Cosmetic surgery is more commonly accepted today than ever before. The quest for the fountain of youth is as old as humanity. Fortunately, today’s facial cosmetic techniques make this age-old quest more reality than fantasy. The rise in popularity of facial cosmetic surgery is due to less guilt about altering our facial features and bodies. Men are joining the women and no longer feel they are being self-indulgent.
One way to ensure a balanced relationship of features, or to correct the ravages that time inflicts on the face, is to perform multiple procedures . A typical combination of procedures might be a face lift with liposuction, eyelid reconstruction, nose and ear contouring, chin augmentation and laser resurfacing.
By combining multiple facial cosmetic procedures in to a single operation, the surgeon can achieve a balance of natural-looking features that complement each other.
Aging gradually affects every part of the face, but there are cosmetic surgeries that enhance appearance:
- A face lift can be performed when skin appears loose and less elastic;
- To eliminate fat pads around the chin, jowls, cheek, jaw-line or neck, liposuction sculpturing is recommended to break up and remove fat;
- To create higher cheek bones, an implant can be inserted;
- Forehead drooping or eyebrow laxity can be corrected with an upper-third lifting procedure;
- The nose, which generally starts drooping during middle age, can be refined, while conserving or improving respiratory function;
- Sometimes a receding chin accentuates a large nose and makes the neck appear shorter. This can be corrected with an implant to balance the face;
- Those who have misshaped, protruding ears can obtain a more pleasing appearance with ear reconstruction;
- Excess skin of the upper eyelids might begin to sag with lower eyelid bagging and wrinkling. Eyelid reconstruction can correct this;
- Small lines at corners of the mouth, above and below the lips, and multiple facial wrinkles can benefit with laser resurfacing or dermabrasion and collagen treatments;
- Slim lips can be made fuller with lip augmentation or restylane treatments.
Surgical Team Effort
The undertaking of such combined surgical approaches requires a team effort on behalf of the anesthesiologist, surgeon, surgical nurses and patient.
Excellent anesthesia is essential. The patient has no perception of the length surgical time involved and is quite comfortable throughout the entire operation. Consequently, there is no postoperative pain when all procedures are performed atraumatically. Complete rehabilitation of the aging face can be performed in a single setting with minimal patient discomfort.
As with other surgery, to determine patient suitability, preoperative laboratory work is required; including blood work-up, electrocardiogram, urinalysis, and chest x-ray. A good candidate is in optimal physical condition. Any contraindications should be evaluated and corrected before surgery can be performed.
Same Day Surgery
Multiple procedures can be performed as day surgery in either a hospital or surgical center, allowing the patient to return home that same day. The time it takes to recuperate is minimized since surgery is only performed once. Depending on which procedures are performed, the healing process takes one to two weeks.
The growing acceptance of cosmetic surgery has made facial improvements commonplace. In the past several years, facial cosmetic techniques have changed dramatically with newer advances and the refinement of established procedures, resulting in longer lasting and far more impressive outcomes. Today’s surgically altered appearance is more natural and less stereotyped.
Our society places emphasis on health, fitness and beauty. Looking better can help create a healthy, positive outlook. Few seek perfection.
Eye contact is of paramount importance! In a person’s daily interaction with others, one of the first facial features we notice immediately are the eyes.
The eye and brow region are the most attractive, expressive units of the face. The mobility of the eyebrow is an important component of facial expression. The eyebrows are considered a frame for the eyes and the location of the brow contributes to the appearance of a youthful, attractive eye.
Any detraction from these features can be quite noticeable. For this reason, surgical rejuvenation of the upper third of the face is a vitally important part of aesthetic facial surgery.
Significant drooping of the eyebrows and consequent hooding over the eyes may portray an incorrect communication about your age, mood or feelings to others. Downward displacement of the medial (inner third) eyebrow makes a person appear older and look angry or annoyed. Lateral drooping of the brows might cause a tired, sad or older appearance.
In more severe cases, heaviness of the eyebrows contributes to the interference of upward and peripheral version, as does drooping eyelid tissue. This is due to a partial or complete loss of sensation or motion (especially voluntary motion) of the tissues and muscles.
Lacking this necessary ability and strength, the eyebrow is incapable of functioning normally, and the person habitually contracts the forehead muscles in order to have a better visual field. They, in turn, not only have difficulties relaxing the tension they have placed on their forehead muscles, but many experience constant headaches from this strain.
The direct eyebrow lift approach is utilized to adjust the muscles and lift up the entire brow area. This decreases the amount of excess skin and reduces wrinkles and consequent hooding of the medial (inner third) portion and the later (outer) portion of the eyebrow. Any procedure designed to elevate the eyebrows can cause a slightly surprised look. Sometimes this is disconcerting to the patient, but it need not be. Invariably, the muscles are over corrected. Following surgery, there is a settling that soon takes place.
For long-term effectiveness, great care is taken to orient the placement of the incision. The further away the incision site is from the area being treated, the less effective the lift. Therefore, better results can be obtained when the incision is placed close to the eyebrow. The incision should be placed in a natural crease closest to and along the upper limit of the eyebrow.
The direct eyebrow lift would be contraindicated for those who might have a history of abnormal scarring. A desirable lift, on the appropriate candidate, might be obtained with minimal and acceptable scarring. Light dermabrasion (sanding of the skin), if needed, can be performed a few months afterwards. Scars usually take several months to mature. The detection of scar is usually not noticeable. Incisions made within the edge of the eyebrow hairline are normally very kind in healing. A well defined upper boarder of hair bearing skin is, therefore, quite important. A dense brow helps conceal a scar more thoroughly. Furthermore, a woman has the advantage of using makeup or an eyebrow pencil to camouflage any detectable scar.
The facial skin type and texture is noted. The direct brow lift is reserved for patients who have soft, non-oily skin. The eyebrow lift would be contraindicated for those with thick, oily, porous, Mediterranean-type skin. An alternate lifting approach might be more suitable; such as, the coronal or pretrichial forehead lift, the mid-forehead lift, or the temporal lift.
The eyebrows are dependent on the forehead for support of gravity as the upper eyelids are dependent on the eyebrows. When the eyebrow is located below the supraorbital rim, it produces drooping on the upper eyelid. Many patients would not be satisfied with the correction of the eyebrows alone, if loose and damaged skin remains on the upper eyelids and vice versa. If correction of the upper eyelids was performed and drooping eyebrows still are prelevant, having the upper eyelid procedure performed in conjunction with the eyebrows can achieve an aesthetic and functional improvement. Lower eyelid surgery can assuredly be beneficial, at the same time, when protruding fat pouches or loose skin is present. This would balance the effect.
The upper face always will hold equal significance as the middle and lower thirds of the face. However, in many cases, the upper face is the key element when seeking facial rejuvenation.
It is universal where people are living longer, feeling physically well, and leading more productive lives. Medical and nutritional advances have provided us with limitless potential in achieving healthier bodies. In the past ten years or so, the trend towards health, fitness and beauty have become linked together. Many have become more health conscious with a passion for nutritional foods and routine exercise programs.
The desire to preserve a youthful appearance is as old as mankind itself. We live in a time where much emphasis is placed on our outward appearance. Our youth-oriented society seeks to be physically fit and physically attractive. Making the investment to perfect our physical self, for most, is a lifelong commitment. Knowing how much is involved in maintaining a healthy body, these energetic people want to also look as good as they feel.
It is no wonder why facial cosmetic surgery has truly come of age. The rise in its popularity is partly due to a muchmore healthier image of ourselves. There is much less guilt today about altering our facial features and bodies. The stigma of being frivolous or pretentions has almost vanished. Men are joining the women and no longer feel they are being self-indulgent. Taking pride in appearance is a personal gift to oneself, not a narcissistic indulgence.
Over the years, it has been proven a little vanity is good. One should care about outward appearances; which reflects how they feel about themselves. It has also been proven that a lack of interest in your looks could be an early sign of depression. Most with a healthy self-image want to appear at their best. Feeling different or unattractive can be quite at their best. Feeling different or unattractive can be quite devastating. This loss of self-esteem could lead to increased anxiety and deterioration of the personality. We have become sophisticated enough to know many characteristics involved in appearing attractive can only be altered by aesthetic surgery.
There are numerous reasons which motivate people to seek cosmetic surgery. However, one of one most important reasons to alter the appearance should be out of a genuine desire for self improvement. Most want to look as good as they can. One means of achieving this end is by surgically enhancing the appearance. Generally, they are quite content and happy in their lives. They are opting for surgery either to improve the unattractive signs of aging before they become so dramatic, or sculpturing features; which have long made them feel uncomfortable. Improving one’s appearance and feeling good about doing just that is definitely a healthy attitude to maintain.
Those who embark on facial cosmetic surgery with realistic motives and expectations will not only walk away looking good but feeling good, too. This good feeling, in turn, reflects on professional endeavors’ and personal lifestyle. When people take pride in their appearance, they have a happier disposition, higher self-esteem and more self-confidence.
Following cosmetic surgery, it is the renewed sense of self-image; which often provides that extra measure that might otherwise be difficult to obtain. This added edge, oftentimes, leads to a healthier lifestyle of eating nutritionally and exercising regularly. When the appearance is corrected, the psychological, as well as, aesthetic changes are phenomenal. This secondary benefit is sometime more striking than the physical change itself.
An appreciation of how the skin ages be helpful in averting or at least delaying facial cosmetic surgery. Numerous bio-chemical changes beyond our control take place in the skin early in adult life. When we are young, our skin can resist tugging and can quickly tighten up again every time we smile, frown, squint or lose even a considerable amount of weight. However, the effect of this stress is cumulative, and after a number of years facial lines become evident.
Many factors can hasten the skin’s decline. Our elastic and collagen fibers along with connective tissues hold the skin to underlying tissues, allowing the skin to stretch and spring back. Over the years our skin becomes much like old rubber bands that can no longer spring back as well as they once did. At the same time, there is a decline in the flow of blood that nourishes the skin.
As you have undoubtedly heard before, prolonged exposure to the sun is bad for the skin, causing a weathered, wrinkled appearance. Too much sun will dry the top layer of the skin cause damage to deeper levels, attacking the tissues that support the skin and elastic tissues that maintain its tone. When the tissues are damaged they literally break apart, allowing the stretching and sagging that result in premature wrinkles.
Excess intake of alcohol destroys the skin’s elastic collagen, fibers and fat cells. In addition to internal damage, many alcohol abusers suffer from vitamin and nutritional deficiencies. This combination is enough to erase any beauty the skin once possessed.
Another major factor in premature skin aging is cigarette smoking; which diminishes blood flow to the skin. It also changes the fat padding under the skin’s surface, resulting in skin discoloration. Studies have shown yellow-gray pallor is frequently seen in heavy smokers, rather than a natural pink coloration. Smokers do acquire wrinkles at an earlier age; the habit is not only hazardous to health, but also hazardous to beauty.
Poor nutrition and lack of sleep and exercise will also contribute to skin deterioration. Once the damage has been done, it is irreversible, though amending bad health habits can certainly slow down the decline. The best treatment is, of course, prevention. Protect your skin – especially your face – from the sun. Use sun screen products on all exposed skin. If you use alcohol, do so in moderation. Stop smoking, eat well, and get adequate rest and exercise. You may not be able to stop the aging process – but the year’s passage will be less evident on the face.
You may, at some time, decide to join the half-million patients who helped erase the effects of time on their faces last year through cosmetic surgery. Surgery can improve and balance your features while it helps correct the signs of aging.
Especially in men, overly large or malformed ears are one facial feature difficult to camouflage. Prominent ears are a favorite subject for the cruel teasing of children. No one is immune from this ridicule, including the crown prince of Great Britain, whose classmates nicknamed him jug ears. Unlike Prince Charles, however, most of us do not have our position in life assured by birth, and such an “outstanding” feature might do harm in later life as one seeks employment.
Fortunately, this problem can be corrected in early childhood, before teasing can create self-concept and self-confidence damage.
When a child is between 4 and 6 years of age, the ears have grown sufficiently enough to undergo corrective surgery, called Otoplasty. At this early age, the cartilage that determines the ears shape is pliable enough to be corrected.
Otoplasty can “pin back” or alter the shape of the ears and correct malformed, large, protruding or floppy ears, caused by the absence of folds inside the ear. This procedure, of course, can be performed on adults.
Most often, for children, this relatively painless surgical procedure is done under general anesthesia. Adults usually require only a local or IV “twilight sleep” sedation. Otoplasty is done as a day surgery procedure, returning home that same afternoon.
The incision is made behind the ear, and the cartilage is reshaped. No visible scarring occurs as the incision is concealed in the fold behind the ear. A dressing is placed over the ears and removed within a week. At that time, sutures are removed, and any bruising that might occur will disappear within a week to ten days. The results of this operation will last a lifetime.
Cosmetic surgery of the ears cannot promise instant happiness, but it can help create confidence. Enormous emotional rewards can be obtained when the appearance is corrected. Those who have always had enlarged ears might want to change their hair style after surgery; since they no longer need to cover unsightly protruding ears.