Facial Plastic Surgery
Our Facial Plastic and Reconstruction Department is run by Dr. Matthew Hirsch. Dr. Hirsch has extensive extra specialization in facial plastic surgery that includes rhinoplasty (cosmetic nose surgery), deviated septum surgery, skin cancer (Mohs) reconstruction, nasal reconstruction, facelift and necklift, eyelid lift (blepharoplasty), brow lift, surgery for facial paralysis (Bell's Palsy), facial and jaw fracture reconstruction, ear pinning (otoplasty), and surgery and laser treatment of vascular birthmarks (hemangiomas and vascular malformations). In addition, Dr. Hirsch has comprehensive training in the evaluation and evidence-based treatment of general otolaryngology conditions in adults and children.
Rhinoplasty, or a "nose job", is a surgery to change the shape and structure of the nose. A rhinoplasty surgery may be primarily cosmetic (for looks) or functional (to improve nasal breathing). Dr. Hirsch takes a holistic approach to rhinoplasty, considering both structure and function in every case. His priority is always natural looking results that are harmonious with your facial structure. Dr. Hirsch is highly experienced in both open rhinoplasty and endonasal or "closed" rhinoplasty (no external incisions). During your consultation, he will listen to your concerns and discuss with you what type of operation will help you to best achieve your goals.
Blepharoplasty, or an "eyelid lift", is an eyelid surgery designed to give the area around the eyes a more youthful, refreshed appearance. A blepharoplasty can be performed on just the upper eyelids, just the lower eyelids, or both. Dr. Hirsch is experienced in many different techniques for blepharoplasty, which allows him to customize your surgery to best suit your facial characteristics and aesthetic needs. These techniques include selective removal of skin or fat, or in the case of the lower eyelids, transconjunctival incisions (no external eyelid incisions) and fat transpositioning (smoothing the tear trough). He also uses the most minimally invasive techniques to avoid problems with eyelid position that can occur after some types of blepharoplasty.
Facelift / Necklift
A facelift, or rhytidectomy, is a surgery to correct the changes in the face and neck that occur from aging. Specifically, a facelift can tighten excess neck skin, significantly reduce jowling and smooth the jawline, and help restore volume to the cheeks that has flattened and descended over time. All these changes help make the patient appear younger, more refreshed and rejuvenated. Dr. Hirsch is highly trained in both deep-plane and minimally invasive facelifting. During your consultation, you and Dr. Hirsch will discuss your areas of concern and work together to plan a surgery that is most appropriate for your needs and expectations.
Over time, the eyebrows tend to descend downward with gravity, resulting in a tired appearance. A browlift is designed to reverse this process. Through 2-3 very small incisions hidden behind the hairline, Dr. Hirsch uses a camera (endoscope) to elevate the eyebrows back to their natural position. This minimally invasive procedure can be performed either on its own or can be combined with other procedures to rejuvenate the area around the eyes for a more rested, youthful appearance.
After Mohs surgery (skin cancer removal) on the face, patients want the best cosmetic result possible. This requires sophisticated surgical techniques including flaps of nearby skin or from the forehead. Dr. Hirsch uses his knowledge of facial anatomy and function combined with meticulous surgical technique to reconstruct the skin in ways that optimize skin color matching, contour, and structural support to give you the best outcome. He works closely with Mohs surgeons to plan and coordinate your reconstructive procedure and minimize downtime.
Facial Nerve Reconstruction
Facial Nerve Palsy ("Bell's Palsy") affects almost every aspect of facial function and can be devastating for patients' psychosocial wellbeing. The treatment for facial palsy depends on the cause and what the symptoms are -- every patient is different. Dr. Hirsch is highly experienced in the treatment of facial palsy and performs platinum eyelid weight implantation, lower eyelid tightening, brow lifts, facial slings, and nerve transfers to restore symmetry and movement to the face. In addition, he performs Botox injections to help fine-tune facial balance and works with a facial retraining therapist to help optimize recovery after Bell's Palsy and facial reanimation surgery.
Botox is a great tool for keeping faces looking young and refreshed. Botox injections work by temporarily weakening the muscles around an area of wrinkles so they become less prominent. Botox is very useful for preventing dynamic wrinkles (wrinkles you only see when you move your face) from becoming static wrinkles (wrinkles that are "etched" in the skin and visible even at rest). Botox injections extremely safe, minimally invasive, and well-tolerated. They are an essential part of the facial care regimen for both men and women beginning in their late 20s or early 30s and up.
Filler injections are used to replace volume in areas of the face that have lost their volume due to the changes of aging and the effects of gravity. They are commonly used in three facial areas. Under the eyes, they can be used to smooth out the tear trough and reduce the appearance of bags and dark circles. In the cheeks, they can help restore volume and give the face a desirable triangular or "heart" shape. In the lips, they can be used to add fullness and a plump shape. Dr. Hirsch is very conservative in how he uses fillers in the face, and only uses hyaluronic acid fillers because they are dissolvable.