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Cosmetic Procedure
Face Lift
A facelift will lift your sagging cheeks, smooth your
jaw line, and eliminate jowling. Plastic surgery of
the face will also tighten the loose skin of your neck,
remove excess fat from under your chin, and correct
the turkey-gobbler appearance of your neck.
A facelift will NOT (here comes the bad news) eliminate
your wrinkles and other skin problems. You may want
to consider Skin Care, Laser Resurfacing, Chemical Peel,
and Dermabrasion to complement a facelift because they
address these problems.
Brow Lift
row lift (forehead lift) is a plastic surgery
procedure that will raise your eyebrows to a higher
and more aesthetic position. It will also improve lateral
hoods (which are the droopy flaps of skin that hang
over the outside corner of your eyes. Plastic surgery
of your forehead will also soften your horizontal forehead
wrinkles and the scowl lines between your eyebrows.
A brow lift will NOT improve baggy eyelids, puffy eyes,
or crow's feet. Consider eyelid surgery or wrinkle treatments
for these problems.
Blepharoplasty
Plastic surgery of the eyelids is effective
for making puffy, baggy, tired eyes look more youthful
and (in many cases)...more awake. In particular, it
can improve baggy lids by removing excess skin, and
it can improve puffiness by removing excess fat. It
can lift droopy lids and strengthen weak lids. Cosmetic
eyelid surgery (bleph) can even change Asian eyelids
to make them appear more Caucasian by redefining the
crease of the upper eyelid. With all of these possibilities
in cosmetic eyelid surgery, you are probably wondering
how much eyelid surgery you need? Eyelid surgery must
be tailored to each individual, depending on their concerns
and the condition of their eyelids. For example, some
people need only to have their lower lids improved,
others have their upper lids done, and some have both
done. Some have only skin removed, some fat, and some
both. Some need a lift of a droopy eye lid, others do
not. Your plastic surgeon should design a plan for you
that addresses all of your concerns, but does not go
overboard. Finally, be aware that eyelid surgery has
its limitations and will NOT improve crow's feet, droopy
eyebrows, scowl lines, and hoods that droop down from
the outer corner of the eyelids. To improve these problems,
you may need wrinkle treatments or a brow lift.
Asian Blepharoplasty
Asian blepharoplasty, less frequently known
as an Oriental blepharoplasty, is a type of plastic
surgery where the skin around the eyes is reshaped.
The purpose of the procedure is to create an upper eyelid
with a crease (i.e. "double eyelid") from
an eyelid without a crease (i.e. "single eyelid").
Anatomically, there are a number of differences in the
upper eyelids of Asians compared with Caucasians. About
50% of eastern Asians are born with a single eyelid,
and Asian blepharoplasties have been reported to be
the most common aesthetic procedure in Taiwan and Asia.
Still, this procedure has been reported to have a relatively
high rate of complications. Oculoplastic surgeons, as
specialists in the eye and surrounding structures, are
the practioners most trained for this procedure. A procedure
to remove the epicanthal fold (i.e. an epicanthoplasty)
is often performed in conjunction with an Asian blepharoplasty.
Rhinoplasty
A rhinoplasty can alter the shape and appearance
of your nose by changing the underlying cartilage and
bone. Nose surgery can make a large nose smaller, make
a wide nose thinner, and make a long nose shorter. A
nose job can also make a big tip more refined. Rhinoplasty
can remove a hump or build up a flat nose. The possibilities
are endless, and your plastic surgeon should tailor
an operation for you that addresses your concerns but
does not give you more than you wanted.
Asian Rhinoplasty
The Asian facial composition is quite specific.
One feature in particular is the nose. It has been found
that Asians have fewer growth centers in the mid face
than people of European descent. This explains the common
position of the nose and upper lip. The nose essentially
sits deep into the face and the upper lip tilts backwards
and toward the nose at an angle less than 90 degrees.
Another feature is the Columella, or underside of the
nose, is not visible because it sits well up inside
the nose. Because of these unique characteristics for
people of Asian descent, a combination of Asian Rhinoplasty
procedures can be done to modify and improve the esthetics
of the nose.
Mentoplasty
Genioplasty/Mentoplasty is a type of cosmetic
surgery that is used to improve the appearance of a
person's chin. This can take the form of chin height
reduction or chin rounding by osteotomy, or chin augmentation
using implants.
Jaw Surgery
rthognathic surgery is surgery performed
on the bones of the jaws to change their positions.
Orthognathic surgery is corrective facial surgery where
deformities of the jaw exist. It may be indicated for
functional, cosmetic, or health reasons. It is surgery
commonly done on the jaws in conjunction with orthodontic
treatment, which straightens the teeth.
Cheek Surgery
A cheeklift is different from a facelift.
The facelift addresses relaxation of the lower third
of the face, the jowls and nasolabial folds (the crease
between the nose and the corners of the mouth). Excess
skin is removed. A cheeklift procedure rejuvenates the
cheek fat (malar fat pad) by elevating it upward and
backward over the cheek prominence. Unlike a facelift,
this procedure restores the architecture of the face
without removing skin.
Otoplasty
Otoplasty is a type of cosmetic surgery that
is used to alter the appearance of a person's external
ears. This type of ear surgery is performed in order
to bring the ears closer to the head. Other reconstructive
procedures deal with the deformed, overly large, or
abscent-microtic ears. There are two problems with the
protuberant, "lop ear". The first, and most
common, is that the natural crease, the "antihelical
fold", that returns the outer ear direction back
towards the head is abscent or under-developed. The
second is that the "conchal bowl" is overly-deep
and redundant and it pushes the entire ear away from
the head.
Hair Transplant
Hair transplantation involves relocating (transplanting)
bald resistant hair follicles from the back and sides
of the head (the donor areas) to a person’s bald or
thinning areas. The transplanted hair follicles will
typically grow hair for a lifetime because they are
genetically resistant to going bald. In recent years
hair transplantation techniques have evolved from using
large plugs and mini grafts to exclusively using large
numbers of small grafts that contain from between 1
to 4 hairs.
Medical Procedures Septoplasty
Septoplasty is a corrective surgical procedure
done to straighten the nasal septum - the partition
between the two nasal cavities. Ideally, the septum
should run down the center of the nose. When it deviates
into one of the cavities, it narrows that cavity and
impedes airflow. Nasal obstructions caused by serious
deviations frequently lead to chronic sinus problems.
Turbinate reduction may also be advised to further enlarge
the nasal cavities. Most surgeries are completed in
90 minutes or less, not including recovery time.
Sinus Surgery
Functional Endoscopic Sinus Surgery (FESS)
is a surgical modality for some diseases of the nose
and paranasal sinuses. It is a relatively recent surgical
procedure that uses the help of nasal endoscopes (which
make use of Hopkins rod lens telescopes): these are
endoscopes which have diameters of 4mm and 2.7mm and
come in varying angles of vision from 0 degrees to 30,
70, 90, and 120 degrees. These provide good illumination
and can be introduced into the nose after anesthetising.
Salivary Gland
The following salivary gland problems may
require surgical intervention:
- Neuromuscular incoordination leading to drooling.
- Too little saliva is produced, in conjunction with
salivary gland infection
- Blocked ducts (e.g. a stone or calculus in the duct)
- Cyst formation
- Tumour formation in the gland.
Tonsillectomy /
Adenoidectomy
A tonsillectomy is a surgical procedure in
which the tonsils are removed. Sometimes the adenoids
are removed at the same time.
Tonsillectomy may be indicated when the patient:
- Experiences frequent bouts of acute tonsillitis.
The number indicating tonsillectomy varies with the
severity of the episodes. One case, even severe, is
generally not enough for most surgeons to decide tonsillectomy
is indicated.
Has chronic tonsillitis, consisting of persistent,
moderate-to-severe throat pain.
- Has multiple bouts of peritonsillar abscess.
- Has sleep apnea (stopping or obstructing breathing
at night due to enlarged tonsils or adenoids)
- Difficulty eating or swallowing due to enlarged
tonsils
- Is suspected of having cancer.
Most infections indicating tonsillectomy are a result
of Streptococcus infection ("strep throat"),
but some may be due to other bacilli, such as Staphylococcus,
or viruses. However, the etiology of the condition is
largely irrelevant in determining whether tonsillectomy
is indicated.
Adenoidectomy is the surgical removal of the adenoids.
They are removed if they block breathing through the
nose and if they cause chronic earaches or deafness.
The surgery is common; recovery time is painful and
lasts from 2 to 3 days.
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