Surgery

Double eyelid surgery

Creates a crease in the upper eyelid. The suture method and the incision method differ in how long recovery takes and in how much can be undone.

Epicanthoplasty and lateral canthoplasty

Medial (epicanthoplasty) opens the fold covering the inner corner so the eye reads longer; lateral widens the outer corner. Their natures are as opposite as their directions — the medial one is hard to reverse, and the lateral one frequently reverses itself. And the incision sits on the skin at the inner corner, where nothing hides it.

Lateral canthoplasty

Ptosis correction

It corrects an eye that looks small because the muscle opening it is weak. Where double eyelid surgery makes a crease in skin, this adjusts where the muscle attaches.

Lower blepharoplasty with fat repositioning

When fat bulges under the eye and the area below it is hollow, casting a shadow, the bulging fat is moved down into the hollow to flatten the step. If the darkness is from pigment or vessels, this operation has nothing to do.

Rhinoplasty

Changes the structure of cartilage and bone. The bridge, usually built with an implant, and the tip, shaped with your own cartilage, use different materials and carry different later problems.

Revision rhinoplasty

An operation to correct what a first rhinoplasty left. Scar tissue has filled in and usable cartilage has run down, so it is harder, longer and less predictable than the first.

Scar revision

The scar is cut out and closed again, to become a narrower scar or one lying in a better direction. It is not surgery that removes a scar. And the new scar can turn out worse — particularly if you tend to keloid. This site carries several non-surgical options, and in many cases those come first.

Facial bone contouring

The cheekbone or the lower jaw is cut and repositioned, or shaved, to change the width and line of the face. It is the hardest operation on this site to undo, and the slowest to reach its final shape.

Buccal fat removal

Part of the buccal fat pad inside the cheek is taken out through the mouth. No external scar, and a short recovery. The problem is that it cannot be undone, and that what it removes is exactly the volume that decreases on its own with age.

Otoplasty

Ears that stand away from the head are corrected through an approach behind the ear. The scar sits behind the ear and does not show from the front, and recovery is relatively short. But this operation has two things that rarely appear on the other surgery pages here: it can come undone, and when a child is having it, who wants it has to be established first.

Lip lift

A strip of skin right under the nose is removed to shorten the philtrum and raise the upper lip. The scar is meant to hide in the crease beneath the columella, but that is the middle of the face, with little room to hide. Skin that has been removed does not come back.