A Conversation with Faisal Quereshy MD, DDS, FACS
Dr. Quereshy, how would you describe your work in one sentence?
I’m a facial specialist – a surgeon and educator trained in two specialties to treat patients who want or need aesthetic or functional improvements of the face.
Please tell us about your practice.
Visage Surgical Institute is a unique practice, focused specifically on facial cosmetic and oral/maxillofacial surgery and treatments. I am board certified in Facial Cosmetic Surgery, as well as Oral and Maxillofacial surgery. I share the practice with my wife, Dr. Najia Usman, an Endodontic specialist, who performs root canal therapy, and treats patients who have experienced cracked teeth and other dental traumas. We serve the medical and dental community in the Cleveland, Akron, and Medina regions.
How did you come to combine the two fields of surgical medicine and dentistry?
Originally, I went to dental school, so I earned a DDS degree, followed by medical school (MD degree) to undergo specialty training as an oral and maxillofacial surgeon, an internationally recognized surgical specialty. This enabled me to perform surgery to correct a wide spectrum of diseases, injuries and defects of the head, neck, face, and jaws – working with both the hard and soft tissues of the mouth and face.
My training was so extensive – and my understanding of the face and neck so intensive and detailed that the desire to work with the face and neck as a cosmetic surgeon was a natural expansion of my interest and expertise as a facial surgeon. Consequently, I completed dual degrees – in cosmetic surgery and oral and maxillofacial surgery. The two specialties work beautifully together, because I have a deep understanding of the bone, nerve, and tissue structures of the face. This allows me to truly understand how best to approach a case – and how to attain the best surgical outcomes – by evaluating the face both internally and externally and designing a surgical plan that is custom tailored to the needs of an individual patient.
Your practice is multi-faceted. How is it set up for patient convenience?
I designed Visage Surgical Institute to offer patients a complete set of services and procedures to improve the function and appearance of the face, mouth, jaw, and neck. I envisioned a center in which we could offer total care in one place, offered by doctors who have a true understanding of the human face.
Time is precious for all of us and it’s typical for cosmetic and/or dental patients to go from place to place to get the corrections or improvements they want. Here, we do all facial-related surgeries and treatments in one building. Visage is comprised of a facial cosmetic surgical facility, a dental implant department, an aesthetic skin care center, and an endodontic department. We also have an imaging center, for the convenience of our patients who require CT scans in order to plan treatment for procedures such as jaw corrections. We treat the face, both internally and externally – jaw, mouth, bones, teeth, and skin.
Which cosmetic surgery procedures do you perform?
Our practice is focused exclusively on surgery and treatment of the face. I do traditional facelifts, the Q-lift (a lower face, short scar, and quick recovery facelift procedure), traditional and laser eyelid surgery, brow lifts, neck lifts, skin resurfacing, rhinoplasty (nose refinement), highly refined, natural looking lip augmentations and chin augmentations, and other cosmetic surgical procedures for the face and neck.
What do you think about facial fillers for the aging face? And what about discomfort?
For patients who want non-surgical options for facial rejuvenation, fat transfer, facial fillers, fractional laser treatments, and controlled peels can make a significant aesthetic improvement and postpone the need for more extensive cosmetic surgery.
The face has three major components: skin, muscle, and underlying fatty tissue. Using a patient’s own fat – or one of the effective non-surgical fillers such as Juvederm, Radiesse, or Restylane, I can fill in the areas of the face where volume has been lost over time. Fat lasts longer, but each of these filler materials have a dramatic impact on the face – smoothing out dynamic and fine lines and wrinkles, and fleshing out areas that are sunken or diminished.
Pain is a big issue for all of my patients – but I am a trained oral-maxillofacial surgeon and know exactly how to administer anesthetic blocks so pain is prevented. I also use homeopathic medications that address and minimize swelling after the filler is injected. Arnica and Bromelain have a synergistic effect and they can be taken in pill form before the procedure and promote the healing process.
You are also an oral-maxillofacial surgeon. What do you do for patients in this regard?
I do the full range of maxillofacial (jaw) procedures to bring the mouth and jaw into proper functional and aesthetic alignment. This includes: jaw alignment or repositioning surgery (with CT guided images of the patient’s face for virtual, extremely precise treatment planning — “Virtual Surgical Planning — VSP”), bone grafting, wisdom teeth, impacted teeth and exposures, as well as oral pathology and skin cancer screening.
I also have a state-of-the-art dental implant center. I use a CT-guided imaging system that enables me to do the most precise planning possible for placing dental implants (VSP). In other words, with the technology we have, I use actual images of my patient. This means I can virtually plan the placement of implants and do the implants – with a minimum of trauma to the mouth – both quickly and accurately. Most importantly, all of this is done in one appointment. It’s a fantastic system, and my patients are thrilled with the convenience, the process, and the results.
What can a new patient expect during the initial consultation visit with you?
First, let me start by saying that my staff and I want our patients to have a positive experience from the initial phone call. I believe that the first impression is a lasting impression, and we like to provide information over the phone – along with a warm welcome. Consultation visits are important – a time for gathering a good medical history and for understanding the most important concerns and expectations of the patient. I listen and ask questions, evaluating and exploring treatment options. Then, if the patient wants to move forward, we discuss the treatment plan and I answer additional questions they may have. I want to make sure they have the information they need and that they understand the process.
During the consultation, I am also teaching my patients to understand what facial balance and proportion means. I am treating the face as a whole and, using a mirror, showing my patient the width and length of her face and how a balance of upper, middle, and lower face is what we want to aim for. It’s not as easy as one would think, for us to understand how our face is supposed to be. Photos are helpful too, because they show you the way you actually appear to other people. By taking a photo and putting it up on the computer, you can see a true depiction of how others see you. Later on, when you see the Before photos side by side with the After photos, you can vividly see and understand the changes that have been achieved.
In addition to your full-time clinical practice, you’re also an educator: Do you like teaching?
I teach at the graduate school level, training residents and it is rewarding, gratifying work. I have been on the Faculty at Case Western Reserve University for over 11 years, and as Program Director of resident education in
Oral & Maxillofacial Surgery for over 9 years. Along with classroom instruction, I do live training in the operating room setting and teach cosmetic surgery, facial reconstructive, and cleft palate surgery techniques to young doctors eager to learn and preparing to go out into practice. I have the best of both worlds – a thriving cosmetic and maxillofacial surgery practice with the autonomy to develop it as I see fit, and the opportunity to teach in a respected medical school hospital environment, helping to equip future doctors for careers in medicine and advanced dentistry.
I enjoy being a source of information and being able to educate my patients, my students, my referring doctors, and my staff. I want my patients to be well informed and comfortable with the choices they make. This is an integral aspect of being a leader in my areas of specialization – both as a doctor and a teacher. I am continually learning and staying current with the best techniques and innovative technology, so that our patients receive excellent care, and that my referral offices know that we truly are an exceptional practice to refer their patients to.
Dr. Quereshy, thank you very much for your time.
Dr. Faisal Quereshy is a facial specialist – a surgeon and educator trained in two specialties to treat patients who want or need aesthetic or functional improvements of the face. He is board certified in Facial Cosmetic Surgery, as well as Oral and Maxillofacial surgery.