Facial aesthetic surgery

Face and neck lift

Gravity is what causes the face to droop during the third decade of our lives, surrendering the full, plump face that is synonymous with looking young. Part of this drooping is the result of sagging facial fat pads, structures that are located high in the cheeks and descend with age. A facelift can mitigate the harsh aging process and offer a younger, fresher appearance even as the years pass. Facelifts and neck lifts are also often performed in conjunction with other surgical procedures, such as blepharoplasty (eyelid surgery), rhinoplasty and chin liposuction to help enhance overall rejuvenation results. During the facelift or neck lift procedure, excess skin is removed and the jaw and neckline are sculpted. Facelifts and neck lifts are both performed under general anesthesia, with hidden incisions in the natural folds surrounding the ears and hairline. The sagging facial tissue is elevated to a more youthful position and secured with special sutures. A dressing is applied for a few days following the surgery and sutures are usually removed during the second week. Patients typically stay overnight in the hospital and are discharged the next morning. There may be mild bruising or discoloration and swelling for a week or two following the procedure. The incision lines usually heal extremely well. Consultations can determine whether a face lift is the ideal surgery for your needs, or if your facial aesthetic goals would be better served by another procedure.

Blepharoplasty or eyelid surgery
Aging causes a loss of elasticity in the eyelids and under-eye area, which results in excess skin on the upper lid and “bags” under the eyes, contributing to a tired and run-down appearance of the whole face. The fat above and below the eye can pooch out and cause sagging or drooping around the eyes. A blepharoplasty or eyelid surgery results in a dramatic improvement in the appearance of the eyelids. During a blepharoplasty, excess fat and skin are removed from the eyelids and eye region for a more youthful appearance. In cases where the skin fold is obstructing vision, a blepharoplasty helps patients see better. This procedure is relatively short with minimal downtime. Small incisions are made inside the lower eyelid and/or within eyelid creases to remove excess skin and fat. Patients may opt for an upper blepharoplasty, a lower blepharoplasty, or both. Eyelid surgery can be performed under local anesthesia and patients are discharged the same day of the procedure. There may be some mild swelling and bruising around the eyes after surgery, but this will subside within a few weeks, revealing firmer skin with no bags. Blepharoplasty sutures are usually well hidden and removed after the first 6 days. The eyelid skin heals very quickly and most patients can resume their daily routine within a couple of days.

Chin and facial Implants

Chin and facial implants can result in significant confidence and facial balance. Bone structure is one of the most powerful elements of attractiveness. As the center of the jaw, the chin is especially important. If the extension of the chin is not adequate, the mid-face and the nose will appear especially large. A weak chin can also make the neck appear rolled and fleshy, commonly referred to as a “double chin”.  Aging can worsen this condition, due to both the movement of fat to underneath the chin and the laxity of the muscle sling that holds up the tissue under the chin. Chin and jaw implants properly align the chin below the nose, helping achieve the desired jaw shape. Medpor implants are typically used during a chin or facial implant procedure. The implants are placed over the bone through intra-oral incisions (inside the mouth) increasing the dimensions and skillfully defining the shape of the chin or facial line. Stitches will dissolve within a month. Common symptoms after the surgery include swelling, bruising and tightness of the facial soft tissues that will usually resolve within a couple of weeks. The implant material will mesh with your natural bone over time and will look like a natural part of the body permanently.

Rhinoplasty or nose surgery

Rhinoplasty is one of the most popular cosmetic plastic surgery procedures today, that can correct many aesthetic and functional abnormalities of the nose. A well-shaped nose can greatly improve the overall balance and beauty of the face. Under general anesthesia, a small “w-shaped” incision is made in the skin of the columella (the structure between your nostrils) and if needed, also at the base of the alae (the flaring part of the nostrils). The bone and cartilage of the nose are carefully sculpted to give the intended result. After surgery, the nose is taped with a nasal splint to hold the support structures in place. Absorbable sutures are used inside the nose and non-resorbable sutures at external incisions. Patients can usually go home the next surgery day. A small sponge is placed in the nose to prevent bleeding and can be removed 2 days after the surgery. The tape and nasal splint are usually removed on day seven. Mild to moderate bruising underneath the eye for 1-2 weeks may occur. Pain is well-controlled with prescribed pain medicine and patients may return to normal physical exercise after two weeks. However, contact sports should be avoided for six weeks following surgery. There are no visible scars after you’ve fully recovered from a rhinoplasty.

Brow lift and forehead lift

A brow lift and forehead lift help correct expression lines and signs of aging in ways in the upper part of the face. A brow lift repositions sagging eyebrows and a forehead lift removes forehead wrinkles for a fresher, uplifted appearance. All brow lifts and forehead lifts are made with small incisions behind the hairline. Tissue is then re-draped to fully remove forehead wrinkles and brow drooping. Stitches are removed about 2 weeks post-surgery. Brow lift incision points typically heal extremely well.

Otoplasty or ear surgery

An otoplasty, also known as ear reshaping, is a cosmetic procedure that improves the appearance of abnormally large, protruding or uneven ears, which can occur naturally or as a result of injury. During an otoplasty, the ears are reshaped to be more symmetrical, reduced in size or pinned back to lie closer to the head. During an otoplasty, small incisions are made within the natural fold behind the ear, so very little scaring is visible after the operation. After the procedure is complete, a pressure dressing is placed over the ears to keep them in place while they heal. There is usually very little pain or bruising post-op. Most people are able to return to work or their regular schedules five to seven days after the surgery.

Orthognatic surgery

Orthognathic surgery is the surgical correction of the elements of the facial skeleton to restore the proper anatomy and function. The diagnostic workup involves a comprehensive assessment that includes clinical examination, skeletal evaluation with standardized radiographs and dental evaluation with study dental casts. Orthognathic surgery can restore the normal relationship between the maxilla and mandible relative to the cranial base, reestablishing the functional components of the facial skeleton.  Indications for orthognathic surgery include facial disproportions with and without dental and occlusion dysfunction. Airway and speech are other indications when considering the functional need for orthognathic surgery, that can be used for enlarging the upper airway and definitive treat sleep apnea.

Jaw surgery usually can be performed entirely inside your mouth with no visible scars on the facial skin. The cuts are made in the jawbones allowing them to be moved into the correct position and fixed with screws and titanium plates. In some cases, extra bone may be added to the jaw, by transferring the bone from the hip or skull. Jaw surgery takes place under general anesthesia and requires a one- to three-day stay. Complete recovery at home typically takes four to six weeks. In most cases, an orthodontist places braces on your teeth before surgery. Braces are usually on for nine to18 months before surgery to level and align your teeth. After your jaw heals from surgery — typically about six weeks after surgery — the orthodontist finishes aligning your teeth and eventually removes the braces.

Fat Grafting

The shape of facial features isn’t just determined by bone and muscle structure; it is also determined by the state of skin and the amount of fat that exists underneath. Skin contributes to contours at the superficial level and fat pockets are responsible at a deeper level. With aging process part of this fat tissue gradually disappears. While examining the facial contours and finding they’re lacking, there should be considered fat grafting. Own fat is bio-compatible, well accepted by the body and mostly remain in the injected place, creating a natural-looking and improvement feeling. Advanced techniques allow to safe fat removal from one area of the body so that it can be put into another. This technique is known as autologous fat transfer. Fat grafting can be used to erase wrinkles and deep creases on your face, attenuate facial scars as well enhance the shape and size of cheeks and jaw line.