Holger G. Gassner, M.D., Board Certified Facial Plastic Surgeon (USA)


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BEFORE | AFTER

The portrayal of before and after images is strongly regulated in Germany.  Only images of a reconstructive and therefore “medically indicated” procedure may be publicized.  All patients shown here have given their written informed consent to share their results.  All patients were operated by Dr. Gassner.  Results of cosmetic operations, such as aesthetic nasal correction, eyelid correction or face lifts are not listed due to the legal restrictions.  However, cosmetic interventions represent the largest proportion of operative procedures that Dr. Gassner performs.  During your consultation with Dr. Gassner, you will be shown a large number of before and after photos of nasal corrections, face lift or eyelid procedures.

Deep Plane Face Lift: Rejuvenating the contour of the midface

Dr. Gassner recreated the contour of the cheek, midface, and jaw line with an extended deep plane face lift. Deep Plane techniques are designed to generate natural and lasting results. The deep facial structures are repositioned into a more favorable position, while an overly stretched look of the facial skin can be avoided.

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Deep Plane Face Lift: Rejuvenating the contour of the midface (2)

Dr. Gassner recreated the youthful contour of the cheek, midface, and jaw line with an extended deep plane face lift. Deep Plane techniques are designed to generate natural and lasting results. The deep facial structures are repositioned into a more youthful position, while an overly stretched look of the facial skin can be avoided.

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Deep Plane Face and Neck Lift

The Deep Plane Face and Neck Lift differs from less advanced techniques in important aspects. The deep plane technique allows to reposition the deep connective tissue planes of the midface, jawline and neck with multiple intents: The three – dimensional contour of the face is recreated: A flat cheek becomes rounder, the nasolabial fold is reduced, the jawline defined and the neck tightened. All tension is applied to the deeper tissues. Excess skin is trimmed, but no excessive tension is applied to the skin. Thus, a stretched or operated look is avoided.

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Septorhinoplasty – Cleft Nose (1)

This patient was born with a cleft lip and palate. Frequently, the changes of the nose – both in shape and function – become more evident after puberty. Corrective nasal surgery may be performed at about 18 years of age and older. Dr. Gassner performed an endonasal rhinoplasty approach in this patient. He placed a „foundation graft“ – a technique that he developed and that has found use in centers around the world.

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Septorhinoplasty – Cleft Nose (2)

This patient was born with a cleft lip and palate. Frequently, the changes of the nose – both in shape and function – become more evident after puberty. Corrective nasal surgery may be performed at about 18 years of age and older. Dr. Gassner performed an endonasal rhinoplasty approach in this patient. He placed a „foundation graft“ – a technique that he developed and that has found use in centers around the world.

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Nasenkorrektur Spaltnase

Septorhinoplasty – Cleft Nose (3)

This patient was born with a cleft lip and palate. Frequently, the changes of the nose – both in shape and function – become more evident after puberty. Corrective nasal surgery may be performed at about 18 years of age and older. This patient has had previous surgery to correct the nose in adulthood. Dr. Gassner performed an endonasal revision rhinoplasty in this patient. He placed a „foundation graft“ – a technique that he developed and that has found use in centers around the world.

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Rhinoplasty for deviated nose, boxy tip

This female patient presented after trauma with nasal obstruction from a deviation of the nose and nasal septum. The deviation of the nose resulted in significant blockage of the nasal airway. The so-called boxy – tip deformity also contributed to dysfunction of her nasal valve. Dr. Gassner performed a minimally invasive rhinoplasty procedure to correct the nasal dorsum, the nasal tip and the airway obstruction.

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Rhinoplasty: Correction of hanging tip

This patient presented with nasal obstruction. An endonasal rhinoplasty was performed by Dr. Gassner with soft techniques. A skin incision at the columella was avoided. No nasal packs were used, the procedure was ambulatory, the patient was inconspicuous to the public after about 8 days. Result one year after surgery.

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Rhinoplasty: Endonasal revision after previous surgery

This patient presented with significant nasal obstruction and deformity of the external shape of the nose. An endonasal revision rhinoplasty was performed by Dr. Gassner with soft techniques. A skin incision at the columella was avoided. No nasal packs were used, the procedure was ambulatory, the patient was inconspicuous to the public after about 8 days. Result one year after surgery. This case illustrates that even complex revisional cases can be managed with soft, endonasal surgical techniques.

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Streched Lobes (Tunnel/Plug)

This patient presented with significant nasal obstruction and deformity of the nasal tip. An endonasal revision rhinoplasty was performed by Dr. Gassner with soft techniques. No skin incision was needed (scarless rhinoplasty). No nasal packs were used, the procedure was ambulatory, the patient was inconspicuous to the public after about 8 days. Result one year after surgery. This case illustrates that even complex deformities of the nasal tip can be managed with soft, endonasal surgical techniques.

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Streched Lobes (Tunnel/Plug)

Plaques cause defects of the lobule. Often, large holes result. Correction of these defects requires a surgical procedure under local anaesthesia.

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Nasal Reconstruction (1)

This patient lost his nose after cancer surgery. Dr. Gassner rebuilt the nose in 4 surgical steps, using a method („In situ prelamination“) he described. This technique has found application in centers world wide.

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Nasal Reconstruction (2)

This patient lost parts of the right nose after cancer surgery. Dr. Gassner performed the reconstruction using a forehead flap in a 2 – stage procedure.

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Gesichtsnervenlähmung Gassner

Facial Nerve Paralysis (1)

This patient suffered a complete facial nerve paralysis on the left side from cancer surgery. Using multiple corrective procedure, Dr, Gassner corrected the corner of the mouth and brought an active smile back tot he face (orthodromic temporalis transfer). He also corrected the patients upper and lower eyelids (not show for privacy protection) and revised the left eyebrow.

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Gesichtsnervenlähmung 2

Facial Nerve Paralysis (2)

This young patient suffered a complete facial paralysis on teh right side.  Professor Gassner conducted an angulation technique (Orthodromer Temporal Transfer) . Thus the symmetry improves and the patient can actively raise the right side of the mouth.

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Corrective Surgery of the elongated earlobe

Correction of the elongated earlobe may including shortening the earlobe as well as creating a new, rounder and more youthful shape. Deformities oft he ear lobe such as „tunnels“ or „plaques“ can be reconstructed as well. The following is an example of a patient who received correction oft he earlobe together with face lift surgery bs Dr. Gassner. The procedure is usualy performed under local anaesthesia, unless additional procedures are performed at the same time.

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Reconstruction of the heilcal rim

Correction and reconstruction of the helical rim usually requires transfer of cartilage from the same ear. This can be performed without altering the shape of the remaining ear. Other defects and deformities of the ear (pinna) can be corrected as will. In the present case, Dr. Gassner reconstructed the helical rim in an ambulatory procedure under local anaesthesia with sedation.

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Forehead: Osteoma / Lipoma

The endoscopic removal of a forehead lump (e.g. osreoma, lipoma) is performed without externally visible skin cut. Dr. Gassner was the first to publish this procedure in Europe. It allows scarless treatment of the forehead.

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