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Face Lift

A face-lift (rhytidectomy) is a cosmetic surgical procedure to improve the look of your face and neck.

During a face-lift, facial soft tissues are lifted, excess skin is removed and skin is draped back over the newly repositioned contours. A neck lift  often done as part of a face-lift.

You might choose to have a face-lift if your facial skin is beginning to droop — a common occurrence with aging. A face-lift might also boost your self-confidence.

A face-lift, however, won't affect the quality of your facial skin. If you have wrinkles or sun damage, you might also consider a skin-resurfacing procedure. A face-lift can be done in combination with some other cosmetic procedures, such as a brow lift or eyelid surgery.
 
Why it's done
As you get older, your facial skin changes — sagging and becoming loose. This can make the lower part of your face appear rectangular in shape. A face-lift can give your face a more youthful heart-like shape.

You might consider a face-lift if:

 
  • Your facial skin has become loose
  • Your cheeks are sagging
  • The creases below your lower eyelids and around your lower lip and chin are becoming deeper
  • You have excess skin hanging from your lower jaw line (jowls)
  • You've lost definition and have excess fat in your neck
  • Vertical bands of skin in your neck (platysmal bands) have become visible
A face-lift isn't a treatment for superficial wrinkles, sun damage, creases around the nose and upper lip, or irregularities in skin color.
 
What You Can Expect
During the procedure
Techniques used to remove facial skin and reposition facial and neck tissues vary depending on your desired results. The specific technique your plastic surgeon chooses will determine the location of the incisions and the resulting scars.

Your doctor might use one or more of the following techniques:

Traditional face-lift. Your doctor will make incisions in your hairline starting at your temples, continuing down and around the front of your ears and ending behind your ears in your lower scalp. An incision might be made under your chin to improve the appearance of your neck.
Limited-incision face-lift. Your doctor will make short incisions in your hairline starting at your temples and continuing down and around the front of your ears. Incisions might also be made in the lower eyelids or under the upper lip.
Neck lift. Your doctor will make incisions starting in front of your earlobes and continuing around behind your ears in your lower scalp.
After making the incisions, your doctor will sculpt or redistribute fat from your face, jowls or neck and redistribute the underlying tissues. He or she might also use a suction technique to remove fat (liposuction). In some cases fat suctioned from other areas of your body might need to be added to specific areas of your face.Your skin will then be draped over the new contours and excess skin will be removed. Stitches or tape will be used to close the incisions.

A face-lift generally takes two to four hours but might take longer if other cosmetic procedures are done at the same time.

After the procedure
After a face-lift, your incisions will likely be covered with bulky bandages that provide gentle pressure to minimize swelling and bruising. A small tube might be placed under the skin behind one or both of your ears to drain any excess blood or fluid.

In the first few days after a face-lift:

Rest with your head elevated and take pain medication as recommended by your doctor
Avoid exposing your incisions to excessive pressure or motion
Don't wear clothing that needs to be placed over your head
Avoid drinking alcohol — which can cause blood vessels to widen and lead to bleeding — for at least two weeks.

Ask your doctor when it's OK to resume daily activities, such as washing and drying your hair, bathing and other routine physical activities.

You'll probably see your doctor the day after your face-lift. The doctor will likely remove your drainage tube, apply antibiotic ointment to your incisions and place new bandages on your face. Two to three days after your face-lift, you'll likely be able to switch from wearing bandages to an elasticized facial sling.

Your doctor will likely remove your stitches during separate visits within five to 14 days after your face-lift. He or she will also carefully check your incisions for ingrown hairs, which need to be removed to prevent infection and inflammation.

Your incisions will crust as they begin to heal. Don't pick at the crusts.

You might prefer to remain home while you're recovering from a face-lift. A week after your face-lift, you can begin using makeup to the edge of your scars to conceal any redness or bruising. Avoid unprotected sun exposure until your scars are no longer pink.

After a face-lift, contact your doctor immediately if you have:

Pain on one side of your face or neck within 12 hours of surgery
Shortness of breath
Chest pain
Irregular heartbeats
 Risks

Risk

A face-lift poses various risks, including
1.Scarring. Incision scars from a face-lift are permanent but typically concealed by the hairline and natural contours of the face and ear. If you have short hair, you might consider growing your hair before a face-lift to cover your incisions while they heal. Rarely, incisions can result in raised, red scars. Injections of a corticosteroid medication (Kenalog-10) or other treatments might be used to improve the appearance of scars. Swelling and bruising.

2.Swelling and bruising for several weeks. Swelling might distort your facial features or stiffen your facial movements. This is a normal part of recovery that typically goes away after several weeks. Keeping your head elevated and applying cold compresses can help.

3.Changes in skin sensation. During a face-lift, the repositioning of your facial and neck tissues can affect superficial sensory nerves. You'll likely feel some numbness in your cheeks, scalp and neck for a few months up to two years.

4.Hair loss. You might experience temporary or permanent hair loss near the incision sites. Areas affected by temporary hair loss will begin to recover in about three months. Permanent hair loss can be corrected by transplanting skin with hair follicles from your scalp to the area or by removing the bare area of skin. If the area of hair loss is large, a portion of your scalp with hair can be moved to the bare area.

5.Facial nerve injury. Rarely, a face-lift can damage the facial nerves. This can result in temporary or permanent weakness of facial muscles due to facial nerve paralysis.

6.Skin loss. Rarely, a face-lift can interrupt the blood supply to your facial tissues. This can result in skin sloughing. Smoking increases the risk of skin loss after a face-lift.

Like any other type of major surgery, a face-lift poses a risk of bleeding, infection and an adverse reaction to anesthesia. A face-lift isn't for everyone. Your doctor might caution against a face-lift if you:

1.Take blood thinners. Use of blood thinners (Coumadin, Plavix, others) can affect the blood's ability to clot and increase the risk of bleeding after a face-lift.

2.Have a medical condition. If you have a medical condition, such as an unusual tendency to bleeding, you won't be able to have a face-lift. If you have a condition that might interfere with your ability to heal after a face-lift, such as uncontrolled diabetes, your doctor might urge caution. If possible, your doctor will work with you to manage your condition in preparation for a face-lift.

3.Have a history of repeated weight gain and loss. Repeated stretching of the facial skin can cause your skin to prematurely become loose again after a face-lift.

4.Smoke. Smoking increases the risk that you'll experience skin loss after a face-lift. If you smoke, your doctor will recommend that you stop smoking before surgery and during recovery.
 how-to-prepare

How to Prepare

Initially, you'll talk to a plastic surgeon about a face-lift. During your first visit, your plastic surgeon will likely:

1.Review your medical history. Be prepared to answer questions about current and past medical conditions, such as high blood pressure. Talk about any medications you're taking or have taken recently — especially those that might affect your blood's ability to clot — as well as any surgeries you've had.

2.Do a physical exam. To determine your treatment options, the doctor will examine your facial skin, facial bone structure and neck. Patients who have thin, angular faces are likely to achieve better results from a face-lift than are patients who have round faces, low cheekbones or short jawbones. The doctor will also note any scars, skin irregularities or asymmetry in your face before recommending a specific technique. He or she might also take pictures of your face for your medical record.

3.Discuss your expectations.

Explain why you want a face-lift and what you're hoping for in terms of appearance after the procedure. Make sure you understand the benefits and risks, including scarring and hair loss. Before a face-lift you might also need to:
1.Follow medication directions. You'll likely need to avoid taking aspirin, anti-inflammatory drugs and herbal supplements, which can increase bleeding. You might need to start taking antibiotics before a face-lift to prevent an infection after the procedure. Also, if you're prone to high blood pressure, you might need to take blood pressure medication before a face-lift.

2.Wash your face and hair. You'll likely need to bathe and wash your hair the night before and the morning of your face-lift.

3.Avoid eating. You'll be asked to avoid eating anything after midnight the night before your face-lift.

4.Arrange for help during recovery. If your face-lift is done as an outpatient procedure, make plans for someone to drive you home after surgery and stay with you for at least one to two days.

Brow Lift

A brow lift, also known as a forehead lift or forehead rejuvenation, is a cosmetic surgical procedure to improve the appearance of the forehead, the brow and the area around the eyes.

During a brow lift, the soft tissue and skin of the forehead and brow are raised.

You might choose to have a brow lift if you have creases across your forehead or between your eyes or a low, sagging brow. A brow lift might also boost your self-confidence.

A brow lift can be done alone or with other facial procedures, such as eyelid surgery (blepharoplasty) or a face-lift.
Why it's done
Ageing typically causes the lines across the forehead and between the eyes to deepen. As skin and soft tissues lose elasticity, the distance between the eyebrows and eyelashes also shortens. The combination of low eyebrows and deep creases can make you look tired, angry or sad. A brow lift can soften facial lines, raise the eyebrows and restore a softer, more pleasing appearance.

You might consider a brow lift if you have:
  • Creases across your forehead or high on the bridge of your nose, between your eyes
  • Vertical creases between your eyebrows
  • A low or sagging brow that's contributing to sagging upper eyelids
What you can expect
A brow lift is done in a hospital or an outpatient surgical facility. During a brow lift, you'll typically be comfortable with the aid of a general anaesthetic — which renders you unconscious.

During surgery
Brow lift techniques vary depending on your desired results. The specific technique your plastic surgeon chooses will determine the location of the incisions and the resulting scars.

Your doctor might use one of the following techniques:
  • Endoscopic brow lift. Your surgeon will make several small incisions behind your hairline. He or she will then insert a long thin tube with a light and a tiny camera mounted on its end (endoscope) through one of the incisions to view your underlying muscles and tissues. Using an instrument inserted through another incision, your surgeon will lift your forehead tissues and anchor them in place with sutures, small screws or another technique. Your incisions are then closed with stitches or small clips.
  • Coronal brow lift. Your surgeon will make an incision behind your hairline across the top of your head, from ear to ear or primarily on the top of your head. He or she will lift your forehead into its new position, with the scalp in front of the incision overlapping the scalp behind it. The overlapping scalp is then removed and the remaining scalp is sewn together. This technique is not typically done in people who have high hairlines, thin hair or who are likely to lose their hair.
  • Hairline brow lift. Your surgeon will make an incision between the top of your forehead and the beginning of your hairline. He or she will remove a small amount of skin and tissue from the top of your forehead, rather than your scalp. As a result, your hairline won't be pulled back. The technique can yield dramatic improvements in horizontal creases. A hairline brow lift is often used if someone has a high receding hairline. However, depending upon healing, a scar might be visible along the hairline.
    Brow lift surgery typically takes about two hours.

    After surgery
    After a brow lift, your forehead might be taped and your head might be loosely wrapped to minimise swelling. A small tube might be placed along the incision site to drain any excess blood or fluid.

    Your doctor will give you specific instructions on how to care for your incisions. In the first few days after a brow lift:
  • Rest with your head elevated and take pain medication as recommended by your doctor
  • Apply cold compresses to relieve swelling
  • Avoid exposing your incisions to excessive pressure or motion
As your incisions heal, you might experience itching and numbness, which will likely diminish over time. If your incisions are covered in bandages, your doctor will likely remove them in one to three days. Sutures typically will be removed within seven to 10 days of surgery.

Ask your doctor when it's OK to resume daily activities, such as washing and drying your hair and bathing. Keep in mind that swelling might last several weeks. Incision lines will fade over time. You might use makeup to conceal any prolonged bruising.

After a brow lift, contact your doctor immediately if you have:
  • Shortness of breath
  • Chest pain
  • Irregular heartbeats
 Risks

Risk

A brow lift poses various risks, including:

1.Scarring. Scarring might be visible after a brow lift.

2.Changes in skin sensation. A brow lift that involves an incision behind your hairline (coronal brow lift) can cause temporary or permanent numbness on top of the scalp.

3.Asymmetry in the position of the brows. A brow lift can result in asymmetry, with one or both of the eyebrows appearing too high. However, asymmetry typically evens out during the healing process. Persistent brow shape or position problems can be treated through additional surgery.

4.Hair problems. A brow lift can cause an elevated hairline or hair loss at the incision site. If hair loss doesn't resolve on its own, it can be treated with scar excision or hair grafting. Like any other type of major surgery, a brow lift poses a risk of bleeding, infection and an adverse reaction to anesthesia.
 how-to-prepare

How to Prepare

Initially, you'll talk to a plastic surgeon about a brow lift. During your first visit, your plastic surgeon will likely:

1.Review your medical history. Be prepared to answer questions about current and past medical conditions. Talk about any medications you're taking or have taken recently, as well as any surgeries you've had. Tell your doctor if you are allergic to any medications.

2.Do a physical exam. To determine your treatment options, the doctor will examine and measure different parts of your face with your eyes open and closed. The doctor might also take photographs for your medical record.

3.Discuss your expectations. Explain why you want a brow lift, and what you're hoping for in terms of appearance after the procedure. Make sure you understand the benefits and risks.

Before a brow lift you might also need to:

1.Stop smoking. Smoking decreases blood flow in the skin and can slow the healing process. In addition, smoking increases the risk of tissue damage. If you smoke, your doctor will recommend that you stop smoking before surgery and during recovery.

2.Avoid certain medications. You'll likely need to avoid taking aspirin, anti-inflammatory drugs and herbal supplements, which can increase bleeding.

3.Arrange for help during recovery. Make plans for someone to drive you home after you leave the hospital and stay with you for at least the first night of your recovery at home.

Chick Augmentation


Cheek Augmentation is a surgical procedure and through the non-surgical procedure to reshape the cheeks to give more projection, more volume, and results in a more harmonious balance to your facial features. This can be done surgically with cheek implants or non-surgically with fillers.

Procedure
The process is technically simple. It generally encompasses freezing up the cheek region and typically making an incision inside of the mouth in the region of the cheek bone, splitting the surrounding tissues around the bone and placing the implant in the pocket. Some surgeons place the cheek implant in a lower eyelid incision, or during a facelift they can expediently be placed using the routine facelift incision. To some extent, it also depends upon the patients as to how much big they would prefer their cheek implants to be.

Post Procedure Care
Do not sunbathe after the surgery, chiefly for the first few months. Keep the incision lines clean and use ointment to keep the incision line moist. Immediately notify your surgeon if any areas of special pain or swelling are there. If there is fluid draining from a region of a wound, immediately inform the doctor. DON'T panic as most of the problems can be easily treated and managed. If you were given antibiotics or other prescriptions, take them as recommended.

Cheek Augmentation Complications
As with any surgery, there are some risks of infections, postoperative bleeding, creation of a blood clot and severe swelling. Irregularity is a risk with all forms of cheek augmentation. The patient can feel some amount of numbness as well.
Sculpt Aesthetic & C
If you are considering undergoing cheek augmentation surgery, cheeks fat removal and cheek implants in Ambala, India, then your best choice is  Dr. Singla Aesthetics Ambala, India. You may visit our center for comprehensive evaluation and in-depth inspection to reach a personalized treatment plan with best cosmetic surgeon.

Chin Augmentation


Chin Augmentation is best-suited individuals with fat deposit beneath the chin. This gives a "double" chin look. Chin Liposuction removes fat from "submental" region or below the chin. This is an outpatient procedure done under local anaesthesia. It is performed in 30 to 60 minutes. The results are permanent, since fat cells are physically removed, so there is no area where fat can be deposited. This is an excellent procedure to give facial definition and definition to the jawline.

Procedure
There are usually two main types of surgeries that are done for the chin, contingent on whether the person has a bite problem or not. If it is simply a cosmetic problem, a chin implant or reduction can work satisfactorily. If someone is having a difficulty with their bite, a malocclusion of the teeth (TMJ syndrome) may be present and these need to be treated dynamically. In the procedure of overhauling the dental alignment, the chin is supposed to be rotated into the proper position too. The implant can be inserted in two ways, either from outside or inside of the mouth. In case of bigger implants, principally if they add more volume to the side jaw, they are placed via a skin incision beneath the chin.

Post Procedure Care
Do not sunbathe after the procedure, particularly for the first few months. Keep the incision lines clean and use ointment to keep the incision line moist. Instantaneously inform the doctor if any areas of special pain or swelling are there. If there is fluid oozing out from a region of a wound, notify your doctor. You don’t need to panic as many glitches can be easily treated and managed. If you were given antibiotics or other pills, take them as recommended.

Chin Augmentation Complications
In the case of implant infection, the implant must be removed and interchanged at some later date. There are also probabilities of implant displacement in some cases.
If you wish to undergo chin reshaping procedure, chin augmentation, chin implant and reduction in Ambala, India, then your best choice is Dr. Singla Aesthetics Ambala, India. At our center, you can get the comprehensive evaluation, relevant information and detailed examination to reach a personalised treatment plan with a best chin augmentation surgeon.

Lip Augmentation


Full lips are sought after by most women, as they are a sign of youth and desirability. If you do not come by full lips naturally then lip augmentation might be a solution to your less defined lip problem. When a patient opts for injectable filler the procedure will be done on an outpatient basis and it will be done under local anaesthesia. The local anesthetic (or pain killer) may be topical (as in applied directly to the skin), it may be injected before the start of the procedure or it may be injected with the filler.

There are many different types of injectable fillers, cosmetic fillers or autologous fat filler that can be used for the lips. Some of the most common injections include Restylane, Juvederm, Esthelis, Fortelis, Radiasse, and Aquamed. The effects last from 6 months to 2 years depending on the type of filler used. Autologous Fat filler is the most permanent type of filler which uses your own body fat.