Facial Cosmetic Surgery


Facial Cosmetic Surgery

If you are unhappy with the face staring back at you in the mirror, there are plenty of nonsurgical options and facial plastic surgery procedures from Dr. Raghu Athré that can help you get back on track. Dr. Athré is a board-certified facial plastic surgeon who has extensive training and experience with facial rejuvenation and aesthetics. Patients flock from as far away as London, Paris, and Saudi Arabia to Houston to have Dr. Athré perform their facial rejuvenation procedure. Dr. Athré motto with respect to facial rejuvenation is: “Natural results that make you look like you…just refreshed.”

Options for facial plastic surgery

 

 

Face Lift

Deep wrinkles? Sagging neck and jowls? Our faces take the brunt of the elements and show the first signs of aging. Aging skin loses its elasticity and seems to hang on the face. What can be done to turn back the clock? Many people turn to a face lift in the Houston area to revive and refresh their appearance.

 

Anatomy of the face

 

The face is made of multiple layers: the skin, an extracellular matrix, and muscle. The extracellular matrix is made up of elastic and collagen fibers, which keeps the skin elastic. The muscle layer is made of a combination of muscle and tissue and is also known as the SMAS (superficialmusculo-aponeurotic system). Underneath the skin of the neck is a muscle layer called the platysma, which acts like a sling to keep the neck taut and youthful.

As aging occurs, the skin on the face loses collagen and elastin due to sun exposure, gravity, and constant muscle contraction caused by talking, smiling, laughing, etc. The skin loses its elasticity causing deep wrinkles, jowl formation and sagging skin in the face and neck.

Non-surgical approaches

The best way to prevent photoaging or the breakdown of elastin and collagen is prevention. A medical grade sunblock can block the sun’s harmful UV rays, which causes the breakdown of collagen, uneven skin texture, and age spots. A full medical grade skin regimen can lightly resurface skin, remove fine lines, even skin color, and reverse existing skin damage.

Other nonsurgical options to help with facial anti-aging include laser skin resurfacing, chemical peels, injectable fillers such as RADIESSE® and BOTOX® Cosmetic in Houston.

What is a face lift?

The primary goal of face lift surgery is to tighten tissues, which have started sagging due to age and gravity. A face lift will tighten the jowls and cheeks, the skin of the neck, tighten the neck tissues, and soften the smile lines. Advances in surgical techniques and materials allow tailoring face lifts for individual patients.

Some surgeons performing facelift in Houston only tighten the skin. The skin itself has no strength, and as a result these types of facelifts do not last more than a few months. At Athré Facial Aesthetics, all face lifts lift the muscle and tissue layer, leaving no tension in the skin. Therefore, the effect lasts longer and the incisions are hidden for a flawless final outcome. Dr. Athré also performs a mini face lift procedure called the RT Lif that is more affordable and requires less downtime than the traditional procedure.

How is a face lift performed?

The incision generally is made in the hair around the temples and around the ear. A small (less than 1/2″) incision is made right under the chin to sculpt and tighten the neck tissues. After the skin is lifted, the underlying muscle layer is tightened and the excess skin is trimmed. Meticulous technique, attention to detail, and microscopic sutures all provide for a natural, non-operated look.

The goal is to restore a very natural look and to have patients look like themselves, just refreshed. No two patients are identical, so no two face lifts Dr. Athré performs are the same. Tailoring the surgery for each patient is the only way to prevent a “pulled” or windblown appearance.

Face lifts are performed under sedation or general anesthesia. A face lift can be combined with other procedures such as eyelid surgery, fat transfer, or even brow surgery. The surgery itself takes approximately 3.5 hours, and patients should be back to work in 7 to 10 days.

RT Mini Face Lift

Do you feel younger than you look? Not quite ready for a face lift? Houston area men and women want a rejuvenated look without the cost and downtime of a traditional face lift, which is why the RT Lift is gaining popularity and attracting new patients.

What is the RT Lift?

The RT Lift is a novel surgical procedure designed by Dr. Raghu Athré. It was specifically designed with younger patients in mind who want a freshened appearance, but cannot afford all the downtime associated with a traditional face lift in Houston. “I kept seeing patients who have mild aging changes in their face. Today’s patients are more active and need a procedure that is tailored to their lifestyle. The RT Lift was designed with those patients in mind,” says Dr. Athré. Dr. Athré not only designed and perfected this procedure, he believes in the procedure. He has even performed it on his wife to address her midface and neck.

Who is a candidate for the RT Lift?

Though age is not an absolute criterion, the average RT Lift patient is in their forties or fifties. Candidates include people who:
Have early signs of aging with deepened smile lines
Do not have time away from their busy schedules
Just require a touch up rather than a traditional procedure

Anatomy of the face

The face is made of multiple layers: the skin, an extracellular matrix, and muscle. The extracellular matrix made up of elastic and collagen fibers, which keeps the skin elastic. The muscle layer is made of a combination of muscle and tissue and is also known as the SMAS (superficial musculo-aponeurotic system). Underneath the skin of the neck is a muscle layer called the platysma, which acts like a sling to keep the neck taut and youthful.

Aging and the face

As aging occurs, the skin on the faces loses collagen and elastin due to sun exposure, gravity, and constant muscle contraction caused by talking, smiling, laughing, etc. The skin loses its elasticity causing deep wrinkles, jowl formation and sagging skin in the face and neck.

What makes the RT Lift special?

There are numerous mini facelift procedures for Houston residents to consider. These procedures attempt to reverse the signs of aging by just tightening the skin, or by using barbed sutures in the face, or by trying to suspend the face with permanent sutures. The results in these procedures are short-lived because these procedures do not address the muscle layer (SMAS) like a traditional face lift. The RT Lift tightens, repositions, and re-drapes the SMAS just like a traditional face lift, thereby giving the patient a fresh new look that lasts.

How is the RT Lift performed?

In general, the technique used for the RT Lift is the same as in a face lift. The incision is hidden in the hair above the ear, is then camouflaged in the ear canal, and then gently wraps around the ear lobe and then disappears in the crease behind the ear. The only difference between a traditional face lift and the RT Lift is that the RT Lift addresses a smaller area of concern. Patients with significant aging and a very heavy neck may be better served by a traditional face lift. This procedure is often performed with other facial enhancement procedures such as eyelid surgery in Houston.

What can RT Lift patients expect?

RT Lift patients have their procedure done on an outpatient basis. Because incisions are smaller, bruising and swelling are drastically reduced. Most patients are back to work within 5 days, and are on their feet the very next day.

Fat Transfer

Fat grafting is another way to fill facial features, add volume, and rejuvenate the face and it uses the patient’s own fat. The fat used for the fat transfer is extracted from parts of your body like the abdomen or thighs and injected into another area that requires plumping. Since the fat is your own, a significant portion of the fat becomes permanent, and therefore it eliminates the need for constant re-injections, as with other materials.

Fat grafting by itself is not a new procedure. However, the technique that Dr. Athré uses is. Traditional fat grafting had the advantages of a possible permanent rejuvenation solution, but had the disadvantages of granuloma formation, lumpiness, a necessity for overcorrection, a necessity of usage of large injection cannulas, etc.

Dr. Athré now uses the ALMI technique (https://www.almiprocedure.com/) and is one of the few surgeons in Houston, and in Texas to do so. This technique uses the same fat harvesting technique. However, the fat is then micronized and reconstituted with PRP (platelet rich plasma). The combo material can be injected in much the same way as Restylane® or Juvederm® through tiny needles. This technique reduces many of the complications such as irregular contours and lumpiness seen in older techniques. Finally, the initial results of this technique show that the additional volume can last for longer than 5 years!

The combo material can also be used for hair regrowth and many other uses because of the the stem cells in the combo material and regenerative power of this combo material.

For more information about Microsomal Fat Transfer call 281.557.3223 or click here .

Brow Lift

Are you tired of deep creases across your forehead? Do you see a lot of excess tissue in your upper eyelids? You may need to take a closer look at your brows and forehead. The eyebrows help shape the overall look of the face and frame the eyes. The eyes are one of the most important focal points of the face; and therefore, aging in the region of the eyes ages the entire face.

As aging naturally occurs, the eyebrows gently start to fall. This gives the appearance of thickness around the upper eyelid. As the eyebrows start to fall, forehead wrinkles and deep wrinkles between the eyebrows can form. A simple procedure in the Houston area called a brow lift can be performed to bring the brows back to their youthful, natural position.

Anatomy & Aging of the eyebrow region

Underneath the skin of the forehead is a tissue layer and a muscle layer. The muscle layer, or the frontalis muscle, holds the brows up. This muscle is used during squinting or if surprised. The tissue layer is made up of a matrix of collagen and elastin, which gives the forehead youthful fullness.

With aging, the brows slowly start to fall due to gravity and the loss of collagen. The frontalis muscle works harder to hold the brows up, causing forehead wrinkles. Fine wrinkles start to form due to the breakdown of elastin and collagen fibers within the tissue matrix of the skin. The skin around the forehead can appear rough with uneven texture and color.

Nonsurgical Approaches

The primary nonsurgical therapy for aging of the brows is Botox®. BOTOX® can be used to address mild aging of the brows and forehead wrinkles by relaxing the frontalis muscle. If injected carefully, BOTOX can relax the forehead lines and elevate the brows slightly for up to 3 to 4 months per injection. BOTOX cannot be used to treat moderate or severe brow aging.

Surgical Approaches

Surgical approaches to the brow elevate the brow by lifting the tissue and the muscle. There are several techniques such as a coronal brow lift, endoscopic brow lift, direct brow lift, and many others. The choice of technique is tailored to each patient after taking into consideration the patient’s anatomy, gender, natural brow shape and ethnic considerations. For more complete benefits, a face lift in the Houston area may also be performed to reduce sagging in the lower face.

Before a forehead lift consultation at Athré Facial Aesthetics, patients will be asked to bring in a picture of themselves at age 20-25. This picture serves as a benchmark to customize the correct.

procedure to achieve the desired results. Functional, anatomical, and aesthetic goals are all reviewed to ensure a positive result. In some cases, eyelid surgery in the may also be performed to further “open up” the eye area.

Immediately prior to the procedure, the amount of brow lifting and the arch and contour of the eyebrow is specifically marked on the forehead. This procedure is normally done under general anesthesia, and takes approximately 45 minutes to 1 hour. Patients are allowed to go home the same day. Incision sites are unnoticeable within a week and patients can return to full normal activity within 5 to 7 days.

For more information about Brow lift surgery in Houston call 281.557.3223

Neck Lift

If you have noticed some sagging, excess tissue in your neck or a loss of definition of the neck angle, surgical retightening is possible from Dr. Raghu Athré. The neck is made of skin, a collagen-rich matrix layer, and a deep muscle layer. The muscle layer, or platysma, envelops the neck and acts like a sling to support the tissues of the neck. Over time, one or more of these tissue layers may lose elasticity, making a surgical neck lift or neck liposuction necessary for Houston area residents.

Aging and the neck

Gravity and genetics are the key components that cause signs of aging in the neck. As aging occurs, gravity pulls on the neck tissues causing them to droop and fall. Also, the collagen and elastin-rich matrix of tissue deep in the skin slowly degrades. These actions provide less support to the tissues of the neck, and over a lifetime, loose tissue, also known as a “waddle,” can form in the neck.

Genetics also plays a major role in aging of the neck and in the development of excess fat in the neck. The end result is loose skin in the neck, excess soft tissue and fat in the neck, and loss of the sharp, youthful angle of the neck.

Non-Surgical approaches

Botox® can be used to reduce the appearance of platysmal banding or the vertical lines in the middle compartment of the neck. The BTL Exilis Ultra laser can be used to: (1) reduce fat in the central compartment, and (2) tighten the collagen matrix of the neck to enhance the neck contour.

Surgical approaches

Overcoming concerns with the neck is predominantly addressed through surgical approaches. A little excess fat and mild droopiness of the neck tissues can be effectively removed with liposuction. Liposuction removes the excess fat and tightens the tissues of the neck. It is commonly performed in conjunction with RT Mini Face Lift, but can be performed alone. The purpose of liposuction is not only to remove excess fat, but also to trigger a platysma muscle contracture. This tightens the neck and sharpens the neck/chin angle.

Significant excess neck tissue and excess fat must be addressed with a combination of liposuction and neck lifting. The neck lift is most often performed with a full face lift, but can be performed independently as well.

These procedures are usually performed under local anesthesia, deep sedation, or general anesthesia. The procedure itself takes 30 minutes to an hour. Patients are able to go home the same day, and are able to return to full physical activity within 1 week.

Chin/Cheek Augmentation

The chin and the cheeks are the bony prominences that bring the entire face into proportion. Having a recessed chin can give the appearance of an unbalanced face, an overly projected nose, or even a lack of definition in the neck area. A recessed cheek area can make the middle one-third of the face seem small and unbalanced. Chin and cheek augmentation from Dr. Athré is a simple, quick procedure to add volume to the cheek and/or chin area.

The chin is made up of skin, soft tissue, and bone. As aging occurs, the bone of the jaw slowly recedes, causing a smaller chin and small grooves to occur in front of the jowls. A mini facelift can help lift the jowls, but may not address the small groove in front of the cheeks. This groove is due to the loss of bone in the jaw that occurs with aging. Furthermore, aging or genetics can cause a small midface. This can cause the cheek fat pad to hang lower and cause premature aging.

Surgical approaches

Chin augmentation is the primary way to addressloss of volume in the chin area. The procedure can be performed in the clinic, in the operating room, or in conjunction with other procedures. Careful examination and measurements are taken during the initial consultation to help determine which technique is the most suitable.

The procedure takes 30 minutes, and patients can return to full physical activity the next day. Chin augmentation is commonly done in conjunction with to bring the face into aesthetic proportion while bringing the nose into an aesthetically pleasing profile and proportion. Chin augmentation is also done in conjunction with facelifts or the RT Lift to add volume to the chin, sharpen the neck angle, help eradicate the jowls, and erase the grooves that can sometimes form in front of the jowls.

Cheek augmentation can elevate the cheek fat pad and add volume to the cheek area. The procedure can be done under local anesthesia with sedation, or under general anesthesia. The procedure normally takes 1.5 hr and patients can return to work in approximately 1 week.

To schedule a consultation to discuss cheek or chin augmentation, please call 281.557.3223, or click here .

Lip augmentation

Want plumper, more luscious lips? You could have juicier lips in just 25 minutes with a filler procedure, or permanently more voluptuous lips with our advancedsilastic lip implants.

Lip augmentation creates fuller, plumper lips and reduces fine wrinkles around the mouth. Temporary solutions for lip augmentation are achieved through injectable fillers like collagen, Restylane®, and fat injections. For permanent lip enhancement, Dr. Athré is one of the few surgeons in the Houston area who offers the Softsil™silastic lip implants.

Permanent lip implants

Several types of lip implants, such as ePTFE and VeraFil, have been used in the past to permanently augment the lips. These implants are permanent, but tend to lose volume over time, or can look unnatural and hard. Dr. Athré is one of the few surgeons who uses theSoftsil silastic lip implants.

These implants are soft, permanent and very easy to place. Furthermore, they look so natural that they even beat out injectables for how natural they look and feel. The great thing about these implants is that they are permanent (injectable fillers last only about 6 months). For the same time as it takes to do a lip injectable procedure, you can have rejuvenated, soft, natural lips PERMANENTLY. Dr. Athré has even used these implants in his nurses.

These procedures can be done in the clinic under local anesthesia or in the operating room. Surgical lip augmentation takes approximately 20 minutes per lip and patients can return to full physical activity within 1 to 2 days.

Dimpleplasty

Did you know that dimples are considered lucky in certain cultures? Ever wanted a dimple?

Creation of a dimple is a simple procedure that is performed in the office under local anesthesia. The procedure takes about 30 minutes. A dimple can be created on one side or both sides. Patients can frequently return to full normal activity within 1-2 days, and the dimple is PERMANENT.



Book an appointment with Dr. Athré’s plastic surgery clinic by calling at:

 

281-557-3223