Otoplasty , Ear Surgery - Facelift
Blepharoplasty , Eyelid Surgery - Rhinoplasty
Fat Injections - Lip Lengthening

Surgery of the Ears: Otoplasty

Ear surgery, or otoplasty, is generally done to change the shape and contour of the ears, setting them back closer to the head or reducing their size. This procedure may be performed on anyone over the age of four to five years of age when maximum ear growth is generally completed. It is often recommended at an early age rather than later to avoid any psychological stress related to this problem. Ear surgery on adults is possible under local or general anesthesia and is effective in achieving the appearance desired.


Before Otoplasty, Ear Surgery		After Otoplasty, Ear Surgery

The Procedure

This surgery is performed in our on site certified ambulatory surgical facility. Incisions are made behind the ear and cartilage is reshaped or removed. A head dressing is worn for three to five days and sutures are removed in one week. There is very little pain after surgery from this procedure.

View Before & After Examples of Otoplasty (Ear Surgery)

FaceLift: Facial Rejuvenation

The facelift procedure offers the opportunity to turn back the hands of time and re-capture a more youthful look. One wants to improve skin, subcutaneous tissue, and muscle balance to achieve this result. The effects of gravity, sun exposure, life’s stresses, and even genetic pre-disposition are all factors contributing to the signs of aging. Whether you are noticing sagging, wrinkling skin, prominent skin folds around the chin and neck, or deep creases between the cheek and mouth, the facelift procedure (technically known as rhytidectomy) can help improve your appearance.


Before Facelift		After Facelift

The Procedure

This surgery can be safely performed in our on site certified ambulatory surgery facility on an outpatient basis. We incorporate a total skin care plan to prepare our patients’ skin for their surgical procedure. This decreases healing time and gives a better skin appearance. For optimum results we recommend a two-week regimen of skin preparation prior to surgery.

When performing the facelift procedure, Dr. Bloom addresses not only the loose skin and laxity of some facial muscles, but the loss of the subcutaneous (fatty) tissue as a result of aging. Strategic facial fat injections are added during the face-lift procedure to improve subcutaneous tissue quantity. Using a technique promoted in recent years by Sidney Coleman, M.D., the fat has shown to have a 50% to 80% survival rate over eight years. A TCA peel may be added to refresh the skin and return the skin to a more youthful glow.

Our goal is to retain your appearance but at a more youthful age.

Please feel free to call our office to schedule a personal consultation to answer questions about your individual needs.

View Before & After Examples of Facelift

Surgeries Around the Eyes

Our eyes can be considered the windows to our souls…reflecting a vast array of emotions. Whether we are happy, sad, frightened, or excited, the eyes reflect our feelings through expressions. Yet physical changes such as wrinkles, deep lines, droopiness or puffiness of the lids, interfere with these expressions.

As we age, genetic tendencies, exposure to sun, and the stresses of daily life all contribute to producing eyes that reflect a tired, aging appearance. There are a number of surgical procedures to effectively correct these problems restoring the eyes to a more youthful look, rested look.

The Procedures

These procedures are performed in our on site certified ambulatory surgery facility. During your examination, Dr. Bloom will help define your goals.

Blepharoplasty (Eyelid surgery)

Some of the alternative treatments for the upper lids include excision of excess skin, muscle, or fat. Skin resurfacing is also an alternative. These procedures are performed with a laser to decrease bruising and swelling. A part of the brow may also require lifting to achieve the desired result. This procedure is called a modified brow lift.


Before Blepharoplasty, Eyelid Surgery		After Blepharoplasty, Eyelid Surgery

Improving the lower lids may require trimming or repairing the bulging fat
pads. There are no scars on the lower lids. The incision is made inside
the lower lid. Trimming the fat can reduce the fullness under the eyes and give them a more youthful appearance. Strategic injection of fat under the eyes helps to alleviate a “hollow” look.

View Before & After Examples of Blepharoplasty (Eyelid Surgery)

Surgery of the Nose

Rhinoplasty, or surgery to reshape the nose, is a quite common surgical procedure that can make a difference in how you look to both yourself and others. The nose, being the most prominent feature of your face, when altered, can change your appearance dramatically for the better, or simply offer slight improvements to your facial appearance overall. Whether you are looking for a dramatic difference or a simple modification to your nose this procedure offers many alternatives. Rhinoplasty can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils, or change the angle between your nose and your upper lip. Your goals can be communicated to Dr. Bloom through the use of a computer imager.

Rhinoplasty can also be performed in conjunction with other procedures to relieve nasal obstructions that can cause difficulty breathing.


Before Rhinoplasty		After Rhinoplasty

The Procedure

The procedure is done in our on site certified ambulatory surgical facility. General anesthesia is used with the latest medications and techniques to decrease post operative drowsiness and discomfort. The bone and cartilage skeleton is reshaped so that the skin will drape over the aesthetically changed appearance. Tape and a splint are worn for one week after your surgery. There is usually little bruising. Swelling may last for several months.

View Before & After Examples of Rhinoplasty (Nose Job)

Fat Injections

Although fat injections have been done for many years, with better understanding of the procedure, techniques have been developed which give good long-term results. Fat injections are now used in the brow, cheek, and mouth areas to give a more youthful appearance. In the past, many facelifts left the face appearing pulled. Contributing to this problem was the gradual loss of facial fat with aging. Replacing the fat gives the face a more natural and youthful appearance. Fat can also be used to build up the appearance of the calf muscles and the buttocks. Limited fat injections can be done under local anesthesia, while more extensive injections are usually done under general anesthesia.

The fat used is obtained from the patient’s own knee, outer thigh, or hip areas.

Studies show a fifty to eighty per cent fat survival rate. While touch up injections may be required with time, I have many patients who have had fat survival for the entire five years that I have been performing the procedure.

View Before & After Examples of Fat Injections

Lip Lengthening

There are three methods that are employed to enlarge the lip - insertion of a foreign body, injections of fat, and lengthening of the tissue inside the lip. The latter procedure is done with a similar technique that plastic surgeons use to lengthen skin or other parts of the body. This technique is a form of "W" plasty. This is a procedure that can be done under local anesthesia. The lip remains swollen for several days but there is little post operative pain. During consultation, it will be decided which method will offer the best result.