Aging becomes apparent on the most visible areas of the body. Sagging skin and wrinkles on the face are the typical signs. Muscles of the neck may weaken. The angle between the neck and lower jaw becomes replaced by a “second chin”. This condition has three stages: laxity of skin, weakness of the underlying muscles, and accumulation of fat. In a procedure commonly called the face lift, face and neck are lifted in one operation.
The purpose of the surgery is to repair muscles that have stretched, to remove excess skin and accumulated fat. The incision begins in the hair near the temple and continues either in front of the ear or hidden inside the ear, around the ear lobe, behind the ear, and back into the hair. Muscles and sagging tissues are tightened, excess skin is taken away, and the remaining skin is repositioned. The operation may be enhanced by submental liposuction. Therefore, a small incision can also be made under the chin. The surgery takes about two hours and is done under a “soft” general anesthesia.
Upper and Lower Eye Lids (Blepharoplasty)
The eyes are the most important feature of the face. When eyes appear tired and wrinkled, they often make a person look older than they really are. The earliest signs of aging are in the eyelids. The skin of the eyelids stretches out. Fat tissue that surrounds the eyes can bulge and create a puffy, old, and tired appearance. Excessively sagging skin may obstruct vision. Blepharoplasty, or eyelid surgery, removes fat deposits, or “bags”, and loose skin of the upper and lower eyelid. The so-called “eyelift” can either be done on the upper or lower eyelids separately or on both at the same time. If it is done separately then the upper eyelid is operated on first.
Eyebrow lift is performed to lift the lateral half of the eyebrows. If the brows fall below the orbital rim, the procedure will raise the brows back to a more youthful position. The operation will eliminate wrinkles on the sides of the eyes, between the eyes (“frown lines”), creases across the forehead, or on the bridge of the nose. Browlift lift can be done alone but it is more frequently done together with other procedures such as facelift or eyelid surgery.
An incision is made above the lateral half of the eyebrows. The surgeon separates the skin from the underlying structures and stretches the skin upwards. Excess skin is eliminated and the incision is carefully closed. The surgery is done under local anesthesia and takes less than one hour.
Double Chin Liposuction
Liposuction of the fatty area under the chin can help to contour the shape of the face and give a more youthful appearance. This can be combined with a face lift for best effect.
The neck is often where the effects of ageing first begin to show. If you feel unhappy about the way your neck looks – either because of ageing or sudden weight loss – we may be able to help.
A neck lift is a form of cosmetic surgery which aims to reshape the skin around the neck and jaw, reducing the appearance of sagging and other visible signs of ageing. A neck lift can improve the appearance of the skin, resulting in a more youthful and refreshed look.
A neck lift is generally made up of these procedures:
- Loose skin that bunches around your throat – sometimes called ‘turkey wattle’ – is usually addressed through surgery to tighten skin and muscles.
- As skin loses elasticity it can begin to sag, resulting in the appearance of vertical bands, lines and wrinkles. We can remove the excess skin to tighten neck muscles or use liposuction to remove excess fat or anti-wrinkle injection to get rid of the ‘banding’.
A neck lift is also sometimes performed in conjunction with a facelift. Neck lift surgery, rather than a full facelift, may be sufficient to achieve the results you desire.
Lips define a person’s smile. When lips are thinned due to age or genetics, one may lose self-confidence. There are three options to enhance lips – by surgery, by injecting own fat, or by injecting a filler.
Younger fuller lips result from removing excess upper white portion of lip and rolling the lip upward along with reshaping the double-curved segment.
In case of enhancement by fillers, either own fat taken usually from the hips or artificial filler such as Restylane is injected to increase the volume of the lip.
Forehead lift is performed to correct the deep horizontal lines on the forehead and vertical wrinkles above the root of the nose. Forehead lift is frequently done together with other procedures such as facelift, browlift, or eyelid surgery.
The operation is performed through an incision running over the top of the head. In some cases, the surgery can also be done endoscopically through five small incisions in the scalp. The surgeon separates the skin from the underlying structures and stretches the skin upwards. Parts of muscles that cause the deep wrinkles may be severed. Excess skin is eliminated and incisions are carefully closed. The surgery is done under general anesthesia and takes less than one hour.
Temporal lift is a procedure limited predominantly on the sides of the forehead, combined with a partial lift of eyebrows and adjustment of the upper eyelid area. This procedure is performed if the signs of aging, wrinkles, and sagging of skin appear mostly on the sides of the forehead.
An incision is made in the hairline in the temple – forehead borderline. Following this incision, skin, fascia, and muscles are lifted and attached to the cranial structures. The surgery is done under local anesthesia. It is frequently a part of a more extensive procedure, such as face lift.
Extremely few people have what might be called a perfect nose. Almost every individual has a more or less visible profile with humps or depressions on the bridge, enlarge nasal tip, and asymmetry. Those deformities are mostly congenital, or may be a result of injury. It makes a lot of people unhappy. Nasal surgery is usually performed to reshape the tip, reduce the overall size of the nose, remove a nasal hump or improve an incorrect angle between the nose and the upper lip. Nasal deformity may also cause breathing difficulties. Usually, correcting the shape of the nose results also in improved breathing. Rhinoplasty can be performed once nasal growth is complete (after age 14 – 16).
Incisions are made inside the rim of the nostrils. The soft tissues of the nose are separated from the underlying structures. Cartilage and bones are separated too, modified, and reshaped to eliminate the deformity and are fixed in the new position. Removing cartilage reduces the size of a nasal tip and provides a better contour. To improve the angle between the nose and the upper lip, the nasal tip can be elevated by trimming the septum. Structural irregularities are corrected to improve breathing. The operation takes one to two hours.
Otoplasty – Bat ears correction
Ear surgery is a procedure performed to correct ears that stick out too much from the head. This procedure will set the protruding ears back. It can be done in any age. It is frequently done in children of school age as soon as they realize that they are subject to teasing by other kids. The procedure corrects the condition entirely.
Incision is made on the back side of the ear to remove skin and expose the cartilage. The cartilage is then modeled to improve the shape of it. Suture is then used to fold the cartilage and thus to achieve the correct angle of the ear. The operation can be done under local or general anesthesia, depending on patient’s preference. The entire procedure on both sides takes usually about an hour.