Introduction
Facial contour adjustment has become increasingly popular as people strive to enhance their appearance and boost their self - confidence. In New York City, a hub of medical excellence, there are several top - notch hospitals and clinics offering high - quality facial contouring services. This article will explore five of these institutions, highlighting their specialties, procedures, and what makes them stand out in the field of facial contour adjustment.
1. Mount Sinai Hospital
Expertise in Facial Rejuvenation
Mount Sinai's facial plastic and reconstructive surgery team is well - known for providing superior, results - driven care in the field of facial rejuvenation. They offer a range of non - surgical options using cosmetic injectables, such as Botox™, Dysport™, Xeomin™, and Jeuveau™. These injectables are medications that “relax” specific muscles and areas of the face, providing a safe, minimally invasive treatment option for patients interested in addressing various aspects of facial aging.
Conditions Treated with Relaxing Injectables
- Forehead lines and wrinkles: As we age, the muscles in the forehead can cause prominent lines. Injectables can relax these muscles, reducing the appearance of these wrinkles.
- Lines and wrinkles around the eyes: Commonly known as crow's feet, these lines can be effectively treated with the appropriate injectables.
- Neck lines and bands: Relaxing the muscles in the neck can smooth out these lines and bands, giving a more youthful appearance.
- Fine lines and wrinkles around the lips: These injectables can also address the small lines that form around the lips over time.
- Loss of eyebrow height: By targeting specific muscles, the height of the eyebrows can be lifted, opening up the eyes and creating a more alert look.
How the Procedure Works
These injectables are produced from sterile derivatives of botulinum toxin. When injected into the skin, they block the nerve signals that cause the muscles to contract. As the facial muscles relax, wrinkles fade away, and the brow lifts up. The procedure at Mount Sinai involves an extensive consultation where the team identifies areas of concern, reviews the patient's goals, and develops an individualized treatment plan. The actual treatment takes about 20 minutes and can typically be given during a routine office visit, with minimal discomfort.
What to Expect After the Procedure
The tiny injections usually result in little to no bruising. The effects of these injectables usually last between three and six months, after which muscle activity returns to normal. As an elective treatment, patients can choose to have the relaxing agents administered whenever the effects wear off or over longer periods when it is convenient for them.
Cost Considerations
Since insurance does not generally cover surgery or treatment done purely for cosmetic reasons, cost is always a concern. However, Mount Sinai provides patients with expected costs prior to any intervention, allowing them to make an informed decision.
2. Weill Cornell Medicine
Comprehensive Facial Rejuvenation Options
The compassionate plastic surgeons at Weill Cornell Medicine offer the full range of cosmetic procedures, both surgical and non - surgical, to enhance facial features. They take the time to deeply understand each patient's concerns and needs, discussing the available options, potential risks, and expected results.
Non - Surgical Facial Rejuvenation Options
Procedure | Description |
---|---|
Chemical peels | Personalized to help patients achieve their desired results, such as reducing fine lines, acne, acne scars, or improving the skin's overall texture. |
Botulinum toxin (Botox) or collagen injections | Reduce the appearance of lines and wrinkles and promote a healthy, natural appearance. |
Radiofrequency skin tightening | For the neck, arms, legs, and abdomen to tighten the skin. |
Non - invasive thread lifts | For the brow, face, and neck to lift and contour the area. |
Non - invasive skin tightening | To improve skin elasticity and firmness. |
Surgical Facial Rejuvenation Options
Procedure | Description |
---|---|
Minimally invasive scar treatment or scar revision | To improve the cosmetic appearance of scars, including those that have healed poorly. |
Ear surgery (Otoplasty) | To reduce the size or correct the prominence of the ears. |
Face - lift (Rhytidectomy) | To lift and tighten the face, reducing sagging skin and wrinkles. |
Brow / Forehead lift | To lift the forehead and eyebrows, reducing frown lines and giving a more youthful look. |
Nose surgery (Rhinoplasty) | To reshape the nose for improved aesthetics or function. |
Eyelid surgery (Blepharoplasty) | To refresh tired - looking eyes by correcting drooping or sagging eyelids. |
Lip augmentation | To plump the lips for a more youthful appearance. |
Fat transfer (Liposuction) | To add volume to areas of the face that have lost it. |
Lip lift | To enhance the appearance of the upper lip. |
Neck lift | To tighten the neck and reduce the appearance of a “turkey” neck. |
Why Choose Weill Cornell Medicine?
- Exemplary surgeons: The surgeons are leaders in plastic and reconstructive surgery, and the care team is equipped to promote comfort throughout the process. Weill Cornell Medicine partners with New York - Presbyterian, one of the top hospital systems in New York City and the U.S.
- Personalized care: All surgical treatments are designed to meet the individual needs and aesthetic wishes of each patient. The plastic and reconstructive surgeons are highly skilled and can help patients achieve a natural appearance.
- Focus on comfort: The team prioritizes the patient's comfort at every step. Before surgery, patients have time to ask questions, and during surgery, the latest anesthetics and medications are used to aid in quick recovery. After surgery, the care team manages pain and teaches patients how to care for themselves during the healing process.
3. Gotham Plastic Surgery
Facial Shaping Based on the Golden Ratio
Gotham Plastic Surgery's approach to facial shaping is based on the facial golden ratio, a beauty standard that considers the overall shape and proportions of the face, including the symmetry of various facial features and how light reflects off them. However, they also understand that the ideal symmetrical ratio varies across different ethnicities.
Facial Shaping Procedures
Liquid Facelift
A “facelift in a bottle,” a liquid facelift restores a youthful appearance through a combination of dermal fillers, neuromodulators, and ultrasound techniques. It can lift sagging skin, volumize lips, fill out hollow facial areas, minimize under - eye bags, and reduce a variety of wrinkles in less than an hour.
Dermal Fillers
Filler | Description |
---|---|
Restylane | Composed of skin - nourishing hyaluronic acid, it helps erase fine lines, smooth out moderate to severe facial folds, and volumize sagging skin around the mouth, nose, and cheeks. Restylane Kysse is designed for fuller lips. |
Juvéderm | Composed of skin - hydrating hyaluronic acid, it can correct a variety of facial wrinkles, from fine lines to deep facial folds, especially around the nose, mouth, and forehead areas. Voluma targets hollow cheeks and sagging skin in the mid - face with results lasting up to 2 years. |
Belotero | A hyaluronic acid - based filler that integrates into the natural structure of the skin, producing smooth results while allowing natural facial expressions. It can treat fine lines and wrinkles around the nose, mouth, and chin. |
Radiesse | An injectable collagen stimulator that triggers the body to produce more collagen, restoring volume and reversing aging signs in the lower face and hands. |
Sculptra | A collagen stimulator injected deep into the dermal tissue to boost collagen levels, improving long - term lines in the lower face, such as smile lines, nasolabial folds, and marionette lines. |
Other Procedures
- Lip augmentation: Ideal for those with naturally thin lips or lips that have thinned due to aging, it can plump the lips for a more youthful look.
- G.I. Jaw™: An innovative technique for men to achieve a strong, square jaw using a variety of jaw - enhancing treatments like fillers, implants, and liposuction.
- Botox, Dysport, and Xeomin injections: Safe and effective for correcting dynamic wrinkles and improving the appearance for a more youthful look.
- Kybella®: Eradicates a double chin, providing a more sculpted jawline and neck as a non - surgical alternative to liposuction.
- Liposuction for face: Effective for patients with fatty areas in the cheeks, chin, and neck that have not responded to diet or exercise.
- Neck - Tite™: A minimally - invasive radiofrequency - assisted liposuction technology that firms and contours the neck and jowls with little discomfort, downtime, and minimal scarring.
- Facial implants: Available in various sizes, styles, and shapes, they can help patients achieve long - term aesthetic goals, such as a more pleasing facial symmetry by augmenting the chin, cheek, jawline, nose, and lips.
- Primary rhinoplasty: Also known as a nose job, it can improve nasal and facial aesthetics or nasal function by reshaping the nose.
- Revision rhinoplasty: Corrects issues that arise from a previous nose job that yielded poor results or did not meet expectations.
- Non - surgical rhinoplasty: A quick, non - invasive alternative using dermal fillers to improve minor nose irregularities, asymmetry, or a nasal hump.
- Forehead and brow lift: Helps bring back a smoother forehead or arched eyebrows, refocusing attention on the eyes and forehead.
- Blepharoplasty: Refreshes tired - looking eyes by correcting drooping or sagging eyelids.
- Chin & Cheek implants: Can reshape the face for a renewed sense of confidence by improving the appearance of a small chin or flat cheeks.
- Otoplasty: Reduces the size or corrects the prominence of the ears for a more desired facial shape.
4. New Face NY (Dr. Richard Westreich)
Facial Contouring Procedures
Dr. Richard Westreich offers a range of facial contouring procedures, which are designed to improve one's facial appearance using techniques such as fat injections, fat removal, implants, and other enhancements to provide volume and fullness to an aging face.
Double Chin Treatment Options
Liposuction
Facial liposuction is a great option for patients with excess submental fat (under the chin). It can be done at the same time as a facelift or as a separate procedure. This technique is also effective for sharpening the jawline and reducing jowling. The healing time after liposuction is significantly less than with a facelift, and there are no significant skin incisions. Dr. Westreich may also combine liposuction with rhinoplasty and blepharoplasty for improved contour.
Fat Grafting
Volume loss is a significant part of the aging process, especially in the midface and lower eyelid region. Fat grafting is a two - stage technique that uses a patient's own tissues to replace lost volume. The fat is typically harvested from the lower body and then processed for implantation into specific areas of the face. This procedure is done under local anesthesia and can provide permanent contour corrections, although a touch - up may be required years later.
Facial Implants
Dr. Westreich specializes in placing facial implants, such as chin and cheek implants. These implants restore volume and provide support for the soft tissues of the skin, ensuring longer - lasting results. The choice of implant and the specific indications for their use will be discussed during a full cosmetic consultation.
Cheek Enhancement
If the cheek area has become flattened over time, Dr. Westreich approaches the cheek or malar area by using fillers such as Restylane and Juvéderm, the patient's own fat, as well as other implant materials when additional contour and support are needed.
Chin Augmentation
Chin augmentation can be achieved by either implantation or direct bone remodeling. Implantation is performed through either the mouth or a small external incision hidden below the chin, and the implants are usually made of silastic. Genioplasty, or bone remodeling, is a more extensive procedure, especially for selected individuals with significantly smaller chins or poor lower lip competence.
Facetite
Facetite is a revolutionary, minimally invasive procedure that targets facial aging concerns, including sagging skin, jowls, and excess fat. Using advanced radiofrequency (RF) technology, it tightens the skin and remodels facial contours without the need for incisions, extensive surgery, or downtime. Combining Facetite with liposuction offers a synergistic approach to facial contouring, addressing both skin tightening and fat reduction.
Chin Reduction
A chin reduction can be performed through the same incision and approach used for chin implants. In this procedure, excessive bone and soft tissue can be removed to reduce an overly prominent chin on profile and reduce excessive vertical height of the lower face.
5. Office of Edmund Kwan, MD
Comprehensive Facial Contouring
Dr. Edmund Kwan, a board - certified plastic and reconstructive surgeon, offers both non - invasive and surgical facial contouring options. He has extensive experience in treating patients from diverse ethnic backgrounds, understanding that different ethnic groups may have different aesthetic goals.
Contouring without the Scalpel
Dr. Kwan and his team offer many non - invasive alternatives using dermal fillers. A filler selected for the patient's unique needs and preferences is precisely injected into the area to be corrected. For example, Juvéderm Voluma can be injected into the mid - face or cheek area to add volume to the apples of the cheeks, which may have fallen due to gravity and age - related changes.
Myriad Surgical Options
Upper Face
As gravity takes its toll, the eyebrows may droop and crowd the eyelids, making the person look tired. Dr. Kwan restores a vibrant, youthful appearance by lifting the brows through an incision well - placed and hidden in the hairline. Forehead contouring also involves an incision in the hairline to access bony irregularities and reshape the area, either by reducing the bone or adding a safe material like synthetic bone cement.
Mid - Face
If the upper cheeks are overly wide or out of