Dr. John Dr. John H. Joseph is a Facial Plastic Surgeon who has a prominent practice in Beverly Hills and is an Assistant clinical Professor at UCLA. He specializes in Aesthetic Facial Plastic Surgery but is also involved in congenital and traumatic facial reconstructive cases. Read more
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Rhinoplasty (nose)


Obstructions in the nose that cause breathing and sinus problems and deformities of the nose such as a hump on the top or a nose that is too long or too wide can be corrected by a rhinoplasty. A rhinoplasty can be performed in conjunction with reconstructive nasal-septal surgery to relieve obstructions inside the nose. This operation is known as a septorhinoplasty. Incisions are placed inside the nose so that no scarring can be seen. Rarely, a small incision may be required across the skin between the nostrils. Most patients have packing inside their nose when they leave the surgery center which may be removed by a member of Dr. Joseph's staff the following morning. There will be a small cast on the nose for approximately 7 days which will be removed on the patient's post-operative visit. Rhinoplasty surgery is performed at Brighton Medical Corporation, a certified out-patient surgical center . These procedures can be done under a light intravenous sedation but may be done under general anesthesia. The patient is required to have a competent adult pick them up from the surgical center and stay with them the first night. Surgical fees, pre-operative and post-operative instructions are given at the time of the consultation and the patient is responsible for reading these instructions thoroughly prior to surgery.






Rhytidectomy (Facelift)

As one ages, the skin of one’s face and neck loosens and, gradually, we begin to see wrinkling around the eyelids, face and neck. These changes are the result of the aging process (loss of facial volume), heredity and gravity. These changes can be accelerated by skin abuse, overexposure to sun, alcohol, smoking, and poor nutrition. Cosmetic facial surgery can minimize many of these problems. The term “facelift” is really a misnomer as the operation combines lifting of the face and neck all in one procedure. In some patients, liposuction under the chin and/or muscle tightening in the neck may be performed in conjunction with a facelift to improve the sagging fat or folds under the chin. A facelift can be combined with eyelid and forehead surgery, if needed. The incision for the facelift operation begins in the temple hair above and infront of the ear. It extends down just infront of the ear, around the earlobe, up behind the ear, and then backward into the hair of the scalp. Through this incision, the skin is elevated out into the temples, cheeks and neck. The connective tissues are repositioned and the excess skin is removed. Sometimes fat is removed and/or the muscles under the chin are tied up so there may be a small incision under the chin to help with the correction. Then the skin edges are secured with appropriate suture material. The facelift operation usually takes between 3 to 4 hours. When completed, a bulky dressing is applied. The patient is monitored in recovery for about 1 to 2 hours. Dr. Joseph requires that the patient stay the first night after surgery in an aftercare facility or arrange for a registered nurse to monitor the patient for the first 24 hours. The facelift operation is performed at Brighton Medical Corporation, an Accredited out-patient surgical center. Most patients are given a light intravenous sedation during surgery. If needed, general anesthesia can be administered. Surgical fees, pre-operative and post-operative instructions are given at the time of the consultation, and the patient is responsible for reading these instructions thoroughly prior to surgery.






Blepharoplasty(eyes)

Aging, heredity, skin abuse, smoking and over- exposure to the sun may eventually cause the temples, eyebrows and forehead to relax or droop. Loose skin may develop around the upper and lower eyelids as well as fatty deposits which can cause bulging or puffiness. The result is a tired, sad, and aged look. Eyelid and or forehead surgery can improve this tired, sad look and make you look refreshed and rejuvenated. Eyelid problems are corrected by an operation called blepharoplasty. A browlift alleviates the drooping brow and wrinkles of the forehead but is a separate procedure from eyelid surgery. Dr. Joseph can recommend which surgery is right for you. A blepharoplasty can be performed on the upper and/or lower eyelids to remove skin and fatty tissue. Incisions are made behind the eyelid or in the natural skin folds of the eyelids so that they are virtually unnoticeable. The incision for the browlift is usually hidden behind the hairline but the incision line can vary depending on the patient's hairline. There are 3 types of forehead lifts: a coronal, modified coronal and endoscopic. Dr. Joseph will recommend which one is right for you. Botox or Dysport injections are recommended for lines of the forehead and around the eyes as a temporary alternative to surgery. See the Botox/Dysport section for more information. Both the eyelid surgery and browlift surgery are performed at Brighton Medical Corporation, an Accredited out-patient surgical center. These procedures can be done under a light intravenous sedation but may also be done under general anesthesia. The patient is required to have a responsible adult pick them up from the surgical center and stay with them the first night. Surgical fees, pre-operative and post-operative instructions are given at the time of the consultation. The patient is responsible for reading these instructions thoroughly prior to surgery.

 





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