Facial Plastic Surgery
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Boston Medical Center is pleased to provide world-class facial plastic and reconstructive surgery for a wide range of conditions. Located in the state-of-the-art Moakley facility on BMC's main campus in Boston's South End, the team provides clinical excellence and compassionate, coordinated care. Valet parking is also available to those visiting the Center.
Treatments & Services
Rhinoplasty (Cosmetic Nasal Surgery)
Rhinoplasty is a common surgical procedure done to improve the cosmetic appearance of the nose. Occupying the center of the face, the size and shape of the nose has a profound effect on the overall aesthetic appearance of the face. Performed using general or local anesthesia, rhinoplasty is usually done as an outpatient procedure and involves incisions that are made mainly on the inside of the nose. Once the bone and cartilage of the nose has been reshaped, a splint is placed outside the nose to protect and support it throughout the healing process. Most patients require a week to recover and any sutures and splints are removed after one week. We typically ask patients to refrain from any rigorous activity for three weeks after surgery.
Revision Rhinoplasty is typically required when a previous rhinoplasty has not achieved its intended results, or has resulted in unwanted changes to the nose (which can occur over time). These cases tend to be more difficult and often require additional tissue grafting techniques to counteract the scar that has formed from the previous surgery.
Collagen and elastin within your connective tissues naturally diminish with age. Within the cheek, the fat and skin descend from the malar eminence (the cheek bone) starting in the late twenties and early thirties and contributes to the early-aging look most men and women begin to notice in their 40's and 50's. Also referred to as a cheek lift, this procedure targets the midface. Offering a shorter recovery time than a traditional facelift and greater results than injectable fillers, a mid-face lift provides restored volume to the cheeks and a fresher appearance.
Aging is not only limited to the face, loss of elasticity also occurs in the neck. This leads to sagging skin and fat under chin as well as banding of the neck from the underlying muscle. In addition to the traditional neck lift procedure involving incisions behind the ear and a small one under the chin, the minimally-invasive web necklift in performed. This involves less dissection and a quicker recovery time from the traditional approach.
A brow lift is a surgical procedure in which the skin of the forehead and eyebrows are lifted to correct the tired, sagging look of an aged forehead that is a result of the effects of gravity over time. There are many ways to lift the forehead; the most common being an endoscopic browlift. This is done using small incisions and cameras to elevate the tissues. While this avoids larger scars and can involve a quicker recovery, not everyone is a candidate for this type procedure. You and your physician will decide on which approach is best given your facial features, hairline and goals for surgery.
Eye Lid Surgery (Blepharoplasty)
Blepharoplasty is aimed to reduce the excess of the skin of the eyelids as well as any swelling or sagging of the fat around the eye. These common effects of aging can result in a tired or sad facial expression. Some minor corrections in the upper lid can be easily corrected in the office with a little bit of local anesthesia in under an hour. More involved procedures will be done as an outpatient procedure. While most eyelid procedures are performed for cosmetic defects, some individuals experience a loss of their visual fields as a result of overhanging skin.
Chin Surgery (Mentoplasty)
As with all areas of the face, the chin can have profound effects on other areas, such as the forehead and nose. The outpatient procedure involves a small incision either underneath the chin or inside the mouth. If the chin is too large, the bone will be resurfaced in order decrease its size. If too small, specialized implants utilized to give the chin volume and a more defined look.
While hair loss is an affliction that is typically associated with men only, it can affect both sexes profoundly. Hair restoration is very sensitive to technique, where you take the hair grafts, and how and where you place the new hair. This is a surgical technique that moves individual hair follicles from a part of the body called the 'donor site' to a bald or balding part of the body known as the 'recipient site'. Dr. Ezzat is trained and board-certified in techniques that offer the most natural results that eliminate the feared look of "hair transplants".
Scar Revision Treatments
Scar revision is plastic surgery performed to improve the condition or appearance of a scar anywhere on your body. The type of scar you have will determine the appropriate techniques your plastic surgeon will use to improve your scar.
Botulinum toxin, or botox, injections may ease symptoms in some patients with motility disorders.
Injectable fillers are made of injectable biologic agents that are meant to provide bulk or volume to the surrounding tissue. This is technique provides a minimally invasive option to reduce the lines and wrinkles of the face without having to undergo a facelift procedure. These agents can be utilized to give volume to the cheeks and cheekbones, reduce the folds underneath the cheek (the nasolabial folds), give volume to the lips and reduce the appearance of wrinkles.
Providing volume to the cheeks can restore a more youthful appearance to the face. For some individuals, lifting the cheek is not the answer. Instead, fat from the belly, thighs or buttocks can be harvested to inject into the cheeks to provide needed volume. While this is a more-invasive option than fillers, it is less-invasive than lifting and provides longer-term volumization than biologic filler can offer.
Functional rhinoplasty differs from cosmetic rhinoplasty in that in functional rhinoplasty, the goals are altering the anatomy of the nose to relieve nasal obstruction. This typically requires rebuilding the area at the junction between the lower third and middle third of the nose that is responsible for greater than 50% of the resistance to breathing (called the nasal valves), elevating the nasal tip, straightening the nose, or a combination of these procedures. While changes in the appearance of the nose are not goals of the procedure, some may be required as a more proportioned nose results in a more patent airway.
Migraine headaches affect a significant proportion of the population in the United States. These headaches can often be severe enough to completely alter one's ability to perform the most basic tasks essential for everyday living. While the mainstay of therapy is medication based, there are new treatments available to select individuals who suffer from migraines. The goal of migraine surgery is to localize and decompress nerves within the face and neck that have been linked to triggering migraine headaches. Studies have shown these procedures to either eliminate or reduce the severity, frequency or duration of these headaches in select patients.
Advanced Head and Neck Oncologic Reconstructive Surgery
We work in tandem with the Division of Head and Neck Oncology to provide a wide-range of reconstructive surgical options for patients with head and neck cancer and scarring after treatments for thyroid and salivary gland disorders. Surgery on the head or neck to remove cancer or other lesions can result in changes to the normal appearance of the face or facial function. Reconstructive surgery plays an essential role in the treatment process and helps those with head and neck cancer return to a more normal appearance and a higher quality of life.
Repair of Facial Trauma
Damage to the bones or soft tissues of the face from sports injuries, assaults or accidents can be more serious than they initially appear to be. If not addressed in a timely fashion, trauma to the face can lead to visual impairment, numbness, difficulty speaking or chewing and permanent facial deformity. Our surgeons have extensive experience diagnosing and treating facial trauma in order to restore your face to its baseline state.
Sleep Apnea and Snoring Surgery
Snoring disorders can be severe enough to prevent couples from enjoying a restful night together and be a signal that one may also be suffering from a sleeping disorder, such as Sleep Apnea. This is where the airway becomes blocked during the deepest portion of your sleep. This can result in frequent wake-ups, low oxygen levels, and can predispose you to a number of medical conditions, such as pulmonary hypertension. We're able to offer a wide range of procedures to improve for oral and nasal airways. Depending on the level of obstruction, this may entail straightening the septum (the wall separating the left and right nasal passages), functional rhinoplasty, and/or shortening the palate and taking out the tonsils.
Correction of Facial Nerve Paralysis
Loss of movement of the face can be a result of numerous conditions, from cancer to stroke. Depending on the severity, length of condition and patient goals, Dr. Ezzat can sit with you and formulate the appropriate.
Ear Re-shaping Surgery (Otoplasty)
Some children are born with ears that protrude further from the scalp than normal. Otoplasty combines procedures that re-creates absent folds that are normally in ears, reduces the amount of show of the ears by setting them back, and returns the ear to a more anatomically normal position. This is accomplished through an incision behind the ear and stitches are used to hold the cartilage in a new position. This is done as an outpatient procedure.
Microvascular Reconstructive Surgery
Microvascular reconstruction is an advance form of reconstructive surgery whereby tissue with arteries and veins from your arm, leg, chest or back are harvested and utilized to reconstruct your face, scalp, throat or mouth. The microvascular portion involves suturing these small vessels (2-3mm wide) to arteries and veins in the neck to re-establish a blood supply to the tissue. This is a technically demanding procedure that requires the use of a microscope and suture that is finer than human hair. This procedure has been shown to improve outcomes in terms of maintaining the function of the head and neck and better aesthetic outcomes for patients with traumatic and congenital defects or require surgery for head and neck cancer.
Cleft Palate or Cleft Lip Repair
Cleft lip (cheiloschisis) and cleft palate (palatoschisis) are common birth defects occurring worldwide, often individually or together. The incomplete formation of the upper lip (cleft lip) or roof of the mouth (cleft palate) can vary and affect one or both sides of the face. Plastic surgery can be done to correct this abnormality that occurred during fetal development, restoring function to improve a patient's ability to eat, speak, hear and breathe, and to restore a more normal appearance and function.
Skin Cancer Surgery (Mohs) Reconstruction
Mohs surgery removes less healthy tissue than excisional skin surgery. The Mohs surgeon cleans and numbs the area of skin to be operated on. Then he or she removes the visible portion of the tumor and a very small margin of healthy skin. The Mohs surgeon examines the tissue under a microscope for cancer cells. If part of the tumor is still present, the Mohs surgeon carefully maps out the area where the tumor remains and only removes additional skin in the area where the margin shows the tumor. The process is repeated until the tumor is completely removed. This type of surgery is typically reserved for melanomas on the face where it is beneficial to conserve as much healthy skin as possible during surgery.
Waleed Ezzat, M.D., F.A.C.S. is double board-certified in facial plastic and reconstructive surgery and otolaryngology/head and neck surgery and Director of the Division of Facial Plastic and Reconstructive Surgery at Boston Medical Center. He is a fellow of The American Academy of Facial Plastic and Reconstructive Surgery, The American Academy of Otolaryngology/Head and Neck Surgery and The American College of Surgeons. As an Assistant Professor at Boston University School of Medicine, Dr. Ezzat frequently presents and lectures at national and international conferences. He received his training at the University of California – Los Angeles and specializes in cutting-edge techniques in facial aesthetic surgery geared toward producing natural-looking results.
Dr. Ezzat believes that all cosmetic procedures should enhance the appearance of the face – not completely alter it. Just as every individual's face is distinctive and complements the rest of the body, Dr. Ezzat and the Boston Medical Center are committed to providing a patient-centered, specialized approach to facial plastic and reconstructive surgery. Because no two faces are alike, Dr. Ezzat spends time with each patient to develop a tailored approach to improving aesthetics and function. Through the Division of Facial Plastic and Reconstructive Surgery, he offers a wide-range of services, from minimally-invasive injectables to surgical procedures designed to aesthetically enhance the face and neck. Dr. Ezzat also performs Advanced Facial Reconstructive Surgery for traumatic and congenital deformities as well as abnormalities as a result of cancer.
At the initial consultation, patients will meet Dr. Ezzat. After sitting with Dr. Ezzat to discuss concerns or condition and performing a physical exam, Dr. Ezzat will review with the variety of options available to help patients attain the look they desire through a customized treatment plan.
Call 617.414.4980 for more information or to schedule an appointment.
Assistant Professor, Department of Otolaryngology-Head and Neck Surgery, Boston University School of Medicine
Microvascular surgery; Head and neck reconstructive surgery; Facial trauma; Head and neck cancer; Facial paralysis; Facial plastic surgery; Facial cosmetic surgery