|
|
|
|
|
|
Examples of some of Dr. Scaccia's surgical results.
All photos are untouched and shown with patient's permission.
|
Chin Implant and Necklift
|
before
|
after
|
before
|
after
|
Early ten day postoperative result of a 22-year-old man who desired aesthetic improvement of his congenital fat hypertrophy of his neck and small chin. Despite being in good shape and normal weight for his height, the patient had excessive fat collection in his lower neck which has been present since his teen years and has progressively worsened. The patient desired a strong chin and for that reason a customized small wraparound chin implant was placed through an external incision. The apex of the implant was shaved slightly to have it fit more exactly into his profile. Also through the same under the chin incision, liposuction was done throughout his neck; however removal of superficial fat was not sufficient for creating the profile that we desired. It was determined intraoperatively that the patient’s obtuse neck angle and fat hypertrophy was mostly related to deep fat deep to his platysmal. For this reason, sub-platysmal fat was dissected out under direct sharp dissection through the one inch submental incision. His platysmal neck bands were then sutured to help tighten the platysmal and create a nice sharp neck angle. Even at ten days, his incision is barely visible. Over the next few months, the swelling around his chin should subside to produce an even better profile. In addition, the swelling around his mandible and angle of the mandible should subside to produce an even better contour of his jaw and neck. The patient also suffered from nasal obstruction secondary to septal deviation and turbinate hypertrophy and this was corrected simultaneously with an excellent improvement in his nasal air flow.
|
before
|
after
|
Neck Liposuction |
before
|
after
|
Five month postoperative views of a lady who underwent liposuction of the neck and lower eyelid contouring. As can be seen on the profile, her submental neckline is much smoother with a sharper angle. The neck liposuction was all done through a small quarter-inch incision in the submental crease underneath the chin. There is no evidence of any scarring. No open neck procedure was necessary. No incisions behind the ear or in front of the ear were necessary and the skin redraped nicely to give her a more youthful, pleasing contour. Also note her more youthful upper and lower eyelid contours as excessive skin and fat bulging was also removed at the same time.
|
Rhinoplasty/Liposculpture/Injectable Procedures
|
before
|
after
|
before
|
after
|
Two month postoperative result that demonstrates the remarkable transformation that can occur in a highly motivated individual who undergoes a combination of successful plastic surgical procedures and follows a strictly regimented diet and exercise program. Surgically, the patient underwent a reconstructive rhinoplasty utilizing the open approach so that her asymmetric drooping tip could be lifted in a more prominent, symmetric, and aesthetically pleasing position. As noted in the preoperative pictures, her nostril openings were completely absent from the frontal view whereas now some visualization of the nostrils, which is desired, can be seen. In addition, her flaring nostrils, especially on the left side, were corrected with a Weir excision. The twisted C-shaped deformity of her nose is now straight in the midline. On her profile, however, we can see that there is too much nostril/columella show preoperatively and this was decreased to compliment her now more defined, stronger tip that stands apart from a lowered, more streamlined dorsum as some bony cartilaginous hump was removed. In addition, meticulously performed neck and jaw liposuction/sculpture was done in order to refine her neck. This was all achieved through a quarter inch incision placed in her submental, under the chin, skin crease. No facelifting or other invasive type procedure was necessary as her skin retracted quite well to her underlying bone structure. Good results for this portion of her surgery was already being seen after a weekend length of time. Losing weight in the postoperative period also positively impacted her final results and is obviously partially responsible for her final outcome and its importance should not be ignored. During the same procedure, the patient also had radio surgical ablation to remove small vessels of her cheeks and to remove small protruding lesions on her chin and other areas of her face. As can be seen in her postoperative pictures, the tone of her skin is more even and healthier appearing. The patient also underwent a small amount of Juvoderm injection to her to add some more pout and bulk to her upper and lower lips. Finally, some Botox was injected in the glabella and forehead regions to further smooth her forehead and to allow for some eyebrow elevation which is especially noted on her three-quarter view. The patient's breathing was significantly improved by simultaneously performing a septoplasty and turbinectomy during the rhinoplasty procedure.
|
before
|
after
|
|
Neck Liposuction
|
before
|
after
|
|
Very early 10-day post-operative result of a young male who underwent neck liposuction only through a quarter inch incision underneath his chin. As can be seen especially in the lateral and three-quarter views, even at this early post-operative period his neck and jaw demonstrate a much more defined and youthful appearance. Facial hair in the post-operative pictures hinders some of the result but the improvements are still obvious. His neck will continue to heal and improve in appearance over the next several months.
|
|
before
|
after
|
before
|
after
|
|
Neck Liposuction
|
before
|
after
|
|
Two-month post-operative views of a young lady who underwent liposuction of the neck only. Only one incision (1/4 inch) under the chin was utilized in this particular case. No skin was removed because of her youth and excellent skin elasticity. Very significant results were obtained as depicted in the post-operative views. Especially note in the three-quarter view the more defined jawline. This was obtained by liposuctioning fat from her chin all the way back to the angle of her mandible. Proper placement of the cannula and taking just the right amount of fat allowed for a very natural yet aesthetically pleasing result.
|
|
before
|
after
|
before
|
after
|
|
Neck Liposuction
|
before
|
after
|
|
Two month post-op view of a patient who underwent neck liposuction only utilizing one-quarter inch incisions hidden behind each ear and underneath the chin. No skin removal was necessary as adequate tightening occurred during the healing process.
|
|
before
|
after
|
|
Chin Implant and Neck Liposuction
|
before
|
after
|
|
Nine-day post-operative result demonstrating a patient with a congenitally weak/recessed chin. As demonstrated on the lateral pictures, the patient was also exhibiting early signs of aging/jowl formation along her jaw line. For this reason, augmentation mentoplasty/chin augmention was performed with an extended mandibular contouring chin implant that also added projection to the area right in front of the jowls to diminish the appearance of the jowls while simultaneously adding projection to the chin. As noted on the frontal shots, her face appears more balanced with smoother skin along the chin and jaw line. Liposuction also assisted in allowing for a longer, more youthful jaw line/submental plateau.
|
|
before
|
after
|
|
Weekend Neck Lift
|
before
|
after
|
Patient underwent neck liposuction and placement of small chin implant. Very minimal swelling seen at four days after surgery. Often referred to as "weekend neck lift," since recovery time is usually very quick.
|
|
Weekend Neck Lift
|
before
|
after
|
|
Six month post-op result of isolated neck lift procedure. No around the ear facelift incisions made. Fat removal and neck muscle tightening done through 1-inch incision hidden under chin. Note improved contouring of jaw line. Not a true "weekend procedure" since most swelling took about a week to resolve.
|
|
|
|
|
|
Neck Lift
|
before
|
after
|
|
Six month post-op result of neck liposuction and placement of small customized chin implant. All work done through small incision under chin and 1/4 inch incisions behind ears. Facelift will be required in the future to correct mildly sagging jowels and cheeks.
|
|
|
|
|
|
