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Brow Lift and Forehead Lift
 A elevates and reshapes drooping eyebrows and improves the brow contribution to the "crowding" or hooding of the upper eyelids, the wrinkling of the forehead skin, the deep vertical creases between the eyebrows and even the horizontal lines that may develop across the bridge of the nose. Although most frequently performed in conjunction with blepharoplasty or rhytidectomy, it can, although less commonly, be performed as an isolated procedure as well. There are two basic and several less commonly employed approaches utilized for this procedure. One, the more traditional , is performed through an incision in the scalp extending from ear to ear within the hairline. Through that well-hidden incision, the forehead muscles that cause wrinkling can be modified and portions even removed, excess skin is trimmed, and the eyebrows are elevated to a more pleasing position. This is the approach most often used by Dr. Gold.
The second approach, , is a more minimally invasive technique utilizing multiple smaller incisions within the scalp and elevating the forehead and brow without skin or scalp resection by fixing the forehead skin in an elevated position to the bone of the forehead or skull. No scalp or skin is removed. Dr. Gold may employ this approach for a more minimal elevation of the brow, but he does not feel it is as long- lasting or is as effective in patients with "heavier" brows or thicker skin. Another approach, used far less often, is the , which places an incision either within dense, thick eyebrow hair or within a deep horizontal forehead wrinkle. This approach is usually restricted to men, or to patients with unusually thick, heavy, and very deeply wrinkled forehead skin. Sometimes a lesser degree of brow elevation and particularly a "softening" of the vertical frown lines between the eyes may be accomplished through the upper eyelid incision in conjunction with upper lid blepharoplasty. If only an elevation of the outer or lateral aspect of the brow (the "tail" of the brow) is desired, a can frequently be accomplished through a more limited incision in the temporal scalp just above the ear, and is often performed as part of a face lift.
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Lip Augmentation, Cheek Augmentation, and Chin Augmentation
 The contours of your face can be enhanced by a variety of techniques. Chin augmentation, also called or , strengthens the appearance of a "weak" or receding chin by increasing its projection. Less commonly, the width of the chin can be increased as well. While this can be accomplished either by cutting and moving the bone of the lower jaw or with the insertion of an implant, Dr. Gold prefers the implant technique. An implant is inserted either through a small incision inside the mouth behind the lower lip or through one in the skin crease beneath the chin, and is placed beneath the muscle and over the bone of the chin. Similarly, implants may occasionally be used to provide greater fullness and projection to the cheeks. These may also be inserted through an incision inside the mouth and beneath the upper lip or through an incision in the lower eyelid or scalp above the ear.
A number of surgical and non-surgical techniques are available for lip enhancement, and are designed to give the lips a "fuller" and sometimes more youthful appearance, as well as to provide better facial balance. A variety of injectable materials and grafts may be utilized depending upon the degree of augmentation and permanence desired by the patient.
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Ear Surgery
 Cosmetic ear surgery, or , may be performed to improve the shape and position of the ears. With the technique Dr. Gold utilizes, the ears can be reshaped and protruding ears can be moved closer to the head through incisions hidden in the crease behind the ear. By reshaping the ear with permanent buried sutures, the gentle, flowing curves of the ear can be recreated and a natural look maintained. Otoplasty may be performed both in adults and in children anytime after the age of five or six years when the ear has nearly reached its full development.
» For examples of before and after images, please click here.
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