Facial Plastic Surgery
Tim Sayed, MD, MBA, FACS is a recognized expert in facial rejuvenation. Patients travel from up and down Southern California to see Dr. Sayed at his La Jolla and Newport Beach offices, consulting with him on facelifts, rhinoplasty, eyelid lifts (blepharoplasty), browlifts, and especially Botox® and fillers. Dr. Sayed prides himself on creating a naturally harmonious change on the face, recognizing that sometimes, “less is more.” Dr. Sayed’s patients from Florida to California commonly remark on how proportional and natural their results look, which keeps them coming back for additional treatments as they know they can trust his keen eye for symmetry and balance and his steady hands.
In these pages, you can learn more about Dr. Sayed’s approach to facial cosmetics: Aesthetics Done Right™.
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Many patients are candidates for surgical facial enhancement using the latest facelifting techniques. Dr. Sayed can review your cosmetic goals, use state-of-the-art simulation and drawing tools to give you a sense of what facelifting can offer, and discuss a variety of options from minimally invasive facelift techniques to full SMAS and MACS lift approaches. For the most committed patients, Dr. Sayed can offer a comprehensive rejuvenation that combines facelifting with correction of brow drooping, eyelid lifting (blepharoplasty), facial fat transfer to restore youthful volume and contours, and resurfacing to reestablish a smoother skin texture.
If you’re seeking a way to achieve a smoother, more youthful-looking neck, a neck lift might be the ideal solution for you. Dr. Sayed is renowned for his meticulous approach to plastic surgery, advanced techniques, and respect for his patients’ anatomy. He is also celebrated for delivering pleasing and long-lasting results. Dr. Sayed frequently employs liposuction to further contour and sculpt the jowls. He personalizes each procedure with meticulous attention to detail, choosing the technique best suited for your facial anatomy and cosmetic goals. Combining a facelift and neck lift can enhance overall results, providing a more harmonious and youthful appearance.
As we age, our forehead tissues descend and lines become etched from expression. A brow lift can help restore a more youthful position to the eyebrows, potentially reshape them, and open up the top 1/3 of the face to a more well-rested and relaxed appearance. Browlifts can be done through a variety of techniques, including endoscopic lifting with the Endotine devices (a favorite technique of Dr. Sayed’s), lateral temporal browlifting, hairline-lowering browlifts, and full coronal lifts. Brow lifting can be part of a comprehensive facial rejuvenation approach that we’d be happy to discuss with you, where we combine face and brow lifting, eyelid correction (blepharoplasty), fat transfer, and laser resurfacing. Another common combination is brow and eyelid surgery (upper third of the face rejuvenation).
Dr. Sayed has extensive experience with rhinoplasty for patients of numerous ethnicities, including Middle Eastern, African-American, and other backgrounds. Dr. Sayed has access to excellent visualization and simulation tools to help you understand techniques, approaches, and possibilities for your result. He can also discuss nonsurgical approaches to nose enhancement. Dr. Sayed’s interest in rhinoplasty was fostered during his plastic surgery training at UCSF, where he worked with Dr. Ronald Gruber, one of the world’s preeminent rhinoplasty specialists. Dr.Sayed even collaborated with Dr. Gruber on two research papers describing specific techniques in rhinoplasty that are in common use by plastic surgeons everywhere.
Alone or in combination with a comprehensive facial rejuvenation, blepharoplasty can help take years off the patient’s appearance and help reverse that “tired eye” appearance. Depending on technique, blepharoplasty can help address loose hanging skin, fat bulging, tear troughs, dark circles, hollow eye appearance, asymmetry, and other concerns. Asian patients seeking a “westernized” eyelid (there are common anatomic ethnic differences in the way the upper eyelid folds and how fat is distributed) may also be interested in a particular technique of ethnic blepharoplasty, often referred to as Asian Eyelid Surgery. Fat removal, redistribution, or even addition may be required to help balance the eyelids to a younger appearance. Dr. Sayed can also help refer you to ophthalmologists who perform correction of muscle weakness in the upper eyelids and work closely with these colleagues to ensure safe and pleasing results.
Corrective surgery to bring the ears closer to the side of the head and reduce the outward projection can significantly impact a young person’s life, if it seems important to that child/adolescent or if they are already concerned about treatment they receive from their peers. Naturally, one way to help address this is good parenting and education of all our kids and elimination of a bullying culture once and for all, especially in this era of social media and image consciousness.
Cosmetic ear pinning is available to patients of all ages although we typically recommend otoplasty be performed between ages 6 and 8, when ear cartilage has matured and the ear is near adult size but before the patient has had extensive peer exposure. Of course, there are many patients who choose not to have the surgery.
Women (and men) have worn earrings since Ancient Egypt. As piercings, including multiple piercings in one or both ears, have become more common, so have the problems that can follow — stretched earlobes, enlarged pierceholes, and even complete tears in the earlobe that make it impossible to wear a variety of earring styles.
Not to worry! Dr. Sayed is highly experienced with corrective surgery to the ears including repair of partial and complete earlobe tears, removal of cysts and other masses from the ear, reduction of stretched earlobes, repair of modified earlobes and excess piercings, correction of earlobe asymmetry, revision of earlobes after prior facelift surgery (pixie ear deformity), and other enhancements. Patients seeking new ear piercings can also have it done under sterile surgical technique by Dr. Sayed.
Facial fat transfer, also known as fat grafting or fat injection, is a cosmetic procedure where fat is taken from one part of the body, such as the abdomen, thighs, or buttocks, and injected into specific areas of the face. The aim is to restore lost volume, enhance facial contours, and improve overall facial harmony. The procedure involves several steps: fat is first harvested from the donor area using liposuction, then processed and purified to separate out any impurities, and finally, the purified fat is carefully injected into targeted areas of the face, like the cheeks, under the eyes, lips, or jawline. The benefits of facial fat transfer include achieving natural-looking results, as the filler is your own fat, and providing long-lasting effects, although some of the fat may be reabsorbed by the body over time.
