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Temporal lift (lateral eyebrow lift)
A temporal lift is a cosmetic surgery procedure designed to address signs of aging around the eye. Indeed, when eyebrows do sag, the face look tired, dull and even sad. When they are lifted, the whole face look bright and attractive. Also, eyebrows movements determine the expression of the face (surprise, doubtful, sad…etc). However, the excessive use of the eyebrows may lead to the appearance of deep forehead furrows, and frown lines. Sometimes, this can be perceived as early aging signs.
The best candidate for temporal lift
The best candidate for temporal lift or lateral brow lift is men or women who are in their 40s or 50s and have begun to notice some facial ageing process around the eyes. The brow start to sag and there is appearance of crow’s feet at the corner of the eyes and mid face.
The Surgery
Technically, there are two modern cosmetic surgery techniques for Temporal lifting or Lateral brow lift.
1- The Keyhole endoscopic technique: the surgeon uses and endoscope with a camera and few short incisions within the hairline.
2- the temporal lift with short incisions placed about one inch behind the hairline. This techniques are a better alternatives to repeated use of Botox®, and they do minimize crow's feet around your eyes. Dr. Mounir makes two small incisions above the hairline. Using specialized instruments, the temporal fascia will be tightened and fixed into place with surgical staples. The process only takes around 60 minutes. The cosmetic surgery results can be noticed immediately and there are no drains or dressings required. The surgery could be combined with other cosmetic surgeries. The temporal lifting usually will be performed under general anaesthesia as day case at the Bridgewater hospital in Manchester or Highgate Hospital in London.
The Recovery
The recovery process for temporal lift cosmetic surgery patients is short. Normal activities and work can be resumed within a 7 to 10 days and shower would be allowed within five to seven days. Little bit discomfort is normal. There may be little bit swelling involved for a five or seven days but it disappears rapidly. Bruising or numbness is normal after the surgery. Patients can also apply makeup after five days of surgery.
Risks and complications
All surgery carries some risks, but having a registered qualified London brow lift surgeon such as Dr. Mounir performing the procedure ensures that complications are rare. Nevertheless it is important to be aware that the complications that can occur include:
- Nerve damage (very rare) resulting in a loss of the ability to raise your eyebrows. Additional surgery may be able to correct it, or it may be permanent.
- Formation of a broad scar leading to Hair loss along scar edges.
- Numbness
- Infection and bleeding.
Neck Lift (platysmaplasty)
Neck lift is cosmetic surgery procedure designed for the tightening of neck skin and underlying soft tissues in order to achieve a more youthful appearance of the neck. It could be combined with other cosmetic surgery procedures.
Who needs a necklift?
During the aging, the effect of gravity, sun exposure and hormonal changes will affect the face and neck. Deep creases, folds and loose skin start to become noticeable in the lower part of the face and Neck. Therefore, the necklift or so-called platysmaplasty procedure is efficient for restoring the youthful shape the lower jaw, and reducing the excess skin of the neck.
The Surgery
There are different cosmetic surgery approaches to perform necklift). This is because the necklift became a popular procedure, and cosmetic surgeons are always trying to improve them techniques to achieve better results. The neck lift takes about 2 hours and is usually performed under general anaesthesia. The cosmetic surgery takes place either at the bridgewater Hospital in Manchester or at the Highgate hospital in London. Dr Mounir starts by making an incision behind the ear and back on the hairline. Then, the incision continues its run to the front of the ear. A small incision under the chin may also be needed. The main goal of the surgery is to tighten the neck muscle called platysma (platysmaplasty) in order to achieve the desired cosmetic effect. Also, when needed, the necklift will be combined with liposuction.
The Risks
Any cosmetic surgery will carry some risks, it is important for you to assess the benefits and the risks of the necklift. It is important to inform Dr Mounir about any medical conditions such as heart condition, high blood pressure, and Blood clotting problems. This could affect your cosmetic surgery. As with any surgery, the necklift procedure could be subject to complications, which although are rare but do occur. These include bruising, collection of blood beneath the skin, infection, poor wound healing, poor scars, numbness and injury to the nerves that control the movement of the face. We always advise our patients to stop smoking before and after the surgery.
After the Surgery
Usually, necklift could be performed as daycase and you do not need to stay overnight. The stitches are removed after 7 days. Mild discomfort after the necklift procedure is normal but excessive pain is anormal. Bruising, swelling and numbness may persist up to two weeks after the surgery, depending on whether you had liposuction or not. The scars are discreet and placed in the hair or the skin creases around the ears. They will continue to fade for at least 12 months. The cosmetic surgery out come of the necklift depends on many factors, such as the used surgical technique, patient’s age, skin quality, and of course the patient’s expectations. Our experience is so, that patients are usually very satisfied and the effects youthful appearance should normally last for 6-12 years.
Dermabrasion
The word dermabrasion comes from “derm” meaning skin, and “abrasion” which is a term for a sort of damage where the surface of the skin is scraped off. Dermabrasion is a cosmetic surgery procedure designed to improve scars or soften facial wrinkles. Dermabrasion, similar to chemical peeling or laser treatment, is a technique which smoothes the top layer of skin and trigger new collagen formation and new skin re-growth. For deep upper lip wrinkles, dermabrasion is the treatment of choice. Also the surgical scars could be improved when treated with Dermabrasion. Usually, the scars become smoother and change to finer and less noticeable results.
How does it Work?
Generally the cosmetic surgeon uses a hand-held device with a rotating metal wheel, diamond fraise to peel off the superficial skin. This cosmetic surgery is performed under general anaesthesia. Usually, the plastic surgeon prepares the target area with antiseptic solution to prevent infection. Dermabrasion can take between a 30 minutes to 2 hours.
After the surgery
Dermabrasion is a difficult cosmetic treatment with a slow recovery. We always advise our patients not to smoke for one week after treatment or to use make-up during the first 7 days. We also advise not to: use Retin-A for four weeks, no aspirin or ibuprofen for one week, no physical activity for 4 weeks, no sun exposure for at least 3 months. After dermabrasion cosmetic treatment, the patient may feel the skin severely burnt or brushed for a couple of days. Pain relievers will often be recommended to reduce discomfort after the treatment. The healing process for this type of cosmetic treatment would normally take around ten days. The new layer of the skin would be pink in color at first and would develop the normal skin tone gradually. Generally the pinkness would fade away within six weeks. Makeup may be used for covering up the skin once the new layer of the skin gets healed. In most cases, patients would be able to resume their day-to-day work within a week or two post dermabrasion cosmetic treatment. The patients would be advised to avoid indirect or direct contact with sunlight for up to six months post treatment. Use of sunscreen on a regular basis would be required.
Ear reshaping (otoplasty)
Protruding ears are a facial characteristic, which does need plastic surgery more than any other cosmetic pathology. Generally speaking children are the most likely candidates for ear correction, but otoplasty can be performed at any age after the ears have finished developing. We always advise an early cosmetic surgery correction to stop the child to become the victim of cruel nicknames. This is could be a problem leading to self-consciousness and poor social integration. Adults may also be candidate for ear correction, which usually improves them self-image.
Technically speaking, otoplasty takes approximately two hours to perform. As an outpatient, patients will be placed under sedation or general anesthesia. A small incision will be made at the back of the ear. Then, the cartilage in the ears will be reshaped and the ear will be held in position by permanent stitches. The degree of reshaping will be assessed during prior to otoplasty surgery, so it's important that you discuss with your surgeon your expectation and explain your desired shape during the first consultation. The healing is usually quicker than many other cosmetic procedures. Bandages will be applied to the ears and patients may feel some discomfort as the local anesthesia wears off.
Normally, patients are able to see the cosmetic out come of their ear correction surgery or otoplasty within three days, after removal of the dressing. We always advise the patient to avoid any physical activity, which could compromise the recovery. Stitches are usually removed after one week. We instruct our patients to wear a headband at night for an additional three weeks. Most adult patients are allowed to return to work after about 5 days; children can go back to school after about one week.
Risks associated with ears correction or otoplasty include bleeding, infection and asymmetry of the ears.
Eyelid Surgery
The cosmetic surgery procedure involving the removal of excess fat, excess skin, and muscle, from the upper and lower eyelids is called Blepharoplasty. In United Kingdom, Blepharoplasty is popular and considered to be the second most common cosmetic procedure performed by aesthetic surgeon.
Candidates for Eyelid Surgery
The best candidates for cosmetic surgery blepharoplasty are those that have realistic expectations of the cosmetic out come and are healthy mentally and physically. Patients with medical problems such thyroid dysfunction or allergies that has affected them eyes appearance, should seek alternative treatment rather then cosmetic surgery.
Before the surgery
Before proceeding with cosmetic surgery of the eyes, you will need to have a private consultation with a qualified cosmetic plastic surgeon. This consultative process is necessary to discuss your expectations and to learn about the risks and complications involved with blepharoplasty. It is important to discuss what impact the surgery should achieve. Some patients, for example, may only want to reduce the bags under the eyes without skin removal.
The surgery
Based on the out come of your cosmetic consultation and your expectation, the location of the incisions will be then chosen. Usually, the resulting scar will be as hidden as possible. During the surgery of the upper eyelids (upper blepharoplasty) the incision should be made in the natural crease. For the lower eyelids, an incision is normally made just underneath the lashes or inside the lower eyelid (depending on your clinical examination). Both positions allow for the scar to be well discreet. Usually, the scar will heal nicely into fine line. During the cosmetic procedure, the needed amount of excess skin and any herniated fat will be removed. Then, the skin is closed with stitches to be removed after 5 to 7 days. We always advise our patients, prior to cosmetic surgery, to arrange transportation home and to wear sunglasses when leaving the hospital. The cosmetic surgery would take place either at the Bridgewater hospital in Manchester or at the Highgate hospital in London.
After the surgery
Following your cosmetic surgery, it is normal to feel some soreness in the treated area. Bruising will appear and resolve within 10 days. Your cosmetic surgeon should be available to respond to any concern you may have while you are healing. We always advise our patient to try to keep the head elevated and limiting physical activity. Cold compresses can be helpful to reduce swelling and should be applied 2 to 3 times a days for 10 minutes. Rarely, after lower blepharoplasty the lower eyelid may be retract down causing so-called ectropion. Usually this does resolve within 4 to 6 weeks. If it does not resolve on its own further surgery may be necessary. The known complications of any cosmetic surgery procedure, such as bleeding, infection, wound break down and bad scarring are also possible, but rare.
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