Facial Plastic Surgeries
The Shea Ear Clinic offers complete and comprehensive cosmetic surgery in one location. With the increased popularity of cosmetic surgery, patients face an array of options and decisions. At the Shea Ear Clinic, Dr. Staffel oversees all cosmetic surgeries and consults closely with patients to find the best cosmetic and medical options suited to their case.
- Liposuction of the neck
- Rhinoplasty or reshaping of nose
- Otoplasty or repositioning of ear
- Skin Care
Everything from the initial consultation with the surgeon to preoperative lab and anesthesia evaluation to the removal of the final postoperative dressings is performed here at our convenient yet discreet east Memphis facility. Our cosmetic surgery nursing staff performs at the same level of competence and compassion that you have come to expect from our clinic.
At Shea, we offer comfortable, private medicare-approved operating rooms, convenient to our hotel and many local amenities.
Widely recognized for his reasonable approach to surgery and expertise, Dr. Staffel speaks to groups interested in learning more about cosmetic surgery.
The very word facelift conjures up an array of images ranging from eternal youth to the frightful “over tight” look. “Facelift” is a somewhat generic term, and can mean surgically addressing many different areas.
Traditionally, a facelift (rhytidectomy) has addressed the neck and jowl area. As we age the soft tissues around our face and neck tend to fall. They are held in place, however, by certain ligaments which connect the skin to the underlying bone. One area where these ligaments hold tight is at the sides of the chin. As our soft tissues fall, they “accumulate” here, producing a jowl. In the neck, there are no ligaments to hold things up. The skin of the neck has a thin underlying muscle called the platysma. You can see this muscle when you try to pull down the corners of your mouth. As time passes the skin of the neck falls forward. Occasionally the muscle will form visible bands extending from the chin downward. If this is really pronounced we may say someone has a “turkey neck”.
A facelift tightens up the tissues under the chin, recreating the nice angle between your chin and neck. It also tightens the “jowls” which recreates the elegant jaw line we all associate with youth and beauty. In order to do this we make incisions in front and around to the back of your ear. While this sounds like a long incision, it must be this long in order to tailor any remaining skin so it lies flat. The incisions usually heal very well, and are also often hidden by your hair.
An eyelift can create a powerfully, transforming effect, giving a patient large bright eyes with a delicately sculpted crease in the upper eyelid. This operation definitely gives “the most” for “the least”.
As we age the eyebrows tend to fall slightly, and extra skin seems to appear on our upper eyelid. This starts to happen as early as our thirties, and if left unchecked, can sometimes lead to the skin of our lid touching our eyelashes. Eventually this can cause difficulty in the upper field of gaze. During an operation excess skin and tissue is marked, injected with anesthesia, and excised. Stitches are then placed in such a way as to create an elegant (in females) upper lid crease. Extra fat that can bulge, especially at the inner aspect of the upper lid, is also removed.
On lower lids as we age the fat inside the eye socket tends to fall forward creating small outpouchings on our lower lids. The skin can also become wrinkled and excessive for a number of reasons ranging from heredity to sun exposure, to too much laughing. We treat this first by removing the excess fat. Often, especially in younger patients, this causes the skin to tighten up on its own. For other patients, we may need to help the skin tighten up a little by performing a peel or laser resurfacing. Certain patients, however, simply have too much skin on their lower lid. In these cases we excise the excess skin. If we need to excise skin, the incision is placed just below the eyelashes and is virtually invisible. If no skin is excised, we usually make the incision inside the eyelid.
A new technique is evolving in lower lid surgery where surgeons actually reposition the fat along the bony rim just below your eye. This takes fat from a bulge and places it into a crevice, evening out the architecture of the lower lid. This may also be done in conjunction with a resuspension of your cheek fat pad back to its more youthful position. I call this entire procedure a “midface lift”, and while it is a little more involved than an eyelift, it may be performed through the same incisions. The result is once again a very natural, rested, more youthful appearance.
With the passage of time our brows tend to fall and we can develop wrinkles on our forehead. While we used to treat this problem surgically by making a large incision across the scalp, we now have new methods using surgical telescopes (called endoscopes) which allow us to elevate the brow through 3 or 4 small incisions placed in the hair. It is quite an elegant procedure which not only helps brow position, but also helps to define the upper lid crease. This operation can help make you look as if you had an upper lid blepharoplasty. We can also divide some of the muscles between the eyebrows and on the forehead. This can smooth the skin significantly.
Liposuction of the neck
At Shea Ear Clinic, we offer liposuction of the neck only. While liposuction can be a highly effective procedure, we encourage patients to also re-evaluate the food issues which influence body fat and appearance.
Fat metabolism is different from fat deposition which is complex and regulated by factors such as hormones.
Hormones determine where fat is stored which is one reason many women can absolutely starve themselves to death and their hips don’t shrink. Great advances have been made in liposuction, particularly in the tumescent technique. A dermatologist from southern California discovered that if the fat is infiltrated with very dilute solutions of a local anesthetic (lidocaine) and a vasoconstrictor (epinephrine) that the procedure may be comfortably done with minimal sedation and virtually no blood loss. Surgeons have also discovered that by using smaller cannulas the previous problem of ridges in the skin can be avoided.
Liposuction has become one of the safest and best in the entire realm of cosmetic surgery.
Reshaping of the nose, called rhinoplasty, is one of the most rewarding plastic surgical procedures. Whether it involves removing a bump, straightening the outside, or reshaping of the tip the results are delightful. When you have a beautiful nose, people’s attention will then be drawn to your eyes, which is the most expressive and alluring part of the face. It is probably for this reason so many delighted patients return and say that although the change in the nose was dramatic, their friends and family often ask if they have lost weight, cut their hair, or been on vacation. They almost never guess they had nasal surgery.
Some people have ears that stick out. The operation to pull the ears closer to the head is called otoplasty and can be performed on children. Incisions are made inconspicuously behind the ear and the tissues are removed and remolded until the ear sits at a normal distance from the head. Patients return home the same day of surgery. Bandages can be removed at four days. The ears are sore for a week or two, but pain and recovery are minimal.