When 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 one of the most immediate and dramatic results 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 grafts 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. 

Dr. Clark has extensive expertise and completed a fellowship with the world-renowned plastic surgeon Dr. Richard Farrior. Dr. Clark works regularly with patients who have undergone Mohs surgery, and he has performed thousands of skin flaps and grafts. He’s board-certified by the American Board of Otolaryngology, the American College of Surgeons, and the American Board of Facial Plastic and Reconstructive Surgery 

Dr. Doyle finished medical school, his residency and his fellowship at Duke University. He has extensive experience in nasal and sinus surgery reconstruction surgery and pediatric otolaryngology. He is board-certified by the American Board of Otolaryngology and the American College of Surgeons.

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. 

How to Prepare for Facial Plastic Surgery

Facial plastic surgery involves much more than cosmetic procedures—it is often used to help patients who have difficulty breathing, who have had an injury, or who have had a skin cancer removed from their face as a part of Mohs treatment. Facial plastic surgery is also helpful for those who have structural problems with their nose or have septal perforations.


No matter what type of plastic surgery you are having, we will give you a specific set of instructions to follow that will address your specific case. While all our treatment plans are tailored to fit your individual needs, following are some general guidelines that will help you prepare for plastic surgery:

How to prepare for plastic surgery

 

1. BE SURE YOU’VE DISCUSSED YOUR NEEDS AND WANTS WITH US IN DETAIL BEFORE THE SURGERY.

The nose and ears are some of the face’s most defining features. It’s important for us to know what you expect and what you want, especially if you are planning to have a rhinoplasty or otoplasty. 

If you have had a nasal fracture or traumatic injury, please express your concerns with us. Our goal is to give you the services you need coupled with the appearance you desire.     

2. LET US KNOW IF YOU’VE HAD ANY CHANGES TO YOUR MEDICATIONS.

We need to know if you are taking additional medication or have changed the dosages of your current medication. It’s also vital that you let us know if you’ve been taking any herbal supplements. 

We will review this with you again the day of the surgery, but it’s important for us to have the information in advance so we can coordinate your care.

Avoid Advil, Motrin, Aleve, BC’s, green tea, fish oil and other supplements 10 days prior to the procedure. If you are on aspirin, ask your surgeon whether you should stop it or not. 

3. MAKE ARRANGEMENTS FOR SOMEONE TO DRIVE YOU HOME AFTER THE PROCEDURE.

Regardless of whether your procedure uses a local anesthesia (which only numbs a certain area) or general anesthesia (when you are “asleep” during the surgery) it’s important to have someone to drive you home. You should NOT use a taxi or a ride service such as Uber.

4. FILL ANY PRESCRIPTIONS YOU WILL NEED.

There may be medications you’ll need after the procedure. It’s in your best interest to have them filled beforehand so you can concentrate on your recovery.

5. DO NOT EAT OR DRINK AFTER MIDNIGHT BEFORE THE PROCEDURE.

6. WASH YOUR FACE AND HAIR BEFORE THE SURGERY.

7. IF YOU SMOKE, DO NOT SMOKE IN ADVANCE OF YOUR SURGERY. 

In fact, we hope you will stop smoking completely. After your procedure, speak with us about smoking cessation programs and how we can help you.

8. BE SURE YOU HAVE YOUR INSURANCE CARD AND OTHER IMPORTANT PAPERS WITH YOU THE DAY OF THE PROCEDURE.

We suggest setting out what you will need the night before.

9. DO NOT WEAR JEWELRY, MAKE UP OR NAIL POLISH THE DAY OF THE PROCEDURE.

10. DO NOT BRING ANY VALUABLES WITH YOU TO SURGERY.

We suggest having someone with you to hold your wallet, identification, etc. for you.

11. ARRIVE EARLY

Give yourself plenty of time, and always take traffic into account when deciding when to leave.

12. BE SURE YOU UNDERSTAND THE POST-OP INSTRUCTIONS. 

13. WE PREFER FOR SOMEONE TO STAY WITH YOU FOR A FEW DAYS AFTER THE SURGERY, SO MAKE ARRANGEMENTS IN ADVANCE. 
 
Do you have questions about facial plastic surgery?

We encourage you to schedule an appointment to speak with us about your concerns, whether you’ve had Mohs cancer treatment, a broken nose, or you would like to have cosmetic surgery. We’ll be glad to discuss our complete range of surgical options. 

Through our experience and expertise, we have worked with patients throughout Raleigh and the Triangle area, providing an extensive scope of services coupled with compassionate care. Contact us today to schedule an appointment.