Prominent Ear

Some people's ears stick out more than normal. This condition is sometimes referred to as "bat ears". Ears that stick out do not cause any physical problems, but they can make people feel self-conscious and can lead to children being teased.

About prominent ears

About one to two percent of the people in the UK think that their ears stick out too much. Ears are one of the first parts of the body to reach full size, which is why protruding ears can be more noticeable in children.

Treating prominent ears

The main treatment for prominent ears is an operation called pinnaplasty or otoplasty, that reshapes the cartilage (gristly tissue) in the ear and uses plastic stitches to pin the ears back (or sometimes just by using the stitches alone). The procedure may also be known as "ear pinning".

There is no medical need to have a pinnaplasty, but people with protruding ears often feel unhappy with their appearance.

Children are particularly vulnerable to teasing and name-calling, which can cause great distress.

Selengkapnya...

Neck Lift

There are a number of procedures available to enhance the appearance of the neck. They range from very minimal in-office treatments with no down time, to more invasive procedures requiring anesthesia and time off for recovery. Aging of the neck is usually a combination of loose skin and muscle and some excess fat. Treatment options Botox injections The vertical bands that extend from under the chin to the base of the neck are caused by the neck muscle called the platysma. Botox can be injected into the muscle to temporarily reduce the appearance of these bands. Neck liposuction for fat removal During liposuction, your surgeon will make a small incision below the chin, and the excess fat will be removed. Your incisions will be stitched and bandaged. Neck lift procedure Sometimes called a cervicoplasty or neck lift with platysmaplasty, the procedure will last two to three hours. Your surgeon will make a small incision under your chin and possibly in front of and/or behind your ears. These incisions allow access to the platysma (neck muscle) and any fat in the neck. The incisions near the ears also allow for removal of some excess skin. Selengkapnya...

Risk from Chin and Jaw Surgery

There are risks associated with any type of operation, and cosmetic chin and jaw surgery is no exception. Before deciding to undergo any surgery, your surgeon should explain the risks posed. These include the following: * Reactions to the anaesthetic * Possible bleeding * Swelling * Nerve damage * Haematoma (mass of clotted blood) * Seroma (fluid build-up under the skin) * Infection occurring as a result of the procedure. The risks associated specifically with chin and jaw augmentation include the following: * Infection (particularly with chin implants) * Nerve injury causing numbness of the lower lip * Movement of an implant (contact your surgeon immediately if you think this has occurred; it may require removal or a second operation) * Excess skin hanging below the chin and/or the neck * Scarring (most scars can be covered with make-up and fade over time) * Asymmetry (uneven positioning of facial features). Selengkapnya...

What You Should Do After Chin or Jaw Augmentation Surgery?

To speed your recovery and help prevent any complications, it is important to follow your surgeon’s instructions carefully. Post-surgical advice after chin or jaw augmentation surgery will often include the following recommendations: * Use mild pain medicines as directed by your surgeon. * Follow a liquid diet for several days, or until it is safe for food to come into contact with stitches without fear of infection. * Follow any special instructions and restrictions regarding dental hygiene, eating, and activities. * Return to have stitches removed after seven to 10 days. * Prop your head up to help reduce swelling; sitting up against pillows may be the most comfortable position. * Wear a support brace while you sleep for the first few weeks as directed by your surgeon; this allows your tissues and implant to heal in the proper position and prevents implant shifting. Selengkapnya...

Recovery from Jaw Operations

It is normal to experience some pain and difficulty talking and smiling for several days after jaw implant surgery. You should also expect to experience some bruising and swelling, especially if your surgeon used screws to help keep your chin or jaw implants in place. If you notice any signs of infection or experience an increase in pain, contact your surgeon immediately. Most people take a week off work to recover from surgery. Bruising generally improves within one week, but it may take longer for facial swelling to subside. It is also normal to experience some numbness around the treated area. This numbness may last anywhere from one to three months. Selengkapnya...

Indications for Orthognatic Surgery

Excess mandibular bone causes protrusion of the lower jaw beyond the normal alignment with the upper jaw. This can prevent effective biting and chewing of food and hastens periodontal disease. Temporomandibular joint function and speech may be impaired. Excessive chin hyperplasia or malposition may require a reduction or sliding genioplasty. Retrognathia or micrognathism is a deficiency of the mandibular bone. This does not allow the upper and lower teeth to come together when chewing food and may affect speech. Sleep apnea may also be produced by a retruded or deficient lower jaw. A deficiency of bone supporting the chin may require surgery (genioplasty) to build up the tissue and provide a normal framework for the chin. In this condition, also called hypoplasia, the growth of the maxilla does not match that of the lower jaw. There is a collapse of the normal mid-face supporting structures. In addition to causing difficulties with eating and speech, this deficiency may be associated with anomalies of the supporting structures of the nose and cheeks. Selengkapnya...

Procedur in Orthognatic Surgery

In orthognathic surgery, an osteotomy (bone cut) is made in the affected jaw, and the bones are repositioned in a more normal alignment. Generally, the bones are held in their new positions with plates, screws and wires. The patient may also need arch bars placed on both jaws to add stability (a procedure called intermaxillary fixation). For patients with deformities in both jaws, simultaneous osteotomies may be undertaken to achieve correction. Patients with deficient bone or soft tissues of the face may require distraction osteogenesis. A distraction device is applied. Bone osteotomies are performed. The distraction device is then used to slowly apply a distractive force at the osteotomy site until new bone is formed. Once the desired reconstruction is achieved, the device is left in place until the bone is healed and then the device is removed. This enables a surgeon to elongate a facial bone and the adjacent soft tissue envelope. Patients with deficient bone tissue may require grafts from their ribs, hips or skull. Alloplastic replacement of missing bone may also be required. The preparation of a donor site and the harvesting of the patient’s own bone requires additional cognitive effort and surgical time on the part of the physician. Selengkapnya...

What is Orthognatic Surgery

Orthognathic surgery or Jaw Surgery is the surgical correction of skeletal anomalies or malformations involving the mandible (lower jaw) or the maxilla (upper jaw).

These malformations may be present at birth, or they may become evident as the patient grows and develops. Jaw malformations can cause chewing and eating difficulties, abnormal speech patterns, early loss of teeth, and disfigurement and dysfunction of the temporomandibular joint. Malocclusion (abnormal jaw relation) may be caused by a deficiency or excess of bony tissue in one or both jaws, or by trauma to the facial bones.

Selengkapnya...

Recovery Period After Lower Eyelid Surgery

At first the incisions will probably be red and somewhat bumpy. Eventually, the resulting scar should become flat and inconspicuous. Your sutures (stitches) will be removed sometime within the first week. The swelling and discoloration around your eyes will gradually subside, and you'll start to look and feel better each day. Swelling and bruising varies considerably from person to person. Bruising typically disappears within seven to ten days. Within the first week you will be permitted to use makeup, if desired, to conceal any discoloration.

Your vision may be somewhat blurry for a few days or longer. Your eyes may be temporarily sensitive to light, and you may experience excess tearing or dryness. You may receive eyedrops to help relieve any burning or itching. For the first week, you’ll need to avoid activities that dry the eyes, including reading, watching television, wearing contacts, and using a computer. Also avoid excessive blinking, which leads to increased swelling. You should also wear dark sunglasses for a couple of weeks to protect your eyes from wind and sun irritation. The eyes may tire easily for several weeks; frequent naps are helpful. For the first three or four weeks, you should avoid any activity that increases blood flow to the eyes, including bending, lifting, crying and sports. Your surgeon will let you know when you are ready for exercise. Also avoid drinking alcohol, which can lead to fluid retention and delay recovery.

Selengkapnya...

Expectation after Lower Eyelid Surgery

After surgery, the physician will lubricate your eyes with ointment to reduce dryness in this area. Your vision may be blurred temporarily from the ointment. (Ointment is not used after transconjunctival blepharoplasty.) Correction, ointment would be probably be used in both methods.

The first evening after surgery, you should rest quietly with your head elevated. It will help to apply cold compresses to your eyelids. (Avoid any compress heavier than one ounce. A Ziploc bag with a few frozen peas works well.) Your blood pressure should be monitored to avoid bleeding complications that can affect vision. And, although you can be up almost immediately, you should limit your activities.

Selengkapnya...

How to Perform Lower Eyelid Surgery ?

This is how to perform lower lid blepharoplasty: 1. An incision is made along the lash line, smile creases 2. Excess fat, muscle and skin are removed 3. Fine sutures are used to close the incision 4. Permanent stitches will be removed 3-5 days after the procedure

If you have a pocket of fat beneath your lower eyelids, but do not need to have any loose skin removed, your surgeon may recommend a transconjunctival blepharoplasty. In this procedure the incision is made inside your lower eyelid, leaving no visible scar. It is usually performed on younger patients with fatty lower eyelids. Transconjunctival blepharoplasty does not tighten the skin, reduces the puffiness in the lower eyelid region.

Selengkapnya...

Consultation before Lower Eyelid Surgery

During the consultation, you and your surgeon will discuss the changes that you would like to make in your appearance. He/she will explain the different options available to you, the procedure itself, and its risks and limitations. He/she will also explain the kind of anesthesia required, surgical facility, and costs.

Your surgeon will begin with a complete medical history and examine the skin and fat around your eyes. He/she may also examine your eyesight, peripheral vision, and tear ducts. You should tell him/her about any related symptoms you may have, including any dryness of the eyes, changes in vision or eye pain. You should also tell you’re your surgeon if you have 1.) thyroid problems such as hypothyroidism, 2.) elevated blood pressure or other circulatory disorders, 3.) cardiovascular disease, 4.) diabetes, or 5.) any other serious medical condition(s). Be sure to as all the questions you have about the surgery, and ask to see photos of the doctor’s recent patients, before and after surgery. Also ask for, and follow up on, patient references. Learning everything you can about your options, risks and benefits is the key to making an informed decision.

Selengkapnya...

Benefit from Lower Eyelid Surgery

Lower eyelid blepharoplasty can make a remarkable difference in the appearance of the face, alleviating the appearance of tiredness and old age by eliminating the excess, wrinkly skin beneath the eyes. The eyes appear fresher and more youthful, and the results may last for many years. The degree of improvement varies from patient to patient.

Important note: Lower eyelid blepharoplasty will not eliminate dark circles, fine lines or wrinkles around the eyes, or alter sagging eyebrows. To enhance the results of your eyelid procedure, your doctor may also recommend: 1.) a brow lift to correct a drooping brow and smooth the forehead, 2.) a facelift for saggy jowls, 3.) skin resurfacing to eliminate fine lines.

Selengkapnya...

Lower Eyelid Surgery

Lower eyelid blepharoplasty is used to remove the fat deposits and loose skin that may form on the lower eyelids with age. Many factors, including heredity and sun damage, accelerate these changes. Younger people also elect to have this procedure done to eliminate puffiness of the eyes from congenital excess fatty tissue.

This procedure is frequently done at the same time as other procedures, such as upper eyelid blepharoplasty, facelift or forehead lift, and can be combined with laser or chemical resurfacing to smooth skin wrinkles. If you're considering lower eyelid blepharoplasty, the following information will provide you with a good introduction to the procedure. For more detailed information about how this procedure may help you, we recommend that you consult a plastic surgeon who is board certified or has completed a residency program that includes instruction in this procedure

Selengkapnya...

Technigue Upper Eyelid Surgery

The amount of excess skin to be removed is marked. The initial incision is made along the normal eyelid crease across the entire lid and extending slight upward and outward into the lateral canthus. The second incision is made a variable distance above the first, depending on the amount of skin to be removed. If the orbicularis muscle is thick or in excess, a small strip may be excised.

The orbital septum is then opened along its entire length, thus exposing the fat pockets overlying the levator aponeurosis (tendon of the eyelid opening muscle). The first or "middle" pocket is removed using a process of dissection, clamping, excision, and cauterization. The second or "nasal" pocket requires deeper dissection. Removal is done is a similar fashion. The skin edges are closed using either dissolving or permanent sutures. The latter seem to give a more predicable and finer scar.

Selengkapnya...

Candidates for eyelid surgery

In general, the best candidates for double eyelid blepharoplasty are:

• 18 years of age or older
• In good physical health

• Psychologically stable

• Informed about the procedure

• Free of ophthalmic conditions such as glaucoma or detached retina

• Without medical conditions such as high blood pressure, circulatory problems, hypothyroidism or other thyroid related conditions.

• Realistic about the outcome of surgery

The above is only a partial list of the criteria that your surgeon will consider in determining whether or not this procedure is appropriate for you. Be sure to ask your surgeon if he / she considers you an ideal candidate for upper eyelid blepharoplasty.

Selengkapnya...

Ethnic Rhinoplasty's Results

The results of ethnic rhinoplasty surgery are generally just as good as those of Caucasian nose jobs. Using the techniques discussed above, surgeons can alter the nose to make it appear straighter, longer, narrower, or however else the patient desires, within limits. Ethnic female rhinoplasty can make a nose with ethnic features seem more classically feminine. Whatever the patient’s race or gender, the goal is usually the same: change the nose to give the face a better sense of balance, symmetry, straightness. Ethnic rhinoplasty surgery techniques allow skilled cosmetic surgeons to do that for all of their patients. Selengkapnya...

Rhinoplasty's Complications

There are a number of risks and complications specific to rhinoplasty. They are: Red spots on your skin's surface. These are caused by burst, small blood vessels. The red spots are usually temporary, but they are permanent in some cases. Scarring - When rhinoplasty is performed from inside the nose ("Closed Rhinoplasty") the scars will be on the inside of the nose. The scars won't be visible, but you may be able to feel them for a while after surgery. Some surgeons utilize an "open" technique, where a small incision is make across the base of the nose known as the "columella." The columella is the vertical strip of tissue that separates the nostrils. This "open" procedure may result in a small scar on the underside of the nose. Revision rhinoplasty - In around ten percent of cases, the patient needs to have additional minor surgery to correct a slight deformity. After surgery, small burst blood vessels may appear as tiny red spots on the skin's surface; these are usually minor but may be permanent. As for scarring, when rhinoplasty is performed from inside the nose, there is no visible scarring at all; when an "open" technique is used, or when the procedure calls for the narrowing of flared nostrils, the small scars on the base of the nose are usually not visible. In about one case out of ten, a second procedure may be required-for example, to correct a minor deformity. Such cases are unpredictable and happen even to patients of the most skilled surgeons. Selengkapnya...

Surgery of Nose

Every year, half a million people who are interested in improving the appearance of their noses seek consultation with facial plastic surgeons. Some are unhappy with the noses they were born with, and some with the way aging has changed their nose. For others, an injury may have distorted the nose, or the goal may be improved breathing. But one thing is clear: nothing has a greater impact on how a person looks than the size and shape of the nose. Because the nose is the most defining characteristic of the face, a slight alteration can greatly improve one's appearance. If you have wondered how nose surgery, or rhinoplasty, could improve your looks, self-confidence, or health, you need to know how rhinoplasty is performed and what you can expect. Successful facial plastic surgery is a result of good rapport between patient and surgeon. Trust, based on realistic expectations and exacting medical expertise, develops in the consulting stages before surgery. Your surgeon can answer specific questions about your specific needs. Selengkapnya...

Surgical Technique for Ethnic Rhinoplasty

Like other types of rhinoplasty surgery, ethnic rhinoplasty seeks to reshape the nose by altering the structure of the bone and cartilage beneath without undue external scarring. Some techniques are more commonly used for ethnic patients, though.
The flatter noses possessed by many non-Caucasian individuals can be addressed by grafting in extra cartilage from elsewhere in the body and shaping the skin of the nose tip more finely. Up to three incisions (at the base of skin outside each nostril and in the columella between them) may be used to narrow the base of a wider nose. Artificial implants may be inserted into the bridge of the nose to give it better definition as well. Small amounts of bone can be removed to eliminate humps. If you have a nose with typically ethnic features and would like to change its shape, talk to your doctor about which of these ethnic rhinoplasty surgery techniques would be right for you. Selengkapnya...

Asian's Nose Cartilage

The more delicate cartilaginous tissues of the lower lateral cartilage generally require reinforcement with autogenous cartilage from the ear or septum to obtain a desired result. Affecting a result with pure cartilage reshaping techniques is difficult and usually inadequate. Septal cartilage frequently requires two-layered reinforcement because of its thinness.
Generally, the lower lateral cartilage is too soft and pliable to adequately support the tip. Such softness precludes the successful use of onlay grafts to the tip, except for the rare patient who has sufficiently strong cartilage (about 10% of patients). While septal cartilage appears adequate for tip projection in closed rhinoplasty, the compromise of circulation at the tip when using the open rhinoplasty approach may contribute to long-term weakness, absorption of the septal cartilage, or both. Conchal cartilage grafts placed as a strut appear to have a more durable outcome. When tip grafting, defatting should be limited in order to decrease the likelihood of graft visibility. This is particularly true in the open approach, as the 2-layered graft combined with a columella incision can lead to compromised circulation at the tip area and more significant scarring. Selengkapnya...

Problem Asian Rhinoplasty

Address the problem as isolated to the dorsum, tip, alar base, vertical dimension, or all of the above. The Asian nose shares similar ideal dimensions with the Caucasian nose but with emphasis on subtleness: the dorsum requires less height, the tip less definition, the alar base less narrowness.
As in Caucasians, ideally the radix begins at or slightly below the lash line. The length, measured from the idealized radix to the base of the columella (subnasale), occupies the central third of the face. The tilt of the columella measures 90-115° from the vertical plane, with higher angulation preferred for smaller women. Southeast Asians (Malay, Filipino, southern Chinese) typically require the most dorsal augmentation (4 mm or more), while northeast Asians (Korean, Japanese, northern Chinese) require less (1.5-2.5 mm) or none. It may be necessary to better define the tip and increase its projection. A deficient premaxilla may need augmentation, as evidenced by a retracted columella with deficient columellar show from lateral view. The nose may require lengthening as measured from the radix to the tip or from the radix to the base of the columella. The need for alar reduction is frequent in southeast Asians but much less so in northeast Asians. In most cases, both the flare and width need to be corrected; this necessitates an incision into the alar groove. Selengkapnya...

Making Decision For Rhinoplasty

Whether the surgery is desired for functional or cosmetic reasons, your choice of a qualified facial plastic surgeon is of paramount importance. Many facial plastic surgeons are trained in both ear, nose, throat, and facial cosmetic surgery, which provides you, the patient, with the highest level of training and expertise.

Your surgeon will examine the structure of your nose, both externally and internally, to evaluate what you can expect from rhinoplasty. You are most likely to be pleased with the results of your surgery if you have a realistic idea of what nasal surgery can and cannot do.

You can expect a thorough explanation of the surgeon's expectations and the risks involved in surgery. Following a joint decision by you and your surgeon to proceed with rhinoplasty, the surgeon will take photographs of you and discuss the options available. Your surgeon will explain how the nasal structures, including bone and cartilage, can be sculpted to reshape the nose and indicate how reshaping the chin, for example, could enhance the desired results.

After conducting a thorough medical history, your surgeon will offer information regarding anesthesia, the surgical facility to be used, and the costs for the procedure. Selengkapnya...

Best Candidates For Forehead Lift

A forehead lift is most commonly performed in the 40-60 age range to minimize the visible effects of aging. However, it can also help people of any age who have developed furrows or frown lines due to stress or muscle activity.
Individuals with inherited conditions, such as a low, heavy brow or furrowed lines above the nose can achieve a more alert and refreshed look with this procedure. Forehead lift is often performed in conjunction with a facelift to provide a smoother overall look to the face. Eyelid surgery (blepharoplasty) may also be performed at the same time as a forehead lift, especially if a patient has significant skin overhang in the upper eyelids. Sometimes, patients who believe they need upper-eyelid surgery find that a forehead lift better meets their surgical goals. Selengkapnya...

Face Lift

Facelift cosmetic surgery (rhytidectomy) is intended to improve your facial appearance and make you look good for your age.

Facelift Variations

From deep plane lifts to feather lifts, almost any variation and extent of surgery is available to meet the needs of your facial improvement goals.

Facial Implants

Facial implants are inserted into areas of the face to restore a more balanced and youthful appearance. Facial implants can strengthen a weak jaw line or accentuate your cheekbones. They are often used in conjunction with facelift plastic surgery.

Thread Lifts

You may have heard of the "lunchtime facelift" and wondered what they're talking about. A thread lift is not the same as a facelift, but it is a cosmetic facial procedure that is growing in popularity.

Selengkapnya...

Best Candidate for Facelift

The best candidate for a facelift is a man or a woman whose face and neck have begun to sag, but whose skin still has some elasticity and whose bone structure is strong and well defined. Most patients are in their forties to sixties, but facelifts can be done successfully on people in their seventies or eighties as well. A facelift can make you look younger and fresher, and it may enhance your self-confidence. But, it can’t give you a totally different look, nor can it restore the health and vitality of your youth. Before you decide to have surgery, think carefully about your expectations and discuss them with doctor. A facelift can improve the deep cheek folds, jowls and loose, sagging skin around the neck that comes with age. Selengkapnya...

Brow Lift Surgery

At least 4 incisions behind the hairline will be made each less than an inch long. An endoscope, which is a pencil-thin camera device that is connected to a television monitor, is then inserted through each incision in turn, enabling the surgeon to see the muscles and tissues beneath the skin. He will then remove some of these to produce the smoother and younger looking forehead. How long does a Brow Lift take? The operation usually takes 1-2 hours to complete and normally involves an overnight stay at one of our hospitals. What can I expect from a Brow Lift? Your expectations need to be realistic. Most patients are pleased with the outcome and find they gain a feeling of increased self-confidence and get a restored youthful, refreshed look to the area above the eyes. Selengkapnya...