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Facial Aesthetic Program

UCLA Facial Aesthetic Center

Program Overview

Under the direction of Dr. Jeffrey Rawnsley, The UCLA Facial Aesthetic Center is Southern California's premiere source for treatment to enhance and rejuvenate the appearance of the face, eyes, and neck. The Center is part of the UCLA Department of Head and Neck Surgery and is comprised of full-time UCLA faculty physicians, nurses, and staff dedicated to improving and maintaining your facial appearance. Faculty are trained in facial plastic and reconstructive surgery, and specialize in the latest technology and refinements for minimally invasive procedures and cosmetic facial procedures -- with emphasis on rhinoplasty and hair restoration. Here at the UCLA Facial Aesthetic Center, you can be assured of the quality and expertise that you have come to expect from the Ronald Reagan UCLA Medical Center.

Program Services

RHINOPLASTY

Rhinoplasty is typically performed to improve the appearance of a nose that is excessively large or small, crooked or otherwise out of harmony with the rest of the face. Done correctly, the procedure can improve the patient's appearance and self-confidence. The best results occur when the nose looks entirely natural and does not appear to have been refined via a surgical procedure.

Before rhinoplasty   After rhinoplasty
Before   After

Rhinoplasty is performed to reshape the nose for both aesthetic and corrective purposes. Aesthetic goals may include reducing or increasing the size of the nose, reshaping the bridge and tip, narrowing the span of the nostrils, or changing the angle between the nose and upper lip. Corrective goals may include improving breathing function or repairing a birth defect or injury.

The Procedure
While there is little risk for the patient, rhinoplasty demands a high degree of surgical skill, as it involves changing the delicate bone and cartilage framework of the nose.

The procedure usually takes about two hours, though complicated cases may take longer. During surgery, the skin of the nose is separated from its framework of bone and cartilage. This enables the surgeon to sculpt the underlying structure and remove any irregularities. Once the sculpting is complete, the skin is re-draped to the bone and cartilage. In some cases, tissue may also be added to enhance certain features.

The soft touch rhinoplasty technique that Dr. Rawnsley helped develop respects the structural integrity of the nose and reduces trauma to the underlying bone and cartilage structure. The result is a more natural appearance, with less likelihood of long-term complications.

The "Perfect Nose"
While there is no one perfect nose, there is an ideal nose for each individual.  This ideal is dictated by face shape, ethnicity, age and other factors.  The "perfect nose" creates a balance among the attributes of the face.  back to the top

FACELIFT

Before facelift   After facelift
Before   After
The goal of facelift surgery is to achieve a natural, rejuvenated appearance by removing excess fatty tissue, tightening underlying structures, and smoothing facial skin. The facelift procedure can tighten sagging facial muscles and loose skin on the neck, as well as remove excess fat.

Several different kinds of facelift procedures are available and after a thorough evaluation, Dr. Rawnsley will advise you on the merits of each procedure and help you make an informed decision about which is best given your unique goals, expectations, age and lifestyle.

The Procedure
During face lift surgery, the surgeon begins by making a cosmetic incision around the ear to separate the facial skin from the underlying tissue. Excess fat and skin are removed, and the underlying structures are repositioned and tightened. The facial skin is then carefully re-draped and secured using small sutures.

The procedure is usually completed on an outpatient basis, though overnight accommodations are available. Surgical time and recovery vary depending on the patient and procedure.

Non-surgical "Facelift"
For some specific facial areas and problems, there are non-surgical "facelift" options that can achieve effective results. These include injectables, like Botox and facial fillers, like Restylane and Juvederm.

BLEPHAROPLASTY (Eyelid surgery)

Blepharoplasty rejuvenates the appearance of the eyes by removing and repositioning fat around the eyes and addressing drooping skin of the upper eyelids, minimizing bags under the eyes and tightening the lower eyelid skin.

Before blepharoplasty (eyelid surgery)   After blepharoplasty (eyelid surgery)
Before   After
When done properly, eyelid surgery creates a more rested, alert and youthful appearance. While either procedure can be done alone, upper and lower eyelid procedures are usually performed together.

The Procedure
Upper eyelid surgery involves making a thin incision on the upper lid's natural skin fold, and removing excess skin and fat. Lower eyelid surgery is often performed without a visible incision through the inside of the eyelid, removing protruding fat tissue directly from the inside surface of the lower eyelid.

FOREHEAD/BROWLIFT

The brow and forehead areas are often the first to show signs of aging. Sun, wind and gravity cause the skin to lose its elasticity, leading to wrinkling and a perceived heaviness in this region of the face. A forehead or brow lift is one option for minimizing the effects of these changes on your appearance.

A facial plastic surgeon performs this procedure by tightening the skin in the forehead region, thus reducing the amount of wrinkling in the area and minimizing the appearance of "drooping brows." In some cases, the surgeon may remove a portion of the muscle that causes these vertical wrinkles. The goal of surgery is a smoother, more youthful appearance.

Because of advances in medical technology, endoscopic techniques are now available. These new techniques greatly reduce the length and number of incision as well as scar visibility. Using the technique, the surgeon makes a series of incision immediately behind the hairline. The endoscope is then utilized to remove the muscles that create the wrinkles in this region. The surgeon then lifts the eyebrows to reduce their sagging appearance.

MINIMALLY INVASIVE TREATMENTSback to the top

Botox
Botox is a dilute, purified form of botulinum toxin, which is an extremely effective muscle relaxant. Although Botox is a toxin, it has been shown to have no serious side effects. When Botox is injected into the superficial muscles of the face, it relaxes these muscles and prevents the wrinkle lines caused by squinting, frowning, and raising the eyebrows. Botox is ideal for improving and smoothing the skin between the eyebrows, the lines of the forehead, and the crow's feet area around the eyes. It not only immediately improves dynamic facial lines, it also actually prevents those line from becoming permanently fixed in the skin, and so truly prevents the appearance of facial aging.

ThermaCool
The ThermaCool procedure is an advanced way of tightening your skin, without incisions or recovery time, reducing the signs of aging skin and giving you a more youthful appearance.

The procedure is performed with an advanced radiofrequency device that requires only the touch of a sophisticated treatment tip to your skin. The top layers of your skin are protected with a cooling spray while radiofrequency energy heats the collagen in the lower layers. Collagen is a building block that supports the structure of the skin. Over time, collagen becomes depleted or damaged by the sun or other environmental factors. The results are visible signs of aging, such as loose skin and wrinkles. This heating action causes deep structures of your skin to tighten immediately. Over time, new collagen grows to further tighten your skin and produce a more youthful appearance.

The ThermaCool procedure takes approximately an hour, depending on the size of the area being treated. With each touch of the ThermaCool treatment tip, the collagen contained deep in the layers of your skin is tightened. The ThermaCool procedure is very safe. Most people return to their regular activities immediately following the procedure. There is no special care needed after treatment, but sunscreen is recommended as a part of good skin care. The ThermaCool procedure causes an immediate tightening of the collagen structure with additional tightening over time. Recently published studies show that measurable tightening improvements appear gradually over 2 to 6 months after a single treatment session. However, many patients report seeing an earlier response. Results may last 18 months or longer based on the patient's natural aging process.

HAIR RESTORATION

Hair Transplant Surgery at UCLA 

Before hair restoration   After hair restoration
Before   After
The new concepts in hair transplantation take genetically stable hairs from the back or sides of the head and meticulously redistribute them into receptor sites utilizing only micrografts (grafts with one, two, or three hairs at a time) simulating the way hair naturally grows. At our surgical center, we believe that the transplantation of hair is more than a surgery, it is an art. In essence, the physician is painting a new, individually crafted hairline that appears natural. We also use a feathering technique by placing the fine, single hair grafts at the front of the hairline and then place two or three hair grafts more towards the back of the hairline to add density and fullness. This feathering technique artfully softens the hairline, giving it the natural microvariations that make it virtually impossible to detect. We also take precautions to monitor depth control by expanding limited anesthetized areas, which allow for a more dense appearance.

Corrective Surgery Cases 
Many of the surgeries we perform are corrective in nature. We do corrective surgery for burn and trauma patients, and for poor hair transplants that were performed elsewhere. We also perform transplants for the eyebrows, eyelashes, and any other areas where hair growth is desired. Our dedication to accept challenging cases has given our center a whole new dimension to hair transplant surgeries.

The Procedure
The entire surgery can take anywhere from 4 to 6 hours. We start by injecting local anesthetic into the donor area at the back of the head and then carefully remove your donor hair as a fine strip. This process takes about 10 minutes. Next, the surgeon creates the receptor sites while the experienced surgical staff prepares the grafts from the strips. Finally, the surgical staff will delicately place the grafts into the receptor sites. For almost the entire procedure, you will be able to eat lunch, fall asleep, talk with our surgical staff, or just relax. 
 
Recovery
On the day the surgery is performed, you will be able to resume your daily activities with only a few limitations. These limitations will last for 4 or 5 days and include restrictions on strenuous exercise and heavy lifting. In 10 days you will come back to our office to have the sutures removed from the back of your head. At this time, most of the tiny scabs from the grafted areas will have fallen off and your new hair transplant will be undetectable. You are welcome to wear a loose hat while your scabs are present. In approximately three months, the new hair will start to grow and after six months, you can expect full growth from your transplanted hair. Most people will not realize that you are growing new hair, as new hair growth is gradual and very inconspicuous.

For additional detailed information please visit Dr. Rawnsley's Hair Restoration website.

Contact Us

To schedule a consultation or to learn more about clinical services provided, please call: (310) 570-0244 or visit our website: http://www.drrawnsley.com

 

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