Real Patient Testimonial
“During my appointments, every time, I felt like i had everyone’s attention. I had a few procedures done at once…eyes, lower lift, neck lift, injections…I followed post-op instructions and the results were just as they said. No real bruising, and I was at walmart shopping 10 days after my surgery! I was still swollen, but certainly presentable to go out. I had a great experience! Definitely more confident. And I am much better about taking care of my skin as I’m aging.”
– Eyelid Patient
It’s said that the eyes are the window to the soul — but drooping upper eyelids and baggy, under-eye pouches can make a person look constantly tired and sad. Eyelid surgery creates a refreshed, vibrant and youthful appearance by removing sagging, excess skin, tightening loose muscle and sculpting fat in the upper and lower eyelids.
Tailoring to each patient’s needs, Louisville Plastic Surgery uses a variety of eyelid procedures to restore the original shape of a patient’s eye and avoids even subtle changes to the eye’s natural shape. In advanced eyelid aging, Dr. O’Daniel preforms mid-face rejuvenation procedures, which are aimed at restoring the volume and position of the sagging cheek tissue below the eyelid.
During upper eyelid surgery, Dr. O’Daniel routinely removes the coorugator muscles. These muscles cause the central forehead frown lines. Dr. O’Daniel injects fat to “erase” the vertical crease. This “surgical Botox” creates the same effect as injectable Botox, but gives a more permanent result.
Fat injections restore volume. Utilizing the patient’s own fat, microinjections are used to restore lost volume in the cheeks, around the eye, and mouth. There is the additional “stem-cell”-like effect seen with reduction of wrinkles, improved skin quality and maintenance of the fat replacement.
FAQs On Face Procedures
What is the secret to a truly great result without looking overdone ?
The goals of our treatment, whether it be surgical or nonsurgical, is to create a look that is natural. We hear that all the time. It’s almost a cliché, “I have natural results.” The point I’m trying to make is that when people see the before and after pictures of cases we’ve done, they go, “Oh, my goodness. Everybody will notice if I look that much better.”
The reality is we recognize each other based on what we remember of you from the day before. As long as we don’t lose that intrinsic you, that little piece of you that is characteristic, they’ll look at you and say, “Wow, great haircut! You’ve lost weight. What kind of makeup are you using?” They’re not going to say, “Wow, you look great! Who did your facelift?” because that would be the biggest insult we could possibly happen. What we want to hear is, “Wow, you look great!” and your answer is very simple, “Thank you.”
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 ?
The rhinoplasty operation, as I mentioned, is our most favorite operation to perform. The nose is particularly interesting because it can start to bother you in your youth, as we saw in the previous case, but it can also continue to bother you throughout your life. I see patients, interestingly, each year, that are in their 60s and even into their 70s who show up for rhinoplasty. When I ask them, “Why now?” They give you a very simple answer, “Because I can.”
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 ?
Rhinoplasty is one of my favorite operations. It’s one of the most challenging operations we perform. It’s the ultimate artistic expression for us because it’s a three-dimensional form that projects, and it is one anatomical feature that has a profound impact on people even at a very young age. This is a great example of a teenager that I would typically see who is now coming into adult phase, and the nose is out of proportion with the rest of her face and becomes quite distraught.
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 ?
My background is an ears, nose, and throat surgery where I’m a board certified surgeon, as well as plastic surgery. In addition, I did three more years of training to do pediatric plastic surgery, which really concentrates on facial anomalies, which include the nose. I did my first rhinoplasty in 1985. Over the last 32 years, I’ve done thousands of rhinoplasties. I choose a technique that’s best for the patient, not the one that’s most comfortable for me. I do closed rhinoplasties. I do open rhinoplasties. We choose the procedure that’s going to give the most ultimate outcome for that patient. At this point in my career, I have performed more rhinoplasties than most of the doctors in this entire region just based on my background.
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?
Three, two, one. Because of the years I’ve been performing this operation I now receive referrals and requests from around the country for treatment of people who have secondary deformities. Because the difficulty of performing a rhinoplasty there are unfortunately a lot of people who end up with less than aesthetic outcomes, and even worse, less than functional outcomes meaning that when we’re revising a nose, we not only want to make it look good but we have to reverse the obstruction that they acquire as a result of that first surgery.
What is functional rhinoplasty and why does it matter?
My training and background in ear, nose and throat surgery becomes a really critical element. But only do I understand the aesthetic sense, as an artist, I also understand the functional component that the nose needs to maintain while acquiring an aesthetic outcome. In other words, we need to make sure it’s still breathes. We keep the nose open, we keep it straight, so that not only do you look good, you feel good.
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?
So when you come in for your initial consultation, and we define what is going to give you the best outcome, we’ll then figure out the cost of these procedures. The prices can range anywhere from $500 for Botox to $25,000 for full facial restoration. We individualize these treatments based on what your specific needs are.
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