Ear, Nose and Throat (Otolaryngology) – Head and Neck Surgery

Facial Rejuvenation

The treatment of facial aging has undergone revolutionary changes over the past twenty years, especially in the areas of “nonsurgical” or “minimally invasive” facial rejuvenation. Relaxing agents (BOTOX™ and Dysport™), along with soft tissue fillers (Juvaderm, Restylane, Radiesse and Sculptra), have become increasingly popular. Advances in laser treatments and technology have complemented these developments. Together, these treatments provide safe, minimally invasive, nonsurgical treatment options for patients interested in addressing various aspects of facial aging; lines and wrinkles, uneven skin tone and discoloration, sagging skin and changes in facial contours that occur as we age. These treatments are often cost effective and most of them can be performed during a routine office visit with minimal or no downtime.

All patients interested in cosmetic treatments at Mount Sinai’s Facial Plastic and Reconstructive Surgery Program undergo and extensive consultation to identify areas of concern, review their goals and develop an individually tailored treatment plan. Cost is always concern, as insurance does not generally cover surgery or treatment that is done purely for cosmetic reasons. We provide patients with expected costs prior to any intervention.

BOTOX & Dysport

BOTOX™ and Dysport™ are “relaxing agents” produced from sterile derivatives of Botulinum Toxin. Although distinct products, they work in the same way to improve or prevent facial lines wrinkles that are caused by over active or tense facial muscles. They have been used extensively at Mount Sinai and throughout the world for many years in the treatment of facial aging with unparalleled safety and patient satisfaction. In addition to treating facial aging, BOTOX™ and Dysport™ are also used in the treatment of facial nerve paralysis and by our voice and speech experts at Mount Sinai’s Eugen Grabsheid MD Voice Center.

BOTOX™ and Dysport™ treatments can typically be given during a routine office visit (or even on your lunch break). The treatment involves a series of small injections with minimal patient discomfort. The tiny injections usually result in little to no bruising. The effects are not instantaneous, but typically become apparent within 2-14 days later. BOTOX™ and Dysport™ usually last between 3-6 months at which point muscle activity returns to normal. As an elective treatment, they can be given whenever the effects wear off or over longer periods of time when it is convenient for the patient.

Cost is always concern, as insurance does not generally cover surgery or treatment that is done purely for cosmetic reasons. We provide patients with expected costs prior to any intervention.

Soft Tissue Fillers: Juvaderm, Restylane, Radiesse, and Sculptra

Soft tissue fillers are injectable substances that are used to replace lost volume in certain areas of the face. Compared to relaxing agents like Botox™ and Dysport™, they treat deeper creases and wrinkles by providing volume to the affected areas. Federal Drug Administration (FDA)-approved fillers are a constantly changing. The fillers we use at Mount Sinai’s Facial Plastic and Reconstructive Surgery Program are all FDA approved and include:

  • Juvaderm™ and Restylane™: these are gel like substances made from Hyaluronic Acids, naturally occurring compounds found in our bodies in between the cells
  • Radiesse™: this is a naturally occurring substance made from hydroxyapatite microspheres
  • Sculptra™: the primary component, synthetic polymer made Poly-L-Lactic Acid, has long been used in dissolvable suture material

Each of these products has specific qualities that make it ideal for treating specific areas of the face (i.e. hyaluronic acid is typically used for lip enhancement). They are not permanent with their effects lasting from 6 months to up to 4 years depending on the substance used and the area injected. The injections can be performed during a routine office visit. Local anesthesia is administered via topical creams or injections. Patients may experience some bruising but will see instant results.

Cost is always concern, as insurance does not generally cover surgery or treatment that is done purely for cosmetic reasons. Our team provides patients with expected costs prior to any intervention.

Laser Facials/Resurfacing

Originally pioneered in the 1960’s for medical use, lasers (Light Amplification by Stimulated Emission of Radiation) have become ubiquitous in modern life. Medical lasers generally produce their effects through high-energy, focused beams of intense, “single-colored” light. The light, and in some cases the resulting heat, have been found – through ongoing research and extensive clinical experience – to selectively interact, in very useful ways, upon various tissues within the skin and body.

Along with a wide variety of medical applications, numerous lasers have been developed specifically for cosmetic treatments. Fractionated carbon dioxide laser skin resurfacing (FXCO2) is a popular, permanent treatment for many of the effects of aging skin: fine lines and wrinkles, increased pore size, skin blemishes and uneven skin pigmentation. At Mount Sinia’s Center for Facial Plastic and Reconstructive Surgery Program, FXCO2 can be performed in the office with local anesthesia or as part of a larger surgical procedure. Healing occurs over approximately one week and the effects continue to develop over the following months.

Cost is always concern, as insurance does not generally cover surgery or treatment that is done purely for cosmetic reasons. We provide patients with expected costs prior to any intervention.