Real Patient Testimonial
“They treated me like I was a family member. Highly satisfied. Couldn’t have been a better experience.”
– Chin Augmentation Patient
The harmonious and proportioned face shows a balance between the chin and other facial features. Chin augmentation can improve a patient’s profile by bringing the reshaped chin into balance with the rest of the face. In fact, this surgery is often performed at the same time as rhinoplasties and facelifts.
Louisville Plastic Surgery uses one of two techniques for adding prominence and contour to the chin, depending on the individual patient. One technique requires moving the chin bone forward and wiring it into position. With the other, more common approach, Dr. O’Daniel inserts a chin implant through incisions inside the mouth or underneath the chin. Dr. O’Daniel frequently combines fat injections with chin augmentation to achieve a complete restoration of the peri-oral tissues.
FAQs On Chin Augmentation
How do you deal with a genetic double chin or droopy neck ?
There’s absolutely no question that neck surgery is where we gained our international reputation. There are things that we’re doing today that are cutting-edge, and we’re really at the very forefront of creating circumstances where neck surgery on all ages of people. Youngest neck lift I’ve done is 19; the oldest I’ve done is 80. The key is the neck has a profound impact on the way we perceive the rest of the body. For instance, you can see in this young lady, she’s 37 years of age, when you look at her you get this sense that she’s overweight, she’s out of shape, but the reality is she was born with a full neck. When you see her before versus the after, it has a profound impact on her entire face. There’s been no other change except her neck.
What are my options for improving the appearance of my chin and neck ?
FAQs On Other Face Procedures
Why is Dr. O'Daniel so well known for modern facelift surgery ?
I will do anywhere from 120 to 140 face and neck lifts per year, while the average plastic surgeon in America is doing about one every six weeks for a total of 10 to 12 per year. This gives me the ability to get a person into and out of the surgical procedure quickly and make the recovery as quick and painless as possible.
We tell people for the first 48 hours to be really quiet with your wraps and have someone with you. We use little drains that come out in 48 hours. Your sutures are typically out at six to seven days and we will return people back to social life, if you will, at around 10 days. I’ve had people return to their work as soon as early as six days, which is a little on the quick side and taking up to 14 days on the long side. I will let them go back to full physical activity at around four weeks of after surgery. This includes doing your yoga positions with your head down.
Could you show me a good example of a older adult rhinoplasty ?
This is a great example of a lady who is 66 years of age and she had a rhinoplasty to remove her nasal dorsal bone. She says, “I realize there’s a lot of things that I can do to change my face, but my nose” has always bothered her, and you see her in the after pictures. She’s very happy with this outcome even though it took her 66 years to get it.
Could you show me a good example of a rhinoplasty to balance the nose and face ?
Our goals when we’re talking about rhinoplasty is to evaluate the entire face and then create a nose that fits that face. In other words, we want to take the distraction away. We want to bring the attention back to the eyes, the lips, the cheek, the rest of the face without attention to the nose.
What in Dr. O'Daniel's training makes him so well qualified for face, neck and nose surgery ?
Could you show me a good example of a young person's rhinoplasty case?
Today, with the social media being so prevalent, Snapchat and Instagram and so many photographs being taken, people are becoming very self-conscious and aware of parts of the face that they’re unhappy with. In particular, the nose can stand out, particularly when they’re smiling. There are certain elements of the nose and the lip that connects, such that when we talk and we’re smiling, the nasal tip moves, and this really is driving people crazy.
We have an operation where we can actually create a beautiful subtle soft nose that’s independent of the lip, and when we create this transition, as you can see in this patient, between the lip and the nose, you can really appreciate that not only does the nose become more beautiful, but the lip becomes more beautiful as well. See the difference when I lift their nose?
What is a revision rhinoplasty? Why do so many choose Dr. O'Daniel?
What is functional rhinoplasty and why does it matter?
How can a facelift help to reverse the aging process ?
As we can see from these pictures of Brigitte Bardot, the face changes shape, and as a sculptor we’re always looking at shape and balance. The upper part of her face was nice and wide in her youth and you can see the corners of the mouth are turned up in a very small and a very small and narrow chin, which is the most attractive features in a young face. As she ages, she loses her cheeks. The jowls become fuller, the corners of the mouth turn down, and she does and inverted triangle when you look at her, which gives her a bit of an upset or less than happy look.
As you can see in this example, we have sculpted her face such that we’ve reversed these triangles. We’ve added volume to her cheeks with fat injection, lifted the cheeks with a facelift, and made the lower third narrow with a facelift as well. As you see as I take the triangles away in the next photograph, you can appreciate that that look becomes less of a tired look, more youthful, and it’s certainly a much more pleasant, approachable face.
How do I prepare for my facelift ?
Now, when we’re preparing somebody in the fourth phase once they’ve made a decision to embark on that procedure, we’re going to be sending things in the mail that give you lots of information. This information are very critical that you go over, which will include medications we want you to take and medications we absolutely want you to stay away from.
There are going to be instructions about how to manage your hair, and you’ll also get your post-op instruction so that you can review those before you come to us for your pre-op visit, so we can make sure everything is understood from beginning, during, and through the very end of the procedure and the recovery.
How does the female face age? What can be done to help?
Let’s look at this case. Let me tell you a story about this person. This person has been an fanatic about the outdoors. She loves the beach; she loves the swimming pool; and it’s had an impact on her skin. The environment has impacted her skin by giving her wrinkles and darker spots and more of a bit of a leathery appearance. Her concerns when I start talking to her about shaping her face and repairing her skin is that, “My face was fat when I was young, and I don’t want a fat face. I much prefer a more sculpted face.” When we look at these photographs, we’re using general guidelines.
As you can see in this next slide, as we look at the center picture, there is going to be a more sculpted look that you see in the mid-20s, the mid-30s. Certainly today when we’re shaping a face, non-surgically or surgical, we’re looking at a more stylized look, the look of somebody in their 20s to mid-30s when we have the ideal shape and volume, not that round face of youth that everybody’s afraid. Because most people weren’t happy with their round faces when they’re children.
How do you decide if someone needs a necklift, facelift or both procedures ?
The decision whether we’re going to do a facelift or a neck lift really depends on the state of the tissue between the face and the jaw. If I’m doing just an isolated neck lift, that means I can contour a beautiful neck and do it through very limited incisions, one in the chin which is very small, and the other incisions are hidden behind the ear, in the crease of the ear.
If we’re starting to see the face descending into the neck, under those circumstances, we would potentially recommend a facial rejuvenation procedure, such as a facelift, at which point the incisions are going to go from behind the ear and continue hidden within the front of the ear such that they’re not visible. They hide inside the ear into the hairline, and one can pull their hair back. They can lose their hair, or even someone who wears a very close cropped or even a shaved head can have these incisions hidden.
What should I expect the day of my facial surgery ?
The surgeries are all performed at the local surgery center. A center we started approximately 14 years ago. We’re doing about 14,000 cases a year there, and we have a team that is second to none. You’ll get there about an hour before your surgery, and our team will meet you. We’re going to get all your premedical questionnaires done, we’re going to start an IV, we’re going to get a blanket on you so that we have you warm before surgery happens.
I’ll then come and meet you before surgery, and with your photographs from your youth and what our goals are, I will then mark you before surgery and make sure we’re on the same page for the very last time before we go down the road of surgery. After surgery, you’re going to wake up in the recovery room. Now understand, we don’t use a general anesthetic for our facial procedures. We give you medicine that makes you sleepy. This is a procedure that we have written about and we have essentially popularized around the country for use of IV sedation. As you wake up, it’s a nice, slow, easy recovery without nausea and vomiting, meaning getting sick to your stomach from the anesthesia. Without pain and discomfort, because we put numbing medicine on your face.
After you’re in the recovery room and our post recovery area for about two hours, we’ll then let you go home. We’re going to review the instructions with your caregiver again, and then we’re going to have your phone number, and as always you’ll have my cell phone number. We’ll be talking to you throughout the process for the next 48 hours until you come to the office to get your drain removed.
Why do patients choose Dr. O'Daniel for revisional plastic surgery?
Having been in practice now for nearly 25 years, we have patients coming from all over the country seeking our services. Of these patients that come to our practice, one in three is seeking a revision. These patients have less-than-optimal outcomes, and they’re seeking help. These are particularly challenging cases, and sometimes, there aren’t things we can do for them. But most often, we can find a solution and a plan.
In particular, we’re seeing facial patients who have the stigma of previous facelifts, and in addition, I see a significant number of breast deformities. They’ve had previous breast implants and/or breast lifts that we’re correcting. This takes a particularly high level of expertise, planning and really a unique approach that’s required to give them a more normal appearance with their next surgical procedure.
It’s unfortunate that some people have less-than-optimal outcomes, but when they do run into problems, we’ve reached the point in our career where we’re providing quality care and the expertise that we’re able to correct these deformities.
What is the cost for a facial procedure?
How do we decide what facial treatments are right for me ?
So in your initial consultation for face, we’ll have you come to our office and have pictures taken in all the different views at rest as well as with movement. We’ll have you bring in pictures from your youth, which we’ll scan and we’ll put those side by side. Then we’ll start with a simple question, what do you see in the mirror that bothers you? We then work to the photographs to determine what it is that your major concerns are, and then we’ll decide what tools do we have that will best take care of the job that you want done.
After we have the photographs, we are looking at them, we are determining which treatment is best for you, we will describe to you how these treatments are done, we’ll tell you what to expect during the treatment, and we’ll also give you great detail related to the recovery.
How do you create a long and elegant actress style neck ?
How do you evaluate a patient for a necklift ? What are the steps ?
What are the advanced techniques you've pioneered to improve the appearance of the neck ?
How does the male face age ? What can be done to help ?
As we can see from these pictures, this gentleman, his 20s, his 30s, and 40s, and comparing it to his 65-year pictures. This gentleman is very attractive in his 20s. You can see that look in his eyes, that youthful look. By the time he’s in his 30s, you can see the enthusiasm as he’s embarking on his career. Then you see him in his 40s. He’s finally made his way into the C Suite. He’s having to seize the ambition and realizing his ambition.
Now at 65, you can see in the bottom picture, he’s now matured. He’s retired, but when he looks in the mirror, he doesn’t look like he has the energy to reap the rewards of all of his hard labors.
He looks at me and asks me, “What can you do to restore the feeling of youth, the look of vitality?” What we’d recommend is we’re going to restore the volume to your face. We’re going to make your neck a little tighter. We’re going to make your eyes a little more awake. But you’re still going to look 66 years of age.
As you can see in this first slide, he’s 20 years of age. He’s 65, and he’s 66. We can see that we’ve not made him look 20, by any stretch of the imagination. But you can definitely tell it’s the same person, the same viable person at a later date.
When we compare him to this picture when he’s in his 30s, you can see the face is a little more angular, a little more sharp, and it’s in the jaw line. I think he looks the same person. I would suggest that he’s even more handsome as he’s aging. This is one of those things that you’re getting better with time.
Now you can see, when we compare him to his pictures from his 40s, this is the point you can see that he certainly doesn’t even look 40. It’s only 25 years difference, but he doesn’t look 40. But he looks more rested. He looks more viable.
When you compare his pictures before and after, he can go back to his corporate retreats with his peers, and they’re going to look at him and tell him, “Wow, retirement has really done well for you.” They’re not going to say, “Wow, what did you do to yourself?”
The goal with all of this is to use these photographs as a guideline to make sure that you don’t look different.
What are the benefits of a male facelift ? How is it different from a woman's facelift ?
The best part of my job is, I get to participate in people’s lives. They bring me these photographs from their youth and we put them on the computer, we compare to where they are today, and they tell me stories about where they came from.
This gentleman was a wrestler before he became a physician. He said it’s his motivation for coming to see me is, he feels like people are treating him different as he’s aging. All day long as a physician, he gets respect and asked questions and is an integral part of the community. At night when he goes to dinner, he feels like people are treating him different. Less respect, he almost feels like he’s embarrassed by the way they treat him.
To help him feel better about what he sees in the mirror, and to give people a different impression of who he really is on the inside, he’s undergone a facelift with fat injection. You can see, this is three years later. We’ve used Scupltra and fillers and Botox to maintain that look, so that he can enjoy every day, showing the person on the outside that he feels like he is on the inside.
Real Patients, Real Results
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” A person’s face is their daily ‘billboard’ to the world. Our face is the first impression made to acquaintances and strangers alike. Are you presenting the type of impression you desire? If you’re the least bit unsure, I’m here to provide reliable and attainable answers.”