Michael D. Manuel, M.D. Jana K. Cole, M.D.
Plastic and Reconstructive Surgery
Tel: 907-563-2002  Fax: 907-562-7628
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Office Location	Facial Procedures
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Procedures				Rhytidectomy (facelift) Blepharoplasty (eyelid lift) Laser Resurfacing (Coherent/Ultrapulse laser) Intense Pulsed Light (IPL) Chemical Peel Botox Injectable Fillers Otoplasty (ear pinning) Ear Reconstruction Cleft Lip/palate Skin Cancer Treatment
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• Facelift- In this procedure, excess skin is removed; lax muscles are tightened, fat tissue is removed and the remaining skin is tightened to give a more rested and youthful appearance. It usually takes 3 - 3½ hours, can be done as day surgery under general anesthesia and requires 3-5 weeks to recover. Click here for more detailed information.  (Adobe Acrobat reader required)

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• Blepharoplasty- Extra skin, fat and muscle are removed from the upper eyelid to give a rested look to the eyes. The lower lid may have skin and fat or only fat removed to change the appearance of the eyelid and remove the fullness or "bags" under the eyes. This operation takes 1 -1½ hours, is done as day surgery with local anesthesia (with IV sedation) and requires 2-4 weeks to recover. Most people can return to work in 3 to 10 days. Click here for more detailed information.  (Adobe Acrobat reader required)

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• Laser Resurfacing- CO2 laser resurfacing uses the thermal power of the laser to remove the outer layer of skin. This allows new, tighter skin to appear as healing occurs. Resurfacing takes 1 - 1½ hours and is a day surgery procedure under local anesthesia (with IV sedation). Initial recovery takes 7-10 days but time to full recovery and near normal skin coloration may take several months. This page provides mored detailed information

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• Intense Pulsed Light- Intense Pulsed Light Therapy (IPL) is a non-surgical, non-invasive treatment designed to improve the appearance and quality of the skin. High intensity pulsed lights are used to reduce sunspots, visible veins and other imperfections. There is little or no “downtime” and you may resume normal activities following treatment. The Palomar Light System uses a new technology that makes treatments easier and faster in order to accommodate your busy lifestyle. We are offering a package of 5 treatments to obtain optimal results. This package includes two microdermabrasion applications and clinical home care products to extend, maximize and enhance the results of your treatment plan. The treatments take 30-45 minutes and are scheduled 3-4 weeks apart. Maintenance treatments are recommended once or twice a year.

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• Chemical Peel - In this procedure, a chemical solution is used to remove the outer layer of skin allowing new, tighter skin to regrow. The application takes about 1 hour in the office surgery facility. Recovery may last several weeks until normal skin color returns.

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• Botox- Injection of a small quantity of Botulism Toxin into the muscles that cause deep facial wrinkles will paralyze these muscles and help smooth the over-lying skin. This effect only lasts 2-4 months and the treatment will need to be repeated if the effects are to persist. These injections can be done in the office. This page gives more detailed information

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• Otoplasty- Ear pinning will reduce the prominence of the ear by removing excess cartilage and skin. The operation takes 1-1½ hours and is done under general anesthesia as day surgery. It is performed any time after age of 5-7 years old. Recovery is approximately 3-4 weeks. Otoplasty info and Consent Form.

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• Ear Reconstruction- Congenital absence of the ear or post traumatic ear loss can be corrected by the use of rib cartilage and local skin flaps. The operation may take as long as 4 hours and requires general anesthesia. Hospital stays up to 5 days are not uncommon. Recovery may take many months until final shape becomes apparent.

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• Cleft Lip/Palate- Repair of congenital cleft lip is usually started at the age of three months. It is accomplished by rearranging the local skin and muscle elements and suturing them together. The operation takes 1-2 hours under general anesthesia and may be done as day surgery. Recovery may take several weeks. Cleft Palate repair is usually accomplished between 9-12 months of age. It takes 1 ½ hours and may require a short hospital stay. Recovery is usually 3-4 weeks. Additional surgery may be needed to correct abnormal speech or to correct nasal appearance. Detailed Cleft Lip Info, Detailed Cleft Palate Info

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• Skin Cancer Treatment- Surgical excision or application of anti-cancer medications may be accomplished in the office facility. Larger tumors or more serious types of cancers may need to be treated in a hospital with local or general anesthesia.

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