Dominic C. Foti, MD

Our commitment is to provide the highest standard of care and excellence in the plastic surgery field. Dr. Foti tailors each procedure carefully to ensure an excellent outcome and to make your experience a memorable one.





Colorado Springs Plastic Surgeons > Facial Plastic Surgery Procedures

plastic surgeons colorado springsFacial Plastic Surgery Procedures in Colorado Springs

Facelift (Rhytidectomy) or Neck Lift

A facelift is designed to improve the sagging skin that develops with aging. The sagging skin is most noticeable in the cheeks, jowls, and especially the neck. The greatest improvement in this Colorado Springs cosmetic surgery is seen in the lower face and upper neck region.

The incisions are placed in the hair as well as just in front of the ear, making the incisions virtually invisible. Dr. Foti tightens both the facial muscles as well as the skin. This gives you two layers of support for a longer lasting result. The surgery is done as an outpatient, allowing you to recover in the comfort of your own home. You can begin showering and washing your hair the very next day.

Most Colorado Springs cosmetic surgery patients have minimal discomfort and bruising, allowing you to get back to your normal activities quickly. You can return to work in two to three weeks.  Facelifts cannot stop the aging process, but it can turn back the clock several years. It can help you look as good as you feel.

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Eyelid Surgery (Blepharoplasty)

As we age, the eyelids sag and puffy bags form below the eyes giving us the appearance of being "tired" all the time. It can make us look older than we really are. Blepharoplasty or eyelid surgery is one of the most satisfying procedures. It is a short, simple, outpatient procedure providing a dramatic improvement in your appearance with a minimum of healing time.

The incisions are hidden in the natural crease of the upper eyelid and along the eyelash line of the lower eyelid. If there is primarily bulging fat in the lower eyelid, the incision can be made on the inside of the lower eyelid leaving no visible scar. After surgery there will be some bruising, which can usually be covered with make up in a week. Most patients are back to work in a week. Blepharoplasty can restore the patients eyelid to it's natural, youthful appearance.

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Midface Lift or Cheek Lift

Many patients have sagging in their midface that traditional facelifts and eyelid surgery cannot address. The sagging is caused by gravity pulling on the fat pads over our natural cheekbones giving your face a flattened, aged look. Midface lifts can be done at the same time as a lower eyelid lift. The midface lift utilizes a muscle sling technique that can return the cheek fat pads to their natural position on the face, giving you a more youthful look. The incision is the same made for a traditional lower eyelid lift, along the lower eyelash line. After surgery there will be some bruising, which can usually be hidden with makeup in about a week. Most patients have minimal discomfort and are back to work in a week.

Forehead Lift

Sagging of the forehead can make us look tired and angry. A forehead lift can dramatically improve this by restoring it to its natural more youthful position. The forehead lift is usually done at the same time as an upper eyelid blepharoplasty. The incisions are placed within the hair so that the scars will not be visible. The eyebrows are lifted to a more natural position, resulting in a more relaxed, refreshed youthful appearance.

Most Colorado Springs cosmetic surgery patients have minimal discomfort following surgery. There is some bruising around the eyes. Most patients are back to work in a week or two.

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Nasal Surgery (Rhinoplasty)

Facial harmony is the key to beauty. A nose that is too big or too wide, upsets this harmony. Dr. Foti can restore this harmony by reshaping your nose, achieving better facial balance.

Dr. Foti sketches the changes he feels would give you the balance you are looking for. He reviews the sketches with you to make sure you are comfortable with these changes.

Rhinoplasty is performed as an outpatient procedure. After your surgery, a splint is applied to help maintain its new shape. The splint is removed a week later and you can immediately see the changes. The incisions are well hidden. You will typically have minimal discomfort and are back to work in a week.

rhinoplasty colorado springs

Ear Surgery (Otoplasty)

Ear surgery or otoplasty is usually done to set prominent ears back closer to the head. It cannot make large ears smaller or small ears larger. The surgery can be performed anytime after the age of five, which is when the ears are almost fully grown. Otoplasty is done as an outpatient procedure. The patients generally have minimal discomfort following the surgery. The patient is asked to limit their activity and protect the ears for 6 weeks.

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Cleft Lip or Palate

In the early weeks of development, long before a child is born, the right and left sides of the lip and the roof of the mouth normally grow together. Occasionally, however, in about one of every 800 babies, those sections don't quite meet. A child born with a separation in the upper lip is said to have a cleft lip. A similar birth defect in the roof of the mouth, or palate, is called a cleft palate. Since the lip and the palate develop separately, it is possible for a child to have a cleft lip, a cleft palate, or variations of both.

If your child was born with either or both of these conditions, your doctor will probably recommend surgery to repair it. Medical professionals have made great advances in treating children with clefts and can do a lot to help your child lead a normal, healthy, happy life. This information will give you a basic understanding of the operation -- when it can help, how it's performed, and what results you can expect. It can't answer all of your questions, since a lot depends on your individual circumstances. Please be sure to ask Dr. Foti if there is anything you don't understand about the procedure.

Children born with a cleft lip or palate may need the skills of several medical professionals to correct the problems associated with the cleft. In addition to needing plastic surgery to repair the opening, these children may have problems with their feeding and their teeth, their hearing, their speech, and their psychological development as they grow up.

For that reason, parents should seek the help of a Cleft Lip and Palate Team as early as possible. Medical professionals with special experience in the problems of cleft lip and palate have formed such teams all over the country to help parents plan for their child's care from birth, or even before. Typically, a Cleft Team might include a plastic surgeon, a dentist, an oral surgeon, a speech and language specialist, a hearing specialist, and an ear-nose-throat specialist.

Ask Dr. Foti for a referral to a Cleft Team in your area. Or, for more information, contact The Cleft Palate Foundation, 104 S. Estes Drive Suite 204, Chapel Hill, NC, 27514, (telephone: 800-24CLEFT).

When surgery is done by a qualified plastic surgeon with experience in repairing cleft lip or palate, the results can be quite positive. Nevertheless, as with any operation, there are risks associated with surgery and specific complications associated with this procedure.

In cleft lip surgery, the most common problem is asymmetry, when one side of the mouth and nose does not match the other side. The goal of cleft lip surgery is to close the separation in the first operation. Occasionally, a second operation may be needed.

In cleft palate surgery, the goal is to close the opening in the roof of the mouth so the child can eat and learn to speak properly. Occasionally, poor healing in the palate or poor speech may require a second operation.

At your initial consultation, Dr. Foti will discuss the details of the procedure he will use, including where the surgery will be performed, the type of anesthesia to be used, possible risks and complications, recovery, costs, and the results you can expect. Dr. Foti will also answer any questions you may have about feeding your baby, by breast or by bottle, both before and after the surgery. In most cases, health insurance policies will cover most or all of the cost of cleft lip or cleft palate surgery. Check your policy to make sure your child is covered and to see if there are any limitations on what types of treatment are covered.

Cleft Lip Surgery

Cleft Lip Cleft Lip Correction Diagram Corrected Cleft Lip Diagram Correct Cleft Lip

A cleft lip can range in severity from a slight notch in the red part of the upper lip to a complete separation of the lip extending into the nose. Clefts can occur on one or both sides of the upper lip. Surgery is generally done when the child is about 10 weeks old.

To repair a cleft lip, the surgeon will make an incision on either side of the cleft from the mouth into the nostril. He or she will then turn the dark pink outer portion of the cleft down and pull the muscle and the skin of the lip together to close the separation. Muscle function and the normal "cupid's bow" shape of the mouth are restored. The nostril deformity often associated with cleft lip may also be improved at the time of lip repair or in a later surgery.

Your child may be restless for awhile after surgery, but Dr. Foti can prescribe medication to relieve any discomfort. Elbow restraints may be necessary for a few weeks to prevent your baby from rubbing the stitched area.

If dressings have been used, they'll be removed within a day or two, and the stitches will either dissolve or be removed within five days. Your doctor will advise you on how to feed your child during the first few weeks after surgery.

It's normal for the surgical scar to appear to get bigger and redder for a few weeks after surgery. This will gradually fade, although the scar will never totally disappear. In many children, however, it's barely noticeable because of the shadows formed by the nose and upper lip.

Cleft Palate Surgery

Cleft Palate DiagramCorrected Cleft Palate Diagram

In some children, a cleft palate may involve only a tiny portion at the back of the roof of the mouth; for others, it can mean a complete separation that extends from front to back. Just as in cleft lip, cleft palate may appear on one or both sides of the upper mouth. However, repairing a cleft palate involves more extensive surgery and is usually done when the child is nine to 18 months old, so the baby is bigger and better able to tolerate surgery.

To repair a cleft palate, Dr. Foti will make an incision on both sides of the separation, moving tissue from each side of the cleft to the center or midline of the roof of the mouth. This rebuilds the palate, joining muscle together and providing enough length in the palate so the child can eat and learn to speak properly.

For a day or two, your child will probably feel some soreness and pain, which is easily controlled by medication. During this period, your child will not eat or drink as much as usual -- so an intravenous line will be used to maintain fluid levels. Elbow restraints may be used to prevent your baby from rubbing the repaired area. Your Colorado Springs cosmetic surgery doctor will advise you on how to feed your child during the first few weeks after surgery. It's crucial that you follow Dr. Foti's advice on feeding to allow the palate to heal properly.

Children with a cleft palate are particularly prone to ear infections because the cleft can interfere with the function of the middle ear. To permit proper drainage and air circulation, the ear-nose-and-throat surgeon on the Cleft Palate Team may recommend that a small plastic ventilation tube be inserted in the eardrum. This relatively minor operation may be done later or at the time of the cleft repair. In addition, surgery may be recommended by your plastic surgeon when your child is older to refine the shape and function of the lip, nose, gums, and palate.

You'll want to discuss further needs with the members of the Cleft Team seeing your child.

Perhaps most important, keep in mind that surgery to repair a cleft lip or palate is only the beginning of the process. Family support is critical for your child. Love and understanding will help him or her grow up with a sense of self-esteem that extends beyond the physical defect.

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Colorado Springs cosmetic surgeon, Dr. Foti, performs rhioplasty, facelifts, eyelid surgery, neck lifts, and many other plastic surgery procedures in the Colorado Springs and surrounding areas.