With aging, the degeneration of skin cells results in loose skin on the face and neck. Facelift, also known as meloplasty or rhytidectomy, involves surgical procedures that tighten and remove drooping skin. This surgical tightening of the facial muscles improves the tone of the skin. These procedures also involve the removal and repositioning of the excessive fat present beneath the skin.
Face lift is more commonly performed in the age group of 40-65 years, but people in the higher or lower age group can also go for it. The results of a facelift usually last for 5-12 years.
The objective of face lift surgery is as follows:
Face lift surgery does not involve the alteration of the bone structure of the face.
Face lift surgery is performed under general anesthesia or local anesthesia. The type of facelift surgery depends upon the age, type of skin (dry, thick etc.), condition and requirement of the individual person.
Depending upon the general health and the extent of the procedure, facelift surgery can be performed with a short stay in the hospital. In some cases, a small, thin tube may be temporarily placed under the skin for the drainage of excessive fluid.
The basic post-operative instructions for a patient undergoing facelift are as follows:
Face lift surgery is generally a safe procedure. Smokers may have increased risk of complications. The associated risks and complications with face lift surgery are as follows:
Revision surgery may be recommended for correcting the complications.
Lip enhancement enhances the contour, definition and shape of your lips. It is used to plump up thin lips or to redefine the lost shape and fullness of the lips because of ageing. It also removes fine vertical lines above and below the lips which occur as you age and are called as smoker's lines, lifts up the drooping corners of the mouth and prevents lipstick from bleeding. Although surgical techniques are available, in most cases the condition can be addressed with non-surgical techniques and also the non-surgical techniques confer several benefits such as non-invasive procedure are therefore less trauma, minimal recovery period, and also affordable compared to surgical procedures.
Treatment usually lasts about 30 minutes and is performed under local anesthesia. The lip is injected with dermal filler using a fine disposable sterile needle. Temporary bruising and swelling in the lip area may occur after the procedure which subsides within few days. The results usually last for 6 months to 8 months. Lip enhancement is thus a safe and non-invasive procedure to give you natural, soft, fuller, smooth and symmetrical sensuous lips with plump pout in just 30 minutes.
Before the treatment, your surgeon will evaluate your individual needs and determine the dermal filler to be used to get the desired results for you.
Brow lift also called as forehead lift is an aesthetic treatment to correct low position of the eyebrows and to remove horizontal lines and vertical frown lines on the forehead. This surgical procedure can be done in people who naturally have them and also in those who develop them as a result of stress or ageing.
Brow lift procedure softens facial lines, uplifts the eyebrows and helps you to regain a softer, younger look and gives you a better aesthetic appearance.
The surgery is done under local or general anesthesia. During the procedure your cosmetic surgeon uplifts the loosened forehead skin and alters/removes the muscles so that the frown lines and wrinkles on the forehead will disappear. Surgical brow lift can be performed by three different techniques:
The extra skin and muscle are then removed, and the elevated position of the brow is fixed permanently by surgical stitches, small screws or absorbable fixation devices and the incision is closed. Initial swelling and bruising occurs after the procedure but reduces in a few weeks to reveal a youthful, relaxed and pleasant face with smooth skin.
In endoscopic brow lift, the incisions are small and thus recovery is much faster as compared to the other two procedures. But each procedure has its own advantages and disadvantages. Your plastic surgeon will decide the appropriate procedure for you depending on your specific facial bone structure, position of the brows, skin texture, elasticity and the desired results.
Complications are rare and may include infection, scarring, blood below the skin (hematoma), hair loss at the place of incision, effects of anesthesia, numbness on certain areas of the face or facial paralysis due to nerve damage. Revision surgery may be required in rare cases.
Other procedures like facelift and eyelid surgery (blepharoplasty) can be done along with brow lift to improve the results of the brow lift and to take time back by a few years on the face.
Ear reshaping, also known as otoplasty, is a surgical procedure carried out to correct defects affecting the external ear.
The ear is divided into three parts; external ear, middle ear and inner ear. The external ear is made of folds of skin and cartilage (firm and flexible connective tissue) and consists of the auricle or pinna which is the visible part of the ear, and the external acoustic meatus which is the canal extending from the opening in the external ear to the inside of the ear.
Otoplasty is considered in children over the age of 5 years in order to normalize his/her appearance and in healthy adults for cosmetic reasons. Otoplasty is performed to:
Otoplasty is usually performed under general anesthesia for children and local anesthesia for teenagers and adults.
Your surgeon begins the procedure by making a small incision in the groove behind the ear. The cartilage and skin are removed, folded or reshaped based on the requirement, and the cartilage is pinned back using sutures to hold the ear in its corrected position. In some cases, removal of cartilage may not be required, and your surgeon may only use sutures to hold the cartilage in its normal position. The procedure is completed by closing the incision behind the ear with sutures.
Otoplasty is generally a safe and successful procedure, but like all operations, there may be risks, and complications associated with the procedure. General risks that are common with all surgical procedures include anesthesia related effects, wound infection, bleeding and blood clots, while specific risks of otoplasty include:
The surgery will take approximately 2 hours. You may go home the same day or the next day following otoplasty depending on the technique used and the amount of correction made. You will be given home care instructions by your surgeon to ensure a successful recovery. You may be able to resume normal activities in a week's time; but complete recovery may take around 6 weeks.
Post procedure concerns would include the following:
Ear surgery provides permanent and immediate results which are visible once the dressing is removed.
Blepharoplasty is also called eyelid lift surgery. It is performed to correct the sagging of skin in the upper and lower eyelids. This improves the appearance of your eyelids and the area around it to give you a younger and more relaxed look.
You are a candidate for eyelid lift surgery if you are healthy, a non-smoker and not suffering from any chronic or life-threatening disease conditions. Risks of the procedure increase for people with diabetes, dry eyes, glaucoma, high blood pressure, thyroid problems, heart and vascular diseases.
Upper blepharoloplasty: Upper blepharoloplasty is done to correct the puffiness, sagging and drooping of upper eyelids. During the procedure you will be administered either local anesthesia and sedation or general anesthesia as felt appropriate by your plastic surgeon. An incision on the upper eyelid is made so the scar is hidden in the natural crease of the upper eyelid. The fat or the extra skin is removed. The incisions are closed with sutures, surgical tape or skin adhesives.
Lower blepharoloplasty: Lower blepharoloplasty is performed to remove the excess skin and bags under the lower eyelids. During the procedure you will be given either local anesthesia and sedation or general anesthesia as felt appropriate by your plastic surgeon. An incision is either made just below the lower lash line or inside the lower eyelid. The excess skin is removed, and/or the fat is removed or redistributed as required. The incisions are closed with sutures, surgical tape or skin adhesives.
Following blepharoloplasty, medications and ointment are prescribed to help with faster healing and to prevent infection after the procedure. You must wear sun glasses until healing is complete.
The swelling and bruising seen after the procedure goes away in a few weeks. The scars of the incision fade away in a few months to reveal beautiful eyes with well-defined smooth eyelids to give you a young and rejuvenated look.
Blepharoplasty can also be done along with other procedures such as face-lift, brow-lift or skin resurfacing to improve your looks substantially.
Risks rarely occur, but may include infection, scarring, temporary blurred vision or double vision and dry eyes. Loss of vision may occur in extremely rare cases. Talk to your surgeon about any concerns you have before the procedure.
Rhinoplasty is a surgical procedure performed to repair or reshape the nose. It can improve the size, shape and the angle of the nose and create a proportion with the rest of your face. It is also performed to correct structural problems with the nose. There are two mainrhinoplastytechniques:
Open rhinoplasty, also called external rhinoplasty, is an approached of rhinoplasty in which a small incision is made on the nose, over the columella between the nostrils, in addition to several other incisions inside the nose. The transcolumellar incision improves the surgical access to the nasal framework by allowing the surgeon to fold the nasal skin upward. This provides better visibility on the entire nasal framework, in its natural undisturbed alignment. Open rhinoplasty can be performed in patient with thick or thin nasal skin. It is indicated in the following conditions:
Closed rhinoplasty, also known as endonasal rhinoplasty, is an approach of rhinoplasty where all the surgical incisions are made inside the nose without any external incisions. Closed rhinoplasty is employed for the correction of aesthetic deformity of the nose as well as for the management of anatomic nasal airway obstruction.
Eye lengthening surgery or lateral canthoplasty is a surgery performed especially in Asians to increase the eye's length from one corner to the other. It is performed at the outer corner of the eyelid margin.
In those of Asian descent and certain other populations, the outer portion of the upper eyelid slants or droops down. This may be pronounced, reducing the length of the eye, making it look small and tired. Surgery may be performed to remove or reduce this fold and increase the length of the eye, making them appear more alert.
The procedure is usually performed under local anesthesia with light sedation. Fine incisions are made to create tiny flaps which are then repositioned and sutured to create the desired shape, while removing excess skin. Most procedures usually take an hour to complete.
Following surgery, there may be some swelling and bruising for about 2 weeks, during which time you must refrain from strenuous activities. Your doctor will prescribe medication to minimize pain. Sutures are removed a week after surgery, after which you can return to work.
Some of the procedures leave no scars while others are performed so that incisions are placed within the natural folds of the eye to minimize visible scars.
Accordion lines or smile lines are the curved vertical lines that form outside the corners of your mouth when you smile.
Repeated smiling may cause the skin in this area to become lax, leaving prominent lines even when you relax after smiling. The loss of facial fat and elasticity as part of the aging process contribute to accordion lines. They are usually more pronounced in people with thin faces.
Accordion lines may be treated by injecting dermal fillers to make them appear less prominent. An anesthetic cream or anesthetic within the filler itself renders the procedure painless. The filler is injected along the accordion lines on both side of your mouth. They increase the volume, smoothing out the lines. The entire procedure takes no more than 30 minutes and does not involve bandages or a recovery period.
You are a good candidate for accordion line treatment if you are worried about the appearance of accordion lines and are in good overall health.
Some results are immediately apparent while others take about a week to notice as the filler settles in and evens out by itself.
Results last about 6-12 months depending on how fast your body absorbs the filler. You may repeat the procedure to maintain your appearance.
As with most aesthetic procedures, accordion lines treatment may be associated with certain complications such as redness, swelling, bruising or allergic reaction to the filler. Sometimes, lumps can form under the skin as the filler accumulates in certain regions. This can be managed by light massaging or will eventually get reabsorbed into the skin.
A beautiful face is a balanced face with the eyes, nose, lips, cheek and chin in proportion to each other. Facial implants can be used to enhance structural integrity and create a more balanced and attractive face in patients with a disproportion between the different sections of the face.
Augmentation of the cheek and the chin are the most common facial implant procedures. A chin implant can improve the appearance of the chin whereas a cheek implant can give a more voluminous look to otherwise flat cheeks. These facial implants are made of biocompatible materials and are available in different shapes and sizes to achieve the desired results.
Good health is one of the prerequisites for the implantation procedure. Smoking hampers the wound healing ability of the body and causes increased scarring. If you are a smoker, the surgeon may ask you to quit smoking before the surgery and continue to abstain from it after the procedure as well.
The implant surgery is performed under general anesthesia or intravenous sedation. For chin implant, an incision is made either below the chin or inside the mouth below the lower lip. For cheek implant, an incision is usually made inside the mouth through the upper lip. When coupled with other procedures of the face, the incision may be made inside the lower eyelid or within the hairline. Hence, the surgical scar is either not visible or hardly noticeable. An appropriate implant is then inserted in the chin or cheek through the incision. The implant is held in place either by making a well-fitting pocket or fixing it to the surrounding bone or soft tissue. The incision is finally closed with absorbable sutures or stitches that will be removed 1-2 weeks after the surgery.
Pain killers and antibiotics are prescribed after the surgery to reduce pain and the risk of infection. Localized swelling, discoloration, numbness or discomfort at the operated site, may develop after the procedure. Some facial movements may also be temporarily restricted during the healing phase.
The final results of the surgery and the actual improvement in appearance can be appreciated only after 3-4 months of the surgery. This final improvement in appearance is permanent.
Contact your surgeon immediately if you experience any of the following symptoms after the surgery: