Face and Eyelid Rejuvenation:
In addition to his expertise in rhytidectomy or facelift surgery whereby the SMAS-platysma and overlying soft tissues are repositioned, Dr. Yaremchuk is one of the few surgeons to perform subperiosteal midface lifts. This operation uses techniques from his experience in craniofacial surgery where facial soft tissues are detached from the facial skeleton and re-suspended to restore a youthful, yet natural look. His paper describing these techniques for rejuvenating the brow, midface and neck was published in Plastic and Reconstructive Surgery in 2000. Refinements and modifications have since been described in multiple papers and book chapters.
Dr. Yaremchuk employs several techniques in his eyelid surgey which restore youthful contour and dimensions to the eyelids. A variety of innovative techniques may be employed depending on the clinical situation. These techniques include the transconjunctival approach with arcus marginalis and fat redistribution as opposed to excision, selective use of lateral canthopexy, skeletal augmentation and midface elevation. These techniques have been described in many articles, chapters and lectures.
Dr. Yaremchuk has demonstrated his face and eyelid rejuvenation techniques to his fellow plastic surgeons with live surgery demonstrations around the world including Spain, Germany, Russia, Argentina and Taiwan. This year he will demonstrate his blepharoplasty and skeletal augmentation surgery at the Canadian Society for Aesthetic Plastic Surgery Annual Meeting.
Patients who have had face and eyelid rejuvenation by Dr. Yaremchuk are shown in the patient examples section of this website.
Revisional Cosmetic Surgery:
Dr. Yaremchuk has a special interest in treating referred patients who are displeased with the results of their prior cosmetic surgery procedures. Many problems can be corrected by Dr. Yaremchuk, including:
- The 'round eye' appearance after lower eyelid surgery
- The 'scooped out' or 'pinched' look after nasal surgery
- The 'windswept' look or uneven neck contour after facelift surgery
- Displeasing chin contours after chin implant surgery
- Improperly contoured or positioned cheek implants
- Unnaturally high brows and hairlines after endoscopic or conventional browlifts
Dr. Yaremchuk has lectured on these topics to his plastic surgical colleagues both nationally and internationally. In 2010 and 2011 this included lectures at the Chilean Society of Surgeons Annua lMeeting, Moscow’s 'Contemporary Approaches to Rejuvenation of the Face and Body' and the annual Atlanta Oculoplastic Meeting. Most recently, he presented the “Brow Paradox’ at the American Society for Plastic Surgery’s Annual Meeting.
Recent publications related to revisional surgery listed in the bibliography and include:
- Periorbital skeletal augmentation to improve blepharoplasty and midfacial results
- Secondary Malar implant Surgery
- Reversing Browlifts
- Improving aesthetic outcomes after alloplastic chin augmentation
His care of patients referred to him with facial deformities created by unfortunate cosmetic surgery has been reported in Self, British Glamour, and Allure magazines. Also, his treatment of such a patient is featured on the E! Network.
To see before and after images of Dr. Yaremchuk's work in this area, please visit the patient examples section of this website.
Facial Implants:
Dr. Yaremchuk employs his knowledge and experience with craniofacial surgery and biomaterials to create new facial skeletal contours. Using facial implants made of porous polyethylene, a material unlikely to cause the overlying soft tissue deformities due to capsule formation seen in time when silicone is used, he can mimic the facial appearance obtained with more extensive facial skeletal surgeries. Dr. Yaremchuk custom carves all facial implants from basic shapes -many of which he has personally designed.
As an expert on altering the facial skeleton for cosmetic and reconstructive purposes,Dr. Yaremchuk has s lecturedl nationally and internationally and has written several book chapters and scientific articlesw on these topics (see bibliography). His ATLAS OF FACIAL IMPLANTS published by Elsevier-Saunders was awarded an Association of Medical Illustrators Award for surgical atlases . Scientific articles published in 2011 address the use of facial implants both for facial rejuvenation, and also as adjuncts or alternatives to orthognathic surgery.These include: Alloplastic Augmentation of the Facial Skeleton: An Occasional Adjunct or Alternative to Orthognathic Surgery and Aging Facial Skeleton: Aesthetic Implications and Rejuvenation Strategies.
Patients who have had their facial contour improved with implants are shown in the patient examples section of this website.
Cranio-Orbital Deformities:
Dr. Yaremchuk has vast experience in the reconstruction of facial deformities; with a special interest in the cranio-orbital area. Dr. Yaremchuk was a co-winner of the Year 2000 Best Paper Award presented by the Maxillofacial Surgeons Foundation of the American Society of Maxillofacial Surgeons. He has lectured nationally and internationally, and has written many articles and chapters on these topics. His chapter on the correction of post-traumatic enophthalmos (sinking in of the eye) was published in the Atlas of Orbitocranial Surgery . A paper on the proper treatment of acute orbital injuries and the correction of established deformities was published in the Journal of Craniomaxillofacial Trauma. In March of 2006, Dr. Yaremchuk lectured on “Craniofacial reconstruction with prefabricated implants” at the French meeting - Les nouvelles imageries en chirurgie maxillo-faciale Congres de L’association Francaise des Chirurgiens Maxillo-Faciaux. He also presented this work at the Forum de Cirurgia e traumtologia Buco-maxilo-Facial de Rio deJaneiro in November of 2006. He co-chaired a meeting on the management of cranio-maxillo-facial trauma in Boston last spring.
Patients who have had cranioorbital deformities treated by Dr. Yaremchuk are shown in the patient examples section of this website.
Body Contouring:
Dr. Yaremchuk has extensive experience in breast augmentation and reduction surgeries. He routinely reconstructs breasts immediately following mastectomy procedures to minimize patients' experience of breast loss. Liposuction is involved in a significant portion of Dr. Yaremchuk's cosmetic surgery practice.
Tissue Engineering:
Tissue engineering involves the seeding of cells onto synthetic polymers to create three-dimensional structures, which can then be implanted to replace or augment a patient's damaged or missing parts. Dr. Yaremchuk is at the forefront of tissue engineering research through his research lab at Massachusetts General Hospital. He has written many scientific papers on the topic as it applies to plastic surgery. In October 1999, he presented his laboratory's work at the International Society of Craniofacial Surgeons meeting in Taiwan. Several papers from Dr. Yaremchuk's laboratory were presented in November, 2001 at the first Biennial Meeting of the European Tissue Society in Freiburg, Germany. In 2006, Dr.Yaremchuk presented Engineering Cartilage at the 5th International Congress of Maxillofacial and Craniofacial Distraction Paris, France. He spoke on this topic at the Korean Society of Plastic and Reconstructive Surgery meeting in Seoul, Korea in November of 2007.
In 2003, his research fellow, Dr. Timothy Shane Johnson was awarded the Gaspar W. Anastasi Award from the American Society for Aesthetic Plastic Surgery, while research fellow John M. Mesa won the Lyndon Peer Fellowship Award sponsored by the Plastic Surgery Educational Foundation and the American Society of Plastic Surgeons. In 2005, John Mesa won the Shenaq International Research Award for the best oral presentation by a graduate of a foreign medical school at the Plastic Surgery Research Council in Toronto, Canada.
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