Face

People who have low eyebrows, their eyebrows fall on their eyes at the rate given by their age, and there is a lot of wrinkling and compression in this area. It can be given as an answer to the question of what is temporal lift. The stretching process is completed with the incisions cut from the points where the hair and skin meet. The stretching process takes approximately 30 or 60 minutes. With this stretching procedure performed by applying anesthesia, the patient will have the most risk-free operation. This surgery is quite risk-free and fast. It is the most effective method among the rejuvenation secrets that also have different procedures such as Botox. Temporal lift surgery does not want again and remains on the face for quite a long time. Temporary procedures such as Botox, on the other hand, are effective for a maximum of 1 year.

Why is Temporal Lift Done?

Temporal lift surgery is especially performed in people who are older and have fractures. Since this procedure is very easy to apply, anyone can have it done quickly and painlessly. The important rule for people in this type of plastic surgery is that it is painless. Since it is an operation performed with anesthesia, it is a very simple procedure. With the surgery, which is especially preferred by people whose upper eyelid falls over the eye, the area around the eye is opened and a more lively and youthful appearance is obtained. If people with forehead wrinkles are looking for a permanent solution, the only way is to perform the surgery. With the Temple Lift Surgery, wrinkles on the forehead will not occur for a long time. It is possible to eliminate the deep and non-closing lines that occur between the eyebrows that appear as we age. The lines formed between the eyebrows are the part that shows the most age, as they give people a particularly angry and tired look, so this is the part where the most procedures are done. It is possible to eliminate deep wrinkles formed and located between the eyebrows with surgery. Crow's feet, which are the most common signs of aging, are actually a symptom that is not age-related. Crow's feet is a problem that can be faced by people of all ages. Since crow's feet are generally related to the skin structure, there is a connection between the people they appear with, not age, but skin type.

How is Temporal Lift Surgery Performed?

Temporal lift surgery is one of the easiest operations. The person who will have the surgery will never feel any pain as anesthesia will be applied first. The stretching process is completed by cutting the skin from the points where the hair and skin of the person who will have the surgery meet, and it is possible to become the youngest in a very painless way. Wrinkles and sagging that will occur with this surgery are prevented. The surgical procedure takes 30 minutes or 60 minutes in length. Although this process is a very easy process, it should be done by the most expert doctors. There is no harm in giving the answer to the question of what is a temple lift surgery. The duration of the procedures applied during the surgery varies according to the skin and age. If the person's face has excessive wrinkles and winding, this period may be longer. Not everyone's skin is cut in the temple lift surgery. The skin of people with excessive sagging may need to be cut and removed. Sometimes only the skin is attached to the roots of the hair. It is not possible to find any traces on the roots of the hair during and after this procedure. It is usually very important to take painkillers after the surgery. Taking painkillers in the measures determined by the doctors will be enough to relieve the pain. People who have Temporal Lift Surgery are usually kept under observation for 6 hours and discharged on the same day. After the application, it is possible to encounter some swellings on the forehead and around the eyes. It is not possible to find any traces on the roots of the hair during and after this procedure. It is usually very important to take painkillers after the surgery.

Who Can Have Temporal Lift Surgery?

People who have wrinkles on their face, deep wrinkles and crow's feet can have the temporal lift surgery, anyone who has a very small gap between eyebrows and eyelashes due to low eyebrows, and anyone who has problems during make-up. People who want to increase the distance between the eyes and eyebrows apply to the surgery, which is generally thought to be performed by the elderly. However, most people who have Temporary Lift Surgery have people who reach a certain age and meet with wrinkles and sagging. Those who have a temporal lift can return to their lives in a very short time. Temple Lift Surgery is a very useful and long-term solution for people with crow's feet. Crow's feet are not usually an age-related problem. During the temple lift surgery, the person does not feel any pain, so it is the most preferred plastic surgery. After the surgery, the person can recover within 3 hours and meet their walking and eating needs and can be discharged from the hospital 6 hours later.

Recovery Time After Temporal Lift

Since temporal lift surgery is a very easy and fast procedure, it is preferred by many people. After the Temporary Lift Surgery, the person starts to do certain activities such as talking, walking and eating after 3 hours. However, the time required to fully understand that there is no problem is 6 hours. The person who has this surgery may feel numbness and swelling after the surgery, these side effects are quite normal side effects, even if these side effects are not present, it can be counted as saying that the surgery was not successful. These side effects will pass within two weeks. If it doesn't go away, it's a good idea to consult a doctor. At the end of two weeks, the swelling and bruising problem experienced by the person will disappear. Patients who have undergone surgery should be protected from direct sunlight for at least 3 months. Although the recovery process is different for everyone, it is expected that the side effects will disappear within two weeks in general. Recovery time in this procedure varies depending on the skin structure. If the skin structure is thick, the sitting time may take a little longer after the operation. If a person with a thin skin structure has had Temporal Lift Surgery, he/she will start to see the effects of Temporal lift surgery as soon as possible. The postoperative recovery period can be given as approximately 3 months.

What Is Considered After Temporal Lift?

The most important rule after temporal lift surgery is not to make facial expressions. It is very important not to make gestures that force the eyebrows, eyes and temples for the temporal lift surgery to show its effect for a long time and to prevent new wrinkles from forming. In particular, wrinkles occur as a result of squinting as the inability to look at the sunlight or squinting in people who cannot see far to try to focus by squinting. In order to prevent wrinkles in the long term, it is necessary to avoid wearing sunglasses and gas throttling in order to prolong the duration of the surgery and to benefit from the surgery. Another procedure that needs to be done after the surgery is to stay away from sunlight for a while. Thus, the young image captured after the temporal lift surgery will be preserved for a very long time. The procedure to be done after the operation should be to constantly pay attention to himself. After the operation, the person must be careful about himself and the operated area. The person who has this surgery should be protected from direct sunlight for at least 3 months. Although the recovery process is different for everyone, it is expected that the side effects will disappear within two weeks in general. Recovery time in this procedure varies depending on the skin structure. If the skin structure is thick, the sitting time may take a little longer after the operation. If a person with a thin skin structure has had this surgery, he will begin to see the effects as soon as possible. Temporal stretching surgery maintains its effect for a very long time.

MIDFACELIFT

Midface Lift Surgery

Our faces change as we age, including volume loss, sagging skin, and the development of deep lines and wrinkles. Midface lift surgery is one of the best ways to combat these aging symptoms and regain a more youthful appearance.
This procedure lifts the cheeks and reduces the nasolabial folds in the middle of the face. Everything you need to know about midface lift surgery-from its advantages and the procedure itself to the healing process and what to anticipate-will be covered in this comprehensive guide.

What is Midface Lift Surgery?

The goal of mid face lift surgery, also referred to as a cheek lift or subperiosteal midface lift, is to rejuvenate the mid face area of the face. The nasolabial folds and hollows under the eyes are diminished as a result of the surgery, which lifts and repositions the fat and soft tissues of the cheeks to give them a more youthful contour. The end result is a more youthful, refreshed appearance with improved facial harmony.

Benefits of Midface Lift Surgery:

Restored Volume: Midface lift can bring back lost cheek volume, giving the face a fuller, younger appearance.
Reduced Nasolabial Folds: This surgery can significantly lessen the appearance of nasolabial folds (the lines that run from the corners of the mouth to the nose) by elevating the cheeks.
Enhanced Facial Harmony: Midface lift can enhance the facial harmony and balance, giving the patient a more attractive appearance.
Long-lasting Results: Midface lift typically produces results that last, and many patients continue to benefit from its advantages years after surgery.

Midface Lift Surgery Procedure:

Step 1: Consultation - Your plastic surgeon will assess your facial features, go over your goals, and decide whether you are a good candidate for a midface lift during your initial consultation.
Step 2: Anesthesia - Your comfort comes first, so you'll either receive general anesthesia or local anesthesia with sedation, as recommended by your surgeon.
Step 3: Incisions To reduce obvious scarring, the surgeon will make small, undetectable incisions in the hairline or inside the mouth.
Step 4: Lifting and Repositioning -The surgeon will lift and reposition the fat and soft tissues of the cheeks in step four to give them a more youthful and elevated contour.
Step 5: Closing the Incisions - To reduce scarring, the incisions will be carefully closed with sutures or surgical adhesive.

Recovery and Aftercare:

An average mid-face lift recovery time is between one and two weeks. To achieve the best results, it's essential to adhere to your surgeon's aftercare instructions. Common suggestions include the following:

Maintaining an elevated head position to reduce swelling.
Using cold compresses to lessen swelling and bruising.
For at least two weeks, refrain from strenuous activities and heavy lifting.
Cleaning the incision sites gently as your surgeon instructs.
Using prescription drugs to treat pain and avoid infection.
In the first few days after the procedure, swelling, bruising, and discomfort are frequent; however, these symptoms usually go away in one to two weeks. In most cases, it takes 7–10 days for patients to resume work and daily activities.

Surgery for a midface lift can significantly improve the harmony of your face while restoring volume and youthful contours. You can decide whether to have the procedure by being aware of it, its advantages, and the healing process.
It's crucial to speak with a board-certified plastic surgeon with experience in facial procedures if you're thinking about having this procedure. They will be able to assess your particular requirements, go over your objectives, and develop a personalized treatment plan to assist you in getting the best outcomes.
Please get in touch with us if you have any inquiries about midface lift surgery or would like to arrange a consultation with our knowledgeable staff. We're here to support you as you work toward a revitalized, younger appearance.
Keep in mind that your plastic surgeon's skill and experience will play a major role in the outcome of your midface lift surgery. Spend some time finding a surgeon who has experience performing facial surgeries and a dedication to patient satisfaction. You deserve the best treatment and outcomes for your face because it plays a key role in your overall appearance.

How is mid-face lift different from traditional facelift?

A mid-face lift concentrates on the middle third of the face, focusing on the cheeks and the region around the nose and mouth, as opposed to a traditional facelift, which primarily targets the lower third of the face and the neck.

NECKLIFT

A neck lift is a cosmetic procedure that removes excess skin and fat around the jaw line, creating a more defined and youthful-looking neck. Results can be long lasting. But neck lift surgery can't stop the aging process. Neck lifts also are known as neck rejuvenations.
A neck lift can reduce signs of aging in the lower part of the face. It's often done as part of a face-lift. Neck lift is sometimes called neck rejuvenation.

What does neck lift surgery do?

Surgery for a neck lift has a number of advantages, including:

Improved contour and definition: By removing extra skin and fat and tightening the underlying muscles, a neck lift can help create a more sculpted, youthful-looking neckline.
Reduced neck bands: The procedure can reduce the visibility of vertical neck bands brought on by muscle separation or laxity.
Improved jawline: A neck lift can help reestablish the jawline's definition and produce a more harmonious facial appearance.
Long-lasting effects: Unlike non-surgical procedures, neck lift surgery offers long-lasting effects that, with the right maintenance and care, can last for many years.

What is Neck Lifting Methods?

Surgery for a neck lift employs a variety of techniques, some of which include:
Cervicoplasty: This procedure involves removing extra skin and tightening the skin that is left over to give the neck a smoother, more youthful appearance.
Liposuction: Unwanted fat deposits may be removed using liposuction if excess fat is causing an appearance of a "double chin" or a poorly defined jawline.
Platysmaplasty: This procedure involves pulling the platysma muscle tighter and repositioning it, which can help minimize neck bands and give the neck a more toned appearance.
Depending on your unique concerns and objectives, the best technique(s) for your neck lift surgery will be chosen. During your consultation, your plastic surgeon will assist you in choosing the best course of action.

Neck Lifting Process of Recovery

Following a neck lift procedure, recovery usually entails:

Swelling and bruising: These side effects should go away within the first two weeks. Swelling can be reduced by applying cold compresses and keeping your head elevated.
Pain and discomfort: Mild to moderate discomfort is typical during the initial stages of recovery. To help you manage any discomfort, your plastic surgeon will probably prescribe pain medication.
Activity restrictions: Most patients can resume light activities in a week or two, but they should refrain from strenuous activities and exercise for at least four to six weeks.
Return to work: Two to three weeks after your neck lift surgery, depending on the nature of your job, you might be able to go back to work.
Compression garment: Wearing a compression garment or neck wrap may be advised by your doctor to help reduce

How long do the results of neck lift surgery last?

Although neck lift surgery produces long-lasting results, it cannot reverse the effects of aging. The elasticity and strength of the skin and muscles may continue to decline with time. However, a neck lift can help you continue to look younger for a long time. Adopt a healthy lifestyle and, as needed, think about non-surgical treatments to help maintain the results.

What is the difference between a neck lift and a facelift?

A neck lift primarily aims to improve the neck's appearance by addressing loose muscles, sagging skin, and extra fat. However, a facelift addresses problems like jowls, nasolabial folds, and sagging cheeks by focusing on the lower face and midface. Both procedures can significantly rejuvenate the face, but they focus on different parts of the face. A neck lift and a facelift can frequently be combined to produce a more thorough facial rejuvenation.

Can a neck lift be performed under local anesthesia?

A neck lift may occasionally be carried out while sedated and under local anaesthesia. The extent of the procedure and the needs and preferences of each patient, however, will determine this. During your consultation, your plastic surgeon will go over your options for anaesthesia and work with you to select the one that is best for your needs.

What are the potential risks and complications associated with neck lift surgery?

Neck lift surgery entails some risks and potential complications, just like any surgical procedure. These may consist of:

Hemorrhage or hematoma
Infection
Negative effects of anesthesia
Scarring
Nerve damage that could cause numbness or weakness to last for a while or always
Asymmetry
Necrosis of the skin or slow wound healing
Unsatisfactory outcomes that might necessitate revision surgery

To reduce the possibility of complications, it is crucial to go over these risks with your plastic surgeon during your consultation and to abide by their pre- and post-operative instructions.

RHINOPLASTY

Rhinoplasty is a surgical procedure in which the form of the nose is reconstructed. Nose is among the most prominent features of the face. For this reason, it would be quite difficult for a person to avoid in their daily life any feeling of discontent they have for their own nose. Such a situation which the person is not pleased with, or which is not welcomed by the other people connected to that person will also have a negative impact on the person’s self-esteem, their psychological condition, and their social and occupational status. That is exactly why rhinoplasty (nasal plastic operation) is the plastic aesthetics intervention that is most frequently performed.

It is possible to reduce or increase the size of your nose and to change the shape of the nose tip or the nasal hump with rhinoplasty. You can narrow the nostrils or modify the angle between your upper lip and your nose by rhinoplasty. In addition, rhinoplasty can correct a congenital defect or the impacts of a trauma or help to resolve breathing problems.

How should the ideal nasal
operation be?

The nose to be achieved after an ideal nasal operation should fit the person’s face completely and it should not be far different from a natural look that reflects the personal characteristics. Rather than achieving ideal aesthetic dimensions, rhinoplasty aims to avoid an appearance which obviously reflects the fact that the person has undergone an operation.

Which one is more important,
the look or the function?

The most important functions of the nose are breathing and smelling. Since it is a functional organ, we do not desire a disruption in the breathing function after the nasal operation.
The function of breathing should be preserved in nasal aesthetics, and if there are nasal deviations which obstruct breathing, they should definitely be corrected during the same operation.

Who needs rhinoplasty?

The patients who demand a rhinoplasty usually consult us with aesthetical concerns. Nevertheless, rhinoplasty can also be performed with reconstructive purposes in order to resolve congenital nasal problems and breathing problems.

Is there an age limit for rhinoplasty?

Age is an important factor in scheduling a rhinoplasty operation. In general, we prefer to delay the operation for adolescents until the growing process is completed (which corresponds to the ages of 16-18 for girls and a little older for boys). It is essential to consider the social and emotional situation of the adolescents and pay attention to their own demands rather than their parents’.

Who are unqualified for rhinoplasty?

Rhinoplasty may not always be very successful with those patients with too thick and oily skin and with weak cartilage. As the skin gets thicker and loses its elasticity with old age, the results may not be as successful as expected for old patients.

What is done in a pre-operative assessment?

Determining a plan for the patient before the operation and clearly identifying the existing problems constitute the prior conditions for a successful operation. Multiple meetings should be conducted if necessary, and a common denominator should be found considering the patient’s demands and what the physician can do. The planned result should definitely be in conformity with the patient’s expectations so that the patient is satisfied with the new form of their nose.

Should I be cautious about anything before the operation?

You should definitely inform us about the nasal operations you have undergone, no matter how many years ago and the accidents and injuries that made an impact on your nose. Besides, you should also inform us about possible allergies and breathing difficulties. It is essential that you report all the medications and vitamins you take. In addition, please do not hesitate to report us if you are a smoker or if you use any other substances.

Which physicians can perform rhinoplasty operations?

Rhinoplasty operations can be performed by Aesthetic Plastic Surgery specialists and Otorhinolaryngologists (Ear-Nose-Throat (ENT) specialists). While the Aesthetic Plastic Surgery specialists examine the nose mainly in terms of aesthetics and plan the operation accordingly, ENT specialists examine it mainly in terms of the anatomy of airways.

Where is rhinoplasty performed?

Rhinoplasty operations are performed in the surgery room of a fully equipped hospital.

Will I need to be anesthetized for rhinoplasty?

Yes, we perform rhinoplasty operations under general anesthesia.

Is rhinoplasty a risky operation?

As long as the operation is performed by an aesthetic surgery specialist, complications occur rarely and they are generally insignificant. Nevertheless, complications such as infection, nasal bleeding or reaction to anesthesia may be encountered. It should be noted that every surgical operation bears a certain life-threatening risk.

How long does a rhinoplasty operation last?

A rhinoplasty operation generally takes one to two hours, but more extensive procedures may take longer.

What kind of a procedure is performed during rhinoplasty?

In this surgery, nasal skin is separated from the nasal skeleton that consists of the bones and the cartilage, and then these structures are reshaped as desired. The nature of this reshaping depends on the problem you have and the technique decided by your surgeon. At the end of the procedure, the skin lifted from the nose is placed on the reshaped structure. There may be a minor incision on the structure that separates the nostrils, namely columella, and this scar will fade within a month.

Is it possible to use cartilage taken from some other part of the body?

In general, the cartilage located inside the nose will be adequate to reshape the nose. In some special cases, for example, if the cartilage inside the nose is not adequate due to previous operations or traumas, cartilage can be taken from the ear or the ribs.

Will I need to stay in the hospital after the operation?

After rhinoplasty operations, patients can generally return home on the next day.

Is rhinoplasty a painful procedure?

Your face may look swollen, your nose may ache and you may have a feeling of fullness in your head after the surgery, especially within the following twenty-four hours. The painkillers you receive will ensure to control any kind of discomfort you may feel.

Will I need to use a ice-pack after the operation?

If approved by the surgeon, ice-pack may not be applied after the surgery. A bandage is applied upon the completion of the surgery in order to ensure that your nose maintains its new form. In order to immobilize the septum -the wall that divides the airways in the nose- soft silicone supports (splints) may be placed within your nostrils. These splints will be removed in a few days, after which you will feel a lot more comfortable.

Should I be cautious about anything after rhinoplasty?

You will observe that the swelling and the bruises around your eyes will first grow and reach a peak in two to three days. You can reduce swelling by applying cold compresses and thereby feel a little better. Swelling and bruises will largely get better in two to three weeks. A little swelling noticeable to you only may remain for a few months.
Frequently, an insubstantial amount of blood leaks for the first few days after the surgery and you may feel fullness in your nose for a few weeks. For few weeks following the procedure, while the tissues heal, it may be necessary to avoid blowing your nose.
After a week to 10 days, all the bandages and stitches will be removed.

When can I get back to my normal life?

Majority of the patients who undergo rhinoplasty feel good in a few days and they can start doing those kinds of work that do not require physical effort or they can return to school or work in about a week. However, it will take a few weeks for you to completely turn back to your previous condition.
You will need to resume your ordinary activities gradually. You will probably be recommended to avoid challenging activities (running, swimming, bending down and sexual intercourse – any activity which can increase your blood pressure) for 2-3 weeks. You should protect your nose against strokes, rubbing, and sunburn for 8 weeks. You should be gentle while washing your face or hair and using cosmetic products.
You can start to use contact lenses as early as you can but the situation is a little different with glasses. After the splint is removed, you will need to have your glasses attached to your forehead or supported on your cheeks until your nose completely heals.
For a few months following the procedure, we will ask to see you from time to time in order to assess your recovery process. If you experience unordinary symptoms between these visits or have questions regarding what you should and should not do, please do not hesitate to call us.

What kinds of adverse situations may I experience after rhinoplasty?

After the surgery, the burst capillary vessels may appear as thin and red spots on the surface of your skin. When rhinoplasty is performed from inside the nose, no visible scar tissue (operation mark) is formed; on the other hand, when the “open” technique is used or when wide nostrils need to be narrowed, minor scars -which are generally indistinguishable- are formed on the nasal base.

What does nasal collapse mean?

In some cases, the tip of the patient’s nose may remain bent downwards after swellings related to the operation decline. Nasal collapse should not occur as long as the operation is performed properly.

When will I enjoy my new appearance?

During the first few days following the surgery, with a still bruised and swollen face, you may easily forget that you will look better soon. Actually, so many patients feel depressed for some time following the plastic surgery intervention –which is quite a natural and understandable situation.
However, you should relax and be sure that this phase will be over soon. Day by day the appearance of your nose and your mood will improve. In a few weeks, you will look as if you have not undergone any operation. Click here for checking surgery results
Nevertheless, healing is a gradual process. A slight swelling may remain for months especially on the tip of the nose. You may need about a year in order to enjoy the exact result of rhinoplasty.

Will I need a second nasal operation?

In about one of ten cases, a second operation may be needed in order to correct a minor problem. It is not possible to foresee such cases, and a second operation may be necessary even for those patients who have been operated by the most experienced surgeons. The second operation which is performed with the aim of correction is generally a minor intervention.

DEEP PLANE FACELIFT & NECKLIFT

Face and neck lift surgical techniques vary much like the build quality of any object. Some of these techniques are quick, easy, and provide modest improvements that are short-lived. Others, such as extended deep-plane face and neck lift surgery, are more complex, require more expertise, more surgical patience, and have potential for better jawline definition, cheek elevation, and longer lasting results. Much like home renovations where the build quality and effort made by a contractor varies, the same applies to surgical rejuvenation of the face and neck.
Extended deep-plane surgery involves a release of multiple tethering points throughout the face and neck, and is performed “deeper” in the face. The ligaments of the face are much more extensively release vs. simple facelift techniques. The advantage of this is it allows the deep structures of the face to be re-elevated farther and with less tension than could be achieved with simpler techniques. Another advantage is it allows the skin to simply “come along for the ride”, because the pull is placed only on the deep tissues of the face that are free and mobile. As a result, there is essentially zero tension on the skin, which makes the outcome look more natural and is theoretically longer lasting.
Finally, and perhaps most importantly, the ability to confidently work on the deep structures in the neck and sculpt them appropriately is often necessary to achieving a nice result and contoured jawline. Without this ability, many necks will be under-corrected.

Explain the deep-plane anatomy

There are multiple layers of the face. The skin, a thin layer of fat below the skin, followed by a deep supportive layer of interwoven muscle and connective tissue called the SMAS (superficial musculoaponeurotic system). Below the SMAS lies the facial nerves, deep fat, glands and deeper muscles. A deep-plane facelift requires a dissection below the SMAS (but above the nerves), releasing tethering points and allowing it to easily re-drape. Fortunately, there are “spaces” right below the SMAS that can be carefully entered so the ligaments can be released. A simpler option is to dissect above the SMAS, then pull it upwards tightly with sutures without releasing it (eg. SMAS plication).
A commonly used analogy is that of a tree. Think of the leaves as the skin, the small branches as the thin fatty layer right below the skin, and the SMAS layer as the upper part of the tree trunk. If the lower part of the trunk gets released, and we pull on the upper trunk, the leaves (i.e. skin) come along for the ride without tension. Conversely, if we just cut the small branches near the leaves (right below the skin) and then pull on the trunk without releasing it, it is harder to get sufficient movement without tension.

What can affect my surgical outcome?

A well-done facelift surgery can often make patients look 10-15 years younger, and should continue to age at a normal pace afterwards. However, the reality of any rejuvenation procedure is that sometimes the results aren’t as striking as intended or don’t last as long as hoped. As discussed, the SMAS layer of the face is the “workhorse” for supporting the changes made to rejuvenate the face. Unfortunately, sometimes the SMAS itself is very thin and weak, and doesn’t hold up as much as we would like. Sometimes we don’t know about patient soft tissue quality until we’ve started the surgery. Things that can affect the integrity of the SMAS include large changes in weight, being overweight, prior smoking, or simply genetics. Equally, patients who put too much strain on their face too early after surgery can cause some of the deep sutures to fail. Abnormal bleeding during surgery can make the dissection more difficult and limit the surgeon’s ability to effectively release the SMAS safely (which is why blood pressure control and avoiding medications or supplements that can lead to bleeding is so important). There are also genetic neck structures that are quite difficult to effectively modify, such as the position of the hyoid bone. Much like the building materials used in a home renovation impact the outcome, the quality of the facial skin and connective tissue will impact the final outcome following facial rejuvenation surgery.

FACE LIFT & NECK LIFT

A face and neck lift are surgical procedures that reposition facial fat, tightens the facial muscles, skin, and underlying sort tissue. It also removes excess drooping skin. A face and neck lift are often performed in conjunction with facial fat grafting to perform optimal facial rejuvenation. This procedure consists of difficult dissections and should be performed only by the most skilled plastic surgeons. It is a very delicate and intricate procedure, and in the right hands, produce very natural appearing dramatic rejuvenation.
The incisions are usually hidden within the hairline and along the edge immediately in front of the ear, which extends under the ear and loops up immediately behind it. Typically, the scar is cosmetically acceptable and hard to detect.

Am I a good candidate for a Face and Neck Lift?

The facial changes that occur with aging can be described as volume loss, downward migration of the once tightly suspended structures such as the fat pads under your eyes and cheeks, and thinning of your skin and bones. Wrinkles develop across your neck, your nasolabial folds (smile lines) deepen, the fat pads in your cheeks descend and shrink creating eye bags, your lips lose volume, your eye brows droop, and you develop wrinkles perpendicular to the direction your facial muscles contract. Typically, the beginning of this aging journey becomes visibly apparent in your mid to late twenties. If you are experiencing the aging process and would like desire effective intervention, a face and neck lift may be right for you.

Possible Risks with a Face and Neck Lift

Possible complications associated with facelifts may include, but are not limited to, the following:
Nerves that control the facial muscles could be damaged. This is usually a temporary post-operative condition, but in rare instances, it may be permanent.
As with any type of surgery, there is a risk of infection and a reaction to the anesthesia.
A hematoma, blood that collects under the skin, could occur. They are generally removed by the physician.
Smokers, in particular, may find that the healing process following a facelift is slower than normal.

Recovery

Minimal to moderate pain is expected. This is well controlled with over the counter and prescription medications.
Some facial swelling is expected. You will be provided with specific instructions regarding the facial compression bandages.
Swelling is expected and worst 72 hours after the surgery. Cold compress for the first 72 hours followed by warm compresses for the next 1.5 weeks. Degree of swelling becomes socially acceptable 1 week later.
Sutures and staples removed 5-10 days later in clinic.
You may return to work (desk job) after 1.5-2 weeks. This depends on your comfort level.
You may drive 1-2 weeks after surgery.
You may gradually resume physical activity 2-4 weeks after surgery.

What will happen before my operation?

You will meet your surgeon to talk about why you want surgery and what you want. The surgeon will make a note of any illnesses you have or have had in the past. They will also make a record of any medication you are on, including herbal remedies and medicines that are not prescribed by your doctor. Your surgeon will examine your face and neck, and may take some photographs for your medical records. They will ask you to sign a consent form for taking, storing and using the photographs.
The surgeon will measure your height and weight to make sure that it is safe to do an operation. If you are overweight, or planning to become pregnant, your surgeon may suggest delaying your operation.
A facelift improves the lower half of the face, particularly the jawline. If you have sagging eyebrows and wrinkles on your forehead, your surgeon may suggest a browlift. Loose skin with fine wrinkles, freckles and rough areas will benefit more from a chemical peel or laser resurfacing, which can be performed with a facelift, browlift or necklift.

BROW LIFT

A successful brow lift can help you defy the effects of gravity and restore a more natural and youthful contour to your eyebrows, upper eyelids and your forehead. There are several techniques that can be implemented for a brow lift.
Generally the most youthful contour is achieved when your eyebrow is positioned directly above the orbital rim. Remember that it is common for your eyebrows to become loose and saggy as you get older. Your eyebrows would also become flatter as a result of aging.

Am I a Good Candidate for a Brow Lift?

Well, if you are tired of living with flat eyebrows and a grumpy face, it is time you consider getting a brow lift done.
Forehead lift or brow lift can also work wonders if you have deep horizontal creases across the forehead or between the brows. This simple procedure can also correct excess fatty tissue or skin that hangs over the eyes.
We helped hundreds of client correct drooping eyelids and frown lines between the eyes. The corrective procedure has also helped people with sagging brows. Interestingly if your eyebrows hang down on the outside, it results in a sad expression. If your eyebrows are droopy and the central part of your brows hangs down, you look angry.

Brow Lift – What Can I Expect?

Several techniques have been employed for a brow lift. These include more complex techniques such as endoscopic brow lift and open brow lift. Sometimes small incisions are made in the forehead to elevate sagging parts of the eyebrows.
During an open brow lift, we will make a long incision across the forehead preferably in one of the hidden creases to gently lift the skin. Excess fat will be removed during this stage and the skin will be pulled into place so that you get a natural contour.
Endoscopic lifts are also popular and they are performed using an endoscope which is quite similar to a long, thin tube. Interestingly this tube has a small camera attached to one end so we can see and work on the delicate internal structures of your forehead and eyebrows. Perhaps the best thing about endoscopic brow lift is that it requires minor incisions.
We will decide what type of brow lift is right for you based on your facial features and of course, the aesthetic results you desire. You can rest assured that at the end of the surgery, you will achieve the most stunning and natural looking results.
Generally if you have mild or moderate sagging brows, an endoscopic lift is the best for you. If you require more dramatic results and want to get rid of severe brow droop and deep wrinkles, a deeper and more extensive brow lift is more appropriate.
Remember that incisions made across the top of your forehead remain well hidden in your hair. Similarly incisions made during endoscopic brow lift are tiny and remain hidden as well. You will be guided about the post surgery care during the initial consultation. To know more about brow lift, contact us today.

Risks

A brow lift poses several risks, including:

Scarring. Scarring might be visible after a brow lift.
Changes in skin sensation. A brow lift can cause temporary or permanent numbness on the forehead or top of the scalp.
Asymmetry in the position of the brows. A brow lift can result in uneven brows (asymmetry), with one or both eyebrows appearing too high. However, asymmetry may even out during the healing process. Persistent brow shape or position problems can be treated with injections such as Botox or through additional surgery.
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 a procedure to remove part of the scalp experiencing hair loss or using a hair graft.

Like any other type of major surgery, a brow lift poses a risk of bleeding, infection and a reaction to anesthesia.

UPPER & LOWER BLEFAROPLASTY

For high self-esteem, we tend to want to look young and fresh. However, increasing sun exposure in particular leads to accelerated skin aging. But even those who avoid the sun are not immune to natural aging. In general, the young, fresh expression decreases with increasing age and often gives way to a sagging and wrinkled, less vital appearance. It is often the area around the eyes that supports this impression.

Drooping eyelids and bags under the eyes can make some people feel older than they really are or feel. Like the rest of human skin, the area around the eyes also changes over the course of life – at some point the elasticity decreases. The nature of the skin in this area is to blame for these natural aging symptoms. Compared to other parts of the skin, the skin here is very thin and also more sensitive.

As a result, one's own gaze appears more tired and slack than before, there is a lack of youthful radiance and the eyes appear swollen. Many people then no longer feel really comfortable in their own skin in the truest sense of the word and decide to have an eyelid surgery blepharoplasty in Turkey in order to look fresher again. This eyelid operation is rarely a medically necessary procedure, which is why the eyelid correction is also one of the plastic-aesthetic corrections, i.e. the so-called cosmetic surgeries.

What is cosmetic eyelid surgery (blepharoplasty)?

Cosmetic eyelid surgery is technically called blepharoplasty, which is a procedure to remove fat along with excess skin and muscle from the upper and lower eyelids. However, blepharoplasty does not correct crow’s feet and other wrinkles or eliminate dark circles under your eye and lift sagging eyebrows.

Blepharoplasty can be performed alone or in combination with other facial procedures (e.g. facelift, brow lift).

Who is a good candidate for eyelid surgery? Who should not undergo eyelid surgery?

Blepharoplasty candidates are usually 35 years and older, however, if droopy and baggy eyelids are common in your family, you may decide to have the procedure at a younger age.

A few medical conditions make blepharoplasty riskier. These include thyroid problems (e.g., hypothyroidism and Graves’s disease), dry eye or lack of sufficient tears, hypertension or other circulatory problems, cardiovascular conditions and diabetes. Eye diseases such as detached retina or glaucoma require caution. If you experience any of these or similar conditions, you should share this information with us during the planning stage of the operation.

Blepharoplasty Eyelid Surgery Types

Depending on the type of blepharoplasty eyelid surgery you have chosen, either the upper or lower eyelid will be corrected or tightened.

Upper Blepharoplasty

During the upper eyelid surgery, the patient's drooping eyelids are tightened. This eyelid surgery is either performed on an outpatient basis or involves a one-day stay at hospital. This eyelid operation usually takes about 30 minutes.

After the skin has been disinfected, the plastic surgeon first draws the area to be changed so that he later knows exactly where to make the incision.

Then he numbs the upper eyelid with a local anesthetic. For the cut, he uses either a scalpel and scissors or a laser or a very fine electric knife, which at the same time obliterates small blood vessels. In the area of the skin fold of the upper eyelid, he removes excess skin, eyelid bags and, if necessary, parts of the ocular sphincter. Tightening of the underlying connective tissue is also possible on request. Furthermore, the removal and relocation of fat deposits is possible. When your eyelid doctor is satisfied with the result, the surgeon carefully sews up the skin incision and makes sure that the skin scar is in the area of the natural skin fold region and is therefore hardly visible later.

Lower Blepharoplasty

In blepharoplasty eyelid surgery of the lower eyelids, the excess skin of the lower eyelid, commonly referred to as tear sacs, is surgically removed. But a bulging of the orbital fat tissue due to age-related tissue relaxation can also be a cause. Often it is a combination of both. The lower eyelid surgery is usually also done on an outpatient basis or is associated with a one-day inpatient stay. It usually lasts about an hour.

As with other eyelid surgeries, the surgeon first marks the area that he wants to correct on the patient who is awake and sitting upright. There are two common methods that can be used for lower eyelid correction surgery:

Most common procedure

The eyelid doctor usually starts at the lower edge of the eyelash and makes a barely visible incision, one to two millimeters deep, below the edge of the lower eyelid. He guides this about five millimeters outwards into the laugh lines. He then removes excess fatty tissue and parts of the eye ring muscle and then pulls the skin tight. The underlying connective tissue can also be tightened if necessary.

Procedure with good skin elasticity

In young patients in particular, who have good skin elasticity, there is no need to remove skin. In this case, the surgeon can also make the incision in the conjunctival fold (transconjunctival blepharoplasty). It offers the advantage that no visible scars remain.

Even in patients who only suffer from a protrusion of fatty tissue, access is now from the inside of the eyelid. This has the advantage that there are no visible scars and the wound healing is less risky and faster. Careful hemostasis is important with this method.

No matter which method the eyelid doctor chooses for the eyelid operation the scar is hardly visible later.

Risks of Blepharoplasty

In general, you can contribute a lot to the success of the eyelid surgery by following the doctor's recommendations exactly. So it is very important that you take it easy during the healing phase and do not subject the incision lines to excessive stress and movement.

As with any medical procedure, blepharoplasty carries risks such as bleeding or infection. In rare cases, complications or unwanted changes occur, such as asymmetry or over- or under-correction. However, these have become rarer due to improved procedures in recent years.

Nevertheless, overcorrection, i.e. removing too much skin, should be avoided at all costs. As a result, the patient could no longer close his eyes in extreme cases and his eyesight is in danger. Therefore, blepharoplasty should always be performed by a plastically trained ophthalmologist.

Blepharoplasty Recovery Period

Once the surgeon has finished the procedure, you will be taken to a patient room. There you can recover from the operation. It is usually sufficient if you remain on site for a few hours after the operation so that doctors and nurses can check your condition. Patients who have received general anesthesia will need to stay a little longer. It is advisable to organize someone who can help you on the way home after the eyelid correction has been carried out.

After the procedure, the eyes are bandaged with bandages and an elastic compress. You will also receive eye drops to keep your eyes constantly moist. In the beginning, you should rest as much as possible and lie in bed with your upper body slightly elevated. Avoid activities that strain your eyes, such as reading or watching TV. In the first few days after the eyelid operation, you will probably feel a slight pressure or soreness, which can be contained very well with painkillers.

After the blepharoplasty, the eyelids are still swollen for some time and bruising is quite normal. However, the swelling subsides within a few days.

The surgeon either uses self-dissolving threads for the stitches or an appointment is required to remove the threads about a week after the operation.

After seven days you can return to your usual everyday life. After a total of 14 days, it is possible to use cosmetics. However, you should avoid sports and physical exertion in the first three to four weeks after the blepharoplasty.

Face lift threads

Face lift threads are one of the most common used non-surgical way of face lifting. 100% absorbable PDO material is used for face lift threading. Facial thread lift is applied with local anesthesia. The procedure is not painful and the downtime is around 1 week. There is no age restriction. Thread lifting for face has instant results. The main focus of this treatment is to create more defined jawline and reduce the depth of nasolabial lines.

Which Areas Can Thread Lifts be Applied to?

Face
Doublechin
Cheeks
Eye brows
Eyes
Cheek bone

How Many PDO Threads Do I Need?

The number of the threads will be determined by a specialist doctor, regarding your skin type and sagging level. Bulky face type will need more threads when compared with slim face type.
4 threads may be enough for a slim face while a bulky face may need up to 12 threads. The more threads we use the longer the effect will last.

How Long Do PDO Threads Work?

PDO threads have been used mainly for cardiovascular surgeries. Since they are 100% absorbable they were introduced to medical aesthetic procedures. After 6 months the threads will melt completely but the effect created by these threads will last 1-1,5 years.

How to Make Thread Lifting?

Face threading starts with an entry point. The threads are inside a cannula. Barbed threads inside blunt cannula are placed under the skin layer. Cannula is sliding under skin layer and when it is drown back the barbed threads will fix and lift the skin.

How The Facial Thread Lift Affects The Skin?

Our body will realize the threads as a foreign body and start to produce elastin and collagen around it. After 1-2 months all threads will be wrapped by our new collagen. Our skin will be lifted. After 6 months the threads will melts completely, the effect will last 1-1,5 years.

What Are the Points that I Need to Consider Thread Lift Healing Period?

2 day later you can have shower. Entry points will close in 2 days.
Anti-inflammatory drugs may be used.
For face support mask and for eyebrows use tapes for 2 weeks, only while sleeping.
After facelifting don’t expose to dental procedures for 3 weeks.
For prevention 5-7 days Antibiotic pills are recommended.
Bruising, swelling, skin folds may continue up to 2 weeks.

LIPLIFT

According to the principle of the golden section, the distance from the nose to the upper lip should not exceed 1.2 - 1.5 cm. But due to aging or individual features of the structure of the face, this area may be longer. This makes the face look older.

Lip lifting surgery, also known as upper lip shortening, is applied to people who are not satisfied with the length of the upper lip area and whose teeth are not visible enough when smiling. While the young lip is short, smooth and voluminous; aging lips are longer, curve-free and voluminous. Lip lift is the process of shortening the lip vertically for a more aesthetic appearance and a higher upper incisor appearance. When the vermilion part of the lips (red part) is less visible, the upper lip appears shorter and the lip-to-nose distance appears longer. The long distance between the nose and the lips causes an aged appearance. In this process, the upper lip refers to the area between the base of the columella (middle column of the nose) and the reddish-pink area of the lip. However, this range may vary according to the person's facial features and face sizes. In lip lift surgery, it is aimed to create an angel wing effect on the lips by reducing the distance in this area of the person.

Permanent Effects of Lip Lift on the Lip

Decrease in the distance between the upper lip and the nose
More evident upper lip
More evident upper teeth
Proportion and balance of facial features
Making the face look younger
Making the face more symmetrical and aesthetic

Who is Suitable for Lip Lift?

During the consultation first our doctors will examine and check the facial balance and lip position and teeths for lip lift. Doctors will measure the distance between the nose and lip in a resting position while the patient’s lips are not moving. Ideally the distance between the lips and nostrils should be the same as the length of chin-lip.If there is an imbalance in thi , it can be a good argument to do lip lift for the patient to shorten this distance.
While smiling, we can move our lips to the direction of up and down showing our teeth. In case the upper lips are long, the teeth will not be visible while you are smiling. This is also another argument to have lip lift procedure. After the lip lifting procedure your teeth will be seen.
If you are concerned about a long or thin upper lip or an aging upper lip, and have not achieved the results you want with other types of lip augmentation, such as dermal fillers, a lip lift may be the way to go.

Lip Lift Surgery Recovery Process

Today, especially in recent years, the importance given to the appearance of the lip has increased. For this reason, lip aesthetics is among the most preferred aesthetic applications. Lip Lift; It defines the lip lines and gives a permanent fullness to the upper lips. Lip Lift is a surgical procedure applied to the upper lip. Since Lip Lift is a surgical procedure, swelling may occur on the lips after the operation. It is possible to have swelling on the lips after Lip Lift surgery. This swelling, which has formed, usually decreases within 1 week (7 days) and disappears on its own. The lips are relieved by applying ice compresses on the first day of the Lip Lift operation and for 5-6 days afterwards. Ice compress application helps to reduce swelling. Edema passes in 1 week, but minimal swelling may remain. It takes approximately 4-6 weeks for this minimal swelling to go away and the lip line to settle.

How Long Does It Take to See Lip Lift Results?

As early as three weeks after the operation, patients will begin to see their results. Over the course of three to four months, further clarity and improved lip ratio will become evident as the skin tissue begins to soften over time.

FACIAL FAT TRANSFER

Are you trying to look younger and more refreshed without using artificial fillers or invasive surgery? The procedure of facial fat transfer, also referred to as facial fat grafting, uses your body's own fat to restore volume and enhance the appearance of your facial contours.
To assist you in making an informed choice about this well-liked procedure, we'll cover all the essentials of facial fat grafting in this thorough guide, including its advantages, the specifics of the procedure, and recovery expectations.

A minimally invasive cosmetic procedure known as facial fat transfer uses your body's fat to restore volume, enhance facial contours, and produce a more youthful appearance. This treatment offers a natural substitute to artificial dermal fillers or more invasive surgical procedures by taking fat from other parts of your body and injecting it into specific facial areas.
Facial fat grafting, when carried out by a qualified, board-certified plastic surgeon, can address a number of aging issues, including hollow cheeks, thinning lips, and under-eye bags.

Benefits of Facial Fat Transfer

Numerous advantages of facial fat grafting make it a desirable option for people seeking facial rejuvenation. Among the principal benefits are:

Natural results: Compared to synthetic fillers, facial fat transfer offers a more natural look and feel because it utilizes your body's fat.
Minimally invasive: As the transferred fat integrates with the surrounding tissues, facial fat transfer can produce results that last, unlike temporary fillers.
Smaller incisions and less recovery time are required than with a traditional facelift procedure.
Versatility: For comprehensive results, facial fat transfer can be combined with other rejuvenation techniques to address a variety of facial aging issues.

Facial Fat Transfer Procedure

Three main steps make up the facial fat transfer process:

Fat harvesting: Using liposuction, your plastic surgeon will carefully remove fat from a donor area, such as the hips, thighs, or abdomen.
Fat processing: The purified and processed fat is then used to separate the most viable fat cells for injection.
Fat injection: To achieve the desired rejuvenation, processed fat is carefully injected into the target areas of the face using a small cannula or needle.
Depending on the extent of the treatment and the amount of fat being transferred, the entire procedure usually takes between one and three hours

How long do the results of facial fat transfer last?

With the transferred fat cells continuing to function for many years, the effects of facial fat transfer can last for a very long time. It's crucial to remember that not all fat cells injected will survive and that some may be reabsorbed by the body. To make up for this, your plastic surgeon might slightly overfill the treated areas, and if necessary, they might advise touch-up procedures. The results durability can also be impacted by lifestyle choices and the natural aging process.

Are there any risks or complications associated with facial fat injection?

Although facial fat injection is typically thought to be safe, there are always potential risks and complications with any surgical procedure. A few of these include an infection, bleeding, slow wound healing, scarring, uneven skin contours, and negative anaesthesia reactions. These risks can be greatly reduced by selecting a qualified, board-certified plastic surgeon with extensive expertise in facial fat transfer.

What areas of the face can be treated with facial fat injection?

The cheeks, temples, under-eye area, nasolabial folds, marionette lines, and even the lips can all benefit from facial fat injection to address volume loss and contour deficiencies.

Can facial fat transfer be combined with other procedures?

In order to achieve a more thorough facial rejuvenation, facial fat transfer can be combined with other cosmetic procedures like facelifts, neck lifts, eyelid surgery, or laser skin resurfacing. Your plastic surgeon will talk to you about your objectives and suggest the best possible combination of procedures based on your particular requirements.

What is the process of preparing the harvested fat for injection?

After the fat has been collected, it is processed to remove any extra fluid, blood, and other components and concentrate only the healthy fat cells. Typically, centrifugation or filtration are used in this procedure to produce a purified fat graft that is prepared for injection.

How is the donor fat harvested?

Utilizing a liposuction technique, the donor fat is typically removed from the abdomen, thighs, or flanks. The plastic surgeon will delicately remove the fat using a tiny, blunt cannula.

OTOPLASTY

Otoplasty is a type of cosmetic surgery involving the ears. During otoplasty, a plastic surgeon can adjust the size, positioning, or shape of your ears.
Some people choose to have otoplasty to correct a structural abnormality. Others have it because their ears protrude too far from their head and don’t like it.
Keep reading to discover more about otoplasty, who typically has it, and what the procedure is like.
Otoplasty is sometimes referred to as cosmetic ear surgery. It’s performed on the visible portion of the outer ear, called the auricle.
The auricle comprises folds of cartilage that are covered in skin. It starts to develop before birth and continues developing in the years after you’re born.
If your auricle doesn’t develop properly, you may choose to have otoplasty to correct the size, positioning, or shape of your ears.

There are several different types of otoplasty:

Ear augmentation. Some people may have small ears or ears that haven’t completely developed. In these cases, they may want to have otoplasty to increase the size of their outer ear.
Ear pinning. This type of otoplasty involves drawing the ears closer to the head. It’s performed on individuals whose ears stick out prominently from the sides of their head.
Ear reduction. Macrotia is when your ears are larger than normal. People with macrotia may choose to have otoplasty to reduce the size of their ears.

Who’s a good candidate for otoplasty?

Otoplasty is typically used for ears that:

protrude from the head
are larger or smaller than normal
have an abnormal shape due to injury, trauma, or a structural issue from birth

Additionally, some people may have already had otoplasty and aren’t happy with the results. Because of this, they may choose to have another procedure.
Good candidates for otoplasty include those who are:

Ages 5 or older.This is the point when the auricle has reached 90 percent Trusted Source
of its adult size.
In good overall health. Having an underlying condition can increase the risk of complications or affect healing.
Nonsmokers. Smoking can decrease blood flow to the area, slowing the healing process.

The procedure:

Otoplasty is typically an outpatient procedure. It can take between 1 to 3 hours, depending on the specifics and complexity of the procedure.
Adults and older children may receive local anesthesia with a sedative during the procedure. In some cases, general anesthesia may be used. General anesthesia is typically recommended for younger children undergoing otoplasty.
The specific surgical technique that’s used will depend on the type of otoplasty you’re having. Generally speaking, otoplasty involves:

Making an incision, either on the back of your ear or inside the folds of your ear.
Manipulating the tissue of the ear, which can include removal of cartilage or skin, folding and shaping of cartilage with permanent stitches, or grafting of cartilage to the ear.
Closing the incisions with stitches.

Recovery:

Following your procedure, you’ll have a dressing placed over your ears. Be sure to keep your dressing clean and dry. Additionally, try to do the following while your recover:

Avoid touching or scratching at your ears.
Choose a sleeping position where you aren’t resting on your ears.
Wear clothing you don’t have to pull over your head, such as button-up shirts.

In some cases, you may also need to have stitches removed. Your doctor will let you know if this is necessary. Some types of stitches dissolve on their own.

What are the risks or precautions to be aware of?

Like other surgical procedures, otoplasty has some associated risks. These can include:

a bad reaction to the anesthesia
bleeding
infection
ears that aren’t symmetrical or have unnatural-looking contours
scarring at or around the incision sites
changes in skin sensation, which are typically temporary
suture extrusion, where the stitches securing the shape of your ears come to the surface of the skin and have to be removed and reapplied.

CHIN LIPOSACTION

Chin surgery, or mentoplasty, is a surgical procedure to reshape the chin either by enhancement with an implant or reduction surgery on the bone.
Plastic surgery, and other minor office procedures, can often be performed on the lower jaw line and chin area to improve proportions of the face and to help with one's confidence and self-esteem. These types of interventions are frequently suggested by board-certified plastic surgeons to improve the harmony of facial features and improve the chin/jaw/cheek/forehead balance.
Sometimes bone from the jaw itself can be moved forward in an operation called a mentoplasty or genioplasty. Alternatively, shaped silicone implants can be used to give more projection to the chin. Conversely, bone can be removed to decrease an overly projecting chin. Furthermore, modifications to the upper and/or lower jaw can be advised for improved chewing dynamics and occlusion – or how the teeth fit together. These operations can range from simple to very complex.
Many times a plastic surgeon may recommend chin surgery or procedures to a patient having a rhinoplasty in order to achieve better facial proportions, as the size of the chin may magnify or minimize the perceived size of the nose.
Additionally, with recent advances in technology, and after obtaining informed consent after reviewing all options, risks and benefits, your plastic surgeon may suggest off-label use of FDA-approved gel filler material as an alternative for providing augmentation of the chin area that may last for a shorter duration.

Types of chin surgeries:

Surgery can be performed on the chin to alter or improve its appearance. The two main types of chin surgery are either chin augmentation or chin reduction.

Chin augmentation/ implants

Chin augmentation surgery is usually performed to augment an underprojected chin. Typically, this is accomplished by placement of an implant directly on the bone. A small incision is made either inside the mouth or underneath the skin of the chin. After the implant is placed, the incision is then closed with sutures. Mild swelling may occur for a few days, and patients usually are able to return to work within a week.

Chin reduction surgery

Chin reduction surgery, or chin shaving surgery, is performed to reduce a prominent or overprojected chin. The surgery is typically performed under general anesthesia as an outpatient procedure. A small incision is made either inside the mouth or underneath the skin of the chin. Excess bone is removed, and the chin is contoured to the desired shape. The incision is closed with sutures.

Who is a good candidate for chin surgery?

Chin surgery is a highly individualized procedure. It can be a life-changing procedure for patients who are self-conscious about their chin. This procedure should be done for yourself, not for someone else or to conform with any sort of ideal image.
In general, you may be a good chin surgery candidate if:

You are physically healthy and at a stable weight
You have realistic expectations
You are a nonsmoker
You are bothered by the appearance of your chin
You have a chin that is too short or lack projection

If you're considering surgery, spend some time reviewing chin surgery photos and learning about what to expect during recovery. Preparation ahead of time helps patients have reasonable expectations and a smoother recovery.

What are the risks of chin surgery?

The decision to have chin surgery is extremely personal. You'll have to decide if the benefits will achieve your goals and if the risks and potential complications of chin surgery are acceptable.

Are chin implants safe?

Your plastic surgeon and/or staff will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedures you will undergo and any risks or potential complications.
The possible risks of chin surgery include, but are not limited to:

Anesthesia risks
Asymmetry
Bleeding
Chin implant displacement
Deep vein thrombosis, cardiac and pulmonary complications
Fatty cysts
Fatty tissue found deep in the skin might die (fat necrosis)
Fluid accumulation (seroma)
Hematoma
Infection
Lumpiness
Numbness or other changes in skin sensation
Persistent pain
Poor healing of incisions
Possibility of revisional surgery
Skin discoloration and/or prolonged swelling
Skin loss
Suboptimal aesthetic result
Thick scar tissue around chin implant (capsular contracture)
Unfavorable scarring

These risks and others will be fully discussed prior to your consent. It's important that you address all your questions directly with your plastic surgeon.

FACIAL FEMINIZATION SURGERY (FFS)

Facial feminization surgery, or FFS, is a series of plastic surgery procedures designed to create a more feminine appearance of the face for patients undergoing gender affirmation treatment.

What is FFS?

Facial feminization surgery is a series of procedures that can reshape the face and its features to achieve a more feminine appearance. For people in whom hormone therapy is not enough to achieve desired gender-affirming changes to the face, surgery can help.

Who might need facial gender surgery?

FFS may be part of an overall plan of gender affirmation, aligning the appearance of the face and body with a person’s gender. The procedures can also be appropriate for gender nonbinary people seeking a more feminine facial appearance.

FFS Procedures:

Depending on your priorities, the plan you agree on with your surgeon may include one or more of the following procedures:

Forehead and Hairline Contouring

Shaping the forehead and hairline can create a more oval or heart shape to the face. A surgeon can reconstruct the forehead by thoroughly measuring the existing bone structure and carefully working around the frontal sinuses behind the bone of your forehead.
The procedure may include reducing the prominence of the bony ridge above your eyes and reshaping the hairline. The surgeon may simply shave or grind down the bony ridge or cut a piece of existing bone (osteotomy) and replace it with a bone graft with a smoother surface. Cutting and reformatting the scalp can lower the hairline and give it a more feminine or nonbinary look.
Forehead reconstruction requires an incision that goes across your head from ear to ear. At the end of the procedure, the incision will be closed with sutures that do not need to be removed. When you awaken from surgery, there will be a drain in place; this will likely come out before you are released to go home.

Brow Lift and Eyelid Lift

The brow may be elevated to give the eyes a feminine appearance. For patients having forehead and hairline contouring, the brow can be lifted through the same incision made in the scalp. For patients who are only having a brow lift, the surgeon can make four or five small, one-centimeter incisions in the hairline or an incision around the brow line.
In older patients, the eyelids may also be lifted to open the eyes and achieve a more feminine look. The incisions for an eyelid lift can either be hidden in the crease of the eyelid or placed behind it to minimize visible incisions.

Nose Surgery for Facial Feminization

The surgeon can perform a nose-reshaping operation called a rhinoplasty (sometimes called a nose job) to reduce the width and shape of the nose. The procedure can involve cutting or reshaping the bones as well as the cartilage. A rhinoplasty can also shape the bridge and the tip of the nose to give them a more delicate appearance.

Jaw Contouring and Chin Reduction

In preparation for facial feminization surgery of the jaw and chin, the surgeon may request an evaluation by a dentist or orthodontist to ensure your teeth and jaw bones are healthy and that you do not have any infected teeth, cavities or third molars (wisdom teeth) that have not yet emerged or been extracted.
Several procedures can be recommended to revise the contours of the jaw and chin:

Mandibular angle recontouring by cutting or shaving the corner of the lower jaw can create a softer angle between the ear and the chin.
Genioplasty in which the chin bone is cut and pushed forward, which may be an alternative to a chin implant. The bone of the chin may be shaved or trimmed to a less prominent, pointed or oval shape.

FFS jaw surgery requires making an incision inside the mouth, which will be closed with dissolvable stitches. You will have to clean the inside of your mouth with a prescription mouthwash for a few weeks after surgery.

Tracheal Shave

A surgical procedure called a chondrolaryngoplasty, or tracheal shave, can reduce the size of an Adam’s apple and create a smoother neck profile. The Adam’s apple is an area of cartilage around the larynx (voice box) that tends to be larger in people assigned male at birth.
What Happens During Tracheal Shave:

The procedure takes one to two hours and may not require admission to the hospital.
While the surgery takes place, you will be asleep under general anesthesia.
To access the larynx, the surgeon makes an incision in your neck. The surgeon will attempt to minimize the appearance of the scar by placing it in a less obvious area or within the natural skin folds of the neck.
The surgeon shaves away some of the cartilage from the front of the larynx to make it smaller and less prominent.
The incision is closed with sutures (stitches).

Liposuction and Fat Grafting

To shape the facial contours, the surgeon may recommend a procedure to remove a small amount of fat from one part of the body and use it to add volume and smooth out hollowed or sunken areas. The surgeon may use this method to shape various areas of the face and may include a silicone implant to sculpt the cheeks into a rounder, more feminine shape. These techniques are tailored to fit the goals of each individual.

Preparing for Facial Feminization Surgery:

Using a highly individualized approach, the plastic surgery team works with the patient to develop a plan that best meets the individual’s needs and preferences.
When multiple surgeries are desired, the surgeon will plan a staged approach. Staging surgery is safer than attempting to perform too many procedures at the same time, which can keep you under anesthesia for a prolonged period. In addition, staging provides ample time for recovery between operations.

During Your FFS Procedure
How long it takes: This depends on what you are having done. Administering cosmetic fillers may take an hour or less, while complex facial surgery may take several hours.
Staying in the hospital: Your procedure may be performed in a hospital or outpatient center. Most facial plastic surgeries involve a day or so in the hospital for observation and to ensure you are healing properly before you are released to go home.
First clinical follow-up: This usually occurs within five days of surgery, and will be scheduled before you leave.

FFS Recovery:

The course of recovery for the different procedures can vary, and it can be influenced by your general state of health and your self-care after surgery.
Though the procedures are largely safe, it is important to call your doctor right away if you develop a fever, severe pain or other signs of infection, or if you have any other concerns. Here are some basics for recovery after facial surgery:
Bruising and swelling: These are common side effects after facial plastic surgery. Bruises, including black eyes, may take four to six weeks to clear up.

Pain and discomfort: Most people experience some discomfort for four or five days after surgery, but this should begin to ease, allowing you to gradually return to normal activities. Your doctor will provide instructions on returning to work and exercise and other tips on what’s safe to do and when. You may have temporary restrictions on heavy lifting, vigorous exercise or other activities.

Bandages and dressings: Do not remove tape, gauze, drains, splints or compression dressings: The doctor will take off these items and examine the surgical area at your first clinical appointment after your procedure.

Bathing and showering: Avoid showering, and gently sponge bathe instead until you return for your first post-surgery appointment and your doctor says it is OK to resume showering. When bathing or showering, be sure to use unscented soap, and never allow the water to directly spray the surgical area. Do not shave or use hair-removal processes such as waxing until your doctor clears you to resume these practices.

BISHECTOMY

Bishectomy refers to the removal of excess fat from the cheek to augment the cheekbones and make the facial contours more proportionate.
In order to give a more attractive and proportioned appearance to the face, fat is removed from inside the mouth, and full and chubby facial appearance, causing the patient discomfort, is resolved. This procedure, also called Hollywood cheek because it is preferred by Hollywood stars, reveals cheekbones and makes the face look thinner and provides a slim and youthful appearance.

How is bichectomy performed?

In bichectomy, i.e. cheek reduction surgery, an approximately 1 cm incision is made to reach the fat in that region and about 40-50% of the fat is removed.

How long does Bichectomy surgery take? Is Bichectomy surgery a painful procedure?

This operation, which is very simple and painless procedure, takes about 45 minutes. It can be performed under local anesthesia, sedation or general anesthesia.

Who can have bichectomy?

Bichectomy is applied to people with a high amount of fat in their cheeks who do not have prominent facial contours, whose face look fat, to patients who have thick and square facial features. Although the highest demand for this procedure comes from women, it's also applied to male patient. Since the bone and fat structure of male patients is different, less fat is extracted when the procedure is performed on men.

What are the risks of bichectomy surgery?

Bichectomy is usually a risk-free, short-term, simple procedure with satisfactory results. Its complication risk is very low. As with any operation, it is very important that the surgeon is highly experienced on the anatomy of the region. If the surgeon fails to enter from the correct point, s/he may cause damage, such as tissue trauma, bleeding, while trying to find bichat fat pad.

ENDOSCOPIC FACE LIFT

This is an operation that is usually performed on middle-aged and older men and women. Sometimes the need may arise at a young age. Aging on the face is not only associated with sagging skin. Like the muscles and fatty tissues in the face, the tissues under the skin also weaken and sag under the influence of gravity.

With Endoscopic Face Lift:

Eyebrows Raise
Middle-aged face rejuvenates
Neck tightens

These operations can be performed in combination. They can be combined as a brow lift and a midface lift. This general operation lasts 2-3 hours. One day they spend the night in the hospital. Sutures are self-absorbing or can be removed later, and the type of suture depends on the location and type of surgery. Most of the swelling goes away within 7-10 days, the rest within 3-6 weeks. Full recovery may take 6-8 months.

Brow lift:

This surgery, which uses endoscopes and cameras, uses a thin and long endoscope with a light at one end. The endoscope is inserted into 3-5 small incisions made on the scalp. This way, the surgeon can work while seeing the inside of the forehead thanks to the endoscope. He performs the operation by inserting surgical instruments through other holes.

Surgery: The endoscopic method allows for very small incisions. The muscles and excesses that cause wrinkles can be corrected by seeing them on the screen. The eyebrows are freed from their bases, pulled up and placed in place with special threads. In this way, the eyebrows adapt to their new desired location. The intervention ends when the skin on the forehead incision is cut off and removed if necessary. The incision is usually limited to a few centimeters depending on the condition of the sagging.

Benefit: With this method, the hairline on the forehead is pushed back and the forehead is not exposed. Another advantage of the method is that there is virtually no pain. In addition, the operating time is short compared to the classical method. The faster disappearance of edema and the return of patients to social life is its most important advantage. The operation takes 1-1.5 hours.

Endoscopic Midface Rejuvenation:

Gravity causes the middle part of the face to age over the years. The lowering of the fat pad on the cheekbone leads to the disappearance of the fullness of the cheekbone. These subcutaneous tissues hanging down look like a fold of skin on the nasolabial fold, which is the fold that runs from the nose to the edge of the lips, and cause this line to deepen.
Endoscopic facial rejuvenation surgery is a method performed without a visible incision on the face for a facelift. This method is used after drooping eyebrows, sagging fat bags on the cheekbones and cheeks. The surgical results of this method are very positive. In this surgery, which was developed for facial rejuvenation, sagging in the midface can be corrected by going through very small incisions hidden in the hair and using an endoscopic camera.
Used for about 10 years. This is one of the methods for correcting sagging face, forehead and eyebrows.

Surgery: It is used by making a 2cm incision on the scalp from the temple area. The camera is placed inside the cropped area. All tissues of the temple area and cheek area are separated from the bone at the base. These tissues, which are separated from the bone and become loose, are fixed by being pulled upward. We close the incisions with hidden stitches. Because the incisions are small and bloodless operations, the recovery time is also considered shorter than with a classic facelift procedure.

However, in patients with excess skin, we can sometimes prevent excess skin by adding a classic facelift surgery. Therefore, a thorough examination and 3D assessment of the face is required before surgery.

Endoscopic surgeries are now successfully used for facial rejuvenation, brow lift, forehead rejuvenation and neck rejuvenation. The surgical technique used is selected after the patient's needs are determined through preoperative planning and combined to the extent necessary.

Advantage: This method leaves a 1-2 cm scar that can be hidden on hairy skin, which is much smaller than a conventional facelift. Another advantage of the method is that there is virtually no pain. In addition, the operation time is shorter compared to the classical method. In addition, its most important advantage is a shorter period of swelling and the return of patients to social life. The operation takes 1.5-2 hours.

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