Procedures
face
Brow Lift
Eyebrow lift, also called brow lift or browplasty, is a cosmetic procedure that helps to lift and rejuvenate the eyebrow area for a more youthful and fresh appearance. Below are some details about eyebrow lift, including information about the techniques:
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Surgical Techniques:
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a. Traditional Brow Lift: In this technique, an incision is made either at the hairline or in the scalp, which allows the surgeon to access the underlying brow tissue. The brow skin is then lifted, excess tissue is removed, and the muscles and tissue are repositioned to lift the brow. The incisions are closed with sutures or staples.
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b. Endoscopic brow lift: In this minimally invasive technique, an endoscope, a small, thin tube with a camera, is inserted through small incisions in the scalp. The surgeon uses the endoscope to visualize and correct the brow tissue and muscles and lift the brow. This technique usually requires smaller incisions and can result in a faster recovery than the traditional brow lift.
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c. Direct brow lift: this technique is suitable for individuals with pronounced ptosis (drooping eyebrows) and requires an incision directly above the eyebrow. Excess skin and tissue are removed, and the brow is lifted and fixed in a higher position. Direct brow lift is less commonly performed, but may be chosen in certain cases.
Brow Lift
Surgical considerations:
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a. Anesthesia: A brow lift is usually performed under general anesthesia to ensure the patient is comfortable throughout the procedure. Depending on the specific technique and the patient's wishes, local anesthesia with sedation may also be considered.
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b. Incision placement: the choice of incision placement depends on factors such as the patient's anatomy, the location of the hairline, and the desired outcome. Incisions are usually placed well hidden within the hairline or along natural folds to minimize visible scarring.
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c. Complementary procedures: Brow lift can be combined with other procedures, such as eyelid surgery (blepharoplasty), to achieve a more comprehensive facial rejuvenation and treat multiple problems simultaneously.
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Recovery and Healing:
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a. Bandages and dressings: after surgery, the eyebrow area may be wrapped with bandages or dressings to protect and support the incisions. These can be removed after a few days.
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b. Swelling and bruising: Swelling and bruising are common after a brow lift, but will subside over time. Cold compresses and elevating the head can help reduce swelling.
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c. Pain management: pain medications may be prescribed to treat postoperative discomfort. It is important that you follow the prescribed medication and inform the treatment team of any pain or concerns.
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d. Follow-up visits: Regular follow-up visits with the surgical team are necessary to monitor healing progress, remove any sutures or staples, assess surgical outcomes, and address any concerns or complications.
Brow Lift
Pre- and post-operative care for candidates undergoing brow lift surgery is important for a successful procedure and a smooth recovery. Below is some information on pre- and post-operative care for individuals considering a brow lift:
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Preoperative Care:
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Consultation and Evaluation: Candidates will be consulted by a qualified plastic surgeon who specializes in brow lift surgery. During this consultation, the surgeon will assess the candidate's facial features, discuss their goals and expectations, and determine the most appropriate surgical technique.
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Medical Assessment: a comprehensive medical examination will be performed to assess the candidate's overall health and suitability for surgery. This may include blood tests, imaging studies, and consultations with other specialists as needed.
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Medication Adjustment: candidates may need to adjust or temporarily discontinue certain medications that may interfere with surgery or the recovery process. It is important to inform the surgeon of any current medications, allergies or medical conditions.
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Smoking and alcohol cessation: It is recommended to stop smoking and abstain from alcohol for a period of time before and after surgery, as this may interfere with the healing process and increase the risk of complications.
Brow Lift
Postoperative care:
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Bandages and dressings: after brow lift surgery, the surgeon may apply bandages to protect and support the incisions. These can be removed after a few days.
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Pain management: pain medications will be prescribed to relieve post-operative discomfort. It is important that you follow the prescribed medications and inform the treatment team of any pain or concerns.
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Swelling and bruising: Swelling and bruising of the forehead and surrounding areas are normal after surgery. Applying cold compresses and elevating the head may help reduce swelling. The surgeon may also recommend special techniques or medications to reduce swelling.
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Restricting activities: During the initial recovery period, patients should avoid strenuous activities, bending and lifting heavy objects. The surgeon will advise when it is safe to resume regular activities, including sports.
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Care of the incision: The surgeon will provide instructions on how to care for the incisions, including when and how to clean the area, how to apply prescribed ointments or dressings, and how to avoid activities that may disturb the incisions.
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Follow-up visits: Regular follow-up visits with the surgical team are necessary to monitor healing progress, remove any sutures or staples, assess surgical outcomes, and discuss any problems or complications that may arise. The frequency of follow-up visits may vary depending on individual circumstances.
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Healing and Recovery: Full healing and final results of a brow lift may take several weeks to months. It is important to follow the surgeon's instructions for postoperative care, including proper wound care, hygiene, and specific dietary and lifestyle recommendations.
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It is important to communicate openly with the surgical team and follow their instructions for pre-and post-operative care. This helps to achieve optimal outcomes, minimize risks and promote a smooth recovery process. Each candidate's pre-and post-operative care can be tailored to individual needs and the specific technique of the procedure.
Eyelid Surgery
Eyelid surgery, also called blepharoplasty, is a surgical procedure to rejuvenate the appearance of the eyelids by removing excess skin, fat or muscle from the upper or lower eyelids. Below is some information about eyelid surgery and the techniques involved:
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Upper Eyelid Surgery:
1. Incision placement: Incisions for upper eyelid surgery are usually placed in the natural creases of the eyelids. This is a better way to hide scars after healing.
2. Fat and skin removal: excess skin and fat deposits are removed through the incisions. The underlying muscles can be adjusted if needed.
3. Closure of incisions: Incisions are closed with fine sutures to ensure proper healing and minimal scarring.
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Lower eyelid surgery:
1. Placement of incisions: Lower eyelid surgery can be performed using a variety of techniques, depending on the patient's specific concerns.
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a. Transcutaneous approach: in this technique, an incision is made just below the lower lash line, allowing the surgeon to remove excess skin, fat and muscle.
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b. Transconjunctival approach: in this technique, an incision is made on the inside of the lower eyelid so that no external scar remains. It is used primarily when only fat needs to be removed or redistributed and there is no excess skin to treat.
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2. Fat redistribution or removal: depending on the patient's needs, the surgeon may redistribute or remove excess fat from the lower eyelids to achieve a smoother and more youthful appearance.
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3. Closure of incisions: Incisions are closed with dissolvable sutures or with sutures that are removed after a few days.
Eyelid Surgery
Combined upper and lower eyelid surgery:
In some cases, both the upper and lower eyelids can be treated in a single procedure to achieve a comprehensive rejuvenation of the entire eye area.
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Additional techniques:
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1. Canthopexy or Canthoplasty: These techniques are sometimes performed in conjunction with eyelid surgery to provide additional support and stability to the outer corner of the eye. They help maintain the natural shape and position of the eyelids.
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2. Fat grafting: fat grafting involves taking fat from another area of the body and strategically injecting it into the eye area to restore lost volume and create a more youthful appearance.
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3. Laser Resurfacing: Laser technology can be used in conjunction with eyelid surgery to improve the texture and quality of the skin around the eyes and reduce the appearance of fine lines and wrinkles.
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Recovery and Results:
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After eyelid surgery, patients should expect some initial swelling, bruising and discomfort, which can be treated with prescribed medications and cold compresses. It is important to follow your surgeon's postoperative care instructions, including proper wound care and avoiding strenuous activity.
The results of eyelid surgery become more noticeable as the swelling subsides, usually within a few weeks. The procedure can permanently improve the appearance of the eyelids and contribute to a fresher, more youthful appearance.
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It is important that you consult with a qualified and experienced plastic surgeon who specializes in eyelid surgery to discuss your goals, assess your eligibility, and determine the most appropriate techniques to achieve the desired result.
Eyelid Surgery
Ptosis surgery, also called blepharoptosis surgery, is a procedure performed to correct drooping of the upper eyelid(s) caused by weak or stretched eyelid muscles. Below is some information about ptosis surgery and the techniques involved:
Examination and Diagnosis: Prior to surgery, a thorough examination is performed to assess the extent of the drooping eyelids, determine the underlying cause, and plan the appropriate surgical approach. This may include an examination of the eyelid position, muscle function, and overall health of the eye.
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Incision placement: Incisions for ptosis surgery are usually placed within the natural creases of the upper eyelid to minimize visible scarring. The exact location and length of the incision will depend on the technique chosen and the severity of the ptosis.
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Repair of the levator muscle: Ptosis surgery is primarily concerned with repairing the levator muscle, which is responsible for lifting the eyelid. The technique used to correct the muscle varies from case to case:
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a. External approach (external levator advancement): In this technique, an incision is made in the crease of the eyelid. The surgeon identifies and tightens the levator muscle by reattaching it to a higher part of the eyelid, which allows for improved eyelid elevation.
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b. Internal approach (Mueller muscle conjunctival resection): This technique is used when the levator muscle is functioning normally, but drooping is due to weakness of the Mueller muscle or excessive eyelid skin. Through a small incision on the inside of the eyelid (conjunctiva), the Mueller muscle is shortened or resected to lift the eyelid.
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Adjusting the eyelid crease: In some cases, ptosis surgery may involve adjusting the position or creating a new eyelid crease to achieve a more natural appearance. This is especially true for patients of Asian descent who desire a higher eyelid crease.
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Closure of incisions: Incisions are closed with fine sutures to ensure proper wound healing. Depending on the surgeon's preference, the sutures used may be absorbable or may need to be removed after a few days.
Eyelid Surgery
Recovery and results:
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After ptosis surgery, you may experience mild swelling, bruising, and discomfort in the treated area. Pain medications and cold compresses may help relieve discomfort. Following the surgeon's postoperative care instructions is essential for good healing.
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The full results of ptosis surgery may not be visible for several weeks as the swelling subsides and the eyelid settles into its new position. The goal of the procedure is to improve the symmetry, function, and appearance of the eyelids, resulting in a more alert and rejuvenated appearance.
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It is important that you consult with an experienced surgeon who specializes in ptosis surgery to evaluate your condition, discuss your goals, and determine the surgical technique that is best for you. The surgeon will personally counsel and guide you throughout the process to achieve the best possible outcome.​​
Eyelid Surgery
Preoperative care for candidates preparing for eyelid surgery includes several important steps:
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1. Consultation: schedule a consultation with a qualified ophthalmologist or eye surgeon who specializes in eyelid surgery. Discuss your concerns, goals, and expectations for the procedure. The surgeon will assess the condition of your eyelids, evaluate your medical history and determine if you are a suitable candidate for the procedure.
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2. Communication: clearly communicate to your surgeon the results you want and any special concerns you have. Use visual references or computer images, if available, to convey your expectations. Make sure you fully understand the possible outcomes and limitations of the procedure.
3. Medical Exam: undergo a comprehensive medical exam to make sure you are in good health for surgery. This may include blood tests, imaging tests, and other diagnostic tests as determined by your surgeon. Tell your surgeon about any pre-existing conditions, allergies or medications you are currently taking.
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4. Medication review: provide your surgeon with a complete list of medications, supplements and herbal remedies you are taking. Some medications and supplements may increase the risk of bleeding or interact with anesthesia, so your surgeon may advise you to stop or adjust them before your procedure.
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5. Smoking and alcohol: If you smoke, it is advisable to stop smoking well in advance of your procedure. Smoking can interfere with the healing process and increase the risk of complications. Similarly, avoid drinking alcohol for a recommended period of time before surgery, as it can interfere with anesthesia and increase the risk of bleeding.
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6. Preoperative instructions: Follow your surgeon's instructions for fasting before surgery. You will usually be required not to eat or drink anything for a certain amount of time before the procedure
Eyelid Surgery
Postoperative care after a facelift is critical for optimal healing and recovery. Here are some general guidelines:
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1. Recovery facility: provide a comfortable and supportive recovery environment. This includes having someone available to assist you in the first few days after surgery and having the necessary supplies and medications handy.
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2. Rest and recovery: plan for plenty of rest and downtime after surgery. Avoid strenuous activities and any activities that may put stress on your facial tissues. It is important to elevate your head when sleeping to minimize swelling.
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3. Pain management: take pain medication as prescribed by your surgeon to relieve discomfort and pain during the initial recovery period. Use cold compresses as recommended to reduce swelling and bruising.
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4. Care of the wound: Follow your surgeon's instructions for caring for your incisions. Keep the incision areas clean and dry and apply any prescribed ointments or dressings. Avoid excessive sun exposure and protect your incisions from direct sunlight.
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5. Facial Care: Your surgeon may recommend certain skin care routines or products to aid in the healing process and optimize results. Follow the instructions for facial cleansing, moisturizing, and sun protection.
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6. Follow-up appointments: Attend all scheduled follow-up appointments with your surgeon. At these appointments, your surgeon can monitor your healing progress, remove any sutures or staples, and address any concerns or complications.
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It is important that you follow your surgeon's pre- and post-operative instructions carefully for a successful recovery and optimal results. Contact your surgeon if you have any questions or concerns during the recovery period. He or she will provide specific advice tailored to your individual needs and monitor your progress throughout the recovery process.
Forehead Contouring
Forehead contouring surgery, also known as forehead feminization or forehead reduction, is a procedure that helps reshape the forehead to create a more feminine appearance or correct prominent or asymmetrical forehead contours. Below are some details about forehead contouring:
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1. Surgical techniques:
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a. Forehead reduction: in this technique, a portion of the frontal bone is removed to reduce its height or prominence. The surgeon makes incisions along the hairline, and the excess bone is carefully shaved or removed. The remaining bone is then reshaped and repositioned to create a smoother and more feminine contour.
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b. Forehead augmentation: in some cases, forehead augmentation may be necessary to increase the projection or volume of the forehead. This can be accomplished through the use of implants or bone grafts to increase volume and create the desired contour. Implants are usually made of silicone or other biocompatible materials.
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c. Forehead contouring: Forehead contouring involves sculpting the underlying bone structure to create a more feminine shape. This can be done by shaving or repositioning certain areas of the forehead, such as the brow ridge or sinus area, to create a softer and rounder appearance. There are 3 areas of male bony prominences that need to be considered as follows:
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- Brow ridge or brow hump:
This is the horizontal ridge of bone that extends across the lowest part of the forehead. It is the superior orbital rim, which tends to protrude at the level of the eyebrows, sometimes showing a "low-lying orbital image".
- Frontal bone:
This refers mainly to the lower forehead, which is located directly above the brow protuberance. It is the anterior wall of the frontal sinus. The male shape of the frontal bone can vary from a depressed area over the brow hump to a clearly visible area as part of the brow ridge.
In biological females, the shape of the brow is vertically rounded and the contour is usually smooth and without steps.
- Lateral orbital rim:
This is the side of the orbit where the extension of the cheekbone joins the upper orbital rim. This part can also be very prominent in men, and the surgeon always takes care to contour this part.
Forehead Contouring
Surgical considerations:
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a. Incision placement: Incisions for contouring the frontal bone are usually placed along the hairline to minimize visible scarring. The exact placement and length of the incisions will depend on the individual anatomy and the technique used.
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b. Anesthesia: Forehead bone contouring is performed under general anesthesia to ensure the patient is comfortable throughout the procedure.
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c. Recovery and healing: swelling, bruising and discomfort may occur after surgery and can be relieved with pain medication and cold compresses. It is important to follow the surgeon's instructions regarding postoperative care, including rest, avoiding strenuous activity, and keeping the incision area clean.
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d. Results: It may take several months for the final results of brow bone contouring to be fully visible as swelling subsides and tissues heal. It is important to have realistic expectations and be aware that individual results may vary depending on the original anatomy of the forehead and the surgical techniques used.
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Choosing a surgeon:
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Forehead contouring is a complex procedure that requires the expertise of a qualified and experienced plastic surgeon or craniofacial surgeon. It is important to choose a surgeon who specializes in facial feminization procedures and has a comprehensive understanding of facial esthetics.
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As with any surgical procedure, there are potential risks and complications associated with brow bone contouring. These include infection, scarring, asymmetry, changes in sensation, and the need for revision surgery. It is important to discuss these risks with your surgeon and make an informed decision based on your specific circumstances and goals.
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Individuals considering surgery to contour the brow bone should consult a qualified surgeon who can evaluate their facial features, discuss available techniques, and create an individualized treatment plan to achieve the desired brow contour and overall facial harmony.
Forehead Contouring
The preoperative and postoperative care of patients undergoing surgery to contour the frontal bone is important to ensure a successful procedure and a smooth recovery. Below is some information on pre- and post-operative care for individuals considering surgery to contour the frontal bone:
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Preoperative Care:
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Consultation and Evaluation: Candidates will be consulted by a qualified plastic surgeon or a craniofacial surgeon who specializes in facial feminization. During this consultation, the surgeon will assess the candidate's facial features, discuss her goals and expectations, and determine the most appropriate surgical approach.
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Medical Exam: A comprehensive medical examination will be performed to assess the candidate's overall health and suitability for surgery. This may include blood tests, imaging studies, and consultations with other specialists as needed.
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Medication Adjustment: candidates may need to adjust or temporarily discontinue certain medications that may interfere with surgery or the recovery process. It is important to inform the surgeon of any current medications, allergies or medical conditions.
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Lifestyle changes: Candidates may be advised to make certain lifestyle changes prior to surgery, such as quitting smoking, abstaining from alcohol and certain medications, and eating healthy and exercising to optimize overall health and facilitate the recovery process.
Forehead Contouring
Post-operative care:
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Hospitalization: surgery to contour the frontal bone usually requires a short hospital stay for monitoring and initial recovery. The length of hospital stay may vary depending on the individual and the surgeon's preference.
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Dressings and Incision: After surgery, the incision site(s) will be covered with dressings or bandages. The surgical team will give you instructions on how to care for the incision, such as when and how to change the dressings, clean the area, and apply the prescribed ointments.
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Pain management: pain medications will be prescribed to relieve postoperative discomfort. It is important that you take the prescribed medications and inform the treatment team of any pain or concerns.
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Swelling and bruising: Swelling and bruising around the forehead are common after surgery. Applying cold compresses and elevating the head may help reduce swelling. The surgeon may also recommend special techniques or medications to reduce swelling.
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Restricting activities: During the initial recovery period, patients should avoid strenuous activities, bending and lifting heavy objects. The surgeon will advise when it is safe to resume regular activities, including sports.
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Follow-up visits: Regular follow-up visits with the surgical team are necessary to monitor healing progress, remove any sutures or staples, assess surgical outcomes, and address any concerns or complications. The frequency of follow-up visits may vary depending on individual circumstances.
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Healing and Recovery: Complete healing and final results of brow bone contouring may take several months. It is important to follow the surgeon's instructions regarding postoperative care, including proper wound care, hygiene, and specific diet and lifestyle recommendations.
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It is important to communicate openly with the surgical team and follow instructions for pre- and post-operative care. This helps to achieve optimal outcomes, minimize risks and promote a smooth recovery process. Each candidate's pre- and post-operative care can be tailored to individual needs and the specific techniques used during the procedure.
Face Lift
Facelift surgery, also called rhytidectomy, is a cosmetic procedure aimed at reducing the visible signs of aging on the face and neck. It involves lifting and tightening the underlying facial tissues, removing excess skin, and repositioning the skin to create a more youthful and rejuvenated appearance. Below is some information about facelift surgery and the techniques used in the process:
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1. Evaluation and Planning: During your initial consultation, a qualified plastic surgeon will evaluate your facial features, discuss your goals and expectations, and assess your overall health and medical history. The surgeon will determine the most appropriate technique based on factors such as the degree of facial aging, skin sagging, and individual anatomy.
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2. Traditional Facelift vs. Mini-Facelift: There are different types of facelift techniques based on the extent of correction needed:
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a. Traditional facelift: This technique involves the lower face, cheeks, and neck. The surgeon makes incisions that begin in the hairline at the temples, extend down in front of the ear, and continue behind the ear into the hairline. Through these incisions, the underlying tissues are lifted, excess fat is removed or redistributed, muscles are tightened, and excess skin is trimmed. If necessary, incisions may also be made under the chin to address the sagging of the neck.
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b. Mini-Facelift: This technique is suitable for those with milder signs of facial aging or for those who want a less invasive procedure. It targets specific areas, such as the cheeks and lower face. Incisions are smaller and limited to the front of the ear. The surgeon lifts and tightens the underlying tissue, removes excess skin, and repositions it for a more youthful appearance.
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3. Deep Plane Facelift: In some cases, a deep plane facelift may be recommended. In this technique, the deeper layers of facial tissue are lifted and repositioned for more comprehensive and lasting results. The midface, jowls, and neck area are treated.
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4. Closure of the incision: after the underlying tissue is repositioned and excess skin is removed, the incisions are closed with sutures or surgical staples. The goal is to create well-hidden incision lines within the natural contours of the face.
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Recovery and Results:
After facelift surgery, patients should expect swelling, bruising, and discomfort. Pain medication, cold compresses and elevation of the head can help alleviate these postoperative effects. It is important to follow your surgeon's postoperative care instructions.
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The initial results of a facelift are visible as soon as the swelling subsides, but it may take several weeks or months to see the final results as the tissue heals and tightens. The procedure can result in a smoother facial contour, better definition of the jawline, a reduction in wrinkles and sagging, and an overall more youthful appearance.
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During the recovery period, it is important to avoid strenuous activity, protect the incisions from sun exposure, and follow the surgeon's instructions for wound care. Attend all scheduled follow-up appointments so your surgeon can monitor your healing progress and address any concerns.
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It is critical that you consult with a plastic surgeon who specializes in facelift surgery to discuss your goals, understand the technique recommended for your situation, and receive personalized advice and guidance throughout the process. The surgeon will provide detailed pre-and post-operative instructions to optimize your recovery and help you achieve the results you desire.
Face Lift
Preoperative care for candidates preparing for facelift surgery includes several important steps:
Consultation: schedule a consultation with a plastic surgeon who specializes in facelift surgery. During the consultation, discuss your goals, expectations and medical history. The surgeon will evaluate your facial features and overall health to determine if you are a candidate for the procedure.
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Medical Exam: You will undergo a comprehensive medical exam to ensure you are in good health for the procedure. This may include blood tests, imaging tests, and other diagnostic tests as determined by your surgeon. Inform your surgeon of any pre-existing conditions, allergies or medications you are currently taking.
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Smoking and Alcohol: If you smoke, it is important that you stop smoking well in advance of your surgery. Smoking can interfere with the healing process and increase the risk of complications. Also avoid drinking alcohol for a recommended period of time before surgery, as it can interfere with anesthesia and increase the risk of bleeding.
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Medication review: provide your surgeon with a complete list of medications, supplements and herbal remedies you are taking. Some medications and supplements may increase the risk of bleeding or interact with anesthesia, so your surgeon may advise you to stop or adjust them before your procedure.
Preoperative instructions: Follow your surgeon's instructions about fasting before your procedure. You will usually be asked not to eat or drink anything for a certain amount of time before the procedure.
Postoperative care after a facelift is critical for optimal healing and recovery. Here are some general guidelines:
Recovery facility: provide a comfortable and supportive recovery environment. This includes having someone available to assist you in the first few days after surgery and having the necessary supplies and medications handy.
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Rest and recovery: plan for plenty of rest and downtime after surgery. Avoid strenuous activities and any activities that may put stress on your facial tissues. It is important to elevate your head when sleeping to minimize swelling.
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Pain management: take pain medication as prescribed by your surgeon to relieve discomfort and pain during the initial recovery period. Use cold compresses as recommended to reduce swelling and bruising.
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Care of the wound: Follow your surgeon's instructions for caring for your incisions. Keep the incision areas clean and dry and apply any prescribed ointments or dressings. Avoid excessive sun exposure and protect your incisions from direct sunlight.
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Facial Care: Your surgeon may recommend certain skin care routines or products to aid in the healing process and optimize results. Follow the instructions for facial cleansing, moisturizing, and sun protection.
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Follow-up appointments: Attend all scheduled follow-up appointments with your surgeon. At these appointments, your surgeon can monitor your healing progress, remove any sutures or staples, and address any concerns or complications.
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It is important that you follow your surgeon's pre- and post-operative instructions carefully for a successful recovery and optimal results.
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Contact your surgeon if you have any questions or concerns during the recovery period. He or she will provide specific advice tailored to your individual needs and monitor your progress throughout the recovery process.
Jaw & Chin Surgery
Jaw and chin contouring, also known as orthognathic surgery or genioplasty, is a cosmetic procedure that reshapes and enhances the jaw and chin area to improve facial balance and esthetics. Below are some details about jaw and chin contouring surgery, including information about the techniques:
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Surgical Techniques:
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a. Jaw contouring surgery: jaw contouring involves reshaping the jawbone to achieve a more balanced and harmonious facial appearance. This procedure can address a variety of problems, such as a pronounced or asymmetrical jawline, an overly angular or square jaw, or misalignment of the jaw. Depending on the concern and the desired result, the surgeon may use techniques such as jaw reduction (to reduce the jawbone), jaw augmentation (to strengthen the jawline), or jaw repositioning (to correct jaw misalignment).
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b. Chin contouring surgery (genioplasty): Chin contouring involves changing the shape and size of the chin to improve the balance of the face. The surgeon may perform chin augmentation (with implants or bone grafts) to enhance a weak or receding chin, or chin reduction (by reshaping or ablating the bone) to reduce an overly prominent or asymmetrical chin. Genioplasty can also be used to treat problems such as an asymmetrical chin, a disproportionately long or short chin, or a chin that does not harmonize with the rest of the face.
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Surgical Considerations:
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a. Anesthesia: Jaw and chin contouring surgery is usually performed under general anesthesia to ensure the patient is comfortable throughout the procedure. Depending on the specific technique and the patient's wishes, local anesthesia with sedation may also be considered.
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b. Placement of incisions: Incisions for jaw and chin contouring are usually placed inside the mouth (intramural incisions) to minimize visible scarring. In some cases, small external incisions may also be made under the chin or in inconspicuous areas.
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c. Bone modification and augmentation: The surgeon may use various techniques to modify the jawbone or chin, such as reshaping the bone, removing excess bone, placing bone grafts, or using chin implants. The technique used depends on the individual concerns and desired outcome.
Jaw & Chin Surgery
Recovery and Healing:
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a. Swelling and bruising: Swelling and bruising are normal after jaw and chin contouring surgery and will subside over time. Applying cold compresses and elevating the head can help reduce swelling.
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b. Pain management: pain medications may be prescribed to treat postoperative discomfort. It is important that you take the prescribed medication and inform the treatment team of any pain or concerns.
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c. Dietary Restrictions: The surgeon may establish guidelines for dietary restrictions, such as eating soft foods or liquid diets during the initial healing period to protect the surgical sites and promote proper healing.
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d. Activity Restrictions: During the initial recovery period, candidates must avoid strenuous activity, heavy lifting, and contact sports. The surgeon will provide guidelines on when it is safe to resume regular activities.
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e. Follow-up visits: Regular follow-up visits with the surgical team are necessary to monitor healing progress, remove any sutures or staples, assess surgical outcomes, and address any concerns or complications.
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Results:
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The final results of jawline and chin contouring will become more apparent as the swelling subsides and the tissue heals. The jawline and chin are tightened, resulting in a balanced and esthetically pleasing facial appearance. It is important to have realistic expectations and be aware that results may vary from individual to individual.
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Candidates considering jaw and chin contouring should consult a qualified oral and maxillofacial surgeon or a plastic surgeon who specializes in facial procedures. The surgeon will assess the individual patient's condition.
Jaw & Chin Surgery
The pre-and post-operative care of patients undergoing jaw and chin contouring is critical to a successful procedure and a smooth recovery. Below is some information on pre-and post-operative care for individuals considering jaw and chin contouring:
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Preoperative Care:
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Consultation and Evaluation: Candidates will be consulted by a qualified oral and maxillofacial surgeon or a plastic surgeon who specializes in facial surgery. During this consultation, the surgeon will evaluate the candidate's facial features, discuss their goals and expectations, and determine the most appropriate surgical techniques.
​
Medical Assessment: a comprehensive medical examination will be performed to assess the candidate's overall health and suitability for surgery. This may include blood tests, imaging studies, and consultations with other specialists as needed.
​
Medication Adjustment: candidates may need to adjust or temporarily discontinue certain medications that may interfere with the surgery or the recovery process. It is important to inform the surgeon of any current medications, allergies or medical conditions.
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Smoking and alcohol cessation: Candidates are advised to stop smoking and abstain from alcohol for a period of time before and after surgery, as this may interfere with the recovery process and increase the risk of complications.
Jaw & Chin Surgery
Postoperative care:
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Bandages and dressings: after jaw and chin contouring, the surgeon may apply bandages to protect and support the surgical sites. These can be removed after a few days.
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Swelling and bruising: Swelling and bruising are normal after surgery and will subside over time. Applying cold compresses and elevating the head can help reduce swelling. The surgeon may also recommend special techniques or medications to reduce swelling.
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Pain management: pain medications are prescribed to relieve postoperative discomfort. It is important that you take the prescribed medications and inform the treatment team of any pain or concerns.
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Dietary restrictions: The surgeon may establish guidelines for dietary restrictions, such as soft or liquid diets during the initial healing period, to protect the surgical sites and promote healing.
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Movement restrictions: During the initial recovery period, candidates must avoid strenuous activity, heavy lifting, and contact sports. The surgeon will advise when it is safe to resume normal activities.
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Oral Hygiene: Good oral hygiene is essential during the recovery period. The surgeon will give you instructions on oral hygiene, including gentle tooth brushing and rinsing techniques.
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Follow-up visits: Regular follow-up visits with the surgical team are necessary to monitor healing progress, remove any sutures or staples, assess surgical outcomes, and discuss any concerns or complications. The frequency of follow-up visits may vary depending on individual circumstances.
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Healing and Recovery: Complete healing and final results of jaw and chin contouring may take several weeks to months. It is important to follow the surgeon's instructions regarding postoperative care, including proper wound care, hygiene, and specific diet and lifestyle recommendations.
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It is important to communicate openly with the surgical team and follow instructions for pre-and post-operative care. This helps to achieve optimal outcomes, minimize risks and promote a smooth recovery process. Each candidate's pre-and post-operative care can be tailored to individual needs and the specific techniques used during the procedure.
Rhinoplasty
Rhinoplasty, also known as rhinoplasty, is a surgical procedure that aims to change the shape, size, or structure of the nose to improve its appearance or function. It involves several steps and techniques:
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1. Anesthesia: Rhinoplasty can be performed under local anesthesia with sedation or under general anesthesia, depending on the complexity of the procedure and the patient's preference.
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2. Incision placement: rhinoplasty can be performed using either an open or closed technique, depending on where the incisions are made.
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a. Open Rhinoplasty: In this technique, an incision is made across the columella, the narrow strip of tissue between the nostrils. This approach allows the surgeon a better view and access to the underlying structures of the nose.
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b. Closed rhinoplasty: In this technique, all incisions are made inside the nose, so there are no visible external scars. It is usually used for less complex nose-reshaping procedures.
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3. Reshaping the nose: once the incisions are made, the surgeon carefully reshapes the nasal structures to achieve the desired result. This may include removing or adding cartilage and bone, relocating or altering the nasal septum (the partition between the nasal passages), or modifying the tip of the nose.
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4. Support and structural enhancement: in cases where additional support or structure is needed, the surgeon may use grafts. These grafts may be taken from the patient's own nasal septum or ear cartilage, or synthetic materials may be used.
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5. Closure of the incisions: The incisions are then closed with fine sutures. If dissolvable suture material is used, it will be naturally absorbed over time.
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6. Nasal splint and dressing: after surgery, a nasal splint or external dressing is applied to support and maintain the new shape of the nose during the initial healing period. Internal nasal splints may also be used to support the nasal passages.
Rhinoplasty
Rhinoplasty techniques may vary depending on the specific goals and needs of the patient. Some common techniques include:
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- Reduction rhinoplasty: this technique reduces the size of the nose, either by removing excess bone and cartilage or by reshaping and refining the existing structures.
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- Augmentation rhinoplasty: this technique enlarges the nose or increases its projection. Grafts or implants may be used to improve the contours of the nose.
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- Septoplasty: when a crooked or slanted nasal septum causes breathing difficulties, a septoplasty may be performed along with rhinoplasty to correct the alignment of the nasal septum.
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- Ethnic Rhinoplasty: Ethnic rhinoplasty techniques are tailored to the specific nasal characteristics and esthetic preferences of people from different ethnic backgrounds.
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It is important to consult a qualified and experienced plastic surgeon who specializes in rhinoplasty to discuss your goals, assess your nasal anatomy, and determine the most appropriate techniques to achieve the desired results.
Rhinoplasty
Open and closed rhinoplasty are two different surgical techniques used in reshaping the nose. Here you will find a comparison of the two methods:
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Open Rhinoplasty:
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Placement of the incision: in open rhinoplasty, a small incision is made over the columella, the narrow strip of tissue between the nostrils. This allows the surgeon to lift the skin and better view the underlying structures of the nose.
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Visibility and access: the open technique provides a direct view of the nasal structures and allows the surgeon to make a more comprehensive assessment and more precise control of the nasal reshaping. It is particularly advantageous in complex cases requiring extensive alterations or correction of functional problems.
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Flexibility: The open approach provides greater flexibility in modifying and refining the nasal tip, especially in cases where significant changes are required. If necessary, grafts or implants can be inserted more easily.
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Visibility of the scar: The incision made during open rhinoplasty leaves a small scar over the columella. However, this scar usually heals well and becomes inconspicuous over time. It is generally well hidden and less visible than scars created by other surgical techniques.
Rhinoplasty
Closed Rhinoplasty:
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Placement of incisions: In closed rhinoplasty, all incisions are made inside the nostrils with no visible incisions on the outside. This results in no visible scarring on the outside of the nose.
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Limited visibility: with the closed technique, direct visibility of the nasal structures is limited compared to open rhinoplasty. This can make it more difficult for the surgeon to make precise changes, especially in complex cases or when significant changes are required.
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Faster recovery: closed rhinoplasty is usually associated with a faster recovery time than open rhinoplasty. Because there are no external incisions, there may be less swelling, bruising, and potentially less postoperative discomfort.
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Less surgical time: the closed approach generally requires less surgical time than open rhinoplasty. The lack of an external incision and the associated steps of lifting and wrapping the skin often contribute to a shorter procedure.
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Limitations: Closed rhinoplasty may have its limitations in certain complex nasal deformities or in cases that require extensive nasal tip modifications or structural changes. Due to limited visibility, it may be more difficult to achieve precise results in these cases.
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The decision between open and closed rhinoplasty depends on several factors, including the patient's specific nasal anatomy, the desired outcome, and the surgeon's expertise. A thorough consultation with a qualified plastic surgeon who specializes in rhinoplasty is essential to determine the most appropriate technique to achieve your aesthetic goals and correct any functional problems.
