Dr. Epstein does specialize in brow lift procedures as well as, essentially, all facial plastic surgery procedures. As far as payment options for the procedure, all of our patients can either (a) pay with cash, (b) pay with credit cards which includes Visa, Master Card, American Express or Discover, or (c) they can use one of two payment options through outside finance companies. Those two companies are www.chasehealthadvance.com which offers a 12-month, 0% interest plan and www.carecredit.com which offers 2 years, 3 years, 4 years or 5 years with interest.
A facelift that is a year old should be looking perfectly normal by now. I like my facelift patients within three to four weeks to have a natural look to them. If it has been a year and you still have a surprised look, I would say that you definitely have a problem and you are looking at your final results. The facelift will loosen up but it will loosen up over years as happens with natural aging that goes on after a facelift. If you are not happy with how you look, my suggestion is to consult the surgeon to see about corrective surgery. A good many times a bad facelift can be corrected and you can look much more natural and not have to sit biting your nails waiting for it to loosen up on its own.
If you really are only having a blepharoplasty on one eye and for some reason you have significant asymmetry in this area, there would be a fee reduction for doing less surgery. However, you have to be careful. Many people who think they have an asymmetry and only need one blepharoplasty really suffer from something called a brow ptosis or eyelid ptosis and there is a dehiscence in the muscle of the eyelid called the levator aponeurosis, which is responsible for holding up the eyelid symmetrically with the other eye, in which case you may need to have this addressed more so than a blepharoplasty.
Rhinoplasty is a very difficult operation if not done by an experienced surgeon. However, a good and experienced surgeon can both make an appropriate change to correct a particular problem and leave a person with the original character of their nose. I particularly like patients to have a change in what seems to be bothering them but I like the nose to be consistent with their facial shape and with the personality and character of that individual patient. To answer your question, yes the nose can be straightened without changing the shape too much.
It sounds like you are describing a problem that would best be solved by blepharoplasty. However, sometimes a small brow lift, even a small lateral temporal incision brow lift, can add to the blepharoplasty to give you a complete and improved look. However, again, if most of the drooping appears to be below your eyebrow area then most likely the problem can be solved with a blepharoplasty. If the eyebrows themselves seem to be hanging down, then you need to consider that as an option and have some form of brow plasty done.
One injectable material that is used in this case is called Sculptra. Sculptra can last for over a year and can work very well to fill out a hollowed area. Also, Juvederm 2 which does not last quite as long can also be injected in this particular area, fill out the area and look fine.
If you have a weak chin and what is often referred to medically as a micrognathia and you place a chin implant for chin augmentation, it will certainly enhance your profile and may also be visible from the front of your face as well. Depending upon whether you use a short implant or a long implant, you can either make the chin more pointed from the front or more squared-off looking from the front. Again, the overwhelming change will be from the profile, however there is a visible change from the front also.
Botox and Juvederm are different medications. Botox is a neurotoxin that is used to relax the muscles and removes wrinkling by relieving muscle tension. Juvederm, on the other hand, is a filler that relieves the visibility of wrinkles by filling them. Juvederm is temporary as is Botox, and while Botox works very well for chronic muscle tension in the forehead, between the eyes and the upper nose area and sometimes around the lateral canthal areas on the outside of the eyes, Juvederm works best in nasolabial folds around the lips and around the corners of the mouth.
If you have very flat cheeks and you want nice high cheek bones, by far the best way to deal with this is to place an implant in the area. There are some very good implants and if they are done symmetrically they can be inserted and look very natural, be permanent and have very little risk involved with them. However, if someone has only a minor problem and is not that interested in having surgery with an implant, there are a number of fillers that are long lasting that can be used in this area. One filler in particular is called Sculptra. Also Juvederm Ultra 2 lasts for a reasonable length of time and can be used in this area.