Description:

Description:

Improvement Focus: Excess upper eyelid skin, cheek decent with jowls, obtuse angle between face and neck with loose skin.

Technique: Cervicofacial Rhytidectomy (Face Lift, Neck Lift), Sub SMAS Dissection and Flap, Platysmaplasty, Upper Lid Blepharoplasty

Patient Story:

This patient is in her mid-sixties and is an artist.  Her husband, a senior hospital system administrator in Austin, Texas, became of aware of Dr. Weinfeld’s interest in advanced facial rejuvenation.  She desired neck contour improvement, reduction of jowls, and restoration or cheek position.  In addition, she wanted to reduce upper eyelid excess skin.  She underwent upper lid blepharoplasties and a facelift with necklift.  She has been very satisfied with the natural yet profound transformation.

Description:

Description:

Improvement Focus: Dorsal Tip, Dorsal Line Irregularities, Tilted Nose, Nostril Asymmetry

Technique: Open Rhinoplasty, Functional Septoplasty, Inferior Turbinate Reduction

Graft Types: Bilateral Spreader, Columellar Strut, Sub-Domal, Bilateral Alar Rim

Graft Source: Septal Cartilage

Patient Story: This patient is a teenage who had breathing difficulty, a tilted nose, and a dorsal hump. She underwent surgery to correct these issues and has been pleased with her results. Her case demonstrates the fact that rhinoplasty can be performed as early as age 12 in women and 13 in boys so long as they are sufficiently emotionally and physically mature. While, this is the minimum age many patients and parents wait until the mid-teen years to undergo these types of procedures.

Description:

Description:

Improvement Focus: Dorsal Hump, Fullness in Nasal-Labial Angle, Tip Shape and Visible Groove

Technique: Open Rhinoplasty

Graft Types: Bilateral Spreader, Columellar Strut, Sub-Domal, Bilateral Alar Rim

Graft Source: Septal Cartilage

Patient Story: This patient originally from South America came to visit Dr. Weinfeld in his Austin office to discuss rhinoplasty. Both she and her mother were very particular about the look that was desired. She wanted her nose to be more delicate and refined. She underwent surgery and was pleased with the results. She later referred her sister, from Washington, D.C., to Dr. Weinfeld to undergo Breast Augmentation.

Description:

4 1/2 months after revision rhinoplasty. She had 2 prior surgeries – this was her second revision. Her first 2 surgeries were not done by Dr. Weinfeld. These type of complex revisions are some of the most challenging surgeries in plastic surgery. Revision rhinoplasties almost always require rib graft which was true in this case. Sometimes ear cartilage is required to create additional details. This patient also had pre revision micro fat grafting to the skin of bridge of the nose (dorsum) in order to prepare it for the third surgery by restoring the natural padding which is protective. Revision goals: smooth the bridge, de-rotate the turned-up tip, lengthen the over shortened nose by rebuilding the lower septum to provide better size balance with the rest of the face. At 4 1/2 months after multiple surgeries we know there is a lot of swelling still present so the results will get even better with more time.

Description:

Description:

Improvement Focus:  Excess upper eyelid skin, cheek decent with jowls, obtuse angle between face and neck with loose skin.

Technique: Cervicofacial Rhytidectomy (Face Lift, Neck Lift), Sub SMAS Dissection and Flap, Platysmaplasty , Upper Lid Blepharoplasty, Fat Grafting to Traumatic Left Cheek Defect

Patient Story:

This patient is Physician from Austin, Texas in his early sixties who was referred to Dr. Weinfeld due to his experience in fat grafting.  The patient had experienced trauma to the left cheek with soft tissue loss from a car accident.  A plan fat grafting to fill the tissue void was made.  The patient underwent one round of fat grafting then elected to undergo a face and neck lift and upper lid blepharoplasty.  The blepharoplasty technique had to be modified to accommodate for tissue changes due pre-existing scars from the crash.  He has been very happy with his results.

Description:

Description:

Improvement Focus: Dorsal Hump, Tip Shape, Tilted Nose

Technique: Open Rhinoplasty, Functional Septoplasty, Turbinate Reduction

Graft Types: Bilateral Spreader, Columellar Strut, Sub-Domal, Bilateral Alar Rim

Graft Source: Septal Cartilage

Patient Story: This patient is a European Model currently living in Arizona. She had difficulty breathing due to septal deviation and turbinate hypertrophy but also desired natural improvement in the shape of her nose. She flew to Austin to undergo a consultation with Dr. Weinfeld and then returned later to undergo her surgery. Dr. Weinfeld’s office concierge approach to patients from out of town helped facilitate a comfortable visit to the Central Texas area.

Description:

Description:

Improvement Focus:  Excess upper eyelid skin, cheek decent with jowls, obtuse angle between face and neck with loose skin, prior and poor quality “lifestyle lift” scars, and weak chin.

Technique: Secondary Cervicofacial Rhytidectomy (Face Lift, Neck Lift), SMAS Plication, Platysmaplasty , and Precise Fat Micrografting to the Upper Cheek, and Fat Grafting  Mini Chin Augmentation Special note:  This patient wishes to retain some anonymity by revealing only the lower half of her face.

Patient Story:

This patient is a nurse from Leander, Texas who can to consult with Plastic Surgeon Dr. Weinfeld in his Austin office to discuss options for facial rejuvenation.  She had previously undergone a “Lifestyle Lift” by another physician and was not satisfied.  She was left with noticeable scars, especially behind her ears (not pictured), and no correction to her neck.  She underwent a Secondary (repeat) Facelift / Necklift.  SMAS plication technique was used due to the history of a prior facelift.  They platysmaplasty and precise direct fat sculpting in the neck yielded a profound transformation in her neck.  Her diminutive (weak) chin was subtly enhanced with a Fat Transfer Mini Chin Augmentation.

Description:

Description:

Improvement Focus: Dorsal Hump, Poor Tip Projection, Boxy Tip

Technique: Open Rhinoplasty

Graft Types: Bilateral Spreader, Columellar Strut, Sub-Domal, Bilateral Alar Rim

Graft Source: Septal Cartilage

Patient Story: This is young woman who traveled over six hours to Austin, Texas to consult with Dr. Weinfeld due to his experience with Latina /Latino Rhinoplasty. She desired improvements in the shape of her nose but also had difficulty breathing. She underwent a procedure that addressed both the functional issues and the aesthetic concerns. She has been very happy with her results.

Description:

Description:

Improvement Focus:  Excess upper lid skin, lower lid bags and wrinkles, sagging cheeks, jowls, excess neck skin.

Technique: Cervicofacial Rhytidectomy (Face Lift, Neck Lift), Sub SMAS Dissection and Flap, Platysmaplasty , Upper and Lower Lid Blepharoplasty

Patient Story:

This patient is a recovery room nurse who new Dr. Weinfeld personally from his work in the hospital.  She had several children and thus several grandchildren but did not want to look or feel like a grandmother.  She desired Comprehensive Facial Rejuvenation and after a consultation with Dr. Weinfeld in his Central Austin office decided that the best combination of procedures would be facelift, necklift, upper and lower blepharoplasty.   She underwent her procedure, her recovery was rapid, and she returned to work in less than two weeks.

Description:

Description:

Improvement Focus: Dorsal Over-projection, Dorsal Width, Dorsal Irregularity, Tip Width and Shape, Short Nose, Major Septal Deviation

Technique: Open, Utilization of PDS Mentor / Johnson & Johnson Absorbable PDS Structural Sheet, Alar Base Reduction

Graft Types: Bilateral Spreader, Columellar Strut, Sub-Domal, Bilateral Alar Rim

Graft Source: Septal and Costal Cartilage

Patient Story: This patient is a nurse who is employed in the same practice as Dr. Weinfeld in Austin, Texas. While she does not recall a specific trauma, she had several misshapen elements to her external nose and severely deviated septum. Her goals related to both functional change and appearance change. She underwent a complex rhinoplasty. Do to complete derangement of her septal cartilage it did not provide the grafting material that was required for restructuring of her nose. Thus, rib cartilage was harvested to help provide additional material to make the required grafts. Additionally, an absorbable structural sheet was used to provide internal support as the tissues healed. She has been very pleased with her improved form and function.