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  Facial Surgery (Anti - Ageing / Changing Feature) back to cosmetic surgery
  Face Lift
  Browlift
  Nose Surgery
  Ear Surgery
  Eyelid Surgery
  Facial Implants
     
  Face Lift
  The purpose of a facelift is to make the patients appear younger but not look unnatural for their age. The end result may be remarkable but there are a number of limitations and risks. It does little to recover fine lines which are often treated by another non-surgical method such as injectable fillers or laser.

Procedure: Improving sagging facial skin, jowls (sagging skin below cheeks), and loose neck skin by removing excess fat, tightening muscles and redraping the skin. The incisions usually hide in temporal hair baring areas and continue to the natural contour line around the ears. Small tubes that drain excess fluid may be placed for 1 or 2 days. Your head will be bandaged to minimize bruising and swelling.
  Length : 2 to 4 hours.  
  Anesthesia :  Local with sedation, or general.  
  In / outpatient : outpatient. Some patients may require a short inpatient stay.  
  Risks and possible complications : Temporary bruising, swelling, numbness and tenderness of skin, tight feeling, dry skin, injury to the nerves that control the facial muscles or feeling ( usually temporary), Infection, Blood collection, Skin necrosis, Scaring ( usually minimal), Asymmetry or changes in hairline.  
  Post- operative care : You should lie on your back with your head elevated and limit head movement for a couple of days. Continue to put the ice bag on your face frequently in the first 48 hours. Avoid excessive face and mouth movement in the first week. Avoid activities that will increase your blood pressure for 1 week. Protect from direct sunlight for 1-2 weeks.  
 

Recovery : Back to work: 10 to 14 days.  More strenuous activity: 2 weeks or more. Full recovery from bruising: 2 to 3 weeks. Limit sun exposure for several months. 

 
 

Duration of results : Usually 5 to 10 years. 

 
 

Preparing for surgery : If you are a smoker, you will be asked to stop well in advance of surgery.  Smokers have a much greater tendency for skin death compared to nonsmokers.  Aspirin and certain anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications for a period of time before and after surgery.

Inform the surgeon about your medical history (such as diseases, medications and allergies) Underlying serious medical diseases such as diabetes mellitus, severe anemia etc., may jeopardize your capacity of wound healing.

 
     
   
     
Browlift (Forehead Lift)
  Procedure : Minimize forehead creases, drooping eyebrows, hooding over eyes, furrowed forehead and frown lines by removing excess tissue, altering muscles and tightening forehead skin. An incision is across the top of the head just behind the hairline.
  Length : 1 to 2 hours.  
  Anesthesia : Local with sedation or general.  
  In / outpatient : Usually outpatient.  
  Risks and possible complications : Temporary swelling, numbness, headaches, bruising, possible itching, hair loss. Injury to facial nerve causing loss of motion, muscle weakness, or an asymmetrical look. Infection, scarring.  
  Recovery : Back to work: 7 to 10 days, more strenuous activity: usually several weeks. Full recovery from bruising: 2 to 3 weeks. Limit sun exposure for several months.  
  Duration of Results : Usually 5 to 10 years  
 

Post- operative care : You should lie on your back with head elevated.  Continue to put an ice bag on your forehead frequently within the first 48 hours.  Avoid activities that will increase your blood pressure for 1 week.  Wear a hat while you are going outdoors for 1-2 weeks. 

 
 

Preparation for surgery :  If you are a smoker, you will be asked to stop smoking well in advance of surgery.  Aspirin and certain anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications for a period of time before and after surgery.

Inform the surgeon about your medical history (such as diseases, medications and allergies).

 
   
     
  Nose Surgery
  A beautifully shaped nose looks charming and enhances the appearance of your face.

Procedure : Reshape your nose by reducing or increasing size, removing hump, changing shape of tip or bridge, narrowing span of nostrils, or changing angle between nose and upper lip. An incision will hide in the nostrils and may be on the junction between nose and upper lip. The gauze will be packed inside your nose for 5-10 days.
  Length : 1 to 2 hours.  
  Anesthesia : Local with anesthesia or general.  
  In / outpatient : Usually outpatient  
  Risks and possible complications : Temporary swelling, bruising around eyes, nose. Headaches. Some bleeding and stiffness. Red spots. Rarely incomplete improvement.  
  Post- operative care : You should lie on your back with head elevated for a couple of days. Continue to put the ice bag around your nose frequently in the first 48 hours. Avoid excessive squeeze or sniffing your nose in the first few weeks.  
  Recovery : Back to work: 1 to 2 weeks. More strenuous activities: 1 to 2 months. Avoid hitting nose or sunburn: 8 weeks.  
  Final appearance : 6 month to1 year.  
  Duration of Results : Permanent.   
 

Preparation for surgery : If you are a smoker, you will be asked to stop smoking well in advance of surgery.  Aspirin and anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications for a period of time before and after surgery.

Inform the surgeon about your medical history. (Such as diseases, medications and allergies). 

 
   
     
Ear Surgery
  The shape of the ears form an important part of your facial appearance therefore ear surgery will improve your overall self-confidence.

Procedure :Set prominent ears back closer to the head, correct the malformed ears or reduce the size of large ears. The incisions are usually made behind the ears. Then the ear cartilages will be manipulated to re-contour the ears to the designed size and shape. The excess skin may be removed. A bulky bandage will be placed to mold the ears.
  Length : 1 to 2 hours  
  Anesthesia : Young children : usually general anesthesia.
                        Older children or adults: general or local, with sedative. 		 
  In / outpatient : Usually outpatient  
  Risks and possible complications : Temporary throbbing, aching, swelling, redness, numbness. Infection of cartilage. Scarring. Blood clot.  
  Recovery : Back to work or school : 5 to 7 days.
                     Strenuous activity , contact sports : 1 to 2 months. 		 
  Duration of Results : Usually permanent.  
 

Post-operative care : You should keep your head elevated for several days. A bulky bandage will be kept in place for 1 week to mold the new ear contour.  Then you must wear a bandage splint during the night for another 6 weeks. 

 
 

Preparation for surgery : If you are a smoker, you will be asked to stop smoking well in advance of surgery. Aspirin and anti-inflammatory drugs can cause increase bleeding, so you should avoid taking these medications for a period of time before and after surgery.

Inform the surgeon about your medical history (such as diseases, medications and allergies). 

 
   
     
Eyelid Surgery
 

Correct drooping of upper eyelids and puffy bags below the eyes, making the eye look brighter, larger and more youthful.

Procedure : (Upper eyelid may be covered by insurance if used to correct visual field defects). The upper eyelid incision is made in the natural skin fold. Excess skin and fatty tissue is removed, the muscles and orbital septum (a thin connective tissue membrane) may be tightened and the incisions are carefully closed with very fine sutures. The lower lid incision is made just next to the eyelashes. Excess fat, muscle and skin are removed. Fine sutures are used to close the incision. The stitches will be removed 3-5 days after the procedure. After the healing is complete, the scars will be inconspicuous.

  Length : 1 to 2 hours  
  Anesthesia : Usually local with sedation  
  In / outpatient : Usually outpatient  
  Risks and possible complications : Temporary discomfort, tightness, swelling, bruising, dryness, itching, burning of eyes, excessive tearing and sensitivity to light will last for first few weeks. Temporary blurred or double vision, infection, bleeding, dry eyes. Formation of whiteheads, slight asymmetry in healing or scarring, difficulty in closing eyes completely, pulls down of the lower eyelids (rarely permanent).  
  Recovery : 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 but they typically disappear within seven to ten days. Within the first week you will be permitted to use makeup, if desired, to conceal any discoloration.

Reading : 2 or 3 days.  Back to work: 7 days.  Contact lenses: two weeks or more.  Strenuous activities, alcohol: about 3 weeks. 

 
  Duration of Results : Several years, sometimes permanent.  
 

Post- operative care :  You should keep your head elevated for several days. Continue putting the ice bag on your eye frequently for the first 48 hours, then change to warm towel compression for another 5 days.  Avoid activities that will increase your blood pressure in the first week.  You should also avoid activities that dry the eyes, including reading, watching television, wearing contacts and using the computer.  Also avoid excessive blinking, which leads to increased swelling.  Wear sunglasses to protect your eyes from direct sunlight and wind. 

The eyes may tire easily for several weeks : frequent naps are helpful. The surgeon will follow your progress very closely for the first week or two.  The stitches will be removed in 3-5 days after surgery, then the swelling and discoloration around your eyes will gradually subside and you'll start to look and feel much better. 

 
 

Preparation for surgery : If you are a smoker, you will be asked to stop smoking well in advance of surgery. Avoid aspirin and certain anti-inflammatory medications for a period of time before and after surgery.

Inform the surgeon of about your medical history (such as disease, medications and allergies) especially specific problems such as dryness of the eyes, change in vision or other related symptoms. 

 
   
     
Facial Implants
 

The balance of the four major prominent skeletal : forehead, nose, cheeks and chin will contribute to a more attractive face.

Procedure : Change the basic shape and balance of the face using carefully shaped implants to build up a receding chin, saddle nose, add prominence to cheekbone, or reshape the jaw line. The incision is usually placed in the mucosa which will be inconspicuous after the healing is completed.

  Length : 30 minutes to 2 hours.  
  Anesthesia : Local with sedation or general.  
  In / outpatient : Usually outpatient, occasionally overnight hospital stay.  
  Risks and possible complications : Temporary discomfort, swelling, bruising, numbness and stiffness. In jaw surgery, limit mouth opening for several weeks. Shifting or imprecise positioning of implant, or infection. Excess tightening and hardening of scar tissue around an artificial implant ( "capsular contracture" ), causing unnatural shape.
 
  Recovery : Back to work : one week.  Normal appearance: 2 to 4 weeks.  Avoid activity that could jar or bump face : 6 weeks or more.   
  Duration of Results : Permanent but reversible by removing the implant(s).  
 

Post- operative care : You keep your head elevated for a couple of days.  Continue putting the ice bag around your operated area frequently during the first 48 hours.  Then change to warm towel compression for another 5 days.  Avoid excessive mouth movement for 7-10 days. 

 
 

Preparation for surgery : If you are a smoker, you will be asked to stop smoking well in advance of surgery.  Aspirin and certain anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications for a period of time before and after surgery.

Inform the surgeon about your medical history (such as diseases, medications and allergies). 

 
   
 
  Dr. V Cosmetic Surgical Rejuvenation Tel.  66 (0)81 657 9973  
Fax 66 (0)76 292 932
  Address : 243 Rat-U-Thit Songroi Pi Road, Patong Beach, Kathu, Phuket 83150 Thailand Email : info@drvcosmetic.com
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