“Doctor, I would like to have a facelift !”, “Doctor, I don’t want to have a complete facelift !”, “Doctor, I would like to have a semi-facelift !”… These requests are still made to plastic surgeons, yet they have become somewhat dated.…read more
- Facelift is still a fundamental and efficient technique, once considered the cornerstone of facial rejuvenation, but only if it is part of a combined multi-technique strategy: the aim is to improve the face-oval and neck slackening. The expected scar will be located in the peri-auricular region and hidden by the ear line and hair. Dissection is firstly sub-cutaneous and then sub-muscular. Muscles are repositioned (deep facelift or plication) before smoothing the skin layer. Facelift is not effective enough on important areas such as cheekbones and naso-labial folds. It is complemented by other techniques.
- The medio-facial lift is the latest facelift technique. It derives from maxillofacial surgery and treats the cheek bone ptosis. The scar is a lower blepharoplasty scar, under the ciliary line. The medio-facial lift objective is to achieve a higher repositioning of cheekbones generating an undeniable young looking result on the eye region.
- Frontal lifting interventions have decreased since the arrival of effective botulinum toxin.
- Today, the temporal lift technique is used less frequently and is very often combined with blepharoplasty (eyelids surgery).
To optimise the final result, the above lifting techniques can be combined to one another and/or to other medical treatments.
- Lipostructure or lipofilling allows:
- volume loss correction (cheekbones, chin, folds),
- filling of hollow areas (temples, hollow eyes),
- lips replump,
- cutaneous radiance improvement.
It is a subtle, elegant and natural technique for optimising many facelifts today
- Blepharoplasty enhances the radiance around the eyes; it is an essential, straight-forward and discreet treatment.
- Lipo-aspiration of heavy necks and jowls.
- Medical processes:
- fillers are used in the treatment of wrinkles and to increase the face volume. This method is an easy and effective solution with few side-effects and few contraindications,
- the botulinum toxin relaxes and gives a healthy glow to the skin ; it is the ideal treatment for the upper third part of the face;
To conclude, the surgeon should meet with requirements of a natural-look, efficiency, discretion and minimise recuperation time. Modern thinking now favours combining techniques:
- surgical procedures focus on targeted sector facelifts in conjunction with other medical or surgical techniques;
- medical procedures, using botulinum toxin and hyaluronic acid, can be used either to support surgical procedures or even replace them in some cases.
Lipostructure, commonly known as lipofilling, is a medical technique whereby the patient’s fat cells from one region of the body are transferred to another. The aspirated fat is processed by centrifuging.…read more
Applications for lipostructure are extensive. It can be used to restore facial volumes, smooth out irregularities and fill the naso labial folds.
It is very efficient on areas with a low mobility structure – cheekbones, chin, temples – as well as on more subtle ones – circles under eyes, lips and eyebrows-.
Lipostructure can be performed alone or combined with other traditional aesthetic surgery techniques (lifting, blepharoplasty).
Blepharoplasty, or eyelid surgery, is an elegant, efficient technique which gives a natural result. It rejuvenates by correcting hereditary defects and ageing effects without changing the look..…read more
It may be applied to upper or lower eyelids. Upper blepharoplasty will improve and enhance the look by removing excess or drooping upper eyelid skin.
Lower blepharoplasty reduces puffy bags below the eyes and wrinkled skin. Treating hollow eyes and dark circles are more delicate procedures which can be carried out in conjunction with lipostructure.
To achieve a better result, blepharoplasty can be combined with cheek-bone treatment (lipostructure or midface-lift).
Blepharoplasty is a short-term procedure and is generally performed as an out-patient. The patient should allow one week to recover before taking up social activities again.
Rhinoplasty is a frequently requested corrective and subtle surgery of the nasal pyramid, which may “change a life”.…read more
If you do not like your nose, you may think that it is the only part of the body which others look at, causing a poor self-image.
Rhinoplasty helps the person to feel attractive, raising self-esteem. Surgery helps provide a harmonious balance to facial features. Patients feel more comfortable with their image.
From a technical point of view, it is an elegant operation, causing no scars. It is performed to eliminate a nose hump, redefine the nasal tip, shorten a nose perceived as too long or reduce a nose which is too big. The most attractive rebuilt nose is the one that does not attract attention, the one which will emphasise the eyes. The most attractive rebuilt nose will perfectly match the shape and volume of the face.
The use of motorised micro-instruments has brought more subtlety to techniques (in particular with regard to bones’ procedures). We refer to motorised rhinoplasty or « rhinosculpture ».
Sometimes a plastic surgeon may recommend chin surgery (osteotomy, lipostructure, chin implants) to patients combined with rhinoplasty, in order to achieve the best balanced facial proportion. The combination of nose and chin surgery is called profiloplasty.
Techniques used are either:
- move the bones (maxillo facial surgery)
- fat transfer (lipostructure)
- or prosthesis put in place through a small hidden incision.
Photographic analysis aids an understanding of the concept of facial balance and harmony. Genioplasty can be a stand-alone procedure or can be combined with rhinoplasty as part of a profiloplasty.
Otoplasty can correct a defect in the ear structure.
Prominent ears in children and adults may be considered unattractive. In this case, otoplasty becomes a viable option. From a technical point of view, these defects are due to cartilage problems. …read more
Incisions for otoplasty are generally made on the rear surface of the ear. Correction of protruding ears uses surgical techniques to create or increase the antihelical fold (just inside the rim of the ear) and to reduce enlarged conchal cartilage (the largest and deepest concavity of the external ear). Behind appearances, this operation is a delicate one.
Patients who have received this intervention appreciate the results.