Reshaping facial and neck skin by repositioning and tightening the soft tissues including the muscles and by resecting the redundant skin.
Sunken cheeks, drooping jowls, sagging neck.
Heavy smoking.
Important adiposity.
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 allows a better re-draping of a slack neck.
Operation time: 3-4 hours
Anesthesia: General or local anesthesia with twilight premedication.
Scars: Inconspicuous, see above.
- see also chapter "First consultation: general complications"
Hematoma.
Hypertrophic scarring.
Hair loss in the scalp region.
Temporary muscle palsy.
Head bandage for 24 hours.
Suture removal after 10–14 days.
Resume work after 2-3 weeks.
Download the form Lifting frontal here
Raising and smoothening the forehead skin including the eyebrows.
Forehead skin folds and descended eyebrows.
High forehead.
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.
Operation time: 1-2 hours
Anesthesia: General or local anesthesia with twilight premedication.
Scars: Inconspicuous, see above.
- see also chapter "First consultation: general complications"
Hematoma.
Hair loss in the scalp region.
Temporary muscle palsy.
Head bandage for 24 hours.
Suture removal after 1 week to 10 days.
Resume work after 2-3 weeks.
Download the form Forehead lifting here
Removal of tissue redundancy in the upper eye lids.
Heavy upper eye lids, creating a tired, sad expression. Make-up problems.
Vision problems, dry eye syndrome.
Removal of redundant skin, muscle and fat. Sometimes redistribution of the latter.
Operation time: 1 hour.
Anesthesia: Usually local anesthesia.
Scars: Inconspicuous, see above.
- see also chapter "First consultation: general complications"
Hemorrhage.
Lid deformation.
Vision troubles (very rare).
Paper tape for 3 – 5 days until stitch removal.
Resume work after 3 days to 2 weeks (bruises).
Download the form Upper lid plasty here
Removal of the redundant and tensioning of the remaining skin to smoothen the wrinkles. Redistribution and leveling of the fat deposits. Fill tear troughs.
Eye bags.
Tear troughs.
Weak lid tone.
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.
Operation time: 1 hour.
Anesthesia: Usually local anesthesia.
Scars: Inconspicuous, see above.
- see also chapter "First consultation: general complications"
Hemorrhage.
Deformed lid aperture.
Ectropion.
Paper tapes until stitch removal after 3–5 days.
Resume work after 3 days or 2 weeks (bruises).
Download the form Lower lid plasty here
Reshaping of an unpleasant or deformed nose.
Nose deformities.
Cocaine addiction.
Psychological problems (Dysmorphophobia).
Reshaping of the cartilaginous and bony structures, either with a closed procedure through the nostrils or with an open approach.
Operation time: 1-2 hours.
Anesthesia: Usually general anesthesia, local anesthesia possible.
Scars: Inside the nostrils and, in the open procedure across the columella.
- see also chapter "First consultation: general complications"
Hemorrhage.
Secondary deformation through internal hypertrophic scarring (polly tip) or bone callus.
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 fi rst 18 months.
Download the form Rhinoplasty here
Ear reshaping, correction of protruding ears.
Ear deformities
Non consent of the patient if under age.
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.
Operation time: 1-2 hours.
Anesthesia: Usually local anesthesia.
Scars: Behind the ear.
- see also chapter "First consultation: general complications"
Hematoma.
Hypertrophic scarring.
Infection recurrence.
Head bandage.
Suture removal after 1 - 2 weeks.
Resume work after 1 week.
Download the form Otoplasty here
Recreation of youthful facial roundness through multiple micro grafting of the patients own fat.
Natural fat loss in the aging patient or disease caused fat loss..
None.
Fat harvesting with syringe in suitable donor site. The decanted fat cells are then injected into the designed zones..
Operation time: 1-2 hours.
Anesthesia: Local anesthesia.
Scars: Small stab mark at the donor site.
- see also chapter "First consultation: general complications"
Total absorption of the fat grafts irregularities.
Taping to reduce bruising.
Resume work after 1 week.
Download the form Fat transfer here
Facial contour enhancement with synthetic implants.
Receding chin.
Dish face.
Other contour defi ciencies.
Rheumatoid diseases.
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.
Operation time: 1-2 hours.
Anesthesia: Usually local anesthesia, sometimes with twilight premedication.
Scars: Hidden.
- see also chapter "First consultation: general complications"
Hematoma.
Infection.
Implant migration.
Prophylactic antibiotics.
Suture removal after 1 week.
Resume work after 1-2 weeks..
Download the form Implants du visage here
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