Facial Plastic Surgery

Division of Facial Plastic and Reconstructive Surgery

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The Division of Facial Plastic and Reconstructive Surgery offers patients highly specialized, world-class aesthetic and reconstructive care. Our surgeons provide a patient-centered and personalized experience with unparalleled university-level expertise at one of top ten hospitals in the nation.

The practice takes a refined and professional approach to facial plastic and aesthetic surgery. Our physicians perform functional and cosmetic rhinoplasty as well as rejuvenation and cosmetic surgery of the face, neck, cheek, brow, eyelids, and ears. Additionally, we offer office-based injections and laser treatments to help patients rediscover their lost look. For more information, please visit our Facial Plastic Surgery and Facial Nerve Center websites.

Our surgeons offer patients highly-specialized surgical solutions for reconstruction of the face, head, and neck. Reconstructive solutions are applicable to a range of patient concerns; from worrisome surgical scars, to Mohs skin cancer defects, to facial paralysis, to major microvascular head and neck reconstruction our surgeons are trained to restore natural form and function.

Condition Information

  • Facial Injury
  • Facial Paralysis
  • Head and Neck Cancer
  • Nasal Trauma
  • Osteoradionecrosis
  • Skin Cancer

Aesthetic Surgery

Our practice is dedicated only to the face and neck, and offers every treatment to help you achieve your best appearance. At UCSF Facial Plastic and Aesthetic Surgery, highly trained and experienced facial plastic and reconstructive surgeons provide you with an exceptional level of care. UCSF Medical Center offers you the highest of reputations and expertise in the safest and most ethical of settings. We perform the following aesthetic surgeries of the face and neck:

  • Adult ear reshaping
  • Brow lift
  • Cheek enhancement
  • Chin enhancement
  • Eyelid surgery (Blepharoplasty)
  • Facelift
  • Facial liposuction
  • Keloids of the head & neck
  • Lip enhancement
  • Neck lift
  • Rhinoplasty
  • Scar revision

In-Office Injectables and Laser Treatments

UCSF Facial Plastic and Aesthetic Surgery offers a wide variety of office-based procedures. These are relatively simple and can help reverse these signs of aging, leaving you looking younger and refreshed. We offer a number of injectables and lasers performed in the comfort of our office:

  • Botox®
  • Juvéderm®
  • Restylane®
  • Belotero®
  • Radiesse®
  • Sculptra®
  • iPixel Erbium Skin Resurfacing
  • IPL Therapy
  • Clearlift™ Skin Tightening
  • Laser360™

Facial Paralysis and Facial Reanimation

When the facial nerve is damaged, one is left with functionally only half of a face. At UCSF Facial Plastic and Reconstructive Surgery, facial paralysis is treated by state of the art techniques determined by assessment of symptoms and tailored to each patient's needs. Treatment may include one or more of the following approaches:

  • Direct reanastomosis or nerve graft
  • Eyelid procedures
  • Temporalis tendon transfer
  • Gracilis free tissue transfer
  • 12-7 or 5-7 nerve graft
  • Contour restoration
  • Botox injection

Learn more about a 25-year-old young woman who underwent facial reanimation surgery with Dr. Daniel Knott and Dr. Rahul Seth, featured on ABC 7 News, Yahoo, and Daily Mail.

Mohs Reconstruction

UCSF Facial Plastic and Reconstructive surgeons specialize in the reconstruction of Mohs surgical defects. They work closely with dermatologic surgeons who use the most state of the art techniques to completely remove skin cancers. Facial plastic surgical consultation is often requested for nasal, oral and orbital reconstructions. Paramedian forehead flaps, nasolabial flaps, and cheek advancement flaps are also commonly employed in our patients. These specialized techniques aim to restore the normal facial appearance.

Microvascular (Free Flap) Head and Neck Reconstruction

Microvascular head and neck reconstruction is a technique for rebuilding the face and neck using blood vessels, bone and tissue, including muscle and skin from other parts of the body. The technique is one of the most advanced surgical options available for rehabilitating surgical defects that are caused by the removal of head and neck tumors.

This technique involves harvesting flaps of healthy tissue — where the tissue is not as important — with the blood supply from remote sites in the body. The tissue is then transferred to the recipient wound bed, where it is much more useful in reconstructing the affected area of the head and neck. A microscope is used to suture the blood vessels of the flap to blood vessels in the neck, allowing the tissue to live as if it were back in its original location.