Inspired by the beauty of the human form, Dr. James Marotta is a dual board certified facial plastic surgeon who specializes in minimally invasive endoscopic facial plastic surgery and facial rejuvenation as well as anti-aging. In addition to his clinical practice, Dr. Marotta is actively involved in the teaching and training of other physicians and holds the position of Clinical Assistant Professor of Surgery at SUNY Stony Brook. A fellow of the American Academy of Facial Plastic and Reconstructive Surgery, he is also a member of the FACE to FACE National Domestic Violence program, for which he volunteers his time to help victims of domestic abuse who cannot afford treatment for facial injuries.
Tell us a little bit about your history – what made you choose facial plastic surgery as a specialty?
I chose facial plastic surgery because I became fascinated by the beauty and complexity of the human face and neck. There are more arteries, nerves, blood vessels, and sensory organs per square inch from the neck up than in the whole human body. In medical school, head and neck anatomy was my best subject and I have loved it ever since. I became a head and neck surgeon first and spent a lot of time training in major head and neck reconstructions on patients afflicted with cancer. I fell in love with facial plastic surgery then. I went on to additional fellowship training and became a dual board certified facial plastic surgeon. I love what I do and feel great about the ability to change someone’s life for the better through facial cosmetic and reconstructive surgery. Everyone’s face is different and I realize the trust that patients put in my hands, so I bring all the knowledge, creativity and artistry I can to each and every individual I treat.
What procedures and/or treatments do you specialize in?
I have particular expertise in facial rejuvenation surgery to reverse the signs of aging including endoscopic facial plastic surgery, face lifting, eyelid lifts, laser and micro-fat transfer. Another area of focus for me is rhinoplasty including revision rhinoplasty with attention toward achieving nasal results that are both aesthetically pleasing and preserve or improve nasal breathing. I perform a wide variety of facial plastic surgery procedures ranging from skin cancer reconstructions to chin implants to otoplasty (ear reshaping surgery) to hair transplantation. In addition to surgery, I offer the latest nonsurgical treatments to combat the signs of aging including Botox, Dysport, Restylane, Juvederm, Radiesse, Sculptra, Intense Pulsed Light, Microdermabrasion, Chemical Peels and Ulthera (ultrasound facelift).
1. What are the benefits of endoscopic facial plastic surgery?
Endoscopes are small cameras that allow us to visualize human anatomy better and make smaller incisions than traditional facial plastic surgery. Advances in endoscopic facial plastic surgery have allowed us to more safely treat the brow, cheek, and even now the neck regions with smaller scars, less risk to facial nerves and quicker recovery with more harmonious and aesthetically pleasing facelift results.
2. Tell us about your humanitarian work with organizations such as FACE to FACE and Faces of Honor.
I volunteer my time to do free surgery for victims of domestic violence through the American Academy of Facial Plastic Surgery’s FACE to FACE program. I organized the program at St. Catherine’s of Siena Medical Center and recruited additional volunteers like anesthesiologists and operating room nurses. I am currently partnering with a number of domestic violence centers in Suffolk County to raise awareness of the problem of domestic violence and let victims know about the help we are offering. I also volunteer my surgical skills in the Faces of Honor Program, which also has been created by the American Academy Facial Plastic Surgery to provide surgical services free of charge to veterans with facial injuries.
3. What new or upcoming developments in the field of plastic surgery are you excited about?
A number of new treatments have come out over the past 10 years that have radically changed the way we approach facial aging. Facial fillers, micro-fat transfer, newer facelifting techniques, energy based treatments like fractional CO2 Laser and Ulthera, the non-surgical ultrasound facelift, to name a few. Combining these treatments for even better results will, I think, be the biggest development in years to come. Facial aging is a three-dimensional problem with facial fat loss, sagging of facial tissues, and textural changes in the skin all contributing to an aged appearance. By using a combination of treatments to address all of these problems together, we’ll achieve more harmonious and dramatic improvements. In my surgical technique, I call this my “Sculpt-Lift-LaserTM” approach, which addresses lost facial volume and facial deficiencies with fat transfer or facial implants, lifts sagging facial tissues with endoscopic or traditional facelift techniques, and treats wrinkles and textural problems and the skin with skin resurfacing procedures like laser, chemical peel, or dermabrasion. However, I take the same approach nonsurgically by using injectables like Juvederm or Sculptra to restore facial volume, Ulthera to tighten sagging facial tissues with ultrasound, and Botox, injectables, and light chemical peels/skin care to help the texture of the skin and improve wrinkles.
4. If a patient prefers to not have surgery, what non-invasive facial rejuvenation options do you offer?
By shear numbers, I treat more patients with non-invasive facial rejuvenation options than I do surgery. I pride myself on offering the latest, proven, effective and safe nonsurgical options for facial rejuvenation that exist. Botox, Dysport, Juvederm, Restylane, Sculptra, Perlane, intense pulsed light, micro-dermabrasion, light chemical peels, and the Ulthera nonsurgical facelift are all noninvasive, no down time treatments that can make a tremendous difference in the way patients look and feel. As I mentioned, I am continuing to develop new combinations of nonsurgical therapies that I think will make the results and impact of nonsurgical treatments even better.