facial-plastic-surgeryWhen you think of cosmetic surgery, the first thing that may come to mind is dramatic “before” and “after” pictures. While these procedures can remarkably transform your appearance, some also make an extraordinary difference in your health and well-being.

These common procedures are performed by our ENT physicians, and in some cases, they can be performed in-office or on an outpatient basis. Here we take a look at five common facial plastic surgeries, why they’re done, and how they can help you. 

1. Rhinoplasty

What it is:
During a rhinoplasty, the nose is shaped to transform the appearance. It may be straightened or reduced.

Why it’s done:
Primarily, rhinoplasty is done for cosmetic reasons. The nose is the most defining facial characteristic, and even minor changes can make a big difference. However, there are other reasons to have a rhinoplasty. In some cases, structural problems with the nose can cause breathing difficulties. Surgery can alleviate those problems.

If you’re considering rhinoplasty, it’s important to have detailed discussions with your physician about what you prefer and what your vision is for the end result.

2. Blepharoplasty

What it is:
A blepharoplasty removes sagging skin around the eyes. 

Why it’s done: As you age, muscles supporting your eyelids weaken, causing droopy eyelids and sagging eyebrows. This not only makes you look older, but it interferes with your peripheral vision. A blepharoplasty makes your eyes look younger and gives you a more relaxed and “well-rested” appearance.

During a blepharoplasty, the surgeon trims sagging skin and removes excess fat. All incisions are hidden in creases to minimize scarring.

While insurance will typically not pay for cosmetic surgery, it may pay for a blepharoplasty if droopy eyelids interfere with your vision. Review your policy and speak to your insurance company for additional information.

3. Otoplasty

What it is:
An otoplasty is performed to correct protruding ears. During the procedure, excessive cartilage is removed and permanent sutures are used to hold ears in place. All incisions are “hidden” behind the ears, so they’re out of view. This surgery can be performed at any age after the ears are fully grown, which is typically after age five. 

Why it’s done:
An otoplasty creates a more natural appearance by moving ears closer to the head.  You may opt for this surgery if you don’t like the way your ears stick out or if your ears are too large in proportion to your head.  In fact, an otoplasty provides the most immediate and dramatic result of any cosmetic surgery, as evidenced in this online illustration.

While an otoplasty changes the appearance of your ears, it doesn’t change their position, nor does it impact your hearing. 

4. Dermabrasion

What it is:
Dermabrasion exfoliates by removing the outer layer (epidermis) and part of the thickest layer (the dermis) of your skin. During the procedure, your skin is numbed. Then, the physician uses a small, rotating device to smooth these outer layers. When the procedure is completed, regenerated skin cells make the skin smoother.

Why it’s done:
Not only can dermabrasion reduce the appearance of wrinkles, it’s also used to remove or improve the appearance of scars, particularly those caused by acne. It’s also used to remove tattoos, treat sun-damaged skin or remove actinic keratosis, a potentially precancerous patch of skin. 

5. Flaps and grafts: Repairs after removing skin cancer

What they are and why they’re done:
Patients who have had skin cancers removed may have a hole or other facial defects after surgery. Flaps and graphs are used to repair the affected area.

During these procedures, skin is moved from one area and transplanted to the place that needs repair. Skin may also be rearranged to fill the hole left after cancer removal.

Raleigh Capitol Ear, Nose and Throat Specializes in Facial Plastic Surgery.

We’ve helped patients throughout the Triangle by offering an extensive array of plastic surgeries.
Our plastic surgeons --- Dr. David Clark and Dr. Kevin Doyle — have performed thousands of these procedures and are nationally-recognized experts in their field. 

In addition to the procedures mentioned above, we also offer:
Nasal valve repairs
Repair for post-traumatic injuries such as nasal fractures
Chin implants
Full-thickness skin grafting

You can view the dramatic difference facial plastic surgery has had on our patients’ lives by viewing pre/post-op photos here. 

Have you been considering facial plastic surgery? Schedule an appointment and we’ll be happy to discuss your options. 

Raleigh Capitol Ear, Nose, and Throat is the area's premiere physician-owned ENT practice with six convenient locations throughout Wake County. Our board-certified physicians have extensive experience in treating both common and complex cases to help adults and children alike. We offer six local ENT offices throughout Raleigh, Cary, Garner and Wake Forest.  For more information or to schedule an appointment, contact us.


The Mayo Clinic. “Blepharoplasty.” 

The Mayo Clinic. “Otoplasty.”  

The Mayo Clinic. “Dermabrasion.” 

Weathers, William, MD.  et. al. U.S. National Library of Medicine: National Institutes of Health.  “Expanded Uses 
for the Nasolabial Flap.” Semin. Plastic Surgery. 2013 May; 27(2): 104–109. Online: