Download Facial Cosmetic Surgery Guide

Facial Cosmetic Surgery
Guide
Beautiful You
No one will ever
know, unless you
want them to.
A natural-looking, rejuvenated
appearance is made possible by
the skilled and experienced multidisciplinary team at the Cleveland
Clinic Cosmetic & Plastic Surgery
Center. To help in your decisionmaking process, this guide covers
all of our facial cosmetic surgery
procedures, introduces you to our
renowned surgeons and answers
questions you may have.
Cosmetic Artistry. Clinical Excellence.
When you choose Cleveland Clinic Cosmetic & Plastic Surgery Center,
you can be confident that our surgeons are board-certified and have
been leaders in the field of facial cosmetic and reconstructive surgery.
By collaborating in a multidisciplinary setting, they offer you the highest
level of care in a wide variety of core cosmetic surgery and medical
specialties. Multidisciplinary collaboration ensures that your team
consists of specialists in many disciplines who coordinate care to meet
your individual needs.
Our physicians, who have significant experience in all areas of aesthetic
plastic surgery including facial cosmetic surgery, cosmetic breast surgery,
and body contouring procedures, are supported by the long-standing
reputation of a world-class medical facility. Every year since 1990,
U.S.News & World Report has recognized Cleveland Clinic as one of
the top hospitals in America.
continued
cleveland clinic | Facial Cosmetic Surgery Guide
How to Choose a Surgeon
You’ve spent a lot of time thinking about your expectations of facial cosmetic
surgery and considering various procedures. Below are some tips to help you find
a qualified center and surgeon.
1.
Look for a center that has a good reputation, that employs board-certified
physicians and surgeons in the core cosmetic specialties, and whose surgeons have practicing privileges at nearby hospitals.
2. admitted to a hospital quickly for appropriate care. Most elective cosmetic
Be sure that if emergency hospitalization becomes necessary, you can be
surgery procedures are done on an outpatient basis, so it is a good idea to
call the center and ask about this.
3. accredits nearly 16,000 healthcare organizations and programs in the
Determine whether the center is certified by The Joint Commission, which
United States – everything from hospitals to nursing homes to outpatient
surgery facilities.
4. dure is board-certified in one of the core cosmetic surgery specialties,
Verify that the surgeon who will do the treatment or dermatology proce-
Resources for more
information
The Joint Commission
jcaho.org
Ohio Department of Health
odh.ohio.gov
American Association for
Accreditation of Ambulatory
Surgery Facilities
aaaasf.org
Accreditation Association for
Ambulatory Health Care
aaahc.org
5.
otolaryngology (ear, nose and throat surgery) or ophthalmology. Board certification signifies that a physician has the knowledge, skill and experience
required to provide quality patient care in a given specialty. You can verify
board certification status using online resources offered by the American
Society of Plastic Surgeons, the American Board of Plastic Surgery and the
American Academy of Facial Plastic and Reconstructive Surgery.
Ask the surgeon for photographs of his or her work. Most plastic surgeons
keep a portfolio of “before and after” images. Most feature their best cases,
but you can choose the surgeon whose results you like best.
6. ing this procedure? Is the latest technique being used? Does the surgeon
Consider the surgeon’s experience. How long has he or she been performhave special training in the use of a technique or new technology? How
many of the procedures that you are interested in has he or she performed
in a given period? In general, the more experience the surgeon has in performing a certain procedure, the better the results.
7. informed of possible risks, side effects and recovery time associated with
Make sure that your questions have been answered. Have you been
the surgery? Obtain as much information as you can about the procedure
and discuss your expectations with your surgeon.
8. postoperative follow-up. This should be part of the overall package, regardBe sure the center offers thorough preoperative assessment and proactive
less of the procedure being performed.
2
clevelandclinic.org/RenewYou
cleveland clinic | Facial Cosmetic Surgery Guide
Facial Cosmetic Surgery Procedures
Board-certified surgeons at the Cleveland Clinic Cosmetic
& Plastic Surgery Center offer refined cosmetic nose surgery
techniques that can enhance your appearance.
Nose Reshaping (Rhinoplasty)
Cosmetic nose surgery, or rhinoplasty, can improve the appearance and proportion of your nose. Nose surgery also may improve breathing. The procedure can
change your nose’s profile, overall size, tip, bridge and nostrils.
The best rhinoplasty outcomes are achieved when functional concerns are balanced
with aesthetic ones. A narrow nose with poor breathing is not a desirable surgical outcome. When the nose is in proper proportion to other facial features, the
patient’s facial harmony and self-confidence are enhanced. Achieving this harmony
is based on careful examination of the nose in the context of the entire face.
Because cosmetic nose surgery is such a highly individualized procedure, the
best results are achieved through a thorough consultation with your cosmetic
surgeon. Skin thickness, bone structure, breathing difficulties and ethnic background are important factors to be considered in discussions with your surgeon
prior to surgery. Because of the interrelated nature of the nose to the face, many
patients with weak chins (lack of chin projection) have a chin augmentation (or
genioplasty) in conjunction with rhinoplasty to create a better balance of features.
Before
Your surgeon will examine the structure of your nose, both externally and internally, to evaluate nose function and form and make specific recommendations.
The surgeon will take photographs of you and discuss the options available.
Using state-of-the-art modern imaging technology, preoperative planning is done
with the patient. Computer images are morphed into potential postoperative
results, allowing the patient to become an active participant in the decisionmaking process. Based on in-depth communication in this planning phase, your
surgeon will explain how the nasal structures, including bone and cartilage, can
be sculpted to reshape the nose for the desired results.
after
Patient before cosmetic nose surgery
(top) and three months after cosmetic
nose surgery (bottom).
clevelandclinic.org/RenewYou
3
cleveland clinic | Facial Cosmetic Surgery Guide
Minimally Invasive cheek lift (Percutaneous Mid-Face Lift)
A mid-face lift, also called a cheek lift, addresses one of the early signs of
aging – sagging of the cheeks and the surrounding area. One of the newest
approaches to this procedure is the minimally invasive percutaneous mid-face
lift (PML). Developed by Cleveland Clinic facial aesthetic surgeons, PML can
be done with local anesthesia with light sedation. It is an outpatient procedure
that takes only about 20-30 minutes to complete and patients are generally
fully recovered within a week. And, unlike any other face-lifting procedure,
the results are adjustable or reversible, if necessary.
Neck Lift
A neck lift offers a smoother and more toned appearance to skin under the chin
and neck areas. Newer, less invasive procedures offer shorter operative times,
quicker recoveries and can result in significant improvement in the neckline
without requiring the extensive surgical dissection of a traditional face lift.
The procedure is significantly less expensive than a traditional face lift.
Neck lift surgery can be performed in a variety of ways. Typically, an incision
is made in front of and behind the ear. The edge of the sagging neck muscles
is identified and pulled up and secured. The resulting excess skin is removed
behind the ear hiding the incision. An alternate method popularized by Cleveland
Clinic surgeons involves creating an incision under the chin and tightening the
underlying muscle without removing skin and without the need for an incision
in front of the ear. Procedures are usually performed in half the time of a typical
face lift, and patients generally recover within one week to 10 days and usually
can return to work after the first week with only minor bruising.
face lift (Rhytidectomy)
Before
In the early days of cosmetic surgery, face lifts consisted of skin tightening only.
Most modern face lift techniques today consist of tightening both the skin and the
tissue beneath the skin in the cheek and the neck. There are many techniques. No
matter the technique, however, the principle is the same: tightening of the deeper
structures allows less tension to be put on the skin, which may lead to a longer
term result.
With most face lift procedures, a drainage tube is inserted during surgery. This will
be removed a day or two after surgery. All sutures are usually removed within five
to 10 days following surgery. Surgeons generally recommend that patients avoid
vigorous activity and arrange for post-surgery support from family and friends.
after
Recovery usually takes two to three weeks, though many patients go back to work
in two weeks. Scars are well concealed in natural skin creases and along the hairline or, if necessary, by makeup until total healing has occurred. Bear in mind that
the aging process continues after surgery and that some relaxation of tissues will
occur in the first few weeks.
Patient before face lift (top) and
two years after face lift (bottom).
4
clevelandclinic.org/RenewYou
cleveland clinic | Facial Cosmetic Surgery Guide
Eyelid and Brow Lifts
Eyelid Surgery (Upper Lid Blepharoplasty)
Before
This procedure is aimed at removing excess skin and fat in the upper eyelids. It
typically is done under local anesthesia combined with conscious sedation (“twilight sleep”) and has one of the most rapid recoveries of any facial plastic surgery
procedure. The entire procedure takes approximately 45 minutes to an hour and
the pain is minimal in most cases. Some minor swelling and bruising may last a
few days, and most patients are completely recovered after a week. These procedures may be combined with brow lifts to achieve the best effect.
Eyelid Surgery (Lower Lid Blepharoplasty)
after
This procedure addresses the puffiness of excess fat and the wrinkling of excess
skin in the lower eyelids. For those patients with excess fat and little or no excess
skin, the procedure can be performed by making the incision inside the eyelid
(transconjunctival), avoiding a scar on the skin. For those patients with excess
skin and fat, an incision is made just below the eyelashes, where it can be well
hidden.
Patient before cosmetic eyelid
surgery (top) and six weeks after
cosmetic eyelid surgery (bottom).
Your surgeon will use an endoscope (a pencil-like camera device) inserted
through a different incision, where the forehead skin is lifted and the muscles and
underlying tissues are removed or altered to produce a smoother appearance.
Brow Lift
Also called a forehead lift, this procedure corrects a low-positioned or sagging
brow, smooths furrows across the forehead and between the brows, and helps
restore a more youthful appearance
A forehead lift can be done in a number of ways. The conventional “open”
method involves making one continuous incision starting at ear level and moving
up around the hairline. The incision is usually made well behind the hairline to
hide the scar.
Cleveland Clinic Cosmetic & Plastic Surgery Center surgeons offer innovations in
forehead lift procedures including the use of smaller incisions and endoscopic
technology to both elevate the eyebrows and reduce frown lines.
Before
With the endoscopic lift, instead of making one long incision, your surgeon will
make about three to five shorter incisions in the scalp, where an endoscope
(pencil-like camera device) is inserted into one of the incisions. This will allow
the surgeon to view the tissues and muscles from a screen and perform the procedure in a minimally invasive way.
after
Patient before brow lift (top) and six
months after brow lift (bottom).
clevelandclinic.org/RenewYou
5
cleveland clinic | Facial Cosmetic Surgery Guide
Ear Reshaping (Otoplasty)
Ccosmetic ear surgery can improve the shape, position or proportion of the ear. It
can correct a defect that is present from birth, an ear shape that becomes more
noticeable with development or misshapen ears caused by injury.
The ear is a complex composite structure of skin, cartilage and even small
muscles organized into a defined 3-D shape. Abnormalities in any of these components can result in a noticeable change in the shape of the ear. Careful analysis
of the nature of the abnormality is probably the most important step in performing any remodeling procedure.
Once a defined preoperative plan is formulated, the procedure consists of altering
the ear cartilage by suture and scoring (cartilage cutting) techniques. A dressing is placed over the ear for five days to help reduce the normal swelling that
occurs. The results are immediate and lasting.
Patient before cosmetic
ear surgery (left) and six
months after cosmetic
ear surgery (right).
Before
after
Before
after
Patient before cosmetic
ear surgery (left) and six
months after cosmetic
ear surgery (right).
6
clevelandclinic.org/RenewYou
cleveland clinic | Facial Cosmetic Surgery Guide
Office-Based Procedures
Numerous injection-based procedures are now available to help
reduce the signs of aging. These treatments can be done in a
short office visit with little to no downtime or recovery period.
These procedures are often ideal for individuals who are not quite
ready for facial plastic surgery or whose busy lifestyles make it
difficult for them to take time off for a cosmetic procedure.
Botox®
Botox is a drug that is used to weaken specific muscles that are responsible for
producing unwanted folds and wrinkles around the eyes, mouth and forehead
regions. The drug acts only at the site of injection and thereby has an excellent
safety profile. Within a few days of the injection, laugh lines and vertical creases
in the face will softly fade away. The effect lasts an average of three to four
months before re-treatment is necessary. The injections are most effective for
crow’s feet, vertical creases in the brow and lines in the forehead. Botox also can
be used to raise the eyebrows (chemical brow lift), raise the corners of the mouth
or correct minor sagging in the neck. The procedure is done in the office and
most patients return to work/daily activities immediately, avoiding the cost and
time of facial plastic surgery.
Before
Injectable Fillers, like Restylane®, Juvéderm® and Perlane®
As we age, the sagging of midfacial fat and skin results in the formation and
deepening of folds around our mouths. Similar folds also develop between the
corner of the mouth and the chin. As this process progresses, the folds become
deeper. Traditionally, a lift procedure is done to address this problem, but an
office-based alternative now is available. Injectable fillers are a close relative of a
naturally occurring substance in the body that is responsible for maintaining the
fullness of our soft tissues. Fillers can be injected to fill in the folds and return the
area around the mouth to a much more youthful appearance. This short procedure can be done in the physician’s office and, like Botox therapy, has little down
time associated with it. On average, injectable fillers last six to 12 months before
the body naturally reabsorbs the material.
clevelandclinic.org/RenewYou
after
Patient before Juvéderm
injection (top) and after
Juvéderm injection (bottom).
7
cleveland clinic | Facial Cosmetic Surgery Guide
Meet Our Surgeons
Cleveland Clinic Cosmetic & Plastic Surgery Center surgeons are well
known for their achievements, including performing the first near-total
face transplant in the United States. Many of our surgeons have
a specific area of clinical focus, giving us expertise and breadth in
all areas of cosmetic and reconstructive plastic surgery. Our multidisciplinary team will work closely with you to define your goals
and expectations and to offer the most appropriate procedure to ensure
your total satisfaction. During your consultation, your surgeon will go
over all the questions you may have about your individual situation.
Daniel Alam, MD
Section Head, Facial Aesthetic and Reconstructive Surgery
Staff Surgeon, Facial Plastic and Reconstructive Surgery
Head & Neck Institute
Appointed: 2002
Medical School: Johns Hopkins University
Residency: Head and Neck Surgery at Harvard Medical School
Fellowship: Facial Plastic and Reconstructive Surgery at University of California
Los Angeles Medical Center
Board-certified and member of the American Academy of Facial Plastic and
Reconstructive Surgery. Dr. Alam’s practice encompasses the entire range of
facial plastic surgery, including face lifts, eyelid and brow lifts, neck lifts, otoplasty, rhinoplasty, injectables and more. Dr. Alam combines traditional cosmetic
procedures with state-of-the-art minimally invasive techniques.
Location(s): Main Campus 9500 Euclid Avenue, A71
Cleveland, Ohio 44195
216.444.6691
Beachwood Family Health and Surgery Center
26900 Cedar Road
Beachwood, Ohio 44122
216.839.3740
8
clevelandclinic.org/RenewYou
cleveland clinic | Facial Cosmetic Surgery Guide
Steven Bernard, MD
Staff Surgeon, Department of Plastic Surgery
Dermatology & Plastic Surgery Institute
Appointed: 2006
Medical School: Case Western Reserve University School of Medicine
Residencies: Plastic and Reconstructive Surgery at University of Pittsburgh
Medical Center, Pittsburgh; General Surgery at University Hospitals, Cleveland
Fellowship: Hand and Microsurgery at University of Pittsburgh Medical Center
Board-certified by the American Board of Plastic Surgery, Dr. Bernard’s specialty
interests include the full range of cosmetic surgery, including all facial procedures, surgery of the breast, microsurgical breast reconstruction, hand surgery,
cleft lip and palate surgery, and microsurgery. Dr. Bernard has developed innovations in surgical techniques and has received numerous honors in recognition of
his professional achievements.
Location(s):
Main Campus
9500 Euclid Avenue, A60
Cleveland, Ohio 44195
216.444.4646
Westlake Family Health Center
30033 Clemens Road
Westlake, Ohio 44145
440.899.5555
Risal Djohan, MD
Staff Surgeon, Department of Plastic Surgery
Dermatology & Plastic Surgery Institute
Appointed: 2003
Medical School: Finch University of Health Sciences, Chicago Medical School
Residencies: General Surgery at Catholic Health Partners, Columbus Hospital
Fellowship: Plastic Surgery at University of Chicago Hospitals; Aesthetic Surgery
at Cleveland Clinic
Board-certified by the American Board of Plastic Surgery and American Board
of General Surgery, Dr. Djohan’s specialty interests include facial cosmetic and
plastic surgery, including facelifts (rhytidectomy), and cosmetic nose surgery
(rhinoplasty), as well as Botox® and injectable fillers. Additionally, his interests
include cosmetic and reconstructive breast surgery, liposuction, tummy tucks
(abdominoplasty) and microsurgery.
Location(s):
Main Campus
9500 Euclid Avenue, A60
Cleveland, Ohio 44195
216.444.4646
Strongsville Family Health Center
16761 SouthPark Center
Strongsville, Ohio 44136
440.878.2500
clevelandclinic.org/RenewYou
9
cleveland clinic | Facial Cosmetic Surgery Guide
Michael Fritz, MD
Staff Surgeon, Facial Plastic and Reconstructive Surgery
Head & Neck Institute
Appointed: 2003
Medical School: The Ohio State University
Residency: Otolaryngology/Head and Neck Surgery at Cleveland Clinic
Fellowship: Facial Plastic Surgery at the University of Minnesota
Board-certified and a member of the American Academy of Facial Plastic and
Reconstructive Surgery, Dr. Fritz’s practice encompasses the entire range of facial
plastic surgery, including face lifts, eyelid and brow lifts, neck lifts, otoplasty,
rhinoplasty, injectables and more.
Location(s):
Main Campus
9500 Euclid Avenue, A71
Cleveland, Ohio 44195
216.444.6691
Independence Family Health Center
5001 Rockside Rd, Crown Centre II
Independence, Ohio 44131
216.986.4160
Mark Hendrickson, MD
Section Head, Hand Surgery
Staff Surgeon, Department of Plastic Surgery
Dermatology & Plastic Surgery Institute
Appointed: 1995
Medical School: Georgetown University School of Medicine
Residency: General Surgery at Tulane University Hospital and Clinics, New
Orleans; Craniofacial and Microvascular Surgery at MIEMS Shock Trauma Center,
Baltimore
Fellowship: Plastic and Reconstructive Surgery at Johns Hopkins Hospital,
Baltimore; Maxillofacial Surgery at MIEMS Shock Trauma Center, Baltimore;
Hand Surgery at Curtis Hand Center at Union Memorial Hospital, Baltimore
Board-certified by the American Board of Plastic Surgery, Dr. Hendrickson’s
specialty interests include facial plastic and cosmetic surgery, including face lifts
(rhytidectomy), neck lifts, forehead lifts, body contouring, cosmetic injectable
fillers, fat injections, Botox® and breast reduction surgery.
Location(s):
Main Campus
9500 Euclid Avenue, A71
Cleveland, Ohio 44195
216.444.6691
10
clevelandclinic.org/RenewYou
Solon Family Health Center
29800 Bainbridge Road
Solon, Ohio 44139
440.519.6800
cleveland clinic | Facial Cosmetic Surgery Guide
Raymond Isakov, MD
Staff Surgeon, Department of Plastic Surgery
Dermatology & Plastic Surgery Institute
Appointed: 2006
Medical School: Chicago Medical School
Residency: General Surgery at Cleveland Clinic
Fellowships: Plastic Surgery at Cleveland Clinic; Aesthetic Facial Plastic Surgery
at Zeeba Clinic, Cleveland
Board-certified by the American Board of Plastic Surgery, Dr. Isakov’s practice
encompasses the entire range of cosmetic and reconstructive procedures, with a
specialty in facial cosmetic surgeries, including face lifts, eyelid and brow lifts,
otoplasty, rhinoplasty, injectables, breast augmentation, and breast reconstruction.
Location(s):
Main Campus
9500 Euclid Avenue, A71
Cleveland, Ohio 44195
216.444.6691
Solon Family Health Center
29800 Bainbridge Road
Solon, Ohio 44139
440.519.6800
Beachwood Family Health
and Surgery Center
26900 Cedar Road
Beachwood, Ohio 44122
216.839.3000
P. Daniel Knott, MD
Associate Surgeon, Facial Plastic and Reconstructive Surgery
Head & Neck Institute
Appointed: 2006
Medical School: University of California-San Diego
Residency: Otolaryngology/Head and Neck Surgery at Cleveland Clinic
Fellowship: Facial Plastic and Reconstructive Surgery at University of California
Los Angeles Medical Center
Board-certified by the American Board of Otolaryngology/Head and Neck Surgery
and board-eligible by the Academy of Facial Plastic and Reconstructive Surgery,
Dr. Knott’s practice encompasses the entire range of facial plastic surgery,
including face lifts, eyelid and brow lifts, neck lifts, otoplasty, rhinoplasty,
injectables and more.
Location(s):
Main Campus
9500 Euclid Avenue, A71
Cleveland, Ohio 44195
216.444.6691
Independence Family Health Center
5001 Rockside Rd, Crown Centre II
Independence, Ohio 44131
216.986.4000
clevelandclinic.org/RenewYou
11
cleveland clinic | Facial Cosmetic Surgery Guide
Armand Lucas, MD
Staff Surgeon, Department of Plastic Surgery
Dermatology & Plastic Surgery Institute
Appointed: 1993
Medical School: Dartmouth Medical School
Residency: General Surgery at Berkshire Medical Center, Pittsfield, Mass.
Fellowship: Plastic Surgery at Cleveland Clinic (included training in
maxillofacial surgery)
Board-certified by the American Board of Plastic Surgery, Dr. Lucas’s practice
encompasses the entire range of cosmetic and reconstructive procedures, with
specialty interests in facial cosmetic surgery, body sculpting, breast surgery and
reconstructive surgery. Dr. Lucas has been named one of America’s Top Docs for
seven consecutive years and is the recipient of three Golden Scalpel Awards.
Location(s):
Main Campus
9500 Euclid Avenue, A60
Cleveland, Ohio 44195
216.444.4646
Beachwood Family Health
and Surgery Center
26900 Cedar Road
Beachwood, Ohio 44122
216.839.3000
Jennifer Lucas, MD
Staff Surgeon, Department of Dermatology
Dermatology & Plastic Surgery Institute
Appointed: 2010
Medical School: Northeastern Ohio Universities College of Medicine
Residency: Dermatology at Cleveland Clinic
Fellowship: Mohs Surgery at Cleveland Clinic
Board-certified by the American Academy of Dermatology, Dr. Lucas
specializes in Botox®, cosmetic injectable fillers including hyaluronic acid,
laser treatment procedures, vein treatment (sclerotherapy), and eyelash
growth treatments (Latisse®).
Location(s):
Independence Family Health Center
5001 Rockside Rd, Crown Centre II
Independence, Ohio 44131
216.986.4000
12
clevelandclinic.org/RenewYou
cleveland clinic | Facial Cosmetic Surgery Guide
Francis Papay, MD
Chair, Dermatology & Plastic Surgery Institute
Section Head, Craniomaxillofacial Surgery
Appointed: 1992
Medical School: Northeastern Ohio Universities College of Medicine
Residencies: Plastic and Reconstructive Surgery at Cleveland Clinic;
Otolaryngology at Cleveland Clinic
Fellowship: Craniomaxillofacial/Pediatrics at Primary Children’s Medical Center,
Salt Lake City, Utah
Board-certified by the American Board of Plastic Surgery and the American Board
of Otolaryngology, Dr. Papay specializes in the entire range of plastic surgery procedures and has performed thousands of cosmetic facial procedures throughout
his career, including face lifts, eyelid and brow lifts, neck lifts, otoplasty, rhinoplasty, injectables and more. He is recognized as one of America’s Top Docs in
plastic surgery.
Location(s):
Main Campus
9500 Euclid Avenue, A60
Cleveland, Ohio 44195
216.444.4646
Westlake Family Health Center
30033 Clemens Road
Westlake, Ohio 44145
440.899.5555
Beachwood Family Health
and Surgery Center
26900 Cedar Road
Beachwood, Ohio 44122
216.839.3000
Julian Perry, MD
Cole Eye Institute
Appointed: 2000
Medical School: Columbia University College of Physicians and Surgeons
Residencies: Wills Eye Hospital, Philadelphia
Fellowship: Ophthalmic Plastic and Reconstructive Surgery at Jules Stein Eye
Institute, University of California Los Angeles
Board-certified by the American Academy of Ophthalmology, Dr. Perry’s specialty
interests include aesthetic facial surgery including cosmetic eyelid surgery (blepharoplasty), Botox®, cosmetic facial surgery, laser resurfacing, and ophthalmic
plastic and reconstructive surgery.
Location(s):
Main Campus
9500 Euclid Avenue, A60
Cleveland, Ohio 44195
216.444.4646
clevelandclinic.org/RenewYou
13
cleveland clinic | Facial Cosmetic Surgery Guide
J. Vicente Poblete, MD
Staff Surgeon, Department of Plastic Surgery
Dermatology & Plastic Surgery Institute
Appointed: 2010
Medical School: University of Virginia School of Medicine
Residencies: General Surgery at St. Vincent’s Hospital and Medical Center, New
York Medical College, New York; Facial Plastic and Reconstructive Surgery at
New England Deaconess Hospital – Harvard Medical School, Boston
Fellowships: Hand Surgery at Columbia-Presbyterian Medical Center, Columbia
University; Cosmetic Surgery at Plastic Surgery Center of the Pacific, Honolulu
Board-certified by the American Board of Plastic Surgery and the American Board
of General Surgery, Dr. Poblete’s specialty interests include cosmetic and facial
plastic and reconstructive surgery.
Location(s):
Avon Lake Family Health Center
445 Avon Belden Road, Suite B-4
Avon Lake, Ohio 44012
440.930.6800
Elyria Family Health and
Surgery Center
303 Chestnut Commons Drive
Elyria, Ohio 44035
440.366.9444
Silvia Rotemberg, MD
Staff Surgeon, Department of Plastic Surgery
Dermatology & Plastic Surgery Institute
Appointed: 2006
Medical School: Faculdade de Medicina do ABC Medical School,
Sao Paulo, Brazil
Residencies: Plastic Surgery at University Hospitals; General Surgery at
University Hospitals, Cleveland
Fellowships: Plastic Surgery at Cleveland Clinic; Aesthetic Surgery at
Cleveland Clinic
Board-certified by the American Board of Plastic Surgery, Dr. Rotemberg
specializes in aesthetic plastic surgery, including surgical and non-surgical
facial enhancement, body contouring after significant weight loss, cosmetic
surgery of the breast and abdomen, and liposuction.
Location(s):
Main Campus
9500 Euclid Avenue, A60
Cleveland, Ohio 44195
216.444.4646
14
clevelandclinic.org/RenewYou
Beachwood Family Health
and Surgery Center
26900 Cedar Road
Beachwood, Ohio 44122
216.839.3069
cleveland clinic | Facial Cosmetic Surgery Guide
Randall Yetman, MD
Section Head, Breast Surgery, Department of Plastic Surgery
Dermatology & Plastic Surgery Institute
Appointed: 1983
Medical School: University of Miami Miller School of Medicine
Residencies: Plastic Surgery at New York Hospital Cornell Medical Center;
General Surgery at Montefiore Medical Center, New York
Fellowships: Hand Surgery at Cleveland Clinic
Certified by the American Board of Plastic Surgery, Dr. Yetman’s practice
encompasses the complete range of cosmetic and reconstructive surgery,
with specialty interests in cosmetic facial surgery, breast surgery, breast
reconstruction, microvascular surgery and melanoma. He is a recipient
of a national Top Doctor honor from Ladies’ Home Journal and a national
Best Doctors award from Redbook magazine.
Location(s):
Main Campus
9500 Euclid Avenue, A60
Cleveland, Ohio 44195
216.444.4646
Beachwood Family Health
and Surgery Center
26900 Cedar Road
Beachwood, Ohio 44122
216.839.3069
James Zins, MD
Chair, Department of Plastic Surgery
Dermatology & Plastic Surgery Institute
Appointed: 1983
Medical School: University of Pennsylvania School of Medicine
Residencies: Plastic Surgery at Hospital of University of Pennsylvania; General
Surgery at Hospital of University of Pennsylvania
Fellowships: Craniofacial Research at Hospital of University of Pennsylvania;
Maxillofacial at Hospital for Sick Children, London
Certified by the American Board of Plastic Surgery, Dr. Zins is recognized as one
of America’s Top Docs in plastic surgery. His practice encompasses the entire
range of plastic surgery procedures, with a specialty in cosmetic facial procedures
including face lifts, eyelid and brow lifts, otoplasty, rhinoplasty and injectables.
Dr. Zins popularized the minimally invasive neck lift at Cleveland Clinic.
Location(s):
Main Campus
9500 Euclid Avenue, A60
Cleveland, Ohio 44195
216.444.4646
clevelandclinic.org/RenewYou
15
Facial Cosmetic Procedures Web Chats
To read web chat transcripts featuring Cleveland Clinic Cosmetic &
Plastic Surgery Center surgeons discussing many of the facial
procedures covered in this guide, visit clevelandclinic.org/health/chatreg.
For more information
For more information about all cosmetic surgery procedures, to
schedule a consultation with one of our specialists and more, visit
Cleveland Clinic Cosmetic & Plastic Surgery Center online at
clevelandclinic.org/RenewYou.
10-PSX-010