Facial Esthetic Surgery


Forehead and Brow Lift
Skin Resurfacing
Facial Liposuction

Cheek Augmentation
Chin Augmentation or Reduction .
Lip Augmentation or Reduction
Botulinum Neurotoxin Therapy
Scar Revision
Hair Restoration

Patients are increasingly seeking procedures that enhance their appearance for personal and professional reasons. Esthetic oral and maxillofacial surgery is often included in a comprehensive treatment plan    complement restorative, prosthetic, and orthodontic treatment. etal treatment plans, especially ones involving cosmetic therapy, are enhanced if dentists remain aware of he wide variety of esthetic surgical options available to
patients. Orthodontists planning orthognathic surgerycomplete a careful evaluation of facial proportions that frequently includes the diagnosis of external nasal deformities and 0 her hard and soft tissue abnormalities. Prosthetic rehabilitation often involves attempts to increase support o he perioral region and can be enhanced with facial rejuvena lon procedures. Cosmetic restorative dentistry may provide he finishing touch to cosmetic surgical treatment. tat  dentistry patients  traumatic scars or congenal
rmi ies can also be helped. Oral and head and neck patients with skin cancers can be treated structed, and restored to both adequate function and socially acceptable appearance.Advances in medicine and nutrition, combined with increased public awareness of personal health care,
enable patients to live longer, healthier, and more activelives. However, social pressure to maintain a youthful appearance as one ages encourages more people each year to undergo some form of esthetic enhancement. This
trend is evident in members of the “baby boomer” generation, now in their 4Qs and 5o.s, who have grown increas ingly interested in these procedures. Research from the American Academy of Cosmetic Surgery indicates that the number of patients undergoing  esthetic procedures increased dramatically between 1990and 20.0.0..Body liposuction remains the most popular procedure, with a tenfold increase over the last decade The number of facial procedures, such as eyelid  face-lifts, and facial skin rejuvenation, has also increased dramatically (Table 26-11.

TBALE 26-11

Cosmetic Facial Procedures in the United States

Procedure 1990 2000-
Eyelid surgery 82,520 465,177
Face-lift 36,981 244,370
Forehead lift 26,436 145,881
Rhinoplasty 89,615 155,052
Liposuction 7″,632 672,793
Chemical peels n/a 1,.145,631
Laser skin resurfacing n/a 300,572
Hpjr restoration ?7,714 222,497
Malar auqrnentation 9,570 21,481
Otoplasty 6,135 ‘ 26,881
Botulinum injections n/a 737,787

Women sesking esthetic’ surgery outnumber men approximately 9:1. However, men are increasingly seeking esthetic procedures, including eyelid and forehead rejuvenation and hair restoration. As expected, the popularity of specific procedures is age related. Patients under 35 years of
age usually desire liposuction, rhinoplasty, chemical peels, and laser skin resurfacing. As patients age into their 40~, 50s and 60s, they seek liposuction, eyelid and Forehead rejuvenation, face-lifts and chemical or laser skin resurfacing. Surgical technical advances also contribute to the”
growth of esthetic surgery. New techniques and technical advances in equipment reduce surgical risks, recovery time, and incision visibility. Technical innovations include endoscopic or minimally invasive procedure  that use small incisions, liposuction with barely noticeable access sites, and  asers that enhance hemostasis and, allow precise control over-depth of skin removal. .  ppearance matters marc than many’ wish to admit,
and interperson l reactions are often influenced by  appearance. Improved self-confidence occurs in manypatients whohave undergone successful esthetic surgical and cosmetic dental procedures. It is common to notice
patients alter) ng  ‘their wardrobe, makeup, and hairstyleafter surgery: patients often are delighted in how others respond to their new image. However, it is important during the esthetic surgc’ry consultation for the surgeon to· attempt to determine if the patient’s desires for surgery
are based o r, 11(‘1.1(111111 motivation. without undue outsideinfluences or unrealistic expectations. Patients with  external pressure” and unrealistic  pectations are more ikelv to be dissatlsfled with the treatment outcome
despite.successful technical results.

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