Rhinoplasty (nose)

Side view of Dr. Severinac's rhinoplasty patient

The nose is central to the appearance of the face. Changing the shape and size of your nose may be something you have wanted to do for a long time.   In Fort Wayne, Dr. Severinac is only one of two plastic surgeons performing rhinoplasty.  The reason for this is most plastic surgeons are not comfortable with performing rhinoplasties.  The procedure requires a keen knowledge of  craniofacial anatomy and an artistic understanding of the cosmetic issues in a given patient.  Dr. Severinac had additional training in craniofacial surgery.  This training is crucial for plastic surgeons performing rhinoplasty.

Dr. Severinac can help you realize your goals, starting with an imaging program. He can manipulate your picture on a computer screen to reveal your possibilities for a more aesthetically pleasing nose. During rhinoplasty,  incisions are made along the rims of the nostrils and through the collumella to avoid visible scarring.

The bone and/or cartilage are then sculpted for the desired look. Breathing problems can also be treated during rhinoplasty by septoplasty and turbinectomy.   Nasal tip rhinoplasties can often be performed in our office surgical suite with local anesthesia and oral sedation.  Rhinoplasty or Nose Job in Fort Wayne, Indiana... it's time to look and feel your best!

Face and Neck Liposuction

Dr. Severinac's before and after liposuction case.

Are you developing your mom's chin or your dad's jowls?  We have an answer: face and neck liposuction.

The lower face, jowls and neck can have excess fat deposits that can often be handled easily through power assisted lipoplasty and tumscent technique liposuction.  If the skin is not too loose, this may be just the procedure to  directly remove that unwanted fat.  The procedure is performed in the office under local anesthesia and oral sedation saving recovery time and cost.  Sometimes, this procedure is performed with other facial plastic procedures like the Face and Neck lift.

There have been emerging technologies for liposuction.  Dr. Severinac uses the powered assisted lipoplasty or PAL device.  This moves the cannula (thin tube inserted into the tissues for liposuction) in rapid occilating fashion.  This allow the surgeon to concentrate on sculpting while alowing the PAL device do the work.  Other technologies such as ultrasound and lasers are available but Dr. Severinac feels that they do not add any advantage but do add risk of skin burns and are much more expensive.  Please see a Wall Street Journal article on Smart Lipo to learn more.

Please contact us for more information or to schedule a consultation.   Take a look at our video archives to see Dr. Severinac talk on our practice philosophies, to see our office for testimonials and more.

Forehead Lift

Lines on the forehead and between the eyebrows can contribute to a sad, angry, tired, or aged appearance. A forehead lift can smooth these areas and take years off your appearance, giving you a more refreshed look. The forehead lift can be done through incisions in the forehead, at the hairline, or above the hairline.

For younger patients whose expressive nature has left brow wrinkles and some sagging, an endoscopic forehead lift is often the best approach. An endoscope (a slender, lighted tube with a miniature camera attached) is inserted into the incision and used to help lift the skin and remove some of the underlying muscles causing these wrinkles. Forehead lifts are often combined with other facial cosmetic procedures, including face and neck lifts and eyelid lifts.

If your brow is heavy, Dr. Severinac has developed a Forehead Lift as a local procedure with oral sedation.

Please contact our practice today.  See our video archives to learn about Dr. Severinac, our practice philosophies, our patients, and our results.

Eyelid Lift (Blepharoplasty)

Are you tired of everyone asking, “Are you tired?” Droopy, puffy eyes and eyelids can make you appear older and more worn out than you feel. Eyelid surgery can restore the skin around your eyes to its natural, youthful appearance and drastically reduce the signs of aging. During the eye lift, inconspicuous incisions are made along the eyelid creases, and excess fat, muscle, and skin are trimmed away from the eyelid. The remaining tissue is then lifted and carefully secured in place. Vision that is obstructed by drooping upper eyelids can also be corrected.

The eyelift or blepharoplasty procedure is typically performed in the office surgical suite with oral sedation and local anesthesia Dr. Severinac has developed into an affordable procedure with great results. If you would rather hear people say "you look so young" when they see you, not even knowing you had an eyelid lift, contact us today for more information on blepharoplasty.

Face and Neck Lift

If the skin on your face, under your chin or on your neck has begun to sag, you might be an excellent candidate for a face and neck lift or rhytidectomy. Dr. Severinac considers a face and neck lift to be one and the same. The vector of skin pull required to properly tighten the skin of the cheeks and neck should be over the jaw and onto the cheeks, as well as toward the area behind the ear.

Dr. Severinac was the first in the region to offer the Threadlift  and Contour lifts.  He found that although these procedures gave good results, they only lasted one to two years because there was no skin removal.  He then combined the absorbable ribbons of the RibbonLift with the face and neck lift and hence; the Ribbon Assisted Face and Neck Lift.  This procedure gave long lasting results.  Dr. Severinac now uses a combination of sutures to sustain a deep tissue suspension taking the tension off the skin closure to give a long lasting result.

During the procedure, discreet incisions are made along the side burns, and around ears.  The skin is elevated off the underlying tissues in the cheeks and neck.  Dissolving sutures placed to suspend and support the deeper tissues in the cheek elevating the jowls and nek tissues.  A considerable amount excess skin is removed from the cheek and neck from in front below and behind the ear.  The skin is meticulously repaired with under the skin fine sutures with minimal tension because of the deep tissue suspension.  Excess fat is often removed from the jowls and below the chin with liposuction.

Dr. Severinac places his incisions so they are inconspicuous even with the hair pulled up. Facelifts are commonly performed in conjunction with other surgeries such as forehead lift, eyelid lift, liposuction, and lip dermabrasion for even more beautiful results.

 

Local Anesthesia

Like most facial plastic procedures, a face and neck lift can be performed with oral sedation and local anesthesia saving time and cost!

For further information about how face lift surgery can help you face the future with the look of your past, please contact the Indiana Plastic Surgery Center today.

Oral Sedation and Local Anesthesia

Most of our facial plastic surgery procedures are performed with oral sedation and local anesthesia.  A powdered sedative is placed under the tongue about 30 minutes prior to the procedure.  This does not make the patient "go to sleep" but gives them a calming effect.  Next, the local anesthetic is placed in the tissues were the procedure will be done.  The only uncomfortable part of this process is the local anesthetic injections.

Dr. Severinac is known for his gentle touch and ability to place local anesthetic with minimal discomfort.  With our comfortable table positioning and calming music, patient's do wonderfully and walk out of the office moments after the dressing are placed.  No recovery room, no "waking up" from a general anesthetic, no prolonged weak feeling following a general anesthetic. Oral sedation with local anesthesia is the way to go!

Another benefit of oral sedation is the low cost.  We are able to save our patient's thousands of dollars in outpatient surgical facility and anesthesia fee making our facial plastic surgery costs often more than half!

Computer Imaging Technology

Indiana Plastic Surgery Center offers advanced computer imaging during consultations to assist patients in visualizing their possible surgical outcomes.

This imaging is especially helpful for those patients considering facial plastic surgery, particularly rhinoplasty and facial implants. During your initial exam, before pictures will be taken and Dr. Severinac will scan your photo into the imaging software. He then sits down with you in his private consultation room and manipulates the image to show you an approximation of your appearance following surgery.

While no computer program can simulate all the variables of your individual face (such as skin elasticity, blood supply, underlying bone structure, and healing capacity) or guarantee results, computer imaging does provide the patient and doctor a way of getting on the same page in terms of goals and expectations.

If you would like to learn more about computer imaging at Indiana Plastic Surgery Center, contact us today!