BOTOX® BOTOX® Cosmetic is commonly used to reduce or eliminate the appearance of facial wrinkles. It is injected under the skin into areas surrounding the eyes, forehead and mouth to smooth crow's feet, frown and worry lines, and lines on the neck. Made from a purified protein, BOTOX® injections block nerve impulses, weakening muscles to relax wrinkles and give the face a rejuvenated look. BOTOX® may also be useful for migraine headaches, excessive sweating, and eye and neck muscle spasms.
Collagen
Collagen is a naturally occurring protein found in the second layer of skin (the dermis) which "plumps up" the skin, joints, bones and ligaments. Injections counteract the effects of gravity, sun exposure and years of facial muscle movement by filling out sunken areas and smoothing lines for a rejuvenated look. Results may begin to fade in a few months, depending on the patient's age, genetic background, skin quality, lifestyle and body site. Because of this, and because injections cannot improve severe wrinkles or deep folds, the procedure is often combined with facial resurfacing or plastic surgery for more a satisfying and longer-lasting outcome.
Cymetra™
Cymetra™ is a soft-tissue filler made of donated human tissue that has been processed and screened by the FDA and AATB (American Association of Tissue Banks). This means that there is no risk of allergic reaction or graft rejection. It also means that the filler is long-lasting, if not permanent -- once implanted, Cymetra™ slowly integrates with the patient's own, natural tissue. Delivery is possible via a minimally invasive procedure, with no need for anesthesia because the injection contains lidocaine. Cymetra™ is most often used for scar revision, nasolabial fold reduction, and lip augmentation and reconstruction.
Lip Augmentation
Full and vivacious lips have always been recognized as aesthetically important features. Some of us, however, are born with thin, ill-defined lips, or our lips lose their fullness with age. But the appearance of our lips is now within our control. Fine lines and wrinkles, thin lips and a drooping corner of the mouth are all areas that can be aided with injectable fillers. The market is ever changing, with new products appearing rapidly. Care is individualized to provide a safe and effective treatment option.
Laser Resurfacing Laser skin resurfacing, commonly called a laser peel, removes the outer, damaged layer of skin to reveal a smoother, younger look. Laser resurfacing can reduce the appearance of sun damage, wrinkles, fine lines, uneven pigmentation and superficial scarring, usually on the face. A carbon dioxide (CO2) laser beam of precisely focused light vaporizes the surface skin and reveals the undamaged layer beneath. Procedure time varies depending on the size and condition of the area being treated.
Chemical Peels
Chemical peels remove damaged outer layers of skin on the face to smooth texture, reduce scarring, and remove blemishes and pre-cancerous growths to produce healthy, glowing skin. Peel formulas and strengths are tailored to each patient. Peels can be combined with other procedures such as facelifts for a younger look. They may be covered by insurance if they are performed for medical rather than cosmetic reasons.
Permanent Makeup (Micropigmentation)
Micropigmentation, or permanent makeup, can improve a person's appearance in a variety of ways, from eyebrow, eyelash and lip enhancement to scar and blemish camouflage to nipple/areola coloration following breast reconstruction. FDA-approved, allergy-tested dyes are made of mineral extracts and can be tinted to match the patient's skin tone as closely as possible. The dyes are injected into the skin using micro-needles after the application of a topical anesthesia, with procedures lasting as little as 30 minutes depending on the size of the area being treated. Results are visible immediately, although more than one session may be required for larger areas or touch-ups. Most patients are fully recovered within 24 hours. Contact lenses, makeup and direct sunlight should be avoided for the first few days.
Facial Implants Whether or not we notice it consciously, full cheeks are often a part of how we judge a person's face. Cheek implants can have a major impact on the appearance and self-confidence of patients whose cheeks have thinned or sunken due to age, illness or other causes. Likewise, the chin helps provide harmony to the facial features. Often, patients come to the office desiring a smaller nose when, in fact, a chin augmentation provides a balance to the facial features. Implant sizes and shapes to augment the cheek and chin are tailored to each patient's desired appearance.
Facelift (Rhytidectomy)
In time, gravity, sun exposure, and the stresses of daily life take their toll on our faces: deep creases appear beside the mouth, the jaw line slackens, and folds and fat deposits appear on the neck. Facelifts counteract these problems by removing fat and tightening skin and muscles, giving your face a fresher, youthful look. Incisions are made in inconspicuous places such as behind the hairline and in natural folds of the face and ears, and scars fade to near invisibility in time. After surgery, some patients appear 10-15 years younger.
Browlift Browlifts can revitalize drooping or lined foreheads, helping you to look less angry, sad or tired. Using either traditional or minimally invasive (endoscopic) methods, the muscles above the eyes are altered to smooth lines and raise the eyebrows for a more youthful appearance. The procedure is often combined with other operations such as blepharoplasty and facelifts to improve the look of the eyes and other areas of the face.
In a traditional browlift the surgeon makes a coronal (headphone-shaped) incision behind the hairline, stretching between the ears and across the top of the forehead. In a minimally invasive (endoscopic) browlift the surgeon makes three to five short incisions; then an endoscope -- a slim instrument with a camera on the end -- is placed in one incision while the surgeon works through the other incisions.
Eyelid Surgery (Blepharoplasty)
Eyelid Surgery can rejuvenate puffy, sagging or tired-looking eyes by removing excess fat, skin and muscle from the upper and lower eyelids. It may be performed for cosmetic reasons or to improve sight by lifting droopy eyelids out of the patient's field of vision. The procedure is usually performed in an office with local anesthesia in as little as 45 minutes. Eyelid Surgery can be combined with a facelift or BOTOX® treatments to raise the eyebrows or reduce the appearance of wrinkles, crow's feet or dark circles under the eyes.
Ear Surgery (Otoplasty) Ear surgery is typically performed to set prominent ears back closer to the head, or to reduce the size of large ears. Surgery may be helpful for "lop ear," "cupped ear" and "shell ear," large or stretched earlobes, and lobes with large creases and wrinkles. Surgeons are also able to construct new ears for patients who are missing them due to injury or other causes. The operation can be performed on children as young as four years of age when the ears are fully grown, in order to minimize teasing in school. The procedure lasts from two to three hours and may be performed in a hospital, office-based facility or an outpatient surgery center under general or local anesthesia.
Nose Surgery (Rhinoplasty)
One of the most common plastic surgery procedures, rhinoplasty is performed to reshape, reduce or augment a person's nose, remove a hump, narrow nostril width, change the angle between the nose and the mouth, or to correct injury, birth defects, or other problems that affect breathing. Rhinoplasty is usually an outpatient procedure performed under either local or general anesthesia and lasts one to two hours.
Chin and Cheek Implants Chin surgery, also known as mentoplasty, is a surgical procedure to reshape the chin either by enhancement with an implant or reduction surgery on the bone. Many times a plastic surgeon may recommend chin surgery to a patient having nose surgery in order to achieve facial proportion, as the size of the chin may magnify or minimize the perceived size of the nose. Chin surgery helps provide a harmonious balance to your facial features so that you feel better about the way you look.
Whether or not we notice it consciously, full cheeks are often a part of how we judge a person's face. Cheek implants can have a major impact on the appearance and self-confidence of patients whose cheeks have thinned or sunken due to age, illness or other causes. Implant sizes and shapes are tailored to each patient's desired appearance.
Andrew P. Amunategui of Aventura, FL, provides facial plastic and reconstructive surgery including the following procedures: BOTOX®, Collagen, Cymetra™, Lip Augmentation, Laser Resurfacing, Chemical Peels, Permanent Makeup, Facial Implants, Facelift, Browlift, Eyelid Surgery (Blepharoplasty), Ear Surgery (Otoplasty), Nose Surgery (Rhinoplasty), Chin and Cheek Implants, Breast Augmentation (Augmentation Mammaplasty), Breast Lift (Mastopexy), Breast Reduction (Reduction Mammaplasty), Breast Reconstruction, Gynecomastia (Male Breast Reduction), Liposuction (Lipoplasty/Suction Lipectomy), Abdominoplasty ("Tummy Tuck"), Laser Hair Removal, Lymphatic Drainage Massage, and Nutrition Counseling.
BOTOX® Cosmetic is commonly used to reduce or eliminate the appearance of facial wrinkles. It is injected under the skin into areas surrounding the eyes, forehead and mouth to smooth crow's feet, frown and worry lines, and lines on the neck. Made from a purified protein, BOTOX® injections block nerve impulses, weakening muscles to relax wrinkles and give the face a rejuvenated look. BOTOX® may also be useful for migraine headaches, excessive sweating, and eye and neck muscle spasms.
Lip Augmentation
Laser skin resurfacing, commonly called a laser peel, removes the outer, damaged layer of skin to reveal a smoother, younger look. Laser resurfacing can reduce the appearance of sun damage, wrinkles, fine lines, uneven pigmentation and superficial scarring, usually on the face. A carbon dioxide (CO2) laser beam of precisely focused light vaporizes the surface skin and reveals the undamaged layer beneath. Procedure time varies depending on the size and condition of the area being treated.
Whether or not we notice it consciously, full cheeks are often a part of how we judge a person's face. Cheek implants can have a major impact on the appearance and self-confidence of patients whose cheeks have thinned or sunken due to age, illness or other causes. Likewise, the chin helps provide harmony to the facial features. Often, patients come to the office desiring a smaller nose when, in fact, a chin augmentation provides a balance to the facial features. Implant sizes and shapes to augment the cheek and chin are tailored to each patient's desired appearance.
Browlifts can revitalize drooping or lined foreheads, helping you to look less angry, sad or tired. Using either traditional or minimally invasive (endoscopic) methods, the muscles above the eyes are altered to smooth lines and raise the eyebrows for a more youthful appearance. The procedure is often combined with other operations such as blepharoplasty and facelifts to improve the look of the eyes and other areas of the face.
Ear surgery is typically performed to set prominent ears back closer to the head, or to reduce the size of large ears. Surgery may be helpful for "lop ear," "cupped ear" and "shell ear," large or stretched earlobes, and lobes with large creases and wrinkles. Surgeons are also able to construct new ears for patients who are missing them due to injury or other causes. The operation can be performed on children as young as four years of age when the ears are fully grown, in order to minimize teasing in school. The procedure lasts from two to three hours and may be performed in a hospital, office-based facility or an outpatient surgery center under general or local anesthesia.
Chin surgery, also known as mentoplasty, is a surgical procedure to reshape the chin either by enhancement with an implant or reduction surgery on the bone. Many times a plastic surgeon may recommend chin surgery to a patient having nose surgery in order to achieve facial proportion, as the size of the chin may magnify or minimize the perceived size of the nose. Chin surgery helps provide a harmonious balance to your facial features so that you feel better about the way you look.
