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Ask The Experts: Dr. Manolis G. Manolakakis
08/26/2008

Ask The Experts: Dr. Manolis G. Manolakakis

Dr. Manolis G. Manolakakis is a Diplomate of the American Board of Oral and Maxillofacial Surgery, and has his Fellowship, having been trained in facial cosmetic and reconstructive surgery.

 
The Center for
Advanced Oral & Facial Surgery
1131 Broad Street, Suite 109
Shrewsbury, NJ 07702
Ph: (732) 542-0755
Fax: (732) 542-7272
www.caofs.com
 
Dr. Manolis G. Manolakakis is a Diplomate of the American Board of Oral and Maxillofacial
Surgery, and has his Fellowship, having been trained in facial cosmetic and reconstructive surgery.
 
Tell us about your specialty as it relates to facial reconstruction and facial cosmetic surgery.
Oral and maxillofacial surgeons treat conditions, defects, injuries, and aesthetic aspects of the mouth, jaw, and face. Our training includes 4 years of dental school and a minimum of 4 years in a hospital residency program dedicated to the face. We also have fellowships dedicated specifically to facial cosmetic and reconstructive surgery of the face.  We are the face specialists! 

If someone was to consider facial reconstruction or cosmetic surgery, what key information should they know about their doctor?
Facial surgery is inherently aesthetic in nature, whether it’s reconstructive or elective. 
Oral and maxillofacial surgeons must possess the surgical skills to perform highly specialized procedures with consistently good outcomes. Facial cosmetic surgeries are based on principles of facial proportions. We are the experts on facial proportions based on years of experience in elective corrective jaw and facial surgery and knowing the effects it will have on the soft tissue. The most important thing to know about your doctor is his or her experience in performing facial cosmetic and/or reconstructive surgery and his or her current level of competency.  Having board certification indicates that the oral
maxillofacial surgeon has demonstrated a level of expertise in that specialty; that helps a patient understand that his or her face is in good hands.

What should they know about the surgery itself?
As far as the surgery goes, it is very important to understand all the risks, complications, and alternatives that are available, and the psychological effects it will have on you as well. This is not breast surgery or body liposuction that can be covered up with clothing. This is your face.  I routinely have two to three consults or interactions with all of my elective facial cosmetic surgical patients.  It is imperative for them to understand what they will undergo, and it is my job to help them understand that.

How has your specialty changed over the last decade?
The specialty has absolutely expanded significantly over the past 10 to 20 years. Oral and maxillofacial surgeons who were once thought of as dentists, and who only remove wisdom teeth, are now viewed as facial surgeons. We are now the bridge between medicine and dentistry. We are highly trained in anesthesia, facial pain management, dental implants, and head and neck pathology, and are looked to for guidance by our colleagues. Minimally invasive surgical approaches have significantly reduced the amount of downtime that patients experience, allowing for faster healing and a quicker return to an everyday routine.

What differences are there in your treatment philosophies for women in their 20’s and 30’s versus those in their 50’s and 60’s?
The aging process begins from the moment we are born; this is called chronological aging. 
The other type of aging is environmental – predominantly due to lifestyle – like sun exposure, smoking, poor nutritional intake… Both contribute to the aging of one’s face. I try to educate my patients in their 20’s and 30’s on how to slow the aging process – UV protection, good balanced nutrition, and proper skin care. Typically in this age group my treatment plans consist of non-surgical procedures, which result in little to no down time and fantastic results. Patients in their 40’s, 50’s, and 60’s have more significant signs of aging, including thinning of skin, subcutaneous fat loss, and hormonal changes. My goal here is to re-volumize, promote new collagen production, and (if necessary) reposition deeper tissues and muscles to reverse the effects of gravity and aging. There are many different procedures I use, including DOT therapy (CO2 laser), the latest in laser resurfacing – an excellent alternative to surgery or to use in conjunction with surgery.





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