Face

Dr. Berger is able to enhance or refine areas of the face and neck for both women and men using surgical procedures and chemical treatments.  Congenital deformities (birth defects) and abnormalities resulting from accidents or disease, can be corrected as well.

• Facelift

• Brow Lift

• Neck Lift  /  Liposuction

• Rhinoplasty (Nose Reshaping)

• Eyelid Surgery

• Chin Augmentation

• Otoplasty (Ear Pinning)

• BOTOX® Cosmetic

• Collagen / Fat Injection

• Restylane

• Chemical Peels

• AlloDerm

• Skin Care

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Facelift
(Rhytidectomy)

As we age, our face changes. Skin loses its elasticity.  Skin begins to bunch in several locations.  Muscular bands become more apparent.  A face-lift can help restore the look of your youth by selectively canceling out those features which signify age.  The cheeks are elevated, folds are flattened, jowls tightened, the neck is redraped, and excess skin is removed.  Your appearance is not replaced, but a younger appearance is restored.

There are several variations of face-lifts. Skin-only face-lifts were popular many years ago and are still used in select situations. Intermediate depth face lifts achieve their lift at deeper levels. Deep plane face lifts strive to achieve these changes just above the bones of the face.  The incisions are made just in front of the ear and wrap around the back of the ear and hide within the hairline. The anatomy of the face is defined. Muscles and connective tissues are tightened, excess skin is redraped and removed.  The next day, dressings are removed. Sutures are removed over a period of days as you heal. The amount of swelling that you may get is variable, but you can resume most normal activities within a week and should show very few signs of your procedure by three weeks.

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Brow Lift
(Forehead Lift)

Frown lines and furrow lines above our noses and in the middle of your forehead will give you an unwanted older appearance.  Under stress and as we age, we tend to make faces that encourage the creases, giving us the serious, unhappy look.

A brow lift eliminates these lines and is one of the only procedures that allows a plastic surgeon to access the hard to reach muscles that cause furrow lines. A brow lift can also restore the eyebrows to a higher, more youthful position and eliminate some of the extra skin gathered on the upper lid.

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Neck Lift / Liposuction

Although a formal, complete neck lift is very similar to a facelift, frequently the neck line can be improved with smaller procedures, or, even, liposuction alone.

When the tumescent technique is used in the liposuction of your neck and chin, the areas of fat are injected with an anesthetic which causes the fat to become swollen, or "tumesced".  The resulting expanded molecules make the fat particles easier to remove.  You will begin to notice the difference in your new look almost immediately after surgery.

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Rhinoplasty
(Nose Reshaping)

The nose is the most prominent feature of the human face. For many people, it is simply a part of their good looks and rarely merits a second thought. For countless others, the nose is an almost constant source of embarrassment. Today, however, plastic surgery can correct a multitude of faults. Rhinoplasty can shorten, tilt up, build up or straighten.  Rhinoplasty can make the most prominent feature on your face a permanent source of pride. It can give you a whole new appearance and a new outlook on life.

Rhinoplasties are individualized to meet the patient's needs and expectations. All rhinoplasties are performed through predominantly internal incisions and usually include an improvement of the nasal tip, straightening of the dorsum and adjustment of the bony nasal skeleton. These procedures may be performed as an open procedure with a small externally visible incision through the columella (base of nose) or may be performed as a closed procedure where all of the incisions are hidden. Different advantages exist in either approach. The choice is usually left to the discretion of your plastic surgeon.

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Eyelid Surgery
(Blepharoplasty)

Eyelid surgery (blepharoplasty) is designed to remove excess skin and muscle from the upper and lower eyelids. The procedure can correct drooping upper lids that tend to sag with time and the puffy bags below the eyes. Blepharoplasty can be done as a single procedure, or in conjunction with other facial surgery such as a facelift or a browlift.

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Chin Augmentation

Chin augmentation is the use of synthetics or biologicals to augment, or make the mentum/menton  bone structure of the face more prominent. It can give balance to an otherwise less defined face or further augment an already existent chin structure. Chin augmentation is frequently performed in conjunction with nasal surgery in order to provide more aesthetic balance to your face.

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Otoplasty
(Ear Pinning)

Otoplasty  is done to correct protruding ears.  It happens to be one of the few cosmetic surgeries performed on children.

An incision is placed in the natural creases behind the ear and the cartilage of the ear is weakened so that it bends into a new shape. The cartilage is also stitched into position to hold the ear into position.

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BOTOX® Cosmetic

BOTOX® Cosmetic is a protein that weakens muscles that wrinkle the skin.  It is injected under the skin into areas surrounding the eyes and forehead to reduce "frown lines", "worry lines" and "crow's feet".  The procedure is quick and usually done in an examination room. 

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Injectable Facial Fillers

Collagen is a protein found in the second layer of skin known as the dermis (the first layer is called the epidermis).  It is injected under the dermis layer to add fullness to areas of the face such as the lips and cheeks and to fill in areas of superficial skin wrinkles and deep skin creases and lines. 

Restylane is composed of a non-animal stabilized hyaluronic acid gel. It’s proven to give long-lasting correction of moderate-to-severe facial wrinkles and folds, with documented results that last six months, or even longer. It has an excellent safety profile with over one million treatments worldwide. It is a simple and convenient procedure and no allergy testing is required.

Fat injection involves extracting fat cells from the patient's abdomen, thighs, buttocks or elsewhere and reinjecting them beneath the facial skin. Fat is most often used to fill in "sunken" cheeks or laugh lines between the nose and mouth, to correct skin depressions or indentations, to minimize forehead wrinkles and to enhance the lips.

There are many new injectable fillers under review and investigation at this time and we plan to offer these in our office when available.

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Chemical Peels
(Trichloracetic Acid  Peels)

TCA is a non-toxic chemical that has been used to perform skin peels for over 30 years.  Unlike some other peels, TCA peels have the advantage of creating a fresh natural appearing complexion, while preserving the normal skin color.  For this reason, they are often referred to as "freshening peels".

TCA peels can effectively improve many conditions, including:

• Dull, weathered skin

• Freckling

• Blotchy pigmentation

• Sun damage

• Fine wrinkles

• Shallow acne scars

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AlloDerm

AlloDerm is a unique biomaterial that is processed from donated human tissue. Just like your own tissue, it provides the missing components needed by your body to fill in a deep furrow or to bring new life to a damaged area -without the doctor having to cause additional damage to your body to get it.

When a significant amount of soft tissue is lost, either due to injury or disease, serious problems can develop.  Replacing the damaged or missing tissue with AlloDerm results in a quicker recovery time with less complications.  Using AlloDerm, for implantation purposes, reduces the likelihood of rejection, which can happen when a foreign substance is placed into the body. 

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Skin Care

The Obagi system combines specially developed products with medical supervision and counseling to treat your skin from the inside out. This program works on the surface to smooth roughness and correct damage like uneven skin tone and hyperpigmentation. It also penetrates below the surface to stimulate cell renewal, improve circulation and help restore your skin’s natural moisture.

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