Cosmetic and Reconstructive Facial Plastics
The cosmetic procedures performed here are designed with the individual in mind. As an expert in facial plastics, Yuna Larrabee, M.D., is committed to creating a natural and individual result for each patient. The goal of the cosmetic facial plastic surgery is to enhance and rejuvenate the natural beauty of each patient.
For reconstructive procedures, Dr. Larrabee has the experience and expertise to help after trauma, surgery or illness. Dr. Larrabee is a board-certified surgeon, who is fellowship trained in Facial Plastic and Reconstructive Surgery. This training makes her expertise absolutely critical for rebuilding major structures in the face and reshaping them for a return to one’s original appearance.
At Mass. Eye and Ear, Quincy and Mass. Eye and Ear, East Bridgewater, the following cosmetic and reconstructive facial plastic procedures are offered to patients. Some can be performed in the office setting.
Rhinoplasty (Nose Reshaping)
There are two basic types of rhinoplasty, open and closed. In an open rhinoplasty, an inconspicuous incision is made in the skin below the tip of the nose that separates the nostrils (columella). A closed rhinoplasty uses an intranasal approach with incision inside the nostrils. If the nasal structure is weak, a small piece of cartilage or bone may be used to build up the structure.
Full and Mini Facelifts
The full facelift can help to redefine the jawline, correcting jowling and neck laxity. This procedure is performed under general anesthesia in the operating room. The mini facelift has an age-diminishing effect, making the patient look younger, rested and more energized. Facial rejuvenation is achieved by repositioning the skin on the lower face to eliminate sagging and droopiness. The mini facelift is safer than a full facelift and does not require general anesthesia (although general anesthesia is available upon request).
Neck lifts are often done in conjunction with lower face rejuvenation surgery and can help to further define the upper neck and jawline. A neck lift can also be performed on men with a “turkey gobbler” neck with loose, hanging skin. This procedure, called a Grecian Urn submentoplasty, can be performed in the office under local anesthesia.
Brow (Forehead) Lift
The brow and forehead are often the first facial areas to show signs of aging, showing frown lines, wrinkles across the forehead, deep furrows between the eyes, and a droopiness of the brows and upper lids. Brow lifts, also known as forehead lifts – often combined with upper eyelid surgery (blepharoplasty) and/or a mini facelift – can rejuvenate your look.
Upper Blepharoplasty (Eyelid Lift)
Eyelid surgery can correct excess skin or fat in the upper eyelids and can help restore a healthy and youthful appearance, with a firmer and more attractive eye area.
Chin surgery can significantly alter a patient’s profile which, in turn, can greatly improve facial symmetry and contour. Most chin surgeries can be performed under local anesthesia; more complicated cases may be performed under general anesthesia in the operating room.
MOHS/Skin Care Reconstruction
This surgery is designed to reconstruct a facial defect after skin cancer removal.
Botox® can improve the look of moderate to severe frown lines between the eyebrows (glabellar lines) and “crow’s feet” at the outside corners of the eyes. It can also create a smoother appearance to the skin surface by preventing muscle contraction.
Fillers can help to correct deep lines in the face and also to help plump or enhance the lips or areas of volume loss in the face.
Kybella is a new treatment for fullness of the submental area (“double chin”). It is a non-surgical injection that can be performed in the office.
Facial Scar Revision
When the skin is in the process of recovering from an injury, whether the result of an accident, surgery, a burn, or acne, scarring will occur whenever multiple layers of the skin have been affected. Once a scar forms, it is permanent but may be made less visible, relocated surgically, or minimized in its prominence.
Keloids are overactive scars. They can be treated in the office with injections and then removed under local anesthesia or in the operating room.
There are many causes of facial fractures, which can include motor vehicle accidents, interpersonal trauma, accidents, or work-related or sports-related activities. Patients are often seen in the emergency department for initial evaluation. In the early management period, life-threatening issues are addressed first, and facial fracture repairs are only attempted after a patient is stabilized.
Your ears are one of the most visible parts of your body and can often require cosmetic repair. Some people simply wish to have old holes closed, which may have been torn or misplaced when piercing while others may want to change the shape of their earlobes.
Otoplasty (Ear Reshaping)
Otoplasty is ear surgery designed to pin back protruding ears, or to reduce the size of large ears so that they are in better proportion to the rest of the face. Otoplasty can also correct ear deformities from misshapen, damaged or missing ear elements.