Otoplasty (Prominent Ears)

Otoplasty

Ear reshaping surgery, or otoplasty, is a procedure that is used to ‘pin back’ overly prominent ears. The goal is to achieve a natural appearance, with the ears in harmony with the rest of the face.

The operation is more commonly performed in childhood but is also successful in the adult. All incisions are small and well hidden at the back of the ear. It can provide great psychological benefits to anyone who has been teased about the size or shape of their ears, has had a serious ear injury, or simply wants to improve their appearance.

An incision is made behind the ear to gain access to the cartilage, which is then is reshaped, contoured and then sutured into a more aesthetically pleasing position.

Incisions nearly always camouflage nicely in the natural crease on the back of the ear. The skin is then closed and a bulky dressing and headband is applied for about five days.

Otoplasty surgery may be helpful for the following conditions:

  • Large or protruding ears
  • Lop ear (top of the ear folds downward or inward)
  • Cupped ear (a small ear)
  • Large, stretched, or torn earlobes

Recovery

The procedure is usually performed under general anesthetic as a day case, or under local anesthesia in the office and takes less than an hour. Following surgery, a bulky bandage will be placed over the ears to protect them for 5-10 days as well as helping control the swelling. Patients can usually return to work or school once the bandage has been removed. After this period, the patient is encouraged to wear a tennis headband to bed for another 4-6 weeks to protect the newly reshaped cartilage.

Most patients report very little pain after this procedure, although there may be a little discomfort or soreness if you bump your ears over the first few weeks.


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Earlobe Split Repair


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Laser Resurfacing

Laser Resurfacing

Laser resurfacing is a treatment to reduce facial wrinkles and skin irregularities, such as blemishes or acne scars.

The technique directs short, concentrated pulsating beams of light at irregular skin, precisely removing skin layer by layer. This popular procedure is also called Lasabrasion, laser peel, or laser vaporization.

Laser resurfacing can treat:

  • Acne scars
  • Age spots
  • Crow's Feet
  • Droopy eyelids
  • Sagging skin
  • Scars
  • Sun-damaged skin
  • Wrinkles

Erbium-yag: This type of laser is used to remove superficial and moderately deep lines and wrinkles on the face, hands, neck and chest. One of the benefits of erbium laser resurfacing is minimal burning of surrounding tissue. This laser causes fewer side effects -- such as swelling, bruising, and redness -- so your recovery time should be faster than with CO2 laser resurfacing.

Recovery

  • You may feel itching or stinging for 12 to 72 hours after the procedure. Five to seven days after laser resurfacing, your skin will become dry and peel.
  • Once the skin heals, you can wear oil-free makeup to minimize redness, which usually fades in two to three months.
  • You will probably notice that your skin is slightly red for a while after surgery. It is particularly important that you use a "broad-spectrum" sunscreen, which screens ultraviolet B and ultraviolet A rays, to protect your skin during that time. When selecting a sunscreen, look for one specially formulated for use on the face. It should have a physical blocker, such as zinc oxide. and a sun protection factor (SPF) of 30 or higher. Also limit your time in the sun, especially between the hours of 10 a.m. and 2 p.m. Wearing a broad-brimmed hat can help protect your skin from the sun's harmful rays.

Laser Resurfacing

Laser Resurfacing

Laser Resurfacing


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Fat Injections

Fat Injections

As we age, our faces lose volume, particularly in areas like the cheeks, lips and around the eyes. Liposuction procedures can often be combined with volume restoration of the face, transferring the removed fat to areas where it is needed. The fat is injected using blunt needles so no facial scars are created during the procedure. As opposed to synthetic dermal fillers, the transferred fat stays permanently where it is placed. Sometimes it is necessary to repeat the procedure as some of the fat is absorbed, but often one treatment is all you need.

Fat is removed from your donor area through a suction cannula in the same way a liposuction procedure is performed. This is done very gently to help minimize trauma to the fat cells during the process. The fat is then centrifuged and purified to separate the fat cells from the harvested fluid. This fat is then expertly injected while contouring and molding the target area, to give the desired effect.


Recovery

  • A dressing or bandages may be applied after surgery dependent on the area grafted. This will be changed at your first post-operative appointment.
  • You may feel tender and there may be some swelling after the procedure. A pressure garment may be required on your donor area just like in liposuction. Like all surgical procedures, early mobilization after surgery promotes healthier circulation and a quicker recovery.

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Rhinoplasty (Nose Job)

Rhinoplasty

Rhinoplasty, or a ‘nose job’ is an operation that aims to improve the appearance of your nose and harmonize it with the rest of your face, while preserving or improving nasal breathing. The operation can improve a nasal hump, your nasal tip and/or your nostrils, and can correct deformities due to injury or birth defects. In the right circumstances, problems that affect breathing can also be addressed.

Dr. Kim's philosophy regarding Rhinoplasty is that a trained artistic approach is essential as balance and proportions are more critical than in any other aspect of plastic surgery. Your nose is the most crucial feature in defining your overall appearance and it takes great skill to get this balance right. The results from rhinoplasty surgery can be amazing for your overall appearance, and flow on to your overall confidence and self-esteem.

Closed Rhinoplasty

This operation is limited to those requiring very minimal changes in specific areas. All incisions are placed inside the nostrils. As a result, there are generally no external scars.

Open Rhinoplasty

This is a far the more common procedure performed by Dr. Kim. In addition to the incisions inside the nostrils, there is a small incision placed on the columella – the small bridge of skin between the nostrils.

This technique provides the best exposure to the underlying cartilage and bony elements of the nose and thus greater control and finesse can be used for the delicate reshaping required in rhinoplasty.

Septoplasty

A deviated or curved nasal septum can create the appearance of a crooked nose and may change the appearance of the nasal tip. Breathing can also be affected on the deviated side. Septoplasty is often done in conjunction with a rhinoplasty to improve these features.

Rhinoplasty surgery is a highly individualized operation and should always be customized to the individual patient. Predicting which technique to use can be very complicated and may require more than one consult to get right.


Recovery

Rhinoplasty surgery is performed under general anesthetic as a day case, or more commonly with an overnight stay. A splint is worn on your nose for 1-2 weeks and patients usually take this period off work.

Internal splints are also placed and these usually come out after one week. In the immediate pre- and post-operative period you will be required to flush the nose with normal saline and potentially use some anti-inflammatory creams. A detailed information pack of what you are required to do will be given to you before your surgery.

If there is any dripping or bleeding from the nose (may last up to 2 weeks) this is to be wiped only and we request that you don’t blow your nose for the first week after surgery. External stitches are removed at around five to seven days post op. Bruising is variable and most of the bruising will subside in about 3-4 weeks. Most patients report little pain after nasal surgery and the discomfort is easily controlled with simple pain medication.

While some results will be seen when the cast is removed and in the weeks that follow, it takes about a year before the final result can be fully appreciated.

After your surgery you will be advised to take a number of precautions:

  • You should avoid vigorous activity for two or three days to reduce the risk of a nosebleed
  • Avoid strenuous activity for the first month after surgery
  • Avoid hitting or rubbing your nose and be gentle when washing your face and hair and applying cosmetics for the first six weeks
  • It is important that you not blow your nose for 7 days after surgery
  • It is normal for the tip of the nose to feel a little numb after surgery, however the sensation almost always recovers
  • Contact lenses can be worn immediately, however, glasses must not put pressure on your nose for the first 4-6 weeks.
  • It is important to avoid aspirin products or other medications that promote bleeding

*Nasal appearance may change as the result of aging, sun exposure, or other unexpected circumstances and these are not related to rhinoplasty.


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Fort Myers, FL 33901

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Phone: 239-939-5233
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