Face

 

BLEPHAROPLASTY

Blepharoplasty, or eyelid lift can involve rejuvenation or reshaping of the upper, lower, or both eyelids. Many patients complain of puffy eyelids, looking tired all the time, or shadows on their faces. Blepharoplasty procedures range from straightforward to complex, and in many cases, can be performed in Z Plastic Surgery’s procedure suite under local anesthesia. Dr. Zelken reports blepharoplasty as one of his top three favorite operations to perform, as it yields instant results, rewards perfectionism and meticulous technique, and can be performed under local anesthesia in certain cases.

In the same way, blepharoplasty for aging should preserve your appearance. Optimal results should leave your friends wondering, did you have something done? Dr. Zelken believes eliminating shadows is the most important goal of blepharoplasty, not so much excision of tissue. For example, in lower lid blepharoplasty, many patients complain of bags or festoons. Rather than excising the fat that causes these festoons (which may not eliminate shadows), Dr. Zelken will consider repositioning that excess tissue to a more desirable location like your cheekbone to efface folds and enhance your cheeks. In many cases, blepharoplasty is paired with injection of BOTOX to further enhance appearance and freshen up your look. Latisse is another nonsurgical option to enhance eyelash fullness and length.

Ethnic blepharoplasty, including Asian eyelid surgery, should improve appearance without insulting ethnic identity. It is very possible to do this while establishing symmetrical folds, opening your eyes further, and effacing the epicanthal fold. Dr. Zelken has observed eyelid surgery in Taipei and Seoul and appreciates the meticulous technique used and subtlety in Asian outcomes after blepharoplasty. At Z Plastic Surgery we welcome patients from across the world and there is a Mandarin Chinese translator available. If you are interested in exploring this further, call (949) 432-4730 and press option 3 for our Chinese hotline to speak with a Mandarin-speaking physician and schedule your appointment.

If you are interested in eyelid surgery to improve your vision because of sagging brows and excessive upper lid skin your surgery might be covered by insurance and we can explore this further. The same is true for post-traumatic eyelid deformities, burns, dry eyes, loose skin, and revision of botched procedures. To explore your options please call to schedule your appointment with Dr. Zelken today.

FACELIFT

Facelift, also known as rhytidectomy, can rejuvenate the neckline, jawline, jowls, midface, and even the brow. Whether you want one or all of these areas treated, rhytidectomy can improve your appearance drastically, and almost instantly. We all know faces that look artificial or operated-on. Dr. Zelken has compiled his favorite pearls from mentors in the United States and Asia to provide drastic results that are not windblown, overdone, or asymmetric. In most cases, he takes a systematic approach that generates reliable results safely.

Rhytidectomy techniques have evolved significantly over the past century. Skin excision was the norm for more than half a century. The paradigm shifted in the late 1960s and 1970s when surgeons discovered benefits of manipulating deeper layers of tissue (superficial musculaponeurotic system, SMAS). The SMAS layer is the webbing between your facial muscles, that, when tightened, has a rejuvenating effect that improves longevity and scarring. By tightening the SMAS a skin in a specific direction, Dr. Zelken can help turn your egg-shaped face into an apple-shaped face.

Men and women alike are candidates for surgery. Men do have a higher risk of internal bleeding, simply because hear-bearing facial skin has a greater blood supply, but the risk remains low with meticulous technique. Smokers are typically prohibited from this operation for fear of blood supply compromise and wounding. If you had a prior facelift, you can still have a revision or update safely. Dr. Zelken often performs eyelid surgery (blepharoplasty) at the time of facelift and may also use BOTOX and fillers to further enhance your result.

Other complications like asymmetry and nerve injury are significant risks. Dr. Zelken has trained extensively in head and neck reconstructive surgery and wrote a chapter on surgical approaches to the face with a focus on pitfalls of dissection. If you are interested in discussing your facial rejuvenation or revision with Dr. Zelken, call (949) 432-4730 to schedule your consultation. At Z Plastic Surgery we welcome patients from across the world and there is a Mandarin Chinese translator available. If you are interested in exploring this further, call (949) 432-4730 and press option 3 for the Z Plastic Surgery Chinese hotline to speak with a Mandarin-speaking physician and to schedule your appointment.

RHINOPLASTY

Rhinoplasty, often called a nose job is a way of improving appearance by reshaping, enlarging, or reducing the nose. The nose is the centerpiece of the face and can be psychologically impactful when it is not harmonious with the rest of your face. Historically, rhinoplasty was a means of Westernizing noses of various ethnic and religious groups to a European and Caucasian standard. In plastic surgery training, Dr. Zelken learned about ideal angles, proportions and shapes. Dr. Zelken thinks these parameters are somewhat dated and should be used as a general guideline only, and will evaluate your nose on an individual basis. While respecting your goals, Dr. Zelken will offer you a candid analysis of your anatomy and what to expect after surgery.

Dr. Zelken spent a year in Asia and has trained under experts who are famed for their innovations. He has written several papers on the topic of Asian rhinoplasty. As worldwide wealth accumulates amongst ethnic Asians and stigma dissipates, there is an increasing demand for aesthetic surgery that emphasizes enhancement of natural beauty rather than Westernization. Rhinoplasty is increasingly common, second to blepharoplasty in popularity. A new set of aesthetic standards specific to the ethnic Asian nose is emerging. As standards evolve, so do the methods to achieve them; this is demonstrated by a rapidly expanding scientific literature on the topic.

Though significant variation exists, several features characterize the stereotypical Asian nose: thick skin, low bridge, and a blunted and under projected tip. When these features become disharmonious, tip projection and nasal lengthening can be achieved using a variety of shapes of cartilage grafts from your nose, ear, or rib, and implants when necessary. The deft plastic surgeon must address the cultural values, high demands, and individual goals of his Asian patients. At Z Plastic Surgery we welcome patients from across the world and there is a Mandarin Chinese translator available. If you are interested in exploring this further, call (949) 432-4730 and press option 3 for our Chinese hotline to speak with a Mandarin-speaking physician and schedule your appointment.

At Z Plastic Surgery we treat a wide variety of patients from every ethnic background and respect the anatomic and cultural nuances that exist. In some cases, post-traumatic deformity and botched surgery that affects airway patency may be partially or entirely covered by your insurance. If you are suffering from airway obstruction or a chronically stuffed nose, call us to review your story. If you had previous rhinoplasty and are botched or unhappy with your result, Dr. Zelken will discuss revision options for you. While risks of rhinoplasty surgery increase with a history of nasal trauma or rhinoplasty, we may be able to offer helpful solutions to get your life back on track. Schedule your appointment today for a thorough physical examination and strategic plan.