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Ear Surgery (Otoplasty) How is otoplasty performed? There are several surgical procedures which are designed to bring the ears closer to the head. A basic procedure involves folding the cartilage and using sutures to keep the folds together. After reshaping the cartilage, the incisions are closed with small sutures, and the ears are covered with bandages. Otoplasty can be performed under general anesthesia in which the patient is put to sleep or under local anesthesia in which the areas are numbed and the patient remains awake but sedated under the supervision of the anesthesiologist. What can be expected following surgery? Pain or discomfort connected with otoplasty,usually minimal, is controlled by medication when necessary. Bandages are removed within a few days and may be replaced by a somewhat lighter dressing which is worn for several weeks. Scars from At what age should otoplasty be performed? Otoplasty may be performed on anyone over the age of five or six years old when ear growth is almost complete. For those children with severely protruding ears, it is recommended that the surgery be performed at an early age before they are subjected to psychological stress related to the condition.
Nasal Surgery (Rhinoplasty) What is rhinoplasty? Rhinoplasty is a surgical procedure in which deformities of the nose are corrected by removing, rearranging or reshaping bone or cartilage. Prior to the surgery, careful What can be expected following surgery? Discomfort associated with the procedure is usually minimal and may consist of a slight headache, which is easily controlled by medication. If bruising around the eyes occurs, it will begin to fade within a few days. Dr. Rosenberg encourages his patients to start using Arnica montana, a homeopathic remedy which is very effective in preventing and treating bruises, the day prior to surgery and to continue for three days following surgery. All discoloration usually disappears within a week or so. Swelling around the treated area is to be expected and will slowly diminish. However, some slight swelling may be present for as long as two or three months, and final results may not be apparent for up to one year. Patients are usually up and around the day after the procedure, however patients are encouraged to refrain from returning to vigorous exercise for at least two weeks. How much improvement can be expected from this procedure? The amount of improvement is individual and depends upon the extent of the surgery. In some cases, as when a badly misshapen nose is reconstructed, dramatic results may be obtained. The removal of a slight bump, on the other hand, may produce very subtle yet satisfying results for the patient. Prior to surgery, Dr. Rosenberg and the patient will discuss the desired objectives of the surgery and how the nose should look in relation to the patient's other facial features. He will then plan the procedure with these goals in mind, using digital photography and computerized morphing technology to help the patient understand which changes are possible and to help communicate these potential changes visually in addition to verbally.
Eyelid Surgery (Blepharoplasty) What is Blepharoplasty? Blepharoplasty is eyelid surgery which involves removal of fat and excess skin and muscle from the upper and lower eyelids. This type of procedure is generally used to correct drooping or puffy eyelids. It does not correct crow's feet lines, droopy eyebrow skin or dark pigmentation of lower lids. How is it performed? Prior to the surgery the eyelid skin will be marked for incisions. The incisions are made in the fine creases along the eyelid. A local anesthetic is generally applied to control local bleeding and bruising. The patient is placed under intravenous sedation for this procedure, although sometimes it is preferable to use general anesthesia. A thin crescent of excess skin is removed, muscle and fat deposits may also be removed. The lower eyelid incisions are placed just below the eyelash line. Very fine sutures are used for both sites. What can be expected following surgery? Recovery will depend upon whether or not this procedure was done alone or in combination with a browlift or facelift. After surgery the area around the eye will be mildly swollen for up to two weeks. Cold compresses (light weight) should be applied and the head should be kept elevated. Eye rest is recommended. Eye antibiotic drops may be prescribed. Pain medication and oral antibiotics may be prescribed. Sutures are generally removed after 4-5 days. Make-up can be worn after 10 days and contact lenses after about two weeks with doctors approval.
Facelift (Rhytidectomy) How is rhytidectomy performed? The basic facelift is a procedure in which facial and neck skin and muscles are tightened. The surgery can be performed under general anesthesia in which the patient is put to sleep or local anesthesia in which the area is numbed and the patient remains awake. The surgeon, working on one side at a time, makes small incisions inside the hairline at the temple, around the front of the ear to behind the earlobe and up to the scalp. Loose skin is separated from underlying tissue and is pulled up and back, and excess skin is removed. Connective tissue and sagging muscles are tightened, and in some cases, fat deposits are removed from beneath the chin and neck. Tiny sutures are used to close the incisions. Scars from the sutures are, for the most part, inconspicuous, because the incisions are hidden within the hairline and the natural creases around the ears. After surgery, loose bandages are applied to the area. These are removed within a few days. What can be expected following surgery? Rhytidectomy has been improved over the past few decades and is considered a very safe as well as successful procedure with relatively few risks involved. Pain medication is rarely necessary, but is given should the need arise. A tightness or numbness of the treated area may also be present for a while, but this is self limited. For several weeks after the surgery, patients are advised to minimize exposure to the sun as much as possible and to wear sunscreen when going out of doors. What kind of improvement can be expected? It has been said that a facelift can make an individual look five, even ten years younger, however the amount of improvement varies and depends upon the initial condition of the patient and the extent of surgery. In most cases, a single procedure will achieve the desired results while in others, additional procedures may be indicated. Most patients who have had a facelift have been delighted with their more attractive, younger appearance.
Facial Implants
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Areas of the face and neck can be enhanced or refined for both women and men using surgical procedures and other ancillary services such as chemical peels and micro-dermabrasions. 
the incisions are, for the most part, inconspicuous because they are made within the creases of the ears. Although patients are usually up and around one or two days after surgery, the decision as to when normal activities can be resumed is determined during the first few postoperative visits and is based on the extent of surgery and the patient's healing process. 
examination as well as photographs of the nose help to plan the appropriate procedures to obtain the desired cosmetic and functional results. The surgery can be performed using local anesthesia in which the area is numbed and the patient remains awake or under general anesthesia in which the patient is put to sleep. For most corrections, an incision is made inside the nose through which the surgeon works to reshape its contour. Following the surgery, which lasts from an hour and a half to two hours or more, a lightweight splint is applied to maintain the new shape of the nose. The splint is usually removed within 7-10 days following surgery. If work is done on the nasal septum, nasal tampons (pads) may be inserted at the time of surgery to protect the septum, the dividing wall between the two chambers of the nose. This packing is removed within a day or two. For cosmetic rhinoplasty, Dr. Rosenberg may place temporary tampons, but these are removed prior to discharge home. 
eyes, even with a good night's sleep. Blepharoplasty or eyelid surgery can help to restore more youthful, well-rested and energetic look to such individuals. 
the traditional method and the more recent endoscopic browlift. The endoscopic approach provides an indirect approach of repositioning the scalp in an upward direction. 