Project Description

Facial Procedures


Facial Procedures


Facial Procedures

Most patients who visit us for facial surgery have a specific area of concern. They may note their eyes give them a tired look or they have sagging skin along the jawline or in the neck area. They may notice a combination of aging changes that makes them look older than they feel.

  • Facelift and Necklift

  • Submental Liposuction

  • Eyelid Surgery

  • CO2 Resurfacing

  • Injectable Dermal Fillers

  • Dysport

At Wright Surgical Arts we provide a wide range of procedures that can enhance the appearance of our patients’ facial features. From chin implants to facelift procedures and other plastic surgery options. For detailed information about the facial surgery procedures we offer, please select from the list below.

Rhinoplasty is a procedure that changes the size and shape of the nose, either by increasing or decreasing the bridge, changing the angle, narrowing the nostrils or reshaping the tip. Although many seek a rhinoplasty simply to change the shape of their nose, others may choose nose surgery after a facial injury or to help relieve nasal obstructions.

Rhinoplasty Procedure

Rhinoplasties are performed on an out-patient basis and usually take an hour or two depending on the extent of the correction and the procedure is performed under a general anesthesia.

There are different surgical techniques. Sometimes a “closed” technique will be used, where the incisions are made inside the rim of the nostrils. Most commonly an “open” technique will be used, where an incision is made across the base of the nostrils.

In either case, the soft tissues of the nose are then separated from the underlying structures allowing access to the cartilage and bone. The cartilage and bone are then altered and sculpted into shape. At the same time, internal problems, such as breathing obstructions can be improved by removing the obstruction or changing the shape of the obstructing matter. Also, if the nostrils are too wide, we can remove a small wedge of skin from the base for a more proportional look.

Rhinoplasty Recovery

A lightweight splint will be placed on the nose for several days after to help maintain its new shape and for protection. After surgery, you are likely to have swelling and bruising around your nose and eyes. This will peak and begin to subside after the second or third day. Using cold compresses and keeping your head elevated will help reduce this swelling, and it should almost be unnoticeable after two weeks or so. A little bleeding is also common during the first few days. Any bruising will fade after about a week and discoloration will usually disappear in two or three weeks. Camouflage cosmetics can be used to cover the discoloration after the first day or two. It is common to experience some nasal stuffiness, particularly if you’ve had surgery on the septum. It may be a week or two before you will be allowed to gently blow your nose.

You’ll need to be careful not to hit or jar your nose, or allow it to sunburn for at least eight weeks while your nose continues to heal. You will need to avoid any strenuous activity that raises your blood pressure for two to three weeks. Your surgeon will determine when you can resume this type of activity given your particular case. You will also need to avoid wearing glasses for a few weeks until your nose is completely healed.

“I don’t want to look like I had a facelift!” This is often the first concern heard from a patient during a consultation for facial rejuvenation. If you are like the majority of our patients you want procedures that will improve your appearance without resulting in obvious signs of surgery.

With time, sun exposure, aging, or hereditary factors excess skin and facial wrinkles can develop. Facelift surgery is the removal of lax skin. Not everyone ages at the same rate and a great deal of the aging process relates to your tissues and what you do to care for them. There is no magical age to make the decision to have a facelift.

The appropriate time to have a consultation is when you no longer like what the mirror tells you. This may be in your 30s or your 80s. The facelift procedure can improve wrinkled skin, but skin type and patient age are important factors in the final result.


The facelift can do more than improve the appearance of facial skin. It can also be a tremendous boost to a person’s self-esteem. While there is no “right” age to undergo a face lift, your surgeon will evaluate the condition of your skin and may discuss alternate or additional treatments with you. In combination with a facelift, other procedures may be performed including eyelid surgery, forehead lift, facial implants, partial chemical peel, laser resurfacing, Dysport®, lip enhancement, chin augmentation, nose reshaping or liposuction. If you are a smoker then you will be instructed to stop smoking at least four weeks prior to surgery. Smoking can delay healing and cause complications.


A facelift may be performed in our out-patient surgical facility setting, under general or IV sedation. The operation is performed on an out-patient basis and the patient returns home following the procedure. Within the first week you may experience minimal discomfort, and patients can resume normal activities in about 4-6 weeks.


Immediately after surgery, bandages are placed about the head and face for 24 hours. A scarf may be worn to cover stitches until they are removed. Keep bandages and incisions dry until sutures are removed. Ask your physician when you can bathe or shower.
Patients can expect some swelling of the face and eyelids and some discoloration is common with any type of facial surgery. This is most notable on the second and third days and diminishes in approximately 12 days. This also depends on your type of skin, age and healing ability.


There are risks in every surgical procedure and these will be thoroughly discussed with you prior to surgery. This procedure will result in some scarring. Our surgeons will make every effort to make these scars as inconspicuous as possible. Some blood may accumulate under the skin, called a hematoma, but is rare and easily drained. Slight numbness may be noted around the ears, cheeks and incision areas. This, also, should be temporary. Infection and areas of skin or hair loss are possible, but uncommon. Nerve damage is a rare occurrence. Today, there are new innovations and techniques that help to make the final results safer, longer lasting and appear more natural.

Men and women today are more health-conscious and pro-active in taking care of their bodies than ever before. They want to feel good – but they must look good also – especially in today’s competitive corporate workplace. The neckline ages just like the rest of our body. It loses skin elasticity and begins sagging while excess fat accumulates under the chin and creates an unpleasant bulge or “double chin”. Since the face is the first thing that we see when we look at someone, the amount of fat in the neck and face leads us to make a judgment about the fat and muscle content of the entire person.

Unwanted fat can develop in the anterior neck and face during weight gain and as we lose weight it is often this neck and lower cheek fat that is the last to go. Neck fat can also be stubborn and difficult to lose even with exercise and healthy eating. Also, with age, fat accumulates in the neck, lower cheeks or jowls, and chin. Submental liposuction or chin liposuction, is a safe procedure that can drastically change the appearance of your neck. In order to combat this unfortunate fat distribution, many people choose to undergo a chin liposuction procedure.

The Procedure

The procedure lasts less than an hour and can be done under IV sedation or general anesthesia. Small incisions are camouflaged under the chin and behind the lower ears. Our surgeons works through these to gently remove excess fat using a thin cannula. After the area has sculpted, the incisions are closed and a chinstrap is applied to keep pressure on the surgical area. This helps to minimize bruising and swelling. A little discomfort, swelling, and bruising is normal and to be expected but resolves in just a few days.


You will begin to shower the day after surgery but you should avoid exercise or any activity that raises blood pressure for the first four weeks after chin liposuction. You will need to wear a special chin strap for the first 1-2 weeks to help with healing. Massaging the area is important to smooth out fat pockets and swelling and may be safely started three weeks after surgery. Chin liposuction offers a very safe and effective means to reduce some of the signs of aging and to restore a thin, healthy look to the face and neck.

Eyelid surgery (blepharoplasty) is a procedure to remove fat–usually along with excess skin and muscle–from the upper and lower eyelids. Eyelid surgery can correct drooping upper lids and puffy bags below your eyes – features that make you look older and more tired than you feel, and may even interfere with your vision. However, it won’t remove crow’s feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows. Blepharoplasty can be done alone, or in conjunction with other facial surgery procedures such as a facelift or brow lift.

Most patients return to work within a week to 10 days. Scarring is minimal and typically fades within a few months of the surgery. You will need to keep your activities to a minimum for three to five days, and to avoid more strenuous activities for about four weeks. It is especially important to avoid activities that raise your blood pressure, including bending, lifting, and rigorous sports.

Also known as fat grafting or fat injection, A fat grafting procedure transfers fat from areas in which you have excess fat, such as the abdomen, and injects it into areas that may be lacking in volume, such as your face, hands, breasts or buttocks. This safe, long-lasting, well-tolerated procedure produces natural-looking results.

When to Consider Fat Transfer

  • If you have facial areas that appear creased and sunken
  • If you desire more permanent correction than is provided by temporary fillers
  • If you wish to improve your body contour, revise scars, fill bodily depressions and rejuvenate your hands and face
  • For use in breast reconstruction, to fill in contour irregularities or hide obvious signs of breast implants

Related Procedures

Many people who consider fat transfer also consider liposuction, buttock augmentation, Dysport & Botox, and fillers.

Am I a good candidate for a fat transfer?

The purpose of fat grafting is to augment or fill in volume-deficient areas. You must have donor sites from which fat can be taken.


If you have creases on the face, such as smile or frown lines, fat can be removed from your thighs, abdomen, or other areas and then injected into the areas needed. Scars or sunken areas of the face, lips, or cheeks can also be treated. Our surgeons can even use grafted fat to decrease the lines next to your nose and mouth and even the forehead.


You can also gain some decent breast size increase, but only if you have nice breast shape and good skin tone. If you have poor skin tone, sagging breasts or droop then fat grafting may not be best for you as you may need a breast lift. The problem with only using fat for breast augmentation is knowing how much fat will actually “take.” What you may need is breast implants with fat grafting.


If your breasts have superficial defects after having breast cancer surgeries or breast lump removals, fat grafting is an excellent way to fill these areas in.


Many people who desire a fuller, more rounded buttock will opt for a “Brazilian butt lift”. Liposuction is performed and the fat that is removed is then injected to the buttocks to sculpt more curve and volume.


Fat grafting into your hands will add volume and will fine out the wrinkled areas, covering visible blood vessels and tendons.

About Your Procedure


Fat is liposuctioned from a part of your body, washed and purified, and then carefully reinjected with specially designed needles into the areas that need augmentation. It is important to understand that you may need more than one fat grafting session to achieve the result you are looking for. It may be necessary to repeat the fat grafting procedure several times to achieve the desired result.


While the results of fat transfer can vary from patient to patient, most patients see a truly remarkable effect for years, if not permanently. As much as 70-80% of the fat transferred appears to last indefinitely.


Tri-Cities Office 5908 Bedford Street, Suite C Pasco, WA 99301 Get Directions

P: (509) 792-1404 F: (509) 792-1405

Business Hours Mon – Fri: 9:00am – 5:00pm Saturday: By Appointment Only


Spokane Office 1235 N Liberty Lake Rd Suite 106, Liberty Lake, WA 99019 Get Directions

P: (509) 713-4765

Business Hours Mon – Sat: By Appointment Only

Tri-Cities Location

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