Rhytidectomy (Facelifting)

OVERVIEW OF THE PROCEDURE

The face-lift procedure is carried out to restore a more youthful and rested appearance by removing excess fat, tightening underlying muscles and repositioning the skin of the face and neck. The procedure can be done separately or in conjunction with eyelid surgery. Facelifting is performed to improve the appearance of facial skin making it look younger, the most spectacular results being visible on the neck and cheeks. Rhytidectomy does not remove all fine facial wrinkles.  For fine line reduction eg. those around the mouth or eyes, other techniques are used such as: deep peels (EXODERM,WEEKEND-PEEL) or smoothing the skin texture with the injection of substances (AQUAMID, botulinum injection). The incisions are made in the natural creases of the skin in the frontal part of the ear and up in the direction of the temples, and behind the ear in the hairline. The procedure can be performed with local or general anaesthesia. Long hospitalisation is not required.

HOW LONG DO YOU HAVE TO STAY IN THE CLINIC ?

Stitches in front of the ears are removed within 3-4 days after the surgical treatment. Other dissolvable stitches remain for two weeks.Hair can be washed 5 days after the procedure.

RECOVERY TIME

Normal social activity is possible 14-16 days after the surgery. The post-surgical scars are hardly noticeable. They are either hidden by your hair, or those in front of the ear are concealed in the typical skin crease in this area.
In total  a minimum 4 nights in Poland are required.

Step 1 – Anesthesia

Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

A variety of other procedures can further enhance the outcome of a facelift. They include:

• Facial implants
• Soft tissue augmentation to recontour the facial structure
• Resurfacing techniques to improve the tone and texture of facial skin
• Wrinkle reduction by injection

Step 2 – The incision

Depending on the degree of change you’d like to see, your facelift choices include a traditional facelift, limited incision facelift or a neck lift.

A traditional facelift incision often begins in the hairline at the temples, continues around the ear and ends in the lower scalp. Fat may be sculpted or redistributed from the face, jowls and neck, and underlying tissue is repositioned, commonly the deeper layers of the face and the muscles are also lifted.

Skin is redraped over the uplifted contours and excess skin is trimmed away. A second incision under the chin may be necessary to further improve an aging neck. Sutures or skin adhesives close the incisions.

Traditional Facelift

An alternative to a traditional facelift uses shorter incisions at the temples, continuing around the ear and possibly within the lower eyelids or under the upper lip.

Limited Incision

Sagging jowls, loose neck skin and fat accumulation under the chin may be corrected with a neck lift. The neck lift incision often begins in front of the ear lobe and wraps around behind the ear ending in the lower scalp.

Neck Lift

Step 3 – Closing the incisions

Once healed, the incision lines from a facelift are well concealed within the hairline and in the natural contours of the face and ear.

Step 4 – See the results

The visible improvements of a facelift appear as swelling and bruising subside. Your final result should not only restore a more youthful and rested appearance, but also help you feel more confident about yourself.

Brow lift forehead lift

Step 1 - Anesthesia

Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

Step 2 - The incision

A brow lift may sometimes be performed using an endoscope (surgical video device price £1200) and special instruments placed through small incisions made within the hairline. This allows the tissue and muscle beneath the skin to be repositioned, altered or removed, correcting the source of visible creases and furrows in the forehead.

 Correction of a low-positioned or sagging brow may be made with or without the use of an endoscope through incisions at the temples and in the scalp.

This technique may be done in conjunction with incisions hidden within the natural crease of the upper eyelids to eliminate frown lines between the brows, on or above the bridge of the nose.

An alternative brow lift technique is the coronal brow lift. (£900)The coronal brow lift can pinpoint specific regions of the brow to correct.

This technique involves an incision from ear to ear, lifting the forehead and removing excess skin from the scalp.

Recovery time is often longer than the endoscopic brow lift due to the size of the incision.

The incision lines from a brow lift are well concealed within the hair or natural contours of the face unless they are placed at the hairline to shorten the forehead.

Results appear gradually as swelling and bruising subside to reveal smoother forehead skin and a more youthful, restful appearance.

Step 3 - Closing the incisions

Brow lift incisions typically are closed with:

• Removable or absorbable sutures
• Skin adhesives
• Surgical tape
• Special clips

Step 4 - See the results

Brow elevation may be maintained by the use of:

• Permanent sutures
• Small surgical screws
• Absorbable fixation device placed inconspicuously at the temples
  

  Blepharoplasty (Eye Bags)

OVERVIEW OF THE PROCEDURE

Eyelid surgery is performed to remove some upper eye infolding or under-eye bags, as well as fine lines around the eyes, and possibly excess fat and muscle. Patients often choose to have both procedures done at the same time. The procedure gives the eyes a more youthful, alert appearance. Nothing ages you faster than tired eyes. As you get older, it’s common to develop under-eye bags and heavy, hooded eyelids that make you look tired all the time. The skin around the eyes is especially thin, and becomes thinner and looser as we age.

 During the procedure the surgeon usually administers local anaesthesia, often under the supervision of the anaesthesiologist. Incisions are made in natural skin creases. The surgeon then takes away the loose skin and fatty tissue to leave a smoother eyelid. With a lower blepharoplasty, an incision is made just below the lower eyelash and the surgeon removes excess skin and fat.

RECOVERY TIME.

Two weeks for the bruising to come down. Patients can return to work after 10 days. The scars left by upper blepharoplasty are hidden in the natural crease of your eye. A lower blepharoplasty leaves pale pink scars which are hidden by the lashes and fade.  4 days in Poland are required.

 Otoplasty (Ear surgery)

Otoplasty is a common surgical procedure performed to correct the appearance of the ear. The usual reason for visiting a cosmetic surgeon is protruding ears. Otoplasty is performed by making incisions in the back of the ears to expose the ear cartilage. Some cartilage is remodelled and the ear repositioned.  The scars remaining behind the ears are hardly noticeable.

PROCEDURE TIME

Surgery is usually performed with local anaesthesia. The procedure is completely painless and is completed within about an hour.

POSTOPERATIVE CARE TIME

Two days in Poland are required.

  Rhinoplasty

While the shape of your nose is usually the result of heredity, the appearance may have been altered in an injury or during prior surgery.

Also known as rhinoplasty, surgery of the nose improves the appearance and proportion of your nose, enhancing facial harmony and self confidence.

Surgery of the nose may also correct impaired breathing caused by structural abnormalities in the nose.

What can surgery of the nose accomplish?

Rhinoplasty can change:

• Nose size, in relation to the other facial structures
• Nose width, at the bridge
• Nose profile, with visible humps or depressions on the bridge
• Nasal tip, that is large or bulbous, drooping, or too upturned
• Nostrils that are large, wide or upturned
• Nasal asymmetry and deviation

Is it right for me?

Nose surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image. Surgery of the nose is a good option for you if:

• Your facial growth is complete and you are 13 years of age or older
• You are physically healthy
• You stop smoking