. He will see you for follow-up visits during this time to ensure your healing is progressing normally. While the general rule for patients is to resume regular activity within two weeks, Dr. Burres will provide you with a personalized recovery plan as he monitors you after your surgery.

 The Lip Implant procedure is one treatment option for those seeking permanent lip enhancement. The procedure is performed in-office, takes under 1 hour to perform, and utilizes a soft, natural-feeling implant which is FDA-cleared for facial implantation. Kissing partner cannot feel the implant. 

One time registration fee of $100

• $10 unit