THE OPERATION
Reshaping facial and neck skin by repositioning and tightening the soft tissues including the muscles and by resecting the redundant skin.
INDICATIONS
Sunken cheeks.
drooping jowls.
Sagging neck.
COUNTER INDICATION
None.
SURGERY
Through an incision that goes from the temple along the anterior ear creases upwards behind the ear into the scalp, the slack skin and the soft tissues are undermined and repositioned.
Occasionally, a short incision under the chin.
Duration: 3-4 hours.
Anesthesia: General or local anesthesia with twilight premedication.
Scars: Inconspicuous, see above.
POSSIBLE COMPLICATIONS
- see also chapter: "First consultation: general complications"
Hair loss, usually temporary, around the scar.
Scalp tingling or insensitivity, gradually regressing.
Temporary frontal nerve paresis (eyebrow no longer raises).
Note: a certain degree of asymmetry always persists.
POSTOPERATIVE CARE
Padded dressing for 24-48 hours.
Fibs and/or staples removed after 10 days.
10-15 days off work.
THE OPERATION
Raising and smoothening the forehead skin including the eyebrows.
INDICATIONS
Forehead skin folds.
Descended eyebrows.
COUNTER INDICATION
High forehead.
SURGERY
Several approaches are possible: Continuous scalp incision from ear to ear or continuous incision along the hair line from temple to temple. Also endoscopic through several button hole incisions in the scalp or two temporal incisions in the hair bearing skin.
Duration: 1-2 hours.
Anesthesia: general or local anesthesia with twilight premedication.
Scarring: inconspicuous, see above.
POSSIBLE COMPLICATIONS
Hematoma.
Hair loss in the scalp region.
Temporary muscle palsy.
POSTOPERATIVE CARE
Head bandage for 24 hours.
Suture removal after 1 week to 10 days.
Resume work after 2-3 weeks.
THE OPERATION
Removal of tissue redundancy in the upper eye lids.
INDICATIONS
Heavy upper eye lids, creating a tired, sad expression.
Make-up problems.
COUNTER INDICATION
Vision problems, dry eye syndrome.
SURGERY
Removal of redundant skin, muscle and fat. Sometimes redistribution of the latter.
Duration: 1 hour.
Anesthesia: Usually local anesthesia.
Scars: Inconspicuous, see above.
POSSIBLE COMPLICATIONS
- see also chapter: "First consultation: general complications"
Hemorrhage.
Lid deformation.
Vision troubles (very rare).
POSTOPERATIVE CARE
Paper tape for 3 – 5 days until stitch removal.
Resume work after 3 days to 2 weeks (bruises).
THE OPERATION
Removal of the redundant and tensioning of the remaining skin to smoothen the wrinkles.
Redistribution and leveling of the fat deposits.
Fill tear troughs.
INDICATIONS
Eye bags.
Tear troughs.
COUNTER INDICATION
Weak lid tone.
SURGERY
Incision just below the ciliary line or directly on the bag in a skin fold. Also possible in the conjunctiva, if no skin removal is planned. Any of these approaches will allow the manipulations mentioned above.
Duration: 1 hour.
Anesthesia: Usually local anesthesia.
Scars: Inconspicuous, see above.
POSSIBLE COMPLICATIONS
- see also chapter: "First consultation: general complications"
Hemorrhage.
Deformed lid aperture.
Ectropion.
POSTOPERATIVE CARE
Paper tapes until stitch removal after 3–5 days.
Resume work after 3 days or 2 weeks (bruises).
THE OPERATION
Reshaping of an unpleasant or deformed nose.
INDICATIONS
Nose deformities.
COUNTER INDICATION
Cocaine addiction.
Psychological problems (Dysmorphophobia).
SURGERY
Reshaping of the cartilaginous and bony structures, either with a closed procedure through the nostrils or with an open approach.
Duration: 1-2 hours.
Anesthesia: Usually general anesthesia, local anesthesia possible.
Scars: Inside the nostrils and, in the open procedure across the columella.
POSSIBLE COMPLICATIONS
- see also chapter: "First consultation: general complications"
Hemorrhage.
Secondary deformation through internal hypertrophic scarring (polly tip) or bone callus.
POSTOPERATIVE CARE
Nasal packing for 24 hours.
Light cast during up to 10 days.
Resume work after 1 week.
In some 15% of the cases, touch ups will be necessary. In our Center they will be performed as a warranty service within the first 18 months.
THE OPERATION
Ear reshaping, correction of protruding ears.
INDICATIONS
Ear deformities
COUNTER INDICATION
Non consent of the patient if under age.
SURGERY
Incision at the back of the ear. From there the ear cartilage is weakened through scouring and modeled in the desired shape which is maintained with sutures.
Duration: 1-2 hours.
Anesthesia: Usually local anesthesia.
Scars: Behind the ear.
POSSIBLE COMPLICATIONS
- see also chapter: "First consultation: general complications"
Hematoma.
Hypertrophic scarring.
Infection recurrence.
POSTOPERATIVE CARE
Head bandage.
Suture removal after 1 - 2 weeks.
Resume work after 1 week.
THE OPERATION
Recreation of youthful facial roundness through multiple micro grafting of the patients own fat.
INDICATIONS
Natural fat loss in the aging patient or disease caused fat loss.
COUNTER INDICATION
None.
SURGERY
Fat harvesting with syringe in suitable donor site. The decanted fat cells are then injected into the designed zones.
Duration: 1-2 hours.
Anesthesia: Local anesthesia.
Scars: Small stab mark at the donor site..
POSSIBLE COMPLICATIONS
- see also chapter: "First consultation: general complications"
Total absorption of the fat grafts irregularities.
POSTOPERATIVE CARE
Taping to reduce bruising.
Resume work after 1 week.
THE OPERATION
Facial contour enhancement with synthetic implants. INDICATIONS
Receding chin.
Dish face.
Other contour defi ciencies.
COUNTER INDICATION
Rheumatoid diseases.
SURGERY
Through buccal cavity or other remote access sites, the pocket to receive the implant is developed, always beneath the facial soft tissue, often benearh the periost.
Duration: 1-2 hours.
Anesthesia: Usually local anesthesia, sometimes with twilight premedication.
Scars: Hidden.
POSSIBLE COMPLICATIONS
- see also chapter: "First consultation: general complications"
Hematoma.
Infection.
Implant migration.
POSTOPERATIVE CARE
Prophylactic antibiotics.
Suture removal after 1 week.
Resume work after 1-2 weeks.