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How Long Does Microneedling Last?

microneedling rollerMicroneedling is a versatile, nonsurgical treatment that can address a wide range of skin conditions. While microneedling isn’t permanent, it can have very long-lasting results when you adhere to a proper treatment regimen. More »

3 Signs You’re Ready for Blepharoplasty

1532484472549-Midsota, Blepharoplasty - Image

There are many cremes and over-the-counter products that claim to help maintain younger-looking eyes, however, sooner or later, age catches up. The skin around the eyes is especially delicate and thus, prone to aging. Most store-bought products are not able to counter the effects of age, and for many men and women, eyelid surgery may be the best, most rewarding option. For many of our patients at Midsota Plastic Surgeons, the eyes are often one of the facial features that need a refresher. Fortunately, eyelid surgery, also known as blepharoplasty, can address the upper or lower lid, and in many cases, both. More »

Nose Surgery


Too big, too small, crooked, or bumpy–there are many reasons why a person may be unhappy with his or her nose, and even the slightest flaw can throw off the entire facial balance. Nose reshaping surgery (rhinoplasty) has become an extremely popular procedure for men and women looking to improve the overall harmony of their facial features and achieve a beautiful, yet natural result.

Nose Surgery at First Glance

Nose Surgery (Rhinoplasty)

Ages: Performed at all ages

Surgery Time: 1-2 hours

Recovery Time: 1-2 weeks

Is nose surgery for me?

Many people are unhappy with the shape or size of their nose. A smaller nose can make other areas of the face appear larger, and a larger nose can cause other features to appear smaller. Nose surgery is designed to improve this facial imbalance through consideration of the proportionality of facial features.

Aside from aesthetic considerations, nose surgery can also be performed for medical purposes, such as clearing a nasal obstruction or repairing damage to a broken nose.

During your consultation, your Midsota plastic surgeon will listen to your goals and expectations to determine the best possible procedure plan for your nose surgery. Other facial procedures may be recommended to achieve a fuller rejuvenation of all areas of the face.

What are the benefits of nose surgery?

Nose surgery can be used to correct several common issues, including:

  • Disproportionately large or small nose
  • Crooked nose or bridge
  • Large or bumpy bridge
  • Drooping tip
  • Nasal obstruction
  • Nasal injury (broken nose)

How is nose surgery performed?

The details of your nose surgery will be discussed at length during your consultation. This will include information such as incision location and more detailed steps about your surgery. Because each rhinoplasty is different, the following procedure steps may vary.

General anesthesia will be used during your nose surgery. Your doctor can perform the surgery as either an open or closed rhinoplasty, depending on the location of your incision. This will be decided during your consultation. Once the incision is made, the underlying structure of your nose can be altered by reshaping or removing some of the cartilage and bone. Cartilage grafts may be necessary if your desired outcome is a larger nose or the addition of a well-defined bridge. After achieving the desired goal shape, your incisions are then closed and surgical dressings are applied.

How long does nose surgery take?

A nose surgery procedure at Midsota Plastic Surgeons will typically take about one to two hours depending on your condition.

How long is nose surgery recovery?

In the first few days following your nose surgery, you may experience mild congestion and tension headaches. You will need to wear a special cast or splint for the first week of recovery. Bruising and swelling of the nose will gradually fade over the next couple of weeks, and it is important to avoid high levels of physical activity or exercise during this time.

While it will take some time for your nose to fully heal, you should be able to return to work within a week.

When will I notice the results of my nose surgery?

Bruising and swelling will take some time to fade, but you will be able to notice the changes in the look of your nose immediately. Our rhinoplasty procedure is designed to improve facial balance and often provides patients with a significant boost in self-confidence.

How long will my nose surgery results last?

The results of your nose surgery are long lasting, however you may choose to correct or alter a past nose surgery with a revision rhinoplasty procedure (*).

Read Midsota Nose Surgery Reviews

Want to know what other patients are saying about their nose surgery? Click here to read real reviews from men and women who have had their nose surgery with Midsota Plastic Surgeons.

Facelift and Neck Lift

Facial Rejuvenation Surgery

As you get older, wrinkles and sagging skin become all-too-obvious signs of your age. For many, these changes in their facial appearance can have a negative effect on their self-confidence. A facelift and neck lift with Midsota Plastic Surgeons can help to restore a more youthful appearance to match the vibrant person you still are.

Facelift Surgery at First Glance

Facelift (Rhytidectomy)

Ages: Most common at 45+

Surgery Time: 2-3 hours

Recovery Time: 2 weeks

Is a facelift and neck lift right for me?

Men and women experiencing deep facial folds or loose skin and jowls can benefit from a facelift and neck lift procedure. This facial plastic surgery is most common among those in their mid-forties through the late sixties, but can also be performed earlier in life as a preventative surgery or later to maintain a younger appearance.

At Midsota Plastic Surgeons, we often perform a facelift and neck lift together, but not all patients will require both procedures. During your consultation, we will discuss your desired outcome and carefully analyze your current condition to determine the best treatment plan for you.

These procedures are designed to restore the look and feel of skin in the mid-to-lower face and neck. Other areas of the face can be improved with procedures such as a brow lift or eyelid surgery.

What are the benefits of a face and neck lift?

Patients who have had a face and neck lift will enjoy various benefits, including:

  • Improvement of sagging skin or jowls
  • Smoothing of folds or deep wrinkles
  • Restoring youthful facial contours
  • Correction of neck jowls
  • Reduction of excess fat (may require some facial liposuction)

After having a facelift and neck lift performed, patients often feel more comfortable with their looks and experience a boost in their self-confidence.

How is a face and neck lift performed?

The details of your facelift and neck lift procedure will be discussed at length during your consultation. Together, we will determine whether you will benefit from a combination of both procedures or if you require only one of them. Some patients may be best suited for a mini facelift rather than a full facelift procedure.>

General anesthesia will be used to ensure you are asleep throughout the entire surgery. An incision will be made beginning at your temples, traveling down your hairline, around the front of your ears, and then back toward the base of your neck. Other incision patterns may be made depending on your unique situation.

Once the incision is made, your Midsota plastic surgeon will reshape and reposition the underlying tissue and fat to form a younger, stronger foundation for your face. The muscles may also be lifted to correct more severe areas of sagging. After restoring youthful contours, we will then re-drape the skin over the face and remove any excess before closing incisions to improve skin elasticity and tone.

How long does facelift and neck lift surgery take?

The length of your surgery will depend on the current condition of your face and the extent of the procedures being performed. On average, facelift and neck lift surgery will take two to three hours to complete.

How long is facelift and neck lift recovery?

After having a facelift or neck lift, you will experience some bruising and swelling, but this will gradually fade over time. Your scars will continue to fade and flatten, though they will be well-hidden within your hairline. While it will take about a year for your skin and tissue to fully heal from your procedure, you should feel well enough to return to work after just a couple of weeks.

When will I notice the results of my facelift and neck lift?

Changes in your appearance will be noticeable immediately, although it will take some time before your face is fully healed and you see your final results. Makeup can be worn to help conceal any surgical signs as you continue to heal.

How long will my facelift and neck lift results last?

Facelift and neck lift surgery is intended to provide you with long-lasting benefits. While the results of your procedure are long lasting, your face will continue to be affected by the normal aging process. Many past patients say that after ten years, they still feel they look 10 years younger than they would have if they had not had the surgery. You may choose to return for a revision facelift to maintain a youthful appearance as you get older.

Read Midsota Facelift and Neck Lift Reviews

Want to know what past patients are saying about their face and neck lifts? Click here to read real reviews from men and women who have undergone a facelift and neck lift with Midsota Plastic Surgeons.

Brow Lift

If You’re Considering a Brow Lift…

A forehead lift or brow lift is a procedure that restores a more youthful, refreshed look to the area above the eyes. The procedure corrects drooping brows and improves the horizontal lines and furrows that can make a person appear angry, sad or tired.

In a brow lift, the muscles and tissues that cause the furrowing or drooping are removed or altered to smooth the forehead, raise the eyebrows and minimize frown lines. Your surgeon may use the conventional surgical method, in which the incision is hidden just behind the hairline; or it may be performed with the use of an endoscope, a viewing instrument that allows the procedure to be performed with minimal incisions. Both techniques yield similar results — smoother forehead skin and a more animated appearance.

Brow Lift St. Cloud

Using an endoscope, correction of a low-positioned or sagging brow may be made through incisions at the temples and in the scalp.


Brow Lift St. Cloud

An endoscopic brow lift can smooth the forehead, raise the upper eyelids, and minimize the frown lines that come with aging.



The result of an endoscopic brow lift is a younger, more rested look.

If you’re considering a brow lift, this web page will provide a basic understanding of the procedure — when it can help, how it’s performed and what results you can expect. It won’t answer all of your questions, since a lot depends on your individual circumstances. Be sure to ask your doctor if there is anything you don’t understand about the procedure.

The Best Candidates for a Brow Lift

A brow lift is most commonly performed in the 40-60 age range to minimize the visible effects of aging. However, it can also help people of any age who have developed furrows or frown lines due to stress or muscle activity. Individuals with inherited conditions, such as a low, heavy brow or furrowed lines above the nose can achieve a more alert and refreshed look with this procedure.

Brow lift surgery is often performed in conjunction with a facelift to provide a smoother overall look to the face. Eyelid surgery (blepharoplasty) may also be performed at the same time as a forehead lift, especially if a patient has significant skin overhang in the upper eyelids. Sometimes, patients who believe they need upper-eyelid surgery find that a forehead lift better meets their surgical goals.

Patients who are bald, who have a receding hairline, or who have had previous upper-eyelid surgery may still be good candidates for forehead lift. The surgeon will simply alter the incision location or perform a more conservative operation.

Remember, a forehead lift can enhance your appearance and your self-confidence, but it won’t necessarily change your looks to match your ideal or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them in detail with your doctor.

All Surgery Carries Some Uncertainty and Risk

Complications are rare and usually minor when a forehead lift is performed by a qualified plastic surgeon. Yet, the possibility of complications must be considered.

In rare cases, the nerves that control eyebrow movement may be injured on one or both sides, resulting in a loss of ability to raise the eyebrows or wrinkle the forehead. Additional surgery may be required to correct the problem.

Formation of a broad scar is also a rare complication. This may be treated surgically by removing the wide scar tissue so a new, thinner scar may result. Also, in some patients, hair loss may occur along the scar edges.

Loss of sensation along or just beyond the incision line is common, especially with the classic forehead lift procedure. It is usually temporary, but may be longer lasting in some patients.

Infection and bleeding are very rare, but are possibilities.

If a complication should occur during an endoscopic forehead lift, your surgeon may have to abandon the endoscopic approach and switch to the conventional, open procedure, which will result in a more extensive scar and a longer recovery period. To date, such complications are rare — estimated at less than 1 percent of all endoscopy procedures.

You can reduce your risk of complications by closely following your surgeon’s instructions both before and after surgery.

Planning Your Brow Lift Surgery

For a better understanding of how a forehead lift might change your appearance, look into a mirror and place the palms of your hands at the outer edges of your eyes, above your eyebrows. Gently draw the skin up to raise the brow and the forehead area. That is approximately what a forehead lift would do for you.

If you decide to consult a plastic surgeon, he or she will first evaluate your face, including the skin and underlying bone.

During your consultation, the surgeon will discuss your goals for the surgery and ask you about certain medical conditions that could cause problems during or after the procedure, such as uncontrolled high blood pressure, blood-clotting problems, or the tendency to develop large scars. Be sure to tell the surgeon if you have had previous facial surgery, if you smoke, or if you take any drugs or medications — including aspirin or other drugs that affect clotting.

If you decide to proceed with a forehead lift, your surgeon will explain the surgical technique, the recommended type of anesthesia, the type of facility where the surgery will be performed, the risks and the costs involved. Don’t hesitate to ask your doctor any questions you may have, especially those regarding your expectations and concerns about the results of surgery.

Brow Lift Surgery Preparation

Your surgeon will give you specific instructions to prepare for the procedure, including guidelines on eating and drinking, smoking, and taking and avoiding certain vitamins and medications. Carefully following these instructions will help your surgery and your recovery proceed more smoothly.

If your hair is very short, you may wish to let it grow out before surgery, so that it’s long enough to hide the scars while they heal.

Whether your forehead lift is done in an outpatient facility or in the hospital, you should arrange for someone to drive you home after your surgery, and to help you out for a day or two.

Where Your Surgery Will Be Performed

A forehead lift is usually done in a surgeon’s office-based facility or an outpatient surgery center. However, it is occasionally done in the hospital.

Anesthesia Used for The Brow Lift Procedure

Most forehead lifts are performed under local anesthesia, combined with a sedative to make you drowsy. You’ll be awake but relaxed, and although you may feel some tugging and mild discomfort, your forehead will be insensitive to pain.

Some surgeons prefer to use general anesthesia, in which case you’ll sleep through the entire operation.

The Surgery

Your surgeon will help you decide which surgical approach will best achieve your cosmetic goals: the classic or open method, or the endoscopic forehead lift. Make sure you understand the technique that your surgeon recommends and why he or she feels it is best for you.

The classic forehead lift

Before the operation begins, your hair will be tied with rubber bands on either side of the incision line. Your head will not be shaved, but hair that is growing directly in front of the incision line may need to be trimmed.

For most patients, a coronal incision will be used. It follows a headphone-like pattern, starting at about ear level and running across the top of the forehead and down the other side of the head. The incision is usually made well behind the hairline so that the scar won’t be visible.

If your hairline is high or receding, the incision may be placed just at the hairline, to avoid adding even more height to the forehead. In patients who are bald or losing hair, a mid-scalp incision that follows the natural pattern of the skull bones is sometimes recommended. By wearing your hair down on your forehead, most such scars become relatively inconspicuous. Special planning is sometimes necessary for concealing the scar in male patients, whose hairstyles often don’t lend themselves as well to incision coverage.

If you are bald or have thinning hair, your surgeon may recommend a mid-scalp incision so the resulting scar follows the natural junction of two bones in your skull and is less conspicuous.

Working through the incision, the skin of the forehead is carefully lifted so that the underlying tissue can be removed and the muscles of the forehead can be altered or released. The eyebrows may also be elevated and excess skin at the incision point will be trimmed away to help create a smoother, more youthful appearance.

The incision is then closed with stitches or clips. Your face and hair will be washed to prevent irritation and the rubber bands will be removed from your hair. Although some plastic surgeons do not use any dressings, your doctor may choose to cover the incision with gauze padding and wrap the head in an elastic bandage.

The endoscopic forehead lift

Typically, an endoscopic forehead lift requires the same preparation steps as the traditional procedure: the hair is tied back and trimmed behind the hairline where the incisions will be made.

However, rather than making one long coronal incision, your surgeon will make three, four or five short scalp incisions, each less than an inch in length. An endoscope, which is a pencil-like camera device connected to a television monitor, is inserted through one of the incisions, allowing the surgeon to have a clear view of the muscles and tissues beneath the skin. Using another instrument inserted through a different incision, the forehead skin is lifted and the muscles and underlying tissues are removed or altered to produce a smoother appearance. The eyebrows may also be lifted and secured into their higher position by sutures beneath the skin’s surface or by temporary fixation screws placed behind the hairline.

When the lift is complete, the scalp incisions will be closed with stitches or clips and the area will be washed. Gauze and an elastic bandage may also be used, depending on your surgeon’s preference.

After Your Surgery

The immediate post-operative experience for a patient who has had a classic forehead lift may differ significantly from a patient who had the procedure performed endoscopically.

Classic forehead lift patients may experience some numbness and temporary discomfort around the incision, which can be controlled with prescription medication. Patients who are prone to headaches may be treated with an additional longer-acting local anesthesia during surgery as a preventive measure.

You may be told to keep your head elevated for two to three days following surgery to keep the swelling down. Swelling may also affect the cheeks and eyes– however, this should begin to disappear in a week or so.

As the nerves heal, numbness on the top of your scalp may be replaced by itching. These sensations may take as long as six months to fully disappear. If bandages were used, they will be removed a day or two after surgery. Most stitches or clips will be removed within two weeks, sometimes in two stages.

Some of your hair around the incision may fall out and may temporarily be a bit thinner. Normal growth will usually resume within a few weeks or months. Permanent hair loss is rare.

Endoscopic forehead lift patients may experience some numbness, incision discomfort and mild swelling.

Incision site pain is usually minimal, but can be controlled with medication, if necessary. Endoscopic forehead lift patients usually experience less of the itching sensation felt by patients who have had the classic forehead lift.

The stitches or staples used to close the incisions are usually removed within a week and the temporary fixation screws within two weeks.

Getting Back to Normal

Although you should be up and about in a day or two, plan on taking it easy for at least the first week after surgery. You should be able to shower and shampoo your hair within two days, or as soon as the bandage is removed.

Most patients are back to work or school in a week to 10 days. Endoscopic patients may feel ready to return even sooner. Vigorous physical activity should limited for several weeks, including jogging, bending, heavy housework, sex, or any activity that increases your blood pressure. Prolonged exposure to heat or sun should be limited for several months.

Most of the visible signs of surgery should fade completely within about three weeks. Minor swelling and bruising can be concealed with special camouflage makeup. You may feel a bit tired and let down at first, but your energy level will increase as you begin to look and feel better.

Your New Look

Most patients are pleased with the results of a forehead lift, no matter which surgical method was used. Often, patients don’t realize how much their sagging forehead contributed to the signs of aging until they see how much younger and more rested they appear after the lift.

Although a forehead lift does not stop the clock, it can minimize the appearance of aging for years. As time passes, you may want to repeat the procedure.

Eyelid Surgery

Upper and Lower Blepharoplasty in St. Cloud

Your eyes can be giving away your age–or an age that is older than you truly are. Loose skin of the upper eyelids and puffy bags around the lower lids are common problems that happen to many men and women as they get older. Our Midsota plastic surgeons can effectively restore a youthful and vibrant appearance of the eyes with eyelid surgery.

Eyelid Surgery at First Glance

Eyelid Surgery (Blepharoplasty)

Ages: Most common at 35+

Surgery Time: 30 minutes per eyelid

Recovery Time: 2 weeks

Is eyelid surgery for me?

Eyelid surgery is most commonly performed on men and women over the age of 40 who are experiencing unwanted signs of aging around their eyelids. However, this popular plastic surgery procedure can also be used for medical reasons such as clearing vision obstruction or correcting specific congenital disorders such as ptosis.

Depending on your condition, you may require just upper or lower eyelid surgery, or a combination of both. We will discuss your options during your consultation to develop an effective treatment plan that will provide you with your desired outcome. You may also choose to combine your eyelid surgery with other facial plastic surgery procedures that address signs of aging in other areas of the face, such as a facelift or brow lift.

What are the benefits of eyelid surgery?

Eyelid surgery can provide patients with multiple benefits, including the:

  • Removal of excess, sagging skin of the upper eyelids
  • Improvement of puffiness or bags beneath the eyes
  • Clearing of vision obstruction due to severe sagging of the upper eyelid
  • Correction of congenital disorders such as ptosis

Eyelid surgery often can take years off a person’s appearance and portray a more lively and youthful personality.

How is eyelid surgery performed?

The details of your eyelid surgery will be discussed during your consultation with one of our Midsota plastic surgeons. Together you will outline whether you will need improvement of just the upper or lower eyelids or both.

Your eyelid surgery may be performed under local or general anesthesia depending on your condition. When making the necessary incisions, we are careful to keep them well hidden within the natural folds and contours of your eyelids. This will help produce more natural-looking results with nearly invisible scars.

Loose, excess skin is removed from the upper eyelid to reduce any drooping or sagging. Puffiness of the lower eye area may be corrected by removing excess skin or fatty tissue. Once we have reached your desired outcome, your incisions are closed, and any necessary dressings and bandages are put in place.

How long does eyelid surgery take?

Upper and lower eyelid surgery will normally take about 30 minutes each to complete. If you are having surgery performed on both eyelids, you can expect surgery to take up to an hour and a half to perform.

How long is eyelid surgery recovery?

The recovery period following eyelid surgery will last a few weeks. You will want to rest your eyes for the first week, so we recommend limited time in front of a screen during this period. Stitches are normally removed within a week of surgery. Most patients return to work about two weeks following their eyelid surgery.

When will I notice the results of my eyelid surgery?

Immediately following your surgery, the area around your eyes will appear red and swollen, but you should notice improvements in the overall look of your eyelids. As bruising and swelling fades over the next several weeks, your eyes will appear younger and more vibrant. Sagging of the upper eyelid and puffiness around the eyes should dramatically improve following your eyelid surgery.

How Long Will my Eyelid Surgery Results Last?

Eyelid surgery is intended to provide you with long-lasting results. It is important to remember that your face will continue to age naturally even after surgery. Still, many patients feel that they still look much younger 10 years after their eyelid surgery than they would have had they not undergone the procedure.

Read Midsota Eyelid Surgery Reviews

Want to know what past patients are saying about their eyelid surgeries? Click here to read real reviews from men and women who had eyelid surgery with Midsota Plastic Surgeons.

“I want to say Thank you to Dr. Heath and the staff at Midsota. Every time I came into the center I was welcomed. Dr. Heath made me feel very comfortable discussing my options for breast reduction. I was kept well informed and felt very safe and secure during the procedure and all of my office visits.”

Rita N.

“The beautiful job Dr. Houle did with my DIEP flap reconstruction surgery was the final chapter in my successful survivor story of breast cancer. Thank you for restoring my feeling like a “whole” woman again.”


“Dr. Yang did an absolutely amazing job on my lower eyelid surgery. I am so completely happy with the results. Thank you is all I can say! Recommending to anyone considering!”

Karen P.