AFTER FACIAL RECONSTRUCTION utilizing traditional short scar facelift and the most advanced  pinhole techniques  by Dr Joseph Michael Pober

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AFTER FACIAL RECONSTRUCTION BY JOSEPH M.  POBER, MD, FACS

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AFTER FACIAL RECONBY JOSEPH POBER (ONE DAY AFTER SURGERY shows minimal swelling and discoloration, with happy patient)

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AFTER FACIAL RECONSTRUCTION BY JOSEPH M.  POBER, MD, FACS

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AFTER FACIAL RECONBY JOSEPH POBER (ONE DAY AFTER SURGERY shows minimal swelling and discoloration, with happy patient)

The earliest sign of facial aging is sagging, especially of the jawline and neck region. This is benefited with a "lift" called the rhytidectomy or facelift, which traditionally also corrects the neck and is better referred to as the cervicofacialplasty (neck-facelift). 

The cervicofacialplasty (facelift) has undergone continuous evolution and takes on many forms determined by the individual needs and wants of each patient. The technique no longer simply relies on tightly pulling the facial skin. Today the underlying facial structures such as the cheeks are cosmetically enhanced. The jowls of a droopy jawline and "turkey gobbler" deformity of the sagging neck are elevated with the resuspension of deeper facial  layers, called the "SMAS-platysma unit". This "two layer" enhancement and resuspension of underlying deep facial structures allow the surface skin to simply be redraped, with only the excess skin removed. Depending on your preference you may have local or general anesthesia and have the surgery performed in the hospital or in my office. Patients usually go home with drains after the procedure. The next day the drains are removed. Sutures around the ears are removed in four to five days, while those hidden in the scalp above and behind the ears are removed in 7-10 days. Many patients return to work after the sutures are removed applying makeup to any residual bruising. Patients usually enjoy normal social activities after two to three weeks.

Most commonly the two layer (SMAS-Platysma and skin lift) is employed to reverse some of the ravages of aging. This alone is adequate for those with "satisfactory" underlying bone structure. For those in the majority, who are less fortunate, or who have lost some of their youthful facial structures, resulting in flattened cheekbones or heavy jowls, Dr. Pober first corrects the underlying architecture with his “facelift- pinhole” approach involving his advanced  facial lipocontouring techniques he described in his textbook chapter on "Facial and Body Lipocontouring." "Vogue's" article on "Face lifts for the Fainthearted" highlight Dr. Pober's "art of liposculpture," wherein the "art of removing a little fat here and putting a little there" can "achieve many of the same effects as a face lift but with far less trauma[only a pinhole]."

Dr. Pober's refinements of traditional and modern aesthetic surgery of the face and neck have been described in professional textbook chapters, typically co-authored with Dr. Sherrell Aston, such as his most recent chapter entitled "Aesthetic Surgery of the Face, Neck and Brow." The cover story of "Psychology Today" begins with how the author watches Dr. Pober change a woman's "life" by having Dr. Pober perform upon her a facial transformation. "Avenue" magazine reported Dr. Pober was among The Best Doctors for refining the aging jaw and neck, the first sign of aging or the first "challenge" often encountered by both men and women as they advance in years. Some of his results have also been featured in "The Record."

The recent techniques involve the endoscope and offer virtually scarless surgery. With the endoscope, eye brow and forehead lifts can be performed through 5-6mm, small (fingertip-width) incisions in the scalp concealed by the hair. Previously, an ear-to-ear incision across the scalp was necessary which created numbness, itchiness and hair loss along the scar. With the endoscopic forehead lift, there is far less risk of any of these complications. Just like the older procedures, the endoscopic forehead lift can be used to correct frown lines and lift the upper face. Post-surgery, wrinkles of the forehead and brow virtually disappear and the eyebrows are attractively elevated without the extensive facial and forehead scars, there is virtually no hair loss, numbness, or itching.

The use of the endoscope extends the benefits of the facelift and forehead lift to younger patients, even those in their 30's and early 40's. The best candidates are those with minimal excess skin who have developed drooping brows, sagging cheeks, or folds around the mouth. Patients in their late 40's with similar problems as well as with early jowls and neck fat also benefit from the advances of endoscopic surgery. Neck lifts can be performed using a tiny incision underneath the chin and in the posterior scalp, creating no noticeable scars around the ears. Some of Dr. Pober's endoscopic results were featured on "NEWS-Talk Television".  Currently, Dr Pober has evolved his personal technique of brow or forehead lifts to limit the access scar to only the usual eyelid lift incision hidden in the upper crease of the eyelid, thereby precluding or obviating the appearance of any scar or hair loss.

For even younger patients in their early twenties, who don't need a facelift in the traditional sense for wrinkles or sagging skin, Dr. Pober offers the benefits of his Fellowship training in Craniomaxillofacial Surgery (Facial Sculpting) - but without the extensive surgery and recovery time. Instead of modifying the facial bones through cranial and facial skeletal surgery, commonly performed for congenital (birth) defects in children, Dr. Pober offers the young 20-year-old facial  pinhole facial sculpting or "Morphing", as noted in "New Women" magazine and the "Hampton's Magazine". Using pinhole access, fat injections naturally enhance certain features like the lips, or create high cheekbones and fill out the jawline. 

The new techniques available in plastic surgery mean that minimal scar or pinhole surgery turns out to be smart surgery for all patients desiring facial and body contour improvements. 

To learn more, you may wish to contact our office with email to drpober@aol.com or call 212 517 9042 to schedule a consultation to speak with Dr. Pober personally.

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AFTER  “PINHOLE FACELIFT” utilizing  filamentous fat grafts through pinholes to enhance the jawline , cheeks, nasojugal, nasolabial and marionette creases.

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AFTER “PINHOLE FACELIFT”

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AFTER “Pinhole Facelift”

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AFTER “PINHOLE FACELIFT”