John Martin, MD

  • 2912 S. Douglas Rd., Coral Gables, Florida,33134
    305-444-5950

John J. Martin, Jr., M.D.

 

 

2912 S. Douglas Rd.

Coral Gables, FL 33134

(305) 444-5950

(305) 444-8670 fax

Dr. Martin is a graduate of Williams College and Harvard Medical School.  He did a residency in ophthalmology at the Wills Eye Hospital in Philadelphia, followed by a fellowship in ophthalmic plastic and reconstructive surgery at the Bascom Palmer Eye Institute in Miami.  He is board certified in ophthalmology; He is certified in facial plastic surgery by the American Board of Cosmetic surgery.

 

D. Martin is a Fellow of the American Society of Ophthalmic Plastic and Reconstructive Surgery, the American Academy of Cosmetic Surgery, the International Society of Cosmetic Laser Surgery, and is a member of the American Academy of Facial Plastic and Reconstructive Surgery. 

 

Dr. Martin has had additional training in facial surgery, and performs facelift, necklifts, and browlifts. In his new office in Coral Gables, he has a fully accredited surgical suite with recovery room.  Surgeries are performed here on an outpatient basis so that the patient is able to return home the same day.

 

Dr. Martin also has a wide variety of lasers which he uses for facial rejuvenation. These include the Coherent UltraPulse CO2, Naturalase erbium, and fractionated ablative and non-ablative technology.  Dr. Martin has lectured throughout the United States, South and Central America, and Asia on both his surgical and laser experience.        





Lower Eyelid Fat Repositioning:

 

  • Eyelid skin is the thinnest skin on the body, and it is here that most of us will show the signs of aging first. The lower lids can be especially problematic, because the skin not only becomes thin and wrinkled, but the fat around the eyes can move downward into the lid to produce the swollen “bags”. These fat pads will create a dark shadow on the lid, and people will complain of the dark “circles.” This dark shadow is also called the tear trough.

  • In a traditional lower lid blepharoplasty, excess skin and fat are removed. While this initially produces a smooth contour to the lid, with time, most people will start to look hollow from the lack of fat, and the lid can start to look very hollow and dark again. In a newer technique called fat repositioning, instead of removing that fat, we reposition the fat over the cheek bone, to fill in the tear trough, smooth out the contour of the lid and decrease the appearance of the dark circles. It is much more rejuvenating to preserve the fat here than to remove it.
  • In our office operating suite,we have a CO2 laser which we use for this procedure. Using the laser helps to decrease bleeding and subsequent bruising and swelling. This surgery is usually done with IV sedation and local anesthesia. We make a small incision inside the lid to allow direct access to the fat pads, which can then be moved down into the tear trough. Once the fat has been repositioned, any loose skin is addressed. If there is a lot of excess skin, some of this can be excised with an incision that is directly under the lashes, and extending out in one of the wrinkle lines on the side of the eye. Laser resurfacing can also be done on the lids to help tighten and improve the texture of the skin. This is done with one of several lasers, depending on the degree of tightening needed, and the color of the skin.

  • There is little or no pain post-operatively, but the lower lids have a lot of blood vessels, so most patients will have bruising and swelling after a blepharoplasty. . You will use ice packs over the eyes for the first 2-3 days, and then warm compresses. After a fat repositioning blepharoplasty you can expect a fuller, more youthful under-eye/check contour.

Browlift



 

  • As we age, many people will develop a descent of the brow. As the brow falls below the bone around the eye, the upper eyelid will begin to look full and heavy. Many people think that they need an eyelid surgery to get rid of this extra skin, when they actually need to elevate the brow.A brow lift can be done in different ways. In the past, many patients would have a coronal lift performed. For this, an incision is made from ear to ear over the top of the head. While this does elevate the brow, it also results in a large scar, with possible hair loss, and scalp numbness from nerve damage. A much better technique is an endoscopic brow lift, where 4-5 small incisions are discreetly made behind the hairline, and the forehead and brow tissues are freed up. The muscles between the brows are released to help soften the glabellar creases, and the forehead is then elevated and fastened to small dissolvable implants to hold it in place. This is an excellent procedure for patients who want an elevation of the whole brow and forehead, and who have deep glabellar folds that they wish to relax. It is also a way to help improve the appearance of the crow’s feet.
  • An alternative to a full endoscopic lift is the temporal browlift. This surgery limits the incisions to the temporal temple area only, so is great for people who have only a bit of lateral brow droop. A small incision is made behind the hairline over each temple, and the lateral brow area is freed up and elevated. Deep sutures are used to hold the brow in position.
  • The elevation obtained with both the full endoscopic lift and the temporal lift is about 4-5mm. This results in a very natural appearance, and you will not look at all surprised. The recovery is fairly quick, with only a minimal amount of bruising in most patients. It is a great addition to almost any upper lid surgery, as it will help with the heaviness that many people have at the outer corner of the eyelid, and will also help to decrease the appearance of the crow’s feet for an overall, harmonized upper facial rejuvenation.

 Face and neck lift:


  • This combination is most common for men and women over 45, and corrects the common combination of loose facial and neck skin, loose muscles, visible vertical bands in the neck, and often, falling fat in the cheek and jaw areas.
  • In a standard facelift, an incision is made starting either just in front of the temporal hair tuft, or up behind the hairline.  The incision then goes down in front of the top part of the ear.  It then goes inside the tragus, so that there is no visible line directly in front of the ear.  (In men the incision usually stays in front of the tragus so that the sideburn is not pulled into the ear). The incision then passes down under and up behind the ear and back into the hair.  An incision done in this way should heal well and be minimally visible post-op.

 

  • The skin is then elevated over the cheek and neck to expose the fat, muscles and SMAS, which is a type of membrane connecting all of the deeper layers.  The SMAS is tightened with a row of deep sutures which elevates in a uniform fashion the deeper muscle layers.  The skin is then draped superiorly, the excess skin excised and the wound closed with sutures and staples.
  • A platysmaplasty is also routinely performed on facelift patients.  This is done for any patient who has noted  “banding” in the neck. There is a neck muscle called the platysma which is directly under the fat. With age, the muscle can separate in the middle and become more visible producing bands that run from the chin down into the neck. To eliminate these bands, an incision must be made under the chin, and the muscle is stitched together in the center. Any excess fat can be removed at the same time, creating a sharper, more youthful jawline.  Even if there is no significant banding, a plastymaplasty will help to sharpen the angle of the jawline.
  • A facelift surgery is usually done with local sedation anesthesia, although it can be done with just local.  There is swelling and bruising which will last for at least 10 days to 2 weeks.  Sutures and staples are removed after 8-10 days. Actual pain is suprisingly minimal with a facelift.
  • The direction of pull of the facelift will determine how “natural” you will appear post-op.  In the past, many surgeons would pull the skin horizontally creating a wind-blown appearance.  I  pull mostly in a vertical direction which will not affect the lip position, and gives a much nicer tightening of the neck.

 

 

 Fat Transfer

  • One of the most exciting procedures that has become popular over the last decade is fat transfer. This is a technique where fat is taken from somewhere on the body and placed into the face. For women, the fat is usually harvested from the abdomen or hips, and in men, from the love handles.
  • A fat transfer can be done with just local anesthesia. The donor area is anesthetized, and after about 30 minutes, the fat is harvested with a gentle form of liposuction. The fat is gently cleaned and processed in a centrifuge, and then injected into any area of the face that could use some filling such as: the temples, lower lids, cheeks, nasolabial folds, lips, and jawline. After injection, any extra fat is stored in the freezer for future use. We expect about 40-50% of the transplanted fat to be absorbed back into the body, while the rest should remain in the face indefinitely. And if touch ups are needed, the fat in the freezer can be used for up to a year.
  • Fat transfers are a great way to plump up a face that has lost fat with aging. If you think of a balloon, as the balloon loses air, it becomes wrinkled. In the same way, our face “deflates,” becomes loose and wrinkled when we lose fat as we age. Most other fillers available are temporaray, and cannot produce the degree of filling that can be achieved with fat. Fat is also a great way to help fill in any irregularities in the skin, such as old acne or other scars.
  • Recent studies have shown that there are stem cells in the harvested fat. Once transferred into the face, these stem cells should migrate toward the surface to help improve the texture of the skin.
  • Fat transfers can be done as an isolated procedure or in conjunction with other rejuvenation surgeries such as a facelift, blepharoplasty, or laser resurfacing.

 

Intense Pulsed Light

  • IPL is a light-based technology that can help improve a variety of skin imperfections, including pigment spots, broken capillaries, acne, scars, and overall photo-damage. It is also an excellent way to eliminate unwanted hair. In the office we have the Palomar Starlux machine with a variety of different handpieces. Each handpiece filters out specific wavelengths of light, to make it effective for certain uses.
  • MaxG: this handpiece is used for photo-rejuvenation, to eliminate brown spots and small blood vessels on the face. It works on the vessels that many people get at the base of the nose, and it also very helpful in patients with diffuse facial redness such as in Rosacea. With Rosacea, a series of treatments will usually be needed to clear the redness. For patients with pigment problems, many of the darker spots will go away with one treatment, while some of the lighter spots may need several treatments. While pigment spots can often be improved, a particular pigment condition called melasma may prove very resistant to treatment. For melasma, a combination of IPL, bleaching creams and sun avoidance is needed – and even then, it may not improve, and may return with sun exposure or hormonal changes.
  • The MaxG handpiece can also be used to reduce postoperative bruising and scar redness.
  • Yellow: This handpiece can be used for both hair removal and reducing pigment. It is a fairly large handpiece, so is used for pigment on larger areas, such as the arms, back, legs etc.
  • Red: this handpiece is used for hair removal. You will need anywhere from 5-8 treatments to get permanent hair reduction / removal. It works best in patients with light skin and dark hair. Gray and white hairs are very hard to get rid of, as there is no pigment to absorb the laser energy. Hair removal treatment can be a little uncomfortable, but topical anesthetic cream can be used in sensitive areas, and our patients agree that the smooth skin is worth the discomfort.

 

Office Location

 

 



Office Locations