Art of Facial Surgery Cosmetic Surgery and Plastic Surgery Toronto

Learn how Art of Facial Surgery can help you Look Your Best and Feel Your Best with Botox Cosmetic. Botox Cosmetic has been introduced in 2002 and is approved by FDA and health Canada. Botox Cosmetic has over 11 million proven results for women and men. There is no surgery and no recover time required. To learn more about how Botox Cosmetic works, call 416-229-1050 for your free consultation.

What is BOTOX® Cosmetic?

BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to improve the look in people 18 to 65 years of age for a short period of time (temporary). BOTOX® Cosmetic is administered by a healthcare professional as a simple, nonsurgical treatment that is injected directly into the muscles.

How does BOTOX® Cosmetic work?

BOTOX® Cosmetic is a prescription medicine that is injected into muscle. To look more about how Botox Cosmetic works, call Dr. Ellis at 416.229.1050

When will I see results from a BOTOX® Cosmetic treatment?

Botox Cosmetic work within days, usually 3 to 14 and results can last for up to 4 months. Individual results may vary.

How long does BOTOX® Cosmetic last?

Visible results have been shown to last up to 4 months.1 Your own results may vary - be sure to talk to your healthcare provider about what you can expect and when to schedule your next appointment.

Who should administer BOTOX® Cosmetic?

A healthcare professional should be chosen to administer Botox Cosmetic. Dr. David Ellis, Dr. Nitin Chauhan and Tammy Mclean, Registered Nurse Injector are available to meet with you to tell you more about Botox Cosmetic and help you look your best.

Is treatment with BOTOX® Cosmetic painful?

Discomfort is usually minimal and brief. Prior to injection, Dr. Ellis may choose to numb the area with a cold pack or anesthetic cream. The entire procedure takes approximately 10 minutes. Most patients are in and out of the office without downtime following BOTOX® Cosmetic treatment.

Side effects associated with the injection include localized pain, infection, inflammation, tenderness, swelling, swelling, redness, and/or bleeding/bruising.

Will I still be able to make facial expressions?

Although the results are visible, a treatment with BOTOX® Cosmetic (onabotulinumtoxinA) will not radically change your facial appearance or make you look as if you've "had work done.".

Who should not take BOTOX® Cosmetic?

Do not take BOTOX® Cosmetic if you:

* are allergic to any of the ingredients in BOTOX® or BOTOX® Cosmetic. See the Medication Guide for a list of ingredients in BOTOX® and BOTOX® Cosmetic.
* had an allergic reaction to any other botulinum toxin product such as Myobloc® or Dysport®
* have a skin infection at the planned injection site

You should not be treated with BOTOX® Cosmetic if you have:

* a disease that affects your muscles and nerves (such as amyotrophic lateral sclerosis [ALS or Lou Gehrig's disease], myasthenia gravis or Lambert-Eaton syndrome). See "What is the most important information I should know about BOTOX® and BOTOX® Cosmetic?" in the Medication Guide
* allergies to any botulinum toxin product
* had any side effect from any botulinum toxin product in the past
* a breathing problem, such as asthma or emphysema
* swallowing problems
* bleeding problems
* plans to have surgery
* had surgery on your face
* weakness of your forehead muscles, such as trouble raising your eyebrows
* drooping eyelids
* any other change in the way your face normally looks
* are pregnant or plan to become pregnant. It is not known if BOTOX® Cosmetic can harm your unborn baby.
* are breast-feeding or plan to breastfeed. It is not known if BOTOX® Cosmetic passes into breast milk.

What are the possible side effects of BOTOX® Cosmetic?

BOTOX® and BOTOX® Cosmetic can cause serious side effects. See "What is the most important information I should know about BOTOX® and BOTOX® Cosmetic?" in Medication Guide.

Other side effects of BOTOX® Cosmetic include:

* dry mouth
* discomfort or pain at the injection site
* tiredness
* headache
* neck pain
* eye problems such as double vision, blurred vision, decreased eyesight, drooping eyelids, swelling of your eyelids, and dry eyes
* allergic reactions; symptoms of an allergic reaction to BOTOX® or BOTOX® Cosmetic may include: itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Tell your doctor or get medical help right away if you are wheezing or have asthma symptoms, or if you become dizzy or faint.

Tell Dr. Ellis if you have any side effect that bothers you or that does not go away. These are not all the possible side effects of BOTOX® and BOTOX® Cosmetic. For more information, ask Dr. Ellis.

What will happen to the moderate to severe frown lines between my brows if I choose not to continue treatments?

If you do not continue treatments, your appearance will gradually return to the way they looked before treatment.

Do treatment results differ?

Yes, individual results may vary. To get the best results, it's important to go to a doctor who is experienced in administering BOTOX® Cosmetic.

Is BOTOX® Cosmetic expensive?

The average cost of BOTOX® Cosmetic is approximately $400. Pricing may vary.
Dr. Ellis would be happy to meet with you for a free consultation to tell you more about Botox Cosmetic and give you customized quotation.

Is Botox safe? What the side effects of Botox?

Dr. Ellis promotes the idea that Botox is safer to use than aspirin. This is because the substance is biological, and impurities are removed from Botox under rigidly enforced regulations. The process under which Botox is created minimizes side effects, though rare it is still possible for patients to notice bruising, and undesired muscles becoming affected by the injection. The result of Botox injections varies among patients, but mens facial muscles tend to require more of the substance due to their size and strength.

Although there are more common areas of the face for men and women to receive Botox injections, below is a list of other injection sites that have proven effective as well such as:

* Facial Areas
* Eyebrows to acquire a different shape
* Lower eyelids to smooth lines in the muscle ridge
* Corners of the mouth to prevent a down-turned look
* Upper lip to reduce lines
* Nasal tip muscles for a down-turned nose
* Chin to prevent movement when the lips press together
* Masseter muscle of the lateral jaw to prevent the bulge in wide jaws, prevalent in Asians
* Anterior cords of the neck to tighten them
* Under Arms (Axilla Hyperhydrosis), for unwanted/excess sweating

Rhinoplasty Toronto (Nose Job)

The rhinoplasty procedure is one of the most common cosmetic surgeries performed by facial plastic surgeons. The nose is located in the center of the face, therefore drawing more attention than other features. It can also be seen from many angles, unlike other facial features. Because many women tend to have their father's nose, they feel it is too masculine for their more delicate features. Commonly, females come to Dr. Ellis requesting a reduction in the size of their nose, as well as a more delicate structure and tip as a part of their rhinoplasty. Men often prefer a less pronounced nose, or inversely a larger and less feminine version of their nasal anatomy. Generally, Caucasians have humps removed from their nose, and the bridges built closer to the face. Asian and African American patients seem to request the opposite in nose jobs, hoping for higher and more refined bridges. Although these are cases Dr. Ellis is frequented with, many other alterations can be made to the nose of a person of either gender and any race.

Rhinoplasty Procedure Explained

Rhinoplasty surgery can drastically change one's face or create minimal refinements, depending on the wishes of the patient. A person=s bone structure, skin, and other aspects of their anatomy also play a role in the unique differences made to the nose during this surgery.

A rhinoplasty can be performed by Dr. Ellis using an open procedure or a closed procedure. An open rhinoplasty is slightly more invasive and requires another incision to be made outside of the nose, on the underside of skin that connects the two nostrils. This technique is more commonly used as it allows Dr. Ellis more room to work. A minor scar may be present for a few months and slowly fades in time. A closed procedure does not require any external incisions. Dr. Ellis can discuss these rhinoplasty options with you at your consultation, and will inform you which procedure best suits your aesthetic needs.

Potential changes to the nose during a rhinoplasty are briefly explained in the above section, however, there are numerous possible alterations that can be made. Virtually any aspect of the nose can be changed, from the bridge to the nostrils. The entire nose can be minimized or enlarged, the tip can be shaped and sized differently, the relationship between the nose and upper lip can be altered, and breathing problems can be fixed.

Dr. Ellis feels that patients with good health and reasonable ideas of their surgical outcomes will benefit the greatest. It is in the best interest of the rhinoplasty recipient to be fully grown, or at least have completed their pubescent growth spurts which occur around age fifteen for girls, age seventeen for boy. The final outcome of the rhinoplasty can be altered by further physical maturation. The only scenario when it is appropriate for a child to receive a rhinoplasty is when the nose is crooked, or if the child has a deviated septum or other problems breathing.

The side profile is an important aspect of the entire nose job surgery. Because the face should look balanced from all angles, it may be necessary to alter the appearance of the chin as well as the nose. It is common for rhinoplasty patients to also undergo a chin implant to create facial harmony and create the correct proportions when the face is looked at from the side. This concept is often easier to comprehend through a digital imaging session with Dr. Ellis. He will show you a combination of different noses and chins and how the angle between the two affect your face. Although you may not require a chin implant, digital imaging also benefits those solely receiving a rhinoplasty, or another facial plastic surgery.

A rhinoplasty surgery is performed on an outpatient basis in Dr.Ellis operating room under sedation and local or general anesthesia. A nose job can take as little as one hour to perform, but under certain circumstances may take longer. There is no need to remain hospitalized, but it is recommended that you have someone care for you for the first full day following your surgery. The anesthesia causes drowsiness, and your sinuses will feel congested. To avoid nosebleeds and discomfort, you will be advised not to bend over while standing up, or lift heavy objects for two weeks. A semi-hard cast will be placed on the nose to uphold its new shape, and packing may be inserted into the nostrils to collect excess blood and drainage in rare cases.

Although some nasal procedures cause more pain than others, Dr. Ellis found in a study conducted by his office that one fourth of his patients did not take any medicine for pain following their rhinoplasty; pain medicine will be prescribed anyhow. Three to five days after the rhinoplasty, your cast will be removed. Bruising and swelling will occur, but this gradually disappears in the following weeks. Your nose will look much more normal about two weeks post-operatively. Drainage from the nose may occur for over a week after surgery, but since you shouldn't blow your nose for two weeks, use a Q-tip to dab at it gently. The nose may feel stuffed for several weeks beyond your rhinoplasty. Exercise, sports, and the sun must be avoided for eight weeks, or two full months.

Although uncommon, risks are associated with all surgeries. With the rhinoplasty, patients may have a sensitivity to the anesthesia, suffer nosebleeds, infection, excessive swelling, and the need for another rhinoplasty surgery.

A forehead lift, also known as a brow lift, is a surgical procedure designed to minimize the visible signs of aging in the forehead area and improve drooping eyebrows. By raising the eyebrows, the eyes become much brighter and bigger. It has been said that the eyebrows frame the eyes and define your face. Eyebrow position can naturally be low or may move downwards with aging such that the upper eyelids look heavy. People who can benefit from having their brows elevated can be as young as in their late twenties, up to and beyond their fifties.

Forehead lifts are performed in Dr. Ellis office under a combination of sedation and local anesthesia, usually as an outpatient surgery. Another option is for the forehead lift to be performed under total intravenous anesthesia, and an anesthesiologist must be present to administer the medication as well as monitor it.

A forehead lift is performed in one to two hours, depending on how complicated the specific case deems to be. The majority of forehead lifts are performed endoscopically, which is a minimally invasive procedure using a camera to view the area underneath the skin. This produces less scarring as only 4 incisions are made away from the hair line.

Forehead lifts are not only for women, and there is a special procedure that balding men can elect to undergo. Dr. Ellis can perform the surgery utilizing the upper eyelids to make his incisions leaving behind no visible scars. After the eyebrows are raised to the desired position and the skin on the forehead is tightened, a sterile bandage secures and protects the forehead.

After Forehead Lift Surgery

After the forehead lift surgery, many patients reveal they have only a minimal amount of discomfort. Prescribed medications can control the inflammation as well as the pain. The area may feel numb or tight, and often itchy as nerves repair themselves from the temporary damage caused by surgery. Itching is less common with the endoscopies procedure since the incisions are less significant.

It takes a full ten days for the skin to heal sufficiently enough for stitches to be removed, however it generally takes half the amount of time for a person to resume normal activities. Although able to return to work at this time, physical strain and labor must wait until two weeks after the patient has undergone the forehead lift surgery.

Although this is a minor procedure, we want out patients to understand that all surgeries carry some potential risks. Complications that may arise from a forehead lift surgery are a reaction to the medication or anesthesia, infection, numbness and damage to the nerves, and a necessary correctional cosmetic surgery to accompany the first. Asymmetry can occur in any cosmetic procedure, and proves especially hard to correct in a forehead lift.

Dr. Ellis takes a careful approach as to not give his patients a "shocked look" with very high brows unless that is what they specifically ask for.

The accumulation of skin and fat around the upper and lower eyelids occurs naturally as you age, but unfortunately this gradual change serves no function and can actually irritate the eyes and impede your vision. If the upper eyelid is affected, the eyes appear sunken and tired and the eyelid itself looks exaggerated and inflated. When the fat and skin collect around the lower eyelid, crow's feet and bags are evident. If you can relate to any or all of this, it may be time to see Dr. Ellis about an eyelid surgery, also known as an eyelid lift.

A cosmetic eyelid surgery may be performed on the upper eyelid, lower eyelid, or both. A precision laser removes skin, fat, and muscle from under the upper eyelid to conceal potential scarring. Eyelid surgery performed on the lower lid is slightly different. The sagging skin is removed or treated with a laser to tighten and free it from wrinkles.

A Better Understanding of Eyelid Surgery

Dr. Ellis feels the best candidates to receive an eyelid surgery in his Toronto office may be of either gender, healthy, and have a sensible idea of what he can do for them. The common goal is to make the eyes look at good as possible. Eyelid surgery can be performed on an adult of any age, though Dr. Ellis' patients tend to be thirty-five years and beyond.

Eyelid surgery is minimally invasive, and commonly performed in Dr. Ellis' operating room within his office, with the patient free to return home afterward. The cosmetic procedure may also take place in an outpatient surgical facility or a hospital, with regards to the comfort and discretion of the plastic surgeon.

An eyelid surgery may take as little as one hour, or as many as three hours to wrap up the final stage of surgery. The type of anesthetic used will differ, and may be a sedation combined with a local anesthesia or general anesthesia.

Post-operatively, our patients should be in the care of a responsible adult for the first twenty-four hours following the eyelid surgery. It may be difficult for an eyelid lift patient to see due to tearing, swelling, and a sensitivity to light. Other side affects of the surgery are eye irritation, tight skin around the area of surgery, and bruising. Usually a bandage is applied to the eyes following the eyelid surgery so they are protected and can heal in a sterile environment. Two days to one week after the eyelid surgery, Dr. Ellis or one of his staff members will remove the sutures, and you may return to work within the next few days. If it is deemed safe, makeup can be worn at this time to help conceal bruising. The swelling should subside in about two weeks, and may last up to a full month. As the swelling goes down, contact lenses may be worn. It is advisable to wait three full weeks after your eyelid surgery to strain your body or drink alcohol.

Although precision and skill are used in every cosmetic facial surgery Dr. Ellis performs, there are still risks associated with any kind of surgery. Complications that may arise from the eyelid surgery are whiteheads, excessive bleeding, infection, dryness, an undesirable outcome, blurred vision, and very uncommonly blindness.

Mid Face Lift Procedure

Collapsed mid face with shrinkage of the cheek mound leads to a haggard drawn appearance. This starts to occur in the forties. It is corrected through a small incision in the upper gum line where a mid face implant is inserted giving a more youthful appearance to the cheeks. Recovery from this surgery is quick, and most patients can be socially acceptable in 10 - 14 days.

Additional Mid Cheek Implant Information

The best candidate for mid cheek implants is a man or woman who is physically healthy, realistic in their expectations, and interested in adding fullness to the mid face. Cheek augmentation surgery is typically performed in a surgeon's office-based facility or an outpatient surgical center. General anesthesia or a combination of local anesthesia and sedation is commonly used, and the procedure usually takes between one and two hours to perform.

After surgery, it's normal to experience mild to moderate discomfort during the first day or two, and this can be controlled with pain medication. Bruising and swelling is common and the majority of it tends to fade within two weeks though some swelling can persist for a month or longer. Numbness can also occur. The stitches are typically removed within five to ten days or dissolvable sutures will dissolve on their own in about the same time. Most patients find that they can return to work within a week after the procedure, though patients may choose to wear camouflage cosmetics to help disguise bruising. More strenuous activities should be avoided for four to six weeks. The potential complications associated with cheek augmentation include asymmetry, hematoma, hyper pigmentation, implant shifting, infection, numbness, and the need for additional surgery to remove and/or replace the implant.

Cosmetic surgery including mid cheek face lift.

Good bone structure is a contributing factor to facial harmony, which essentially equates to an attractive face. Prominent and high cheekbones create a refined, polished look. This ideal feature is appealing, as when cheeks lie flat the mid-section of the face can appear plump. If you desire the look often seen in models or celebrities, cheek implants will benefit your face. Cheek implants are fit into the cheek area through the gum line of the upper jaw and secured to overlay the existing cheek bone, enlarging the cheek. The healing process for a cheek implant surgery is quite minimal compared to most cosmetic surgeries. One week should be sufficient for most patients to feel confident in public.

Understanding Cheek Bone Surgery

Ideal patients for a cheek bone implant surgery are seeking additional height to their cheek bones, and are in good health. Potential patients should also understand all aspects of the surgery, and know what the expected outcome is for their particular case. A cheek augmentation takes as little as an hour and up to two hours to perform, often with general anesthesia or sedation and local anesthesia. Cheek implant surgery usually takes place in a surgeon=s facility or a surgical center, and the patient is able to return home after the procedure is completed.

Following this facial cosmetic surgery, bruising and swelling are a normal and expected occurrence. If pain is associated with these minor symptoms, prescription pain medication will minimize the pain. The sutures placed in the skin after surgery will be taken out in five to ten days, unless they are a special kind of suture that are absorbed into the body in about the same time. Two weeks post-operatively, the majority of the swelling will have gradually grown fainter, but may remain to a degree for four or more weeks following the cheek implant surgery. Make up will help to conceal the aftermath of the surgery until it disappears..

A week following the surgery, patients are usually able to return to their job, but activities requiring exertion must be postponed until four to six weeks following the cheek augmentation. Some possible issues that may arise with this facial cosmetic surgery are infection, a loss of sensation, hyper pigmentation, shifting or uneven cheek implants, and an additional or removal cheek implant surgery.

Ablative Lasers

Ablative lasers includes lasers such as the Pearl, Pearl Fractional and Fraxel CO2 re:pair. Each varies in aggressiveness, downtime and number of treatments to achieve the desired results. The Fraxel CO2 re:pair laser treats deeper lines and acne scarring. It is often used to resurface wrinkles of both the lower eyelid and upper lip and deep wrinkles of the cheeks. Recovery time from ablative laser treatment is slightly longer with most patients being socially acceptable with make-up or camouflage 2 weeks after treatment. Patients treated with Ablative lasers will have pinkness of the treated areas which usually disappears 6 weeks after CO2 laser therapy.

Pearl

Pearl is the "one laser to choose" to renew your skin's surface with quick, visible results. Pearl treats fine lines on the face and neck, uneven skin texture and light & dark spots caused by sun damage. It can be used in younger patients from 30-45 years of age During a Pearl treatment, the top layer of the skin is treated with pulses of light. A portion of the epidermis (skin surface) is gently removed and a natural protective dressing is formed on the skin's surface. Most patients feel a series of brief pinches during the treatments. After 3-4 days, the protective dressing peels off revealing new, healthy, vibrant skin underneath.

The Pearl laser replaces the entire top sun-damaged layer of skin with new healthy skin. Simultaneously, it sends heat to deeper layers of the skin stimulating new collagen growth, filling out and decreasing fine lines and fine wrinkles. New collagen growth continues up to 6 weeks post-treatment. The combination of new skin and decreased wrinkles results in a healthier, more youthful appearance.

Unlike "fractional" treatments, Pearl treats the entire face, minimizing the number of required treatments. Typically, only 1-2 treatments are necessary to renew your skin 4-6 weeks apart

Pearl Fractional

Pearl Fractional is a new, fractional, single treatment laser designed to improve imperfections due to aging and sun damage. Pearl Fractional offers the best combination of safety, patient experience and recovery time. Patients also notice a smoother, brighter complexion overall with improved texture, and improved minor wrinkles.

During the procedure, the laser uses heat to create tiny microscopic holes deep in the skin. The process removes sun-damaged tissue and then stimulates the growth of healthy, new skin, full of fresh collagen. This plumps the skin from below, repairing photodamage and other skin imperfections.

Fractional therapy describes a treatment that affects only a fraction or small percentage of the skin. With Pearl Fractional, laser pulses treat damaged cells deep in the skin. This fractional treatment selectively removes columns of tissue leaving surrounding skin intact. This treatment shortens healing time and stimulates the body's own natural process for creating new collagen, plumping the skin from below and reversing photo aging and other imperfections.

* Tiny microscopic holes (less than the size of a pore) ensure maximum results in one treatment
* Controlled energy means a more comfortable patient experience
* Treatments are safe and effective with rapid recovery

Often, with extensive sun damage, Dr. Ellis uses the Pearl and Pearl Fractional together. This is called Pearl Fusion and really helps with the skin's surface as well as the minor wrinkles.

FRAXEL CO2 Repair

The range of Fraxel treatments vary in aggressiveness, downtime, number of procedures needed and results. The most aggressive treatment, Fraxel CO2 re:pair, can produce dramatic improvement for severely damaged skin. This is a single treatment procedure, but will require more downtime and after treatment wound care. Fraxel re:pair treatment is a preemptive strike against a facelift. The treatment tightens skin and corrects severe damage. What it treats: wrinkles, irregular texture, age spots/sunspots, sun-induced redness. Downtime: Most return to routine activities after a week. Compared to the Pearl Fractional treatment, this laser is best for more severe skin problems. This laser generates more heat that the Pearl Fractional thus encouraging more laying down of new collagen and skin tightening.

The ideal candidate for laser resurfacing is someone who is physically healthy, realistic in their expectations, and looking to improve the appearance of fine wrinkles, scars, or areas of uneven pigmentation on the face and neck. This procedure may not be appropriate for those patients with darker skin tones including olive, brown, or black as they may be at increased risk for permanent skin pigmentation changes. Laser resurfacing is typically performed as an outpatient procedure and can take place in Dr. Ellis' office-based facility. Local anesthesia combined with intravenous sedation is most commonly used, although total intravenous anesthesia (TIVA) may be used if requested. Depending upon the size of the area being treated, the procedure can take anywhere from a few minutes to two hours to complete. In some severe cases, more than one treatment session may be required. Dr. Ellis will address the recommended number of treatments during the consultation process.

Patients typically experience some mild swelling and minimal discomfort after the procedure which can be controlled by applying ice packs or cold Vaseline, or with pain medication prescribed by Dr. Ellis. Vaseline is applied topically for 7 days to speed the healing process. Redness from the procedure usually lasts a few weeks, although makeup can be worn after 1 week to help conceal it. Most patients are able to return to work approximately 10 days weeks following laser treatment. It is important that patient's avoid strenuous activities for two weeks, and minimize sun exposure until the redness disappears to optimize their results.

The potential complications that can occur with laser resurfacing include abnormal changes in skin pigmentation, scarring, infection, and burns or other heat-related injuries.