Plastic Surgery

Even with the many new non-surgical facial rejuvenation techniques that exist today, surgical correction remains the tried and true most effective way to eliminate many imperfections.

Dr. Mittelman has been performing all of his procedures for many years with safe, consistent results. With every treatment, Dr. Mittelman strives to achieve the best aesthetic result possible, without creating an operated-on, or unnatural appearance. Read on for more about the procedures he offers, or contact our office for a consultation.

Facelift (Rhytidectomy)

Of all the facial plastic surgery procedures Dr. Mittelman performs, facelift surgery (rhytidectomy) provides perhaps the most dramatic and impressive improvement. Not surprisingly, it is also the procedure that requires the most time and extensive amount of work.Patients concerned about the aged appearance of their cheeks, jowls, jawline, and neck are the best candidates for rhytidectomy.

The popularity of rhytidectomy and its evolution have resulted in the development of a variety of different incisions and techniques.Dr. Mittelman uses an incision that minimizes the movement of any facial hair (especially in the temple region) and with his meticulous closure technique, leaves an imperceptible scar. The operation involves four stages: the incision, the elevation of the skin, the repositioning of the facial muscles and fat, and closure. Dr. Mittelman routinely addresses both the cheek/jowl and neck area during the third stage of the procedure to maximize improvement in both areas.

Dr. Mittelman's primary goal is the ensure a natural-looking appearance by camouflaging scars while maximizing surgical improvement. Because of the ability of facelift surgery to dramatically improve the appearance of the face, it is one of the most satisfying procedures Dr. Mittelman performs. However, facelift surgery is not for everyone.The best results are seen with properly-selected candidates who enter the surgical process psychologically prepared and with realistic expectations.

 

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Rhinoplasty (Nose Job)

Rhinoplasty is a very delicate and precise procedure requiring patience and dexterity. The nose’s central location on the face can mean that the most miniscule alterations can have dramatic effects on a person’s overall appearance. Patients seek a rhinoplasty consultation when they have injured the nose, have trouble breathing, or when they are unhappy with its appearance.

Rhinoplasty is typically performed through one or both nostrils, using incisions made on the inside of the nose. There is usually no external scar. Dr. Mittelman will discuss specific information about incisions at the time of your rhinoplasty consultation. Just as there are many types of noses, there also exist many different rhinoplasty techniques. Rhinoplasty is an operation where just a few millimeters can make a significant difference in the appearance of the nose and your appearance as a whole. Dr. Mittelman tries to achieve a straight, strong profile that improves the symmetry and balance of the individual's face.

If you’re considering rhinoplasty, contact Dr. Mittelman’s office for a detailed consultation.

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Blepharoplasty (Upper and lower eyelid surgery)

Blepharoplasty is a surgery designed to remove puffiness, fine lines, and sagging skin from the upper or lower eyelids. Good candidates for blepharoplasty are people of any age or background who feel that they always look tired and have chronic eye bags or puffiness around the eyes.

Puffiness or drooping around the eyes is often caused by excess fat or skin in the orbital area, around the eye sockets. Blepharoplasty is  method of improving contour, tightening the skin, and creating a smoother, more refreshed appearance.

The most common form of blepharoplasty uses a camouflaged incision in the crease of the upper eyelid and another just below the lash line of the lower eyelid. In certain instances, an incision can be completely hidden inside the lower eyelid, in what is known as the tranconjunctival approach. When using either method, Dr. Mittelman takes special care to keep incisions as inconspicuous as possible. After the incisions are made, excess tissue is removed to rejuvenate and tighten the eyelid.

As with any procedure, Dr. Mittelman strives to create a natural-looking result. Contact our office for more information about blepharoplasty.

 

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Chin and Cheek Implants (Genioplasty and Malarplasty)

Though perhaps not as obvious as the nose or eyes, the contours of the jaw line, chin, and cheekbones are important factors in the overall symmetry of the face.

A receding chin or irregular jaw line is a common concern among patients seeking a chin or jaw (pre-jowl) implant. This problem can be surgically improved with the use of a synthetic implant specifically designed to correct the defect in question. A similar device can be implanted in the cheeks to give the appearance of high, strong cheekbones. Chin, pre-jowl, and cheek implants can be resized and shaped during surgery according to the individual patient. 16. Change the third sentence of the third paragraph to read: If you are considering chin, pre-jowl, or cheek implants, choose someone like Dr. Mittelman.

Dr. Mittelman uses facial implants that he designed and patented himself. Though many surgeons offer facial implants, few have Dr. Mittelman’s level of expertise. If you are considering chin or cheek implants, choose someone like Dr. Mittelman. He has years of experience performing this specific procedure, and has a long track record of consistent, high-quality results.

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Forehead and Eyebrow Lift

As we age, horizontal creases in the forehead deepen, and the eyebrows tend to drift downward, giving the eyes a shaded or tired look. The goal of a forehead and eyebrow lift, or brow lift, is to raise the brow to its more youthful position, in line with the bony ridge above the eyes and to reposition the forehead skin so that it appears smoother, with the creases and deep grooves eliminated. It is often beneficial to perform brow lift in conjunction with blepharoplasty, as the two areas sometimes need to be treated together.

Dr. Mittelman employs several different techniques for brow lifting surgery. One of those techniques is the endoscopic brow lift. The endoscopic technique involves making three to five small incisions behind the hairline, through which endoscopic and surgical equipment is passed. The surgery is performed while watching the instruments on a monitor. Another technique employed by Dr. Mittelman involves creating a small incision along existing forehead creases, elevating the eyebrow and removing excess forehead tissue. This incision is closed meticulously, resulting in an imperceptible scar which looks better than the preexisting forehead crease. This mid-forehead buttonhole lift has a much lower chance of complications, such as forehead numbness, fluid collections, unpredictable and short-lived results, than other methods of eyebrow elevation.

If you would like to learn more about brow lift surgery, contact Dr. Mittelman’s office today.

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Necklift Surgery (Submentoplasty)

A necklift describes a variety of procedures, used alone or in concert, with the goal of recontouring the tissues underneath the chin and near the midline of the neck. Depending on the particular problems the patient hopes to address, the procedure may involve liposuction, direct excision of fat, suturing techniques, and occasionally skin removal. The goal is always to reduce excess or sagging tissues in the area beneath the chin in order to produce a tighter, more youthful appearance in the neck.

The type of surgery prescribed will depend on your particular case. If you’re considering necklift surgery, contact Dr. Mittelman to schedule a consultation.

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Liposuction

Liposuction is the most effective treatment available for the removal of localized fatty deposits that don’t respond to changes in diet and exercise. The procedure involves one or a series of small incisions, through which a hollow, cylindrical device called a cannula is used. The cannula suctions out fatty tissue, recontouring the affected area. Liposuction can be used on virtually any part of the body and scarring is generally minimal. The procedure has been used for many years with an outstanding safety record and an extremely high satisfaction rating.

Dr. Mittelman schedules liposuction as a same-day surgery at our private surgicenter. Our full time O.R. nurses and staff will be with you throughout the entire process. If you’re interested in liposuction, schedule a consultation with Dr. Mittelman. He can review the risks, benefits, and limitations of the procedure to help you decide if liposuction is right for you.

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Mittelman Plastic Surgery Center
795 Altos Oaks Dr.
Los Altos, California 94024
P. (650) 941-8888
F. (650) 209-1110

The following is a list of procedures Dr. Mittelman offers. Follow the links for more information or contact our office today to schedule a consultation.