Facial Aesthetic Facial Aesthetic SurgerySurgery

Joel A. Aronowitz, MDJoel A. Aronowitz, MD

Chief, Division of Plastic Chief, Division of Plastic Surgery, Cedars Sinai Medical Surgery, Cedars Sinai Medical

CenterCenter

Case 1Case 1

45 yo 45 yo woman c/o woman c/o aged aged appearance, appearance,

PSH nonePSH none

OPERATIONOPERATION: Facelift with limited dissection SMAS : Facelift with limited dissection SMAS plication, endoscopic browlift with CoApt fixationplication, endoscopic browlift with CoApt fixation

Before After

Before After

Case 2 Case 2

46 year old woman complains 46 year old woman complains of aged appearance. of aged appearance.

No prior surgeryNo prior surgery

CASE 2 CASE 2 OPERATION:OPERATION:

Facelift, endoscopic browlift, and lip enhancement with Gortex

Before After

CASE 2; lower facelift, browlift, Gortex to lips CASE 2; lower facelift, browlift, Gortex to lips

Before After

Case 3 Case 3

48 year old complains of aged appearanceNo prior cosmetic surgery

Case 3 Procedures performed; lower Case 3 Procedures performed; lower facelift, browlift, and lip enhancement facelift, browlift, and lip enhancement with Gortex with Gortex

Before After

Case 3 Procedures performed; facelift, Case 3 Procedures performed; facelift, browlift, and lip enhancement with browlift, and lip enhancement with Gortex Gortex

Before After

Case 4Case 4 48 y.o. woman 48 y.o. woman

c/o aged facial c/o aged facial appearanceappearance

No prior No prior surgerysurgery

OPERATION OPERATION Facelift with endobrow, lip aug. Facelift with endobrow, lip aug. with Gortexwith Gortex

Before After

CASE 4 Procedures performed; CASE 4 Procedures performed; Facelift Facelift with endobrow & lip augmentation with Gortexwith endobrow & lip augmentation with Gortex

Before After

Case 5Case 5

74 year old 74 year old manman

wife is unhappy wife is unhappy w/ his aged w/ his aged appearance appearance

no prior no prior surgerysurgery

CASE 5 OPERATION:CASE 5 OPERATION:Facelift, upper and lower lid removal Facelift, upper and lower lid removal of excess fat and skin of excess fat and skin (blepharoplasty)(blepharoplasty)

Before After

CASE 5 CASE 5

Before After

Case 11Case 11

57 year old 57 year old woman complains woman complains of aged of aged appearance and appearance and hanging of skin hanging of skin from facial area from facial area and jowlsand jowls

CASE 11 OPERATION: Facelift, NeckliftCASE 11 OPERATION: Facelift, Necklift

Before After

Case 11 PROCEDURE PERMORMED: Face & Necklift

Before After

Case 12Case 12

59 year old 59 year old woman complains woman complains of facial aging of facial aging and excess skin and excess skin around upper and around upper and lower eyelidslower eyelids

CASE 12 Operations: Facelift and CASE 12 Operations: Facelift and Upper and Lower BlepharoplastyUpper and Lower Blepharoplasty

Before AfAfter

CASE 12 Operations: Facelift and CASE 12 Operations: Facelift and Upper and Lower BlepharoplastyUpper and Lower Blepharoplasty

Before After

Case 14Case 14 47 year old 47 year old

woman who woman who complains of complains of facial aging and facial aging and general sagging general sagging of the skin around of the skin around her faceher face

CASE 14 OPERATION: Endoscopic CASE 14 OPERATION: Endoscopic BrowliftBrowlift

Before After

CASE 14 OPERATION: Endoscopic BrowliftCASE 14 OPERATION: Endoscopic Browlift

Before After

OPERATION: Endoscopic BrowliftOPERATION: Endoscopic Browlift

Before After

CASE 17 CASE 17 71 y/o with complaints of facial 71 y/o with complaints of facial agingaging

CASE 17 Operation: faceliftCASE 17 Operation: facelift

Before After

Facelift: Facelift: 63 y/o woman complains 63 y/o woman complains of facial agingof facial aging

CASE 18 Operation: Facelift, CASE 18 Operation: Facelift, EyelidsEyelids

Before After

CASE 20 46 yo woman complains of CASE 20 46 yo woman complains of facial agingfacial aging

CASE 20 Procedures: CASE 20 Procedures: Lower facelift, endo brow Lower facelift, endo brow with CoApt, upper & lower eyelids, lip enhancement with CoApt, upper & lower eyelids, lip enhancement with Gortexwith Gortex

Before After

CASE 16 Liposculpture of CASE 16 Liposculpture of faceface

Before After

Case 21; blepharoplastyCase 21; blepharoplasty

Lip Augmentation with Lip Augmentation with GortexGortex

Before After

Case 8 Case 8

20 year old 20 year old woman referred woman referred for rhinoplasty for rhinoplasty to reduce hump to reduce hump and plunging tipand plunging tip

CASE 8 OPERATION: RhinoplastyCASE 8 OPERATION: Rhinoplasty

Before After

CASE 8 OPERATION: Refinement CASE 8 OPERATION: Refinement RhinoplastyRhinoplasty

Before After

Case 7Case 7

46 year old 46 year old man c/o Lower man c/o Lower Face, Neck Face, Neck Angle and Nose Angle and Nose

CASE 7 CASE 7 Procedures:Procedures: Lipo sculpture to neck and face, (no skin

tightening) Rhinoplasty

Before After

Liposuction to neck and face, Liposuction to neck and face, RhinoplastyRhinoplasty

Before After

CASE 7 CASE 7 OPERATIONS:OPERATIONS:

Case 6Case 6

38 year old woman 38 year old woman complains of excess fatty complains of excess fatty tissue in her facial areatissue in her facial area

CASE 6 OPERATION: CASE 6 OPERATION: Facial liposculpture, endoscopic browlift with CoApt

Before After

CASE 6 OPERATION: CASE 6 OPERATION: Facial liposculpture, endoscopic browlift with CoApt

Before After

Case 9 Case 9

18 year old 18 year old complains of complains of thickness to nose thickness to nose and faceand face

Case 9 OPERATION: Case 9 OPERATION: Rhinoplasty, Rhinoplasty, Liposculpture to chin and lower faceLiposculpture to chin and lower face

Before After

Case 9 OPERATION: Case 9 OPERATION: Rhinoplasty, Rhinoplasty, Liposculpture to chin and lower faceLiposculpture to chin and lower face

Before After

CASE 19 Operation: RhinoplastyCASE 19 Operation: Rhinoplasty

AfterBefore

Case 10Case 10

30 year old man 30 year old man complains of the complains of the size and size and structure of his structure of his nosenose

CASE 10 Operation: RhinoplastyCASE 10 Operation: Rhinoplasty

Before After

CASE 10 OperationCASE 10 Operation: : RhinoplastyRhinoplasty

BeforeAfter

CASE 10 OPERATIONCASE 10 OPERATION: : RhinoplastyRhinoplasty

Before After

Case 13 Case 13 21 year old 21 year old

woman referred woman referred for nasal for nasal improvement. improvement. Analysis; nose is Analysis; nose is to large for petit to large for petit features, with features, with dorsal hump and dorsal hump and broad tip. broad tip.

Procedure; Procedure; Refinement Refinement RhinoplastyRhinoplasty

CASE 13 Operation: RhinoplastyCASE 13 Operation: Rhinoplasty

Before After

CASE 13 Operation: RhinoplastyCASE 13 Operation: Rhinoplasty

BeforeAfter

CASE 13 Operation: RhinoplastyCASE 13 Operation: Rhinoplasty

21 year old 21 year old woman referred woman referred for nasal for nasal improvement. improvement. Analysis; nose is Analysis; nose is to large for petit to large for petit features, with features, with dorsal hump and dorsal hump and broad tip. broad tip.

Procedure; Procedure; Refinement Refinement RhinoplastyRhinoplasty

Rhinoplasty, Rhinoplasty, with SAL chin/facewith SAL chin/face

AfterBefore