Aging around your eyebrows and forehead can cause your facial cues to be misread. For example, your resting face may appear tired, sad or angry. Signs of aging can include wrinkles, a sagging forehead, hooded eyelids, and asymmetrical or uneven brows.

A brow lift—also known as a forehead lift—can “open” your eyes and give you a more refreshed look. As the brows are slightly elevated, the drooping skin above the eye can be lifted, giving you a more vibrant and alert expression. Horizontal wrinkles on your forehead and frown lines between your brows can also be improved.

Many times a brow lift is done in combination with other procedures such as a facelift or eyelid surgery. This outpatient procedure usually takes 1 to 2 hours with either general anesthesia or local anesthesia with sedation. Most patients are back to work in 7 to 10 days.

A recessed chin can give a false impression of timidity or weakness. An underdeveloped chin can also make your nose appear larger and your neckline look shorter. A chin implant can enhance your appearance by giving your chin natural-looking definition and bringing greater balance to your facial features.

The procedure is performed by inserting a solid silicone implant through an incision located under the chin or inside the mouth. Often this surgery is done in conjunction with other cosmetic procedures, such as a facelift or brow lift. This outpatient procedure usually takes 45 to 60 minutes, with either general anesthesia or local anesthesia with sedation. Most patients return to work within 7 to 10 days. Results of this intervention are permanent.

Your eyes can be the most inviting and engaging area of your face. Unfortunately, this can also the first area to show aging. Early aging of the eyes can be hereditary, with excess upper eyelid skin and under-eye bags appearing in our late teens or early twenties.

An eyelid lift can restore youthfulness to your eyes. It can correct drooping upper eyelids and puffy bags below the eyes by removing excess fat, skin, and muscle. Upper eyelid surgery may be covered by insurance if used to correct obstructed vision.

The procedure takes 1 to 3 hours. Temporary side effects can include discomfort, tightness of the lids, swelling, bruising, burning, itching and dryness of the eyes. Patients can read after 2 or 3 days, and they may return to work after 7 to 10 days. Patients may experience excessive tearing and sensitivity to light for the first few weeks. Contact lenses may be used after two weeks or longer. Bruising and swelling will be gone after several weeks.

Results will last several years and are sometimes permanent.

One of the most commonly performed procedures, a facelift will make you appear younger, well-rested and healthy. The procedure is most often done on men and women over age 40.

A facelift improves sagging facial skin, jowls, and loose neck skin by removing excess fat, tightening muscles and then re-draping the skin. The procedure lasts several hours and is typically performed in an outpatient setting. Temporary side effects include dry or tight skin, bruising, swelling, numbness, and tenderness.

Most patients can return to work in 10 to 14 days. Patients with more strenuous jobs can return in 2 weeks or longer. Bruising will last 2 to 3 weeks. Sun exposure should be limited for several months after the surgery.

Results usually last 5 to 10 years.

Sagging skin in your neck area can be due to a variety of factors, including aging, gravity, environmental conditions and stress. When fat under your chin is hereditary, losing weight will not solve the issue. Younger patients may benefit from liposuction to remove fatty tissue under the chin because their tissues have the elasticity to conform to a new, more slender neck contour.

Older patients may benefit from a neck lift. A neck lift is a surgical procedure that improves visible signs of aging in the jawline and neck, such as: Loose neck skin, excess fatty deposits under the chin, muscle banding in the neck, excess fat and skin relaxation in the lower face that creates jowls.

Procedures that can be performed in conjunction with a neck lift, include a brow lift to correct a sagging or deeply furrowed brow; fat transfer to add fullness to the lips and cheeks and reduce the appearance of wrinkles; and eyelid surgery to rejuvenate aging eyes.

Non-surgical rejuvenation treatments cannot achieve the same results as a neck lift but may help delay the time when a neck lift becomes appropriate. If you aren’t ready for a full facelift but are bothered by excess wrinkling of the neck skin, a “turkey wattle” or double chin, and jowl lines, a neck lift may be a good solution.

If you are unhappy with the appearance of your nose, rhinoplasty can help transform your facial profile. Rhinoplasty reshapes the nose by reducing or increasing its size, removing its hump, changing the shape of the tip or bridge, narrowing the span of the nostrils, or changing the angle between the nose and upper lip. It may also relieve some breathing problems (may be covered by insurance).

The procedure typically lasts 1 to 2 hours and is usually done on an outpatient basis. Side effects include temporary swelling, bruising around the eyes and nose, and headaches. Some bleeding and stiffness can occur. Risks are rare, and will be discussed with Dr. Fetter during your consultation.

Patients can return to work after 1 to 2 weeks. Patients with more physically strenuous jobs may return to work in 2 to 3 weeks. You will want to avoid bumps to your nose and sun exposure for 8 weeks. Final appearance could take one year or longer. Results are permanent.

A jaw implant can give you not only a stronger jawline but also a more distinctive profile with greater facial symmetry.

In this procedure, incisions are made on either side of your lower lip to create a pocket where the jaw implant can be inserted. Dissolving sutures are used to close the incisions. The procedure usually lasts 1 to 2 hours. Swelling is sometimes significant immediately following this surgery, usually peaking 24 to 48 hours after the procedure. Although most of the significant swelling will subside over several days, prolonged mild swelling may prevent your final facial contour from becoming apparent for several months.

During the healing phase, your activities and diet will be restricted. Your ability to smile, talk and move your mouth may be limited for several days to weeks following surgery. Dr. Fetter will instruct you about dental and oral hygiene during your recovery.