Rhinoplasty Surgery

People lead into every social situation with their nose, and it is frequently the first impression that one makes with other people. Correction of an undesirable nasal appearance can make a difference in how other people respond to you. Facial plastic surgery procedures that correct nasal deformities cannot only make you feel better about the way you look, but can also correct nasal air flow issues and greatly improve the quality of your life.

At Fairbanks Plastic Surgical Center, we address both the appearance and function of the nose. We have extensive experience in dealing with nasal problems.  Nasal surgery, or rhinoplasty, is surgical sculpture.  Our surgeons are accomplished artists and by combining medical science with art, they are able to achieve impressive results that we are sure you will be pleased with.

If you are considering plastic surgery for your nose, we specifically recommend against the use of non-living or prosthetic materials. These can cause serious trouble later on, such as infection, extrusion, and severe scarring. Our advanced procedures use your own living tissues, sculpted to the optimal shape with your personal goals as the blueprint. By doing so, we eliminate the risk of rejection and achieve results we know you’ll be pleased with.

Finally, there are unfortunately cases where nasal surgery has been performed elsewhere with less than stellar results. Perhaps your airway is still obstructed, or the aesthetic results were less than you desired. We are able to help. Just as we can correct the flaws of accident and nature, we can correct the problems of a bad rhinoplasty. This procedure is called a Secondary Rhinoplasty or a Revisionary Rhinoplasty. Please see our page on Secondary Rhinoplasty for more information.

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Tribute to Avard Fairbanks


Nasal Airway Surgery

When performing a rhinoplasty (nose job), it is important that the nose breathes well, as well as looks good. If you have difficulty breathing, be assured that nasal airway problems can be corrected physiologically so that your physical activities will not be hampered by breathing difficulties.

While a person can breathe through either the nose or the mouth, mouth-breathing is not physiologic; it is more of a safety access for air when the nose becomes obstructed. A brief review of nasal anatomy is essential for understanding how the nose works:

If we follow the air entering the nose, it first encounters stiff nasal hairs in the nostrils called vibrissae. The vibrissae filter out large airborne particles, while nasal mucous entraps fine particulate material. Thus, the air is cleaned before it goes down into the lungs.

The next important function to consider is air temperature control. By the time the air passes from the nostrils to the posterior pharynx (wall in the back of the throat), it is within one degree of body temperature. This extraordinary feat is accomplished by structures called turbinates. The turbinates have an immense blood supply, and as they increase the surface area inside the nose, they allow for heat transfer to the inspired air. The turbinates are made up of supportive, thin bone covered by a plexus of blood-rich tissue, which can swell and contract. This is covered by a moist, red lining called mucosa.

In addition to temperature control, the turbinates release water vapor into the air, so that the air is humidified before it goes into the lungs. There is a delicate balance between form and function, which must be maintained for the nose to breathe well. If the turbinates are removed (amputated), for example, the nose can become dry inside and result in a miserable condition called atrophic rhinitis. Patients with such dry noses require special irrigation solutions repeatedly throughout the day for the rest of their lives. We recommend against amputation of the turbinates.

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Ear Reconstruction for Microtia

Ear reconstruction, using a patient’s own cartilage, provides the best solution for the child who is born with a tiny malformed ear (which is called microtia). It can also be used for the traumatic loss of an ear through an accident.

For children who were born with an underdeveloped ear, cosmetic surgery can begin as early as age six. Older patients can be benefitted immediately following the accidental loss of an ear. In all cases, the most effective method for success will be achieved by carving a new framework from the patient’s own rib cartilage. Atresia refers to the absence of the external canal, which is almost always associated with microtia. If the internal components are developed well enough, an external ear canal can be created. This, however, should not be done until the external microtia repair has been completed.

While there are a number of artificial frameworks available, these are not living material, and the chance that they will erode through the skin is high. When this happens, an infection will occur. The artificial framework will have to be removed, and the patient may have lost their chance for a successful ear reconstruction.

The normal external ear is made of cartilage covered by skin. Our method seeks to recreate the natural ear. A living ear created from the patient’s own tissues, when done well, is preferable to a “stick-on” prosthetic ear or an ear created over a synthetic/artificial framework. The quality of the result for the cartilage-based ear depends upon the surgeon’s artistic ability to carve or sculpt the cartilage.

The patient is a seven-year-old male who has undergone staged procedures for the reconstruction of the undeveloped or microtic ear. It is important to delay surgery until the patient has reached an age when most of the ear growth has been achieved on the opposite side. The surgeon uses the opposite ear as a guide, or template, to achieve an artistic reconstruction. In this patient, the result demonstrates a close-to-normal appearing reconstructed ear. This represents the optimal result available in ear reconstruction.

Dr Grant Fairbanks is considered to be one of the best ear reconstruction surgeons in the country.

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Facial Implants

FACIAL IMPLANTS: Cheek implants and chin implants provide your surgeon the ability to create subtle changes in facial contour to enhance a given patient’s appearence. Facial implants can be biologic, such as tissue taken from the patient themselves (cartilage or bone), or implants can be produced commercially. For the cheeks and chin, solid silicone works well and have a long success record. When it comes to implants in the nose, however, living biologic material is preferable. Custom implants created for traumatic loss of a portion of the skull (cranioplasty) can be made from a variety of materials.

FACIAL BEAUTY: The main points of beauty of the face are the nose, the cheeks, and the chin. It is the relationship between these prominences which historically has defined facial beauty. This must be balanced with soft tissue structures such as the forehead, the lips, the eyes and the neck. It is this balance in contour that artists and sculptors have been aware of for centuries. Ideal facial proportions were worked out in classical Greek times. Famous Greek sculptors such as Phidias, Praxitiles, Myron, Polycliltis, and others followed rules of anatomic design in order to create their sculptured masterpieces in marble, which are timeless, and continue to be admired today. It is important that Plastic Surgeons have the same artistic skills when it comes to sculpturing the human face.

Fairbanks Surgery Center…when only the best results will do

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Dr Grant Fairbanks – the artist

Dr. Fairbanks combines Art with Medicine in the form of Plastic Surgery. He believes that Plastic Surgery is the finest of the Fine Arts. Dr. Fairbanks comes from an artistic background by both heritage and education. His father, Avard T. Fairbanks, Ph.D., was an internationally renowned sculptor. Throughout his youth Dr. Fairbanks worked in his father’s studios, learning the sculpture profession and appreciation of classical sculptural beauty. His own talents were enhanced by studies with many of Utah’s most noted artists. From his own artistic accomplishments, the best known is his sculptural re-creation of the Eagle for Salt Lake City’s famed Eagle Gate. He also created a bronze portrait of Louis P. Gebhardt, M.D., Professor of Microbiology, which is located in the University of Utah Medical Library. The large relief of the Great Seal of the State of Utah behind the Utah Governor’s desk is another of his artistic accomplishments. A bronze statue of the winged horse “Pegasus” for the Pegasus Critical Care Center for large animals, Michigan State University Veterinary school, East Lansing, Michigan is another of his sculpting achievements. He created the Medal of Honor for the William C. Grabb, M.D. Memorial Lectureship at the University of Michigan. He has painted still life, landscapes, and done medical illustrations; he is an excellent painter of the human figure. Dr. Fairbanks is a recipient of the prestigious Jerome Klingbeil Award for excellence in teaching by the American Society for Aesthetic Plastic Surgery.

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Deep Plane Facelift vs. SMAS

In reality, a deep plane facelift allows the skin and muscle to remain attached to the underlying structure in the face, resulting in less trauma than an SMAS facelift that separates the distinct layers of facial tissue, pulling them out of their original alignment which can cause many possible abnormalities to occur.

Dr Grant Fairbanks has had several facelift patients come to him with issues that he has had to repair form the work of other physicians.

Many of the patients have stated the wish the could of had the Deep Plane Facelift by Dr Fairbanks at the start to avoid the complications.

Five Things to Avoid in Facelift Surgery

  1. You don’t want to look abnormal, tight, stretched, or strange; therefore, avoid procedures that place tension only on the skin (just look at all the movie stars and celebrities who have had bad facelifts).  It is a tragic circus of judgmental error in choosing their surgeon.
  2. You don’t want to lose hair; therefore, avoid procedures that raise your hairline (this is a dead give-away that a patient has had a bad facelift).
  3. You don’t want to have tell-tale ear deformities; therefore, avoid procedures that deform the tragus—the door over the ear canal—or make the earlobes look pulled; the so-called “pixie-ears”  (another obvious sign that a person has had a sloppy facelift).
  4. Avoid unpredictable procedures, which rob you of your money and don’t provide the result you want (don’t be ripped off by less-than-predictable sell-job procedures).
  5. Above all, avoid the so-called “mini-lifts,” irrespective of what catchy name they may be called by.  The mini-lift is an outdated procedure.  Mini lifts were performed in the 1920s and 1930s.  Face Lifting has made major advances since that time.  With a super-quick procedure, it is impossible for the surgeon to achieve the result of a deep-plane lift into the anatomic release zone.

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What to expect – The Deep Plane Facelift

A common question about facelifts is “how long will it last?” The simple answer is, “The younger you go, the longer it will last.” A diagram on facelift longevity serves to answer this question more completely.

Compare a deep-plane facelift with no facelift at all

We look our best between the ages of 18 and 35. There is a time in which the aging process becomes apparent.  Not everyone ages at the same rate. Some people may have premature aging and these people are special candidates for facelift surgery.

The downward incline line on the graph represents the aging process.  The most common age for a facelift is 52 years.  If one undergoes a minimal or limited facelift, the results are generally disappointing and the patient soon looks like they did before surgery.

If a patient undergoes a deep-plane facelift into the anatomical release zone, the results are the maximum possible reversal of aging without looking tight, stretched, or strange. The goal is to go back to our optimal appearance or as close to it as possible. Remember, however, that aging continues and there will come a time when we once again look similar to how we looked at the time of our original facelift.  However, we will continue to look much younger than our actual age; usually around 20 years younger.

Facial rejuvenation surgery should not be confused with facial resurfacing procedures, such as laser, chemical peel, or dermabrasion. Facial resurfacing refers to skin surface destruction, which then heals on the surface only. While beneficial in certain cases, you cannot expect to attain anything like the rejuvenation and youthful appearance to be had through a medically advanced and well-performed facelift operation. Resurfacing procedures also take longer to heal and have more down-time.

The most important things to avoid when considering a facelift procedure are the tell-tale signs of having had a facelift; the so-called “facelift stigmata.”  Only a natural looking, younger appearance should be acceptable to you. Inferior facelift procedures can result in the loss of sideburns, obvious scars, hair loss, unsightly stitch or staple marks, and even ear deformities. These undesirable results can all be avoided. At Fairbanks Plastic Surgery, we have been able to avoid these unsightly features. Our perfected, medically advanced procedure will give you the youthful appearance you want without looking tight, stretched, or strange. We also employ special techniques to minimize bruising and swelling. Patients can generally plan to resume public appearances in 12 – 14 days.

If you have been considering cosmetic surgery to achieve a more youthful appearance, be sure to call us. One of our plastic surgeons will be happy to explain the principles of the Fairbanks Deep Plane Facelift and the advanced techniques we have been able to achieve on the basis of facial anatomy. Your surgeon will answer your questions and show you examples of our excellent results.

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Deep Plane Facelift

A deep plane facelift is the most advanced lift performed by surgeons to improve the neck and face. Because of the skill required, it will be very important for you to choose the right Deep Plane Facelift Surgeon for you.

If you are considering facial rejuvenation, you should research your options. Facelift procedures vary, and so do the results. Beware of the clever catch-phrase quickie lifts (e.g. “smart-lift,” “life-lift,” “lunch-hour-lift,” “S-lift,” “quick-lift,” “mini-lift,” “string-lift,” etc.) These are ALL mini-lifts. Despite the fact that they are heavily promoted, these are outdated procedures. 


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Eyebrow Lift, Forehead Lift, or Brow Lift

About this procedure

Do you feel that you look tired or angry all the time, or do people frequently ask you if you’re upset? Some patients notice that they have developed excessive wrinkles in their forehead. Others find that they are constantly raising their eyebrows in order to see better. Many of these patients think that what they need is eyelid surgery, or a blepharoplasty, when in fact it is their brow that is drooping and needs to be raised.

The good news is that a surgical correction called an eyebrow lift, forehead lift, or brow lift, is a highly successful operation, which improves the patient’s facial appearance to a remarkable degree. Of course, if necessary, the eyebrow lift may also be done in conjunction with eyelid surgery.

Raising the brows provides for a more awake and cheerful look. It may also improve the patient’s vision. Care must be taken to avoid over correction, which would result in a surprised look, and caution must also be taken to avoid raising the hairline in an individual with a naturally high forehead.

There are several approaches that may be taken, depending upon the patient’s needs and anatomy. Incisions may be placed in front of, or behind the hairline. The muscles that cause the frowning wrinkles between the eyes may also be treated at this time, as well as the anger lines. The results from an eyebrow lift will likely seem dramatic to the patient, yet subtle to others.

Eyebrow Lift

Eyebrow Lift, Forehead Lift, or Brow Lift before and after

Forehead Lift


Brow Lift

Brow Lift

Eyebrow Lift

Eyebrow Lift

Forehead Lift

Forehead Lift