THE COMBINATION FACELIFT is a new procedure that we offer to rejuvenate the face by smoothing and firming the jowls along the jawline as well as lift and firm the sagging skin of the neck. It is similar to a full facelift except that the incision in the temporal hairline is avoided which minimizes risk. The muscle layer is tightened just as in a full facelift and there is less distortion of the sideburn area with the modified skin incision. The procedure can be performed safely and comfortably in the office under local anesthesia, takes about an hour and a half to perform, and the patient can drive themselves home afterwards. With the limited approach there is less bruising and discomfort and costs approximately half that of a full facelift performed in the operating room. To see more about this procedure double click on COMBINATION FACELIFT.
	THE ANTERIOR NASAL SEPTAL GRAFT is a new grafting technique developed by Dr. Orisek which restores projection of tip of the nose in people who have short, "pug-like" noses or have undergone excessive resection of the nasal cartilages by other surgeons which results in a "polly-beak" defomity. A large portion of Dr. Orisek's practice is devoted to reconstruction/revisional rhinoplasty surgery to correct poor surgical results performed by other rhinoplasty surgeons. This paper has been submitted and is in review for publication.
	CO2 LASER RESURFACING vs. CHEMICAL PEELING OF FACIAL WRINKLES. A recent article in the Archives of Otolaryngology-Head & Neck Surgery, October, 2000 concluded that phenol chemical peeling is as effective as laser and in some cases, results in less risks including less skin bleaching, less periods of postop discomfort and shorter periods of post-treatment redness. FAT CONSERVATION BLEPHAROPLASTY is a new twist in rejuvenating surgery for aging eyelids. In some patients, a deep grove or "tear trough" deformity develops at the medial portion of the lower eyelid as a result of fat resorption and fat protruding from the lower eyelid. This can be corrected by redistributing the lower eyelid fat from the orbital cavity downward as a "fat-flap" to fill the tear trough deformity instead of removing and disposing, which is the usual practice; thus fat is conserved and only re-arranged to smooth the contour of the eyelid and cheek region.

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