Dallas Surgical Arts

Healing Hyperpigmentation with Light

If you suffer from hyperpigmentation or discoloration on the skin, you may be a good candidate for a
treatment called IPL photofacial.

Though summer may be over, signs of the sun may still be lingering on your skin. Sunspots, as
they are called, can cause facial discoloration and uneven skin tone that many women choose to
cover up with makeup. Then there are other skin discolorations, including acne scars, age spots
and even rosacea. But what if there was a way to permanently remove these skin flaws? It sounds
too good to be true, but it’s not. That’s because a treatment called an IPL photofacial exists, and it
can really make an impact at reducing skin discoloration.

Woman Receiving an IPL Treatment

What is an IPL?
“An IPL photofacial targets pigment issues in the skin on the face, chest, neck, shoulders, back,
arms and legs, and generally anywhere on the body that has hyperpigmentation,” says Dallas,
Texas-based facial cosmetic surgeon Dr. Randy Sanovich.
The procedure is simple: The patient’s skin is first covered in a cooling gel that both reduces
discomfort from the procedure and also makes the light waves from the IPL device work better.
The laser is moved across the face in a grid pattern, emitting intense pulses of light (IPL).
After the procedure concludes, the gel is removed from the face. Sanovich says some redness and
swelling is common, but downtime is minimal, and the patient can even apply makeup immediately
following the procedure. It is recommended that patients avoid sun exposure for the next week
following treatment and apply sunscreen regularly when going outdoors.

So, how does an IPL photofacial work, exactly?
The key is that intense pulsed light. When applied to the skin, the light sends wavelengths to the
skin that zero in on pigment-generating cells beneath the skin’s surface. This light is then
transformed into heat, which destroys the melanin-causing cells that cause the discoloration on
the skin’s surface. With time, these cells break down enough to reduce the pigmentation on the
skin’s surface, causing it to crumble off the skin and leaving behind even-toned skin in its place.
The procedure itself is said to be a little bit uncomfortable, but not painful.
As for how long the process takes, Sanovich says most patients see noticeable results with three to
five treatments, which must be spaced four weeks apart to allow time for healing.
Though the treatment is effective in general, it is not for all skin tones, so Sanovich recommends
you schedule a consultation with a licensed esthetician or board-certified cosmetic surgeon to discuss the procedure in detail and to see if you are a good candidate.

If you are interested in learning more, please schedule an
appointment for a skin consultation with our licensed esthetician Jennifer by calling 972-776-4888.

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Who Should Get a Total Joint Replacement?

Patients seeking relief from temporomandibular joint dysfunction may be good candidates for a procedure
called total joint replacement.

What is total joint replacement surgery?

Temporomandibular joint dysfunction can be cured with surgical intervention.
If you have temporomandibular joint dysfunction, you are likely no stranger to the pain and
stiffness that goes along with it. Temporomandibular joint dysfunction is a condition in which the
temporomandibular joint of the jaw does not align properly with the jaw bone. As a result, the jaw
abrades against the joint and pops in and out as you speak and chew. It can also cause pain
throughout the upper body, including the back, head, neck and shoulders. That’s because our
upper bodies are connected through muscles and nerves, and the misalignment can irritate those
muscles. Other signs of temporomandibular joint dysfunction (also known as TMJ dysfunction)
include ringing in the ears (tinnitus) and uneven wear on the teeth, including chips, cracks and
premature wear on fillings.

If you have TMJ dysfunction, getting relief is probably of paramount concern, but it can be hard to
know what treatment options are best for you. Medical terms are often tossed about, including
orthodontics, neuromuscular dentistry and even physical therapy. But for some, these interventions
are not enough – or not enough on their own. For those individuals, there is another more
permanent solution: total joint replacement.

Total joint replacement is a surgical procedure in which the temporomandibular joint is replaced
with a prosthetic (usually steel) that allows the jaw joint to connect to the temporomandibular joint
seamlessly, eliminating the misalignment and, naturally, the pain.

Who is a good candidate for total joint replacement surgery?

But how do you know if you are a good candidate for total joint replacement? Total joint
replacement is a serious procedure that should only be attempted if other means to treat
temporomandibular joint dysfunction have failed. Those who are good candidates for the surgery
include patients with severe degenerative arthritis, inflammatory arthritis, changes to the face
shape or bite, failed prior surgeries to correct the joint opening, and tissue fusion in the joint –
among other things.

It’s also important to note that surgery itself may not be enough to correct your TMJ dysfunction.
As mentioned before, other interventions such as orthodontic work and physical therapy may be
required to help you get used to your prosthetic and to correct any lingering bite issues such as
crooked teeth.

If you are interested in learning more about total joint replacement, please schedule an
appointment for a consultation with Dr. Sanovich by calling 972-776-4888.

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Can Dr. Sanovich Treat My Facial Trauma?

Accidents happen, and if you or a loved one has a facial injury, it is important for you to seek medical care right away. Facial injuries like fractures can disrupt your vision, respiratory function, and nervous system. Fortunately, Dr. Randy Sanovich is board-certified in oral and maxillofacial surgery, as well as facial cosmetic surgery. As a board-certified surgeon, Dr. Sanovich has extensive experience treating moderate and severe facial injuries, including sports injuries, car accidents, gunshot wounds, dog bites, and other facial trauma.

Dog bite laceration to glabella. Facial reconstruction by Dr. Randy Sanovich of Dallas Surgical Arts in Dallas, Texas. 

Facial trauma (especially facial injuries that are disfiguring) can have long-term psychological effects on a patient, and inhibit the ability to eat, socialize, and perform some basic daily activities. Car accidents and contact sports (including basketball and football) are some of the most common facial injuries we see in our practice. With board-certification in facial cosmetics, Dr. Sanovich is able to treat your injury without compromising aesthetics.

Gunshot to the nasal bridge. Facial reconstruction by Dr. Randy Sanovich of Dallas Surgical Arts in Dallas, Texas. 













Dr. Sanovich is capable of treating facial trauma, and if you are unsure how we can help you, give our office a call and we can answer all of your questions (972) 776-4888.

Afraid of a Facelift? You Shouldn’t Be!

Interested in a facelift but nervous about the process? Keep reading to find out why you shouldn’t be afraid to have a facelift with board-certified facial cosmetic surgeon, Dr. Randy Sanovich!

Why are some people afraid to have a face-lift or neck-lift?

Most often, the patients that are hesitant to schedule a facelift have seen some bad results, but they haven’t noticed the successful procedures. When properly performed by a board-certified surgeon, these procedures should be difficult or nearly impossible to detect, due to embodying the most natural-looking results. Misconceptions about facelifts are abundant. Patients have heard adjectives like “frozen” and “plastic” to describe facelifts, but a good facial rejuvenation procedure should garner the quintessential response, “I couldn’t tell you had a face-lift!” from friends and family. The modern face-lift and neck-lift techniques are designed provide a dramatic improvement to an individual’s appearance without being obvious.  The results should be so natural that you simply look younger, slimmer, more athletic, and more attractive, but how you improved yourself should be virtually undetectable.

How is a facelift performed?

A “bad” facelift may make the patient’s face look too tight and very “plastic.” However, by tightening the muscle layer under the skin, our modern, multi-layer technique can smooth the neck, eliminate jowls, and lift the cheeks without looking artificial. We tighten the skin just enough to reduce the present wrinkles, and only make incisions that follow the shape of the patient’s ear to minimize obvious scarring. We can even perform a fat transfer procedure which allows Dr. Sanovich to inject some of your own fat to fill in any grooves and depressions in your face so you regain that “baby-face” appeal you once possessed at a younger age. Through these advanced techniques, the neck can be made to appear thinner, more athletic and subsequently make the face appear smoother, fuller and more youthful.

I still have questions…where can I learn more?

Dr. Randy Sanovich is a Board-Certified Maxillofacial Surgeon and Physician of the American Academy of Cosmetic Surgery. Dr. Sanovich strives for the least discomfort, shortest recovery time, and the most natural-looking results.

If you still have reservations, call our office today (972-776-4888) for a complimentary consultation with Dr. Randy Sanovich and discuss all of your surgical and non-surgical options!

By concentrating exclusively on the face and neck. Dr. Sanovich has developed a particular expertise in face, neck contouring, brow lift, fat transfer, nose and chin reshaping, eyelid rejuvenation, jaw alignment surgery and laser skin resurfacing. Dr. Sanovich and his staff also offer a superb skin care program featuring a licensed medical esthetician and the finest skin care products and procedures available in the industry today.

Liquid Rhinoplasty Vs. Surgical Rhinoplasty, Which One Should I Choose?

If you are considering a rhinoplasty but aren’t sure what your options are, this explanation of liquid versus traditional rhinoplasty can help shine a light on the differences.

Up until recently, there weren’t many options for patients unhappy with the look or size of their nose. Surgical rhinoplasty (otherwise known as a “nose job”) was the way to go. Though very effective at helping patients reach their ideal image, rhinoplasties have their drawbacks. For example, they can often be outside of the patient’s budget. They also come with some downtime, something that’s difficult to find in this day and age. But thankfully in recent years some new options have debuted in the medical world, and they are helping patients get the look of a rhinoplasty without the cost or the recovery period.

“It’s called a liquid rhinoplasty, and it can help reshape the nose without surgery,” says Dallas, Texas-based cosmetic surgeon Dr. Randy Sanovich. Sanovich performs liquid rhinoplasties in his clinic and says they are a faster and more affordable alternative to the traditional rhinoplasty.

“Liquid rhinoplasties use hyaluronic acid to fill in the nose,” he says. “You aren’t making the nose smaller, but in the case of people who have a bump or aren’t happy with the tip of their nose, they can temporarily camouflage these features by plumping up those areas of the nose.”

Another bonus to nonsurgical rhinoplasties is the recovery time. While a traditional rhinoplasty requires general anesthetic, temporary splints, stitches and about a week of recuperation, non-surgical liquid rhinoplasties do not. Patients can return to daily life immediately following a liquid rhinoplasty, and the results are visible immediately, while it can take up to a year to see the results of a traditional, surgical rhinoplasty.

While there may be some side effects to liquid rhinoplasties – Sanovich says there can be some bruising or swelling that subsides within several days of the procedure, as there is no incision to heal or stitches to remove.

As for the cost, the liquid rhinoplasty costs significantly less than traditional rhinoplasty. The drawback here is that the liquid rhinoplasty will need to be redone, so you’ll have to pay up for any subsequent procedure. Sanovich says some people opt to have a traditional rhinoplasty after their liquid rhinoplasty because they are so happy with the results, they want to make them permanent.

“A liquid rhinoplasty can give you a good preview of what you’d look like following a traditional rhinoplasty,” he says.

As for how long the results of a liquid rhinoplasty last, that depends on the individual patient; however, Sanovich says patients can expect the results to last about 10 to 12 months on average.

“Liquid rhinoplasties are an excellent solution for patients who would like to change the appearance of their nose without committing to a traditional rhinoplasty,” he says. “They give beautiful, natural-looking results, and if there’s something the patient doesn’t like about their results, it’s not permanent and we can adjust the levels of hyaluronic acid to correct them going forward.” 

Interested in a complimentary consultation with double board-certified Dr. Randy Sanovich? Call or email our office today to get scheduled!

972-776-4888 // [email protected]

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Junior Otoplasty- Is it Safe for My Child?

Why otoplasty (ear reshaping)?

If ears are very large, prominent, or distorted, they tend to catch the attention of unfortunate bullying & can severely lower children & young adults self-esteem. Protruding, or poorly shaped ears can be flattened & contoured to a more desired form with an ear reshaping surgery. The cartilage in the ear, which is flexible and elastic, is responsible for its shape & can be bent to be permanently improved by Dr. Randy Sanovich.

How is the procedure performed?

Ear reshaping is performed under a light general anesthetic. A long lasting local anesthetic is also used to maintain optimal comfort during recovery. A small incision is made on the back of the ear & the cartilage is reshaped as needed. Some cartilage is usually removed to reduce the ear prominence. Permanent sutures are placed in the cartilage to create the desired contours & the incision is closed with dissolving sutures. A fluffy bandage is applied for the first day or two.

Is this safe for my child?

12 Year Old Female Before and After Otoplasty

An otoplasty is actually more common during childhood than adulthood. This procedure is preformed on patients of any age, but for best results, an otoplasty should be done after the ears reach their full size, which normally happens by of 5 years of age. A Junior otoplasty is not for cosmetic vanity.

This procedure is purely for reconstruction and to combat any negativity that comes with ear protrusion or shape. Pediatricians & child psychologists do recommend however, that children be old enough to understand what the operation involves beforehand. 


Other FAQs:

  • Where is the Procedure Completed? The surgery is completed in our in-office surgical suite
  • How Long is the Procedure? The typical length for a junior otoplasty surgery is 1 to 2 hours
  • Am I Sedated? Yes, you are sedated with a light general anesthesia, administered & monitored by Dr. Sanovich & his highly trained surgical staff
  • What Does It Cost? This procedure can range from $3000 – $4000
  • What Can I Expect Post-Op To Be Like? There may be some mild swelling and bruising of the ears which will usually resolve in seven to fourteen days. The ears can remain tender for a month or more, but are usually not tender unless pressure is applied. The patient must be careful when sleeping to keep from rubbing the ears on the pillow. A sweatband or ski band should be worn while sleeping for the first few weeks to protect the ears & relieve tension.

Still have questions?

Call 972-776-4888 to request a free consultation with double-board certified cosmetic and oral & maxillofacial surgeon Dr. Randy Sanovich!

12740 Hillcrest Rd Suite 100

Dallas, TX 75230


Create Beautiful Ears with an Otoplasty

Do you have protruding ears that stick out further than you’d like? Are you tired of trying to cover your ears with your hair, hats or scarves? You may believe you have to live with protruding ears for the rest of your life, but there’s good news. There is a procedure to correct them, and it’s called otoplasty.

What Is Otoplasty?
Otoplasty is a cosmetic surgery procedure that alters the cartilage inside the ear and forms it into a shape and or size that is more desirable to the patient.

How Is an Otoplasty Performed?

First, by taking 3D photos and using an advanced computer software program, Dr. Sanovich will go over the estimated results of an otoplasty procedure with the patient. Once the patient agrees upon a suitable look, Dr. Sanovich will schedule the procedure.

Male Otoplasty by Dr. Randy SanovichTo perform the otoplasty procedure, Dr. Sanovich will use a light general anesthesia and longer-lasting local anesthetic to get the patient comfortable. An incision is then made in the back of the hair, and Dr. Sanovich removes cartilage and tissue from the ear as needed to create the patient’s desired ear shape. Once the desired amount of cartilage and tissue is removed, the ears are then sutured with dissolving sutures into the proper shape for healing, and the patient is bandaged and released.

What Can I Expect from My Otoplasty?
The otoplasty procedure is done on an outpatient basis, and healing takes one to two weeks. Once healed, the ears will mirror the image on the software program the patient was initially shown at his or her consultation. The outcome is that the ears will be smaller and closer to the head, depending on the desired outcome of the surgery, and the patient will hopefully no longer feel the need to hide behind hair or hats to disguise their ears.

How Do I Schedule an Otoplasty?
Otoplasty surgery can create natural, beautiful ears that help you achieve balance and symmetry in your face. If you are interested in learning more about how Dr. Sanovich can help you improve the appearance of your ears and create the look you’ve always dreamed of, please contact the office for a consultation by calling 972-776-4888.

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The Surprising Medical Benefits of Orthognathic (Jaw) Surgery

Learn more about what orthognathic surgery is, and how it could have medical benefits for you.

The mouth is arguably the most important gateway to our bodies. The condition of our teeth and
gums can affect everything from diabetes to cancer, but sometimes it can cause pain a lot closer to
home: in the jaw.

There are many causes of jaw pain, including temporomandibular joint dysfunction (also known as
TMJ dysfunction) – a condition wherein the jaw becomes misaligned from the temporomandibular
joint, causing a long list of painful symptoms. Other conditions of the jaw include a bad bite, a
crooked smile, and speech issues.

Why Choose Orthognathic Surgery?

Dr. Randy Sanovich practices facial plastic surgery in Dallas, Texas. He says there are medical
interventions for jaw issues. One such procedure is called orthognathic surgery.
“Orthognathic surgery surgically corrects the positioning of the jaw, but it has many purposes and
functions. It can really reduce some of the pain experienced by misalignment.”
It can also help reduce speech impediments caused by the jaw not aligning properly.
An orthognathic procedure is done under general anesthesia and involves the surgeon moving the
jawbone and repositioning it. This often not only improves the alignment of the jaw but may even
approve its appearance, too.

Combination Surgical Procedures with Orthognathic Surgery

Another procedure that is often scheduled along with orthognathic surgery is a procedure called a
genioplasty. A genioplasty focuses on the positioning of the chin, and according to Sanovich is
more cosmetic in nature than orthognathic surgery.

“Genioplasty procedures are generally performed because the patient is unhappy with the
protrusion or shape of their chin,” he says. “But scheduling the procedures at the same time if both
are needed is a great idea if your surgeon agrees.”

Orthognathic surgery can even be performed along with orthodontic procedures including the
widening of the upper jaw, which is another way to fix the alignment of the bite.
“A bad bite isn’t just about having crooked teeth or an uneven smile, “explains Sanovich. “It can be
very painful to the patient, and it can even damage the teeth.”

That’s because if the teeth are misaligned they can have uneven wear, or even knock into each other. “This can cause enamel damage like chips and cracks,” says Sanovich. “And you can’t replace your enamel. It doesn’t grow back. Then you’re looking at more problems- problems where the only solution may be veneers, which can be costly and are not covered by most insurance plans.”

“The best thing to do is to avoid needing expensive dental intervention and consider a procedure
like orthognathic surgery which may actually be covered by insurance. Either way it’s an investment
in your health and well-being.”

If you are considering orthognathic surgery and would like to schedule a consultation with Dr. Sanovich, please call 972-776-4888!

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What to Expect from a Face-Lift Procedure

Why choose a face-lift?

Face-lifts: They’re one of the most effective ways to combat the signs of aging, but they’re often

the most misunderstood. Between the stigma that still surrounds them to the confusion about

what exactly the procedure entails, it’s normal to have questions and apprehensions about this safe

and impressive procedure. Here’s are some common questions and answers patients may have

about face-lift procedures.

Female Before and After Facelift: Side View

What Is a Face-Lift?

You’ve probably heard about them being performed on celebrities and socialites. But what exactly

is a face-lift? Also known as a rhytidectomy, a face-lift is a procedure in which Dr. Sanovich

tightens the skin of the face to reduce the appearance of wrinkles, sagging and drooping of the

facial skin.

How Is a Face-Lift Performed?

A face-lift is performed by making an incision in an inconspicuous part of the face, often beginning

by the ears and coming up the other side around the forehead. In some cases, if the procedure

includes the neck, an incision may also be made under the chin.

Next, fat in the face may be repositioned to help “fill out” the face in areas where a sunken

appearance has developed. This traditionally occurs in the cheeks and in the hollows under the

eyes. Tissue is repositioned, and the muscles of the face may be lifted as well. Once this is

complete, excess skin that causes sagging may be removed, and the face is then sewn back up

with stitches.

What Is the Downtime for a Face-Lift?

Though in most cases you can return home the same day as your face-lift procedure, recovery lasts

between two and four weeks. During that time you will be placed under restricted physical activity.

Patients are prescribed medication to make their recovery very comfortable.

Facelift Healing Progression

Before facelift, 1 week post-op, 2 weeks post-op.

What Are the Benefits of a Face-Lift Procedure?

A face-lift procedure is a more permanent way to address the signs of aging in the face such as the

loss of skin elasticity, loss of chin and neck definition, deep creases around the mouth, the loss of

muscle tone in the face, and jowls or double chin.

Why Are Face-Lifts Better than Fillers, Botox or Other Procedures?

The results of a face-lift generally last much longer than other methods of aging-reduction

procedures. With proper care of the skin and genetics, your face-lift results can be expected to last

up to 10 years. But even at the ten-year mark, your face will still appear more youthful than it

would have had you not had the face-lift in the first place. Furthermore, around the 10-year mark,

many patients opt to have a revision face-lift to correct any new signs of aging and to restore the

appearance of their last procedure.

Dr. Randy Sanovich performing a facelift procedure

Ultimately, whether to have a face-lift is a personal decision, but what we can tell you is that it’s a

decision you likely won’t regret. Today’s face-lifts look beautiful and natural and are very safe.

If you would like more information about how a face-lift can help you, please contact Dr. Sanovich

for a consultation by calling 972-776-4888.

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Fat Transfer Augmentation Restores Facial Fullness

When you look in the mirror, how do you feel about the appearance of your face? Does your face look sunken or deflated? Do you feel as though you always look tired? Aging can have many effects, including wrinkles, age spots and loss of fat in the face. While some signs of aging, such as wrinkles and age spots, can be treated and even prevented with creams and procedures like the CO2RE laser, the loss of fat in the face is harder to prevent. Thankfully, it is treatable via a procedure called fat transfer augmentation.

What Is Fat Transfer Augmentation?

Fat transfer augmentation is the use of your body’s own fat to fill out sunken areas of the face that have naturally lost fat over time. This is actually what causes the sunken, tired look that occurs as we age. Often, fat transfer augmentation can be combined with a minor face-lift. The procedure can also be done with high-quality fillers such as Restalyn, Juvederm and Sculptra.

How Is Fat Transfer Augmentation Performed?

With fat transfer augmentation, Dr. Sanovich takes harvested fat (usually removed from the abdomen or thigh) and, after centrifuging it for uniformity, injects it into the face in such a way that the cheeks and any other thinned-out areas of the face appear fuller and more youthful. The procedure is done on an outpatient basis, and recovery is usually quick, with most patients returning to their usual activities within several days.

Areas that can be treated by fat transfer augmentation include the cheeks, under eyes, lip lines and facial folds. It can even be used to plump up thin lips.

What Are the Benefits?

Fat transfer augmentation can give you a fuller, more youthful-looking face, often without requiring a face-lift. This less invasive procedure means you can get back to your life faster, and with beautiful, lasting results. Unlike synthetic fillers, the benefit to using your own body fat to fill in the face is that there is less chance that your body will reject the fat because it is already part of your body.

To learn more about fat transfer augmentation, please call Dr. Sanovich’s office at 972-776-4888.

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