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Forehead / Brow Lift
As the aging progresses, skin wrinkling and a loss of tone can occur in the forehead area as it does in the eyelids and lower parts of the face. This may cause sagging of the eyebrows, resulting in a tired or sad look and aggravating the problem of excess skin of the upper eyelids. It may also result in deepening of the horizontal expression lines and wrinkling in the forehead itself. There may be deep, vertical frown lines between the eyebrows in the center of the forehead. The forehead lift is designed to correct or improve these problems.A brow lift, also known as a forehead lift reduces the wrinkle lines that develop horizontally across the forehead, as well as those that occur on the bridge of the nose, between the eyes.It does Improves frown lines, the vertical creases that develop between the eyebrow and Raises sagging brows that are hooding the upper eyelids besides placing the eyebrows in an alert and youthful position. The operation is performed under local anesthesia with sedation or general anesthesia. Incisions are placed behind the hairline above the ear and continue over the top of the head. In some cases, incisions may be placed in front of the hairline. Improvements are made beneath the skin and to the deep muscles; the skin and the muscle are then tightened to give a fresher, more youthful appearance.
Some patients may be candidates for an endoscopic forehead lift, which requires several very small incisions at or within the hairline instead of the longer incision used for a conventional forehead lift. Using an endoscope, the plastic surgeon can modify the muscles that cause frown lines and, when needed, elevate the brows. The forehead lift may be done in conjunction with other facial rejuvenating procedures.
After surgery, there will be some temporary swelling and discoloration that may involve the eyelids and lower portions of the face as well. There will also be some numbness of the portions of the scalp, which can be prolonged.
You will be permitted to wash your hair shortly after the surgery. The stitches or skin clips will be removed a week or two after the operation.This surgery is being done at Image medical centre.
Eyelid Surgery / Blepharoplasty
The eyes are focal point of the face and contribute substantially to your overall facial appearance. Bags beneath the eyes, wrinkled drooping layers of skin on the eyelids, and sagging eyebrows give the entire face a perpetually tired or sad expression.As you age, your eyelids stretch, and the muscles supporting them weaken. As a result, excess fat may gather above and below your eyelids, causing sagging eyebrows, droopy upper lids and bags under your eyes.
You may be a candidate for blepharoplasty if droopy or sagging eyelids keep your eyes from opening completely or pull down your lower eyelids. Removing excess tissue from your upper eyelids, lower eyelids or both can improve vision and make your eyes appear younger and more alert.Aesthetic eyelid surgery can "brighten" the face and restore a more youthful appearance by reducing the fat and extra skin that causes these conditions. Blepharoplasty is often performed along with a face-lift or with other facial rejuvenating procedures.
The surgeon may operate on the upper and lower eyelids as necessary, removing excess skin and muscle as well as eliminating or repositioning fat under the skin that creates puffiness and bagginess of the eyelids. Incisions are hidden within natural folds or beneath lash lines, or sometimes may be placed inside the lower eyelid if removal of skin is not necessary.
Since the eyelid skin is thin, you should expect some swelling and black-and-blue discoloration after surgery. Your eyes may be temporarily sensitive to light and susceptible to excess tearing or dryness. You may want to wear dark glasses for a couple of weeks to protect your eyes from wind and sun irritation and avoid eye strain from prolonged reading or television viewing. You will be able to resume wearing makeup and contact lenses shortly after your surgery.
Chin Enlargement And Cheek Augmentation
Chin surgery, or mentoplasty, is a surgical procedure to reshape the chin by enhancement with an implant or reduction surgery on the bone or fat injection.
Many times a plastic surgeon may recommend chin surgery to a patient having rhinoplasty in order to achieve facial proportion, as the size of the chin may magnify or minimize the perceived size of the nose.Chin surgery helps provide a harmonious balance to your facial features so that you feel better about the way you look.The chin bone surgery isperformed through an incision inside the mouth, requires moving the chinbone. The incisions to insert the implant may be made inside the mouth or on the underside of the chin. In the latter case, surgery usually leaves a faint scar that is barely visible underneath the chin.
To permit proper healing following chin augmentation, you may be placed on a liquid diet for a day or two. The area may be taped or bandaged.
Similarly, in some cases the cheekbones may be built up (augmented) by placing an implant over them or by fat grafting. This is usually performed through an incision inside the mouth, but it may be done through a lower eyelid or brow lift incision. This surgery can be done under local or general anasthesia and patient allowed home the same day.
The latest advance in chin augmentation is to do it with fat grafting.In moderate deformities,fat grafting gives natural results.All the three types of chin augmentation are done by Dr Anup Dhir at the Image medical centre.
DR. ANUP DHIR
Plastic , Cosmetic And Reconstructive Surgeon - New Delhi