As a facial trauma surgeon, Dr. Koyama understands the intricate network of facial skin, muscles, nerves, and blood vessels. He has also developed important finger sensations that only experience surgeons achieve. In addition, he is experienced in various levels of anethesia techniques. From numbing cream, small dental injections of local anesthetic, IV sedation to general anesthesia, Dr. Koyama performs all the procedures himself and makes every effort to ensure your procedure is painless.