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Face Surgery

Rhinoplasty

As the nose is central aesthetic feature of face, it has got enormous aesthetic importance on face. Appearance of nose is very important in beauty of face. Unlike surgeries on eyelid and face lift, which involves removal of wrinkles and folds, nose surgery involves complex interplay of tissues. Nose is a functional as well as cosmetic entity & both are connected. So, we also address any breathing problems if associated with abnormal shape / size of nose.

It is probably most popular Face cosmetic surgery enjoyed.

Nose is made up of two components:

  • Support – Bone in upper part (hard) & cartilage in lower part ( soft to firm)
  • Cover – overlying skin & soft tissues

Different parts of nose include:

  • Radix / Root- Upper most & deeper most point of nose,
  • Tip- Lowermost & most projectile part of nose just above nostrils (Air passages)
  • Dorsum / Bridge-  Elevated part of nose from Radix / Root extending down to tip
  • Base-  Lower and wider most part of nose
  • Septum- Central partition between two nostrils (Air passages)

Broadly speaking, large nose can be made smaller, small nose can be made larger, bent or deviated nose can be made straighter by Rhinoplasty surgery.

Breaking / reducing large nose: Sometimes nose may be noticeably larger in size. To make such nose more attractive, it should be lowered and narrowed. This is also called Reduction Rhinoplasty. Generally speaking, small, cute and well shaped nose looks beautiful than large nose.

Building / augmenting small nose: Sometimes nasal bridge is too low or narrow that nose looks under projecting and gives face a flat look. Such nose can be enlarged by modifying the shape of cartilage or adding some cartilage/ soft tissue to it. Another way to augment such nose is with silicone implant, which is being carved as per requirement of individual nose.

Hump Reduction: It is very common to have a bump like elevation near mid part of dorsum of nose. It looks like blemish on top of otherwise beautiful nose. It needs to be lowered to make dorsum of nose straight and achieve beautiful nose.

Reducing wide tip: Wide tip of nose may be because of excess wide cartilage &/or because of thick skin & soft tissue portion. Such wide tip can be made narrow & well defined to make the nose more beautiful. Wide upper part of nose is because of wide nasal bones. They are broken from its place & moved inward to narrow them.

Deviated / crooked nose: Instead of being centralized and straight, some nose is deviated to one side. Nasal bones with or without septum (central partition of nasal cavity) and nasal tip are deviated in such cases. In such cases, deviated nose is made straight & well centered.

Reduction / Narrowing of alar base: Very wide Alar base (wide nostrils) can be narrowed to make nose symmetric & beautiful. Narrowing of this part needs to put incisions on external side of nose (sometimes it leads to unacceptable scarring). So, I avoid narrowing of alar base unless there is no alternate maneuver for correction.

Being the most delicate part of the face, eyelids show effect of ageing first on face before anywhere else. This is apparent by appearance of multiple creases, drooping of lids and lower eyelid bags (bulging / puffiness of lower lids – “Baggy eyelids”) with tear trough deformity around it. (Area of depressed skin below lower lid)

Youthful appearance of eye is because of good elasticity of skin and strength of holding facial and eyelid muscles. With aging, skin loses its elasticity and holding muscles gets weaker leading to drooping of lids.

In Blepharoplasty, excess skin removed, sagging muscles tightened and fat removed or redistributed to correct bulging or depressions without visible scar on lids. Depending on specific problem, we correct upper lids, lower lids or both sets of lids

Just like nose, lip is a central aesthetic feature of face. Fullness of lips gives them sensuous, young and attractive look. This fullness of lips gradually decreases as aging progresses, making them small, lax and less attractive due to tissue breakdown. You may have developmentally small lips, which looks less attractive. Sometimes, lips lack attractive shape. Small lips without attractive shape make a person feel under confident. Different options for lip augmentation / enlargement

  • Fillers
  • Fat injection

Filler injection are usually temporary, need repeat injection at 6-8 months to a year. But they are better to give finest improvement / details to lips. Down time is less compare to fat injection. Some touch up may be required later to give best contour to lips to meet your expectations. It doesn’t require long anesthesia, instead only needs topical anesthesia creams.  After filler injection, you may experience some redness, swelling which typically disappear after one or two days. You can resume normal activities immediately after procedure.

Fat injection is more extensive procedure with long down time (8-10 days) and requires some anesthesia for 1-2 hours but the results are permanent. At most, it needs one additional procedure in case of resorption of fat in 1st stage. It is better used to improve gross / macro details of lip size and shape (see fat injection section for more details). You need to take rest on day of procedure. You can resume normal activities on next day.

Lip reduction is done to bring large lips in balance with other facial features. This is an excellent solution for oversized and excess pouting lips to make them well shaped, descent and slender to look attractive.

In some cultures dimples are considered a sign of good luck and prosperity. Also, dimples help brighten a smile and add character. Your sibling or close friend may have dimples and you may also want to have them.

A natural dimple is usually formed when there is a small defect in the Buccinator muscle of the cheek. The skin overlying this small defect is stuck down to the underlying connective tissue and creates a dimple in the skin with smiling. Dimple creation surgery can replicate this naturally occurring process. It is possible to surgically create permanent dimples. Dimple creation surgery can be done on any type or sized cheek. You can decide where the dimples will be, or our cosmetic surgeon will suggest you the most optimal place for the dimples on your face.

This procedure is done under local anesthesia to make it painless. Incision is placed inside your mouth, so, doesn’t leave any scar mark on your skin outside. Entire procedure takes around 30 minutes to complete. In the beginning the dimple is present even without smiling (static), but after several weeks, the dimple is only present while smiling (dynamic) and looks beautiful.

First sign of aging face is appearance of folds and wrinkles on face. This is a natural phenomenon because of breakdown of tissues. Along with aging, nature of your skin, sun exposure and gravity also play important role in drooping skin.

Face lift surgery reverse your aging clock by 8-10 years and transform your face to make, look & feel younger.

In this procedure, excess skin is excised and remaining skin is tightened to give you young look.

You may be dissatisfied with your facial features & contours, which can be made more attractive by placing implants underneath face skin. When some parts of face are small/asymmetrical on otherwise beautiful face- since birth, due to poor development, aging process or due to injury to particular area, this surgery is required to give an elegant look to face. Most commonly, they are made up of silicone, which is considered inert to body. This includes Jaw implant, Cheek implants & Nasal implants. Incisions to place implants are planned to make the scar least visible. Sometimes, this may be added to fat injection for facial contouring.

Many individuals, starting from childhood, are unhappy with the size or shape of their ears. Or, for some, the ears protrude more than they should, are asymmetrical, or droop too low. Children may be teased at school; and adults might go to great lengths to hide their imperfect ears with their hair or by wearing hats. Fortunately, Otoplasty, also referred to as Cosmetic Ear Surgery, is readily available to cosmetically alter the ears. The procedure can have a dramatic impact on a person’s appearance, confidence, and overall quality of life. This corrective surgery is extremely popular among adults and children alike.

Otoplasty is an outpatient procedure. It is used to reshape one or both ears. It also includes ear/earlobe reduction and cauliflower ear surgery to remove and re-contour excess skin and cartilage. Patients experience a significant increase in confidence and self-esteem once their ears have been given a more desirable appearance.

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