Cosmetic surgery has increased dramatically in popularity over the past 10 years. Attitudes have changed as well -- more and more people are turning to cosmetic surgery. It has undergone significant technological and conceptual changes in recent years. The conceptual changes have altered approaches to facial aging, including approaches to the forehead, eyelids, and lower face. Technological changes include the increasing use of the laser for facial cosmetic surgery and minimally invasive techniques for face, breast, and body-contouring surgery.

While any elective surgical procedure carries some risk, the advances noted above have translated into faster patient recovery, fewer deaths, and improved, more natural appearing results.

What is minimally invasive surgery?
For many surgical procedures, the emphasis has shifted from traditional open surgery to the use of less invasive means. Minimally invasive surgery is done with the aid of a viewing scope and specially designed surgical instruments. The scope allows the surgeon to perform major surgery through several tiny openings without making a large incision.

These minimally invasive alternatives usually result in less pain, scarring, and recovery time for the patient, as well as reduced healthcare costs. Almost everything from open-heart operations to vasectomies are now done with minimally invasive methods.

What is minimally invasive plastic surgery?
Surgeons are discovering more uses for minimally invasive techniques, including heart surgery, hysterectomies, and prostate cancer treatment. In plastic surgery, the term minimally invasive refers to the use of newer technologies to perform procedures that once required extensive surgery and recovery time. Today's plastic surgeons have a variety of tools and techniques available that make procedures such as face lifts and eyelifts more accessible and affordable.

Laser surgery
Lasers can now quickly remove the outer layer of the skin. They tighten the skin, which leads to smoothening and clearing of brown spots and large pores. Lasers also can improve wrinkles, fine lines, forehead creasing, and crow's feet.

Laser skin resurfacing/facelift
Laser surgery can be used for skin resurfacing similar to the way chemical peeling and dermabrasion have been used in the past. When used for skin resurfacing, the result is equivalent to an intermediate depth chemical peel with less risk of complications. It is a particularly good technique in the eyelid, crow's feet, and forehead region. It also is quite effective in the cheek area. When the lines around the mouth are particularly deep, the laser peel may require a second treatment.

Eyelift surgery
Eyelifts are among the most commonly requested procedures by both men and women. Drooping of the eyelids can make a person look tired and/or older.

Lower eyelid bagging usually is the result of protrusion of the fat that naturally cushions the eye. This fat is held in place by a membrane that weakens as we age, allowing the fat to become visible as a "bag." Lower eyelid bags can be corrected in most cases without any external incisions or visible scars by using the laser.

The skin folds of the upper eyelid tend to increase and droop with age. This problem also can be corrected with a laser-assisted upper eyelid lift. Laser eyelift surgery involves little bleeding and bruising, and usually requires a short recovery period.

"Lunchtime" procedures
Today's plastic surgeons also provide options for correcting certain signs of aging, such as crow's feet, frown lines, and forehead wrinkles, in small steps, without surgery. Because these procedures are done over a period of short office visits, these mini-treatments are sometimes referred to as "lunchtime" procedures.


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