Around Town
CPC BEHAVIORAL HEALTHCARE GRAND OPENING
Annual Monmouth Teen Arts Festival
Meridian Weightless
Ask The Experts
Ask The Experts - Rudolf C. Thompson, M.D., F.A.C.S.
Ask The Expert - Hiren Patel, M.D.
Company Profile - Shrewsbury Vascular & General Surgery Associates
Bay Wellness
Bay Wellness - Welcome to our newest issue
Bay Wellness - How Can An Ultrasound Help?
Bay Wellness - Physician Focus: Steven R. Berkman
Best Bets
Best Bet - Home Theatre Connection
Best Bet - Turning Point of Holmdel
The Guide 2014 - Signature Design Group
Black Book
Cover Story
Jeffrey Citron and David Burke
Pete Harnisch - Bringing It Home
First Lady of Holmdel, Mayor Serena DiMaso
Daytripper
Day Tripper - Insectropolis
Day Tripper - Peddlers Village
Day Tripper - Mystic Seaport
Eats
Eats: Branches Catering
Eat Beat - Angelina’s Ristorante
Eats: Delfini Italian Gourmet
Etc
ETC - Beach Bias
Etc - The Facebook Situation
Etc - Turkey Day
Fall Guide
National September 11 Memorial & Museum
Fall Guide 2014 - Museums
Fall Guide 2014 - Pick Your Patch
Featured Artist
Featured Artist - Elyissia Chinchilla
Featured Artist - Franco Minervini
Featured Artist - John Kelly
Gift Guide
Best Bet - Red Bank Radiologists
Gift Guide - Gary Michaels Fine Jewelry
The Guide 2014 - The Pine Tavern
Health Talk
Health Talk - Atlantic Eye Physicians
Health Talk - Abraham Biegeleisen, D.D.S, P.C.
Health Talk - Dr. Patrick Cuozzo
Health, Wellness & Beauty
HWB 2014 - Vein Institute of New Jersey
Health - Glenn Kolansky, M.D.
Health - Chips Salon
Homes
Salle Tee: Waterside Wonder
Tom and Diane Crowley
Full Circle - The Gamzas
Letter
Letter to Colts Neck: Falling Into Good Times
Spring has Sprung!
Warm Winter Wishes
Living in Colts Neck
Impeccable Style
It's All in the Details
Muriel Rogers - Local Artist
Newsletter Articles
A Hidden Beauty - The Greenbergs
Company Profile - Cunningham Orthopaedics
Eats: Asahi
Our Picks
Company Profile - Avanti Day Resort
Our Pick - Community Appliance
Our Pick - Touch Of Elegance Furniture
People On The Move
People On The Move - Peggy Karaban
Eric Ginsberg - Bringing People Together Through Music
People On The Move - Niki Popyer
Summer Guide
Where Heritage Meets The Sea
Summer Fun - Summer 2014
Dish - Summer Guide 2014
The Bay
The Bay - Healthier Heart
The Bay - One Stop Women’s Health
The Bay - Welcome to the Premiere
The Guide
Company Profile:Gerine A. Skamarak-EXIT Realty East Coast
The Guide 2014 - Grand Glass Inc.
The Guide 2014 - Marshall P. Allegra, M.D.
The Home Guide
The Home Guide - A and J Remodeling Services
The Home Spotlight - Select Technology Group
The Home - Decorating Den Interiors
Weigh In
Weigh In - What is your favorite TV show?
Weigh In - Superheroes in Training
Weigh In - “Table for two, please.”

Health Talk - Anthony Sparano, M.D.
08/28/2013

Health Talk - Anthony Sparano, M.D.

Sparano Face and Nasal Institute
3350 State Route 138
Building 1, Suite 118
Wall, NJ 07719
732-280-FACE (3223)
www.DrSparano.com

(732) 280-FACE (3223)
www.DrSparano.com

It seems there are many different kinds of facelifts these days. How does a patient interested in facial  rejuvenation determine the differences?

It is true the terminology associated with different facelift techniques can seem expansive and even intimidating. Generally,  however, there are two basic categories of facelifts – miniature procedures and more traditional facelifts. Within each  category are techniques that have nuances and thus, different names. I believe, though, the ultimate outcome is more  dependent on the surgeon’s execution of any given technique then the subtle differences between certain techniques.

Miniature facelifts are ideal for patients with early signs of lower facial aging. The outcomes are great and the procedure has a short recovery. They can be performed under local anesthesia with light sedation. More traditional facelift techniques can offer a more profound improvement at the lower face and neck regions. Results are quite impressive. These often require an  additional week of downtime and deeper anesthesia.

Patients have become great at researching their procedures and choosing their consulting surgeons. They usually come to a  consultation prepared with directed questions and a focused agenda. The easiest and best way to bypass some of the confusion  around surgery for the aging face is to have a pleasant, careful conversation about it in a private consultation.



So has the facelift changed over the last few decades?

In some ways it definitely has, but certain fundamental concepts remain exactly the same. Techniques that yield a “pulled” look at the mid-face and eyes offer unacceptable distortion. We’ve learned that optimal restoration of volume to the mid-face recreates youthful contour. We accomplish this by subtle vertical cheek lifts or fat transfer techniques (i.e., isolating viable fat  cells from the belly or thighs and injecting them along precise contours of the face). Similarly, we perform brow and forehead  lifting more sparingly, and often through tiny incisions hidden in the scalp.

Addressing the tissue beneath the skin along the lower half of the face and neck, to create a more youthful jawline and neck, remains the substrate of facelift surgery. Surgeons who enjoy and excel in facelift techniques take pride in recreating a more  refreshed appearance, with absolutely no distortion. After surgery, patients look like fresher, natural versions of themselves. I  personally believe with our combined techniques and artistic sensibility, we are getting better results nowadays.



I understand you perform a lot of skin cancer reconstruction of the face. Does this work help you as a  facelift surgeon?

I can say these two aspects of facial surgery may influence one another, but overall they’re quite different. Some of my prior  mentors are still considered true masters of skin cancer reconstruction of the face, and deep plane facelifting – so the  associations became sort of ingrained in me. Skin cancer reconstruction is something I regard as a privilege to perform. It’s a special experience to help patients work through the difficult and intimidating circumstances associated with cancer defects of  the face. Performing both types of surgery at a great frequency is like anything else – the more you do it, the better you are  able to appreciate certain subtleties and complexities. Repairing challenging facial defects, especially of the nose, are of the  most difficult but rewarding facial surgeries to perform.



What are some trends you’re seeing in facial rejuvenation procedures?

As mentioned earlier, restoring volume to areas of the face that lose it over time has become true surgical artistry. I’m excited  about fat transfer techniques and the evolving science of longer-lasting natural-agent injectable fillers. Combining smaller  surgical operations with volume restoration and skin resurfacing has produced great outcomes.

We now look at the form and volume of the lower eyelids (and region around the eyes in general), differently than we used to.  It has changed how we perform our lower eyelid procedures, and our results are better. Now we reposition volume of the  lower eyelids and sometimes add it.

Skin science has become a priority for facial surgeons and patients. We currently have such refined and excellent technology  and combined treatment pathways, which together allow us to accomplish healthy and beautiful changes.



The Sparano Face and Nasal Institute was founded by Anthony Sparano, M.D., a double board certified facial plastic and reconstructive surgeon. Dr. Sparano completed his training at the University of Pennsylvania and University of Michigan, has authored over 30 peer-reviewed journal articles and book chapters, and has taught several courses around the country. Dr. Sparano has made a commitment to excellence during all stages of his professional career, and today practices with the highest standard of care.









Powered by eDirectory™