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Regain youthful appearance


What is a facelift, and what can it do for you? Drooping cheeks. Heavy folds around the nose and mouth. Jowls! All kinds of excess skin under the chin and on the neck.  As the rock group Aerosmith opined “Every time when I look in the mirror, all the lines in my face getting clearer.” A facelift basically involves the repositioning and tightening of tissues that have descended and loosened with time.We can’t stop time, but we can give it a gentle push back.

The procedure can be done either under general anesthesia or with local anesthesia and sedation. Incisions are made along the sideburn, down the front edge of the ear, and up behind the ear, where it will be hidden. Those incisions can vary depending on the individual’s needs. The skin is lifted up on the cheek and neck, and the muscles underneath are tightened. With most of the lift occurring under the skin, patients can be confident that their results will appear natural and not overly “pulled or done”.

The extra skin is removed and the incisions closed and tucked away. A dressing is placed overnight, and the next day you are seen in the office, the dressing is removed, and you can shower. Bruising varies and usually last from 5-10 days.  You should avoid lifting and vigorous activity, but normal activity is fine. To be safe, allow at least 8 weeks before the wedding pictures.

The mirror should reflect how you feel. If you feel young, vibrant, and relevant, yet you see someone aged and tired, perhaps even angry in your reflection–it may be time to visit with us.  A facelift isn’t a drastic procedure–if done expertly it is safe and subtle. After you’ve seen the experts at Billings Plastic Surgery, your friends and family will wonder if you’ve lost weight or have been on vacation.


Facelift and necklift are nearly interchangeable terms.  Facelift includes the neck, jowls, and cheeks, and necklift takes a little less time in those patients whose needs are specific to the lower face and neck.  Your consultation will review your specific needs. 

Bring harmony to your face

Rhinoplasty (Nose Surgery)

Noses come in all sizes and shapes. Unfortunately, some of these sizes and shapes aren’t a good fit for the person who owns the nose. Rhinoplasty is the process by which the structure of the nose is altered to bring the nose more into harmony with the rest of the face.

Some nasal conditions such as humps or a crooked shape occur as a result of trauma. Other features such as a bulbous tip, a long nose, or excessively broad nose are gifts from our parents.

The best candidates for rhinoplasty are those with fairly stable personalities and realistic expectations. A rhinoplasty will not cure depression, bad relationships, or an overall poor self-image. The best candidates can be very specific about what they want different in their nose (please get rid of the hump) as opposed to non-specific (I don’t know, I just have never liked my nose.) Be sure to tell the doctor about any breathing problems related to your nose, as rhinoplasty might have an effect on them. The procedure can be done under general anesthesia or under local anesthesia with sedation.

Dramatic difference

Eyelid Surgery (Blepharoplasty)

Perhaps the most dramatic aspect of our appearance are the eyes. They convey emotion very acutely, and unfortunately aging eyes can convey things that aren’t appropriate to our moods at all. Droopy brows or lids can make us look tired, aged, or angry when we’re not. It seems silly that a few grams of skin in the wrong place can be such a big deal, but that is the reality.

Restoring the proper position of the brow, removing excess lid skin, or tightening skin with removal or a laser, perhaps even a filler, can be as dramatically rejuvenating as anything we do.

Removal of excess skin and fat from the upper and lower lids is called blepharoplasty. This takes away the heavy, tired look from the eyes and can also improve vision if the skin is obstructing the eye. In some cases, insurance coverage is available for this procedure. Incisions are hidden in the natural folds of the eyes and are rarely visible. Laser resurfacing is often a very useful addition to these procedures.

Correct prominent ears

Ear Surgery (Otoplasty)

Most ear surgery is done for prominent ears-ears that stick out. This happens for two reasons-either the bowl of the ear is too big and too deep, or the outer fold of the ear doesn’t form properly. Sometimes both are present. Prominent ears can be corrected by recreating the outer fold of the ear, and reducing the size of the bowl of the ear.

How is it done?

Incisions are made, usually on the back of the ear, sometimes just inside the bowl of the ear, where they are not typically visible. Stitches are used to recreate the cartilage folds, and also to hold the ear back against the head. Sometimes excess cartilage in the bowl (concha) is removed. This procedure can be done under either local anesthesia with sedation, or with general anesthesia.

How about recovery?

We will ask you to wear some surgical earmuffs for the first day, then at night for several weeks to protect the tender ears. You may remove them to shower the day after surgery. The ears are swollen for a week to 10 days, and the swelling isn’t really totally gone for a few months, so don’t worry if your ears seem a little big. Exercise is OK after a couple of weeks if contact is avoided.

Removing Excessive Skin

Forehead Lift (Brow lift)

If the brows are sagging down over the eyelids, or have a sad appearance, elevating the brows can really lighten a person’s look. There are several common locations to place the incisions for this procedure.  Your surgeon will choose the one that is best for you.  They all tend to heal quickly and make an immediate impact. This is often combined with upper eyelid skin excision (blepharoplasty) to obtain the sharpest, cleanest result. These procedures are commonly done with sedation and local anesthesia, but a general anesthetic is a good choice for many patients as well.

Reduce the appearance of scaring

Scar Revision

Scar revision is performed to reduce the appearance of scars caused by injury or previous surgery. Scars are by definition permanent, but surgery can narrow, fade and otherwise reduce the appearance of severe or unattractive scarring, which is especially helpful in areas of cosmetic importance such as the face and hands.
There are many surgical methods of scar revision, only some of which may be appropriate for a particular type of scar or its location. These include surgical excision, skin grafts, flap surgery and Z-plasty (repositioning a scar so that it aligns with the face and is less noticeable). The effectiveness of scar reduction depends on a number of factors, including the nature of the injury, your body’s healing mechanism, the size and depth of the wound, how much blood supplies the area and the thickness and color of your skin.


The entire staff was so nice during consultation, pre op and post op. I can't say enough good words about the wonderful job Dr. Muskett did on my tummy tuck with work on my abs as well. The scar is minimal and the recovery wasn't nearly as bad as I was thinking. Definitely recommend Dr. Muskett at Billings Plastic Surgery. 



Front desk staff was wonderful. Nurses and Dr. Grosso were efficient, friendly, and had complete confidence in themselves. They answered all the questions we had and more. We went for a consultation and did not feel uncomfortable or "judged" at all, will be returning!



I received a breast reduction from Dr. Grosso and I am so happy with the results. I was hesitant to go in because I am 19 and I was worried that they would try to talk me out of the procedure. I have had headaches and severe back pain for five years and just three months afterwards I am so happy and pain free. Dr. Grosso and all his staff were friendly and professional before, during and well after the surgery whenever I had questions or concerns.



My experience was amazing! I can truly say my breasts are gorgeous and perfectly symmetrical! My recovery was so easy! I highly recommend Dr. Muskett! His staff was friendly and professional, bedside manner is great, and I felt very comfortable around him. I couldn't say enough good things! I am so thankful I was recommended to go to Dr. Muskett!



I call this incredible medical facility “My Happy Place.” Not only was I greeted with kindness, care and concern from the office personnel but also treated with dignity and respect from the physicians. Every situation is followed through and I’m never left to figure my medical issues by myself. Thank you.


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