Michael J. YAREMCHUK, M.D. Craniofacial Plastic Surgeon

Bespoke Plastic Surgery

Areas of Clinical Expertise

List of Services

These are the procedures offered by Dr. Yaremchuk. Click on the links below for more detailed information about the procedures.

Facelifts and Blepharoplasty: Glossary
(jowls, loose neck, bags, dark circles, droopy eyelids)

In addition to his expertise in rhytidectomy Glossary 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 surgery 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 release 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. Last year he demonstrated his blepharoplasty and skeletal augmentation surgery at the Canadian Society for Aesthetic Plastic Surgery Annual Meeting.This January, he presented these techniques at the Annual Atlanta Oculoplastic Symposium.

Patient Examples



Rhinoplasty: Glossary
(droopy tip, dorsal hump, bulbous tip, hanging columella, wide nostrils)

Rhinoplasty, both primary and secondary, is a large component of Dr. Yaremchuk’s practice. He uses both open and closed techniques as appropriate for the individual needs of the patient.

Patient Examples



Revisional Cosmetic Surgery: Glossary
(crooked chin, round eyes, sclera show, pixie ears, retracted tragus, joker smile, surprised look)

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’, scleral show or ectropion 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, chin pad and lip ptosis (sag) after chin implant or sliding genioplasty
  • Improperly contoured or positioned cheek implants
  • Unnaturally high brows and hairlines after endoscopic or conventional browlifts
  • Irregular and unnatural contours after orthognathic surgery

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 Annual Meeting, 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 include:

  • Periorbital skeletal augmentation to improve blepharoplasty and midfacial results
  • Secondary malar implant Surgery
  • Reversing brow lifts
  • Improving aesthetic outcomes after alloplastic chin augmentation

Dr. Yaremchuk’s 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 was featured on the E! Network.

Patient Examples



Facial Implants: Glossary

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.

He has innovated the use of custom facial implants for both aesthetic and reconstructive indications. Precise measurements obtained from CT scans allow creation of physical models that allow Dr. Yaremchuk to design implants unique for the patient. Custom implants are especially useful for patients with significant asymmetry and for patients who have had orthognathic surgery and are left with noticeable contour irregularities.

As an expert on altering the facial skeleton for cosmetic and reconstructive purposes, Dr. Yaremchuk lectures nationally and internationally and has written several book chapters and scientific articles on these topics (see bibliography). His most recent book, “Atlas of Facial Implants”, was awarded an Association of Medical Illustrators 2007 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 of the Facial Skeleton: Aesthetic Implications and Rejuvenation Strategies.”

Patient Examples



Neurotoxins, Fillers and Fat Injections: Glossary
(trout pout, botox, fine lines, crows feet, deflated cheeks, elevens, forehead wrinkles)

Neurotoxins, Fillers and Fat Injections all have roles in facial rejuvenation and facial contour enhancement.

Neurotoxins (BOTOX) eliminates or reduces dynamic wrinkles – crow’s feet, forehead wrinkles and glabellar frown lines (the 11s between the eyes). These are areas poorly treated by surgery.

Fillers (Juvaderm, Restylane, Perlane and Radiesse), depending on their composition, are useful for treating fine lines and areas of soft tissue deflation.

Fat injections may complement facelift surgery in certain patients. There are some patients who have both skeletal and soft tissue deficiencies. These patients can benefit from both implant augmentation of their facial skeleton as well as volume enhancement of their soft tissue envelope with the selective use of fat injections.

Dr. Yaremchuk has extensive experience and expertise in the use of these modalities as possible adjuncts or alternatives to surgical procedures.



Body Contouring: Glossary
(liposuction)

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.



Cranio-Orbital Deformities:
(cheek depression, telecanthus, enophthalmos)

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. In 2012, a paper, “Correction of Posttraumatic Enophthalmos,” was published in the Archives of Plastic 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 recently co-chaired a meeting on the management of cranio-maxillo-facial trauma in Boston.

Patient Examples

 

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