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Face

Your face is the first thing the world sees — and more importantly, it’s the first thing you see every morning in the mirror. When your reflection no longer feels like you, it can affect your confidence in ways that touch every part of your life. Whether you’re bothered by the early signs of aging, features that have never quite felt balanced, or changes that came with time and gravity, Dr. James Apesos listens first and treats second. Goals can include softening deep lines and sagging skin, refining the nose or eyelids, restoring a more youthful jawline, or simply feeling more at home in your own face.

Schedule a facial consultation with Dr. James Apesos

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Nose Surgery (Rhinoplasty)

Your face is the first way others see you. If you are feeling self-conscious about your nose, we can help you feel confident in your profile.

Rhinoplasty improves facial balance, nasal proportion, and in some cases, breathing. Dr. Apesos performs rhinoplasty with an emphasis on subtle refinement and structural integrity, creating results that appear natural and age gracefully. Minor refinement may be achieved with nonsurgical options such as dermal fillers.

In cases where significant functional issues restrict breathing, Dr. Apesos may refer patients to an ENT specialist to explore insurance-covered treatment options.

Improves:

  • Nasal shape and facial symmetry
  • Balance across facial features
  • A more harmonious overall presence
  • Greater ease in how you present yourself
Beautiful middle age woman

Facelift

Have you ever woken up and looked in the mirror and thought, “Who is that?” When facial aging no longer matches how young and energetic you feel inside, it can be frustrating.

A facelift restores natural contours and softens the effects of time. Procedures range from mini lifts to comprehensive rejuvenation. Facelift incisions are carefully placed along the natural contours of the ears and along the hairline. Over time, the scars are almost impossible to detect.

Improves:

  • Mid-face descent, jowls, and deep creases
  • Jawline clarity and neck contour
  • Facial firmness and structure
  • A naturally restored, well-rested appearance
Beautiful young age woman

Cheek Surgery and Enhancement

Loss of facial volume can subtly change how others perceive you—and how you see yourself. Plump cheeks are synonymous with youth.

Cheek augmentation can restore structure and softness, helping the face look naturally refreshed rather than altered. Cheek enhancement restores midface volume and balance, improving facial harmony and youthful contours. Implants offer a permanent solution to restoring volume. Fillers provide immediate results and no downtime.

Improves:

  • Definition of the cheekbones
  • Hollow cheeks and midface volume loss
  • Facial balance and contour
  • A stronger sense of facial presence
Beautiful middle age woman

Neck Procedures

The neck can reveal aging earlier than the face, sometimes creating a disconnect in appearance.

Neck lift surgery tightens loose skin and restores jawline definition for a smoother, more youthful profile. Liposuction can remove excess fat as a standalone procedure in patients with good skin integrity. Non-surgical options to improve the neck include Kybella injections to dissolve fat and Botox injections to improve the appearance of vertical platysma bands and create a mild lifting effect.

Improves:

  • Sagging skin and excess fullness
  • Jawline and neck definition
  • Smoothness of the neck contour
  • Comfort in your profile
Woman eye

Eyelid Surgery (Blepharoplasty)

Heavy or aging eyelids can make you look tired even when you feel vibrant.

Blepharoplasty refreshes the eyes by removing excess skin and addressing puffiness by repositioning or removing underlying fatty tissue while maintaining natural shape and expression. Upper eyelid surgery focuses on sagging skin and fat on the upper lid, which may create a tired appearance. Lower eyelid surgery addresses puffiness, bags, and redundant skin beneath the eyes. Some patients require both procedures for full rejuvenation. Eyelid surgery can be combined with other procedures,s including a brow lift or facelift. When upper eyelid drooping interferes with vision, surgery becomes medically necessary, and patients may be referred to an insurance-accepting surgeon.

Improves:

  • Upper lid heaviness and under-eye fullness
  • Signs of fatigue around the eyes
  • Openness and symmetry
  • A brighter, more engaged expression
Old woman eye

Brow Lift

A drooping brow can make you appear tired, angry, or worried—even when you’re not. A brow lift can restore openness and ease to the upper face, helping your expressions match your emotions.

A brow lift elevates heavy or low-set brows and softens forehead lines, restoring a rested and youthful appearance. In some cases, the forehead may be reduced to improve a receding hairline or to create more balanced facial harmony. Botox injections are a nonsurgical option to address many of the same concerns.

Improves:

  • Brow heaviness and hooding
  • Forehead lines and deep creases
  • More permanent results compared to Botox
  • A more alert, lifted expression
Woman chin

Chin Enhancement

A recessed or underdefined chin can affect facial balance and self-confidence. Chin augmentation creates proportion and harmony.

Chin surgery enhances facial proportions by correcting a weak or recessed chin structure with a silicone implant. It may be combined with other facial procedures. Dermal fillers are another option for immediate results without surgery.

Improves:

  • Chin projection and facial balance
  • Jawline definition and structure
  • Profile harmony
  • Satisfaction with your profile
Old smiling woman

Ear Surgery (Otoplasty)

Ear surgery can have a positive effect on self-esteem and self-image. For children who are at risk for teasing and bullying, the procedure can be life-changing.

Ear surgery reshapes prominent or asymmetrical ears for improved balance and confidence. Suitable for children over 5 years of age, teens, and adults. Otoplasty can also address a stretched or split earlobe that resulted from aging, trauma, or body modification. The procedure is done under local anesthesia. After healing, patients can return to the office to re-pierce the ears if desired.

Improves:

  • Ear prominence and asymmetry
  • Proportion of ears to the face
  • Balance in the face with a youthful appearance
  • Greater ease in social settings
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Lip Enhancement

As lips lengthen with age, the face can lose balance and softness. Restore your youthful lips.

A lip lift shortens the distance between the nose and lip to restore youthful proportion and enhance the natural shape of the lips without added volume.

Fillers and a Botox “Lip Flip” are nonsurgical options that can restore youthful lip contours with little downtime.

Improves:

  • Lip volume and shape
  • Balance between upper and lower lips
  • A more expressive, balanced look
Tasty sign

Adult Cleft Lip Repair

Living with the lasting effects of a cleft lip can affect confidence, function, and daily interactions.

Adult cleft lip repair addresses functional or aesthetic concerns that persist from childhood or from prior surgical repair. Patients may seek revision to improve appearance, speech, or comfort. As the former director of the Cleft Lip and Craniofacial Clinics of the Children’s Medical Center of Dayton, Ohio, Dr. Apesos has performed thousands of cleft lip repair surgeries as well as many adult revision surgeries.

Improves:

  • Facial symmetry and balance
  • Lip shape and structure
  • Speech and oral function
  • Confidence
Beautiful woman

Surgical Revision

Did you have plastic surgery, and the results were just not right? Did a plastic surgeon fail to meet your expectations? There is hope. Plastic surgery can be revised and improved. Dr. Apesos knows what is possible with surgical revisions.

Dr. Apesos has decades of experience in revising prior surgical procedures, from minor tweaks to major reconstruction. Due to adhesions, scar tissue, and anatomical changes, secondary surgeries can be highly complex and require the skills and demonstrated competence of a board-certified plastic surgeon. Whether you are looking to address complications, refine outcomes, restore function, or accommodate changing aesthetic goals, we can create a customized plan focused on safety, balance, and realistic expectations.

Improves:

  • Results of prior procedures
  • Peace of mind in your results
Dr. Apesos

Dr. James Apesos, M.D., F.A.C.S., is a distinguished plastic surgeon in Ohio, renowned for his experience and expertise. With a B.A. in Biology from the University of Pennsylvania and a Doctor of Medicine from Georgetown University, Dr. Apesos completed surgical training at prestigious institutions, including a Plastic Surgery Residency under the esteemed Milton T. Edgerton, MD, at the University of Virginia. Double board-certified in Surgery and Plastic Surgery, he also holds advanced certifications in hand surgery and cosmetic surgery. As a Clinical Professor of Surgery, Dr. Apesos has mentored future surgeons and authored many publications.

Connect with James Apesos, M.D., F.A.C.S. on LinkedIn


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