Procedures performed at The Center for Facial Plastic Surgery

Many procedures are available but the most important first step is to determine the right procedure for you.  A personal consultation with Dr. Sclafani is critical to determining this. What can you do to make your consultation as valuable as possible? Focus on your face. By that, we mean carefully analyze your face. What feature(s) would you like to change, and which do you like? Patients sometimes find this hard to define, and simply say they don't like the way they look in photographs. Examine the photographs- is it more the frontal view or the profile? Examine specific areas in detail.

Evaluate your forehead, including the eyebrows.

• Is your hair thinning or receding?

• Are there forehead creases or wrinkles?

• Do the brows seem to crowd and shadow the eyes?

Next move to the eyes themselves, and look at the upper eyelids first, then the lower lids.

• Is there excess skin hanging down?
• Are there bags or shadows?
• Are there fine wrinkles or "crow's feet"?

Next, look at the midface, including the cheek, ears and nose.

• Are the cheekbones strong and defining, or have the tissues sagged and left you with a hollowed, tired appearance?
• Do your ears "stick out" or are they so prominent that you style your hair to cover them?

Examine your nose.

• Does it seem too big or too small for your face?
• Is there a "bump" on the bridge, is the nose twisted or does it appear too wide for your face?
• Is the tip too broad or too thick for the rest of the nose or face?
• Can your breathe comfortably from both sides of your nose?

Finally, examine the lower part of your face and neck.

• Are there creases, folds or fine lines around the mouth or chin?
• Would you like to have a stronger chin?
• Have you developed jowls?
• Is your jawline as defined as it had been?
• Is your neckline not as defined as you'd like, is there a fatty accumulation under your chin, or have you developed "bands" in the neck?

Examine your skin.

• Are there blemishes, growths, creases, folds, or wrinkles?

This exercise not only helps you define the areas you want improved, but also reinforces the many good features about your face. Patients are often overwhelmed by the changes they would like to make, and overlook their good facial features. Recognizing the good as well as the bad is crucial to planning appropriate surgery.