FACIAL AESTHETIC SURGERY


FACE LIFT

Traditionally face lift incision is make within the hairline and within natural contours in front of and behind the ear. The incision starts in the temporal area, extends in a natural line just inside the cartilage at the front of your ear (Tragus), then behind the earlobe to the top of the ear, and then finally down the hairline along the posterior scalp. The relationship of these incisions with respect to the hairline might vary among women depending on their hairstyle, and among men depending on the extent of balding and the location of the receding hairline. Besides this incision, another one is also made under the chin fold to access the neck muscles. (SMAS) Superficial Muscular Aponeurotic System is an anatomical layer of thickened deep tissue and ligaments that encase the cheek fat pads and facial muscles and holds them in their normal position. With aging and gravity, the cheek and the subcutaneous structures descend. Relocating of these tissues by elevating and securing the SMAS is an integral part of a good facelift that lasts.

FACE LIFT


RHINOPLASTY

The size and shape of your nose is largely inherited, and you may be unhappy with it for a number of reasons. Perhaps you don’t like its shape. Perhaps it’s out of proportion with your other facial features. Some people dislike the shape or position of their nostrils. Maybe the tip is too wide, pinched, large or bulbous. The true function of your nose is to allow air to enter and exit the body. When nasal passageways are obstructed, breathing becomes difficult. A common cause of breathing problem is a deviated septum, a defect in the dividing wall in the nose. Some of the ailments associated with nasal obstruction are snoring, dry mouth, postnasal drip and nosebleeds. These can be relieved by “Corrective” Rhinoplasty, which includes Septoplasty to correct defects of the septum and widen nasal passages, and Turbinectomy to cauterize and trim the turbinates – the shelf-like lining of the nose, to create a balanced airflow. Also, Nasal Injury Repair Surgery corrects injuries to nasal bones and the nasal septum when they are fractured or disrupted. The timing of this surgery is crucial, as nasal bone fractures tend to heal quickly. What to Expect During Recovery Follows Nasal Surgery? Nasal Surgery is performed either under deep sedation or light general anesthesia. Most people don't remember their experience in the operating room because of the amnesia effects of the sedatives. After your surgery, you will spend some time in the Recovery Room of the surgical facility. When you wake up, you will have a cold compress gauze dressing over your nose and eyes and a nasal splint on our nose. Don't be alarmed if your eyes are covered and you cannot see. There is always a nurse available to assist you. Your vision might also be blurry for few ours after surgery because of the lubricants that were placed on your eyes to keep them from drying during surgery. Don't panic even if you can not breathe through your nose. You might either have a nasal packing or have swelling blocked your nasal airway. You will be able to continue to breathe through your nose, just like when you have nasal congestion with the flu. After you go home you will experience some bloody discharge from your nose for several days. This is normal, unless you are bleeding profusely. Don’t pack your nose, stuff tissue paper in your nose, or stick Q-tips or fingers into your nose. You can cause more injury and bleeding.

RHINOPLASTY


BLEPHAROPLASTY

UPPER EYELID SURGERY - UPPER BLEPHAROPLASTY

To correct the droopy appearance of your upper eyelid, we will first mark the excess amount of skin to be removed, while you are sitting up. The incision lines are usually drawn in the normal eyelid crease (about 7-10mm above the lashes). The upper border of the skin removal flap is drawn approximately 10-18 mm below the level of the brows, allowing enough skin to remain for adequate eye closure. At the time of surgery, a fine incision is made along the previously marked lines in the natural eyelid fold.

LOWER EYELID SURGERY - LOWER BLEPHAROPLASTY

There are two types of lower Eyelid Surgery or Blepharoplasty depending on the incision made, either under your lash lines (Transcutaneous incision), or on the inside surface of the eyelid (Trasnconjunctival Incision).
In the Transconjunctival approach an incision is made on the inside surface of the eyelid which only enables the removal or repositioning of the excessively herniated fat. This might be a good option for younger people who, while having puffy lower eyelids, don't have any laxity, redundancy, or wrinkles of the lower eyelid skin.One the other hand, those who also need to have loose wrinkled lower eyelid skin removed would be better served by a Transcutaneous/ Sub-Ciliary Incision below the lash lines. Through this approach the lower eyelid skin can be re-draped and tightened.

BLEPHAROPLASTY


SCAR REVISION

The skin is an organ that has a protective function, and any violation of its continuity will condition the formation of scar.Scars are usually happens after injuries, burns, infections and surgical operation.They can be more or less visible, with or without functional consequences of skin.Certain region on body have a greater tendency to the formation of striking and rough scars and all such persons do not show the same tendency to form scar tissue.

PREOPERATIVE: The scars are adjusted for surgery due to aesthetic or functional reason.Surgery that they be removed completely,is not invented yet.Long-term maturation period of several months to one year, conditioned that the correction should be postponed until the end of the procesa.If there is a tendency towards a keloid scars, always there is a risk of recurrence after the intervention, despite the implementation of additional measures.

OPERATION: For correction of scars, there ca be applied more surgical technique .First and mostly cut scar and wound edges closer if there is sufficient tissue around skar.Skars who withdrew the surrounding tissue causing functional disorders, are solved by applying the so-called. Z plastic, which changes the direction of the scar and reduces the power loss incurred withdrawal.Skar tissues are accompanied by a lack of skin cover and in these cases to skin transplants from the same person or the resort to setting up the expander under the skin surrounding landscape regione.Silicone balloon is a type of which adds a certain period of saline and thus stretching the skin which will cover the defect.

POST-OPERATIVE: Fresh scars should not be exposed to sunlight for several months.On market there is products in the form of grease or gel, whose role is to scar making it less pronounced and therefore acceptable.

OTOPLASTY

Otoplasty, also known as Ear Pinning, Ear Pinback, or Ear Reduction Surgery, is the cosmetic surgery procedure that permanently corrects protruding ears. Otoplasty does so by positioning the ears closer to the head (Ear Pinning), reshaping them, reducing their size, and making them more symmetrical. Protruding Ear Deformity is the most prevalent congenital malformation of the head and neck area.

Otoplasty is one of the few cosmetic surgeries commonly performed on children. It is a case where "earlier is better" because of the devastating psychological impact of peer ridicule. By age five or six, the "auricle," the visible, cartilaginous part of the ear, has nearly reached its adult-sized and can be safely corrected. (Only the ear lobes continue to elongate which gives the impression that the ears are still growing). While all surgery carries risk, Otoplasty is overwhelmingly safe and successful. Having it done at a young age is desirable because the cartilage is still very pliable, giving the plastic surgeon more latitude for shaping, and because of the psychological benefit to the child who has the cosmetic improvement prior to starting his or her schooling.

RECOVERY: Following surgery, the patient’s ears are held in place by a soft elastic bandage or headband which reduces swelling and protects the ears as they heal. The ears may feel painful and swollen for a few days, and your plastic surgeon will prescribe pain medication to alleviate the discomfort. Also icing over bandages can help reduce swelling and discomfort. You are prescribed antibiotics for several days. Patients should sleep with their heads elevated the first few nights after surgery in order to minimize swelling. You will be advised to not sleep on your side to avoid placing pressure on your ears. After two days, the dressings are removed, after which time you can take a full shower and wet the stitches. If removable, rather than dissolvable stitches are used, they are usually removed within seven to ten days following surgery. Once the dressings are removed, you should sleep with a head band which covers your ears and protects them from flopping forward during sleep. At this point you can sleep on a soft pillow in any ways that you choose.

OTOPLASTY


FOREHEAD LIFT AND BROW LIFT

Tightening the forehead skin and reducing wrinkles emphasis. The region receives fresh appearance,as the skin of the forehead and eyebrows with age pull down the upper eyelid, so forehead gives a tired and worried look.

PREOPERATIVE: The operation is done in middle-aged or older people with visible traces of aging but can be useful in young people with pronounced wrinkles from stress.Very often incurred as a result of this operation is combined with other procedures on the face, such as the eyelids and skin tightening around the face.

OPERATION: The intervention is performed under intravenous sedation and takes about two sata.Depending emphasized the problem, proposals and wishes of the patient's surgeon, will be selected and appropriate techniques.Most used is represented when making an incision in the scalp or in front of the hairline and forehead skin is then lifted, cut through the muscles, excess skin and tightens removed.Scar remains hidden in the hair.

POST-OPERATIVE: Keeping the clinic is one day.Expected the occurrence of mild or moderate frontal regions of the whole island and can be lowered to the eyebrow.It comes back to normal after a few days.Suture are removed after the seventh day.Return to work can be expected after two week.You should avoid excessive sun exposure and physical activite.Efects from operation is estimated to be seen best after three months.

LIP AUGMENTATION

Since vermilion lip hypoplasia disrupts facial harmony and can result in the perception of nasal tip or mandible many techniques have been tried to correct this condition. Injected and insertion filler techniques claim good results requiring less surgical experience and good patient tolerance. On the other hand, surgical techniques are subject to the skill and experience of surgeons and are not applicable to every patient. Under local analgesia, intraoral five multiple V-shaped incisions are placing through the mucosa and submucous tissue of the lip with the base of the V oriented toward the vermilion. The orbicularis oris muscle stays intact. Flaps are detached from the muscle and shifted superiorly. The remaining narrow "V" defects are closed giving support to V-flaps that are sutured in V-Y fashion producing a desirable bulk of the red lip.

LIP AUGMENTATION


CHIN CORRECTION


Genioplasty is a safe procedure, which is generally performed under general anesthesia on an outpatient basis via an incision in the oral mucosa invisible from the outside section. A protruding chin as well as a receding chin can be corrected by a bone cut. In this case, the chin is moved forward or backward and stably fixed. Alternatively, to a prosthesis can be used for augmentation. The bony correction has the advantage that the neck muscles are tightened as well, and the impression of a double chin is eliminated.

CHIN CORRECTION