Facial surgical enhancement aims to restore and modify undesirable facial features towards a perceived aesthetic ideal. Changes due to facial ageing can be reversed and natural youthful features restored without altering natural appearance and function.

 

FACIAL REJUVENATION PROCEDURES
Face lift / Neck lift

Facelift operations are done to remove skin laxity and jowl formation of the lower face and jaw line, soften folds adjacent to the mouth corners and nose and to restore volume to the cheeks and cheekbone areas. A neck lift is part of a facelift and will tighten lax skin and muscle bands in the neck. Most facelifts are done by short scar technique and deep layer plication. Patients’ own fat can be injected to enhance the cheekbone area, restore plumpness to the cheeks and soften cheek/lip and other facial folds. Careful liposuction and fat filling can reduce jowls and folds below the mouth. Facelifts are often combined with eyelid surgery and brow lift to rejuvenate the upper face as well. Most of these operations may be done under local anaesthetic with sedation or under conscious sedation administered by an anaesthetist. Combinations of facial operations take longer and require deeper sedation or general anaesthesia. Overnight stay is usually required.

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Blepharoplasty/Eyelid lift

Sagging upper eyelid folds as well as lower eyelid puffiness and lax skin may be removed by a blepharoplasty operation. Hollowness of the upper lid and hollow grooves under the eyes can be filled by injection of the patients own fat. This requires local anaesthetic with light sedation or conscious sedation administered by an anaesthetist. Overnight stay is rarely required.

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Brow lift

Sagging brows, especially the outer brow, can be lifted and shaped and forehead lines softened by open brow lift via an incision in or at the hairline.Some patients can be helped by Botox injections alone or with Botox injections in conjunction with an outer brow lift operation via shorter incisions. Injections of patients own fat may help to widen the space between the brows and soften frown lines as well as fill hollow temples.

 

Facial and neck liposuction

Unwanted fat collections and folds under the chin, in the neck and face can be removed by careful liposuction, often done in conjunction with fat grafting or facelift operations. This is usuallt done under conscious sedation on an outpatient basis.

 

Facial fat filling

Following localised liposuction in an appropriate area to harvest fat, one’s own fat can be prepared and injected into areas of the face that requiring filling. Fat filling is used most commonly for cheek/cheek bone enhancement and filling the hollow folds under the eyelids. Fat can be used to enhance the chin, lips, upper eyelids and fill hollowness in the temples and forehead.

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Midface lift

This infrequently performed operation lifts the cheeks to enhance the cheekbone area and soften the nasolabial or cheek/lip fold. A similar result can usually be obtained by fat grafting injections into the cheeks and nasolabiallines which is less invasive with shorter downtime.

 

Lip dermal grafts

Skin or dermal grafts can be inserted to fill the lips or to enhance individual features of lips. Dermal grafts is long lasting as opposed to temporary hyaluronic acid fillers.

 

Upper lip lift

Long upper lips can be reduced and lifted by removing skin under the nose, hiding the scar in the shadow of the nose.

 

Botox injections

Botox injections weaken nonessential muscles and therefore soften frown lines, forehead wrinkles and laughter lines. Botox treatment leaves minimal bruising and is a “lunch time “ procedure. The effect of Botox is temporary and repeated injections at 4 monthly intervals are required for longterm improvement.

see“minimally invasive treatments.”

 

Hyaluronic acid fillers

Injections of synthetic hyaluronic acid fillers (Juvederm/Restylane) may be used to fill cheeks, hollowness under the eyes, unwanted facial folds, wrinkles and lined lips. Lips are filled to increase their volume as well as to soften lip lines by stretching the overlying skin. Injection of facial fillers may produce swelling for 3 days or bruising which may last a week. Patients require ice pack application for several hours after injections to lessen the risk of swelling and bruising.

see “minimally invasive treatments.”

 

RHINOPLASTY/NOSE JOB

Cosmetic rhinoplasty or “ nose job “ aims to alter the shape and size of the nose and improve nasal appearance in order to restore balance and harmony to one’s face.

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CHIN AUGMENTATION

A receding chin may be augmented by placing a small silicone implant on the chin or enhanced by injecting fat into the chin button.

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OTOPLASTY/EAR CORRECTION

Prominent ears may be corrected by an otoplasty operation to set the ears back against the head in a natural way.

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OTOPLASTY/EAR CORRECTION

Overly prominent ears can be a highly embarrassing deformity resulting in considerable emotional anguish with a significant psychosocial impact.

 

The operation can be done at any stage from approximately 5 years of age once the ear cartilages become stiffer and more mature. The operation involves manipulating the ear cartilages via an incision behind the ear in order to hide the resulting scar. In childhood it requires a general anaesthetic but adults tolerate local anaesthetic well. This is always a day procedure in the day clinic.

 

Occlusive dressings are applied to each ear for 10 days after the operation and a headband worn at night thereafter for 3 weeks.