Around Town
Twin Brook Golf Center
Our Lady of Mt. Carmel School as National STEM Showcase School
Bright Lights & Holiday Magic
Ask The Experts
AskThe Expert - Stacy Lynn Costa MA, Ed.S.
Ask The Expert - Pelican Pool & Ski Center
Ask The Expert - Harbor Lights Financial Group, Inc.
Bay Wellness
Bay Wellness - Genital Warts
Bay Wellness - Physician Focus: Steven R. Berkman
Bay Wellness - Health After Menopause
Best Bets
The Guide 2015 - Victory Medical
The Guide 2014 - Mancini Giuffré Salon & Spa
Best Bet - Morgan Fertility and Reproductive Medicine
Black Book
Cover Story
Making Headlines - Jim Driscoll
Still Strumming: Steve Forbert
Flying HIgh
Daytripper
Day Tripper - Yogi Berra Museum & Learning Center
Day Tripper - Central Park
Day Tripper - Peddlers Village
Eats
Eat Beat - Birravino
Eats: Local Smoke BBQ
Monmouth Eat Beat - It’s Greek to Me
Etc
Etc - Turkey Day
Etc - Walking through Monmouth County
Etc - The Facebook Situation
Fall Guide
Fall Guide - Museums
Weigh In - Which Halloween mask wins the creepy award?
National September 11 Memorial & Museum
Featured Artist
Featured Artist - Sangita Phadke
Featured Artist - Grace Your Space
Featured Artist - José Serrano
Gift Guide
The Guide 2015 - Arena Steakhouse and Lounge
The Guide 2014 - Beach Music Studios
The Guide 2015 - K9 Resorts Daycare & Luxury Hotel
Health Talk
Health Talk - Michael R. D’Agnes, FACHE
Health Talk - Gym Spa
Health Talk - Marshall P. Allegra, M.D.
Health, Wellness & Beauty
Our Pick - Red Bank Radiologists
Health 2015 - Hearing Loss
Health - Avatar Spa
Holiday Buzz 2014
Give a Little - Get a Lot
Weigh In - What famous person would you invite to your holiday table?
Macy's Thanksgiving Day Parade
Homes
Continuing Stories - The Bianchinos
Tucked In The Woods
Forsaking Formal - Garito
Letter
Letter to Colts Neck: Falling Into Good Times
Spring has Sprung!
Warm Winter Wishes
Living in Colts Neck
The Triple Crown
Feels Like Home
It's All in the Details
Newsletter Articles
The Home - Penterman Kitchens
AMI Women’s Imaging Center in Brick Township
The Home Gallery - Ilkem Marble & Granite
Our Picks
Our Pick: Visual Impact Decorating
Company Profile - Zaksons Fine Furniture
Our Pick - Colts Neck Center for Orthodontics and Invisalign
People On The Move
Kids On The Move: Alexander Wolkomir
People on the Move: Barry Mohr
People On The Move - Elizabeth Shea Arthur
Summer Guide
Summer Guide - The Beach is Back
Weigh In - My Favorite Jersey Beach
Summer Guide 2015 - Seven Presidents Oceanfront Park
The Bay
The Bay - Healthier Heart
The Bay - $1 Million Emergency Department Expansion Opens
The Bay - Welcome to the Premiere
The Guide
Our Pick - Circle Infiniti
The Guide 2014 - Fashion Classes of NJ
The Guide 2014 - Grand Glass Inc.
The Home Guide
The Home - Oasis Backyard Farms
The Home - AIR DOCTORS, INC.
Our Pick - Hubbard Park Real Estate
Weigh In
Weigh In - If you could invite anyone living or dead to...
Weigh In Colts Neck: If you could live anywhere...?!
Weigh In - “What do you like least or most about Facebook?

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™