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Procedures - Face

Botox Treatments | Chin and Cheek Implants 
 Neck Lift | Eyelid Surgery | Face Lift | Nose Surgery | Juvéderm®

Procedures for FaceFacial cosmetic surgery in Miami has come a long way since its humble beginnings. The advancement in technology alone has provided surgeons with a much broader range of facial surgical options. We offer a variety of facial surgery and rejuvenation procedures that will enhance the natural beauty of your face with shorter incisions and less noticeable scars, Dr. O can help you achieve a rested and younger look.  

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Come meet with Dr. O and during your initial consultation discuss your goals for facial rejuvenation and let him tell you about the many surgical and non surgical Facial Rejuvenation techniques available for you.

Call now and set up your consultation with Dr. O 305.856.9566



 Botox Treatments

Botox®m is a very common procedure, this year marks its' 7th anniversary using Botulinum Toxin which was developed to treat the visual signs of aging by reducing or removing wrinkles.

The procedure is considered a safe, effective way of treating aging skinmakes you look younger, lifts your brow, gives you a more eager look.

Common areas for Botox® injections include horizontal forehead furrows, vertical lines between the eyebrows and "crow's feet" around the eyes.

Botox® has proven to be the best non-surgical form of facial rejuvenation and is capable of producing phenomenal improvements in your appearance.


Reasons for Considering a Botox Treatment:
• Excessive facial wrinkles.
• Large wrinkles or furrows in your forehead.
• Small wrinkles or "crow's feet" around your eyes.
• A vertical "frown line" between your eyebrows.


General Procedure
The procedure in Miami works by altering the facial muscles beneath the skin that are related to wrinkles. A cream with local anesthetic will be placed on your skin prior to treatment, and ice will be immediately applied upon completion of the Botox® treatment. Typically a small amount (1-2 cc's) of Botox® is injected into the area of the wrinkle. Botox® works by blocking the impulses from the nerve to the facial muscles, thereby relaxing them. The result is the underlying facial muscles relax and the skin begins to smooth out. The effects of a Botox® treatment will last approximately three to six months after which the patient may choose to repeat the procedure.


Recovery Process
Patients generally return to their normal activities immediately after the procedure, however following the post-procedure guidelines will dramatically reduce the length and intensity of the recovery period. Patients should avoid engaging in heavy physical exercise, applying cosmetics, or laying down flat for a minimum of 4 hours after the injections. It is also advisable to avoid rubbing or massaging the injected area for at least 24 hours.




 Neck Lift

A neck lift, or platysmaplasty, is surgery designed to remove excess, sagging skin under the jaw line and on the neck. In some cases, the platysma muscle of the neck is adjusted and tightened, if it has begun to separate and sag. Some patients who complain of having a fleshy neck, “jowls”, platysma or neck “banding”, or a “turkey waddle” can benefit from this procedure.

 Working with Dr. Okpaku, you will be able to determine if this procedure is one that would benefit you and lead you to successfully achieve the natural-looking results that you are seeking. In fact, many younger people undergo platysmaplasty. Many men and women who have undergone neck lift are often thought to have “lost a lot of weight” or “toned up” rather than having had surgery. While some people only need a neck lift, and not a full face lift, the combination of the two can truly make a difference, giving you a younger and refreshed look.



 Chin and Cheek Implants

High cheekbones and a strong jaw line have long had a history of allure. Along with the eyes, the cheekbones and jaw line form the most photogenic aspects of the face. Chin and cheek implants are a great way to enhance a facial profile by improving the overall proportion and balance of the face. With chin implants (mentoplasty), the symmetry of the face can be shaped and contoured. Cheek implants (malarplasty), also known as malar (high cheek) or submalar (low cheek) augmentation, can add fullness and definition to the face. Utilizing permanent chin and cheek implants can provide a rejuvenated, youthful facial profile.


Reasons for Considering a Chin and/or Cheek Implant:
• Extend or enlarge the chin if the chin is recessed or small.
• Create a more defined facial profile if the jaw, chin, or cheeks lack distinction.
• Bring the various aspects of the face into proportion.
• Round out the cheeks if they are hollow due to heredity or aging.
• Accent the upper cheeks making them appear higher and fuller.


General Procedure
With chin surgery, an implant is inserted in front of the jawbone in order to augment the chin or jaw. A small incision is made inside the mouth to allow the implant to be positioned in a pocket just under the skin. An alternate location for this incision is below the chin (on the outside). Chin surgery is commonly performed along with rhinoplasty (nose surgery). With cheek augmentation, incisions are made either inside the mouth, through the lower cheek, or directly below the bottom eyelid on the high cheek. Cheek surgery is often performed in conjunction with a facelift procedure. Both chin and cheek implant procedures normally last from 30 minutes to one hour.


Recovery Process
Immediately after surgery, the face will be fitted with bandages, taped, or otherwise secured in order to speed the recovery process and to reduce swelling. Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and recovery time. Keeping the head elevated during the initial recovery phase is also important. Patients sometimes report minor pain associated with surgery. Any pain can be treated effectively with oral medication. Patients may experience some swelling and bruising of the face which can be eased by using cold compresses. A liquid diet may be required for a few days, as chewing may be difficult. While complications are rare, patients can minimize potential problems by carefully following the post-operative directions given after surgery. The substance used for chin and cheek implants is made of durable, solid material that will last for years.



 Eyelid Surgery

For men or women, excessive sagging or wrinkled upper or lower eyelid skin, or excessive fat in puffy pouches in the upper or lower eyelids are removed in an Eyelid Lift. Drooping skin or “bags” create a “tired” or older appearance. Removal produces a more rested and overall youthful appearance of the face. The eyes appear larger and more alert. Excessive upper eyelid skin may interfere with vision, especially if the natural upper eyelid crease has been lost. Eyelid Lifts may also widen the field of vision if excess or loose skin has partially blocked peripheral vision.

Eye make-up can typically be applied after about 4 days to conceal any bruising. Contact lenses can be worn as soon as the patient feels confident; usually within the week. Talk with Dr. Okpaku about why a Forehead Lift, Face Life, Neck Lift, Chemical Peel or Laser Skin Resurfacing may be appropriate procedures for you to consider having done at the same time as your Eyelid Lift to help you meet your aesthetic goals.




 Face Lift

A Facelift gives a more rested and youthful contour to the face and neck of those patients who may have lost skin elasticity and muscle tone of the face and/or neck, have jowls or deep creases along the nose and the corners of the mouth, have loose facial or neck skin resulting in wrinkles or lack a youthful chin or neck contour. The skin and facial or neck muscles are tightened and excess skin is removed. The decision to have a Facelift is extremely personal and our plastic surgeon takes great care not to remove or over tighten too much, which would cause an unnatural or drawn appearance.

Facelifts range from “mini” to “standard” depending on the patient’s individual condition. Our plastic surgeon can talk with you about the degree of change you would like to see and offer options for you to decide which traditional, limited or full procedure is the right one for you. They are performed on an outpatient basis under either local anesthesia or general sedation, whichever you prefer.

Symmetry of facial features and the condition of your skin indicates attractiveness, so discuss with Dr. Okpaku your personal benefits in having other procedures performed during your Facelift such as an Eyelid Lift, Brow Lift, Chemical Peel, Dermabrasion, Nose Reshaping, Liposuction or Laser Skin Resurfacing and stop feeling bothered by the signs of aging.




Nose Surgery

Nose Reshaping is a very delicate procedure performed to enhance the shape, size and appearance of the nose, or to correct breathing problems, birth defects, injury or disease. A youthful and attractive face has a small nose and big eyes. Dr. Okpaku takes great care in shaping and sculpting the correctly shaped nose to match each person’s individual face. Every nose is different and thus, they are treated as such. Every Rhinoplasty is exclusively perfected to the client's specifications. Nose Reshaping is done on an outpatient basis and under IV sedation, local or general anesthesia, whichever the patient prefers.





Juvéderm® Injectable Gel is an FDA approved, water soluble, non-surgical treatment that fills in facial wrinkles and folds creating a smooth, natural look and feel. It is made from a naturally occurring substance in the skin, hyaluronic acid, which restores volume to the skin, smoothing wrinkles due to the natural aging process.

Juvéderm® Injectable Gel can help you look younger and more relaxed instantly and without surgery. Juvéderm® Injectable Gel is also used for lip enhancement.

After your first consultation with our plastic surgeon for him to understand your goals, Juvéderm® Injectable Gel treatments are fast. Performed in our beautiful Brickell Avenue office, they usually take about 15 minutes, and there is no recuperation time that would take you away from your busy schedule. Most patients do not request anesthesia, although a local anesthetic is available if preferred. To maintain the beautiful results, a series of treatments is recommended, typically between 6 and 12 months, depending on your unique body composition.

At your initial consultation, our plastic surgeon will provide you with a professional facial analysis, possibly recommending different treatments or products, to assist you in achieving your quest for beauty, vitality and health.