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A History of Facial Plastic Surgery

<p class="primaryMeta"><span class="blogPostAuthor">Dr. Jeffrey Harmon</span></p>
<p>Learn More About Our Deep Plane Facelift</p>
<p><a href="/contact">Schedule a Consultation</a></p>
<p>The most natural, longest-lasting approach to a facelift is the <strong><a href="/plastic-surgery/facelift/deep-plane-facelift">deep plane facelift</a></strong>. The extended deep plane facelift offers a variety of benefits that other facelift procedures simply cannot provide. Keep reading to learn more, and schedule a consultation at Harmon Facial Plastic Surgery in Cincinnati.</p>
<p><img class="contentImg" title="Gloved hands assessing a woman&rsquo;s cheek." src="https://harmon.wtgdigital.io/assets/3ebd0ef4-66d1-4527-8d09-c6510a531bc3/1080x1080Social-1.jpg" alt="Gloved hands assessing a woman&rsquo;s cheek." data-asset="b32b2565235b43e893b3707c462fa4c3" data-mod="width:600"></p>
<h2 class="contentTitle">Restores the Natural Position and Volume of Drooping Cheeks</h2>
<p>Unlike other facelift techniques, the extended deep plane facelift restores and enhances natural volume to the cheeks. This reduces or eliminates the need to place additional volume in the cheeks with fat or filler.</p>
<p><img class="contentImg" title="Before and after a facelift along the jawline." src="https://harmon.wtgdigital.io/assets/6f154d75-c0cb-479b-9216-955c95e71881/1080x1080Social-2.jpg" alt="Before and after a facelift along the jawline." data-asset="db8614180a9146c793697ac8db886a65" data-mod="width:600"></p>
<h2 class="contentTitle">Restores the Natural Definition, Length, and Volume of the Jawline</h2>
<p>Unlike other facelift techniques, the extended deep plane facelift redefines the entire length of the jawline and restores youthful volume to the corner of the jaw.</p>
<p><img class="contentImg" src="https://harmon.wtgdigital.io/assets/c96c2cb6-f8ab-442a-b814-c73376a96a5f/1080x1080Social-3.jpg" alt="Woman touching the skin on her face." data-asset="ab48ec944a1e4b37a2a72734716e23fe" data-mod="width:600"></p>
<h2 class="contentTitle">Tension-Free Lift</h2>
<p>One important difference between the extended deep plane facelift and older approaches is that the extended deep plane facelift releases multiple tension points and lifts both the skin and muscle layers of the face at the most natural anatomic angle, neither too vertical nor too horizontal. This allows a much more natural result and prevents the "pulled" appearance that can sometimes occur with other approaches.</p>
<p><img class="contentImg" title="Blonde woman touching her face" src="https://harmon.wtgdigital.io/assets/0e1cb7b8-6771-47db-9acf-5e4361b13907/1080x1080Social-4.jpg" alt="Blonde woman touching her face" data-asset="a7be134b79664c859ce2a639c4a9fcb0" data-mod="width:600"></p>
<h2 class="contentTitle">Improved Healing</h2>
<p>The tension-free approach to the extended deep plane facelift significantly improves skin healing and reduces the appearance of incisions when compared with older approaches to face lifting.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a <strong>double board-certified</strong>, <strong>fellowship-trained</strong> specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong>.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Schedule a Consultation</h2>
<p>If you are interested in the benefits of an extended deep plane facelift, schedule a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. <strong><a href="https://www.harmonface.com/contact">Reach out today to schedule</a></strong>.</p>
<p><a class="button" href="/contact">Contact Us</a></p>

1080x1080 Social 1

4 Benefits of the Extended Deep Plane Facelift

<p><img class="contentImg" title="Botox in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/bc530f22-20d4-41f7-988b-bcf1eb63b940/Woman-washing-her-face.jpg" alt="Botox in Cincinnati, Ohio" data-asset="af65a86aa26945299b53e6ecbe707d58" data-credit="Alena Darmel" data-credit-url="https://www.pexels.com/photo/close-up-of-a-woman-washing-her-face-8990467/" data-mod="width:1200"></p>
<p>The following blog post is a quick summary of the few things that are okay and need to be avoided after treatment of the face with <a href="/non-surgical/botox" target="_self"><strong>Botox&copy;</strong></a>. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid926569" title="YouTube video player" src="https://www.youtube.com/embed/KJ2xDv80lYI" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">Avoid Massaging Your Face and Exercise for a Day</h2>
<p>It is best to avoid massaging your face or exercising for one to two days after treatment. This reduces the risk of the medication diffusing to areas of the face where it was not originally placed.</p>
<h2 class="contentTitle">It is Okay to Wash Your Face and Apply Makeup Afterwards</h2>
<p>However, it is okay to <strong><a href="https://www.harmonface.com/blog/my-skincare-routine">wash your face</a></strong> and apply makeup after treatment. It is normal to have small red dots in a few areas of the face where the medication is administered. And while the skin is gently cleaned before and after treatment these red dots often persist until washed with soap and water at home.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <a href="https://www.harmonface.com/contact"><strong>Get in touch with us to learn more!</strong></a></p>
<p><a class="button" href="https://www.harmonface.com/contact"><strong>Contact Us</strong></a></p>

Woman Washing Her Face

What is Okay and What to Avoid After Botox©

<p><img class="contentImg" title="Perioral Mound in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/89d797e1-00f2-4868-ba20-3da715cac2fb/pexels-isaque-rock-3431739.jpg" alt="Perioral Mound in Cincinnati, Ohio" data-asset="e78c2f0100694ac08f2cc2907294a8f7" data-credit="Pexels" data-credit-url="https://www.pexels.com/photo/close-up-photo-of-woman-s-face-3431739/" data-mod="width:1200"></p>
<p><a href="https://www.harmonface.com/blog/peri-oral-rejuvenation-an-explainer"><strong>Perioral rejuvenation</strong></a> &ndash; or plastic surgery of and around the mouth &ndash; is a popular topic in Cincinnati, Ohio. The perioral area includes not only the <a href="https://www.harmonface.com/blog/lip-lift-versus-lip-filler"><strong>lips</strong></a> but also the skin and other soft tissue immediately surrounding the lips. The perioral mounds are a subunit of this anatomy that are relevant to <a href="/plastic-surgery/facelift/deep-plane-facelift" target="_self"><strong>facelift surgery</strong></a>. The characteristics and location of the perioral mounds make them very difficult to treat. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid988575" title="YouTube video player" src="https://www.youtube.com/embed/0upgZgv-ChY?si=eUn-tn7EYXf4WoLH" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">Perioral Mounds are Adjacent to, but Distinct From, the Jowls</h2>
<p>The perioral mounds (see image above) have been described as an area that sits between the lower edge of the cheek fat compartments and the fat compartments that form the jowls. The perioral mounds can become fuller and droopier with age (<strong>1, 2</strong>).</p>
<p>Perioral mounds are confused by many with the jowls, <a href="https://www.harmonface.com/blog/is-it-my-buccal-fat-or-jowl-fat-that-needs-treatment"><strong>which themselves are confused with buccal</strong></a><strong> fat</strong>. Jowls are the fat and other soft tissue of the superficial lower cheek that hangs over the bony jawline with aging. Stuzin et al describe jowl fat as &ldquo;fluffy, thick fat&rdquo; which is &ldquo;situated between the masseter ligaments and the mandibular ligaments overlying the facial portion of the platysma&rdquo; muscle (<strong>3</strong>). In contrast, the fat located in the perioral mound is very thin with poorly defined borders.</p>
<p>Perioral mounds are a distinct anatomic feature of the face. The fat in perioral mounds overlies soft tissue called the SMAS layer, which is superior to and continuous with the platysma muscle (<strong>1, 2</strong>). The SMAS and platysma muscle are treated during deep plane facelift surgery, which is why this approach to facelift surgery can be so effective in treating the jowls in a long-lasting and natural appearing way. However, facelift procedures of any kind do not effectively treat age-related changes at the perioral mounds (<strong>1, 2</strong>). This may be because multiple muscles that move the mouth meet at the perioral mounds. As a result, dissection does not proceed that close to the mouth. In addition, the area around the perioral mounds contracts actively with speech and emotive facial expressions, creating a crease that is often confused with the <a href="https://www.harmonface.com/blog/addressing-smokers-lines-peri-oral-rhytids"><strong>perioral rhytids/wrinkles that are typically best treated with a resurfacing procedure</strong></a> such as a laser, chemical peel, or dermabrasion. Such resurfacing procedures are also poorly effective at treating the skin at the perioral mounds.</p>
<h2 class="contentTitle">There are Two Treatment Options That Have Been Discussed for Perioral Mounds</h2>
<p>There is little research published on the treatment of the perioral mounds.</p>
<p>Two studies describe the use of a small cannula to perform a limited liposuction of the site manually (<strong>1, 2</strong>). The problem with this approach is the fact that the fat in this location is very thin and close to the surface of the skin. As a result, Gu et al report &ldquo;overaggressive liposuction of the perioral mound region may result in skin hyperpigmentation, unnatural facial expressions, depression, and even skin necrosis&rdquo; (<strong>2</strong>). Depression or unevenness of the area from liposuction is one of the most concerning and logical risks of this technique. Also, while liposuction can reduce fat, it does not improve loose or hanging soft tissue, including the SMAS layer, which may develop with age.</p>
<p>A second treatment described is the use of energy-based devices to melt fat and tighten skin at this site. The energy-based devices include, but are not limited to, devices that utilize radiofrequency energy to heat the tissue deep to the skin. A search of the medical literature found no article describing this technique and demonstrating its effectiveness.</p>
<p>One should be extremely cautious at this time when pursuing treatment of the perioral mounds due to the potential risks of liposuction and the lack of published effectiveness research for energy-based devices. More safe and effective treatment options may become available in the future, however, as newer techniques and technologies become available.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati, Ohio. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact"><strong>Get in touch with us to learn more.</strong></a></strong></p>
<p><strong><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></strong></p>
<h2 class="contentTitle">References</h2>
<ol>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/20885255/">Sullivan PK, Hoy EA, Mehan V, Singer DP. An anatomical evaluation and surgical approach to the perioral mound in facial rejuvenation. Plast Reconstr Surg. 2010 Oct;126(4):1333-1340.</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/36594173/">Gu Y, Yang M, Li J, Sun J, Lv Q, Qi Y, Han X, Qi Z, Ma GE. Efficacy and Safety of Perioral Mound Region Liposuction-A Novel Concept to Improve Perioral Mound Fullness. Aesthet Surg J. 2023 Apr 10;43(5):527-534.</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/31688754/">Stuzin JM, Rohrich RJ, Dayan E. The Facial Fat Compartments Revisited: Clinical Relevance to Subcutaneous Dissection and Facial Deflation in Face Lifting. Plast Reconstr Surg. 2019 Nov;144(5):1070-1078.</a></li>
</ol>

Pexels Isaque Rock 3431739

Perioral Mounds: What are They and Why are They So Difficult to Treat?

<p><img class="contentImg" title="Brow lift in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/5915b0c0-46ae-42db-92ea-388dd2b00f4e/pexels-shiny-diamond-3373729.jpg" alt="Brow lift in Cincinnati, Ohio" data-asset="f92ddb37e7524a61b08912e9fe073903" data-credit="Shiny Diamond" data-credit-url="https://www.pexels.com/photo/close-up-photo-of-person-s-eye-3373729/" data-mod="width:1200"></p>
<p>There are a range of approaches to lifting the eyebrows, the best of which depends on the specific anatomy of a patient as well as their aesthetic goals. While the list below is not comprehensive, it highlights two important approaches to the brow lift as well as the considerations that go into choosing which is the most appropriate approach. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid680523" title="YouTube video player" src="https://www.youtube.com/embed/oW0gKVWAcCU" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">A Lateral Temporal Brow Lift Naturally Addresses the Most Common Age-Related Concern Patients Have About Drooping Brows</h2>
<p>The <a href="/plastic-surgery/brow-lift" target="_self"><strong>lateral temporal brow lift</strong></a>, also referred to as an endoscopic brow lift, can address the most common concerns about the eyebrows. Most individuals express concern about age-related drooping of the lateral eyebrows over their eyes. This can result in &ldquo;hooding&rdquo; or an overhang of skin and fat over the lateral eyes. As a result, the eyebrow can develop an exaggerated curve where the lateralmost portion of the eyebrow curves down around the eye rather can canting upward laterally. The lateral temporal brow lift lifts the lateral brow up and out in a tension-free manner, which is key to a natural, long-lasting result. Only two incisions placed behind the hairline are required. The lateral temporal lift can lift the medial brow up to approximately 3 mm as well. If more than approximately 3 mm of medial brow lift is required, the medial brows can be lifted more with only two additional small incisions hidden in the hair. The lateral temporal lift results in no removal of skin or hair follicles, an enormous benefit associated with the procedure.</p>
<h2 class="contentTitle">A Pretrichial or Trichophytic Brow Lift May Be a Good Option for Revision Procedures and Those with a High Hairline Seeking to Lower It</h2>
<p>Another approach to the brow lift involves a longer incision extending across the hairline. The incision can be placed slightly into the hairline (trichophytic) or along the hairline (pretrichial). A pretrichial or trichophytic brow lift may be the best approach for those individuals who are not only seeking a brow lift but who also have a very high hairline, such as men with <strong><a href="/non-surgical/hair-loss-treatment">receding hairlines</a></strong> or women with a high forehead. This technique can lower the hairline and improve the appearance of the forehead. This technique is also potentially a good option for revision procedures in which a previous lift was too aggressive, resulting in a &ldquo;surprised&rdquo; appearance to the eyes.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about drooping eyebrows.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong>.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>
<h2 class="contentTitle">References</h2>
<ol>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/23855010/">Alghoul M, Codner MA. Retaining ligaments of the face: review of anatomy and clinical applications. <em>Aesthet Surg J</em>. 2013 Aug 1;33(6):769-82.</a></li>
<li>Jacono A. <em>Extended Deep Plane Facelift and Other Adjunctive Procedures for Rejuvenation of the Upper, Middle and Lower Face. </em>Quality Medical Publishing Inc.</li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/29631282/">Lee H, Quatela VC. Endoscopic Browplasty. <em>Facial Plast Surg</em>. 2018 Apr;34(2):139-144. </a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/32503712/">Sykes JM, Riedler KL, Cotofana S, Palhazi P. Superficial and Deep Facial Anatomy and Its Implications for Rhytidectomy. <em>Facial Plast Surg Clin North Am</em>. 2020 Aug;28(3):243-251.</a></li>
</ol>

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How Do Brow Lift Procedures Differ?

<p><img class="contentImg" title="Neck lift in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/2566d535-585f-4cfc-a7c5-3aead37faa1e/pexels-maria-orlova-4906334.jpg" alt="Neck lift in Cincinnati, Ohio" data-asset="fe2481c3f6f943c18ffe0c01fe33ddb9" data-credit="Maria Orlova" data-credit-url="https://www.pexels.com/photo/confident-asian-woman-against-green-background-4906334/" data-mod="width:1200"></p>
<p>The neck is a common area patients seek improvements in with surgery. Signs of aging in the neck are the result of loosening muscle and skin and sometimes the accumulation of fat. The medical literature recognizes youthful contours and angles to the neck and jawline which surgeons can strive for. However, all patients are not born with these features. In fact, there probably is no true &ldquo;ideal&rdquo; neck which every patient possesses in youth.</p>
<p>There are many approaches to a neck lift. My approach is through a deep plane <strong><a href="/plastic-surgery/neck-lift">neck lift</a></strong> in the central neck in addition to a deep plane lift of the sides of the neck through the <strong><a href="/plastic-surgery/facelift/deep-plane-facelift">extended deep plane facelift</a></strong>. I feel this approach can provide the most comprehensive and longest-lasting improvements in the appearance of the neck. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck. It is important to have a discussion with your surgeon about what can and cannot be accomplished with surgery to treat age-related changes to the neck.</p>
<p><iframe id="fitvid911606" title="YouTube video player" src="https://www.youtube.com/embed/qyEB8gFnJ5U" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">Tight Muscle and Skin</h2>
<p>Tight platysma muscle and skin contribute to a youthful-appearing neck. The platysma muscle is a long, thin muscle that wraps around the front and sides of the neck. It is weakest at the center. Most age-related changes to the platysma muscle occur when the center of the muscle weakens. This results in a separation of the muscle fibers from the center of the neck resulting in banding. Banding appears as thick, ropy folds in the center of the neck that can be more limited to the upper part of the neck or extend down low in the neck. The skin follows the loosening of the platysma muscle.</p>
<h2 class="contentTitle">Sharp Angle between the Jawline and Neck</h2>
<p>The angle between the more horizontal jawline and the more vertical neck is called the cervicomental angle. An aesthetically &ldquo;ideal&rdquo; angle is acute, with the soft tissue under the jawline tucked up between the jaw bones and the skin and platysma muscle tight against the neck.</p>
<p>Age results in a blunting of the cervicomental angle, regardless of where it started. This can be due to loosening of the platysma muscle resulting in banding, the accumulation of fat deep to and superficial to this muscle, and loosening skin. The horizontal location of the soft tissue &ndash; whether it is tucked up under the jawline or rests below it &ndash; is dependent on the patient&rsquo;s natural anatomy. Some individuals may have more soft tissue that sits below the jawline from an early age.</p>
<h2 class="contentTitle">Visible Thyroid Notch</h2>
<p>The thyroid notch is a small depression above the cartilage, called the thyroid cartilage, and below the cervicomental angle. It is less visible in women versus men because men have a more prominent thyroid cartilage. The thyroid notch reflects the tight attachment of the soft tissue of the neck just below the cervicomental angle. Loosening of skin and muscle in the neck due to aging reduces the appearance of the thyroid notch. Tightening of the muscle and skin can improve the appearance of it.</p>
<h2 class="contentTitle">Every Neck is Different</h2>
<p>Every individual is born with different neck features. Some individuals were born with a sharp cervicomental angle and little soft tissue hanging below the jawline. Others were born with a blunter cervicomental angle and, therefore, a more poorly defined neck.</p>
<p>A blunted cervicomental angle can be due to the location of a bone, called the hyoid bone, which sits above the thyroid cartilage. When the hyoid bone sits up and back in the neck a sharper cervicomental angle is possible. However, some individuals are born with a hyoid that sits down and forward, creating a naturally more blunted cervicomental angle. All the deeper muscles of the neck radiate from this bone, which is what sets the cervicomental angle in the first place.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more!</a></strong></p>
<p><strong><a class="button" href="https://www.harmonface.com/contact">CONTACT US</a></strong></p>

Pexels Maria Orlova 4906334

Youthful Neck Anatomy and Neck Lift Surgery

<p><img class="contentImg" title="Rhinoplasty in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/91942c48-548b-4d28-98c9-57ccee4dc293/Revision-Nose-Surgery-in-Cincinnati.jpg" alt="Rhinoplasty in Cincinnati, Ohio" data-asset="b52e32e6548141cc8f23fb9a358d1af8" data-credit="Engin Akyurt" data-credit-url="https://www.pexels.com/photo/grayscale-photo-of-woman-s-face-1478363/" data-mod="width:1200"></p>
<p>Revision, or secondary,&nbsp;<strong><a href="/plastic-surgery/rhinoplasty">nose surgery (rhinoplasty)</a></strong> is a technically challenging procedure, largely because the previous surgery usually alters the nasal anatomy in unpredictable ways that require creativity and skill to address and correct. There are many reasons why a patient would desire to undergo revision rhinoplasty. In most cases, however, the recovery from a secondary nose surgery is longer and less predictable than with the first surgery. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have difficulty breathing through your nose and/or concerns about the appearance of your nose after a previous nose surgery.</p>
<p><iframe id="fitvid508462" title="YouTube video player" src="https://www.youtube.com/embed/KNADqTUQbUY" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">Some Patients Experience New Difficulties Breathing After Their First Procedure</h2>
<p>There are multiple reasons why a patient may experience new difficulties breathing after nose surgery. Rarely, some patients experience abnormally aggressive <strong><a href="https://www.harmonface.com/blog/scar-treatment-an-explainer">scarring</a></strong> in the tissue deep to the skin of their nose that can weaken the support structures of the nose and even cause them to collapse. Abnormal scarring can be due to infection, autoimmune disorders, and/or other medical conditions that make abnormal healing more likely. New difficulty breathing is more likely when too much cartilage is weakened or removed during the first surgery. It is also more likely when the nasal bones are too aggressively manipulated during surgery. Revision nose surgery seeks to re-support and reinforce weakened cartilage and bone in a way that preserves or restores the cosmetic appearance of the nose.</p>
<h2 class="contentTitle">Other Patients Experience Persistent or New Concerns About the Appearance of Their Nose</h2>
<p>More often it is persistent or new cosmetic <strong><a href="https://www.harmonface.com/blog/what-concerns-can-be-addressed-with-nose-surgery">concerns about their nose</a></strong> that bring patients in for revision nose surgery. Abnormal healing may not result in difficulty breathing through the nose but may result in cosmetic abnormalities they would like corrected.</p>
<p>Those abnormalities may be due to weakening and collapse of the cartilage and/or bone in the nose after the first surgery. Potential problems include a collapse of the bridge of the nose or the nostrils and a more significant asymmetry of the nasal bridge and/or nasal tip.</p>
<p>Other abnormalities are due to poorly planned surgery resulting in an over projected nasal tip after removal of a large hump on the nasal bridge or a nasal tip that is overly rotated up or overly pinched after surgery.</p>
<p>Correction of the above problems often requires reinforcement and realignment of cartilage with cartilage grafts and/or realignment of the nasal bones.</p>
<h2 class="contentTitle">Expect a Slightly Longer and Less Predictable Recovery after the Second Procedure</h2>
<p>Undergoing a revision nose surgery to correct problems associated with the first is a very rewarding procedure that can provide immeasurable benefits to patients. However, it is important to counsel patients that the expected swelling after surgery can be greater and take longer to resolve than after the first surgery. This is because the blood supply and lymphatic drainage system is not as robust after the first surgery, which is normal and expected. It is also for this reason that it is essential that all patients be counseled that the healing process overall can be less predictable with revision nose surgery.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your nose.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more!</a></strong></p>
<p><strong><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></strong></p>

Revision Nose Surgery in Cincinnati

Why People Seek Revision Nose Surgery and the Expected Recovery

<p><img class="contentImg" title="Extended deep plane facelift in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/29c6a027-3669-4f49-921f-0b77eb18a2e8/Revision-Facelift-Vs-Deep-Plane-Facelift.jpg" alt="Extended deep plane facelift in Cincinnati, Ohio" data-asset="f4682b6ddc484c45ab06b45e958cdc36" data-credit="Mikhail Nilov" data-credit-url="https://www.pexels.com/photo/an-elderly-woman-in-purple-long-sleeves-smiling-8307321/" data-mod="width:1200"></p>
<p>There are many reasons individuals seek&nbsp;<strong>revision</strong>, or secondary, facelifts. Regardless of the reason, deep plane facelift surgery including the <strong><a href="/plastic-surgery/facelift/deep-plane-facelift">extended deep plane facelift</a></strong> is usually the superior approach. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid953187" title="YouTube video player" src="https://www.youtube.com/embed/XSx__ZtrAdA" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">Some Individuals Were Happy with Their Previous Facelift But it is Time for a Secondary Procedure</h2>
<p>No facelift technique stops the aging process. As a result, the age-related changes in the face that were treated with a facelift progress, usually over a period of years. Patients who undergo <strong><a href="https://www.harmonface.com/blog/overview-of-facelift-techniques">older facelift techniques</a> </strong>tend to notice a recurrence of loose skin, muscle, and fat more quickly (i.e., many years earlier) than those who undergo deep plane facelift surgery. Many individuals loved their results from their first facelift but would like a secondary procedure to lift what has fallen again.</p>
<h2 class="contentTitle">Other Individuals are Concerned About Incomplete Treatment of the Signs of Facial Aging or Poor Cosmetic Results</h2>
<p>Some individuals feel their facelift results did not adequately treat the signs of facial aging that concerned them. Inadequate treatment of the neck with a facelift can result in persistent, severe, hanging skin and muscle. The neck can be better addressed specifically with the <strong><a href="/plastic-surgery/facelift/deep-plane-facelift">extended deep plane facelift</a></strong>. Facelift techniques that are not deep plane techniques do not lift the cheeks, which can make the face appear unnatural when the jawline is partially addressed but the cheeks are not. Many surgeons add large volumes of fat to the face to mask the lack of a cheek lift. However, as <strong><a href="https://www.harmonface.com/blog/fat-grafting-versus-a-cheek-midface-lift-which-procedure-is-the-most-appropriate-for-me">previously discussed</a></strong>, this can distort the natural appearance of the cheeks by leaving the drooping volume in an unnatural position while adding more volume where the natural volume should be located.</p>
<p>Other individuals experience poor cosmetic results making their face appear distorted and unnatural. Individuals who undergo facelift techniques that are not deep plane are at a significantly increased risk of multiple abnormalities. First, they are at an increased risk of poor healing and abnormal scarring at the incision sites due to the presence of significant tension on the skin. Second, they are at an increased risk of a pixie ear deformity, which is the adherence of the earlobe to the side of the face, which then stretches out down the side of the face as the incisions heal. Third, they are at an increased risk of appearing &ldquo;windswept&rdquo; or abnormally stretched horizontally, which can result in an unnatural purse string appearance with tethering at the jawline and a widened mouth.</p>
<h2 class="contentTitle">Deep Plane Facelift Surgery is the Best Facelift Technique to Address the Signs of Facial Aging Comprehensively in a Revision Procedure</h2>
<p>Please see the <strong><a href="https://www.harmonface.com/blog/4-benefits-of-the-extended-deep-plane-facelift">following blog post</a></strong> to understand why the extended deep plane facelift &ndash; and deep plane facelift surgery generally &ndash; is the best technique to address the signs of facial aging comprehensively and naturally in individuals who have previously undergone a facelift.</p>
<p>There is a great deal of scarring of the tissue deep to the skin after any facelift procedure. As a result, the blood supply to the skin is weaker than prior to surgery. Deep plane facelift surgery is a superior approach to a secondary facelift because it preserves thicker, healthier tissue when lifted and more of the surgical work occurs in areas of the face that are previous untouched, and therefore, safer to navigate.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a><em> </em></p>

Revision Facelift Vs Deep Plane Facelift

Why People Seek Revision Facelifts and Why Deep Plane Facelift Surgery is the Best Approach

<p><img class="contentImg" title="Middle aged man with gray hair" src="https://harmon.wtgdigital.io/assets/21b7055c-8f69-4267-9285-2c7a48bc0e66/middle-aged-man-coughing.jpg" alt="Middle aged man with gray hair" data-asset="e5b0c895b3c443f9b4e4a9f99fd3b2c9" data-mod="width:1200"></p>
<p>The cells that impart color to the hair, called melanocytes, are the same cells that impart pigmentation to the skin. The melanocytes located in hair follicles are more sensitive to the aging process than those in the skin. It is important to seek not only a&nbsp;<strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid160058" title="YouTube video player" src="https://www.youtube.com/embed/c5P5m66pP64" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">Melanocytes in the Skin and Hair Follicle are Related but Behave Differently</h2>
<p>Melanocytes in the skin and hair follicle are related to each other but behave differently where they reside. For example, melanocytes associated with hair follicles function with the hair cycle; that is, when the hair is in its growth stage, called anagen, it is producing the melanin that pigments the hair. However, when the hair is dormant (i.e., telogen phase) melanin is not produced. Melanin is always produced by melanocytes in normal skin.</p>
<h2 class="contentTitle">The Number of Melanocytes in the Hair Follicles Decreases with Age</h2>
<p>When melanocytes are lost in the hair follicle there is less melanin produced and less pigment in the hair. This is what leads to graying of the hair. This process tends to occur in the scalp earlier than in the beard and in body hair in men.</p>
<p>The average age of hair graying depends on an individual&rsquo;s gender, race, and family history. For example, Caucasians tend to start graying the earliest, in their mid-30s. The cause of early graying is not yet clear, though it may have something to due with the production of inflammatory free radicals in the body, like what causes skin changes associated with aging, chronic sun exposure, and <strong><a href="https://www.harmonface.com/blog/the-effects-of-cigarettes-on-healing">tobacco use</a></strong>.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your hair.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more!</a></strong></p>
<p><strong><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></strong></p>
<h2 class="contentTitle">References</h2>
<p>Blume-Peytavi U, Tosti A, Whiting DA, Trueb R, eds. <em>Hair Growth and Disorders</em>. Springer Publishing; 2008.</p>

Middle Aged Man Coughing

Why Our Hair Turns Gray with Age

<p><img class="contentImg" title="Lower blepharoplasty in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/b246d7e4-7573-42e0-8c8d-a371788b9658/pexels-angela-roma-7479534.jpg" alt="Lower blepharoplasty in Cincinnati, Ohio" data-asset="c4a3e1b3cfcc4fe3a0c4b7a1bcc3bc23" data-credit="Angela Roma" data-credit-url="https://www.pexels.com/photo/close-up-shot-of-a-person-s-eye-7479534/" data-mod="width:1200"></p>
<p>There are two different bags that can develop in the lower eyelid/cheek region which people request treatment for. These are (1) lower eyelid bags created by fat that has started to prolapse out against the eyelid and (2) festoons, also known as malar bags, which are pockets of swelling located at the eyelid/cheek interface below the lower eyelid bags. Each requires different surgical approaches to treat. The treatment for one does not treat the other. As always, an in-person consultation with a qualified medical professional is essential prior to considering facial plastic surgery. It is important to determine whether the area of concern is related to lower eyelid bags or festoons/malar bags. It is important to seek not only a&nbsp;<strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid92106" title="YouTube video player" src="https://www.youtube.com/embed/05Dzc_HQ82Q" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">Lower Eyelid Bags are Caused by Pseudo Herniated Fat and Can be Treated with Lower Eyelid Surgery (Blepharoplasty)</h2>
<p><a href="/plastic-surgery/blepharoplasty" target="_self"><strong>Lower eyelid surgery (blepharoplasty)</strong></a> can treat multiple aspects of age-related changes to the eye. Though redundant lower eyelid skin and loose or &ldquo;blousy&rdquo; muscle can be improved with lower blepharoplasty, the primary reason lower eyelid surgery is performed is to treat lower eyelid bags. These bags can leave a heavy, tired appearance in the eyes that makes the face appear significantly older. These bags are caused by fat in the lower eyelids &ndash; which is normally held in place by a &ldquo;wall&rdquo; called the septum &ndash; pushing the septum forward such that the fat hangs over the tear trough and cheeks.</p>
<h2 class="contentTitle">Festoons are Also Known as Malar Bags and Can Be Treated with Direct Excision</h2>
<p>We are not certain what causes festoons, the watery swelling around the lower end of the lower eyelids at and around the junction with the cheek. The swelling demonstrates characteristic slightly translucent skin with occasional redness. Individuals can have both lower eyelid bags and festoons at the same time. The most common approach to treating festoons, especially severe festoons, is by directly excising them along with the skin. This does, however, leave a potentially obvious scar at the junction between the lower eyelid and cheek. There can also be prolonged swelling of this site after surgery, presumably due to the same process that causes the festoons themselves.</p>
<h2 class="contentTitle">It is Important to Distinguish Between Pseudo Herniated Fat and Festoons/Malar Bags to Determine the Most Appropriate Surgical Treatment</h2>
<p>The approach to lower eyelid surgery (blepharoplasty) at Harmon Facial Plastic Surgery is through fat preservation, where the fat in the lower eyelid is preserved and simply reoriented to a more anatomic region where youthful volume can be preserved and the transition from the lower eyelid to the cheeks smoothed. This contrasts with older approaches that simply remove the lower eyelid fat and/or add fat transferred from other parts of the body to the lower eyelids. It is important to counsel patients that lower eyelid surgery (blepharoplasty), even fat preservation lower eyelid surgery (blepharoplasty), does not treat festoons/malar bags.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more</a>.</strong></p>
<p><strong><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></strong></p>

Pexels Angela Roma 7479534

Which Bags are Treated by Lower Eyelid (Blepharoplasty) Surgery?

<p><img class="contentImg" title="Rhinoplasty in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/c383d79f-7100-4efd-841e-598cc6e33b9c/pexels-shiny-diamond-3373716.jpg" alt="Rhinoplasty in Cincinnati, Ohio" data-asset="e9491b0217104504bd27f3ca90362c6c" data-credit="Shiny Diamond" data-credit-url="https://www.pexels.com/photo/woman-s-face-3373716/" data-mod="width:1200"></p>
<p>The nose is composed of multiple, matching, complexly shaped cartilage pieces and bone. The use of additional cartilage is often required to achieve specific functional or aesthetic goals during&nbsp;<strong><a href="/plastic-surgery/rhinoplasty">nose surgery (rhinoplasty)</a></strong>. For example, cartilage can be used to open and strengthen the valves of the nose to improve nasal breathing. It can also be used to change the contours of the nose to achieve a specific aesthetic result. There are four different sources of cartilage used in nose surgery (rhinoplasty) to achieve the functional and aesthetic goals of the operation. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid993799" title="YouTube video player" src="https://www.youtube.com/embed/KFs5hpQ4A2A" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">Nasal Septum</h2>
<p>The nasal septum, located inside the nose, is the &ldquo;wall&rdquo; that separates the left from the right nasal cavity. It is composed of cartilage and bone. The bone is sometimes used for grafting. However, it is usually the cartilage only that is used for grafting.</p>
<p>The nasal septal cartilage is an ideal source for most needs during nose surgery (rhinoplasty). It is relatively straight and strong. The thickness is usually ideal. There is typically enough that can be removed to accomplish the functional or aesthetic goals of grafting. Except in select circumstances, nasal septal cartilage is usually the first cartilage used during nose surgery (rhinoplasty).</p>
<p>There are cases when this cartilage is not available or ideal. For example, patients with severe injuries to their nose may have septal cartilage that is crushed and severely scarred. Other patients may have undergone a <strong><a href="https://www.harmonface.com/blog/septoplasty-versus-rhinoplasty-what-is-the-difference">septoplasty or nose surgery (rhinoplasty)</a></strong> previously and have inadequate cartilage available. The options below are typically used when this is the case.</p>
<h2 class="contentTitle">Ear</h2>
<p>The ears include a large piece of cartilage with complex folds. There are subunits to the cartilage in the ear, also known as the auricle. The area harvested is called the concha, which is the bowl-shaped area closest to the opening of the ear canal. This area contains cartilage that closely matches the size and shape of the nostrils. Removal of a portion of the concha is also less likely to result in deformities to the ear compared with other areas.</p>
<p>Conchal cartilage is also not always ideal for use. It is not as strong as other cartilage sources. As a result, it is less useful when strong structural support of the nose is required. There is less cartilage available from a single ear when compared with a previously untouched septum. And this cartilage can become hard and brittle with advanced age, limiting its usefulness in some individuals.</p>
<h2 class="contentTitle">Rib</h2>
<p>The rib is an ideal source of cartilage for many reasons. First, it can be strong like septal cartilage. Second, abundant cartilage can be harvested. This makes it particularly useful for large grafts such as those meant to increase the height of the nasal bridge. Third, its shape allows additional flexibility in carving the exact shape and size graft required. This graft can be very useful for revision nose surgery (rhinoplasty) when extensive grafting is required and there is no longer septal cartilage to use. The rib cartilage is harvested through an incision below the breast.</p>
<p>Many patients prefer to avoid the additional procedure below the breast and its associated recovery and incision. Another option for rib is donor rib cartilage that is processed and tested to ensure its safe, effective use.</p>
<h2 class="contentTitle">The Most Appropriate Source of Cartilage Depends on Multiple Factors</h2>
<p>Some patients do not require cartilage grafting. For those who do, the most appropriate cartilage source depends on the size and shape of the graft required, the patient&rsquo;s medical and surgical history, and their personal preferences. The plan for cartilage harvesting is discussed with the patient pre-operatively.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your nose.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>

Pexels Shiny Diamond 3373716

Where Does the Cartilage Used to Graft the Nose Come From?

<p><img class="contentImg" title="Facial plastic surgery in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/bf93d887-4428-439d-810b-cf2d81f78923/pexels-emir-kaan-okutan-2403569.jpg" alt="Facial plastic surgery in Cincinnati, Ohio" data-asset="de5d821a8e2a49c1b73a2329fdfa4fb4" data-credit="Emir Kaan Okutan" data-credit-url="https://www.pexels.com/photo/photo-of-couple-walking-on-paved-pathway-2403569/" data-mod="width:1200"></p>
<p>There are many wonderful options for facial rejuvenation prior to a wedding. And whether you are the bride, groom or, more commonly, the mother or father of the bride or groom, it is important to know what procedures are commonly sought and how long before such an event one should consider undergoing these procedures. Seek not only a&nbsp;<strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> to help determine whether any of these procedures may be able to address your concerns and desires.</p>
<p><iframe id="fitvid872286" title="YouTube video player" src="https://www.youtube.com/embed/GlLjfbWS-Qg" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">Six Months to One Year Prior to the Wedding Day</h2>
<p>The <strong><a href="/plastic-surgery/facelift/deep-plane-facelift">extended deep plane facelift</a></strong> and <strong><a href="/plastic-surgery/neck-lift">neck lift</a></strong> are frequently considered prior to a wedding, usually from the mother or father of the bride or groom. These procedures are among the most effective at restoring some of the youthful features of the face and neck. It is recommended to allow at least six months but preferably twelve months prior to the wedding to the wedding date to undergo these procedures to allow enough time to heal.</p>
<h2 class="contentTitle">Three to Six Months Prior to the Wedding Day</h2>
<p>Many individuals desire a refresh of their eyes prior to a wedding. They are concerned about redundant upper eyelid skin, drooping eyebrows, and lower eyelid bags. They would like their eyes to appear more &ldquo;open&rdquo; and youthful. The <strong><a href="/plastic-surgery/brow-lift">lateral temporal brow lift</a></strong> can address eyebrow drooping and <strong><a href="/plastic-surgery/blepharoplasty">eyelid surgery (blepharoplasty)</a></strong> can address redundant upper eyelid skin and lower eyelid bags. All three procedures complement each other. It is recommended to allow at least three months but preferably six months prior to the wedding date to undergo a lateral temporal brow lift and/or eyelid surgery (blepharoplasty).</p>
<p>Like eyebrow and eyelid surgery, allow at least three months but preferably six months prior to the wedding date to undergo <strong><a href="/non-surgical/laser-resurfacing">laser resurfacing</a></strong> of the face. Laser resurfacing can treat wrinkles, age spots, and sunspots as well as mismatched and uneven skin texture. It is very important to avoid prolonged exposure to the sun for the first three months after the procedure, which is often difficult on the wedding day.</p>
<h2 class="contentTitle">Two to Four Weeks Prior to the Wedding Day</h2>
<p><strong><a href="/non-surgical/botox">Botox&copy;</a></strong> is one of the most common procedures requested by the wedding party. It is recommended to allow at least two weeks prior the event for the effects of the treatment to reach their maximal effect. It is preferable to receive this treatment at least four weeks prior to the wedding in case additional Botox&copy; needs to be added to achieve an ideal result.</p>
<p>Like Botox&copy;, allow at least two weeks but preferably four weeks prior to the wedding date to have <strong><a href="/non-surgical/fillers">hyaluronic acid filler</a></strong> placed.</p>
<h2 class="contentTitle">The Above Time Frames are Recommendations and Not Guarantees of Results</h2>
<p>The above time frames listed are a best approximation of the anticipated recovery from each procedure. Every patient is different and may heal at a different rate. Therefore, the above time frames listed do not guarantee full recovery prior to the wedding day.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about age-related changes in the face and/or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong>.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>

Pexels Emir Kaan Okutan 2403569

When Should I Consider Undergoing Facial Plastic Surgery Procedures Prior to a Wedding?

<p><img class="contentImg" title="Filler in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/9d1ffdbf-3f3d-4c03-9a53-3ed5b9467f40/pexels-alexander-krivitskiy-5857371.jpg" alt="Filler in Cincinnati, Ohio" data-asset="a3f4b5aad44d4d9e997eec4a2fb8f7f1" data-credit="Alexander Krivitskiy" data-credit-url="https://www.pexels.com/photo/portrait-of-woman-with-sharp-jawline-5857371/" data-mod="width:1200"></p>
<p><a href="/non-surgical/fillers" target="_self"><strong>Hyaluronic acid filler</strong></a> is commonly placed in the jawline to mask age-related changes to the jawline, including drooping jowls and loosening skin and muscle. However, placing hyaluronic acid filler in this location is not a replacement for a <strong><a href="/plastic-surgery/facelift/deep-plane-facelift">facelift</a></strong> and can sometimes masculinize the face and/or accentuate the appearance of the jowls. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid935213" title="YouTube video player" src="https://www.youtube.com/embed/5SXVwc9LIcM" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">A Hyaluronic Acid Filler Product for the Jawline was Recently FDA-Approved</h2>
<p>The hyaluronic acid filler product by Juvederm&copy;, Volux XC, has recently been FDA-approved for use in the jawline. However, there are multiple products from companies including Restylane&copy;, Juvederm&copy;, and others, that demonstrate properties that may make it appropriate for use in the jawline. These products may be appropriate for individuals with a weak, receded jawline, most often in men.</p>
<h2 class="contentTitle">Only a Small Cohort of Female Patients Could Potentially Benefit from Jawline Filler</h2>
<p>Generally, only a small cohort of female patients demonstrate a weakness in the jawline severe enough to benefit from placement of filler in this location.</p>
<p>The problem with adding volume along the jawline in women with drooping jowls and a loss of definition of the jawline is that it risks masculinizing the face and making the jowls appear heavier than they are.</p>
<p>In contrast, the chin is a commonly recessed area for which filler can often be an appropriate treatment option for men and women.</p>
<h2 class="contentTitle">Only a Facelift Can Directly Address Jowls</h2>
<p>A facelift and <strong><a href="/plastic-surgery/neck-lift">neck lift</a></strong> are the best treatment options for loose and drooping soft tissue - including skin, muscle, and fat pads - along the jawline.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>

Pexels Alexander Krivitskiy 5857371

When Is Jawline Filler Not Aesthetically Appropriate?

<p><img class="contentImg" title="Rhinoplasty in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/3d700780-38a4-406a-a086-c16511cbe5cf/Narrow%20Nasal%20Tip" alt="Rhinoplasty in Cincinnati, Ohio" data-asset="e61c0ead3b9941fdb60bbe7cca1275c2" data-credit="Min An" data-credit-url="https://www.pexels.com/photo/close-up-photography-of-a-woman-792994/" data-mod="width:1200"></p>
<p>Cosmetic <a href="/plastic-surgery/rhinoplasty" target="_self"><strong>nose surgery (rhinoplasty)</strong></a> is one of the most common procedures I perform. Patients who have never undergone nose surgery often request a &ldquo;smaller&rdquo; nasal tip. A more refined tip can be delivered with specialized techniques that also preserve the strength and structure of the tip of the nose in most instances.</p>
<p>However, sometimes what individuals perceive as a large or &ldquo;bulbous&rdquo; nasal tip is something else entirely. Instead, it is a problem that requires a more complex technique to deliver on their aesthetic goals.</p>
<p>It is important to ground an understanding of why this is sometimes the case by reviewing the anatomy of the nasal tip. The nasal tip is formed primarily by paired cartilages, called lower lateral cartilages, and their ligamentous attachments to each other as well as surrounding cartilage and soft tissue (see image below). The lower lateral cartilages pair up and align at the center. This area of the cartilage is called the medial crura or columella. The cartilages then separate, curving out over the nostrils. This section is called the lateral crura.</p>
<p>It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><img class="contentImg" title="Lateral Crura and Medial Crura" src="https://harmon.wtgdigital.io/assets/12eb8423-c271-4a02-82dc-6bff2b11b641/Lateral%20Crura%20and%20Medial%20Crura" alt="Lateral Crura and Medial Crura" data-asset="a456fed848df4f43bb1663fc05613f3d" data-mod="width:1200"></p>
<p>Source: Modification of Image from &Ccedil;akır B, K&uuml;&ccedil;&uuml;ker İ, Aksakal İA, Sağır H&Ouml;. Auto-Rim Flap Technique for Lateral Crura Caudal Excess Treatment. Aesthet Surg J. 2017 Jan;37(1):24-32.</p>
<p>The lateral crura are sometimes angled too vertically (see image below). The lateral crura can collapse when they are angled too vertically, resulting in a concave rather than a convex curve. The lateral crura are considered too vertically positioned. The nasal tip appears large not because it is but because the lateral crura are &ldquo;pinched.&rdquo; It becomes clearer when comparing the tip of the nose to the middle third of the nose. If the tip is approximately the width of the middle of the nose it is unlikely to be too large. It is important to recognize this deformity because performing the standard suite of tip narrowing techniques on such a nose will not improve it and may, in fact, make it worse.</p>
<p>Instead of trying to reduce the size and therefore strength of the nasal tip, this section of the cartilage needs to be strengthened and reoriented to provide the more refined shape the individual is seeking. This can be performed using cartilage taken from the septum inside the nose.</p>
<p>The modifications I often recommend in these instances can require extensive counseling, because some patients are understandably confused when they present to my office believing they have a large nasal tip. This is a circumstance that requires a detailed exam to identify and treat correctly</p>
<p><img class="contentImg" src="https://harmon.wtgdigital.io/assets/d4c3182d-1efa-4984-8941-ae6b1ea12af4/Nose.png" alt="Nose.png" data-asset="b5aea2e8269c4932b21cb56919f76695" data-mod="width:1200"></p>
<p>Source: Mohebbi A, Azizi A, Tabatabaiee S. Repositioned lateral crural flap technique for cephalic malposition in rhinoplasty. Plast Surg (Oakv). 2015 Fall;23(3):183-8.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a <strong>double board-certified</strong>, <strong>fellowship-trained</strong> specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong>.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us today to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>
<h2 class="contentTitle">References</h2>
<ol>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/27694454/">&Ccedil;akır B, K&uuml;&ccedil;&uuml;ker İ, Aksakal İA, Sağır H&Ouml;. Auto-Rim Flap Technique for Lateral Crura Caudal Excess Treatment. Aesthet Surg J. 2017 Jan;37(1):24-32.</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/26361626/">Mohebbi A, Azizi A, Tabatabaiee S. Repositioned lateral crural flap technique for cephalic malposition in rhinoplasty. Plast Surg (Oakv). 2015 Fall;23(3):183-8.</a></li>
</ol>

Narrow%20 Nasal%20 Tip

When is it Unwise to Narrow the Nasal Tip?

<p><img class="contentImg" title="June 1960 Bazaar Magazine Cover" src="https://harmon.wtgdigital.io/assets/638d393f-b5f8-417e-b276-ff051b011758/June-1960-Bazaar-Magazine-Cover.jpg" alt="June 1960 Bazaar Magazine Cover" data-asset="d6901415f46e462f9d4383684bfb2eb9" data-credit="EphemeraForever.com via Pinterest" data-credit-url="https://tr.pinterest.com/pin/712765078507887453/" data-mod="width:1200"></p>
<p>The promotion of aesthetic plastic surgery in the United States increased dramatically after the second world war when surgeons who gained experience reconstructing the war wounded saw a sudden drop in patients. This development paralleled the greater professionalization &ndash; the act of increasing training for and/or the qualifications required to enter - of the field of plastic surgery. However, one of the problems associated with the early advertising of plastic surgery services in the 1940s and 1950s was that these promotional efforts did not extend to the head and neck surgery trained facial plastic surgeons who were highly qualified to perform aesthetic facial plastic surgery procedures. It is important to seek not only a&nbsp;<strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p>&nbsp;</p>
<h2 class="contentTitle">Facial Plastic Surgeons Could Not be Listed in the Yellow Pages</h2>
<p>Facial plastic surgeons even had difficulty getting their names listed in the Yellow Pages, which was one of the most important ways for prospective patients to find plastic surgeons at the time. The American Medical Association (AMA) specialty code designations that telephone companies adhered to when listing physicians in the Yellow Pages did not allow a physician to declare their sub-specialty practice or to change their specialty practice after they were listed. This prevented a head and neck surgeon from, for example, declaring a subspecialty of facial plastic surgery or changing their specialty to facial plastic surgery, which effectively excluded them from advertising. It took an anti-trust complaint filed by the Federal Trade Commission against the AMA in the 1970s &ndash; which allowed physicians to generally advertise and market &ndash; to allow facial plastic surgeons to appropriately designate themselves in the Yellow Pages.</p>
<p><img class="contentImg" src="https://harmon.wtgdigital.io/assets/b73f45ec-43b4-44ad-89e2-9bd4b68dcbf9/Picture1.png" alt="Picture1.png" data-asset="b4d6e07ea87c44578c698221d6c27fc4" data-credit="Simons, Robert L. Coming of Age: A Twenty-Fifth Anniversary History of the American Academy of Facial Plastic and Reconstructive Surgery. New York, New York: Thieme Medical Publishers, Inc., 1989. Print." data-mod="width:1200"></p>
<p>Photo Source: Simons, Robert L. <em>Coming of Age: A Twenty-Fifth Anniversary History of the American Academy of Facial Plastic and Reconstructive Surgery</em>. New York, New York: Thieme Medical Publishers, Inc., 1989. Print.</p>
<h2 class="contentTitle">Facial Plastic Surgeons were Professionally Excluded</h2>
<p>Head and neck surgery trained facial plastic surgeons were not allowed to evaluate the credentials of facial plastic surgeons for hospital privileges and plastic surgeons often refused to do so. Plastic surgery medical societies who agreed to allow head and neck surgeons to present papers were often criticized. Attempts were made to stop seminars on facial plastic surgery taught by head and neck surgeons. Companies were threatened with economic sanctions for agreeing to sell surgical equipment to head and neck surgeons.</p>
<p>Plastic surgeons even obstructed the teaching of facial plastic surgery to head and neck surgery residents. These restrictions lead head and neck surgery residency programs to develop some of the earliest formalized and best organized teaching curricula for facial plastic surgery. For more information on this please see <strong><a href="https://www.harmonface.com/blog/a-history-of-facial-plastic-surgery">this previous blog post</a></strong> on the history of facial plastic surgery.</p>
<h2 class="contentTitle">A Harper&rsquo;s Bazaar Article Led to the American Academy of Facial Plastic and Reconstructive Surgery</h2>
<p>An article was published under the heading &ldquo;The Wish to be Beautiful&rdquo; by the plastic surgeon Geri Trotta in <em>Harper&rsquo;s Bazaar</em> in 1960. Readers were asked to write to the secretary of the American Board of Plastic Surgery in St. Louis for a list of qualified surgeons. Those qualified surgeons did not include facial plastic surgeons. <em>Harper&rsquo;s Bazaar </em>was, and remains, a popular and widely read beauty and fashion magazine. As a result, this article captured the attention of the public. Called the &ldquo;Harper&rsquo;s Bazaar Hassle,&rdquo; this article was a strong impetus for the formation of the American Academy of Facial Plastic and Reconstructive Surgery &ndash; of whom I am a fellowship-trained member &ndash; in 1964.</p>
<h2 class="contentTitle">This Level of Conflict no Longer Exists between Specialties</h2>
<p>The contributions of both facial plastic surgeons and plastic surgeons to the field of plastic surgery has been immense. For example, it was the plastic surgeon Sam Hamra who developed and first published on deep plane facelift surgery, which my fellowship director, the facial plastic surgeon Andrew Jacono, advanced with his <a href="/plastic-surgery/facelift/deep-plane-facelift" target="_self"><strong>extended deep plane facelift technique</strong></a>. Each specialty has valuable skills and lessons to teach the other. That exchange in the literature and at conferences is essential to advancing the field of aesthetic plastic surgery. The above history simply highlights the early challenges facial plastic surgeons faced to gain the professional respect and acknowledgement they deserved.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more!</a></strong></p>
<p><strong><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></strong></p>
<h2 class="contentTitle">References</h2>
<p>Simons, Robert L. <em>Coming of Age: A Twenty-Fifth Anniversary History of the American Academy of Facial Plastic and Reconstructive Surgery</em>. New York, New York: Thieme Medical Publishers, Inc., 1989. Print.</p>
<p>Featured photo of June 1960 cover of Bazaar credit: <strong><a href="https://tr.pinterest.com/pin/712765078507887453/">EphemeraForever.com via Pinterest</a></strong></p>

June 1960 Bazaar Magazine Cover

What was the “Harper’s Bazaar Hassle?”

<p><img class="contentImg" title="Dr. Jeffrey Harmon" src="https://harmon.wtgdigital.io/assets/9d8e9190-26ca-4617-a401-8c844b5fb22c/Dr-Jeffrey-Harmon.jpg" alt="Facial plastic surgery in Cincinnati, Ohio" data-asset="a2f616491e3b4363a7f6dd0f509cd7ed" data-mod="width:1200"></p>
<p>Patients can expect a detailed and honest conversation with Dr. Harmon during their consultation at Harmon Facial Plastic Surgery in Cincinnati, Ohio. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid573596" title="YouTube video player" src="https://www.youtube.com/embed/_8uGDthG57k" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">Expect a Detailed Conversation About Your Concerns and Aesthetic Goals with Dr. Harmon</h2>
<p>Dr. Harmon feels that the focus of a consultation should be on establishing a strong physician-patient relationship. As a result, he brings patients to his office and conducts the entire consultation himself. Expect a detailed discussion about your concerns and aesthetic goals. Dr. Harmon prefers to listen to what concerns you rather than tell you what he thinks should concern you.</p>
<h2 class="contentTitle">Expect an Honest Conversation About the Available Treatments, their Benefits, and their Potential Risks</h2>
<p>Dr. Harmon performs the gold standard surgical techniques in aesthetic facial plastic surgery including the <strong><a href="/plastic-surgery/facelift/deep-plane-facelift">extended deep plane facelift</a></strong> and <strong><a href="/plastic-surgery/blepharoplasty">fat perseveration eyelid surgery (blepharoplasty)</a></strong>. He also adheres to the most up-to-date evidence in the medical literature when making recommendations, whether surgical or non-surgical. As a specialist in facial plastic surgery, he can confidently determine whether a surgical or non-surgical treatment would best address your concerns and aesthetic goals. He also believes it is important to communicate not only the benefits of any procedure but also the potential risks &ndash; however small &ndash; to patients himself.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>

Dr Jeffrey Harmon

What to Expect from a Consultation with Dr. Jeffrey Harmon

<p><img class="contentImg" title="Filler in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/6d68abe1-3062-4c47-b075-e5aac76e57f5/pexels-vlada-karpovich-8939931.jpg" alt="Filler in Cincinnati, Ohio" data-asset="d5cf0691c29a426987a4bd6384136bea" data-credit="Vlada Karpovich" data-credit-url="https://www.pexels.com/photo/woman-holding-a-yoga-mat-and-water-bottle-8939931/" data-mod="width:1200"></p>
<p>Hyaluronic acid dermal fillers can address specific concerns about flatness or poor volume in your&nbsp;<strong><a href="/plastic-surgery/facelift/deep-plane-facelift">face</a></strong>, including your temples, cheeks, tear troughs, <strong><a href="/plastic-surgery/lip-lift">lips</a></strong>, chin, and/or jawline. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> to help determine whether dermal fillers are appropriate for your concerns.</p>
<p><iframe id="fitvid851789" title="YouTube video player" src="https://www.youtube.com/embed/jmbfTZpxCCw" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">Different Hyaluronic Acid Dermal Filler Products Deform and Change Under Stress Differently</h2>
<p>The study of how a material &ndash; in this case, hyaluronic acid dermal filler &ndash; deforms and changes under mechanical stress is called rheology (1). Hyaluronic acid is produced in the body in massive quantities but is soon dissolved. In contrast, hyaluronic acid dermal filler products are produced in a laboratory, outside of the human body, with particles of a controlled size, concentration, and extent of crosslinking. Crosslinking is a chemical process that binds these hyaluronic acid particles. It is these qualities that are used to produce dermal filler products with features that are optimized for placement in specific areas of the face to achieve a cosmetic goal.</p>
<h2 class="contentTitle">Extent of Crosslinking and Concentration of Hyaluronic Acid Determines Rheology</h2>
<p>More extensive crosslinking results in a stiffer dermal filler. It also prolongs the effect of the product. A higher gel concentration also results in a stiffer gel. Different products include hyaluronic acid at different concentrations and different levels of crosslinking to produce a desired effect.</p>
<h2 class="contentTitle">Rheology Describes Useful Hyaluronic Acid Dermal Filler Qualities</h2>
<p>The stiffness of a <strong><a href="/non-surgical/fillers">dermal filler</a></strong>, or its ability to return to its original shape when acted on by forces, is called the G&rsquo;. The higher the G&rsquo;, the stiffer the gel. Each hyaluronic acid product takes a different approach to reach a specific G&rsquo;, with some products focusing more on the extent of the crosslinking while others focusing more on the concentration of hyaluronic acid particles in the gel.</p>
<p>For example, softer hyaluronic acid fillers such as Restylane Silk&copy; are often used more superficially or in areas with thinner tissue overlying it, such as the tear troughs, due to its lower G&rsquo;. In contrast, Restylane Lyft&copy; has a high stiffness, or G&rsquo;. As a result, it is generally placed deeper and in areas requiring a more pronounced, stable lift, such as the cheeks or temples.</p>
<p>The extent of crosslinking and concentration of hyaluronic acid gels also determine the product&rsquo;s cohesivity, which determines whether a product maintains projection or falls apart with pressure, such as massage. A less cohesive product is more malleable and can be massaged in place more easily. Restylane products have the lowest cohesivity of the different brands of hyaluronic acid fillers (2).</p>
<h2 class="contentTitle">Trust your face to a facial plastic surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about flatness or poor volume in your face, including your temples, cheeks, tear troughs, lips, chin, and/or jawline.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong>.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <a href="https://www.harmonface.com/contact">Get in touch with us to learn more</a>!</p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>
<h2 class="contentTitle">References</h2>
<p>1. <a href="https://pubmed.ncbi.nlm.nih.gov/32413205/">Heitmiller K, Ring C, Saedi N. Rheologic properties of soft tissue fillers and implications for clinical use. J Cosmet Dermatol. 2021 Jan;20(1):28-34.</a></p>
<p>2. <a href="https://pubmed.ncbi.nlm.nih.gov/26397245/">Sundaram H, Rohrich RJ, Liew S, Sattler G, Talarico S, Tr&eacute;vidic P, Molliard SG. Cohesivity of Hyaluronic Acid Fillers: Development and Clinical Implications of a Novel Assay, Pilot Validation with a Five-Point Grading Scale, and Evaluation of Six U.S. Food and Drug Administration-Approved Fillers. Plast Reconstr Surg. 2015 Oct;136(4):678-686.</a></p>

Pexels Vlada Karpovich 8939931

What Qualities Distinguish Hyaluronic Acid Dermal Filler Products?

<p><img class="contentImg" title="Facial plastic surgery in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/a3aa43ec-d4c6-4102-a3a9-b46aa4e234ec/pexels-karolina-grabowska-4230620.jpg" alt="Facial plastic surgery in Cincinnati, Ohio" data-asset="bbec249213454abbbb0afac08313b47f" data-credit="Karolina Grabowska" data-credit-url="https://www.pexels.com/photo/medical-eyeglasses-and-full-of-blood-vials-on-diaper-4230620/" data-mod="width:1200"></p>
<p>Pre-operative testing and medical clearance from a Primary Care Provider (PCP) are key to maximizing the safety of any&nbsp;<strong><a href="/plastic-surgery">surgical procedure</a></strong> in which oral or IV anesthesia medications are being used at Harmon Facial Plastic Surgery in Cincinnati. The testing and medical clearance are reviewed by Dr. Harmon and the physician anesthesiologist prior to the surgery date. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<h2 class="contentTitle">The Testing Required Depends on Multiple Factors</h2>
<p>The extent of pre-operative testing depends on each patient&rsquo;s past medical history as well as the type of anesthesia they will receive. More testing is required prior to a longer surgical procedure in which IV sedation will be used compared with a procedure in which only local anesthesia is used.</p>
<h2 class="contentTitle">Every Patient Receiving IV Anesthesia Needs Medical Clearance from Their PCP</h2>
<p>It is essential that any patient undergoing IV sedation is evaluated by their PCP to assess their cardiovascular risk prior to undergoing surgery. The PCP reviews their past medical history, reviews current medical problems, completes a physical exam, and reviews the testing listed below to conclude whether they are cleared for surgery.</p>
<h2 class="contentTitle">Most Patients Need an Electrocardiogram (ECG)</h2>
<p>Most patients need an ECG to rule out any previously undiagnosed abnormal heart rhythms or changes consistent with coronary artery disease (CAD) that would place them at increased risk while undergoing anesthesia.</p>
<h2 class="contentTitle">Most Patients Need a Chest Xray (CXR)</h2>
<p>Most patients need a CXR prior to surgery to rule out any obvious changes that could make oxygenating difficult while undergoing anesthesia.</p>
<h2 class="contentTitle">Most Patients Need Laboratory Work</h2>
<p>The laboratory testing most patients need includes a Basic Metabolic Panel (BMP) to evaluate electrolytes as well as a Complete Blood Count (CBC) to evaluate the levels of various components of the blood.</p>
<h2 class="contentTitle">Pregnancy Testing is Required for Most Individuals Pre-Operatively</h2>
<p>Harmon Facial Plastic Surgery has a pre-operative pregnancy testing policy that requires pregnancy testing &ndash; unless refused &ndash; for females of child-bearing age the morning of surgery who have not undergone a hysterectomy or removal of their ovaries and fallopian tubes (salpingo-oophorectomy).</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in<strong><a href="/plastic-surgery/facelift/deep-plane-facelift"> plastic surgery of the face</a></strong> and <strong><a href="/plastic-surgery/neck-lift">neck</a></strong> when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>

Pexels Karolina Grabowska 4230620

What Pre-Operative Testing Is Required at Harmon Facial Plastic Surgery?

<p><img class="contentImg" title="Hair restoration surgery in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/65274943-8f99-439d-ba5a-d5e8776cfcfb/pexels-andrea-piacquadio-3781916.jpg" alt="Hair restoration surgery in Cincinnati, Ohio" data-asset="e7b606faea3143e98eb46a92ce4ba685" data-credit="Andrea Piacquadio" data-credit-url="https://www.pexels.com/photo/adult-man-wearing-green-jacket-3781916/" data-mod="width:1200"></p>
<p><strong><a href="/plastic-surgery/hair-restoration">Hair restoration surgery</a></strong>, which includes follicular strip (FUS) and follicular unit extraction (FUE) procedures, is an excellent option to treat the most common cause of hair loss in men and women, called androgenic alopecia. The pattern of hair loss in men and women with androgenic alopecia differs, though the cause is similar. Here at Harmon Facial Plastic Surgery in Cincinnati, Ohio both FUS and FUE hair restoration surgery is performed for both men and women with concerns about hair loss.</p>
<p>However, there are multiple causes of hair loss for which hair restoration surgery would not be a good treatment option. The examples below are not all-inclusive but present a wide range of potential diagnoses. It is essential that any individual for whom you have a concern about any of these diagnoses should be evaluated by a dermatologist prior to considering hair restoration surgery. Seek a <strong>fellowship-trained</strong>, <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified</a></strong> facial plastic surgeon if you have concerns about your hair and feel <strong><a href="https://www.harmonface.com/blog/hair-loss-treatments-an-explainer">hair restoration treatments</a></strong> may be a good option.</p>
<h2 class="contentTitle">Inflammatory Causes to Hair Loss Would Not be Appropriate for Hair Restoration Surgery</h2>
<p>Two types of inflammatory causes to hair loss will be discussed below. They are distinguished by the fact that one family of diseases causes scarring of the scalp while the other does not.</p>
<p>The family of diseases that fall under cicatricial, or scarring, alopecia result in hair loss due to permanent destruction of the hair follicle. Examination of the scalp demonstrates a complete loss of hair follicles as well as scar tissue. The cause is inflammation caused by one or more types of inflammatory cells. One example is called lichen planopilaris. It is more common in women and most commonly develops in your 40s and 50s. Patients typically experience an intensely itchy scalp associated with hair shedding. It typically affects the central scalp. When you look closely at the hair on the scalp you see scaling and redness at the base of the hairs at the location of the follicles. A second example is called frontal fibrosing alopecia. It was first discovered in post-menopausal women who were experiencing recession of their frontal hairline and temples. Unlike lichen planopilaris, itching is typically not associated with this disease. The skin where the hair is lost appears smooth and shiny, though the edge of the hairline that remains demonstrates inflammatory changes. Eyebrow hair is typically lost as well. A third example is central centrifugal cicatricial alopecia. This disease affects primarily adult females of African descent. The hair loss pattern typically starts in the center of the scalp and spreads radially, leaving just a few scattered hairs in its wake. The affected skin is smooth and soft.</p>
<p>There are other inflammatory processes that result in hair loss without scarring of the scalp skin. One example is the autoimmune condition called alopecia areata. Unlike the above conditions, alopecia areata demonstrates waxing and waning - rather than progressive - symptoms and is reversible. It affects men and women equally and in a wide age range. Alopecia areata appears as small, well-defined patches without other symptoms that can expand or contract in size. A telltale sign of this disease on exam is the demonstration of what are called &ldquo;exclamation mark&rdquo; hairs, which appear to expand in width from base to tip. The patient&rsquo;s nails also sometimes develop an abnormal texture.</p>
<p>Whether the inflammatory cause of hair loss is scarring or not, neither are generally appropriate for hair restoration surgery. These conditions should be evaluated and treated by a dermatologist.</p>
<h2 class="contentTitle">Infectious Causes to Hair Loss Would Not be Appropriate for Hair Restoration Surgery</h2>
<p>There are multiple infections that can cause hair loss. Though less common now, syphilis is one example of an infection that can cause hair loss. A more common infectious cause is tinea capitis, also known as ringworm. Tinea capitis is a fungal infection of the scalp than results in scaly, swollen, draining skin with associated hair loss. As expected, the exam usually strongly suggests an infection. These individuals are not good candidates for hair restoration surgery. Instead, they should be treated promptly by a physician specialized in the treatment of such infections.</p>
<h2 class="contentTitle">Hair Loss Related to Mental Health Would Not be Appropriate for Hair Restoration Surgery</h2>
<p>There is an impulse disorder in the family of conditions related to obsessive compulsive disorder called trichotillomania where patients chronically pull hair from their scalp. These individuals sometimes present to hair restoration surgeons concerned about hair loss. The symptoms typically start in late childhood but can persist into adulthood. Among the signs to look out for are hair loss that demonstrates a bizarre geometric pattern as well as evidence of recent bleeding from the scalp with hair removal. These patients are best evaluated and treated by a mental health professional for their symptoms. Hair restoration surgery is not appropriate for these individuals.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more!</a></strong></p>
<p><strong><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></strong></p>
<h2 class="contentTitle">References</h2>
<p>Blume-Peytavi U, Tosti A, Whiting DA, Trueb R, eds. <em>Hair Growth and Disorders</em>. Springer Publishing; 2008.</p>

Pexels Andrea Piacquadio 3781916

What Medical Conditions Leading to Hair Loss Would Not be Appropriate for Hair Restoration Surgery?

<p><img class="contentImg" title="Facial plastic surgery in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/a8a4d734-2c91-4ad5-a63b-76e53f832aa9/Face%20Care%20by%20a%20Qualified%20Plastic%20Surgeon" alt="Facial plastic surgery in Cincinnati, Ohio" data-asset="e8606d0f1eda4185a0d7dfefad245b91" data-credit="Godisable Jacob" data-credit-url="https://www.pexels.com/photo/photo-of-woman-wearing-yellow-floral-top-871495/" data-mod="width:1200"></p>
<p>It is a common misconception that all plastic surgeons have the same background and surgical training. The number and complexity of plastic surgery procedures had increased and the required depth of knowledge and skills to master a specific anatomic area has increased.</p>
<p>The route a facial plastic surgeon takes begins with a five (5) year residency in head and neck surgery. That training includes an extensive volume of cosmetic and reconstructive plastic surgery focused solely on the face, neck, nose, eyes, and hair. Head and neck surgery training also includes head and neck cancer removal, restoration of facial nerve function, sinus surgery, larynx (voicebox) surgery, and airway surgery. A wide range of skills are developed by training in these disparate surgery types on the head and neck anatomy.</p>
<p>A head and neck surgery resident then enters an additional year of training in fellowship focused exclusively on facial plastic and reconstructive surgery through the American Academy of Facial Plastic and Reconstruction Surgery (AAFPRS). It is during this year that our clinical and surgical skills amalgamate and crystallize.</p>
<p>The whole process takes 6 years, after which we start as an employed physician in a hospital or private practice or start our own practice.</p>
<p>This focused, specialized training is why the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) says &ldquo;trust your face to a facial plastic surgeon.&rdquo;</p>
<p>It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a <strong>double board-certified</strong>, <strong>fellowship-trained</strong> specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong>.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us today to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>

Face%20 Care%20by%20a%20 Qualified%20 Plastic%20 Surgeon

What Makes a Facial Plastic Surgeon Qualified to Care for Your Face?

<p><img class="contentImg" title="Facelift and Neck Lift Surgery in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/88f555ba-ba33-4a50-b21c-7344ec05bea5/pexels-ofarias-g-17193783.jpg" alt="Facelift and Neck Lift Surgery in Cincinnati, Ohio" data-asset="e5fa7377d5a448f7979af3f53f89e4fe" data-credit="_ofarias g" data-credit-url="https://www.pexels.com/photo/woman-among-red-flowers-17193783/" data-mod="width:1200"></p>
<p>Almost every surgical procedure in every surgical subspecialty has post-operative bleeding as a risk. This includes facial plastic surgery procedures. And while the risk of bleeding &ndash; also known as a hematoma &ndash; is low, it is something surgeons work hard to further reduce the risk of, especially with neck lift surgery and facelift surgery. The interventions discussed in this blog post include the use compression dressings, the placement of drains, hemostatic (Auersvald) netting, tissue glues (e.g., Tisseel&copy;, Artiss&copy;, and Platelet-Rich-Plasma [PRP]), and Tranexamic Acid (TXA). Current research does NOT indicate which intervention or combination of interventions is best to reduce the risk of bleeding. It is important to seek not only a&nbsp;<strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<h2 class="contentTitle">Meticulous Surgical Technique</h2>
<p>Meticulous surgical technique that minimizes bleeding and addresses the source(s) of bleeding carefully and while minimizing the effects to surrounding tissue is likely the best method for reducing the risk of bleeding after surgery.</p>
<h2 class="contentTitle">Blood Pressure Control</h2>
<p>The major risk factor for bleeding is significantly elevated blood pressure. That is why optimal blood pressure control prior to surgery and maintenance of adequate blood pressure control can reduce the risk of bleeding. It is possible for an individual&rsquo;s blood pressure to be higher than normal before surgery due to anxiety about the procedure. This typically dissipates as the patient relaxes and they receive anesthesia medications. Blood pressure post-operatively is typically affected by pain, nausea, and vomiting, which is why tailoring the pain control regimen and nausea control regimen can decrease the risk of bleeding in some individuals. However, our experience at Harmon Facial Plastic Surgery has been that <a href="/plastic-surgery/facelift/deep-plane-facelift" target="_blank" rel="noopener noreferrer"><strong>extended deep plane facelift</strong></a> surgery generally does not cause significant pain and <a href="https://www.harmonface.com/blog/what-are-the-different-types-of-anesthesia-administered-during-surgery" target="_blank" rel="noopener noreferrer"><strong>the anesthesia administered</strong></a> generally does not cause significant nausea when compared with other approaches.</p>
<h2 class="contentTitle">Compression Dressings</h2>
<p>Tight dressings around the face and neck have been used historically as a compression dressing meant to reduce the risk of bleeding. However, the use of this needs to be balanced against the risk of constricting the skin too much such that the skin loses adequate blood flow from compression. <a href="https://www.harmonface.com/blog/do-i-need-to-wear-a-large-heavy-compression-dressing-after-my-facelift" target="_blank" rel="noopener noreferrer"><strong>We at Harmon Facial Plastic Surgery do not use tight compression dressings</strong></a> after surgery for this reason.</p>
<h2 class="contentTitle">Drains</h2>
<p>Drains have also historically been used to reduce bleeding and bruising after surgery. And while this has not been definitively proven in the literature, the mechanism makes sense &ndash; as evidenced by the fact that fluid collecting in the drains is not collecting in the body. The drains generally remain in for a very short period. <a href="https://www.harmonface.com/blog/how-are-drains-cared-for-after-extended-deep-plane-facelift-and-neck-lift-surgery" target="_blank" rel="noopener noreferrer"><strong>That is why we place drains post-operatively in all patients</strong></a>. Their upkeep is straightforward and simple. They generally cause little discomfort.</p>
<h2 class="contentTitle">Hemostatic Netting</h2>
<p><a href="https://www.harmonface.com/blog/what-is-hemostatic-netting-and-why-would-it-be-used-during-facelift-and-neck-lift-surgery" target="_blank" rel="noopener noreferrer"><strong>Hemostatic, or Auersvald, netting involves the placement of stitches/sutures</strong></a> in areas where skin has been lifted for 48 to 72 hours to temporarily secure the skin against the deeper tissue until it has had some time to heal. Patients with a history of significantly elevated blood pressure and/or individuals for whom more bleeding than usual is encountered in surgery may be a better candidate for such an intervention than others. This technique makes sense, but like all the interventions discussed, more research is required to determine whether it is one of the best approaches.</p>
<h2 class="contentTitle">Tissue Glues</h2>
<p>Tissue glues are products made with the patient&rsquo;s own blood or that are procured from a company that serve to seal blood vessels and tissue layers to each other during surgery. Products made by the body include Platelet-Rich-Plasma (PRP) and other similar concentrations of blood components that are &ldquo;activated&rdquo; to form an adhesive gel. Those products procured by companies include, but are not limited to, Tisseel&copy; and Artiss&copy; fibrin sealants. It is important to note that tissue sealants procured from companies are made from blood products from other humans, similar to the use of cadaveric rib cartilage for <strong><a href="/plastic-surgery/rhinoplasty">nose (rhinoplasty) surgery</a></strong>. A 2016 meta-analysis evaluating the effectiveness of fibrin tissue sealant (e.g. Tisseel&copy;, Artiss&copy;, and PRP) demonstrated a statistically significant rate of reduction of hematoma for Artiss&copy; only. Furthermore, the study demonstrated a statistically significant rate of reduction of hematoma for patient undergoing older, <a href="https://www.harmonface.com/blog/overview-of-facelift-techniques" target="_blank" rel="noopener noreferrer"><strong>often less effective and less natural appearing methods of facelifting</strong></a> but <em>not</em> for deep-plane facelift surgery (<strong>1</strong>). Of note, Dr. Harmon utilizes the <a href="/plastic-surgery/facelift/deep-plane-facelift" target="_blank" rel="noopener noreferrer"><strong>extended deep plane facelift approach</strong></a>. One may consider the use of tissue sealants on a case-by-case basis when one suspects an individual who may be at a higher-than-normal risk of bleeding after surgery.</p>
<h2 class="contentTitle">Tranexamic Acid (TXA)</h2>
<p>The origins of the use of TXA are in orthopedic, cardiac, and trauma literature. Relatively little has been published in the aesthetic surgery literature regarding the use of TXA to prevent bleeding. TXA has been given intravenously (IV), included in injected local anesthesia mixtures injected into the surgical site, and applied topically to the surgical site during surgery. The evidence is currently not clear whether there is one safest, most effective approach to the use of TXA. And, as with all medications, the potential benefits, risks, and alternatives need to be considered with the use of the medication to reduce bleeding. A review of the evidence demonstrates the current data shows an improvement in the intra-operative bleeding, operating time, and drain output, but no statistically significant difference in the rate of bleeding after surgery (<strong>2</strong>). It must also be noted that injecting or applying TXA topically is a United States Food and Drug Administration (FDA) off-label use of the medication.</p>
<h2 class="contentTitle">There is No Method or Combination of Methods that is Considered the Definitive Treatment to Reduce Bleeding and Bleeding Can Occur Regardless of How the Patient is Optimized</h2>
<p>Research remains non-specific as to which intervention or combination of interventions is best to reduce the already relatively low risk of bleeding during and after surgery. <em>The Laryngoscope</em>, one of the premier publications in the field of head and neck surgery, commonly publishes articles called &ldquo;Best Practices&rdquo; where contributors review the available literature to conclude about a common clinical question. Kleinberge A. and Spiegel J., in their article &ldquo;What is the Best Method for Minimizing the Risk of Hematoma Formation After Rhytidectomy [Facelift]?&rdquo; determined that &ldquo;the current literature does not definitively support one particular method for reliably preventing post-operative hematoma after rhytidectomy&rdquo; and &ldquo;there is no replacement for meticulous surgical technique and adequate intraoperative hemostasis&rdquo; (<strong>3</strong>). Larger, better designed studies are required to elucidate this. However, it is important to ask whether your surgeon has engaged with the medical literature and comes to their decisions about intra-operative and post-operative care in a thoughtful manner, weighing the potential risks and benefits of any and all of the above interventions. In the end, there is currently not one perfect method or methods. Each of the above methods could be implemented and the low risk of bleeding would remain. Seek someone who you trust understands how to evaluate and respond if something such as a bleed does occur.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop searching &ldquo;plastic surgery near me.&rdquo; <a href="https://www.harmonface.com/contact" target="_blank" rel="noopener noreferrer"><strong>Get in touch with us to learn more.</strong></a></p>
<p><strong><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></strong></p>
<h2 class="contentTitle">References</h2>
<ol>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/28043785/" target="_blank" rel="noopener noreferrer">Giordano S, Koskivuo I, Suominen E, Ver&auml;j&auml;nkorva E. Tissue sealants may reduce haematoma and complications in face-lifts: A meta-analysis of comparative studies. J Plast Reconstr Aesthet Surg. 2017 Mar;70(3):297-306.</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/37811108/" target="_blank" rel="noopener noreferrer">Soltany A, Alhallak N, Al Aissami M. Tranexamic acid in rhytidectomy: a scoping review. Ann Med Surg (Lond). 2023 Sep 1;85(10):4964-4968.</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/24700419/" target="_blank" rel="noopener noreferrer">Kleinberger AJ, Spiegel JH. What is the best method for minimizing the risk of hematoma formation after rhytidectomy? Laryngoscope. 2015 Mar;125(3):534-6.</a></li>
</ol>

Pexels Ofarias G 17193783

What is/are the Best Method(s) Used by Plastic Surgeons to Reduce the Risks of Bleeding in Facelift and Neck Lift Surgery?

<p><img class="contentImg" title="Filler in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/12dd6577-b745-47ce-ab56-e9c0d1a3df5c/pexels-alexander-krivitskiy-1778821.jpg" alt="Filler in Cincinnati, Ohio" data-asset="b595e76118b8486c9306dbe1aae266fe" data-credit="Alexander Krivitskiy" data-credit-url="https://www.pexels.com/photo/grayscale-photography-of-woman-rubbing-her-neck-1778821/" data-mod="width:1200"></p>
<p>The differences between hyaluronic acid naturally present in the body, that is applied to the skin in skincare products, and that is injected as <a href="/non-surgical/fillers" target="_self"><strong>filler</strong></a> (e.g., Restylane&copy;) is whether the hyaluronic acid is formulated in the body or the lab and whether the hyaluronic acid is cross-linked or not. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid1363" title="YouTube video player" src="https://www.youtube.com/embed/7TJ6C12KT40" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">Hyaluronic Acid is Naturally Present in the Body Turned Over Quickly</h2>
<p>Hyaluronic acid is produced extensively in the body. It is broken down by natural enzymes in the body within 24 to 36 hours of being produced. Hyaluronic acid retains water well. It also acts as a shock absorber within the support matrix for skin cells.</p>
<h2 class="contentTitle">Hyaluronic Acid Applied to the Skin Needs to be Absorbed to be Effective</h2>
<p>Hyaluronic acid is excellent at retaining moisture. The term for this is a humectant. In fact, hyaluronic acid can retain 1,000 times its weight in water. That is why it is included in many skin moisturizers on the market. However, the lab-formulated hyaluronic acid molecules need to be small enough to be absorbed by the skin to be effective. Many products are ineffective because they are not small enough to be absorbed. Topical hyaluronic acid that is not completely absorbed by the skin will draw moisture out of the skin to itself. This will dry the skin. As a result, hyaluronic acid is probably best used in a humid environment so that moisture moves towards rather than away from the skin.</p>
<h2 class="contentTitle">Hyaluronic Acid Filler Injected Under the Skin is Stabilized by Cross-Linking</h2>
<p>Hyaluronic acid filler, which include Restylane&copy; products, is composed of hyaluronic acid molecules produced in a laboratory which are cross-linked so that they develop <a href="https://www.harmonface.com/blog/what-qualities-distinguish-hyaluronic-acid-dermal-filler-products"><strong>certain properties</strong></a> useful for aesthetic purposes but also remain present without being dissolved by the body&rsquo;s natural enzymes as quickly. These products can last in the body for six months or longer; that is, unless a medication called hyaluronidase is injected where it is located. Hyaluronidase is a lab-produced enzyme that can speed up the dissolution of cross-linked hyaluronic acid filler.</p>
<p>This filler needs to be injected under the skin because the size of the cross-linked molecules prevents skin from absorbing it. And, because hyaluronic acid filler absorbs water, swelling immediately after injection of hyaluronic acid filler is expected.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <a href="https://www.harmonface.com/contact"><strong>Get in touch with us to learn more!</strong></a></p>
<p><a class="button" href="https://www.harmonface.com/contact"><strong>Contact Us</strong></a></p>
<h2 class="contentTitle">Reference</h2>
<p>Baumann L. Cosmeceuticals and Cosmetic Ingredients. McGraw-Hill Education; 2015.</p>

Pexels Alexander Krivitskiy 1778821

What is the Difference between the Hyaluronic Acid Found in the Body, Applied to the Skin, and Injected as Filler?

<p><img class="contentImg" title="Nose Surgery (Rhinoplasty) in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/10f943b2-2df7-47b8-82d9-9f02dedcfb64/pexels-nataliya-vaitkevich-4942862.jpg" alt="Nose Surgery (Rhinoplasty) in Cincinnati, Ohio" data-asset="dd7d78ecf9124a2289733ef33dfcdd9e" data-credit="Nataliya Vaitkevich" data-credit-url="https://www.pexels.com/photo/close-up-photography-of-man-kissing-woman-nose-4942862/" data-mod="width:1200"></p>
<p>The difference(s) between a functional and a cosmetic&nbsp;<strong><a href="/plastic-surgery/rhinoplasty">rhinoplasty</a></strong> is(are) of philosophy and goals, not necessarily of specific surgical maneuvers. A functional rhinoplasty is focused on improving nasal breathing by widening or strengthening the opening of one or both nasal cavities. A cosmetic rhinoplasty may be like a functional rhinoplasty but may also involve maneuvers that narrow or reduce the size of the nose. Most patients desire both functional and cosmetic improvement, demanding a mixed philosophy which informs the surgical approach. Overall, it is important to work towards a natural appearing result that fits each patient&rsquo;s unique facial features when performing a functional rhinoplasty, cosmetic rhinoplasty, or a rhinoplasty that incorporates both functional and cosmetic goals. An in-person consultation is always necessary to evaluate the nose to determine the most appropriate approach. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<h2 class="contentTitle">Some Maneuvers are Primarily Cosmetic</h2>
<p>Maneuvers that may be more cosmetic than functional include:</p>
<ul>
<li>Dorsal hump (bump) reduction, which is meant to reduce the height of the nasal bridge</li>
<li>Dorsal onlay graft, which is meant to increase the height of the nasal bridge</li>
<li>Nasal tip cartilage suturing (stitching), which is meant to narrow the nasal tip</li>
<li>Nasal tip grafting (e.g., columellar strut graft, caudal septal extension graft), which is meant to control the projection and rotation (i.e., upturn) of the nasal tip</li>
<li>Lateral crural trim, which is meant to decrease the &ldquo;fullness&rdquo; of the nasal tip</li>
<li>Lateral and medial osteotomies, which are meant to narrow the nasal bridge</li>
</ul>
<p>The above maneuvers change the height of the nasal bridge, the size and shape of the nasal tip, and the projection and/or rotation of the nasal tip. One or more of these maneuvers may be an appropriate approach to achieve a patient&rsquo;s cosmetic goals. However, this list is not comprehensive, as there are many other maneuvers available to surgeons.</p>
<h2 class="contentTitle">Maneuvers that Widen and/or Strengthen Can be Functional and Cosmetic</h2>
<p>Maneuvers that open a collapsed area of the nose or strengthen the opening of one or both nasal cavities can improve restricted nasal breathing as well as the appearance of the nose.</p>
<p>Maneuvers that may be functional as well as cosmetic include:</p>
<ul>
<li>Spreader grafts that widen the nasal bridge and open up the interior of the nasal cavity</li>
<li>Lateral crural grafts that open and strength the valve that keeps the opening of the nose stable</li>
<li>Grafts that straighten and strengthen the nasal septum</li>
</ul>
<p>While most osteotomies are intended to narrow the nasal bridge, they can be used to return a previously fractured nose to a more symmetric position, thereby opening a previously narrowed nasal cavity.</p>
<p>All functional rhinoplasty procedures should seek to at least preserve and, when possible, enhance the cosmesis of the nose. The focus of functional rhinoplasty, however, should be on improving air flow through the nose. There may be instances in which the cosmesis of the nose is sacrificed when function of the nose is by far the most valued goal of a patient.</p>
<h2 class="contentTitle">Facial Plastic Surgeons Have an Eye Towards Long-Term Results</h2>
<p>A facial plastic surgeon has an aesthetic eye regardless of the primary goals of a rhinoplasty. As a result, there is not a purely functional or cosmetic procedure. Instead, each procedure is tailored to the individual patient based on a detailed discussion of their aesthetic and functional goals. A facial plastic surgeon&rsquo;s aesthetic eye should be aimed towards the future such that the best, most natural appearing, long-term result that is possible is achieved, not necessarily the most trendy result immediately after surgery.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more.</a></strong></p>
<p><strong><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></strong></p>

Pexels Nataliya Vaitkevich 4942862

What is the Difference Between a Functional and a Cosmetic Rhinoplasty?

<p><img class="contentImg" title="Extended deep plane facelift in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/f7413727-c03d-428f-a9d3-0ed3c343528e/pexels-los-muertos-crew-7260720.jpg" alt="Extended deep plane facelift in Cincinnati, Ohio" data-asset="b73749964b7040808e2411fa2126216c" data-credit="Los Muertos Crew" data-credit-url="https://www.pexels.com/photo/close-up-photo-of-elderly-woman-listening-to-music-7260720/" data-mod="width:1200"></p>
<p>The core of any facial plastic surgeon&rsquo;s skills come from their training in fellowship, which follows their residency training. The premier body for fellowship training in facial plastic surgery is the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS). Established surgeons learn from their colleagues by visiting them in the operating room and by engaging with them through medical literature and at meetings. True advancements in surgical techniques are more likely to be published in reputable journals than kept within the surgeon&rsquo;s operating room. Moreover, these advancements usually improve upon previous innovations in an iterative process where the wisdom of a surgeon&rsquo;s colleagues is built upon.</p>
<p>Those surgeons who advanced early facelift techniques (e.g., <a href="https://www.harmonface.com/blog/a-history-of-facial-plastic-surgery"><strong>Suzanne Noel</strong></a>) set the stage for improvements based on an evaluation of the strengths and weaknesses of those techniques and an improved understanding of the anatomy of the face and neck. No truly innovative technique ignores history. The deep plane facelift as developed by the plastic surgeon Dr. Sam Hamra (1, 2, 3, 4, 5) was a combination of the advancements made by previously developed techniques, specifically the SMASectomy facelift, and new understandings of facial anatomy. The <strong><a href="/plastic-surgery/facelift/deep-plane-facelift">extended deep plane facelift</a></strong>, a technique developed by my AAFPRS fellowship director Dr. Andrew Jacono, advanced upon the deep plane facelift technique as developed by Dr. Sam Hamra (6, 7, 8, 9). This blog post seeks to explain the differences between the deep plane facelift and extended deep plane facelift. As a result, this blog post will explain why these techniques were such an incredible improvement on previous facelift techniques. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid512530" title="YouTube video player" src="https://www.youtube.com/embed/yaHCzjnjd4s" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">The Deep Plane Facelift Does Not Address the Side of the Neck</h2>
<p>The most significant difference between the deep plane facelift and the extended deep plane facelift is that the deep plane facelift does not address the side of the neck in a deep plane. In contrast, the extended deep plane facelift &ldquo;extends&rdquo; the deep plane facelift technique into the side of the neck (6, 7, 8, 9). This involves the release of tension points called cervical retaining ligaments that restrict the ability to tighten the muscle around the neck surgically unless released, much like the two important ligaments in the face and jawline released during deep plane facelift surgery.</p>
<h2 class="contentTitle">The Extended Deep Plane Facelift Can Speed Up Recovery</h2>
<p>One relatively minor difference between the two techniques as described in the literature makes a potentially large difference on the length of recovery. The initial description of deep plane facelift involved lifting the eye muscle itself. This can sometimes result in more prolonged swelling around the eyes and increases the risk of temporary weakness in the eye muscle at this location. In contrast, the extended deep plane facelift goes over the muscle, preserving its continuity, thereby decreasing the risk of prolonged swelling and temporary muscle weakness around the eyes.</p>
<h2 class="contentTitle">Dr. Harmon is One of the Few Surgeons in the World Fellowship Trained in the Extended Deep Plane Facelift by Dr. Andrew Jacono</h2>
<p>The extended deep plane facelift requires extensive training to perform. Dr. Harmon is one of the few surgeons in the world &ndash; <strong>and the only surgeon in the Cincinnati, OH area</strong> &ndash; trained in the extended deep plane facelift by its creator, Dr. Andrew Jacono. As a result, he is uniquely qualified to perform this technique both for a first facelift and for a <strong><a href="https://www.harmonface.com/blog/why-people-seek-revision-facelifts-and-why-deep-plane-facelift-surgery-is-the-best-approach">secondary/revision facelift</a></strong> on patients who have undergone a facelift with other, older techniques in the past. As always, an in-person consultation is important to understand whether the extended deep plane facelift is appropriate for an individual.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more</a>.</strong></p>
<p><strong><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></strong></p>
<h2 class="contentTitle">References</h2>
<ol>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/2359803/">Hamra ST. The deep-plane rhytidectomy. Plast Reconstr Surg. 1990 Jul;86(1):53-61</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/1615067/">Hamra ST. Composite rhytidectomy. Plast Reconstr Surg. 1992 Jul;90(1):1-13.</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/7634740/">Hamra ST. Composite rhytidectomy and the nasolabial fold. Clin Plast Surg. 1995 Apr;22(2):313-24.</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/9142472/">Hamra ST. Composite rhytidectomy. Finesse and refinements in technique. Clin Plast Surg. 1997 Apr;24(2):337-46.</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/26986987/">Hamra ST. Building the Composite Face Lift: A Personal Odyssey. Plast Reconstr Surg. 2016 Jul;138(1):85-96.</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/32503725/">Jacono AA. Face-Lift Surgical Techniques. Facial Plast Surg Clin North Am. 2020 Aug;28(3):xv-xvi.</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/32503718/">Jacono AA. A Novel Volumizing Extended Deep-Plane Facelift: Using Composite Flap Shifts to Volumize the Midface and Jawline. Facial Plast Surg Clin North Am. 2020 Aug;28(3):331-368.</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/35446382/">Jacono AA, Alemi AS, Harmon JJ, Ahmedli N. The Effect of a Novel Platysma Hammock Flap During Extended Deep Plane Facelift on the Signs of Aging in the Neck. Aesthet Surg J. 2022 Aug 1;42(8):845-857.</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/30268241/">Jacono A, Bryant LM. Extended Deep Plane Facelift: Incorporating Facial Retaining Ligament Release and Composite Flap Shifts to Maximize Midface, Jawline and Neck Rejuvenation. Clin Plast Surg. 2018 Oct;45(4):527-554.</a></li>
</ol>

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What is the Difference Between a Deep Plane Facelift and an Extended Deep Plane Facelift?

<p><img class="contentImg" title="Lower blepharoplasty in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/2a8f9c35-27e1-409d-bd67-99d957ea31f1/pexels-antoni-shkraba-7971644.jpg" alt="Lower blepharoplasty in Cincinnati, Ohio" data-asset="caf1edb44d184b29ba0222029439d450" data-credit="Antoni Shkraba" data-credit-url="https://www.pexels.com/photo/photo-of-an-elderly-woman-with-a-gold-chain-necklace-looking-at-the-camera-7971644/" data-mod="width:1200"></p>
<p>Lower <a href="/plastic-surgery/blepharoplasty" target="_self"><strong>eyelid surgery (blepharoplasty)</strong></a> that preserves fat is superior to procedures that strictly remove and sometimes move fat from other areas of the body. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid324747" title="YouTube video player" src="https://www.youtube.com/embed/J4BVZCq-ACQ" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">Eyelid Aging is Complex</h2>
<p>Multiple changes occur as the lower eyelids age, each aspect of which requires careful analysis and tailored treatment. Fat present in the lower eyelids pushes against the septum, or &ldquo;wall&rdquo; holding that fat back, resulting in eyelid bags. This is called fat pseudoherniation. There are two ways to address eyelid bags.</p>
<h2 class="contentTitle">Fat Removal Only is Insufficient and Counterproductive</h2>
<p>One, older, approach is reductive. This approach removes a portion of the fat in all three (3) fat compartments of the lower eyelid. The problem with removing fat from all three compartments is that this can leave an individual with a hollowed appearance which can accelerate the aging process.</p>
<h2 class="contentTitle">Fat Grafting Can be Good in Specific Cases</h2>
<p>The tear trough is a crease at the interface between the lower eyelid and cheek. The tear trough deepens as lower eyelid bags worsen and the cheeks droop. Known as fat grafting, fat from other areas of the body is often placed in the tear trough after fat from the lower eyelid is removed in overly reductive lower eyelid surgery. Fat grafting can work well for individuals who have previously undergone a reductive lower eyelid surgery (blepharoplasty) elsewhere. However, it is generally not the best approach to smooth out the bags and tear troughs in the lower eyelids if no surgery has previously been performed.</p>
<h2 class="contentTitle">Fat Preservation and Transposition is a Superior Approach</h2>
<p>Instead, the approach at Harmon Facial Plastic Surgery is to perform a fat transposition. This approach utilizes a significant portion of the fat present in the lower eyelids and repositions it into the tear trough rather than removing it entirely. The benefits of this approach are multiple. First, this fat more predictably keeps its volume because it still has its own blood supply, unlike fat transferred from other parts of the body. Second, it better smooths out the transition from the lower eyelid to the tear troughs and cheek, restoring youthful contours and significantly reducing the risk of appearing hollowed and aged. A more technically difficult approach, fat transposition can provide a more natural result than fat removal and grafting for those individuals who are undergoing lower eyelid surgery (blepharoplasty) for the first time.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a <strong>double board-certified</strong>, <strong>fellowship-trained</strong> specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong>.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us today to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>

Pexels Antoni Shkraba 7971644

What is the Best Way to Treat Lower Eyelid Bags?

<p><img class="contentImg" title="Trap Tox in Cincinnati, OH" src="https://harmon.wtgdigital.io/assets/1b3cb96a-7303-488f-bc14-7362a78b02b2/pexels-rdne-stock-project-8402208.jpg" alt="Trap Tox in Cincinnati, OH" data-asset="cd815f823f8542a7af4e2557e2bc827b" data-credit="Pexels" data-credit-url="https://www.pexels.com/photo/a-woman-flexing-her-back-8402208/" data-mod="width:1200"></p>
<p>The treatment of the trapezius muscle with&nbsp;<strong><a href="/non-surgical/botox">Botox&copy;</a></strong> or similar medications has become a trending topic on social media, including Tik Tok. Commonly referred to as &ldquo;Trap Tox&rdquo; or &ldquo;Barbie Tox,&rdquo; this FDA off-label treatment has primarily aesthetic goals with reported potential secondary functional benefits. In fact, treatment of the trapezius muscle with Botox&reg; or similar medications has been popular in Soth Korea for many years. Please see an earlier blog post <strong><a href="https://www.harmonface.com/blog/the-right-to-beauty-and-the-development-of-plastic-surgery-in-brazil-and-south-korea">The Right to Beauty and the Development of Plastic Surgery in Brazil and South Korea</a></strong> for more information. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<h2 class="contentTitle">The Trapezius Muscle Extends Over the Neck, Shoulders, and Back</h2>
<p>The trapezius muscle is a pair of triangular muscles that fan over the neck, back, and shoulders. The muscle contributes to balance of the head and stability of the shoulder girdle. This muscle commonly tenses up, leading to neck and shoulder discomfort. It tapers from the neck to the shoulder, the height of which can make the neck appear shorter or longer, depending on its size.</p>
<h2 class="contentTitle">The Purpose of the Procedure is to Relieve Shoulder Stress and Make the Neck Appear Longer</h2>
<p>Botox&copy; or similar medications is injected into the trapezius muscle on either side of the neck with the goal of weakening this limited area of the muscle around the neck. The purpose of this treatment is to reduce the fullness of this muscle around the neck, thereby making the neck appear longer. This purported effect is the reason the procedure is among the most popular aesthetic procedures performed in South Korea. Another reported benefit of this procedure is a reduction of muscle tension around the neck.</p>
<h2 class="contentTitle">Placement of Botox&copy; or Similar Medications in the Trapezius Muscle Has Important Safety Considerations</h2>
<p>There are important safety considerations with placement of Botox&copy; or similar medications in the trapezius muscle. First, the treatment is FDA off-label. As a result, its safety and effectiveness has not yet been officially established. Second, the trapezius muscle has important functions in stabilizing the neck and shoulders that could be affected by treatment of this muscle. Facial plastic surgeons encounter the trapezius muscle frequently in our head and neck surgery residency training when treating cancer. There is a nerve called the accessory nerve that supplies the signals for the trapezius muscle to move. This nerve and the trapezius muscle can sometimes be involved with head and neck cancer. The nerve and parts of the muscle near the neck need to be removed in these instances. A resultant non-functional trapezius muscle can lead to debilitating neck and shoulder dysfunction as well as shoulder pain. While the goal is to weaken only a small portion of the trapezius muscle near the neck to limit the potential functional sequelae of treatment, placement of Botox&reg; or similar medications in the trapezius muscle does carry the above risk.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more</a>.</strong></p>
<p><strong><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></strong></p>

Pexels Rdne Stock Project 8402208

Trapezius Botox© i.e., “Trap Tox” or “Barbie Tox”: Is it Safe and Effective?

<p><img class="contentImg" title="Masseter botox in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/d96ed51b-1e59-49fd-893a-e4ceaef64390/pexels-pegah-sharifi-19770849.jpg" alt="Masseter botox in Cincinnati, Ohio" data-asset="ef914f108e99496b87f92fffeeab3c6d" data-credit="Pegah Sharifi" data-credit-url="https://www.pexels.com/photo/portrait-of-a-young-brunette-wearing-red-lipstick-19770849/" data-mod="width:1200"></p>
<p>Patients have increasingly sought treatment of the corner of the jawline with products such as&nbsp;<strong><a href="/non-surgical/botox">Botox&copy;</a></strong> for cosmetic and functional purposes. The muscles treated are called the masseter muscles. This blog post seeks to clarify what the masseter muscles are, what cosmetic and/or functional concerns they can contribute to, and how treatment with products such as Botox&copy; may benefit these cosmetic and/or functional concerns. My expertise as an aesthetic facial plastic surgeon is in addressing cosmetic concerns with the masseter muscles. Any functional improvements are wonderful potential secondary benefits. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck to determine whether treatment of your jawline with Botox&copy; is right for you.</p>
<p><iframe id="fitvid892067" title="YouTube video player" src="https://www.youtube.com/embed/pI0mr3g0fYs" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">The Masseter Muscles Are for Chewing</h2>
<p>The masseter muscles are large, strong muscles that sit on either side of the back corner of the jawline. They are one of multiple muscles that contribute to chewing. Tension in this muscle can contribute to jaw pain as well as teeth grinding at night, also known as bruxism. Large masseter muscles can contribute to fullness in the back of the jawline, resulting in the appearance of a wide jawline, which can be an aesthetic concern, especially in women.</p>
<h2 class="contentTitle">Treatment of the Masseter Muscles with Botox&copy; Can Benefit a Patient Aesthetically</h2>
<p>Products such as Botox&copy; are injected into the lower part of the masseter muscles, which attaches at the back and bottom corner of the jawline. Botox&copy; is injected into the deep muscle to be effective while still preserving strong chewing function. The purpose of this treatment is to reduce the size of the masseter muscle by reducing its strong contraction. The overall aesthetic effect that can be achieved is a reduction in the width of the jawline.</p>
<h2 class="contentTitle">Treatment of the Masseter Muscles with Botox&copy; Can Benefit a Patient Functionally</h2>
<p>Products such as Botox&copy; are frequently placed in the same location in the masseter muscles to treat tightness in the jaw as well as bruxism. Patients seeking treatment of enlarged masseter muscles often mention the above concerns as well. And, while the primary purpose of placing Botox&copy; in the masseter muscles at Harmon Facial Plastic surgery is for aesthetic purposes, any potential functional benefit is welcomed. Patient often return to clinic excited because their jaw symptoms improve after treatment.</p>
<h2 class="contentTitle">Treatment of the Masseter Muscles with Botox&copy; is Safe and Effective but an FDA Off-Label Use</h2>
<p>It is important to note that injection of the masseter muscles with Botox&copy; or other similar products is an FDA off-label use of these medications. However, there are multiple locations in which these medications have been used FDA off-label for many years safely and effectively. For example, Botox&copy; was FDA approved for use in the forehead in 2017 but had been used safely and effectively in this location for many years prior to its approval. It is important to have a conversation about this with your facial plastic surgeon.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more</a></strong>.</p>
<p><strong><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></strong></p>

Pexels Pegah Sharifi 19770849

What Can Botox© Treatment of the Corner of the Jawline (Masseter Muscles) Achieve?

<p><img class="contentImg" title="Lymphatic Massage in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/50f819da-27fd-45c3-ab5d-35e19c25d83f/pexels-angela-roma-7480278.jpg" alt="Lymphatic Massage in Cincinnati, Ohio" data-asset="a29a423b7fcc49fd916df7cf04888acb" data-credit="Angela Roma" data-credit-url="https://www.pexels.com/photo/neck-and-suprasternal-notch-of-crop-person-7480278/" data-mod="width:1200"></p>
<p class="primaryMeta"><span class="blogPostAuthor">Dr. Jeffrey Harmon and Dr. Ricci Hoover</span></p>
<p>Lymphatic massage, otherwise known as Manual Lymphatic Drainage (MLD), is increasingly being employed to accelerate the recovery of cosmetic surgery patients, including those who have undergone <strong><a href="/plastic-surgery/facelift/deep-plane-facelift">facelift</a></strong> and <strong><a href="/plastic-surgery/neck-lift">neck lift</a></strong> surgery. Starting approximately 4 &ndash; 6 weeks after surgery, the goal of MLD therapy is to accelerate the resolution of any remaining post-operative swelling. This is based on the concept, albeit with limited evidence supporting it (1), that a significant contributor to post-operative swelling is the fact that the lymphatic drainage system needs time to heal after surgery. After all, swelling is expected after any surgery in the head and neck. Furthermore, swelling is expected to improve and resolve over a period of weeks to months after facelift and neck lift surgery, regardless of the intervention. MLD is believed to improve the flow of lymphatic fluid away from the treatment site(s) while the body is healing. We at Harmon Facial Plastic Surgery have found this to be <strong><a href="https://www.harmonface.com/blog/four-strategies-to-reduce-swelling-after-deep-plane-facelift-surgery">one of multiple effective treatment options</a></strong> for normal post-operative swelling in our patients. It is important to have a consultation with your surgeon prior to considering any treatment, including MLD. It is also important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<h2 class="contentTitle">Research on the Effectiveness of MLD is Incomplete and Reported Good Results Real but Anecdotal</h2>
<p>Almost all the literature on MLD therapy has been on therapy as one component of multi-modality treatment for swollen arms after a mastectomy for breast cancer. A <strong><a href="https://www.harmonface.com/blog/how-thoughtful-surgeons-think">systematic review of the literature</a></strong> including randomized controlled trials (RCTs) utilizing MLD therapy as well as a Cochrane Library review of RCTs concluded that MLD is safe in the treatment of lymphedema after mastectomy. The effectiveness of the therapy was mixed in the studies, partially due to the lack of standardization of methods and outcome measurements (2, 3). The benefits of this therapy in cosmetic surgery are anecdotal and, therefore, will require quality studies to determine its effectiveness definitively. However, the reported benefits from patients and surgeons are such that it is an area of therapy worth exploring, especially because it is a gentle, safe therapy when performed by a trained and certified therapist.</p>
<h2 class="contentTitle">It is Important to Have a Trained, Certified Lymphedema Specialist Perform MLD</h2>
<p>It is important that a trained, certified lymphedema therapist perform MLD therapy. A certified lymphedema physical therapist (CLT) is someone who has earned their doctorate in physical therapy and has gone on to become certified in MLD. The certification is a ten-day, twelve hour per day course that includes education on the anatomy and physiology of the lymphatic system as well as the various sequences of manual treatments for lymphatic drainage.</p>
<h2 class="contentTitle">MLD Consists of Gentle Hand Movements Over the Face and Neck</h2>
<p>MLD consists of gentle hand movements over the face and neck. There are four major methods of MLD, including the Volder, Foldi, Casey-Smith, and Leduc methods. Each method involves slightly different hand movements. The physiological mechanism of treatment with these methods is poorly studied and, therefore, poorly understood. However, as previously explained, each of these methods has long been implemented in the context of multi-modality therapy for post-mastectomy patients with arm swelling.</p>
<p>There are four total hand strokes and techniques that are used to affect the lymphatic system: stationary circles, pump technique, rotary technique, and scoop technique. A combination of strokes is used in different areas of the body. They can all be used during one treatment session if the practitioner sees fit. However, the primary method used in the head and neck is stationary circles.</p>
<p>The average number of therapy sessions is three to four. The CLT may then teach patients how to perform a modified version of this therapy at their home.</p>
<p>Patients usually feel relaxed during each MLD therapy session. It is normal to feel a cold sensation or tingling where MLD is performed. Patients may also feel tired after treatment.</p>
<p><iframe id="fitvid295777" title="YouTube video player" src="https://www.youtube.com/embed/vSAXAMwf8w4" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">There are Instances in Which MLD is Not Appropriate</h2>
<p>MLD is not appropriate for patients with acute infections, untreated or incompletely treated cancer, cardiac problems including, but not limited to, arrhythmias, or poorly controlled hyperthyroidism.</p>
<h2 class="contentTitle">MLD is One Component of Multi-Modality Therapy for Expected Post-Operative Swelling</h2>
<p>It is also important that MLD be only one component of <strong><a href="https://www.harmonface.com/blog/four-strategies-to-reduce-swelling-after-deep-plane-facelift-surgery">multi-modality therapy</a></strong> to treat normal or abnormal post-operative swelling. One important component of multi-modality therapy is time, as the swelling is secondary to a typically normal healing process that simply requires time to resolve in most cases.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation for Facial Plastic Surgery with Dr. Jeffrey Harmon</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more.</a></strong></p>
<p><strong><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></strong></p>
<h2 class="contentTitle">Request a Consultation for MLD with Dr. Ricci Hoover at Elevate Physical Therapy</h2>
<p>Request a consultation with Ricci Hoover, PT, DPT, CLT at <strong><a href="https://www.elevatepelvicpt.com/">Elevate Physical Therapy</a></strong> in Blue Ash, Ohio if have questions about MLD, including whether it may be appropriate for you.</p>
<p>Email: <strong><a href="https://www.instagram.com/elevatepelvicpt/">@elevatepelvicpt</a></strong></p>
<p>Instagram: <strong>ricci@elevatepelvicpt.com</strong></p>
<h2 class="contentTitle">References</h2>
<ol>
<li>Meade RA, Teotia SS, Griffeth LK, Barton FE. Facelift and patterns of lymphatic drainage. Aesthet Surg J. 2012 Jan;32(1):39-45.</li>
<li>Thompson B, Gaitatzis K, Janse de Jonge X, Blackwell R, Koelmeyer LA. Manual lymphatic drainage treatment for lymphedema: a systematic review of the literature. <em>J Cancer Surviv</em>. 2021 Apr;15(2):244-258.</li>
<li>Ezzo J, Manheimer E, McNeely ML, Howell DM, Weiss R, Johansson KI, Bao T, Bily L, Tuppo CM, Williams AF, Karadibak D. Manual lymphatic drainage for lymphedema following breast cancer treatment. Cochrane Database Syst Rev. 2015 May 21</li>
</ol>

Pexels Angela Roma 7480278

What is Lymphatic Massage and What Can it Do After Facelift and Neck Lift Surgery?

<p><img class="contentImg" title="Hemostatic Netting Facelift and Neck Lift Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/c50e2dbb-2eb3-46e7-958e-ff1ef9e83051/pexels-olha-ruskykh-5984625.jpg" alt="Hemostatic Netting Facelift and Neck Lift Cincinnati, Ohio" data-asset="d1a349c6f737487e81375d0098f57603" data-credit="Olha Ruskykh" data-credit-url="https://www.pexels.com/photo/crop-gentle-woman-in-white-wear-in-shiny-light-5984625/" data-mod="width:1200"></p>
<p>You may have seen images or videos of hemostatic netting online: these images or videos are often extreme and unusual examples of patients who have just undergone a&nbsp;<strong><a href="/plastic-surgery/facelift/deep-plane-facelift">facelift</a></strong> and <strong><a href="/plastic-surgery/neck-lift">neck lift</a></strong> who have loops of dark suture quilted across their face and neck. Though they capture people&rsquo;s attention, they are not necessarily good representations of the hemostatic netting technique. The images and videos distract from the reason(s) why surgeons consider using the technique. This blog post seeks to clarify what hemostatic netting is, why it is sometimes used, and where it is typically placed. While evidence of its effectiveness is more limited in the medical literature, the articles that have been published and anecdotal evidence both suggest that hemostatic netting can be effective in reducing the risk of bleeding post-operatively in certain clinical situations. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck. A consultation with a well-qualified surgeon will allow you to determine if the following approach is appropriate for you, because this technique may not be appropriate for every patient.</p>
<p><iframe id="fitvid991995" title="YouTube video player" src="https://www.youtube.com/embed/slKNtCeB7Sk" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">Hemostatic (Auersvald) Netting is a Technique Used in Facelift and Neck Lift Surgery</h2>
<p>A hemostatic net is a technique used in facelift and neck lift surgery. The technique was first described approximately 10 years ago by Brazilian plastic surgeons with the last name Auersvald, hence the nickname for the technique (1). A hemostatic net involves the placement of temporary stitches through the skin and deeper tissue in the face and/or neck after facelift and/or neck lift surgery.</p>
<h2 class="contentTitle">A Hemostatic Net is Intended to Reduce the Risk Associated with Bleeding After Surgery</h2>
<p>The purpose of a hemostatic net is to further reduce the low risk associated with bleeding after facelift and neck lift surgery. This is in addition to the <strong><a href="https://www.harmonface.com/blog/how-are-drains-cared-for-after-extended-deep-plane-facelift-and-neck-lift-surgery">placement of temporary drains</a></strong>. Hemostatic netting reduces the amount of space in which blood could hypothetically accumulate. There is some evidence in the literature demonstrating its effectiveness (1,2). However, there are no official guidelines discussing the appropriate clinical situations in which to use this technique; rather, it is the surgeon&rsquo;s clinical judgement weighing the potential risks and benefits of the technique that determines to which individuals it is recommended. For example, a patient with high blood pressure may benefit more from the placement of hemostatic netting than others though the final decision to place a hemostatic net depends on multiple factors unique to each individual patient.</p>
<h2 class="contentTitle">A Hemostatic Net is Loose and Not Permanent</h2>
<p>It is important to note that these stitches do not remain permanently or even for an extended period. They are removed completely in 48 to 72 hours after surgery along with the drains.</p>
<p>It is also important to note that these stitches are not tight. This minimizes discomfort and allows good blood flow to the surrounding skin.</p>
<h2 class="contentTitle">A Hemostatic Net is Less Important in the Face After Deep Plane Facelift Surgery</h2>
<p>One of the benefits of deep plane facelift surgery is that much less skin is lifted off the deeper tissue of the face during surgery. As a result, the connection between the skin and the deeper tissue and, therefore, the blood supply to the skin, remains intact over a larger surface of the face when compared with <strong><a href="/blog/overview-of-facelift-techniques">other, older facelift techniques</a></strong>. As a result, the potential benefit of hemostatic netting in the face with deep plane facelift surgery is less. Instead, hemostatic netting is typically placed only in the area under the chin and in the neck, usually around drains. The dressings placed around the head and neck usually cover them well. This makes the technique much less visible and dramatic appearing than internet images and videos would otherwise suggest.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more.</a></strong></p>
<p><strong><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></strong></p>
<h2 class="contentTitle">References</h2>
<ol>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/23949130/">Auersvald A, Auersvald LA. Hemostatic net in rhytidoplasty: an efficient and safe method for preventing hematoma in 405 consecutive patients. Aesthetic Plast Surg. 2014 Feb;38(1):1-9.</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/37040449/">Janssen TJ, Maheshwari K, Sivadasan A, Waterhouse N. Hemostatic Net in Facelift Surgery: A 5-Year Single-Surgeon Experience. Aesthet Surg J. 2023 Apr 11:sjad097.</a></li>
</ol>

Pexels Olha Ruskykh 5984625

What is Hemostatic Netting and Why Would It Be Used During Facelift and Neck Lift Surgery?

<p><img class="contentImg" title="Facial plastic surgery in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/be2ceb89-2d67-46b8-93aa-2a17b8595247/Plastic%20Surgery%20and%20Glamour" alt="Facial plastic surgery in Cincinnati, Ohio" data-asset="c5557e25947b494a8b0aa19b05f5a972" data-credit="Dziana Hasanbekava" data-credit-url="https://www.pexels.com/photo/trendy-woman-with-closed-eyes-near-white-cloth-5480696/" data-mod="width:1200"></p>
<p>I never bought into the supposed glamour of plastic surgery despite the abundance of advertising to that effect. Rather, I feel glamour is more often intended to be associated with plastic surgeons themselves in advertising.</p>
<p>Virginia Postrel, a cultural writer, argues in her wonderful book <strong><u>The Power of Glamour</u></strong> that glamour <em>&ldquo;offers the implicit promise of a life devoid of mediocrity&rdquo;</em> and is <em>&ldquo;an illusion known to be false but felt to be true.&rdquo;</em> Facial plastic surgery is, by definition, not an illusion. It does not provide escape but can facilitate engagement with the world on your own terms and with confidence. Ms. Postrel also states that, unlike luxury, glamour is not something money can buy. That is not the case with facial plastic surgery.</p>
<p>But there is one quote from Ms. Postrel&rsquo;s book about the concept of glamour that I do think defines a great deal of plastic surgery marketing: <em>&ldquo;bring out the best, conceal the worst, and leave something to the imagination.&rdquo;</em> The scenes of a plastic surgeon standing next to a private jet in a suit or driving a luxury car with aviators on is meant to glamorize the life of the plastic surgeon, not the client. However, this life, as Virginia Postrel states, is <em>&ldquo;an illusion known to be false but felt to be true.&rdquo; </em></p>
<p>The truth is, we as plastic surgeons spend our 20s and early 30s working very hard for long hours in order to gain the experience and skills to safely and effectively take care of patients. Many of us have families with children. We deal with the exact same challenges and experience the exact same joys as our patients. We simply have the education and training to provide them a specialized service that few people can offer.</p>
<p>It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a <strong>double board-certified</strong>, <strong>fellowship-trained</strong> specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong>.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us today to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>

Plastic%20 Surgery%20and%20 Glamour

What is Glamour And How Does It Relate to Facial Plastic Surgery?

<p><img class="contentImg" title="Filler migration in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/73da94cb-56d2-4d77-9b1f-b8e064f386ec/pexels-youssef-labib-9157201.jpg" alt="Filler migration in Cincinnati, Ohio" data-asset="b7ab12cafaae4a6e98c998ceab63eda3" data-credit="Youssef Labib" data-credit-url="https://www.pexels.com/photo/people-woman-girl-women-9157201/" data-mod="width:1200"></p>
<p>Filler migration involves the movement of <a href="/non-surgical/fillers" target="_self"><strong>injected filler</strong></a> (e.g., hyaluronic acid filler) away from the location in which it was initially injected. This is a very rare occurrence in skilled, experienced hands. There are various reasons why filler migration may occur. All are based on conjecture. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> who has extensive experience with injectable procedures to minimize the risk of filler migration.</p>
<p><iframe id="fitvid775959" title="YouTube video player" src="https://www.youtube.com/embed/yf0rMgIi164" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">Filler Migration Can Occur Anywhere but is More Noticeable in Specific Locations</h2>
<p>Filler migration can occur anywhere. However, it tends to be noticed more in specific locations such as the lips and the tear troughs.</p>
<h2 class="contentTitle">Physical Signs of Filler Migration</h2>
<p>The sign of filler migration is new volume in an area where it was not previously injected with filler. The changed contours can distort or eliminate the natural transition points from one anatomic region to another.</p>
<p>It is important to note, however, that swelling is normal after the injection of hyaluronic acid filler. Furthermore, this swelling can develop outside the area injected. Swelling tends to resolve after a few days but up to approximately two weeks. It rarely lasts longer than two weeks.</p>
<h2 class="contentTitle">The Product Used, Total Volume Injected, and the Depth of Injection All Likely Affect the Risk of Migration</h2>
<p>Too much product injected too superficially may be the primary reasons why filler migration occurs, though this is not proven in the medical literature. Furthermore, there is no &ldquo;threshold&rdquo; volume in one location over which filler migration is likely to occur. However, it stands to reason that the more mobile superficial tissue planes can push filler in locations it was not initially injected. This becomes more likely the more volume is added. Every patient is different and, therefore, can tolerate a specific volume before being overdone.</p>
<p>It is important, however, to avoid layering too much filler, especially different products, prior to the previously injected filler dissolving adequately. This can result in the gradual accumulation of too much filler that then migrates.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face when you have concerns about your face.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>

Pexels Youssef Labib 9157201

What is Filler Migration?

<p><img class="contentImg" title="Otoplasty in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/7ab0a97d-1dd7-4d7b-a18a-94e594a9de51/pexels-angela-roma-7480268.jpg" alt="Otoplasty in Cincinnati, Ohio" data-asset="c5bac5f1893e4e09b97121521861eaf4" data-credit="Angela Roma" data-credit-url="https://www.pexels.com/photo/cheek-and-piercing-in-ear-of-crop-black-woman-7480268/" data-mod="width:1200"></p>
<p>Ear pinning (otoplasty) surgery can address specific concerns about excessive projection of the ears in children and adults. It is important to seek not only a&nbsp;<strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> to help determine whether ear pinning (otoplasty) surgery is appropriate for your concerns.</p>
<h2 class="contentTitle">Some Individuals are Bothered by Protruding Ears</h2>
<p>Both men and women have protruding ears, which make the face look wider than it is. Protruding ears are usually treated in childhood. Adults with untreated protruding ears often seek the care of a fellowship-trained facial plastic surgeon for correction.</p>
<h2 class="contentTitle">Ear Pinning (Otoplasty) Can Improve Protruding Ears with Hidden Incisions</h2>
<p>There are multiple approaches to treating protruding ears. The most appropriate approach depends on the patient&rsquo;s unique anatomy. Protruding ears are often caused by excess ear (auricular) cartilage near the opening of the ear canal. The surgical procedure correcting this anatomy involves the setback and possible reduction of the cartilage depending on the severity of the ear protrusion. The incisions are hidden in the natural deep crease behind the ears. Sutures (stitches) are removed 7 &ndash; 10 days after surgery.</p>
<h2 class="contentTitle">Ear Pinning (Otoplasty) Can be Performed Under Local Anesthesia</h2>
<p>Regardless of the approach to treating protruding ears, the surgical procedure can be performed under local anesthesia in the nationally accredited surgery suite here at Harmon Facial Plastic Surgery.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about age-related changes to your face and/or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong>.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <a href="https://www.harmonface.com/contact">Get in touch with us today to learn more!</a></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>

Pexels Angela Roma 7480268

What is Ear Pinning (Otoplasty) Surgery and Could I Benefit From It?

<p><img class="contentImg" title="Lower Eyelid Skin Pinch in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/92cc92d2-7598-4e83-ac5d-41f7559196e7/pexels-maksim-goncharenok-5046577.jpg" alt="Lower Eyelid Skin Pinch in Cincinnati, Ohio" data-asset="f97662a7ed3c48278a93ff9bfe26e78a" data-credit="Maksim Goncharenok" data-credit-url="https://www.pexels.com/photo/close-up-photo-of-an-eye-5046577/" data-mod="width:1200"></p>
<p><a href="/plastic-surgery/blepharoplasty" target="_self"><strong>Lower eyelid surgery (blepharoplasty)</strong></a> can treat heavy bags, loose muscle, and redundant/folded over skin. Each of these features can cause the eyes to look tired and aged. The procedure can be tailored to treat any or all these features, depending on what concerns the patient. For example, some demonstrate changes in their skin only. These individuals may benefit from a <strong>minimally invasive lower eyelid skin pinch</strong>. This procedure has been available for decades but has recently become popularized on social media, including TikTok. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid429402" title="YouTube video player" src="https://www.youtube.com/embed/zpA1gqgCjho" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">The Overall Effect of the Lower Eyelid Skin Pinch is a Smoother Lower Eyelid</h2>
<p>The procedure involves the &ldquo;pinching&rdquo; of excess skin immediately below the eyelashes &ndash; no eyelashes are cut during the procedure &ndash; that is carefully removed such that the incision hides below the eyelash line and into a natural wrinkle (crow&rsquo;s feet). In effect, this procedure allows the skin of the lower eyelid to be lifted like a facelift, creating a smoother lower eyelid.</p>
<p><img class="contentImg" title="Lower Eyelid Skin Pinch Before-and-After in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/e6dd60f1-f6cc-4d27-95e3-77428775cb3b/MD_Skin%20Pinch.png" alt="Lower Eyelid Skin Pinch Before-and-After in Cincinnati, Ohio" data-asset="add67a6ec71a4e14948abf1441c1c6ab" data-credit="Dr. Jeffrey Harmon" data-mod="width:1200"></p>
<p>This 50-year-old patient demonstrated only redundant lower eyelid skin. She was an excellent candidate for a lower eyelid skin pinch.</p>
<h2 class="contentTitle">The Lower Eyelid Skin Pinch Can be Performed Painlessly Under Local Anesthesia</h2>
<p>The lower eyelid skin pinch is often performed with other procedures when a patient is receiving IV sedation. However, it can also be performed painlessly under local anesthesia, especially if it is being performed as a singular procedure. Stiches (sutures) are removed only five (5) days after surgery.</p>
<h2 class="contentTitle">Candidates for a Lower Eyelid Skin Pinch are Often but Not Always Younger</h2>
<p>Patients who may benefit from a lower eyelid skin pinch tend to be younger than those who typically seek lower eyelid surgery (blepharoplasty), with many patients in their early 40s. However, patients of any age may benefit from the procedure if they demonstrate signs of aging in the lower eyelids that are limited to the skin. Moreover, undergoing a lower eyelid skin pinch does not prevent you from having lower eyelid bags treated in the future if they develop.</p>
<h2 class="contentTitle">Laser Resurfacing is a Less Effective Alternative to the Lower Eyelid Skin Pinch</h2>
<p><strong><a href="/non-surgical/laser-resurfacing">Resurfacing procedures of the skin</a></strong>, which include lasers, chemical peels, and dermabrasion, can treat fine- and medium-depth wrinkles in the skin of the lower eyelids. These are wonderful procedures that can produce excellent results in the right patient. However, none of these procedures can tighten the skin in the lower eyelid to the extent that a lower eyelid skin pinch can. It is important to have a detailed discussion with your surgeon about the differences between these non-surgical procedures and a surgical option such as the lower eyelid skin pinch.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more</a>.</strong></p>
<p><strong><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></strong></p>

Pexels Maksim Goncharenok 5046577

What is a Lower Eyelid Skin Pinch and What Can It Do for Me?

<p><img class="contentImg" title="Facial plastic surgery in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/b3a3b421-61b6-4de5-89f8-825a0190b654/iStock-825083358.jpg" alt="Facial plastic surgery in Cincinnati, Ohio" data-asset="d1923e4478694bbdacb5ddb1cc32d0c4" data-credit="Ridofranz" data-credit-url="https://www.istockphoto.com/photo/businessman-wearing-eyeglasses-gm825083358-133826467" data-mod="width:1200"></p>
<p>Men frequently seek a wide range of&nbsp;<strong><a href="/plastic-surgery">surgical</a></strong> and <strong><a href="/non-surgical">non-surgical</a></strong> facial plastic surgery procedures. This list is not all-inclusive but does highlight commonly requested procedures. Seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> to help determine whether any of these procedures may be able to address your concerns and desires.</p>
<p><iframe id="fitvid832552" title="YouTube video player" src="https://www.youtube.com/embed/4spXo2ALtBQ" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">Non-Surgical Procedures Sought Include Botox&copy;, Hyaluronic Acid Fillers, and Platelet-Rich-Plasma (PRP)</h2>
<p><a href="/non-surgical/botox" target="_self"><strong>Botox&copy;</strong></a> can be immensely beneficial to men as well as women. Professionals including physicians, some of whom are attending special events such as weddings, seek Botox&copy; to smooth out coarse wrinkles while preserving their masculine facial features. Men often seek treatment of their forehead, frown lines, and crow&rsquo;s feet, which are usually much coarser than in women. The procedure does not differ between men and women. However, men sometimes require higher doses to achieve their aesthetic goals due to the size of their facial muscles.</p>
<p>Men also seek <a href="/non-surgical/fillers" target="_self"><strong>hyaluronic acid fillers</strong></a>, sometimes in areas rarely placed in women. For example, many men are bothered by a weak chin and jawline but are not ready for an implant. A strong, sturdy hyaluronic acid filler can be placed in these locations for non-surgical enhancement. Hyaluronic acid fillers are also used to straighten a dorsal hump in a procedure called a non-surgical, or liquid, rhinoplasty.</p>
<p><a href="/non-surgical/hair-loss-treatment" target="_self"><strong>PRP</strong></a> can be an excellent treatment option for hair loss in men who are younger with mild-to-moderate hair loss and who are not yet candidates, or not yet ready, for hair restoration surgery. PRP involves drawing a patient&rsquo;s own blood and concentrating the platelet component of the blood. These platelets release signaling molecules when injected around hair follicles that can restart the growth of dormant, or miniaturized, hair and sometimes even increase hair width.</p>
<h2 class="contentTitle">Surgical Procedures Sought Include Nose Surgery, Eyelid Surgery, Jawline Implants, Hair Restoration Surgery, and Facelift Surgery</h2>
<p><a href="/plastic-surgery/rhinoplasty" target="_self"><strong>Nose surgery (rhinoplasty)</strong></a> is sought by men from their 20s to their 70s. Surgical considerations usually differ between men and women. Like women, men often seek a straighter nasal bridge, a narrower nasal tip, and a reduction of their nasal hump/bump. However, unlike women, the dorsal hump is generally softened or, at most, completely straightened. This is because a concave nasal bridge can sometimes feminize the nose. This can also occur when the nose is overly narrowed. A detailed discussion needs to be had between the surgeon and the patient regarding their aesthetic goals and how best to achieve those goals while preserving the masculine appearance of the nose.</p>
<p>Like women, men develop age-related changes to their eyes &ndash; namely, redundant upper eyelid skin and lower eyelid bags &ndash; than can make them appear tired, sad, and/or angry. <a href="/plastic-surgery/blepharoplasty" target="_self"><strong>Eyelid surgery (blepharoplasty)</strong></a> can treat these changes comprehensively and naturally.</p>
<p>Some men seek a more permanent solution to their poorly projected, weak jawline and chins. Usually made of silicone, <a href="/plastic-surgery/chin-implants" target="_self"><strong>chin and jawline implants</strong></a> come in multiple shapes and sizes. They can also be carved to perfect their size and contour, matching the patient&rsquo;s aesthetic goals as closely as possible. A chin implant is generally placed through a small incision under the chin. Jawline implants are generally placed through a small incision in the mouth.</p>
<p>Men are the primary, though not exclusive, <a href="/plastic-surgery/hair-restoration" target="_self"><strong>hair restoration surgery</strong></a> patients. Patients are usually in their mid-thirties or older with moderate-to-severe hair loss and have tried medications or PRP but found them incompletely effective. Hair restoration surgery encompasses two categories of procedures, called follicular strip harvesting (FUT) or follicular unit extraction (FUE), each of which has advantages for certain patients. Medications and PRP are usually used as complementary treatments. And more than one hair restoration surgery procedure is usually required to achieve a patient&rsquo;s aesthetic goal.</p>
<p>Finally, men, like women, experience the same age-related changes to their face and neck. Men experience drooping cheeks, jowling, and scalloping of the jawline into the neck. Men also develop loose skin and muscle in the neck, which is often described as a &ldquo;turkey gobbler&rdquo; neck. As a result, men can also benefit from the <a href="/plastic-surgery/facelift/deep-plane-facelift" target="_self"><strong>extended deep plane facelift</strong></a> and <a href="/plastic-surgery/neck-lift" target="_self"><strong>neck lift</strong></a>.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about age-related changes in your face and neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong>.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <a href="https://www.harmonface.com/contact"><strong>Get in touch with us to learn more!</strong></a></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>

I Stock 825083358

What Facial Plastic Surgery Procedures Do Men Frequently Seek?

<p><img class="contentImg" title="Cosmetic Treatments Available in South Korea but Not the United States" src="https://harmon.wtgdigital.io/assets/f37d9c4b-2a63-4047-95af-36c538389758/pexels-arina-krasnikova-7752685.jpg" alt="Cosmetic Treatments Available in South Korea but Not the United States" data-asset="ed8afa86a5cf4fdabfed982a778fcff7" data-credit="Arina Krasnikova" data-credit-url="https://www.pexels.com/photo/a-pretty-woman-wearing-a-brown-tank-top-7752685/" data-mod="width:1200"></p>
<p><strong><a href="https://www.harmonface.com/blog/the-right-to-beauty-and-the-development-of-plastic-surgery-in-brazil-and-south-korea">Following my previous post on the development of facial plastic surgery in South Korea</a></strong>, this blog post includes a list of cosmetic treatments for the face that are available in South Korea but not the United States (US). It is important to note that not all of the treatments listed below have been evaluated, much less approved, by the Food and Drug Administration (FDA). That is, to the best of my knowledge, why the medications and devices are not yet widely available in the US. I will do my best to update this list as I identify additional treatments as well as any additional publications that weigh in on the actual safety and effectiveness of these treatments. It is important to seek not only a <strong>fellowship-trained</strong> but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<h2 class="contentTitle">Rejuran&reg; (PRM-001 Polynucleotide Product [Pharmaresearch Products, Inc., Seoul, South Korea])</h2>
<p>I first learned about this product while reading <em>Flawless: Lessons in Looks and Culture from the K-Beauty Capital</em> by the National Public Radio (NPR) reporter Elise Hu. She mentioned the use of a product derived from salmon gonads (seriously) that South Koreans inject in their face at cosmetic clinics, ostensibly for the purposes of improving the appearance of the skin. Additional research revealed that this product, called Rejuran&reg;, is available not only in South Korea but also now in Europe and Australia. It is an injectable like <strong><a href="https://www.harmonface.com/blog/what-qualities-distinguish-hyaluronic-acid-dermal-filler-products">hyaluronic acid fillers</a></strong> but rather than using cross-linked hyaluronic acid to add volume to the face, fish gonadal polynucleotides are injected to increase the production of collagen and elastin in the skin, both of which are important to maintain the smooth and supple qualities of youthful skin.</p>
<p>Polynucleotides are simply a string of signaling molecules which DNA and RNA is composed of. I am skeptical that a chain of these molecules from fish can somehow induce signaling in another species (<em>i.e.,</em> humans) to achieve cosmetic results. Interestingly, the only study I found in the literature on this product was a phase III trial of Rejuran&reg; conducted in South Korea in 2014 that was retracted from the medical literature two years after its publication (<strong>1</strong>). That, to me, is a red flag regarding its actual safety and effectiveness. Additional studies should help determine whether this product is worth evaluation by the FDA.</p>
<h2 class="contentTitle">Local Dynamic Micro-ultrasound (LDM) or Micro-Massage or Dual Frequency Ultrasound</h2>
<p>Termed Local Dynamic Micro-Ultrasound, Local Dynamic Micro-Massage (LDM), or Dual-Frequency Ultrasound, this treatment consists of an ultrasound device (probe) that alternates between two very high frequencies when applied to the surface of the skin. The device is being promoted as a technique to improve skin surface quality, with mechanisms of action which are unclear but may include changes in the inflammatory cascade that affect skin surface quality. My review of the literature identified studies that found improvements in bruising and swelling after rhinoplasty and improvements in redness in patients with rosacea and acne with the use of LDM (<strong>2</strong>, <strong>3</strong>). However, as is common with facial plastic surgery studies, the methodology included largely subjective physical assessments by surgeons and patient satisfaction scores to determine their results. Moreover, papers I found that published on the effects of dual frequency ultrasound on wound healing had no comparison group from which to determine whether this treatment accelerated the healing process. This somewhat limits the value of the research itself. Moreover, while I was able to identify the above studies reporting the effects of the device on bruising, swelling, redness, and wound healing, I found no patient studies evaluating the aesthetic qualities of the skin as would be used in a cosmetic practice.</p>
<h2 class="contentTitle">Skin Botox&copy;</h2>
<p>Skin Botox&copy; is exactly as it sounds. The technique involves the use of botulinum toxin injections with products including, but not limited to, <strong><a href="/non-surgical/botox">Botox&copy;</a></strong> more superficially in the skin. It is argued that, when injected superficially to the facial muscle, botulinum toxin decreases pore size without affecting the muscle. This is considered an FDA off-label use of the medication in the United States, which is sometimes mixed with diluted hyaluronic acid filler and injected in the superficial surface of the skin. I would imagine it to be extremely challenging to place Botox&copy; or other similar products precisely in the skin such that it is unlikely to diffuse to the underlying musculature which, if affected, could adversely affect facial movements including, but not limited to, smiling. Certainly, an appropriate dilution of the medication(s) and a needle that controls the depth of injection may make such a treatment consistently safe. Otherwise, it would seem a challenging thing to perform safely consistently, regardless of considerations of effectiveness. In my opinion, additional research is required.</p>
<h2 class="contentTitle">Ionophoresis/Sonophoresis Devices</h2>
<p>One of the more difficult problems with administering medications trans-dermally, or through the skin, is that it is difficult to get many products to actually be absorbed through the skin barrier. Instead, many products simply sit on the surface of the skin. The ability to move medications across this barrier precisely, efficiently, and safely would have potentially profound implications. And, if a device was found to be clinically safe and effective, the question then becomes whether the products administered are clinically safe and effective.</p>
<p>The concepts of ionophoresis and sonophoresis have been around for many years. Iontophoresis involves the use of an electrical current through the skin to facilitate the transfer of products (<strong>4</strong>). Sonophoresis involves the use of sound waves through the skin to accomplish this (<strong>5</strong>). Both iontophoresis and sonophoresis techniques are intended to temporarily increased the permeability of skin in the specific area treated.</p>
<p>The Environ Ionzyme&reg; DF Machine is the device I found to be most commonly associated with the use of iontophoresis and sonophoresis to facilitate the transfer of medications and other products through the skin to achieve a clinical and/or aesthetic goal. My review of available information suggests the advertised products used with this device are often vitamins, including Vitamin A.</p>
<p>I could not find definitive information as to whether the Environ Ionzyme&reg; DF Machine specifically is FDA approved. Moreover, it does not appear to be widely available in the United States (US). I will be following the development and availability of ionophoresis/sonophoresis devices in the US.</p>
<h2 class="contentTitle">Air Dissection Filler Technique</h2>
<p>The air dissection filler technique utilizes pressurized air delivered into the skin using a special needle and device for the purposes of delivering products such as hyaluronic acid filler.</p>
<p>One argument made for this technique is that hyaluronic acid filler can be delivered more evenly in the same tissue plane because the resistance to injecting into the specific tissue plane in which air is placed is reduced. Most of the before and after photos I have seen have demonstrated improvements in severely depressed scars.</p>
<p>It is also argued that this technique can reduce the rare complications associated with intra-vascular injection of hyaluronic acid filler. However, I have found no study demonstrating this.</p>
<p>I find the air dissection technique intriguing, especially for severely depressed acne scarring. I am looking forward to the opportunity to evaluate a device if and when it becomes FDA approved and available in the US.</p>
<h2 class="contentTitle">Trust Your Face to a Double Board-Certified Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained, double board-certified specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop searching &ldquo;plastic surgery near me.&rdquo; <a href="https://www.harmonface.com/contact" target="_blank" rel="noopener noreferrer"><strong>Get in touch with us to learn more.</strong></a></p>
<p><strong><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></strong></p>
<h2 class="contentTitle">References</h2>
<ol>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/25473210/">Notice of Retraction: Pak CS, et al. A Phase III, Randomized, Double-Blind, Matched-Pairs, Active-Controlled Clinical Trial and Preclinical Animal Study to Compare the Durability, Efficacy and Safety between Polynucleotide Filler and Hyaluronic Acid Filler in the Correction of Crow's Feet: A New Concept of Regenerative Filler. J Korean Med Sci 2014; 29(Suppl 3): S201-S209. J Korean Med Sci. 2016 Feb;31(2):330.</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/37877460/">Ahn TH, Lee JS, Kim SY, Lee SB, Kim W, Kruglik I, Yi KH. Application of dual-frequency ultrasound for reduction of perilesional edema and ecchymosis after rhinoseptoplasty. J Cosmet Dermatol. 2024 Mar;23(3):830-838.</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/33670631/">Kim YJ, Moon IJ, Lee HW, Won CH, Chang SE, Lee MW, Choi JH, Lee WJ. The Efficacy and Safety of Dual-Frequency Ultrasound for Improving Skin Hydration and Erythema in Patients with Rosacea and Acne. J Clin Med. 2021 Feb 18;10(4):834.</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/23590287/">Roustit M, Blaise S, Cracowski JL. Trials and tribulations of skin iontophoresis in therapeutics. Br J Clin Pharmacol. 2014 Jan;77(1):63-71.</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/19505359/">Rao R, Nanda S. Sonophoresis: recent advancements and future trends. J Pharm Pharmacol. 2009 Jun;61(6):689-705.</a></li>
</ol>

Pexels Arina Krasnikova 7752685

What Cosmetic Treatments for the Face are Currently Available in South Korea but Not Widely Available the United States?

<p><img class="contentImg" title="Rhinoplasty in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/35863f3e-9c4f-4ee8-9297-fa4b136f1bb7/pexels-alexander-krivitskiy-6554598.jpg" alt="Rhinoplasty in Cincinnati, Ohio" data-asset="a715d5a0789a4184864895b469e7332c" data-credit="Alexander Krivitskiy" data-credit-url="https://www.pexels.com/photo/beautiful-smiling-woman-6554598/" data-mod="width:1200"></p>
<p><a href="/plastic-surgery/rhinoplasty" target="_self"><strong>Nose surgery (rhinoplasty)</strong></a> can address multiple concerns about the nasal bridge (dorsum) and nasal tip. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<h2 class="contentTitle">Nasal Hump</h2>
<p>Composed of a variable combination of cartilage and bone, a hump on the nose can make other features of the nose appear small and the length short. The treatment of a nasal hump is not a one-size-fits-all approach. It is important to consider each patient&rsquo;s aesthetic goals, gender, and ethnic background when developing a surgical plan. Some individuals may benefit from &ndash; and desire &ndash; the creation of a gentle concavity to their nose. In contrast, over aggressive reduction of a nasal hump in a male patient can make their nose appear more feminine. Instead, the nasal hump tends to be softened or straightened. It is also important to be respectful of the beautiful features of a nose that communicate the ethnic background of an individual. For example, individuals of Arab, Iranian, or Turkish background may request only a subtle reduction in their nasal hump.</p>
<h2 class="contentTitle">Wide Nasal Bridge</h2>
<p>A wide nasal bridge often needs to be narrowed when a large nasal hump is reduced to reduce the risk of long-term complications. It is also important to consider the width of the nasal bridge when a large, bulbous nasal tip is narrowed. The nasal bridge may appear wider than the tip if it is not narrowed <em>with</em> the tip, thereby breaking an aesthetically ideal curve from the eyebrow to the nasal tip.</p>
<h2 class="contentTitle">Bulbous Nasal Tip</h2>
<p>Narrowing and refining a bulbous nasal tip, like addressing a drooping tip, is among the most technically difficult portions of nose surgery (rhinoplasty). This is due to the complexity of the paired cartilages that contribute to the shape of the nasal tip. Refinement of the nasal tip usually employs some combination of suturing and reorientation of the cartilages, sometimes with removal of a small amount of the cartilage.</p>
<h2 class="contentTitle">Drooping Nasal Tip</h2>
<p>Lifting a drooping nasal tip naturally is technically difficult because the complex nasal tip cartilages need to be reoriented and secured to the septum &ndash; the wall separating each nasal cavity - symmetrically. Moreover, the projection of the nasal tip can change as a result of lifting a drooping a nasal tip, which needs to be accounted for when securing the final position of the nasal tip.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your nose.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong>.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <a href="https://www.harmonface.com/contact"><strong>Get in touch with us to learn more!</strong></a></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>

Pexels Alexander Krivitskiy 6554598

What Concerns Can Be Addressed with Nose Surgery?

<p><img class="contentImg" src="https://harmon.wtgdigital.io/assets/ce8aea1d-ae11-4b00-bf73-24dcad5e5380/Smiling%20Middle%20Aged%20Woman_2.jpeg" alt="Smiling Middle Aged Woman_2.jpeg" data-asset="bec94c8930a94087881ece5c3f0edb49" data-mod="width:1200"></p>
<p>Commonly referred to as a&nbsp;<strong>&ldquo;non-surgical rhinoplasty&rdquo;</strong> or a <strong>&ldquo;liquid rhinoplasty,&rdquo;</strong> hyaluronic acid filler such as Restylane&copy; products are often placed in the nose to achieve an aesthetic goal. However, this procedure is not appropriate for everyone and has specific limitations that people should be aware of. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid116602" title="YouTube video player" src="https://www.youtube.com/embed/pH9OcPeE-Ew" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="allowfullscreen"></iframe> <img class="contentImg" src="https://harmon.wtgdigital.io/assets/6ed70bb2-9c80-442f-be44-a6125d26dd68/HW_Non%20Surgical%20Rhinoplasty_Side%20View.png" alt="HW_Non Surgical Rhinoplasty_Side View.png" data-asset="b80a3630a3f7421fa37d4b5207cf5bbf" data-mod="width:1200"></p>
<p>This 24-year-old came to Dr. Harmon with a desire smooth the bump on her nasal bridge in a natural way and without surgery. Hyaluronic acid filler was added to the bridge of her nose above the bump in order to accomplish this.</p>
<h2 class="contentTitle">Placing Filler in the Nose Always Adds, Never Subtracts</h2>
<p>Placing filler in the deep tissue of the nose is always additive by definition and never a reductive procedure. This limits what can be accomplished when compared with<strong> <a href="/plastic-surgery/rhinoplasty">nose surgery (rhinoplasty)</a></strong>, which can be customized to address a wide variety of major and minor aesthetic concerns.</p>
<h2 class="contentTitle">The Treatment is Temporary</h2>
<p>Placing filler is also temporary. <strong><a href="/non-surgical/fillers">Hyaluronic acid filler</a></strong> typically lasts approximately 1 to 1.5 years, though it can last for less or more time in some instances. As a result, this procedure requires ongoing maintenance treatments to maintain the same effect.</p>
<h2 class="contentTitle">The Treatment is a FDA Off-Label Use of Hyaluronic Acid Filler</h2>
<p>It is important to note that treatment of the nose with hyaluronic acid filler is an FDA off-label use of these products. However, hyaluronic acid filler has been used in the nose for many years by well-trained, experienced, qualified medical professionals.</p>
<h2 class="contentTitle">Little-to-No Down Time</h2>
<p>It is, however, an in-office non-surgical procedure with little-to-no down time and no required anesthesia. Those are major benefits.</p>
<h2 class="contentTitle">A Liquid Rhinoplasty Can Effectively Address Two Concerns About the Nose</h2>
<p><strong><a href="/non-surgical/fillers">Hyaluronic acid filler</a></strong> can be effective in improving a large, peaked nasal bridge by adding volume to the top of the bridge, thereby softening the curve of the nose. Filler can also be effective in creating the appearance of a lifted nasal tip in some individuals. However, a history of previous <strong><a href="/plastic-surgery/rhinoplasty">nose surgery (rhinoplasty)</a></strong> may preclude the placement of filler in the nasal tip due to concerns about the blood supply to the nasal tip after surgery.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a <strong>double board-certified</strong>, <strong>fellowship-trained</strong> specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong>.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us today to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>

Smiling%20 Middle%20 Aged%20 Woman 2

What Can a Liquid Rhinoplasty Achieve?

<p><img class="contentImg" title="Facial plastic surgery in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/9a9d6afd-e244-472f-a02d-1ee91192a174/Medical-Monitoring-Equipment.jpg" alt="Facial plastic surgery in Cincinnati, Ohio" data-asset="e96a8a1871ae4e9dbd98011a857d59af" data-credit="Anna Shvets" data-credit-url="https://www.pexels.com/photo/medical-equipment-on-an-operation-room-3844581/" data-mod="width:1200"></p>
<p>The purpose of anesthesia is to reduce the discomfort associated with surgery and to keep the patient safe while allowing the surgeon to complete the operation. The types and depth of anesthesia patients can undergo fall on a spectrum. As a facial plastic surgeon, I am not an authority on anesthesiology. However, I work closely with anesthesiologists in the operating room. I have cared for patients who have received each of the below types of anesthesia. The descriptions below are simply basic summaries to better educate patients. It is important to seek not only a&nbsp;<strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid827644" title="YouTube video player" src="https://www.youtube.com/embed/zLF-at_CEQI" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">Local Anesthesia</h2>
<p>Almost all procedures, regardless of the other anesthesia agents given (see below), involve the use of local anesthesia. The purpose of local anesthesia is to reduce or eliminate the local pain associated with the procedure itself.</p>
<p>There are two families of anesthesia agents with multiple medication within these families. Some are shorter acting (e.g., one to two hours) and others are longer acting (e.g., six to eight hours). Short acting and long-acting agents are often mixed to provide the ideal time frame and depth of anesthesia.</p>
<p>Other medications are also sometimes added to the mixture. Epinephrine is frequently added to the local anesthesia mixture. This medication can reduce the amount of bleeding during surgery by constricting the blood vessels in the area injected. Epinephrine also increases the effectiveness of the local anesthesia and can increase the safe amount of local anesthesia which is allowed to be injected. Sodium bicarbonate, which can reduce the pain associated with the initial injection, is sometimes added to local anesthesia as well.</p>
<p>Local anesthesia can numb an area in two ways. First, the anesthesia can numb the area injected. Second, anesthesia injected around a larger nerve that supplies sensation to an entire region of the body can numb that entire region, despite no actual medication reaching the periphery of the area numbed.</p>
<p>It is important to note that local anesthesia not only affects nerves that control sensation but also nerves that control movement. As a result, local anesthesia can cause temporary weakness in the muscle(s) in the area(s) injected.</p>
<h2 class="contentTitle">Oral Sedation</h2>
<p>Some patients prefer and could benefit from oral sedation in addition to local anesthesia. These patients may be undergoing procedures such as <strong><a href="/plastic-surgery/hair-restoration">hair restoration surgery</a></strong>, <strong><a href="/plastic-surgery/blepharoplasty">upper eyelid surgery (blepharoplasty)</a></strong>, <strong><a href="/plastic-surgery/lip-lift">lip lift</a></strong>, and/or <strong><a href="/plastic-surgery/buccal-fat-removal">buccal fat removal</a></strong>. These patients may not require being completely asleep but would prefer something to relax. The typical medication given is a benzodiazepine such as Valium. These patients have their vital signs monitored during the entirety of the procedure.</p>
<p>It is important to note that any patient who receives oral anesthesia such as a benzodiazepine needs a caregiver for 12 &ndash; 24 hours after surgery. These patients cannot drive themselves home after surgery because of the oral medication.</p>
<h2 class="contentTitle">Intravenous (IV) Sedation</h2>
<p>The term &ldquo;IV Sedation&rdquo; simply refers to anesthesia in which the patient is given one or more medications to reduce their level of consciousness to make the surgical procedure comfortable for the patient and to allow the surgeon the ability to operate more comfortably. The term also refers to the fact that the patient is breathing on their own and, therefore, does not require a breathing tube (intubation).</p>
<p>There is a wide range in the depth of sedation patients can undergo. Some patients undergo very light sedation where they are awake and able to speak comfortably. Others undergo sedation where they are sleepier. There are many different medications that can be administered intravenously to achieve this sedation. This sedation is performed by a board-certified and licensed anesthesiologist. The anesthesiologist is the expert in administering this anesthesia as well as monitoring of the patient.</p>
<h2 class="contentTitle">Intubation</h2>
<p>Some patients benefit from deeper sedation requiring a breathing tube (intubation). The breathing tube protects the airway and is used with an anesthesia machine, which breathes for the patient.</p>
<p>There are two techniques for administering this type of anesthesia. The first technique uses medications administered only intravenously (IV). The second technique uses anesthesia gases that the patient breathes through the breathing tube in addition to medications administered IV.</p>
<h2 class="contentTitle">The Most Appropriate Technique Depends on the Patient, the Procedure, the Surgeon, and the Anesthesiologist</h2>
<p>The anesthesia plan is developed in consultation between the surgeon and the anesthesiologist. It is dependent on multiple factors, including the surgical procedure, the estimated time of anesthesia, and the medical history of the patient.</p>
<p>We at Harmon Facial Plastic Surgery have a <strong><a href="/about-us/our-practice">Quad A accredited surgery suite</a></strong> at our office where we perform many of our procedures. We utilize the expertise of board-certified, licensed, anesthesia physicians for our procedures requiring IV sedation at Harmon Facial Plastic Surgery.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a><em> </em></p>

Medical Monitoring Equipment

What are the Different Types of Anesthesia Administered During Surgery?

<p><img class="contentImg" title="Fat augmentation in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/f06450ba-a8e7-4bb3-8c1f-d11a6b0239e6/pexels-olga-lioncat-7291234.jpg" alt="Fat augmentation in Cincinnati, Ohio" data-asset="d76f419bbbda4f09b13f0c706ce78882" data-credit="Olga Lioncat" data-credit-url="https://www.pexels.com/photo/gentle-woman-touching-cheek-in-urban-park-7291234/" data-mod="width:1200"></p>
<p>Some individuals lose volume (i.e., fat) in their face as they age. Other individuals are born with poor volume and/or poor projection of their facial bones. Both individuals may benefit from fat augmentation. It is important to seek not only a&nbsp;<strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid343328" title="YouTube video player" src="https://www.youtube.com/embed/8MQgg5mmSbY" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">Fat Augmentation is a More Permanent Alternative to Dermal Filler for the Face</h2>
<p><strong><a href="/plastic-surgery/facial-fat-grafting">Fat augmentation</a></strong> involves the transfer of fat cells from other areas of the body (e.g., thigh, abdomen) to the face in areas with poor volume. The fat cells are carefully distributed evenly and at an appropriate depth to increase the volume of the target area. There are two areas of the face that are commonly augmented with fat.</p>
<h2 class="contentTitle">Temples</h2>
<p>The temples can hollow with age. Fat transfer to this location can restore some of that volume, in effect balancing out the volume in the lateral eyebrows. That is why fat augmentation of the temples can serve as a nice complement to the <strong><a href="/plastic-surgery/brow-lift">lateral temporal brow lift</a></strong> procedure. It is important to place the fat at the proper depth to maximize how smooth the contour of this volume is. It is a bit like adding a thick, viscous liquid to a balloon. The lining of the balloon stretches but tends to remain smooth because the liquid is distributed under the surface area of what is thick balloon material more evenly. In contrast, placement of the fat more superficially is more likely to lead to contour irregularities.</p>
<h2 class="contentTitle">Cheeks</h2>
<p>Some lose significant volume in their cheeks with age. A midface (i.e., cheek) lift through the <strong><a href="/plastic-surgery/facelift/deep-plane-facelift">extended deep plane facelift</a></strong> may be inadequate to re-approximate the youthful heart-shaped appearance to the face in those select circumstances. It is important to understand that the cheek is composed of multiple subzones, each of which volume can be lost in variably. Therefore, it is important to consider all subzones when adding volume, whether with fat or <strong><a href="/non-surgical/fillers">hyaluronic acid filler</a></strong>.</p>
<h2 class="contentTitle">Fat Augmentation is Generally a Poor Replacement for a Cheek Lift</h2>
<p>Fat augmentation can sometimes be a useful adjunct to but is generally a poor replacement for a cheek lift with the extended deep plane facelift. Augmenting the cheeks with large volumes of fat to mask drooping cheek fat can make the face appear overly rounded and unnatural, because the drooping cheek fat remains in an area that typically has a lower volume in youth. High volume fat augmentation also increases the risk of contour irregularities and asymmetries.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about volume loss in the face.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong>.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>

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What are Common Areas to Receive Fat Augmentation in the Face?

<p><img class="contentImg" title="Chin implant in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/eb1e7a05-3673-400b-b088-2556a34df4aa/pexels-dmitriy-ganin-12244376.jpg" alt="Chin implant in Cincinnati, Ohio" data-asset="d8d73602890c48508e686e611e5edaff" data-credit="Dmitriy Ganin" data-credit-url="https://www.pexels.com/photo/undressed-redhead-woman-with-hand-on-chin-in-sunset-light-12244376/" data-mod="width:1200"></p>
<p>A weak, or recessed, chin can be concerning to men and women, not only because this feature can make the face appear smaller than it is, but it can also make the nose appear larger and more projected than it is. There are surgical and non-surgical options to treat a weak chin. It is important to seek not only a&nbsp;<strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid865528" title="YouTube video player" src="https://www.youtube.com/embed/G1EyXCTz9e4" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">Non-Surgical Treatment Options Include Hyaluronic Acid Filler</h2>
<p>While a weak, recessed chin is usually best address with an implant, <strong><a href="/non-surgical/fillers">hyaluronic acid filler</a></strong> can address concerns requiring a more subtle result. Filler can also serve as a temporary treatment to help determine whether placement of an implant could achieve the desired aesthetic result. Filler is also less expensive than an implant and results in little-to-no downtime after treatment.</p>
<p>Hyaluronic acid filler can be placed deep along the bone and/or more superficially to firm up the skin. A firmer, more structural product such as Restylane&copy; Lyft is a good option to project a weak chin.</p>
<h2 class="contentTitle">Surgical Treatment Options Include a Contoured Chin Implant</h2>
<p>A more permanent option involves the placement of an <strong><a href="/plastic-surgery/chin-implants">implant</a></strong>, usually silicone. There are many shapes and sizes of chin implants available. These implants can also be carved to achieve the ideal projection and width to the chin. Implants are usually placed over the periosteum of the chin &ndash; which is the fascial covering of the bone &ndash; with tapered wings placed in pockets under the peri-ostium on either side. Silicone implants can be removed and replaced if desired.</p>
<p><img class="contentImg" title="Chin Implant Before &amp; After in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/4edc24f3-99db-40b5-8ab4-c89aeaf248cc/Cincinnati-Chin-Implant_Side-View-optimized.jpg" alt="Chin Implant Before &amp; After in Cincinnati, Ohio" data-asset="c9c8f2b32f914e838a069c2371cc8407" data-credit="Dr. Jeffrey Harmon" data-mod="width:1200"></p>
<p>The combination of chin implant and liposuction under the jawline can be a powerful combination for those individuals with excess fat under the chin. The following is just such an example of a patient:</p>
<p><img class="contentImg" title="Chin Implant and Neck Liposuction Before &amp; After in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/5ab78a57-cd99-437b-b192-3c301442ebd4/MA_Before%20and%20After.png" alt="Chin Implant and Neck Liposuction Before &amp; After in Cincinnati, Ohio" data-asset="db4a76d58879471884a385de3b885406" data-credit="Dr. Jeffrey Harmon" data-mod="width:1200"></p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>

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Treatment Options for a Weak Chin

<p><img class="contentImg" title="Extended deep plane facelift in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/3d734a81-0e5e-4477-9f5a-27fe499d83e9/pexels-cottonbro-studio-5494194.jpg" alt="Extended deep plane facelift in Cincinnati, Ohio" data-asset="ed8f0c942716447e87c89be6c7541e83" data-credit="cottonbro studio" data-credit-url="https://www.pexels.com/photo/a-mother-and-daughter-close-together-5494194/" data-mod="width:1200"></p>
<p>People generally know their body better than anyone else, including their physician. However, people do not always have the medical language to explain what they see when they look in a mirror. For example, you may have heard and understand the term &ldquo;jowling&rdquo; but do not quite feel like that fully explains what you see. It is important to seek not only a&nbsp;<strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p>As explained in a previous blog post (<strong><a href="https://www.harmonface.com/blog/4-benefits-of-the-extended-deep-plane-facelift">4 Benefits of the Extended Deep Plane Facelift</a></strong>), the <strong><a href="/plastic-surgery/facelift/deep-plane-facelift">extended deep plane facelift</a></strong> can address multiple signs of aging of the lower two-thirds of the face as well as the neck in a manner that other facelift approaches cannot.</p>
<p>However, the upper one-third of the face and the upper lip also undergo age-related changes, which no facelift approach can address. The lateral temporal lift and lip lift are complementary procedures to the extended deep plane facelift and neck lift.</p>
<p>The red portion of the upper lip thins and loses definition. The skin between the red portion of the upper lip and the base of the nose lengthens. The lip lift can address these changes.</p>
<p>The sides of the brow droop, hanging over the edge of the eyes. The lateral temporal lift can address these changes.</p>
<p>In summary, the extended deep plane facelift, neck lift, lateral temporal lift, and lip lift can address the signs of facial aging comprehensively.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a <strong>double board-certified</strong>, <strong>fellowship-trained</strong> specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong>.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us today to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>

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Three Procedures to Address the Signs of an Aging Face Comprehensively

<p><img class="contentImg" title="Facial plastic surgery in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/d7b73193-7477-4c61-82b6-57689aebaa06/Older%20Couple%20for%20Blog%20Post.jpg" alt="Facial plastic surgery in Cincinnati, Ohio" data-asset="e41e9d44a3c24d8eab77ca3e3557bc6b" data-credit="Marcus Aurelius" data-credit-url="https://www.pexels.com/photo/couple-practicing-yoga-6787499/" data-mod="width:1200"></p>
<p>This blog post is adapted from multiple sources (references below) and summarizes some things I have learned over the years about aging well that I have tried to incorporate into my life. It is important to seek not only a&nbsp;<strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><img class="contentImg" title="Fara and I had an opportunity to give a talk on aging well at a country club. It was very gratifying to impart whatever wisdom I could to interested individuals. " src="https://harmon.wtgdigital.io/assets/074dbf07-312b-4d79-a9de-dfe5832ea28e/Image%20of%20Table%20at%20Five%20Seasons.jpeg" alt="Image of Table at Five Seasons.jpeg" data-asset="d9b37a4192254dedb78828273b09b860" data-mod="width:1200"></p>
<h2 class="contentTitle">Aging Well Means Maintaining Function</h2>
<p>Fara and I had an opportunity to give a talk on aging well at a country club. It was very gratifying to impart whatever wisdom I could to interested individuals.</p>
<p>The World Health Organization (WHO) defines healthy aging as the process of developing and maintaining functional ability with age. Genetics, the environment, and human behavior all contribute to healthy aging. Healthy aging is distinct from changes to our appearance which can occur with age. Functional decline may or may not parallel the development of an aged appearance. For example, there are many high-performance athletes, such as triathletes, who maintain high functional abilities into their old age but whose faces appear older due to factors that will be discussed.</p>
<h2 class="contentTitle">Lessons from the "Blue Zones" Have Been a Helpful Guide</h2>
<p>&ldquo;Blue zones&rdquo; as defined by the author of <u>The Blue Zones: 9 Lessons for Living Longer from the People Who&rsquo;ve Lived the Longest,</u> Dan Buettner, are areas of the world where the number of people living into old age is much higher than average. The communities identified are in Japan, Costa Rica, Italy, Greece, and Southern California. The author and his colleagues visited these communities and distilled the qualities that they believe are likely contributing to their longevity into 9 &ldquo;lessons&rdquo; for others to follow.</p>
<h2 class="contentTitle">A Culture of Physical Activity is Essential</h2>
<p>The behavioral traits identified in these blue zones include a culture of physical activity. However, this is not simply regular exercise, though both aerobic and strength training are recommended. The individuals in these communities live in a built environment where exercise is easy and performed passively and physical activity is required to perform activities of daily living. This includes walking to school, the market, and friends&rsquo; homes.</p>
<p>I completed fellowship training in facial plastic surgery in New York City. My wife, son, and I lived in Queens during this time. The community we lived in was composed of medium-height buildings spaced close together. The nearby parks were beautiful, safe, and child friendly. Our friends lived within walking distance. All our necessities were within walking distance. I traveled to work on the subway system, which required walking a few blocks each day. The fact that we lived in a small apartment seemed less important because we could live our lives in the city. It was easy to maintain our physical health while enjoying our lives. A short commute was invaluable, because I worked very long hours and would otherwise been unable to see my wife and son before they went to bed if I had a long commute by car. The walkability of the community we lived in improved our quality of life greatly.</p>
<p>In contrast, my time teaching in Doha, Qatar for Weill Cornell Medical College in Qatar provided a very different lifestyle. I lived in downtown Doha in a high-rise apartment. The university was located a 30-minute drive away on the outskirts of the city in the desert. Temperatures reached the 100s to 110s daily, even at night. As a result, outdoor activities were severely limited during the day. We lived inside air-conditioned buildings all day, albeit very nice ones. I scheduled time to work out in my building&rsquo;s gym to maintain my physical health. But it was not easy. Work was time-consuming and I wanted to take as much time to explore a part of the world I previously knew so little about.</p>
<p>One consideration I would add to a culture of physical activity is optimizing ergonomics. A surgeon spends most of their day standing or sitting in somewhat contorted positions. The potential for this to put strain on the shoulders, back, and hips is significant. It is important to maintain an exercise regimen that keeps a strengthened core and to constantly focus on proper body positioning when operating. After all, we owe it to our patients and ourselves to maintain peak physical health to optimize our surgical outcomes. To that end, I practice pilates to maintain my core strength.</p>
<p><img class="contentImg" title="Some of my family and me at the Trains and Traditions Exhibit at the Krohn Conservatory in Cincinnati, Ohio." src="https://harmon.wtgdigital.io/assets/f0d8f6f9-fdb6-4928-abaa-0c0e987388e9/Family%20Photo.JPG" alt="Family Photo.JPG" data-asset="c167d6382e3d4ec2b3a05f9a5e11dd8d" data-mod="width:1200"></p>
<h2 class="contentTitle">Strong Social Support Contributes to Aging Well</h2>
<p>Some of my family and me at the Trains and Traditions Exhibit at the Krohn Conservatory in Cincinnati, Ohio.</p>
<p>Another behavioral trait identified was a strong social structure. This includes strong family connections, friendships, and support from their community groups. When my wife and I returned to Cincinnati from New York City we realized how much we missed being near family. Our son, Babak, suddenly had his grandparents nearby. It was very helpful for us as we established Harmon Facial Plastic Surgery. The relationship Babak has built with his grandparents has meant so much to Fara and me. I believe it has help developed Babak&rsquo;s emotional intelligence and happiness. I hope our soon-to-be-born daughter, Roya, will have a similar experience.</p>
<h2 class="contentTitle">Good Nutrition is Whole and Balanced</h2>
<p>A third behavioral trait relates to their cultures of food and nutrition. I would like to reference <a href="https://www.harmonface.com/blog/optimizing-nutrition-before-and-after-surgery"><strong>this blog post on nutrition</strong></a> written by the dietician Tirzah Thompson who presented at our office in the past. Individuals in blue zone communities eat a well-rounded diet of whole foods, avoiding processed foods. They eat to contentedness only while maintaining adequate calories for nutrition. The information provided by Tirzah Thompson and the blue zone communities does not account for individuals with micronutrient deficiencies due to disease and/or food allergies and intolerances. Any diet should account for these differences and be culturally appropriate/sensitive.</p>
<p>I have really enjoyed learning about Persian food and the culture surrounding it from my wife and her family. Persian food is complex and beautiful, consisting of stews filled with unusual spices. It takes hours to prepare but is well worth the wait. The wisdom gained from years of trial and error is evident in the combination of ingredients and the care with which it is prepared. My favorite dish is called ghormeh sabzi which consists of a mixed of herbs including parsley, cilantro, scallions, and fenugreek as well as kidney beans, beef and a special dried lime commonly used in the region in teas and to impart additional flavor to a stew. The stew is over over fluffy long-grain rice tossed with butter and saffron. The taste is slightly citrusy and bitter, and the aroma is unlike anything I have previous experienced. That is the case with most Persian dishes. Persian cooking, like cooking from all over the world, contains generations of embedded wisdom that make eating a well-rounded diet easy and the experience enjoyable.</p>
<h2 class="contentTitle">Adequate Sleep Can be Difficult but is Necessary</h2>
<p>An area unmentioned in the blue zones studies was the importance of sleep. The American Academy of Sleep Medicine recommends 7 or more hours of sleep per night regularly. The academy allows 9 hours of sleep per night for individuals who are recovering from an illness or who have been deprived of sleep. I understand that 7 hours of sleep per night regularly can be more difficult at different times in our lives. For example, our sleep can be limited when caring for young children and/or our elderly relatives whose functional capacity is limited. Our jobs can also limit our sleep. I have certainly felt this way during residency and fellowship training and when our son was just born and waking regularly to feed. I have learned that life is a long, beautiful journey. We cannot always be perfect to ourselves or for our loved ones.</p>
<h2 class="contentTitle">The Skin Ages</h2>
<p>Functional decline may or may not parallel age-related changes to appearance, including of the skin. The changes related to skin aging develop due to both external and internal factors. The internal factors are genetic and a relatively minor contributor to skin aging. Most age-related changes to the skin are due to external factors, none more so than cumulative sun exposure. Other external factors include smoking, excessive alcohol intake, poor nutrition, and pollution. These external factors contribute to skin aging by accelerating a chemical reaction in the skin that leads to a breakdown of its components.</p>
<p>There are three components of skin whose changes contribute to aging. The first is collagen, which is the skin scaffold. The second is elastin, which imparts elasticity to the skin. The third are glycosaminoglycans (GAGs), of which hyaluronic acid is an example, which increases skin hydration and plumpness.</p>
<p>Aged skin appears more fragile, thin, wrinkled, dry, rough, sallow, and with poor light reflection and pigmented spots. Necessary but not sufficient, good skin care can both treat and decrease the effects of aging on the skin. A good skin care routine is simple and includes agents that are pro-collagen, antioxidant/anti-inflammatory, and photoprotective.</p>
<h2 class="contentTitle">Topical Retinoids are Pro-Collagen</h2>
<p>Retinoids, which include retinols, are derivatives of Vitamin A that can be applied to the skin. Topical retinoids are pro-collagen, meaning they increase the production of youthful collagen and reduce the breakdown of collagen. Retinoids, a prescription medication, are the only FDA-approved treatment for photoaging. Retinols, a precursor molecule that is converted to retinoids in the body, are not FDA-approved; rather, they are a cosmeceutical. Retinols do not require a prescription. While not FDA-approved, there is extensive evidence for their effectiveness as well. Retinoids and retinols are unique among skin care products in that there is evidence both that they can reverse and prevent some of the signs of skin aging. Retinoids do have some side effects and may not be appropriate for all individuals or all skin types. A consultation with a dermatologist or plastic surgeon is recommended prior to considering the use of retinoids of any kind.</p>
<h2 class="contentTitle">Topical Vitamin C is Anti-Inflammatory and Photoprotective</h2>
<p>The most important topical antioxidant/anti-inflammatory product &ndash; the product with the most evidence for its effectiveness &ndash; is ascorbic acid, also known as Vitamin C. Vitamin C is an important component of collagen. There is strong evidence for its effectiveness as a topical antioxidant, which reduces the frequency of the previously described chemical reaction on the skin. It is also photoprotective, reducing the effects of ultra-violet rays from the sun. The problem with Vitamin C is that it requires a specific formulation to be adequately absorbed by the skin. It is also exquisitely sensitive to light and air, necessitating special packaging. Other ingredients are often added to Vitamin C that preserve the function and even potentiate its effects, including tocopherol (Vitamin E), ferulic acid, and pycnogenol. These ingredients, including topical Vitamin C, are all cosmeceuticals which are not FDA-approved to treat photoaging. All necessary precautions should be taken when using these ingredients as they may not be appropriate for all individuals or all skin types. A consultation with a dermatologist or plastic surgeon is recommended prior to considering the use of these treatments.</p>
<h2 class="contentTitle">Sunscreen is Photoprotective</h2>
<p>The best photoprotective product for the skin is sunscreen. The best sunscreen to use is a mineral-based sunscreen, such as one that includes zinc oxide. Chemical-based sunscreens rarely provide as strong and complete protection. Recommendations include a mineral-based sunscreen of at least an SPF of 30 or greater.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about age-related changes to your face and/or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong>.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us today to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>
<h2 class="contentTitle">References</h2>
<ol>
<li>Baumann, L. (2014). <em>Cosmeceuticals and Cosmetic Ingredients</em> (1st ed.). McGraw Hill/Medical.</li>
<li>Buettner, D. (2012). <em>The Blue Zones: 9 Lessons for Living Longer from the People Who&rsquo;ve Lived the Longest </em>(2nd ed.). National Geographic.</li>
</ol>

Older%20 Couple%20for%20 Blog%20 Post

Things I Have Learned About Aging Well

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The Right to Beauty and the Development of Plastic Surgery in Brazil and South Korea

<p><img class="contentImg" title="Facial Plastic Surgery in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/fddbccbc-44fb-44a2-898f-a8df692fe9e5/pexels-olly-3756042.jpg" alt="Facial Plastic Surgery in Cincinnati, Ohio" data-asset="e558dcdb25834ed1b3962d721dba7546" data-credit="Andrea Piacquadio" data-credit-url="https://www.pexels.com/photo/fit-athlete-during-training-on-running-track-3756042/" data-mod="width:1200"></p>
<p>&ldquo;Do you want the bed up?&rdquo; I heard these words frequently from the circulating nurse and anesthesiologist in the operating room during residency. I heard them rarely, not surprisingly, from my attending physician. It was an expression of concern for my back and neck because I looked so unnatural and uncomfortable operating as a new resident. I almost always replied that I would like the bed raised. However, I initially felt awkward asking. I was usually taller than the attending surgeon and staff. I knew they would need to adjust to accommodate me. It took time, but I grew increasingly comfortable and assertive requesting ergonomic adjustments that were less stressful on my neck and back. I have been interested in the topic since. The following blog post is a summary of what I have learned from research, experience, and conversation with professionals. It is important to seek not only a&nbsp;<strong>fellowship-trained</strong> but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<h2 class="contentTitle">Surgery is Physically Demanding Work</h2>
<p>Head and neck surgery is physically demanding, often because of the variety of positioning required to perform the multitude of procedures. Facial plastic surgery, the subspecialty I was fellowship-trained &ndash; and am <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified</a></strong> - in, requires standing and sitting, the back and neck flexed at multiple angles, throughout a single procedure. Endoscopic sinus surgery involves often-uncomfortable positioning of the arms at an angle to the trunk to be able to see the monitor, which shows the sinus anatomy the instruments are navigating. These instruments can be heavy as well, resulting in additional strain. Surgery of the larynx, otherwise known as the &ldquo;voice box,&rdquo; requires the use of microsurgical instruments and precise movements on a fulcrum from the end of the long instrument to the wrist. Head and neck cancer surgery involves hours-long procedures with the head often weighed down by a headlight and a microscope attached to glasses, called loupes. As a result, the risk of developing work-related musculoskeletal disorders is high.</p>
<p>In fact, work-related musculoskeletal disorders may be as prevalent among surgeons as some industrial tradesmen, including masons and electricians. A review of the literature (<strong>1</strong>) demonstrates a twelve-month prevalence of pain in the following locations in surgeons and interventional physicians:</p>
<p>● Neck &ndash; 60%</p>
<p>● Shoulder &ndash; 52%</p>
<p>● Back &ndash; 49%</p>
<p>● Upper Extremity &ndash; 39%</p>
<p>Regarding head and neck surgery, between 47.4% and 97% of have reported musculoskeletal symptoms in the literature, with back and neck pain being the most frequently cited locations (<strong>2</strong>). Similar numbers are found among facial plastic surgeons specifically (<strong>3</strong>, <strong>4</strong>). Pain tends to begin early in residency and persists, likely because there is not only little training but little understanding of good ergonomics in residency programs. As a result, 23% to 84% of head and neck surgeons report seeking medical treatment, which includes physical therapy, medications, massage, and/or acupuncture (<strong>2</strong>). Unfortunately, 2.4% to 28% report requiring surgery, 16% require time away from work, and 2% are forced to stop work or retire early due to work-related musculoskeletal disorders (<strong>5</strong>). A recent survey amount members of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) confirmed the above findings, with 67.8% of respondents reporting a work-related musculoskeletal disorder necessitating treatment, physical therapy, or a modification of practice patterns (<strong>6</strong>).</p>
<p>Work-related musculoskeletal disorders are a prevalent and severe problem among surgeons and interventional physicians resulting in significant morbidity and lost time. What can be done to prevent and treat it?</p>
<p>The following information is what I have learned from my conversations with Physical Therapists (PTs) who I know and who I have been treated by for the purpose of preventing musculoskeletal injury. While I want to emphasize that I am not a trained, licensed physical therapist &ndash; and, therefore, the following information should be considered educational only &ndash; I do believe prevention is the optimal approach to the above problems in surgery and would advise any surgeon with musculoskeletal problems or who has concerns they will develop them to consider evaluation by a licensed, qualified PT.</p>
<h2 class="contentTitle">Physical Therapists Explain Why Physical Therapy Can be Beneficial for Surgeon Musculoskeletal Health</h2>
<p>Between 85.7% and 93.6% of head and neck surgeons have reported improvements in musculoskeletal symptoms with physical therapy (<strong>2</strong>). Physical therapists can be utilized both preventatively and therapeutically. According to my physical therapy colleagues, the initial evaluation includes:</p>
<ol>
<li>Identifying areas of muscle and joint restriction</li>
<li>Assessing strength and endurance in sustained positioning or with repetitive movements.</li>
</ol>
<p>The body is accustomed to taking the path of least resistance, which often results in pressure on the joints. This can be a source of injury and pain, because joints are not able to tolerate static load over time in the same way our muscle can. Therefore, the most important thing for physician surgeons to develop is improved positional awareness to choose positions with the least strain. It is for that reason that I started Reformer Pilates, both to strengthen muscles that stabilize my spine, but also to strengthen and activate those muscles I was instructed I will need to position myself in the least stressful way possible.</p>
<h2 class="contentTitle">Physical Therapists Explain Why Movement During Surgery is Important for Surgeon Musculoskeletal Health</h2>
<p>Some physical therapists will argue that no single position should be considered necessarily &ldquo;bad&rdquo; or &ldquo;good.&rdquo; Positioning depends on the individual and the work demands on them. However, the general problem comes from maintaining one position for too long. Neck and trunk flexion as well as flexion and abduction of the shoulders create higher force and increased muscle strain. This positioning is common during surgery. To that extent, &ldquo;micropauses&rdquo; of 20 seconds or more &ndash; or short breaks in general &ndash; are advised by some physical therapists to reduce joint and muscle strain.</p>
<h2 class="contentTitle">Physical Therapists Argue Strategic Movement Before, Between and After Surgery is Important for Surgeon Musculoskeletal Health</h2>
<p>Some physical therapists will argue that what we do before, between, and after surgery is important as well. For example, building muscle strength and flexibility beyond the range of motion of the activity performed &ndash; in this instance, surgery &ndash; is important to reduce the risk of injury. In fact, many professional athletes adhere to this strategy in basketball and other sports.</p>
<h2 class="contentTitle">Other Common Preventative Strategies May be Less Helpful</h2>
<p>The feedback I have received from physical therapists is that biofeedback devices &ndash; those devices that are often worn on the back and send signals with changes in posture &ndash; are generally not effective absent other interventions as described above. One colleague explained that, while biofeedback devices can be used for training, they are less effective with daily use, primarily because they can take attention away from the task at hand (i.e., surgery). However, every individual needs to make the decision for themselves whether the above is indeed true for them.</p>
<p>I was very interested in the feedback I received on postural chairs; chairs meant to force improvement in posture. I have colleagues who use these chairs during surgery. I was informed that, while postural chairs can be good to provide breaks for your body, they should not be a primary intervention. These chairs can reduce the usage of muscles whose strength is important to maintain good posture and, therefore, protect your musculoskeletal system. Again, however, the use of postural chairs and biofeedback devices should be a personal choice made in consultation with a licensed, qualified physical therapist.</p>
<h2 class="contentTitle">Trust Your Face to a Double Board-Certified Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained, double board-certified specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop searching &ldquo;plastic surgery near me.&rdquo; <a href="https://www.harmonface.com/contact" target="_blank" rel="noopener noreferrer"><strong>Get in touch with us to learn more.</strong></a></p>
<p><strong><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></strong></p>
<h2 class="contentTitle">References</h2>
<ol>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/29282463/" target="_blank" rel="noopener">Epstein S, Sparer EH, Tran BN, Ruan QZ, Dennerlein JT, Singhal D, Lee BT. Prevalence of Work-Related Musculoskeletal Disorders Among Surgeons and Interventionalists: A Systematic Review and Meta-analysis. JAMA Surg. 2018 Feb 21;153(2):e174947.</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/35943813/" target="_blank" rel="noopener">Walters ZA, Chang KY, Cervenka B, Collar R, Hsieh TY. Ergonomics in Otolaryngologic Surgery: A State of the Art Review. Otolaryngol Head Neck Surg. 2022 Aug 9:1945998221117095.</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/39699657/" target="_blank" rel="noopener">Garg N, Xu V, Mandloi S, DeKloe J, Kumar A, McCann A, Chandna M, Tekumalla S, Krein H, Heffelfinger R. Ergonomics in Facial Plastic and Reconstructive Surgery: A National Evaluation. Facial Plast Surg Aesthet Med. 2024 Dec 20.</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/39718300/" target="_blank" rel="noopener">Karasik D, Tranchito E, Welschmeyer AF, Gourishetti SC, Shipchandler TZ, Ponsky D, Rabbani CC. Improving Surgeon Well-Being: A Survey on Ergonomic Challenges and Solutions in Rhinoplasty. Facial Plast Surg Aesthet Med. 2024 Dec 26.</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/35575629/" target="_blank" rel="noopener">Ryan MT, Montgomery EA, Fryer J, Yang AW, Mills C, Watson N, Noller M, Riley CA, Tolisano AM. Ergonomics in Otolaryngology: A Systematic Review and Meta-analysis. Laryngoscope. 2022 May 16. doi: 10.1002/lary.30216.</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/39699657/" target="_blank" rel="noopener">Garg N, Xu V, Mandloi S, DeKloe J, Kumar A, McCann A, Chandna M, Tekumalla S, Krein H, Heffelfinger R. Ergonomics in Facial Plastic and Reconstructive Surgery: A National Evaluation. Facial Plast Surg Aesthet Med. 2024 Dec 20.</a></li>
</ol>

Pexels Olly 3756042

The Potential Value of Preventative Physical Therapy for Surgeons

<p><img class="contentImg" title="Extended deep plane facelift in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/6ccf507f-4ac3-40ce-b967-40aef2e73e2b/%20Post-Operative%20Recovery%20Incision%20Care" alt="Extended deep plane facelift in Cincinnati, Ohio" data-asset="c0cbd5056ec04ad58a4124ddc2828fce" data-credit="Mikhail Nilov" data-credit-url="https://www.pexels.com/photo/healthy-couple-love-laptop-6972646/" data-mod="width:1200"></p>
<p>The post-operative recovery period is an important time where meticulous care can maximize healing and minimize down time. It is for that reason that Dr. Harmon has developed a comprehensive plan for the post-operative recovery period. It is important to seek not only a&nbsp;<strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid184163" title="YouTube video player" src="https://www.youtube.com/embed/KNhmOXYE-fg" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="allowfullscreen"></iframe></p>
<ol>
<li>First, Dr. Harmon discusses the <strong><a href="https://www.harmonface.com/blog/optimizing-nutrition-before-and-after-surgery">importance of eating a well-balanced, nutritional diet</a></strong>, and getting adequate sleep before and after surgery with each of his patients.</li>
<li>Care of each incision is of paramount importance during the first 5 &ndash; 10 days after surgery. Dr. Harmon has instituted a suture removal protocol for each procedure. He removes each stitch progressively over multiple days, balancing the need for the sutures to remain in place until adequate healing occurs with the desire to remove them as quickly as possible to minimize the visibility of the incision. As a result, Dr. Harmon has an opportunity to evaluate and monitor the progression of healing closely in the first days after surgery. That way any problems or concerns can be addressed promptly.</li>
<li>It is also important to keep the incisions moist while they are healing. The incisions are covered with an antibiotic ointment for the first three (3) days after surgery to reduce the risk of infection and keep the incisions moist. The topical antibiotic is then discontinued, and the incisions are covered with Aquaphor ointment. This is done because applying antibiotics to incisions too long can result in an allergic reaction - called dermatitis - at the incision sites.</li>
<li>The incisions remain cared for even after stitches are removed. Dr. Harmon applies a liquid incision dressing in areas where stitches are removed. This liquid incision dressing also allows protective tape to remain adherent to the incisions, which strengthens incisions and protects them from the sun. The tape and liquid incision dressing are removed after all sutures are removed.</li>
<li>Finally, Dr. Harmon ensures all his patients apply silicone-based gels and a mineral-based sunscreen to the incisions after all stitches are removed for weeks-to-months to encourage the gradual fading of the incision lines.</li>
</ol>
<p>It is the above interventions that allow <strong><a href="/about-us/meet-dr-harmon">Dr. Harmon</a></strong> to deliver well-hidden incisions.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a <strong>double board-certified</strong>, <strong>fellowship-trained</strong> specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong>.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us today to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>

%20 Post Operative%20 Recovery%20 Incision%20 Care

The Importance of Post-Operative Recovery Incision Care and Our Plan

<p><img class="contentImg" title="Lower blepharoplasty in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/a5d992c6-c431-4026-98fb-3839d9669f2c/pexels-chloe-amaya-4079215.jpg" alt="Lower blepharoplasty in Cincinnati, Ohio" data-asset="e05670113a4e4a54a62299f93845e3ee" data-credit=" Chloe Amaya" data-credit-url="https://www.pexels.com/photo/person-face-in-close-up-photo-4079215/" data-mod="width:1200"></p>
<p><strong><a href="/plastic-surgery/blepharoplasty">Lower eyelid surgery (blepharoplasty)</a></strong> is a complex procedure that involves not only the treatment of lower eyelid bags but also loose muscle and skin in the lower eyelids. It is essential to maintain as much support of the lower eyelids as possible when performing surgery. This involves careful consideration of the most appropriate location for the surgical incisions as well as specialized procedures to strengthen the support of the &ldquo;hammock&rdquo; that suspends the lower eyelid. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid21492" title="YouTube video player" src="https://www.youtube.com/embed/Zr9Md2MUvbw" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">Some Individuals Have Loose Lower Eyelids</h2>
<p>Every patient who comes in for a consultation for their lower eyelids undergoes a physical exam. The looseness of the lower eyelids is determined during this exam. Though very rare, individuals with loose lower eyelid tissue are at an increased risk of the lower eyelid being pulled down with healing, which can lead to an abnormal &ldquo;rounding&rdquo; of the lower eyelid and even incomplete eyelid closure in extreme circumstances.</p>
<h2 class="contentTitle">The Most Appropriate Surgical Approach is Determined by a Detailed Physical Exam</h2>
<p>The physical exam dictates the approach taken to rejuvenate the lower eyelids. The surgical approach can be adopted to the patient&rsquo;s anatomy, thereby reducing the risk of the lower eyelids being pulled down. For example, a patient with any evidence of loose lower eyelid tissue will undergo eyelid surgery through a specialized incision hidden on the inside of the eyelid, called a transconjunctival incision. This approach not only creates a hidden incision but also preserves more of the soft tissue of the lower eyelids. The reduced risk of scarring of the muscle and other soft tissue reduces the risk of the eyelids being pulled down.</p>
<h2 class="contentTitle">Consider Procedures to Strength the Support of the &ldquo;Hammock&rdquo; That Suspends the Lower Eyelids</h2>
<p>There are specialized techniques to provide additional support to the &ldquo;hammock&rdquo; that suspends the lower eyelids in addition to approaches that reduce the risk of scarring in the first place (i.e., the transconjunctival incision). One procedure, called a canthopexy, involves a tiny incision and strengthens the support of the &ldquo;hammock&rdquo; of the lower eyelid, thereby reducing the risk of the lower eyelid being pulled down with healing.</p>
<h2 class="contentTitle">Close Post-Operative Follow Up by a Physician is Essential</h2>
<p>Close post-operative follow-up with a physician is essential after lower eyelid surgery (blepharoplasty). There are exercises and medications that can be injected to reduce or <strong><a href="https://www.harmonface.com/blog/scar-treatment-an-explainer">prevent scarring</a></strong> early in the healing process. However, it requires the presence of a physician at post-operative follow up appointments to perform these treatments. Dr. Harmon manages the care of his patients at all their post-operative follow up appointments.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a><em> </em></p>

Pexels Chloe Amaya 4079215

The Importance of Maintaining Lower Eyelid Support During Lower Eyelid Surgery

<p><img class="contentImg" title="Brow lift in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/95351c6b-74e3-4f35-bdf0-d2b7bb9f6b0d/pexels-cottonbro-studio-6568103.jpg" alt="Brow lift in Cincinnati, Ohio" data-asset="cd26eb5425264a8aa2dc38ae0e649eb6" data-credit="cottonbro studio" data-credit-url="https://www.pexels.com/photo/close-up-of-a-young-womans-eye-6568103/" data-mod="width:1200"></p>
<p>The &ldquo;Fox Eye&rdquo; procedure has become a trending topic on social media, including TikTok. The procedure stretches the side of the eyebrow and temple skin. It most likely involves the use of barbed stitches/sutures in a manner like threading in the face and neck. Everyone is entitled to their own conception of what is beautiful. However, the significant limits of the use of threading and the resultant significant distortion of the anatomy it causes make the procedure not worthwhile in the opinion of Dr. Harmon. This procedure is sometimes confused with the&nbsp;<strong><a href="/plastic-surgery/brow-lift">lateral temporal brow lift</a></strong> surgical procedure. In contrast with the &ldquo;Fox Eye&rdquo; procedure, this surgical procedure can provide a long-lasting and natural-appearing lift of drooping lateral eyebrows and smoothing of the temple tissue in the appropriate candidate. This blog post seeks to explain the problems with the &ldquo;Fox Eye&rdquo; procedure and to contrast it with the lateral temporal brow lift. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<h2 class="contentTitle">The &ldquo;Fox Eye&rdquo; Procedure Significantly Distorts the Facial Anatomy in an Unnatural-Appearing Way</h2>
<p>The &ldquo;Fox Eye&rdquo; look appears exaggerated and pulled. The area stretched to the side and up includes the most lateral portion of the eyebrow and the temple skin. The procedure does not appear to result in facial anatomy that approximates the range of what humans normally demonstrate. A similar effect can occur with <strong><a href="https://www.harmonface.com/blog/overview-of-facelift-techniques">older, less effective facelift techniques</a></strong> that can result in a distorted mouth and &ldquo;windswept&rdquo; appearance. This effect runs counter to the philosophy of Dr. Harmon, who strongly feels that directly addressing as many of the underlying causes of age-related changes to the face is the best way for natural appearing results.</p>
<h2 class="contentTitle">The &ldquo;Fox Eye&rdquo; Procedure is Likely Performed Using Dissolvable Barbed Stitches</h2>
<p>Threading, which involves the use of dissolvable barbed stitches/sutures inserted into the skin in multiple locations, is likely the most common method used to achieve a &ldquo;fox eye&rdquo; look. Dr. Harmon does not endorse the use of threading anywhere in the face. First, the stitch/suture is simply a commonly used dissolvable suture but with barbs on it. The effect is temporary because the suture is dissolvable, typically lasting only a few months. Second, the sutures are placed blindly into tissue planes, making appropriate placement difficult. Third, there is no surgical separation of the volume that needs to be lifted from the deeper structures of the face or the release of this tissue from tension points in the face that would be necessary to prevent distortion of the facial anatomy.</p>
<h2 class="contentTitle">The Lateral Temporal Brow Lift is a Surgical Procedure that Can Provide a Natural Appearing Lift of the Lateral Brow and Temple</h2>
<p>The lateral temporal brow lift contrasts with the &ldquo;Fox Eye&rdquo; procedure because it is a surgical procedure that involves the dissection of volume off the deeper structures of the face, including the release of tension points along the eyebrow. The result is the lifting of the lateral brow and smoothing of the temple volume in a long-lasting manner without distorting the surrounding anatomy. And while dissolvable stitches/sutures are used to suspend the tissue, this is only temporary until the lifting tissue has had time to heal against the deeper tissue again. As with all procedures, however, a consultation with a qualified surgeon is essential to determine whether an individual is a candidate for the lateral temporal brow lift.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact"><strong>Get in touch with us to learn more.</strong></a></strong></p>
<p><strong><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></strong></p>

Pexels Cottonbro Studio 6568103

The “Fox Eye” Procedure: What is It and is it Worthwhile?

<p><img class="contentImg" title="Facial plastic surgery in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/86a95a90-e3ff-4f05-a44e-be4e5bd6aff0/Cigarette.jpg" alt="Facial plastic surgery in Cincinnati, Ohio" data-asset="f9feaf1eb3a04399b987e278e0517b21" data-credit="Pixabay" data-credit-url="https://www.pexels.com/photo/close-up-photo-of-lighted-cigarette-stick-70088/" data-mod="width:1200"></p>
<p>Smoking cessation for many weeks prior to and after surgery is essential to maximize healing and reduce the risks associated with poor wound healing. The components of cigarettes that affect healing include nicotine, carbon monoxide, and hydrogen cyanide. It is important to seek not only a&nbsp;<strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid866340" title="YouTube video player" src="https://www.youtube.com/embed/D8chf0zTDYI" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">Nicotine Constricts Blood Vessels and Encourages Blood Clots</h2>
<p>Present not only in cigarettes but also liquid vaping products, cigars, smokeless tobacco products, and hookah tobacco, this highly addictive substance acts on tissue in two ways. First, nicotine constricts small blood vessels, restricting the flow of oxygen and nutrients to healing tissue. Second, nicotine encourages blood to clot, which also serves to restrict blood flow to healing tissue. We counsel patients to avoid all nicotine-containing products, not just cigarettes, peri-operatively.</p>
<h2 class="contentTitle">Carbon Monoxide Reduces the Ability of Blood to Carry Oxygen and Release It to Tissues</h2>
<p>Carbon monoxide, a well-known poison that is released from fireplaces, wood-burning stoves, gas ranges, and furnaces in homes, is also present in cigarette tobacco. Carbon monoxide acts to impair healing in two ways. First, carbon monoxide reduces the ability of blood to carry oxygen to tissue by replacing oxygen in the hemoglobin contained in blood. Second, carbon monoxide reduces the ability of blood to release oxygen to tissue due to the changes that occur to the hemoglobin in blood when carbon monoxide binds to it.</p>
<h2 class="contentTitle">Hydrogen Cyanide is a Poison that Prevents Cells from Utilizing Oxygen</h2>
<p>Originally used as a chemical weapon, hydrogen cyanide is present not only in cigarettes but also in pesticides, fumigants, and plastics. Hydrogen cyanide is a poison that stops the ability of cells to utilize oxygen delivered to it by the blood. This results in cell death and, as a result, poor healing.</p>
<h2 class="contentTitle">The Effects of Nicotine, Carbon Monoxide, and Hydrogen Cyanide are to Impair Healing and Increase the Risk of Infection</h2>
<p>The risk of infection and abnormal scarring increase significantly with smoking. The risk of poor tissue perfusion to the skin also increases, potentially leading to loss of skin after facial plastic surgery procedures, including <strong><a href="/plastic-surgery/facelift/deep-plane-facelift">facelifts</a></strong>, <strong><a href="/plastic-surgery/neck-lift">neck lifts</a></strong>, <strong><a href="/plastic-surgery/rhinoplasty">nose surgery</a></strong>, and <strong><a href="/plastic-surgery/blepharoplasty">eyelid surgery</a></strong>.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <a href="https://www.harmonface.com/contact"><strong>Get in touch with us to learn more!</strong></a></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>

Cigarette

The Effects of Cigarettes on Healing

<p><img class="contentImg" src="https://harmon.wtgdigital.io/assets/b1903e7d-d971-4d1a-bbe2-947287d4b7e4/Picture1.png" alt="Picture1.png" data-asset="b284cb233671413781b4ba164fb646d5" data-mod="width:1200"></p>
<p>Visual aids assist in explaining complex facial plastic surgery concepts.&nbsp;<u>The Back of the Napkin: Solving Problems and Selling Ideas with Pictures</u> by Dan Roam provides a good system for assessing how to communicate complex concepts to an audience in a manner that is simple but is dense with relevant information. This blog post seeks to summarize the system as described by Dan Roam as well as how we at Harmon Facial Plastic Surgery applied his system to communicating our philosophy on addressing facial aging comprehensively with advanced surgical techniques. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<h2 class="contentTitle">&ldquo;The Real Goal of Visual Thinking is to Make the Complex Understandable by Making it Visible&rdquo; - Dan Roam</h2>
<p>Dan Roam states: &ldquo;the real goal of visual thinking is to make the complex understandable by making it visible.&rdquo; To that effect, he created a system to represent complex ideas visually.</p>
<p>First, he suggests choosing an idea. Second, he suggests deciding through what framework the idea should be visualized. Third, he suggests deciding where on multiple scales this framework should be applied to an image.</p>
<p>The framework through which the idea can be communicated includes who/what, how, and where, among others. The appropriate drawing, including visuals and tables/charts as needed, is largely based on this decision. More than one framework can apply to an idea.</p>
<p>Dan Roam&rsquo;s &ldquo;SQUID&rdquo; scale concept is applied once the appropriate framework(s) is/are decided on. The &ldquo;SQUID&rdquo; scale concept requires choosing where on a scale the visual aid will fall in different dimensions including from simple to elaborate, qualitative versus quantitative, individuals to comparison, among others.</p>
<p>The choice of framework and scale on each dimension is dictated by the idea as well as the intended audience.</p>
<h2 class="contentTitle">How Harmon Facial Plastic Surgery Developed a Visual Aid Using This Technique</h2>
<p>We at Harmon Facial Plastic Surgery sought to communicate the fact that we offer a suite of complementary, advanced facial plastic surgery procedures &ndash; including the extended deep plane facelift, <strong><a href="/plastic-surgery/neck-lift">neck lift</a></strong>, <strong><a href="/plastic-surgery/brow-lift">lateral temporal brow lift</a></strong>, and <a href="/plastic-surgery/lip-lift" target="_self"><strong>lip lift</strong></a> &ndash; that can address the signs of facial aging comprehensively* and in a way that is natural appearing. Moreover, we sought to highlight the <strong><a href="/plastic-surgery/facelift/deep-plane-facelift">extended deep plane facelift</a></strong>, a technique in which Dr. Harmon is one of the few surgeons in the world fellowship-trained by its creator. This makes him uniquely qualified in the Cincinnati area to perform this technique.</p>
<p>First, we determined that the WHO? and the HOW? are the most appropriate frameworks through which the visual aid should be created. The WHO? are our patients, whose excellent care we value most. The HOW? are the surgical techniques and the way they can restore a great deal of the youthful balance to the face that is lost with aging.</p>
<p>Second, we chose the following on the scale for each dimension: SIMPLE rather than elaborate, QUALITATIVE rather than quantitative, EXECUTION rather vision, INDIVIDUAL rather than comparison, and CHANGE rather than status quo. In effect, we chose to visualize a simple, powerful idea about facial plastic surgery in a way that intelligent people with little available time would be able to understand quickly and easily.</p>
<h2 class="contentTitle">How the Above Process Translates into a Draft Hand Drawn Visualization</h2>
<p>How did we translate the idea of addressing facial aging comprehensively through the Harmon Facial Plastic Surgery philosophy and method? Moreover, how do we visualize this simply, qualitatively, individually, and emphasize change? A drawing on a piece of printer paper formed the first draft of this:</p>
<p><img class="contentImg" src="https://harmon.wtgdigital.io/assets/3b0f4276-56ce-4922-9cba-9c33bdba663b/Napkin%20Drawing.png" alt="Napkin Drawing.png" data-asset="bde5d610229c4ab28f97c0d7cf4104a7" data-mod="width:1200"></p>
<h2 class="contentTitle">The Draft Hand Drawn Visualization is then Interpreted by a Design Professional</h2>
<p>The next step was to hire a professional designer to translate this into a more visually appealing design. See the poster that hangs in our office below:</p>
<p><img class="contentImg" src="https://harmon.wtgdigital.io/assets/26223681-3df3-4554-987e-e91ada5b2e8e/Picture1.png" alt="Picture1.png" data-asset="f5de535a9e8644a4a04a53c44564cff4" data-mod="width:1200"></p>
<p>The above image utilizes our brand logo, icon, and color. Our motto Feel Good About Feeling Good is emphasized. And the four highlighted procedures are visualized simply and attractively.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more.</a></strong></p>
<p><strong><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></strong></p>
<p><em>*Not all procedures are indicated for every patient. There may be reasons why one or more procedures may not be appropriate for a specific patient.</em></p>

The Art of Visualization and Facial Plastic Surgery

<p><img class="contentImg" title="Tear trough filler in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/0d0ac4a5-a5d5-4405-9229-12b241561f86/pexels-croft-alexander-1624226.jpg" alt="Tear trough filler in Cincinnati, Ohio" data-asset="f21cd6a91c9f4792913af1d9c9528cc5" data-credit="croft alexander" data-credit-url="https://www.pexels.com/photo/woman-with-red-lipstick-1624226/" data-mod="width:1200"></p>
<p>Hyaluronic acid filler in the tear troughs can address specific concerns about the interface between the lower eyelid and cheek. It is important to seek not only a&nbsp;<strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> to help determine whether placement of hyaluronic acid filler in the tear troughs is an appropriate treatment for your concerns.</p>
<p><iframe id="fitvid18425" title="YouTube video player" src="https://www.youtube.com/embed/BCUQJdkarvU" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">The tear trough breaks a smooth, youthful transition from the lower eyelid to the cheek</h2>
<p>A youthful face has a smooth transition from the lower eyelid to the cheek. The tear trough is a line or depression that develops at the border between the lower eyelid and cheek. It worsens as the cheek droops and the lower eyelid bags develop. The tear trough is not a wrinkle but the location of a ligament separating the lower eyelid fat from the cheek fat. The deeper the tear trough the more visible it becomes due to its shadowing effects.</p>
<h2 class="contentTitle">Filler is placed precisely in in the tear troughs with a microcannula</h2>
<p>Hyaluronic acid filler such as Restylane&copy; products can be used to soften the appearance of the tear trough. Restylane&copy; and most Juvederm&copy; brand hyaluronic acid fillers are FDA-approved products but placed in the tear troughs off-label, meaning FDA-approval was not sought specifically for placement of these products in the tear troughs. Currently the only hyaluronic acid filler FDA-approved specifically for placement in the tear troughs is Juvederm&copy; Vollbella&copy; XC and <strong><a href="https://www.harmonface.com/blog/now-offering-fda-approved-restylane-eyelight-hyaluronic-acid-filler-for-undereye-hollows">Restylane&copy; Eyelight&trade;</a></strong>. Other products have long been used safely and effectively in this area off-label, though it is important that injectors have a conversation with their patients about this fact. A blunt-tipped microcannula rather than a needle is typically used to deposit the filler at the tear trough precisely, adding enough volume to treat the site without adding so much that the lower eyelids look &ldquo;puffy.&rdquo; The microcannula may reduce the risk of bruising and swelling as well as the risk that the filler is injected into the wrong location, including a blood vessel.</p>
<p>Recently, the media has published multiple articles calling into question the value of placing hyaluronic acid filler in the tear troughs, highlighting some of the rarest and most sensational risks associated with the procedure. This reporting, in my opinion, simply highlights the importance of an appropriately qualified provider administering the material at an appropriate location and depth in an appropriate patient (<strong>1</strong>).</p>
<h2 class="contentTitle">Filler can soften the tear troughs in individuals with appropriate anatomy</h2>
<p>The best candidates for placing filler in the tear trough often have a deep tear trough without severe lower eyelid bags. One should be cautious placing filler in the eyes with severe lower eyelid bags because it is more likely to make the area look &ldquo;puffy.&rdquo; Some swelling is expected after treatment, however. The swelling resolves gradually over a few days in most patients. Patients are counseled to apply cold compresses to their lower eyelids and cheeks for the first 48 hours after treatment to accelerate this process.</p>
<h2 class="contentTitle">Some individuals are more likely to benefit from lower eyelid surgery (blepharoplasty)</h2>
<p>Deep tear troughs with lower eyelid bags are usually best treated with <strong><a href="/plastic-surgery/blepharoplasty">lower eyelid surgery (blepharoplasty)</a></strong>. A consultation with a fellowship-trained, double board-certified facial plastic surgeon is recommended to determine candidacy for this procedure, because there may be factors that preclude this procedure for certain individuals. A detailed history and physical should always be performed prior to making the decision as to whether hyaluronic acid filler or <strong><a href="/plastic-surgery/blepharoplasty">surgery of the lower eyelids</a></strong> is the most appropriate treatment. Reasonable expectations must be established about what lower eyelid surgery can and cannot accomplish as with all plastic surgery procedures.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about age-related changes to your face and/or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong>.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us today to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>
<h2 class="contentTitle">References</h2>
<ol>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/39667741/">Torabi SJ, Massry G, Azizzadeh B. Are Tear Trough Fillers Really that Bad? Facial Plast Surg Aesthet Med. 2024 Dec 12.</a></li>
</ol>

Pexels Croft Alexander 1624226

Tear Trough Filler: An Explainer

<p><img class="contentImg" title="Facial plastic surgery in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/2487ed06-1364-4348-b07a-fa6ebf423a72/pexels-ricky-esquivel-1907784.jpg" alt="Facial plastic surgery in Cincinnati, Ohio" data-asset="cdf9cece173641c2b704cb2451b4d566" data-credit="Ricky Esquivel" data-credit-url="https://www.pexels.com/photo/turned-on-floor-lamp-near-sofa-on-a-library-room-1907784/" data-mod="width:1200"></p>
<p>There are a massive number of books helpful to master the topics required to succeed in medical school and residency. Each medical specialty has their own sources, which range in size from large multi-volume texts to small clinical reference guides that include brief summaries of what are considered the most important, or high-yield, information&nbsp;<em>&ldquo;pearls.&rdquo;</em> Facial plastic surgery clinical reference guides exist as a valuable, though insufficient, source for clinical information for training residents and fellows. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<h2 class="contentTitle">Pearls Communicate Important Medical Knowledge Succinctly</h2>
<p>Residents of all specialties attend at least weekly lectures with experts in their field. Medical &ldquo;pearls&rdquo; include information distilled into bullet point form for these presentations. The purpose of medical pearls is to succinctly communicate the most salient information to new physicians who are often overwhelmed with clinical and administrative work during the day. The breadth and depth of information required to learn is so significant that most residents study late at night or early in the morning when their roommates or loved ones are sleeping. For example, I studied at night after my wife and son had fallen asleep. I found these clinical reference guides and presentations by attendings useful but insufficient. I always felt that the excluded context made it difficult to fully understand a topic. I also wonder whether some residents are less inclined to dive into the medical literature to confirm and expand on the information communicated because of the availability of these guides.</p>
<h2 class="contentTitle">Facial Plastic Surgery = Eliminate the Dog-Ear Deformity</h2>
<p>A friend and head and neck surgery co-resident at the University of Cincinnati who is an incredibly intelligent and insightful individual also recognized the limitations in depending on these &ldquo;pearls&rdquo; of knowledge as the basis for learning medical information in residency. He would joke that the knowledge required to understand each subspecialty in head and neck surgery could be distilled to a single sentence. His summary of the field of facial plastic surgery was &ldquo;eliminate the dog-ear deformity.&rdquo; A dog ear deformity is a fold of skin than can develop at the edge of an incision after orienting and closing that incision. A dog ear deformity can occur with any plastic surgery procedure in which the location and/or orientation of skin and subcutaneous tissue is re-arranged. An example includes the repair of a defect on the face after skin cancer is removed. A dog ear deformity can also occur with cosmetic procedures such as <strong><a href="/plastic-surgery/facelift/deep-plane-facelift">facelifts</a></strong> as well if the dissection is not performed properly. I told my friend and colleague that I would have a book bound for him titled <em>A Complete Overview of Facial Plastic Surgery</em> with only one page. That page would include the sentence &ldquo;eliminate the dog-ear deformity.&rdquo;</p>
<p>This simple sentence does explain a great deal of plastic surgery. The practice of facial plastic surgery largely involves the creation and movement of tissue from one area of the face to another against the force of gravity. Proper incision and tissue flap design is key to allowing skin closure that is flush. Prevention and/or elimination of a dog-ear deformity reflects appropriate, considerate movement of tissue. However, it is also an incomplete description because plastic surgery involves the complex multi-vector movement of tissue in different layers requiring detailed knowledge of the surrounding superficial and deep anatomy to perform safe, effective surgery. There are also many other patient-specific considerations that require both exposure in training and experience performing to fully understand. Facial plastic surgeons are always learning and improving their craft.</p>
<h2 class="contentTitle">Surgical Pearls Are Valuable but Insufficient</h2>
<p>No ability to memorize pearls can replace the knowledge gained from experience in head and neck surgery residency, facial plastic surgery fellowship, and clinical practice. From the way to troubleshoot and address problems peri-operatively to the ability to evaluate a patient pre-operatively to determine the most appropriate treatment course for them, facial plastic surgery is filled with nuance. New information is coming out every day in the medical literature that may contradict what was previously assumed to be true and/or may complicate the picture of what is true, making decisions more difficult. In my opinion, the value of these pearls is as an exercise in analyzing and distilling information. They are a skeleton on which to flesh out the nuances of clinical practice. Our training and experience allow us to have a flexible mind when dealing with each individual patient because the answer to many clinical questions is not available in the textbook or in a scientific paper.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in <strong><a href="/plastic-surgery/facelift/deep-plane-facelift">plastic surgery of the face</a></strong> and neck when you have concerns about your face or <strong><a href="/plastic-surgery/neck-lift">neck</a></strong>.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>

Pexels Ricky Esquivel 1907784

Surgical “Pearls” in Facial Plastic Surgery

<p><img class="contentImg" title="Laser treatment in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/4d522d5b-ec5b-49f8-976b-90f0b70b47c9/Elderly-Woman-Before-Skin-Resurfacing-in-Cincinnati.jpg" alt="Laser treatment in Cincinnati, Ohio" data-asset="e311783cd8e94c53a446d6914aaf6192" data-credit="SHVETS production" data-credit-url="https://www.pexels.com/photo/woman-face-with-wrinkles-7544817/" data-mod="width:1200"></p>
<p><strong><a href="/non-surgical/laser-resurfacing">Laser resurfacing</a></strong> of the face can address wrinkles and other irregularities of the tone and texture of the skin resulting in a softer, more youthful appearance to the face. Good skin care after treatment with a resurfacing laser is essential. The following post describes this process. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid973813" title="YouTube video player" src="https://www.youtube.com/embed/7gpMqkEFEBY" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">The Skin Heals in an Average of Seven to Ten Days After Laser Resurfacing</h2>
<p>The first seven to ten days are essential to the healing process after laser resurfacing of the face. The top layers of the skin are healing. It is essential to avoid the sun during this time. It is also essential to keep the treatment areas moist and clean.</p>
<h2 class="contentTitle">A Skin Protectant/Moisturizer Such as Aquaphor&copy; is Applied While Healing</h2>
<p>It is important to keep the treated skin moist while healing. A moisturizer such as Aquaphor&copy; is applied to the skin twice daily until the top layers heal.</p>
<h2 class="contentTitle">The Face is Cleaned with Water and a Gentle Cleanser While Healing</h2>
<p>The face is generally washed with lukewarm water and a gentle facial cleanser while healing. A solution of diluted vinegar is sometimes used as well.</p>
<h2 class="contentTitle">Antibiotic and Anti-Viral Medications are Taken</h2>
<p>Every patient takes antiviral medications and antibiotics to reduce the risk of a bacterial infection and/or the activation of a dormant viral infection that also causes cold sores.</p>
<h2 class="contentTitle">A Moisturizer and Sunscreen are Applied After the Skin Has Healed</h2>
<p>The healing process does not end after seven to ten days. A slight pink hue often develops in some areas after the skin has healed, which usually fades during the first few months after treatment. It is important to avoid prolonged sun exposure for months after surgery during this time. It is important to keep a moisturizer on the skin in addition to wearing a hat and sunglasses and applying a mineral-based sunscreen. A good moisturizer is the Skinceuticals&copy; product Epidermal Repair. My patients apply Epidermal Repair to the treated skin for approximately three months after the skin has healed.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>

Elderly Woman Before Skin Resurfacing in Cincinnati

Skin Care After Laser Resurfacing of the Face

<p><img class="contentImg" title="Rhinoplasty in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/1d0838e4-b14a-4b4c-8c3d-e92445661331/pexels-aryane-vilarim-2869076.jpg" alt="Rhinoplasty in Cincinnati, Ohio" data-asset="cb8823f1f0a741a689875bc9f07080e4" data-credit="ARYANE VILARIM" data-credit-url="https://www.pexels.com/photo/woman-standing-near-glass-window-2869076/" data-mod="width:1200"></p>
<p>A general Otolaryngologist (ENT) is the usually the first person a patient sees when they have difficulty breathing through their nose in Cincinnati, Ohio. There are multiple causes of nasal obstruction. A deviated nasal septum is one possible cause. Repair of a deviated septum can often improve nasal obstruction. However, the cause of nasal obstruction may involve not only the septum but also the cartilage and bones that give the external shape to the nose. It is in those cases that the patient is usually referred to a sub-specialized, fellowship-trained facial plastic and reconstructive surgeon. It is important to seek not only a&nbsp;<strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid538199" title="YouTube video player" src="https://www.youtube.com/embed/QCDUdH1HSgA" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">The Septum is a &ldquo;Wall&rdquo; Composed of Cartilage and Bone</h2>
<p>The septum is a &ldquo;wall&rdquo; composed of cartilage and bone that separates the left and right nasal cavities. The septum starts at the front of the nose and ends at the back of the nose into a common opening called the nasopharynx, which sits above and is continuous with the throat.</p>
<p>The front of the septum is primarily cartilage. This quadrangular cartilage supports the nasal bridge and tip. The back of the septum is composed of multiple bones that have fused together and which extend from the skull base to what is referred to as the &ldquo;floor&rdquo; of the nose.</p>
<h2 class="contentTitle">The Severity and Location of Deviation Contributes to the Severity of Nasal Obstruction</h2>
<p>A septum that causes nasal obstruction is usually deviated or curved from the midline. The deviated portion of the septum can be composed of cartilage, bone, or both. A septal deviation can occur due to trauma, or it can be the result of genetics.</p>
<p>A septum can be deviated to one or both sides (i.e., S-shaped septum). The more severe the deviation to one side, the more likely it is to cause nasal obstruction.</p>
<p>A septum can be deviated low, towards the nasal floor, or high, towards the nasal bridge. The lower the deviation is in the nose, the more likely it is to cause nasal obstruction.</p>
<h2 class="contentTitle">A Septoplasty Procedure Can Improve Nasal Obstruction Secondary to a Deviated Septum</h2>
<p>A septoplasty utilizes an incisions inside the nostril to remove the deviated portion of the septum (cartilage and/or bone). Some cartilage is left behind at the nasal bridge and tip. This cartilage functions as a strut to minimize the risk of deformation of the nasal bridge and/or tip.</p>
<h2 class="contentTitle">A Rhinoplasty Can Address More Complex Causes of Nasal Obstruction</h2>
<p>In contrast, a rhinoplasty involves the manipulation of the complex of cartilage and bone that contributes to the external appearance of the nose. A rhinoplasty can be performed with <strong><a href="https://www.harmonface.com/blog/is-there-such-a-thing-as-a-scarless-rhinoplasty">all of the incisions inside the nostril in some, select cases</a></strong>. However, a rhinoplasty is performed utilizing a small incision at the base of the nose in most cases. The procedure can be performed to improve nasal breathing if these external components are narrowed and contributing to the nasal obstruction. A <strong><a href="/plastic-surgery/rhinoplasty">rhinoplasty</a></strong> can also be performed to improve the appearance of the nose.</p>
<h2 class="contentTitle">A Rhinoplasty and Septoplasty Can be Performed Together</h2>
<p>A septoplasty is often performed with a rhinoplasty not only to improve breathing but also to supply cartilage for grafting for rhinoplasty. Cartilage removed from the septum can be used as a supportive and shaping graft to improve nasal obstruction and/or the appearance of the nose.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more!</a></strong></p>
<p><strong><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></strong></p>

Pexels Aryane Vilarim 2869076

Septoplasty versus Rhinoplasty: What is the Difference?

<p><img class="contentImg" title="Scar revision in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/f98f643d-75a9-4eaa-9001-3a327b7df005/pexels-cottonbro-studio-7265990.jpg" alt="Scar revision in Cincinnati, Ohio" data-asset="e0d326f70e8b4a6a9481f125cb3291ff" data-credit="cottonbro studio" data-credit-url="https://www.pexels.com/photo/close-up-photo-of-man-with-scar-on-his-face-7265990/" data-mod="width:1200"></p>
<p>Scar treatment can address specific concerns about the appearance of a scar on your face and/or neck. There are four general categories of treatments for scars, each of which may or may not benefit you. It is important to seek not only a&nbsp;<strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> to help determine whether - and which - scar treatment is appropriate for your concerns.</p>
<p><iframe id="fitvid837884" title="YouTube video player" src="https://www.youtube.com/embed/ki61uHg9W-k" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">Topical Treatments Can Improve Healing and Reduce the Risk of Abnormal Scarring</h2>
<p>The enemy of <a href="https://www.harmonface.com/blog/the-importance-of-post-operative-recovery-incision-care-and-our-plan">surgical incision healing</a> is sun-exposed, dry skin. To that end, topical treatments that keep surgical incisions moist and protected from the sun can improve healing and reduce the risk of abnormal scarring. The first few days after surgery require a topical antibiotic to both keep incisions moist and to reduce the risk of infection. Next, an occlusive moisturize such as Aquaphor&copy; is used to continue to hold moisture in the skin around the incision. Finally, a <a href="https://www.harmonface.com/blog/is-silicone-gel-effective-in-improving-the-appearance-of-surgical-incisions">silicone-based scar gel</a> layered over with a mineral-based sunscreen with an SPF of 30 or greater is applied for months until the incision is completely healed.</p>
<h2 class="contentTitle">Injectable Treatments Can Reduce the Risk of Abnormal Scarring and Improve the Appearance of Scars</h2>
<p>Incisions can (rarely) scar excessively, resulting in discoloration and contour abnormalities. Careful use of dilute steroids injected into these scars starting a few weeks after surgery can soften them and improve their contour, making them flatter and more even. Fluorouracil is a medication that has been used early in the healing process after <a href="/plastic-surgery/blepharoplasty">eyelid surgery (blepharoplasty)</a> to reduce excessive scarring which can result in incomplete eye closure, called lagophthalmos. It is injected deep into scars just as they are starting to form.</p>
<h2 class="contentTitle">Resurfacing Treatments Can Improve the Color and Contour of Scars</h2>
<p><strong><a href="/non-surgical/laser-resurfacing">Resurfacing lasers</a></strong>, including the Erbium:YAG and CO2, are potentially excellent tools for treating excessive scarring. Similarly, chemical peels which also resurface the skin can be used to treat excessive scarring. Both lasers and chemical peels can improve the color and contour of scars. But both do involve a recovery process during which the top layers of skin heal. Unfortunately, resurfacing lasers and chemical peels cannot be used on darker skin tones due to the risk of skin lightening associated with these treatments.</p>
<h2 class="contentTitle">Surgical Scar Revision Can Remove Abnormal Scars</h2>
<p>Scars that do not improve with topical, injectable, or resurfacing treatments may require surgical removal. <strong><a href="/plastic-surgery/scar-revision">Surgical scar revision</a> </strong>involves the excision of the scarred skin and closure of the normal surrounding skin. The purpose of this procedure is to allow the skin another opportunity to heal with more aesthetically pleasing results. Surgical scar revision surgery can also reorient scars in ways that better camouflage them on the face.</p>
<h2 class="contentTitle">Botulinum Toxin A (e.g., Botox&copy;) is Used to Reduce Scarring</h2>
<p>It was first theorized that botulinum toxin A (BoTA) could be used to reduce scarring in 2000. While the use of BoTA for this purpose is considered FDA off-label, more research is being published to suggest that it could be effective when injected either during surgery or shortly after (1, 2). The potential mechanisms of action are the following:</p>
<ol>
<li>Reduced tension on the incision site. Increased tension at the incision site increases the risk of excessive scarring. This is the reason why deep plane facelift surgery, including the <strong><a href="/plastic-surgery/facelift/deep-plane-facelift">extended deep plane facelift</a></strong>, <a href="https://www.harmonface.com/blog/4-benefits-of-the-extended-deep-plane-facelift"><strong>reduces the risk of abnormal scarring compared with other non-deep plane techniques</strong></a>.</li>
<li>Reduced fibroblast hyperproliferation. Fibroblasts build connective tissue and excess proliferation can result in excess scarring.</li>
<li><strong> </strong>Reduced deposition of collagen. Fibroblasts produce collagen.</li>
</ol>
<h2 class="contentTitle">Fluorouracil is Used to Reduce Scarring</h2>
<p>Fluorouracil is another medication that is used FDA off-label to reduce scarring. It is a chemotherapeutic agent that is commonly used in dermatology to treat pre-cancerous and cancerous skin growths. It functions as an antimetabolite, which means it stops the growth of particularly fast-growing cells.</p>
<p>Fluorouracil is probably most used in the lower eyelid after lower eyelid surgery (blepharoplasty) to reduce the risk of and treat scarring that can lead to retraction of the lower eyelid, which can cause problems with eye closure.</p>
<p>Like BoTA and steroids, it is important to have a detailed discussion of the risks, benefits, and alternatives to the use of this medication with your physician prior to considering these treatments.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about abnormal scarring in the face and/or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong>.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>
<h2 class="contentTitle">References</h2>
<p>1. <a href="https://pubmed.ncbi.nlm.nih.gov/31006769/">Bi M, Sun P, Li D, Dong Z, Chen Z. Intralesional Injection of Botulinum Toxin Type A Compared with Intralesional Injection of Corticosteroid for the Treatment of Hypertrophic Scar and Keloid: A Systematic Review and Meta-Analysis. Med Sci Monit. 2019 Apr 22;25:2950-2958.</a></p>
<p>2. <a href="https://pubmed.ncbi.nlm.nih.gov/30548742/">Kasyanju Carrero LM, Ma WW, Liu HF, Yin XF, Zhou BR. Botulinum toxin type A for the treatment and prevention of hypertrophic scars and keloids: Updated review. J Cosmet Dermatol. 2019 Feb;18(1):10-15.</a></p>

Pexels Cottonbro Studio 7265990

Scar Treatment: An Explainer

<p><img class="contentImg" title="Skincare in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/4ca94b0a-66e5-4224-8e14-fd4e8faa5fb8/pexels-andrea-piacquadio-3812960.jpg" alt="Skincare in Cincinnati, Ohio" data-asset="b4ea73c72b3d4145af4a325c914a4ef4" data-credit="Andrea Piacquadio" data-credit-url="https://www.pexels.com/photo/smiling-woman-holding-gray-and-black-camera-3812960/" data-mod="width:1200"></p>
<p>Retinoids are derived from Vitamin A, which a common vitamin in human skin. They can be naturally derived or synthetically (i.e., lab) derived. Most retinoids are applied to the skin (i.e., topically) to treat age-related changes to the skin and/or prevent age-related changes to the skin. Those changes, called photoaging, include wrinkles, dark spots, and texture irregularities. Retinoids exert their effects by encouraging the formation of youthful collagen and discouraging the breakdown of collagen in the skin. Retinol is a form of retinoid. Tretinoin is another form of retinoid. Retinoids achieve their effect by acting as hormones. They are easily absorbed by the skin, which is unique compared with other products applied to the skin. This likely contributes to their effectiveness. It is important to have a discussion with a physician as to whether a retinoid such as retinol or tretinoin is appropriate for your face. It is important to seek not only a&nbsp;<strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid60308" title="YouTube video player" src="https://www.youtube.com/embed/4M0f3lriBp4" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">Tretinoin is an FDA-Approved Prescription Retinoid</h2>
<p>Tretinoin is the best-studied prescription retinoid medication for photoaging. It is important to note that, although tretinoin has been FDA-approved for the <em>treatment </em>of photoaging, there is strong evidence for its effectiveness in <em>preventing</em> the effects of photoaging as well. Even better, much of this data utilizes high quality research, including randomized, controlled studies, which I explain more about in<strong> </strong><a href="https://www.harmonface.com/blog/how-thoughtful-surgeons-think"><strong>this blog post</strong></a>.</p>
<h2 class="contentTitle">Retinol is a Cosmetic Ingredient that is Not FDA-Approved</h2>
<p>Retinol is a metabolic precursor to tretinoin. This means that, when retinol is applied to the skin and absorbed, it is converted into tretinoin over multiple steps. Tretinoin is the compound with the anti-aging effects. Retinol is included in many over-the-counter skincare products but is not FDA-approved. That is why it is not a prescription medication. There is evidence, however, that it is also effective in treating the signs of photoaging.</p>
<h2 class="contentTitle">Both Tretinoin and Retinol are Effective Topical Retinoids</h2>
<p>First and most importantly, the evidence in the medical literature demonstrates that both tretinoin &ndash; the FDA-approved prescription medication &ndash; and retinol &ndash; the cosmetics ingredient that is not FDA-approved &ndash; are effective in treating age-related changes to the skin. The earliest and best data came from research on tretinoin. More data, however, is being published to support the effectiveness of retinol. It is just that no company to date has chosen to go through the time-consuming and expensive process of getting FDA approval for retinol in one of their cosmeceutical products. The lack of FDA approval does make it difficult to choose the best over-the-counter product, because it is not regulated like a medication. Therefore, it is difficult to determine the most effective retinol-containing product.</p>
<p>Side effects of retinoids include redness, skin irritation, and skin peeling. The severity of these symptoms is dependent on both the dose and frequency of use. However, people tend to develop tolerance to these compounds over time. Retinols are less likely to cause the above symptoms. Therefore, some suggest starting with retinol and transitioning to tretinoin with a gradual increase in dose and frequency of use once tolerance has been built. One also should consider the fact that the ingredients are very sensitive to the sun, becoming inactive very quickly with sun exposure. Many recommend applying them at night for this reason. It is important to discuss any plans to start using tretinoin or retinol with a physician.</p>
<h2 class="contentTitle">Bakuchiol is Being Promoted as an Alternative to Topical Retinoids</h2>
<p>There is a plant-derived product called bakuchiol which is currently being marketed as an alternative to retinoids (e.g., tretinoin and retinol) with fewer side effects. There is a long history of its use in Chinese and Indian medicine. However, the evidence for its effectiveness is currently weak. <a href="https://www.harmonface.com/blog/is-bakuchiol-a-safe-effective-alternative-to-over-the-counter-retinols-for-aging-skin"><strong>See this blog post</strong></a> for more information on bakuchiol.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck. It is important to seek the advice of a dermatologist if you have concerns about your skin and feel a prescription retinoid such as tretinoin may be helpful to you.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <a href="https://www.harmonface.com/contact"><strong>Get in touch with us to learn more!</strong></a></p>
<p><a class="button" href="https://www.harmonface.com/contact"><strong>Contact Us</strong></a></p>
<h2 class="contentTitle">Reference</h2>
<p>Baumann L. <em>Cosmeceuticals and Cosmetic Ingredients</em>. McGraw-Hill Education; 2015.</p>

Pexels Andrea Piacquadio 3812960

Retinoids versus Retinols: What's the Difference and Which is Better?

<p><img class="contentImg" title="Non-Surgical Brow Lift in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/660651e6-dee1-453d-8419-c85ef0045d90/pexels-angela-roma-7480009.jpg" alt="Non-Surgical Brow Lift in Cincinnati, Ohio" data-asset="f0412add9dfb4923a27227ece30f7867" data-credit="Angela Roma" data-credit-url="https://www.pexels.com/photo/diverse-women-looking-at-camera-7480009/" data-mod="width:1200"></p>
<p>A non-surgical brow lift can be achieved using medications such as Botox&copy;. While not as effective or long-lasting as a <strong><a href="/plastic-surgery/brow-lift">surgical brow lift</a></strong>, a non-surgical brow lift can open the eyes up in a beautiful, natural-appearing way. Treatment of the brow with Botox&copy; requires an understanding of the facial muscle anatomy. Moreover, the mechanism of achieving a brow lift non-surgically is commonly misunderstood by patients. This blog post seeks to help patients understand how a non-surgical brow lift with medications such as Botox&copy; works. Seek a fellowship-trained facial plastic surgeon if you have concerns about your face or neck. A consultation with a well-trained, experienced injector is essential to determine whether a non-surgical brow lift is appropriate for you. Furthermore, it is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid436574" title="YouTube video player" src="https://www.youtube.com/embed/YcDaZGMcd5g" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">Only One Muscle Lifts the Eyebrows</h2>
<p>Only one muscle in the face lifts the brows. Called the frontalis muscle, it extends in a ribbon across the forehead. The frontalis muscle contributes to the horizontal wrinkles treated by <strong><a href="/non-surgical/botox">placing medications such as Botox&copy;</a></strong><strong> </strong>in them and/or with <strong><a href="https://www.harmonface.com/blog/cosmetic-laser-treatments-an-explainer">skin resurfacing procedures</a></strong>.</p>
<h2 class="contentTitle">Multiple Muscles Pull the Eyebrows Down</h2>
<p>In contrast, multiple muscles depress, or pull down, the brows.</p>
<p>The orbicularis oculi muscle surrounds the eye and contributes to eye closure in addition to depressing the brows. It is a portion of the muscle located off to the side of the eyes that is treated with medications such as Botox&copy; for crow&rsquo;s feet.</p>
<p>The paired corrugator supercilii muscles and the procedure muscle are strong muscles that create eleven lines between the eyebrows. They also depress the medial eyebrows. These muscles are also frequently treated with medications such as Botox&copy;.</p>
<h2 class="contentTitle">A Non-Surgical Brow Lift Temporarily Weakens the Muscle(s) that Pull the Eyebrows Down</h2>
<p>Many believe that treatment of the forehead with Botox&copy; will help lift the eyebrows, likely because the muscle is located above the eyebrows. This is a common misconception.</p>
<p>In fact, it is treatment of the muscles that pull the eyebrows down, including the orbicularis oculi (crow&rsquo;s feet) and the corrugator muscles and procerus muscle (eleven lines) that can contribute to a non-surgical brow lift. This is because the muscle that lifts the brows will be stronger during the dynamic push-and-pull between muscles that lift the eyebrows and muscles and pull the eyebrows down.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more</a></strong>.</p>
<p><strong><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></strong></p>

Pexels Angela Roma 7480009

<p><img class="contentImg" title="Lower Eyelid &quot;Jelly Roll&quot; Botox in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/d3815afc-7a6a-4252-bc79-39af6b61ac4d/pexels-angela-roma-7479969.jpg" alt="Lower Eyelid &quot;Jelly Roll&quot; Botox in Cincinnati, Ohio" data-asset="f6546bfee66540c29b6f563df4ede7e4" data-credit="Pexels" data-credit-url="https://www.pexels.com/photo/brown-eye-of-unrecognizable-woman-7479969/" data-mod="width:1200"></p>
<p>The treatment of the lower eyelid with&nbsp;<strong><a href="/non-surgical/botox">Botox&copy;</a> </strong>or similar medications has become a trending topic on social media, including Tik Tok. Commonly referred to as &ldquo;jelly roll&rdquo; Botox&copy;, this Food and Drug Administration (FDA) off-label treatment has aesthetic goals. But does its apparent increasing popularity mean it is a safe and effective treatment? <strong><a href="https://www.harmonface.com/blog/trapezius-botox-ie-trap-tox-or-barbie-tox-is-it-safe-and-effective">See a similar discussion on the placement of Botox&copy; or similar medications in a neck and back muscle called the trapezius</a></strong>. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid975110" title="YouTube video player" src="https://www.youtube.com/embed/qbarZMJXjn4?si=Me6BMg5OjNthAup_" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">&ldquo;Jelly Roll&rdquo; Botox Targets the Lower Eyelid</h2>
<p>This treatment targets the lower eyelid with Botox&copy; or similar medications. The target muscle is the orbicularis oculi, which is a muscle that wraps around the eye and is composed of multiple parts delineated by how close the muscle fibers are to the upper and lower eyelid margins. The most lateral portion of the orbicularis oculi is targeted by Botox&copy; or similar medications when the crow&rsquo;s feet are treated. In contrast, &ldquo;jelly roll&rdquo; Botox&copy; targets the muscle at the lower eyelid near the margin of the lower eyelid.</p>
<h2 class="contentTitle">The Purpose of the Procedure is to Treat Bunching of the Lower Eyelid</h2>
<p>The purpose of this procedure is to reduce bunching of the orbicularis oculi muscle that can be exaggerated in certain individuals who demonstrate hyperactive muscle movement in the lower eyelid. This can be bothersome to some patients, especially when they smile. It can appear as if the muscle and skin are folded on themselves like an accordion and protruding beyond the eyelashes.</p>
<h2 class="contentTitle">Placement of Botox&copy; or Similar Medications in the Orbicularis Oculi at the Lower Eyelid Has Important Safety Considerations</h2>
<p>There are important safety considerations with placement of Botox&copy; or similar medications in the lower eyelid. First, the treatment is FDA off-label. As a result, its safety and effectiveness has not yet been official established by the United States (US) government. Second, the orbicularis oculi muscle has an important function in the lower eyelid in that its function is essential to maintain lower eyelid shape and in eye closure. Weakening of the muscle in this location can make the lower eyelid look saggy and overly rounded. It can also limit eye closure, which can lead to or exacerbate dry eye symptoms. Persistently dry eyes can then lead to vision problems. The above risks may not make treatment of this location Botox&copy; or similar medications worthwhile at this time.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more.</a></strong></p>
<p><strong><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></strong></p>

Pexels Angela Roma 7479969

<p><img class="contentImg" title="Lip lift in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/fbba78a1-f653-4e92-b0d0-2f596a5e5d5c/pexels-alexander-krivitskiy-1098772.jpg" alt="Lip lift in Cincinnati, Ohio" data-asset="fefbfa9a760e48049c8c60fdbf70da36" data-credit="Alexander Krivitskiy" data-credit-url="https://www.pexels.com/photo/grayscale-photography-of-woman-wearing-hat-1098772/" data-mod="width:1200"></p>
<p>The lips consist of complex anatomy that includes more than simply the red portion of the lips. Each anatomic area of the lip ages and may benefit from interventions targeted to those changes. The following information is adapted from a presentation I have given to other medical professionals. It is important to seek not only a&nbsp;<strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid43941" title="YouTube video player" src="https://www.youtube.com/embed/0iLLuncl0OI" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">Youthful Peri-Oral Anatomy</h2>
<p>The upper red lip has a well-defined &ldquo;M&rdquo; shaped border &ndash; called the vermillion border &ndash; with the peaks of the &ldquo;M&rdquo; called the cupid&rsquo;s bows. The bottom lip is larger and more rounded than the upper lip with an ideal ration of size between the upper and lower lip at approximately 1:1.6, which is also known as the &ldquo;Golden Ratio.&rdquo; When most individuals refer to the lips, they are referring to the red lips as described above. However, this does not encompass the entire lip anatomy.</p>
<p>The skin between the red upper lip, the base of the nose, and the nasolabial folds and the skin between the red lower lip, chin, and marionette lines (pre-jowl sulci) are also components of the peri-oral region. The nasolabial folds of the upper lip and the pre-jowl sulci of the lower lip are created by ligaments extending from the bone to the skin that hold up fat pads sitting above them. These fat pads droop down and to the center of our face as we age, leading to more prominent nasolabial folds and pre-jowl sulci.</p>
<h2 class="contentTitle">Age-Related Changes to the Peri-Oral Region</h2>
<p>The aging process occurs in three dimensions. First, the skin develops wrinkles (rhytids) and age spots. The depth and number of rhytids depends on several factors, including genetics and environmental factors such as smoking history, alcohol use history, and sun exposure. Overall, soft tissue and bone shrink, and soft tissue thins and droops. Probably the most noticeable change that occurs is a lengthening of the upper lip, which can eliminate the naturally youthful upper tooth (central incisor) show when the lips are relaxed and imparting a simian appearance to the lip. This effect becomes exaggerated when too much filler is placed in the lips for many years. The upper and lower red lips also shrink and lose definition, which can result in a loss of naturally youthful lip pout. The corners of the mouth, called the oral commissure, droop due to thinning of tissue. Finally, as described previously, superficial fat pads in the cheeks and along the jawline fall to the center of the face, leading to an accentuation of the nasolabial folds and pre-jowl sulci, which leads to marionette lines.</p>
<h2 class="contentTitle">Deep Plane Facelift Surgery is the Best Method to Address Deepened Nasolabial Folds and Marionette Lines</h2>
<p>Deep plane facelift surgery and, specifically, the <strong><a href="/plastic-surgery/facelift/deep-plane-facelift">extended deep plane facelift</a></strong>, is the gold-standard in facelift techniques. Deep plane facelift surgery is the only facelift technique that can naturally address the anatomic changes that lead to a deepening of the nasolabial folds and marionette lines.</p>
<p>As discussed in a <strong><a href="https://www.harmonface.com/blog/why-people-seek-revision-facelifts-and-why-deep-plane-facelift-surgery-is-the-best-approach">previous post</a></strong>, deep plane facelift surgery is distinguished from other facelift approaches by the fact that a composite skin and deep tissue &ndash; composed of muscle and the fascial layer called the SMAS &ndash; flap is lifted in the middle of the face and the ligamentous attachments in the cheeks and the jawline are released for a comprehensive, tension-free lift of not only the jowls but also the cheeks. This is what allows the nasolabial folds, marionette lines, and drooping oral commissures to be treated.</p>
<p>The extended deep plane facelift advances deep plane surgery by extending the deep plane approach into the lateral neck, which allows the jawline to be better contoured all the way to the back corner of the jawline and the central neck to be more effectively tightened.</p>
<p>Hyaluronic acid filler such as Restylane&copy; and Juvederm&copy; products are commonly used in the nasolabial folds and marionette lines to &ldquo;blunt&rdquo; their appearance. These products are also used around the corners of the mouth to provide a &ldquo;lift.&rdquo; While this non-surgical treatment can be appropriate in certain circumstances, the problem is they do not address the actual changes that occur with age, i.e. weakened ligaments, drooping fat, and loose muscle and skin. Attempts to eliminate the nasolabial folds and marionette lines with hyaluronic acid filler or other fillers including fat can overinflate the face and make patients look distorted by eliminating subtle transition points between the cheeks and lips.</p>
<h2 class="contentTitle">Skin Resurfacing and Nano-Fat Can Treat Peri-Oral Wrinkles</h2>
<p>Wrinkles around the mouth are treated primarily by resurfacing procedures, which fall under three categories: laser resurfacing, chemical peels, and mechanical resurfacing. All three approaches remove the top layers of the skin in a controlled fashion. The healing process after treatment results in the deposition of collagen in a more organized fashion that better reflects a youthful skin composition.</p>
<p><strong><a href="/non-surgical/laser-resurfacing">Laser resurfacing</a></strong> devices include CO2 and Erb:YAG lasers. Resurfacing lasers target water molecules (H2O) in the skin, heating the tissue to a controlled depth. Most resurfacing lasers used today are fractional, which means the laser energy reaches the skin in organized columns with untreated skin in between. Fractional lasers heal faster and are less likely to result in complications than non-fractional lasers.</p>
<p>Chemical peels are a diverse group of chemical mixtures (e.g., TCA peels, Hetter peels) which are applied to the skin for resurfacing. The depth of the peel is dependent on the mixture&rsquo;s active ingredients and their relative concentration as well as the number of passes used.</p>
<p>Mechanical resurfacing, otherwise known as dermabrasion, involves the use of a hand piece with a spinning tip that is often diamond coated and which effectively serves as a sander for the skin. The tips come in many shapes and sizes for use on different areas of the face. The rate of spin and number of passes also contribute to the depth of the resurfacing procedure.</p>
<p>A complementary approach to resurfacing procedures on the mouth wrinkles involves the use of nano-fat. Nano-fat is harvested from the patient&rsquo;s own body fat in the stomach, flank, or thighs just like fat augmentation procedures. The difference between nano-fat and the fat used to augment the face is that it is processed to be a thin liquid. Nano-fat is injected superficially into the wrinkles <em>prior</em> to the resurfacing procedure. The purpose of placing nano-fat in these wrinkles is primarily to improve healing after the resurfacing procedure and secondarily to soften the deeper wrinkles that may not be treated completely with the resurfacing procedure.</p>
<h2 class="contentTitle">The Lip Lift Can Treat Lip Lengthening and Thinning</h2>
<p>The <strong><a href="/plastic-surgery/lip-lift">lip lift</a> </strong>procedure is the best approach to treat the lengthening of the upper lip skin as well as the loss of definition and projection of the red upper lip. Providers often try to address these changes with hyaluronic acid filler to poor effect. In fact, adding large volumes of filler to the upper lip can stretch the upper lip. Adding large volumes of filler to the upper lip can also over project the upper lip, leading to a &ldquo;duck-lipped&rdquo; appearance.</p>
<p>The lip lift, which is also known as the sub nasal or bullhorn lip lift, involves the excision of skin and fat in a gullwing or bullhorn pattern at the base of the nose. This incision then hides in the creased of the base of the nose. This procedure can accomplish three things. First, it increases the height and improves the definition of the red lip. Second, it balances the length of the upper lip skin with the red lip height. Third, it improves the pout of the red lip.</p>
<p>The lip lift is a complementary procedure to cosmetic dentistry procedures, because the lip lift can restore some of the youthful central tooth show that occurs when the lips are relaxed apart.</p>
<p>Some providers perform lip flip procedures using botulinum toxin to the muscle surrounding the mouth, called the orbicularis oris. <strong><a href="https://www.harmonface.com/blog/is-a-non-surgical-lip-flip-worthwhile">This procedure is not recommended</a></strong>, because it is generally not effective and can cause problems with speaking and drinking through straws for weeks-to-months after the procedure.</p>
<h2 class="contentTitle">Multiple Techniques Can Re-Volumize the Lips</h2>
<p>Some patients with deflated lips can benefit from procedures that restore their volume. In fact, many patients who undergo a lip lift also undergo lip volumizing procedures.</p>
<p>Temporary options for lip volumizing include <strong><a href="/non-surgical/fillers">hyaluronic acid filler</a></strong>.</p>
<p>Permanent options for lip volumizing include <strong><a href="/plastic-surgery/facial-fat-grafting">fat</a></strong> and SMAS, which is the strong fascia that lies over the fat and deep muscles of the face. The fat is removed from the stomach, flank, or thighs, processed, and injected using blunt-tipped cannulas into the upper and lower lips. SMAS is removed from immediately in front of the ear during the extended deep plane facelift procedure and inserted into the upper and lower lips through incisions hidden at the corners of the mouth.</p>
<p><img class="contentImg" src="https://harmon.wtgdigital.io/assets/166cfb1e-251e-47c3-86b2-180cbf368c10/LF_Lip%20Lift.png" alt="LF_Lip Lift.png" data-asset="ef4540a2c3b9436a802709c81b9bc0d2" data-mod="width:1200"></p>
<p>The patient above is an excellent example of how multiple procedures work simultaneously to rejuvenate the peri-oral region. This patient underwent a <strong><a href="/plastic-surgery/lip-lift">lip lift</a></strong>, <strong><a href="/non-surgical/laser-resurfacing">fractional CO2 laser resurfacing</a></strong> with <strong><a href="/plastic-surgery/facial-fat-grafting">nano-fat grafting of the wrinkles around the mouth</a></strong>, and <strong><a href="/non-surgical/fillers">lip enhancement with hyaluronic acid filler</a></strong> to balance the bottom lip with the top lip.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more!</a></strong></p>
<p><strong><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></strong></p>

Pexels Alexander Krivitskiy 1098772

Peri-Oral Rejuvenation: An Explainer

<p><img class="contentImg" title="Extended deep plane facelift in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/108b821c-6da9-497f-80c1-f86e19dd48d7/pexels-shvets-production-6975466.jpg" alt="Extended deep plane facelift in Cincinnati, Ohio" data-asset="d454131ca3174e06b375c31f75800d3f" data-credit="SHVETS production" data-credit-url="https://www.pexels.com/photo/woman-checking-weight-on-scales-in-studio-6975466/" data-mod="width:1200"></p>
<p>The term &ldquo;Ozempic<strong>&reg;</strong> Face&rdquo; has been widely circulated and commented on on the internet. Its popularity parallels the increased popularity of the use of Ozempic<strong>&reg;</strong> and its family of medications for weight loss. The term likely refers to the changes in the appearance of the face after the often significant, rapid weight loss associated with the use of these medications.</p>
<p>The following blog post is not a comment on the clinical effectiveness or safety of the Ozempic<strong>&reg; </strong>family of medications for weight loss or diabetes, its original indicated treatment. Internal medicine physicians and endocrinologists are the experts who should be consulted with regarding the use of these medications. Rather, this blog post discusses the likely features referred to as &ldquo;Ozempic<strong>&reg;</strong> Face&rdquo; as well as the possible surgical and/or non-surgical treatment options for these features. This blog post also considers the potential concerns of this family of medications during anesthesia.</p>
<p>As with all facial plastic surgery procedures, it is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid155856" title="YouTube video player" src="https://www.youtube.com/embed/KUD6T930mzY" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">Ozempic&reg; (Semaglutide) is a GLP-1 Activator</h2>
<p>Ozempic<strong>&reg; </strong>is the trade name for semaglutide, one member of a family of medications called GLP-1 agonists. GLP-1 agonists bind and activate GLP-1 receptors all over the body, resulting in delayed emptying of the stomach, increased insulin release, decreased glucagon release, and increased pancreatic &beta; cell growth (1).</p>
<h2 class="contentTitle">Ozempic&reg; (Semaglutide) was Originally Used to Treat Type 2 Diabetes</h2>
<p>One effect of GLP-1 agonists is a decrease in the level of sugar (glucose) circulating in the blood (1). That is why Ozempic<strong>&reg; </strong>is used to treat type 2 diabetes. One potentially beneficial side effect of this family of medications is weight loss.</p>
<h2 class="contentTitle">Ozempic&reg; is Now also Prescribed for Weight Loss</h2>
<p>It is unclear what the primary mechanism of weight loss is, though the medication has been demonstrated to decrease food intake overall. It is possible the medication works to decrease appetite in the brain. It is also possible that the slowed emptying of food from the stomach makes patients feel full more quickly.</p>
<h2 class="contentTitle">&ldquo;Ozempic&reg; Face&rdquo; is a Flashy Term Applicable to Any Individual Who Experiences Significant, Rapid Weight Loss</h2>
<p>The term &ldquo;Ozempic<strong>&reg;</strong> Face&rdquo; simply refers to changes that can occur on the face of any individual who experiences significant, rapid weight loss, whether from the use of medications such as Ozempic<strong>&reg;</strong> or through bariatric surgery.</p>
<p>The loss of a large amount of fat in the face very quickly can make the face appear more aged due to loosening skin, a loss of volume in the temples and cheeks, and the development of more prominent folds in the face such as the melolabial fold and marionette lines. These changes can extend into the neck where loosening neck muscle and skin become much more visible.</p>
<h2 class="contentTitle">The Features Attributable to &ldquo;Ozempic&reg; Face&rdquo; Can be Addressed with Facial Plastic Surgery</h2>
<p>The above features can be addressed with surgical and non-surgical procedures, though surgery is typically the most effective and longest lasting treatment approach. Surgical procedures that may be beneficial for patients who have experienced significant, rapid weight loss from medications such as Ozempic<strong>&reg; </strong>or bariatric surgery include the <strong><a href="/plastic-surgery/facelift/deep-plane-facelift">extended deep plane facelift</a></strong>, <strong><a href="/plastic-surgery/neck-lift">neck lift</a></strong>, <strong><a href="/plastic-surgery/brow-lift">lateral temporal lift</a></strong>, and <strong><a href="/plastic-surgery/lip-lift">lip lift</a></strong>. As always, it is important to seek a consultation with a fellowship-trained facial plastic surgeon prior to considering any surgical or non-surgical procedure on the face and/or neck.</p>
<h2 class="contentTitle">The Potential for Delayed Clearance of Stomach Contents is an Important Peri-Operative Consideration</h2>
<p>What is more relevant specifically to treatment with GLP-1 agonists such as Ozempic<strong>&reg; </strong>for weight loss is the known effect of delayed gastric emptying with use of the medication. Delayed gastric emptying means that food is slower to leave the stomach and move into the intestines. This has many beneficial effects for blood glucose maintenance and also decreases appetite by making people feel fuller, which is beneficial for weight loss. However, one peri-operative concern about delayed gastric emptying is the risk of regurgitating food while under anesthesia, resulting in aspiration. It is currently not clear how severe of a risk this is and what the considerations should be for patients, especially those using the medication only for weight loss who are also seeking elective cosmetic plastic surgery under IV sedation.</p>
<h2 class="contentTitle">Update 06/29/2023: New Consesus-Based Guidance from the American Society of Anesthesiologists (ASA)</h2>
<p>The ASA has recently release guidelines on preoperative fasting for patients who are being treated with GLP-1 agonists for diabetes mellitus type 2 and weight loss. The panel specifically refers to the risk of aspiration in patients undergoing IV sedation in addition to general anesthesia in their guidance. They highlight the fact that additional research is required to improve guidance on taking the medication peri-operatively. They recommend holding a GLP-1 agonist dosed daily one day prior to the procedure and holding a GLP-1 agonist dosed weekly one week prior to the procedure, regardless of the condition being treated with the medication (2).</p>
<h2 class="contentTitle">More Research is Required to Determine Universal Peri-Operative Recommendations in Plastic Surgery</h2>
<p>An article in the <em>British Journal of Anaesthesia </em>recommends against withholding GLP-1 agonists such as Ozempic<strong>&reg; </strong>peri-operatively for patients with diabetes mellitus type 2. They argue that the benefits of blood glucose control peri-operatively outweigh the possible side effects. Moreover, they argue that long-acting GLP-1 agonists such as Ozempic&reg; (once weekly dosing instead of once daily dosing) demonstrate less delayed gastric emptying, an effect which can also fade over time with use of the medication, called tachyphylaxis (3). Tachyphylaxis is the same process that occurs when patients become accustomed to the application of Retin-A (tretinoin) on the face and develop temporary redness and skin flaking.</p>
<p>However, as with most subject matters in the world of plastic surgery - and as recommended by the ASA - more research is required to determine the peri-operative recommendations regarding the use of Ozempic<strong>&reg;</strong> and other GLP-1 agonists in patients who are trying to lose weight in addition to undergoing plastic surgery procedures. For example, the fact that many patients undergo facial plastic surgery procedures under IV sedation may result in recommendations that the medication be withheld temporarily to reduce the risk of aspiration during the procedure, especially because the patients who receive GLP-1 agonists for weight loss likely do not have problems regulating their glucose. This is especially relevant because many of the studies evaluating gastric emptying with GLP-1 agonist treatment utilize a method that is not considered the gold standard and may, in fact, underappreciate the extent of delayed gastric emptying, especially with solid foods (1).</p>
<p>It is important to have a discussion with the provider prescribing the GLP-1 agonist as well as the anesthesiologist administering anesthesia to determine the safest plan for any plastic surgery procedure.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more</a></strong>.</p>
<p><strong><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></strong></p>
<h2 class="contentTitle">References</h2>
<ol>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/32077010/">Maselli DB, Camilleri M. Effects of GLP-1 and Its Analogs on Gastric Physiology in Diabetes Mellitus and Obesity. <em>Adv Exp Med Biol</em>. 2021; 1307:171-192.</a></li>
<li><a href="https://www.asahq.org/about-asa/newsroom/news-releases/2023/06/american-society-of-anesthesiologists-consensus-based-guidance-on-preoperative">Marchetti D. "American Society of Anesthesiologists Consensus-Based Guidance on Preoperative Management of Patients (Adults and Children) on Glucagon-Like Peptide-1 (GLP-1) Receptor Agonists." <em>American Society of Anesthesiologists</em>, 29 June 2023, asahq.org/about-asa/newsroom/news-releases/2023/06/american-society-of-anesthesiologists-consensus-based-guidance-on-preoperative, Accessed 03 July 2023. </a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/33341227/">Hulst AH, Polderman JAW, Siegelaar SE, van Raalte DH, DeVries JH, Preckel B, Hermanides J. Preoperative considerations of new long-acting glucagon-like peptide-1 receptor agonists in diabetes mellitus. <em>Br J Anaesth</em>. 2021 Mar;126(3): 567-571.</a></li>
</ol>

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“Ozempic® Face” and Facial Plastic Surgery Considerations

<p><img class="contentImg" src="https://harmon.wtgdigital.io/assets/3b11b6e5-199d-4d09-99fe-a75379ee67d7/Overview%20of%20Facelift%20Techniques%20Blog%20Post%20Image.jpg" alt="Overview of Facelift Techniques Blog Post Image.jpg" data-asset="ac58209e590645b9a68d53eab06fde3d" data-mod="width:1200"></p>
<p>The following information is adopted from a lecture I give to head and neck surgery residents at the University of Cincinnati on the aging face and how it can be treated. It is important to seek not only a&nbsp;<strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid652253" title="YouTube video player" src="https://www.youtube.com/embed/LKX3ASFBisY" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">Introduction to Facial Anatomy and Facial Aging</h2>
<p>It is important to start any discussion about the changes that occur in our faces when we age with the fact that the face is composed of multiple stacked layers. Facial aging results in changes in all these layers, some more obvious than others. The focus of a facelift procedure &ndash; or any cosmetic facial plastic surgery procedure for that matter &ndash; is to address the most obvious of these changes, namely, loosening of skin and drooping fat. There are individual fat pads all over the face. Ligaments, which is soft tissue that act as support structures to the face, surround these fat pads. The ligaments surrounding these fat pads become more visible as they loosen and the fat pads drop, leading to more visible lines around the mouth (e.g., nasolabial folds, marionette lines) and the lower eyelids (e.g., tear trough). The fat pads along the jawline also begin to blend in with the neck, making the jawline look much shorter than it is. Skin loosens as the ligaments weaken and fat pads drop. The purpose of a facelift procedure is to address these changes.</p>
<p>The first facelift was performed over 100 years ago. Multiple facelift techniques have been developed and evolved as our understanding of facial anatomy has improved. Facelift techniques can be broadly grouped into three (3) types, though there is wide variability in the details of each procedure in each group.</p>
<h2 class="contentTitle">Skin Lift, SMAS Pull Facelift</h2>
<p>The first type of facelift releases only skin and only pulls on the SMAS layer of tissue under the skin. The SMAS layer is a thick layer that lies under the skin but over the facial muscles and most of the fat pads in the face. They include a SMAS imbrication and SMAS plication, the details of which are not important except to say that this approach involves the most limited surgery. As a result, there is more limited improvement in the jowl than other approaches, no lifting of the cheeks, and little improvement in the nasolabial folds. The skin is placed under more tension than with other approaches because the retaining ligaments in the face are not released with the lift.</p>
<h2 class="contentTitle">SMAS Facelift</h2>
<p>The second type of facelift involves the lifting of skin as with the SMAS techniques described above. However, these facelift approaches go under the SMAS layer itself, albeit on the side of the face closer to the ear. There are many ways to go under the SMAS layer itself in this location, with multiple incision types and differences in the extent of the surgery. The improvement in jowls can be better than if the SMAS layer is just pulled up with sutures (stitches) like the first type of facelift procedures. The lift can also be made a little more vertical than a SMAS imbrication or plication, which is more natural. However, again, there is no cheek lift with these approaches, little improvement in the nasolabial folds, and persistent, though less, tension on the skin when the procedure is complete. This is because the area where this SMAS layer is addressed is very firmly adherent to the deep layers of the face, unlike the front of the face. As a result, there is less lift of the front of the face.</p>
<h2 class="contentTitle">Deep Plane Facelift</h2>
<p>If you observe the aging process closely, you will realize that most of aging occurs at the front of the face. The deep plane facelift and subsequently the <a href="/plastic-surgery/facelift/deep-plane-facelift" target="_self"><strong>extended deep plane facelift</strong></a> were developed to address the problems associated with the previous broad approaches to the facelift. Like the SMAS facelifts, the deep plane facelifts go below the SMAS layer. However, they do it at the front of the face, bypassing the areas on the side of the face that do not drop with age and targeting the areas at the center of the face that do drop with age. The front of the face is the primary location where aging occurs, as evidenced by the jowls and drooping of the cheeks. There are ligaments, or tension points, in this area of the face, that need to be released to lift those fat pads in a more natural, long-lasting manner. The deep plane facelift, the details of which were published in the 1990s, addressed the above. The extended deep plane facelift, the details of which were published in the 2000s, extended that concept to the side of the neck to better address aging of the neck but also to better improve the youthfulness of the jawline by restoring some definition and volume to the back of the jaw. Overall, while a more complex procedure, the benefits of a deep plane or extended deep plane approach are that, unlike the above approaches, the cheeks can be lifted, there is improvement in the nasolabial folds, and the skin is placed under no tension, thereby significantly reducing the risk of poor healing and widening of the incisions around the ears.</p>
<h2 class="contentTitle">Conclusion</h2>
<p>Facelift techniques will continue to improve over time. It is important that these improvements reflect an understanding of the anatomy, focus on addressing the actual changes that occur with aging, and maintain patient safety. The extended deep plane facelift is a natural evolution of these concepts and the current gold standard in facelift techniques.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a <strong>double board-certified</strong>, <strong>fellowship-trained</strong> specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong>.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us today to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>
<h2 class="contentTitle">References</h2>
<ol>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/23855010/">Alghoul M, Codner MA. Retaining ligaments of the face: review of anatomy and clinical applications. <em>Aesthet Surg J</em>. 2013 Aug 1;33(6):769-82.</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/30418482/">Jacono AA, Bryant LM, Ahmedli NN. A Novel Extended Deep Plane Facelift Technique for Jawline Rejuvenation and Volumization. Aesthet Surg J. 2019 Nov 13;39(12):1265-1281. doi: 10.1093/asj/sjy292.</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/30997513/">Jacono AA, Bryant LM, Alemi AS. Optimal Facelift Vector and its Relation to Zygomaticus Major Orientation. Aesthet Surg J. 2020 Mar 23;40(4):351-356.</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/30768122/">Jacono AA, Alemi AS, Russell JL. A Meta-Analysis of Complication Rates Among Different SMAS Facelift Techniques. Aesthet Surg J. 2019 Aug 22;39(9):927-942.</a></li>
<li>Shamouelian, D (2016). Rhytidectomy Essentials. In Wong BJF, Arnold MG, and Boeckmann JO (Eds.), <em>Facial Plastic and Reconstructive Surgery: A Study Guide</em> (pp. 347 &ndash; 365). Springer.</li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/1741467/">Stuzin JM, Baker TJ, Gordon HL. The Relationship of Superficial and Deep Facial Fascias: Relevance to Rhytidectomy and Aging. <em>Plastic and Reconstructive Surgery</em>. 1992 Mar;89(3):441-9.</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/32503712/">Sykes JM, Riedler KL, Cotofana S, Palhazi P. Superficial and Deep Facial Anatomy and Its Implications for Rhytidectomy. Facial Plast Surg Clin North Am. 2020 Aug;28(3):243-251.</a></li>
</ol>

Overview%20of%20 Facelift%20 Techniques%20 Blog%20 Post%20 Image

Overview of Facelift Techniques

<p><img class="contentImg" title="Facial plastic surgery in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/d8074efe-31ca-4ff8-8839-460575a0ee70/pexels-fauxels-3184188.jpg" alt="Facial plastic surgery in Cincinnati, Ohio" data-asset="fc24a3f01a5549d18ee7b528f0434c21" data-credit="fauxels" data-credit-url="https://www.pexels.com/photo/sharing-cherry-tomatoes-3184188/" data-mod="width:1200"></p>
<p class="primaryMeta"><span class="blogPostAuthor">Tirzah Thompson MS, RDN, LD</span></p>
<p>Nutrition goes a long way when preparing for and recovering from surgery! Proper nutrition can be the key to a successful surgery. What you learn here should empower you while relieving some of the stress you may feel going into and coming out of your upcoming surgical procedure. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<h2 class="contentTitle">Lifestyle</h2>
<p>The benefits from cessation of smoking could be an entire blog post on its own. It is highly recommended that you avoid smoking before and after a procedure. It is easier said than done, but it can make a huge difference. Smoking affects blood oxygen levels and the quality of blood circulation through the vessels. It decreases blood flow making surgical wounds less likely to heal well and more likely to become infected. Oxygen-rich blood and non-constricted arteries and veins are essential for healing.</p>
<p>Avoiding excessive alcohol consumption is recommended as it is unhealthy and even in small quantities can cause blood thinning effects during surgery, which can contribute to bleeding and bruising. It is okay to drink alcohol in moderation until about two weeks before surgery. Within those upcoming two weeks and for a week or two post-operatively, it is best not to drink alcohol at all.</p>
<p>Exercise is a wonderful thing for many reasons such as increasing blood flow, improving mood, boosting energy, and promoting better sleep. However, when you are having plastic surgery, it is advised to avoid any new or vigorous exercises. It is best to focus on maintaining your current level of fitness whatever that may be. I recommend focusing on stretching and strengthening. Yoga would be a great idea!</p>
<h2 class="contentTitle">Nutrition</h2>
<p>Avoiding or limiting highly processed foods and fast food is strongly advised to prevent inflammation and swelling from the high sodium content. If you usually cook with salt, try using spices instead! When you&rsquo;re at the grocery store next, try looking for &ldquo;no salt added&rdquo; versions of your favorite canned goods. Try cooking at home whenever possible to cut down on your sodium consumption.</p>
<p>In addition to cutting back on processed foods, following a well-balanced diet is always recommended. That includes whole foods, adequate calories, adequate fiber, adequate macronutrients, and adequate vitamins and minerals. Inadequate caloric intake can increase your risk for slower healing and infection. While following a well-balanced diet, maintaining adequate hydration is also very important. I usually tell my clients to shoot for at least 64 ounces per day!</p>
<p>Let us dive into the importance of adequate macronutrients before and after surgery. There are 3 macronutrients: carbohydrates, protein, and fats.</p>
<p><img class="contentImg" title="Facial plastic surgery in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/52d2cfc6-1b1e-4f73-a0ca-8c60e9eb5ea4/pexels-pixabay-263168.jpg" alt="Facial plastic surgery in Cincinnati, Ohio" data-asset="a48460e596ab4a7cbc0675730eab31d1" data-credit="Pixabay" data-credit-url="https://www.pexels.com/photo/person-holding-baked-pastry-covered-with-towel-263168/" data-mod="width:1200"></p>
<h2 class="contentTitle">Carbohydrates</h2>
<p>Carbohydrates are essential for wound healing. When you eat carbs, your body breaks them down into glucose which provides energy for white blood cells. While we need carbohydrates, we can be thoughtful when it comes to eating them.</p>
<p>Simple carbohydrates have very few sugar molecules so are digested fast and absorbed into the bloodstream. This causes blood sugar levels to quickly rise and later be followed by an energy crash.</p>
<p>In contrast, complex carbohydrates contain fiber and more complex chains of sugars which are digested and absorbed slower. They enter the bloodstream more slowly which allows a steady release of energy. This steady release is much more sustainable than the dips and spikes you see with simple carbohydrates, especially when you are eating simple carbohydrates alone. It is suggested to avoid &ldquo;naked carbs&rdquo; which are simple carbohydrates that are not paired with protein or fat that would otherwise slow digestion, reducing the spikes in blood sugar. &ldquo;Naked carbs&rdquo; cause more hunger and cravings. Some examples of simple carbohydrates include fruit or fruit juice, chips, crackers, etc.</p>
<p>The following are some ideas of how to incorporate protein and/or fats with complex carbohydrates:</p>
<ul>
<li>Add cheese to crackers, eat with wine or beer</li>
<li>Pair fruit with nuts, nut butter, yogurt, or chocolate hummus</li>
<li>Swap out your fat-free milk when eating cereal</li>
<li>Try topping your toast/bagels with avocado or peanut butter</li>
</ul>
<p>As we have learned, fiber slows digestion, which can smooth blood sugar spikes. At least 25 grams per day is recommended. When increasing fiber in your diet, be sure to increase fluid intake. Remember at least 64 ounces of water per day is recommended!</p>
<p>The following are some ideas of how to increase fiber in your diet:</p>
<ul>
<li>Swap white pasta and rice for wheat</li>
<li>Eat whole fruits and vegetables with the skin on them instead of drinking juice</li>
<li>Ditch your chips and grab some popcorn, which is whole grain</li>
<li>Add chia seeds and flaxseeds into oatmeal, yogurt, or cereal</li>
</ul>
<p><img class="contentImg" title="Facial plastic surgery in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/e5b45f8b-528e-4860-a9fc-062222c2e593/pexels-eiliv-aceron-6896527.jpg" alt="Facial plastic surgery in Cincinnati, Ohio" data-asset="b9ed6c60ebc147c0849148536456ea9b" data-credit="Eiliv Aceron" data-credit-url="https://www.pexels.com/photo/sliced-meat-on-brown-wooden-tray-6896527/" data-mod="width:1200"></p>
<h2 class="contentTitle">Proteins</h2>
<p>Proteins are comprised of amino acids that our bodies use to repair muscle and bones and produce hormones and enzymes. Protein can be used as an energy source and carries oxygen throughout your body. It helps make antibodies that help our bodies fight infections and illnesses. I encourage my clients to start their day off with protein. Great sources of protein include red meat, poultry, eggs, fish/seafood, dairy, and beans. Breakfast should include at least 10 &ndash; 20 grams of protein. The remaining meals of the day should include at least 20 grams of protein.</p>
<p><img class="contentImg" title="Facial plastic surgery in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/85f3ab11-2ab1-4789-a86b-c4c76d24fdce/pexels-jess-loiterton-5507704.jpg" alt="Facial plastic surgery in Cincinnati, Ohio" data-asset="b3d4f4eda6594eeeb156fdacc91b2240" data-credit="Jess Loiterton" data-credit-url="https://www.pexels.com/photo/close-up-shot-of-assorted-nuts-in-a-glass-jar-5507704/" data-mod="width:1200"></p>
<h2 class="contentTitle">Fats</h2>
<p>Finally, fat is essential to give our body energy and support cell function. Fats help protect our organs and keep our bodies warm. Fat also helps our body absorb nutrients and produce hormones. I encourage you to include fat at every meal. Some examples include avocado, eggs, nuts, nut butters, hummus, butter, etc. Most Americans do not consume enough omega-3 fatty acids which are amazing for reducing inflammation! Try to aim for fish twice a week as they are very rich in omega-3s. Other sources include flaxseed, chia seeds, walnuts, and edamame.</p>
<h2 class="contentTitle">Micronutrients</h2>
<p>Micronutrients are especially important for before and after surgery. They include Vitamin A, Vitamin C, Zinc, and Iron.</p>
<p>Vitamin A is a fat-soluble vitamin that supports our skin, eyes, and immune system. It is required for epithelium and bone formation, immune function, and cellular differentiation. The average adult needs about 700 &ndash; 900 mcg daily. Excellent sources of Vitamin A include carrots, sweet potato, spinach, squash, pumpkin, apricots, eggs, liver, salmon, milk, and goat cheese.</p>
<p>Vitamin C is a water-soluble vitamin that is required for the biosynthesis of collagen. Vitamin C supports the immune system, helps wound healing, and serves as an antioxidant. Most people recognize oranges as a source of Vitamin C, but other foods with more Vitamin C than oranges include kale, strawberries, broccoli, red and green bell peppers, brussels sprouts, kiwi, and chili peppers.</p>
<p>Zinc is a trace mineral that is responsible for a variety of processes including gene expression, growth and development, and immune function. It is also great for wound healing. Some sources include red meat, seafood, poultry, legumes, whole grains, vegetables, nuts, and seeds.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a <strong>double board-certified</strong>, <strong>fellowship-trained</strong> specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong>.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consult</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us today to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>
<h2 class="contentTitle">More About Tirzah Thompson MS, RDN, LD</h2>
<p>Book: <strong><a href="https://anchorcincy.janeapp.com">Dietitian</a></strong></p>
<p>Website: <strong><a href="https://dietitiantirzah.com/services">Dietitian Tirzah</a></strong></p>
<p>Instagram: <strong><a href="https://www.instagram.com/dietitiantirzah/">@dietitiantirzah </a></strong></p>
<p><em>*The information in the blog post above is the opinion of the author and does not constitute direct medical advice from or necessarily reflect the opinion of Dr. Jeffrey Harmon or Harmon Facial Plastic Surgery.&nbsp;</em></p>

Pexels Fauxels 3184188

Optimizing Nutrition Before and After Surgery

<p><img class="contentImg" title="Restylane Eyelight for Undereye Hollow in Tear Trough in Cincinnati, OH" src="https://harmon.wtgdigital.io/assets/a073ea10-9999-4288-bdf6-30452ed1025d/Eyelight%20logo_on%20white.jpeg" alt="Restylane Eyelight for Undereye Hollow in Tear Trough in Cincinnati, OH" data-asset="ee0c63ad6f224b919658503b3c740a67" data-credit="Galderma" data-mod="width:1200"></p>
<p>We at Harmon Facial Plastic Surgery are excited to announce that we are now offering Restylane&reg; Eyelight&trade;&nbsp;<strong><a href="/non-surgical/fillers">hyaluronic acid filler</a></strong> at our practice! This Galderma product is FDA-approved for the tear troughs in patients with deep undereye hollows. Read an earlier blog post, <strong><a href="https://www.harmonface.com/blog/tear-trough-filler-an-explainer">Tear Trough Filler: An Explainer</a></strong>, for more information. Contact our office in Cincinnati, OH and schedule a consultation to determine whether you are a candidate for<strong> </strong>Restylane&reg; Eyelight&trade;! It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<h2 class="contentTitle">Restylane&reg; Eyelight&trade; Has a Long Record of Safety and Effectiveness</h2>
<p>Restylane&reg; Eyelight&trade; is effectively Restylane-L, one of Galderma&rsquo;s earliest hyaluronic acid filler products. As a result, it has a long record of safety and effectiveness in the face and has been widely used FDA off-label in the tear troughs for many years prior to the recent approval by the FDA.</p>
<h2 class="contentTitle">Restylane&reg; Eyelight&trade; is Effectively Restylane-L in a More Economical Form</h2>
<p>Restylane&reg; Eyelight&trade; is effectively Restylane-L in a smaller vial. It is common for patients to require less than the 1 ml that is provided in a vial of Restylane-L. As a result, an effective treatment for undereye hollows is now available in a more economical form.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more</a>.</strong></p>
<p><strong><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></strong></p>

Eyelight%20logo On%20white

Now Offering FDA-Approved Restylane® Eyelight™ Hyaluronic Acid Filler for Undereye Hollows

<p><img class="contentImg" title="Juvederm Skinvive packaging" src="https://harmon.wtgdigital.io/assets/ef4c75df-abd1-4d51-857a-3e783a9e38c8/230907_SKINVIVE_SOCIAL%20_4-5%20A1.png" alt="Juvederm Skinvive in Cincinnati, OH" data-asset="fa99ba24b30f4e339bc08098254532a4" data-credit="Allergan Aesthetics" data-mod="width:1200"></p>
<p>We at Harmon Facial Plastic Surgery in Cincinnati, Ohio are excited to announce that we are now offering Juvederm&reg; Skinvive&trade;, the first FDA-approved treatment for the improvement of skin smoothness and hydration in the cheeks using hyaluronic acid. Long popular worldwide, including Western Europe and Asia, this treatment is likely to become a beautiful complement to many other procedures, both surgical and non-surgical. Please read an&nbsp;<a href="https://www.harmonface.com/blog/what-is-the-difference-between-the-hyaluronic-acid-found-in-the-body-applied-to-the-skin-and-injected-as-filler"><strong>earlier blog post</strong></a> for more information on the different depths hyaluronic acid filler can be placed. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<h2 class="contentTitle">Juvederm&reg; Skinvive&trade; Has a Different Purpose Than All Other Hyaluronic Acid Fillers</h2>
<p>Whereas other hyaluronic acid filler products are used to increase volume in specific areas of the face, the purpose of Juvederm&reg; Skinvive&trade; is to increase skin smoothness and hydration. The product is injected in microdroplets just below the top layer of skin, in the dermis. In contrast with hyaluronic acid filler placed on the skin, the hyaluronic acid placed deep to the skin retains water within the skin as opposed to drawing it out and away from the skin, an effect which is more pronounced in hot, dry climates.</p>
<h2 class="contentTitle">The Effects of Juvederm&reg; Skinvive&trade; are Reported to be Longer-Lasting Than Topical Hyaluronic Acid</h2>
<p>According to the manufacturer, the effects can last as long as 6 months, much longer than the effects of applying hyaluronic acid filler to the skin daily. And, like the injection of other hyaluronic acid filler products in other locations and for different purposes, there is little-to-no downtime.</p>
<h2 class="contentTitle">Juvederm&reg; Skinvive&trade; Can Compliment Other Non-Surgical and Surgical Procedures</h2>
<p>We are excited to explore how this new product can enhance your skincare regimen and complement the procedures we perform at Harmon Facial Plastic Surgery, including the <strong><a href="/plastic-surgery/facelift/deep-plane-facelift">extended deep plane facelift</a></strong>.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more</a></strong>.</p>
<p><strong><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></strong></p>

230907 Skinvive Social%20 4 5%20 A1

Now Offering FDA-Approved Juvederm® Skinvive™ Treatment to Smooth and Hydrate Cheek Skin

<p><img class="contentImg" title="Neck lift in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/52fa82f3-d385-45de-a343-672df3076a8b/pexels-leeloo-thefirst-4550831.jpg" alt="Neck lift in Cincinnati, Ohio" data-asset="b08f10e0127a45e2b2f005b49724dd79" data-credit="Leeloo Thefirst" data-credit-url="https://www.pexels.com/photo/woman-in-a-checkered-jacket-with-her-finger-touching-her-chin-4550831/" data-mod="width:1200"></p>
<p>Neck liposuction and a&nbsp;<strong><a href="/plastic-surgery/neck-lift">neck lift procedure</a></strong> each address specific concerns about the neck and the area under the jaw. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<h2 class="contentTitle">Changes Can Occur in All Layers of the Neck</h2>
<p>Changes can occur at all layers of the neck with aging. The skin and muscles of the neck loosen, forming bands. Fat accumulates immediately below the skin and deep to the neck muscles. These changes can cause the jawline to lose definition and the neck to appear poorly defined.</p>
<h2 class="contentTitle">Neck Liposuction and a Neck Lift are Two Options for the Neck</h2>
<p>Individuals who present with concerns about their neck and/or the area under their jaw may benefit from either neck liposuction or a neck lift procedure. However, a detailed history and physical exam should always be performed prior to making this decision.</p>
<h2 class="contentTitle">Neck Liposuction Alone May Be Good for Younger Individuals</h2>
<p><a href="/plastic-surgery/neck-liposuction" target="_blank" rel="noopener">Neck liposuction</a>, which involves the careful placement of small incisions hidden under the chin and sometimes behind the earlobes, can be a good option to treat patients who have accumulated fat close to the surface of their skin but with minimal skin and muscle changes. Neck liposuction tends to be a better procedure for younger individuals.</p>
<p><img class="contentImg" title="Submental liposuction recipient before &amp; after photo" src="https://harmon.wtgdigital.io/assets/b21240b3-3938-4459-984a-55c91ea81318/Submental-Liposuction_1.jpg" alt="Submental liposuction recipient before &amp; after photo" data-asset="c86c58f976dc4c908795305963067fa1" data-mod="width:1200"></p>
<p>This younger patient demonstrated excess fat across her neck and the area under her chin, called the submentum. No excess skin or loose muscle was present. This patient was an excellent candidate for neck liposuction only. She could not be happier with her results only one week after surgery.</p>
<p><img class="contentImg" title="Neck Lift in Cincinnati" src="https://harmon.wtgdigital.io/assets/e6440ba2-8947-4b33-bc60-04a81bb09a07/Neck-Lift-in-Cincinnati-Right.jpg" alt="Neck Lift in Cincinnati" data-asset="d46f0037ac194ba9b512faea7618cfad" data-mod="width:1200"></p>
<p>This younger patient demonstrated excess fat only in the area immediately under her jaw, called the submental area. As a result, she desired a more subtle result. She is thrilled with her results four months after surgery.</p>
<h2 class="contentTitle">A Chin Implant with Neck Liposuction Can be a Powerful Procedure for Other Younger Individuals</h2>
<p>Some people not only have lost definition of their jawline and neck over time but also have a poorly-defined chin. A chin that does not project out adequately relative to the lips and nose can exaggerate the appearance of the jawline and neck. That is why a chin implant and liposuction can be so powerful when paired. The patient of ours below is an excellent example of this.</p>
<p><img class="contentImg" title="Chin Implant and Neck Liposuction Before &amp; After in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/e681638b-c6a6-430f-9e81-a0500ee4fc88/MA_Before%20and%20After.png" alt="Chin Implant and Neck Liposuction Before &amp; After in Cincinnati, Ohio" data-asset="c866a2f8ac0445cf8754c38085da55ef" data-credit="Dr. Jeffrey Harmon" data-mod="width:1200"></p>
<p>This younger patient not only had concerns about the lack of definition to her jawline and neck, but also demonstrated a weakly projected chin. She received a small chin implant that contoured naturally to her jawline in addition to undergoing liposuction under her jawline and neck.</p>
<p><iframe id="fitvid816690" title="YouTube video player" src="https://www.youtube.com/embed/FGSGTMquu40" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">A Neck Lift May be More Appropriate for More Complex Changes</h2>
<p>A <strong><a href="/plastic-surgery/neck-lift">neck lift</a></strong> is meant to address more complex changes to the neck more comprehensively, including the skin, muscle, and both superficial and deep fat. The superficial neck fat is usually removed under direct visualization with specialized instruments during a neck lift in Cincinnati. Performing only liposuction, especially aggressive liposuction, on an individual who is experiencing more complex age-related changes to their neck increases the risk of the skin scarring to the hanging muscle bands, worsening the appearance of the banding.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in <strong><a href="/plastic-surgery/neck-lift">plastic surgery of the neck</a></strong> and face when you have concerns about your neck and/or the area under your jaw.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong>.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us today to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>

Pexels Leeloo Thefirst 4550831

Neck Liposuction Versus a Neck Lift: Which Procedure is the Most Appropriate for Me?

<p><img class="contentImg" title="lift and Neck Lift Surgery in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/5d6f2364-9437-46d0-bdb2-3f5d94aac890/pexels-tomaz-barcellos-1987301.jpg" alt="lift and Neck Lift Surgery in Cincinnati, Ohio" data-asset="d8ebd3f49f9a4800a944b45b0d161d77" data-credit="Tomaz Barcellos" data-credit-url="https://www.pexels.com/photo/smiling-woman-with-red-hair-1987301/" data-mod="width:1200"></p>
<p>The effects of some non-surgical procedures on the face and neck are often promoted as approaching/approximating the effects of a facelift and/or neck lift. These procedures fall into three categories: fillers, energy-based devices, and sutures, otherwise known as threading. In fact, many describe one or a combination of more than one of these non-surgical procedures as a &ldquo;non-surgical&rdquo; facelift and/or neck lift. The reality is that none of these interventions or combination of interventions approximate the effects of a facelift and/or neck lift. Instead, we feel the potential benefits of these interventions should be described for what they are and not compared with surgical procedures. The most effective way to treat age related changes to the face and neck remains surgery. More specifically, in the event of loose tissue and drooping volume in the face and neck, we feel the <a href="/plastic-surgery/facelift/deep-plane-facelift" target="_self"><strong>extended deep plane facelift</strong></a> and <a href="/plastic-surgery/neck-lift" target="_self"><strong>neck lift</strong></a> are the best surgical techniques to provide a natural appearing and long-lasting result. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<h2 class="contentTitle">Fillers Add but Do Not Lift Volume</h2>
<p>Fillers, including <a href="/non-surgical/fillers" target="_self"><strong>hyaluronic acid fillers</strong></a><strong> </strong>and others, add volume to the face. They do not, however, <em>lift</em> volume in the face. Some argue that, by lifting the soft tissue and injecting filler inferior to it, treatment with hyaluronic acid filler can effectively lift this tissue. We believe this to be false. Hyaluronic acid filler is a gel <a href="https://www.harmonface.com/blog/what-qualities-distinguish-hyaluronic-acid-dermal-filler-products"><strong>with variable properties depending on its formulation</strong></a>. However, even the firmest, most &ldquo;structural&rdquo; fillers can still be injected through a small syringe. The idea that a gel could hold up drooping facial volume like a cantilevered balcony in a house makes little sense. Instead, fillers can increase the volume of an area in which they are injected such as the cheeks, lips, and chin.</p>
<h2 class="contentTitle">Sutures Temporarily Pull Skin but Do Not Lift Volume Naturally</h2>
<p>Threading involves the use of barbed, dissolvable sutures placed under the skin in multiple directions to pull skin in the cheeks, jawline, neck, brows, and other locations. <strong><a href="https://www.harmonface.com/blog/the-fox-eye-procedure-what-is-it-and-is-it-worthwhile">See the following blog post describing the &ldquo;fox eye&rdquo; procedure using threads in the brows</a></strong>. Threading is sometimes referred to as a &ldquo;non-surgical&rdquo; facelift because of the pull it is purported to have on the skin. However, this comparison is inaccurate. Facial aging involves much more than simply loose skin. Facial aging involves drooping fat, muscle, and fascia in the face and neck. Appropriately addressing this volume requires surgical release of the deeper structures of the face and neck to prevent distortion of the mouth, eyes, and other surrounding structures that can occur by simply pulling on the skin. Furthermore, this suture dissolves within a few months. As a result, the potential effects of threading are relatively short lived, especially when compared with facelift and neck lift surgery.</p>
<h2 class="contentTitle">Energy-Based Devices Heat Fat and Skin but Do Not Lift</h2>
<p>Energy-based devices utilize ultrasound, radio waves, and/or plasma to heat up tissue, most commonly the fat immediately deep to the skin. These devices are often advertised as a &ldquo;non-surgical&rdquo; facelift, again an inaccurate statement. Simply heating up subcutaneous fat and skin does not lift volume. <a href="https://www.harmonface.com/blog/how-could-non-surgical-procedures-affect-my-future-facelift-and-neck-lift-surgery"><strong>Furthermore, the &ldquo;new collagen&rdquo; formed, from our experience operating on patients who have undergone these procedures, should more accurately be described as scar formation, which can make performing a facelift and neck lift more complex</strong></a>.</p>
<h2 class="contentTitle">No Combination of the Above Approaches the Effects of a Facelift and Neck Lift</h2>
<p>Some even argue that a combination of hyaluronic acid fillers, threading, and energy-based devices can result in a &ldquo;non-surgical&rdquo; facelift. We feel this is inaccurate for the reasons discussed above.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop searching &ldquo;plastic surgery near me.&rdquo; <a href="https://www.harmonface.com/contact" target="_blank" rel="noopener noreferrer"><strong>Get in touch with us to learn more.</strong></a></p>
<p><strong><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></strong></p>

Pexels Tomaz Barcellos 1987301

Myth Versus Reality: Does a "Non-Surgical" Facelift or Neck Lift Exist?

<p><img class="contentImg" title="Skincare in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/e0486d89-de89-4ea6-8965-5172b3beee27/pexels-cottonbro-studio-5934339.jpg" alt="Skincare in Cincinnati, Ohio" data-asset="cf101c623bd64bb7bbf312f7c0921563" data-credit="cottonbro studio" data-credit-url="https://www.pexels.com/photo/woman-in-white-shirt-wearing-brown-and-black-fedora-hat-5934339/" data-mod="width:1200"></p>
<p>It is challenging to identify skin care products based on strong clinical evidence and a strong safety profile. The skin care products I currently use are not perfect. Therefore, my choices may not be well-tolerated or beneficial to others. Every individual&rsquo;s skin is different. Consider an evaluation by a dermatologist to help determine the best tolerated, safest, and most effective products for your face. It is important to seek not only a&nbsp;<strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<h2 class="contentTitle">It is Difficult to Identify a Skincare Routine with Strong Clinical Evidence Supporting its Safety and Effectiveness</h2>
<p>I and many other physicians find it difficult to assemble strong data to support the effects of many skincare product ingredients. The cost of skin scare products sometimes but do not always reflect their effectiveness and safety. As a result, the products I use that are listed below are not a medical/professional endorsement of the brands or the products specifically. They have simply worked for me personally with little-to-no skin irritation.</p>
<h2 class="contentTitle">The Environmental Working Group (EWG) Has a Guide Called Skin Deep&copy; to Help Consumers Choose Products with a Favorable Safety Profile</h2>
<p><strong><a href="https://www.ewg.org/">EWG</a></strong> is a nonprofit organization founded in Washington, D.C. in 1993 whose stated mission is &ldquo;to empower you with breakthrough research to make informed choices and live a healthy life in a healthy environment.&rdquo; While any organization with a lobbying arm and funding from outside organizations &ndash; including organic agriculture organizations &ndash; should be judged with some level of skepticism, EWG has been consistent in advocating for the removal of harmful chemicals in personal care products consistent with standards established by chemical safety laws in the European Union (EU) and California, which are among the most stringent in the world.</p>
<p>My wife, Fara, and I use an EWG app on our phones when we shop for home cleaning products as well as products for our son, Babak, and daughter, Roya. Fara and I also reference EWG&rsquo;s <a href="https://www.ewg.org/skindeep/"><strong>Skin Deep</strong><strong>&copy;</strong></a> rating system when we shop for our own skincare products. It is not a perfect system, but we feel like it has empowered us to make somewhat better, healthier product choices for ourselves and our family.</p>
<p>However, as you will see below, I do not depend entirely on EWG to make purchasing decisions. For example, some of the most effective ingredients in cosmeceutical products do not pass EWG&rsquo;s muster. Also, many products highly rated by EWG have a high potential for allergic reaction due to their contents. This needs to be considered with all buying choices. Every individual needs to use their own resources and make their own decisions regarding what products they place on their face.</p>
<h2 class="contentTitle">Skinceuticals&copy; CE Ferulic and The Ordinary&copy; Pycnogenol 5% for Antioxidants</h2>
<p>There is evidence for the effectiveness of some topical antioxidants, not only to slow the development of the signs of aging but also to act as a photoprotective agent complementing a mineral sunscreen. As a result, I have chosen to apply antioxidants to my face. Please see a <strong><a href="https://www.harmonface.com/blog/things-i-have-learned-about-aging-well">previous blog post</a> </strong>discussing the changes that occur in the skin with aging for a more detailed description of the effects of Vitamin C. Pycnogenol is another antioxidant that has long been in use and is derived from a Mediterranean tree bark in France. There is evidence that it can act not only act as an antioxidant but also prolong and recycle the effects of Vitamin C. Neither of the products above have resulted in skin sensitivity and rash for me, though that is a potential risk with the use of antioxidants such as these.</p>
<p><strong> </strong></p>
<p>These products are not rated by EWG.</p>
<h2 class="contentTitle">Vanicream&copy; Daily Facial Moisturizer</h2>
<p>I have been using Vanicream&copy; moisturizers for many years. I found my son&rsquo;s skin tolerates one of their moisturizers well. The company's products are inexpensive and can be found at most pharmacies. The Vanicream&copy; Daily Facial Moisturizer blends well into my face and does not cause an itching rash that some moisturizers have caused me with frequent use.</p>
<p>This product is <strong><a href="https://www.ewg.org/skindeep/products/940083-vanicream-daily-facial-moisturizer-for-sensitive-skin/">rated 1 (best) by EWG</a></strong>.</p>
<h2 class="contentTitle">Mineral Sunscreen</h2>
<p>A mineral sunscreen, meaning a sunscreen with a physical barrier such as zinc oxide, is superior to a chemical sunscreen. A mineral sunscreen provides more effective coverage against both UVA and UVB sun rays than a chemical sunscreen. And some chemical sunscreens in the United States have ingredients that are known or potential carcinogens at high doses. The problem with a mineral sunscreen is that it can be difficult to blend in with the skin and it often leaves the skin feeling caked and uncomfortable. The "right" specific product may differ between individuals.</p>
<h2 class="contentTitle">The Lesson: Skincare is Difficult and Imperfect</h2>
<p>The evidence base for cosmeceuticals is generally weak because they are not regulated by the Food and Drug Administration (FDA) like medications. For example, there may be new evidence in the future that one or more of the ingredients in the above products are not beneficial. I work hard to adhere to the most consistent, highest quality, established evidence for the effectiveness of certain products. I also try to avoid the most harmful chemicals as determined by the entities that have passed the strongest chemical safety laws. However, I will likely make changes to this regimen over time with a goal of minimizing what I apply to my skin, though I will likely always apply a mineral sunscreen. I also hope to add a retinol to my regimen in the future.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in <strong><a href="/plastic-surgery/facelift/deep-plane-facelift">plastic surgery of the face</a></strong> and <strong><a href="/plastic-surgery/neck-lift">neck</a></strong> when you have concerns about your face and/or neck.</p>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>
<h2 class="contentTitle">References</h2>
<p>Baumann, L. (2014). Cosmeceuticals and Cosmetic Ingredients (1st ed.). McGraw Hill/Medical.</p>

Pexels Cottonbro Studio 5934339

My Skincare Routine

<p><img class="contentImg" title="Rhinoplasty in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/d239b7d6-bfda-405e-8263-ab583be6afb9/pexels-rachel-claire-5490276.jpg" alt="Rhinoplasty in Cincinnati, Ohio" data-asset="cfff817b58cb4677a1ccb5089134f506" data-credit="Rachel Claire" data-credit-url="https://www.pexels.com/photo/contemplative-young-ethnic-man-with-sunlight-on-face-looking-at-camera-in-studio-5490276/" data-mod="width:1200"></p>
<p>I have the privilege as a physician and surgeon of helping patients &ldquo;feel good about feeling good.&rdquo; I pride myself as being a well-trained facial plastic surgeon who can provide natural surgical and non-surgical results, safely. However, I often wonder if during my consultation with patients they are thinking: &ldquo;sure, you know what you are doing, but do you truly understand what goes into making a decision to proceed with facial plastic surgery?&rdquo; My answer to that question is yes, I do understand. I underwent a rhinoplasty at age 17. It is important to seek not only a&nbsp;<strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<h2 class="contentTitle">I Underwent a Functional and Cosmetic Rhinoplasty at Age 17 After an Injury</h2>
<p>I was injured at age 13 in the most embarrassing way. I was at a friend&rsquo;s house running from their backyard into their basement. I did not realize my friend had closed the glass sliding door to the basement. Another friend had called out from behind me just before I approached the door. My nose met the glass as soon as I turned my head forward.</p>
<p>The pain was excruciating. I knew something was wrong immediately. My nose swelled. I had immediate difficulty breathing through it. My nasal bridge was deviated to the right. I iced my nose and, as the pain subsided, largely forgot about it, unconcerned with my appearance.</p>
<p>The swelling resolved. The difficulty breathing through my nose did not. And while the nasal bridge was significantly less deviated than it initially appeared, I became more bothered by it as I progressed through high school.</p>
<p>By age 17 my nose was bothering me enough &ndash; I was having difficulty breathing during difficult workouts and races as a rower &ndash; that I decided to consult with a head and neck surgery trained facial plastic surgeon. He recommended a septoplasty and <strong><a href="/plastic-surgery/rhinoplasty">rhinoplasty</a></strong> to correct my deviated septum and nasal bridge and to improve my breathing.</p>
<h2 class="contentTitle">I Underwent Surgery with a Facial Plastic Surgeon at an Office-Based Surgery Center</h2>
<p>I underwent surgery at an office-based surgery center. <strong><a href="/about-us/our-practice">See this link</a></strong> for more information on our office-based surgery suite.</p>
<p>I have only two memories of my experience. My first memory was lying on the operating room table with the anesthesiologist and the surgeon&rsquo;s head nurse at my side. I remember starting to count backwards and almost immediately going to sleep. My second memory was after surgery when I was changing in the bathroom to leave. I suddenly felt lightheaded and fell to the ground, almost hitting my newly operated on nose on the sink counter.</p>
<h2 class="contentTitle">My Recovery was Consistent with What I Counsel My Patients</h2>
<p>Like my patients I had a splint on my nose. Unlike my patients I had <strong><a href="https://www.harmonface.com/blog/do-i-need-to-wear-a-large-heavy-compression-dressing-after-my-facelift">packing in my nose</a></strong>, which was extremely uncomfortable. More recent data and guidelines from the American Academy of Otolaryngology &ndash; Head and Neck Surgery do not recommend nasal packing after rhinoplasty.</p>
<p>I spent one week largely sitting and sleeping in a recliner, anxiously waiting for the removal of my nasal packing. My head felt like an over-filled balloon, entirely due to the packing. I did take the prescribed pain medication once or twice, felt very nauseous, and discontinued its use.</p>
<p>The packing was removed in clinic &ndash; along with the sutures &ndash; approximately 1 week after surgery. It felt so wonderful to have the packing and sutures out as well as the splint. My nose remained swollen after the cast was removed. I remember the most significant swelling resolved within two to three weeks. However. I noticed continuous improvements in the appearance of my nose for many months after surgery.</p>
<p>My nasal breathing improved almost immediately after the packing, sutures, and splint were removed. This improvement continued over approximately the first month while all the interior swelling subsided.</p>
<p>The change that took the longest to recover was normal sensation at the tip of my nose and the incision at the base of my nose. I remember a gradual onset of tingling and a slow improvement in sensation over many months. In fact, I believe it took a year before I regained all the normal sensation in my nasal tip and at the incision site.</p>
<h2 class="contentTitle">I Empathize with Those Considering a Rhinoplasty and Can Answer Their Questions from Experience</h2>
<p>I am very happy with the appearance of my nose these decades later. I am very grateful to the facial plastic surgeon who performed this procedure, though he retired and unfortunately passed away a few years ago. The sensation on my nose is normal. I am breathing well. I can feel some of the surgical changes made if I push hard on the skin overlying my nasal bridge, though there is no outward appearance of this due to the soft tissue envelope covering my bones and cartilage.</p>
<p>In short, I answer questions about facial plastic surgery not only as a surgeon performing a procedure but also as a patient having undergone a procedure.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a fellowship-trained specialist in plastic surgery of the face and neck when you have concerns about your nose.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a double board-certified facial plastic surgeon.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style, and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us to learn more!</a></strong></p>
<p><strong><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></strong></p>

Pexels Rachel Claire 5490276

My Experience Undergoing Facial Plastic Surgery

<p><img class="contentImg" title="Lip lift in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/1bcbd702-8c69-43a1-a2e7-1ae7eb9af2ed/pexels-shiny-diamond-3373716.jpg" alt="Lip lift in Cincinnati, Ohio" data-asset="b953c2b9f6cf456a830b067aa7caa9b4" data-credit="Shiny Diamond" data-credit-url="https://www.pexels.com/photo/woman-s-face-3373716/" data-mod="width:1200"></p>
<p>Have you wondered whether placement of&nbsp;<strong><a href="/non-surgical/fillers">hyaluronic acid filler</a></strong> such as Restylane&copy; in the lips can impart a more voluminous and youthful appearance to your lips? Have you wondered how this compares with a <strong><a href="/plastic-surgery/lip-lift">surgical lip lift</a></strong>? The lip lift is a procedure that can be performed under local anesthesia or IV sedation to address specific aesthetic concerns of the lip that lip filler cannot. It is important to seek not only a <strong>fellowship-trained </strong>but also a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong> if you have aesthetic concerns about your face and/or neck.</p>
<p><iframe id="fitvid12517" title="YouTube video player" src="https://www.youtube.com/embed/Hsqso7sEq_I" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="allowfullscreen"></iframe></p>
<h2 class="contentTitle">The Lip Lift Can Address What Lip Filler Cannot</h2>
<p>The red portion of the upper lip loses height and volume as we age. Some individuals are born with thin, deflated lips. Lip filler can re-volumize deflated lips. However, lip filler cannot increase the height of the red lip without projecting it, potentially resulting in a &ldquo;duck-lipped&rdquo; appearance. In addition to the red lip, the area of the lip between the red lip and the base of the nose lengthens as we age. This can be worsened by overfilling the lip with hyaluronic acid. The lip lift can be an excellent option to improve the height of the red lip and restore a &ldquo;pouty&rdquo; appearance to the lip by reducing the overall length of the lip to a more youthful length. The incision is hidden in a natural crease at the base of the nose.</p>
<p><img class="contentImg" title="Lip lift in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/7cfea67d-149a-45e3-83f5-18a2f3947e12/DH_Lip%20Lift.png" alt="Lip lift in Cincinnati, Ohio" data-asset="d37def35ab334754b5445bb50a513706" data-credit="Dr. Jeffrey Harmon" data-mod="width:1200"></p>
<h2 class="contentTitle">Lip Filler Can Complement the Lip Lift</h2>
<p>It is important to note that while the lip lift can address aesthetic concerns lip filler cannot, this does not prevent you from receiving hyaluronic acid filler in the future to re-volumize a deflated lip as demonstrated in the before-and-after images below. In fact, hyaluronic acid filler can be a wonderful complement to the lip lift.</p>
<p><img class="contentImg" title="Lip lift in Cincinnati, Ohio" src="https://harmon.wtgdigital.io/assets/ce624bf2-f104-4bd7-93c1-be719352c82b/LF_Lip%20Lift.png" alt="Lip lift in Cincinnati, Ohio" data-asset="d2a177f707d747acaaf70d21fcb7d3e5" data-credit="Dr. Jeffrey Harmon" data-mod="width:1200"></p>
<p>The above patient underwent a lip lift followed by lip filler in order to balance her bottom lip volume with her top lip.</p>
<h2 class="contentTitle">Trust Your Face to a Facial Plastic Surgeon</h2>
<p>It is important to seek a <strong>double board-certified</strong>, <strong>fellowship-trained</strong> specialist in plastic surgery of the face and neck when you have concerns about your face or neck.</p>
<h2 class="contentTitle">Why Choose Dr. Harmon</h2>
<ul>
<li>The mission of Harmon Facial Plastic Surgery is to help people along their journey towards self-confidence, to feel good about feeling good.</li>
<li>Dr. Harmon is a <strong><a href="https://www.harmonface.com/blog/doubledual-board-certified-facial-plastic-surgeon-what-does-it-mean-why-is-it-important">double board-certified facial plastic surgeon</a></strong>.</li>
<li>Dr. Harmon values making patients feel welcomed, listened to, and respected.</li>
<li>Dr. Harmon graduated with honors from <a href="https://www.cornell.edu/"><strong>Cornell University</strong></a> with a <strong>Bachelor of Science</strong> degree in molecular biology.</li>
<li>Dr. Harmon earned his <strong>medical degree</strong> from the <a href="https://med.uc.edu/"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon underwent five years of <strong>extensive training</strong> in head at neck surgery at the prestigious residency program at the <a href="https://med.uc.edu/depart/otolaryngology"><strong>University of Cincinnati</strong></a>.</li>
<li>Dr. Harmon then underwent focused <strong>fellowship training</strong> in cosmetic facial plastic surgery through the <a href="https://www.aafprs.org/"><strong>American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)</strong></a> with the world-renowned surgeon, <a href="https://www.newyorkfacialplasticsurgery.com/"><strong>Dr. Andrew Jacono</strong></a>, on Park Avenue in New York City.</li>
</ul>
<h2 class="contentTitle">Request a Consultation</h2>
<p>Request a consultation with Dr. Harmon at Harmon Facial Plastic Surgery in Cincinnati. Visit our clinic. You will learn more about Dr. Harmon&rsquo;s credentials, style and approach. Build a relationship with our dedicated team. Do not stop at searching &ldquo;plastic surgery near me.&rdquo; <strong><a href="https://www.harmonface.com/contact">Get in touch with us today to learn more!</a></strong></p>
<p><a class="button" href="https://www.harmonface.com/contact">Contact Us</a></p>