How do we slow down the visual effects of the aging process that affect our face? Wear and tear become more pronounced and the ever-present gravity tugs at us and it shows in our face most noticeably. The mirror talks to us. It is not necessarily the ‘youthful look’ that we regret slipping away, it is often the changes in our face we do not like to see happening. Dr. Gene Moor can address these changes and use his excellent skills to help you feel better about your stage in life. Not all patients need to start off with the face lift: individual procedures like eyelid surgery, neck lift, brow lift may be all that is necessary to address your particular concern.
He will recommend non invasive treatments (Botox, Fillers, Skin Refreshing and Resurfacing as well as Laser)..
Dr. Gene Moor will guide you in the choice of non-surgical rejuvenation treatments and advise you when surgical procedures will give you the best results. There are many techniques that can help push back the clock of time that we at ALABAMA PLASTIC SURGERY are well familiar with.
These procedures are a first line of defense against the inevitable changes that we experience. Later these non-invasive procedures gradually lose their primary effectiveness and we will turn to secondary anti-age related surgical procedures. It may be time for a Blepharoplasty, Neck lift, Facelift, Brow lift, and even Rhinoplasty.
There is no one operation that can be considered the definitive procedure. Dr. Gene Moor will analyze your face and neck and evaluate which technique is best for you. The trend is towards less aggressive, less invasive techniques with shorter scars, less down time and easier recovery periods. The Short Scar Macs lift is a preferred technique by Dr. Gene Moor for this purpose. This procedure is not for everyone and the more traditional facelift may be the better choice for those patients.
Dr. Gene Moor at ALABAMA PLASTIC SURGERY in Birmingham, Alabama 35223 will help you make these decisions after he has analyzed your face at your consultation.
Please visit specific procedures and learn more about facial plastic surgery at ALABAMA PLASTIC SURGERY in Birmingham, Alabama 35223
At ALABAMA PLASTIC SURGERY in Birmingham, Alabama. A Facelift helps improve the visible signs of aging by removing excess skin and excess fat, tightening underlying muscles and re-draping the skin of your face and neck. Facial aging is an ever continuing process with many contributing factors. The more Extended Facelift will carry the incision around and behind the ear and into the scalp posteriorly. The neck can be accessed through a small incision under the chin. Dr. Eugene Moor will analyze your face and suggest to you what technique(s) will help you improve your overall look. There is no one operation that can be considered as the definitive procedure. After evaluation, Dr. Gene Moor will advise you and tell you which technique(s) he recommends. The trend is towards less aggressive, less invasive techniques with shorter scars, less down time and easier recovery periods. The Short Scar Mac Lift (SSM) is a preferred technique by Dr. Gene Moor for this purpose. This SSM procedure is not for everyone and the more traditional facelift may be the better choice for those patients. You should think carefully about your expectations and discuss them with Dr. Moor.
Although a facelift improves the physical signs of aging, it does not prevent the natural aging process. The stresses of every day life, genetics, thinning of the skin, loss of elasticity, and increased laxity, the effects of the sun, smoking and weight loss, all contribute to loose, wrinkled facial skin. Gravity has an effect on the fatty tissues resulting in deeper nasolabial folds (creases from the nose area to the corners of the mouth) causing prominent jowls (fat along the jawline) and vertical skin bands in the neck region (turkey neck).
The facelift is usually first considered in the mid forties and fifties when facial aging begins to manifest itself. The best candidates for this procedure are healthy, non-smoking women and men with excess skin in the face and or neck. Smoking slows the healing process and can cause complications with recovery.
The facelift tightens the loose skin and muscles of the face, neck and re-positions the fatty tissues upwards because gravity has pulled these tissues down. The skin incisions are made along the normal skin creases from the tip of the earlobe to the back end of the tragus (the place where the ear meets the face) to the top of the ear and extending into the superior scalp. Some incisions may go in front of the side burns. The excess skin is then excised and the fatty tissues are re-positioned.
At the conclusion of surgery, a drain and head dressing is applied which will be removed on the first post operative day. A neck cheek wrap is to be worn 24 hours a day for the next few weeks. The facelift is performed at Brookwood Medical Center or at Grandview Medical Center on an outpatient basis, under general anesthesia and lasts three to four hours. If other cosmetic procedures are done in conjunction with the facelift, (i.e. blepharoplasty, brow lift), the procedure may take longer.
Dr. Eugene Moor provides in-depth post operative instructions and he will suggest rest, head elevation and no stooping or bending. Your head may be loosely covered with bandages which should stay on for a few days. The sutures are removed in five days and recovery takes one to two weeks. Usually longer if other procedures were added. You should keep your head elevated and fairly immobile for a few days as well. You can expect to experience bruising for up to one month during the recovery process. Scarring is typically minimal and incisions are made so as to be kept out of view.
At the same time, not all patients need to start off with the facelift. Individual procedures like eyelid surgery, neck lift, brow lift, rhinoplasty, Botox and fillers, etc., may be all that is necessary to address your particular concern. Dr. Gene Moor at ALABAMA PLASTIC SURGERY in Birmingham, Alabama 35223 will help you make these decisions after he has analyzed your face at your consultation.
The eyes usually suffer one of the first signs of aging and may guide the patient to Dr. Eugene Moor. A blepharoplasty removes excess fat (baggy eyes) and the excess skin of the eyelids and also tightens loose skin.
Most times the procedure is done on an outpatient basis. The goal is to have smoothly contoured, firm eyelids with a youthful look. Younger patients may have a genetic predisposition to bulging fat pads around the eyes or are predisposed to excess skin of the upper eye lid. Around age 30, “bags” may become noticeable under the eyes and are removed. Dr. Moor has 60% women and 40% men who chose this procedure.
Blepharoplasty or eyelid lift, is one of the most common procedures performed by Dr. Gene Moor at ALABAMA PLASTIC SURGERY in Mountain Brook, Alabama. His patients range in age from the twenties to advanced age. The blepharoplasty may often be done years before a facelift is desired.
As one ages, this excess upper lid skin may interfere with the visual fields. The tissues around the eyelids become relaxed and this leads to skin folds of the upper lids, as well as sagging of the lower lids and a formation of fat pockets in the baggy eyelids. A blepharoplasty does not get rid of the small fine lines of the eyelid. The ‘crow’s feet’ type wrinkles remain unaffected by an eyelid lift. Botox is the answer to the fine wrinkles.
Recurrent bouts of edema with swelling ,premenstrual periods with fluid retention, hormonal imbalance with fluid retention and allergic swelling of the eyelids can also over time contribute to the eyelid abnormalities.
Patients come to Dr. Eugene Moor at ALABAMA PLASTIC SURGERY complaining of too much skin, wrinkles, puffy, baggy eyes or a ‘tired look’. These are indications for a ‘Bleph’ surgery. The Blepharoplasty may be performed together with other procedures, for example with a facelift and may be done under local or general anesthesia. Dr. Moor skillfully places incisions along the natural creases of the upper and lower eyelids. The excess fat and skin are removed and the incisions are very carefully sutured.
Most times the procedure is done on an outpatient basis. Postoperatively you need to keep your head elevated and avoid stooping or bending over. No strenuous activity is allowed for a few weeks. Dr. Moor removes your sutures in about five days: a more detailed set of post operative instructions will be given to you after your surgery. Post operatively, physical sunscreens are advised such as hats and sunglasses. Chemical sunscreens should not be applied until Dr. Moor says it is OK.
At ALABAMA PLASTIC SURGERY, Dr. Eugene Moor understands that patients may be unhappy with the size or shape of their nose. In most cases this is a result of heredity but may be the result of trauma or previous surgery. Dr. Moor has an in-depth understanding of both the cosmetic and function aspects of nasal surgery because he has completed a residency in both ENT (Otorhinolaryngology) at UAB and a Plastic Surgery residency at the University of Kentucky in Lexington, and is a board certified plastic surgeon as well. The rhinoplasty re-shapes the nose can address: the size of the nose, the width, profile (hump or depression), changes the shape and size of the nasal tip and addresses the nostril size, nasal asymmetries, the crooked nose and the angle between the nose and upper lip. The goal of cosmetic surgery of the nose is to improve the appearance of the nose and promote balance and harmony with other facial features. It is an individualized surgery and requires an understanding and in-depth training in facial proportions and relationships.
The rhinoplasty re-shapes the nose and can address: the size of the nose, the width, the profile (hump or depression), it can change the shape and size of the nasal tip, the nostril size, nasal asymmetries, the crooked nose as well as the angle between the nose and upper lip.The nose is the most noticeable feature of the face and when it is out of proportion with other facial features it can affect your self image and self confidence.
Nasal surgery is one of the most common plastic surgery procedures performed. The surgery to improve the appearance, size, and shape of the nose is known as “rhinoplasty” and the surgery that improves the function (breathing) of the nose is known as septoplasty. These two procedures can be done at the same time to achieve a more cosmetically functional nose.
Nasal surgery to correct structural breathing problems, repair traumatic injury to the nose and congenital deformation may be covered by insurance.
The rhinoplasty procedure is done in the safety of the hospital as an outpatient and usually under general anesthesia. Dr. Moor performs both the open and closed technique. In most circumstances, Dr. Moor prefers the open technique which allows for maximum visibility and most precise reshaping of the cartilage and bone. A small incision is made across the columella (picture) and the skin is elevated to expose the nasal structures. The closed technique utilizes intranasal incisions with less visibility of nasal structures.
At the completion of surgery, external and internal nasal splints may be applied to help protect the nose during the healing process.
After your surgery, post operative pain and swelling is treated with oral medication and cold packs. The intranasal pack will be removed the first or second post op day. Most of the swelling and bruising around the eyes will resolve in the first few weeks. Make up may be utilized to camouflage any lingering bruising. It may take 6-12 months for total resolution of the swelling. The nasal splints are removed in 1 week. The patient may return to work in 1-2 weeks, may engage in more strenuous activity in 2-3 weeks. And as with all facial procedures, it is best to avoid strenuous activity, stooping, and bending over for a few weeks and avoid hitting the nose and avoid a sunburn for 6-8 weeks.
Doctor Gene Moor is trained in both Ear Nose and Throat (ENT) and Plastic Surgery and has completed residencies in both Plastic Surgery and Otolaryngology. He has extensive experience in ear surgeries.
At the age 5 or 6 children become aware of their ears sticking out, and they perceive that they are different form their peers. To avoid potential teasing and unkind words by their classmates one should consider surgical correction at this time, ideally around the first grade.
For practical purposes the ear is almost fully developed by age 6.
Many times the correction of this congenital defect in children is covered by insurance. Adult insurance coverage may be possible but only in extreme cases. The insurance company figures that any psychological damage is already done by the time you are an adult or you did not need it in the first place.
The treatment goal is to place the involved ear close to the head so that the ears do not appear to protrude as much. This is usually done on an out patient basis with the incision behind the ear in the natural ear fold. After surgery, a dressing is applied for five to seven days, followed by a head band 24 hours a day for one week. Thereafter the dressing is applied for one month at night.
The Temporal Lift has the purpose of softening the evidence of aging in the lateral brow region. The temple lift is a procedure by itself but is often done together with other eyelid surgery.
The purpose of this procedure is to elevate the lateral brows and to smooth out the wrinkles and to tighten the skin of the lateral eyelids. The raising of the tail of the eyebrow and the repositioning of the skin is done with respect to facial expression. During the first few days post surgery, rest is advised, with no physical straining. On the first few days after the operation, you should not be surprised or worried about the following: a cutaneous bulge on the upper side of the temporal scar, swelling which may be more visible on the third day than on the first day, You may have bruises in the area and you may experience a painful tightness sensation in the area of the temples. Stitches situated on the scalp are removed on the 8th day after the operation. Scars are visible but will fade and smooth out beginning the 4th month after the procedure, your hair will grow through them.
A brow lift or a forehead lift is often performed in conjunction with a facelift, or with a blepharoplasty or as a rejuvenation facial procedure by itself. The brow lift raises the eyebrows to a more youthful position and thereby minimizes the wrinkles and forehead grooves, such as the frown lines. Botox treats some of the aging of the forehead. But Botox is not as effective and is not as permanent. Botox lasts three to four months.
Dr. Moor uses three different surgical approaches to the brow. The Open Technique has either an incision that is located three to four centimeters above the hairline (also called a coronal brow lift) or an incision at the hairline, which may leave scar, but does not raise the hairline in someone who already has a high hairline.
The Endoscopic Brow Lift has several small incisions in the hairline and leaves minimally visible scars because the scars are hidden in the hairline. It will pull the hairline back just a bit.
The Temporal Lift really addresses the lateral eyebrows and has an incision in the temporal region of the scalp, within the hairline. This just raises the lateral brows.
Dr. Moor will consult with you and evaluate and discuss with you which technique is best for you.
Correction of the double chin can be achieved by a small incision under the chin and the sub mental fat, the fat under your chin, is removed with liposuction. There are occasions where the large sub mental fat deposits need to be surgically removed through a larger incision in the natural skin crease. This incision provides better access for fat removal and treatment of the neck muscle bands. After the removal of excess sub mental fat and correction of the muscle bands, a nicely contoured, youthful neck is the end result.
A ‘turkey gobbler’ neck consisting of redundant upper neck skin is a frequent complaint by men. Some men prefer not to have a facelift because of the difficulty in hiding the scar around the ear and not having enough hair to camouflage the incision. An anterior neck excision of redundant skin can be considered. The ‘turkey gobbler’ will be corrected but there is an anterior neck scar. This scar does improve nicely over time as most neck scars do.
Dr. Moor uses a wide array of Non-Surgical Skin Treatments for facial skin rejuvenation:
Botox® (Botulinum Toxin A) is derived from clostridium botulinum. It has been used for many decades for pain and contractures in burn victims and later for eye muscle spasms. It is now FDA approved for the treatment of wrinkles. Dr. M. Eugene Moor was one of the first physicians in Birmingham to use Botox for the treatment of migraine headaches about 15 years ago. It is the most popular cosmetic procedure done in the world today and it is best to have a plastic surgeon inject it in order to achieve excellent results. Botox relaxes the specific muscle injected and is commonly used in the forehead, brow, around the eye and the mouth. The effect of Botox lasts 4 months and can last 6 months or longer with repeated injections.
Dysport® and Xeomin® are similar products that also produce a relaxing effect on the muscle injected.
Juvederm® is a hyaluronic acid dermal filler for deep wrinkles. Dr. Moor also uses it to restore volume in the lips and nasal labial folds. Hyaluronic acid occurs naturally in the body and therefore unlike collagen, does not require allergy testing. The results are immediate and may last up to 9 months or more.
Juvederm Voluma® is an FDA-approved filler to correct age-related volume loss in the mid-face. It creates a smoother contour and a fuller and more youthful appearance. It lasts up to 2 years.
Restylane® is a dermal, injectable filler of hyaluronic acid that Dr. Gene Moor uses to smooth out wrinkles and add volume to the lips. Restylane® is biodegradable and therefore lasts up to 6 months.
Radiesse® is a synthetic calcium hydroxylapatite injectable implant. It is a mineral-like compound found naturally in the human bone. Radiesse® provides an immediate lift, replenishes lost volume and continues to work by stimulating the body to produce its own collagen. Radiesse® is considered a subdermal and volumizing filler for correction of moderate to severe facial wrinkles, such as nasolabial folds. The results last up to 2 years.
Dr. Moor uses different concentrations of Trichloroacetic acid (TCA) peels to improve and smooth the texture of the facial skin by lifting off the outer layer of skin. After treatment, the skin will have a pinkish tinge and some light crusting for 2-3 days. This is easily treated with moisturizer. Your skin will look softer and younger.
With laser resurfacing Dr. Moor removes the fine lines and tightens the skin. The most dramatic results are achieved when applied to aged and sun-damaged skin when a medium depth chemical peel will not reach adequate depth of treatment and does not produce the desired optimal improvement. This more involved procedure produces excellent results.