The art of facial plastic surgery lies not only in doctor’s skills but also in his ability to understand the goals and motivations of the patient. I believe that a good rapport and transparent communication are imperative to achieve the best results.

Beauty and a youthful look involves more than just surgery; injectable such as fillers and BOTOX in conjunction with proper nutrition, vitamins, proper rest and quality skin care, are all part of an individualized plan to achieve your beauty goals. By adopting a holistic approach to facial health, I can address your needs and desired outcome, creating harmonious and lasting results.

I share your concerns in wanting to avoid a surgical outcome that reflects a plastic, unnatural or identity-changing look. I share your goal in wanting to have an improved, natural-looking, more desirable and youthful version of you. Following surgery, you can expect your friends, acquaintances and colleagues to notice a more vital and youthful look without knowing exactly what you did; frequently they will comment on how rested and relaxed you look.

You can be assured that when you choose to be treated by me, you have selected a practice and surgeon held to the highest standards of education and training. Your well-being is always my primary concern, as I continue adhering to the highest ethical and medical standards.

OPERATIVE PROCEDURES

1. Nose Job ( Rhinoplasty)
2. Cosmetic Eye Lid Surgery (Blepheroplasty)
3. Face Lift Surgery (Rhytidectomy)

NON-OPERATIVE PROCEDURES

1. BOTOX
2. Facial Fillers

Eyelid surgery, or blepharoplasty, is a cosmetic surgical procedure to improve the appearance of the eyelids. Specifically, eyelid surgery can treat:

  • Loose or sagging skin that creates folds or disturbs the natural contour
  • Excess fatty deposits that appear as puffiness in the eyelids
  • Bags under the eyes
  • Drooping lower eyelids that reveal white below the iris
  • Excess skin and fine wrinkles of the lower eyelid

Eye Lid surgery can be carried out under local or general anaesthesia depending on your choice.

Prior to the operation, I will examine you in your room and mark out the skin to be removed. You will be then transferred to the operation room and put to sleep if having general anesthesia. Otherwise for awake surgery, local anesthetic will be injected under the eyelid skin, which feels sharp and stings for about ten seconds. After this the eyelid will be feel numb and heavy and the surgery will not hurt. In most cases having surgery under local anesthetic, we also give sedative injections through a cannula in your vein so that you are sleepy and comfortable during the procedure. At the end of the operation the antiseptic is washed off, ointment is put on the wounds and eye pads applied to the lids. One or both of the eye pads will be removed after about an hour.

Operation for each eyelid takes about 30 to 45 minutes.

Blepheroplasty is a very effective procedure for correction of the defects mentioned above. However, it won’t remove crow’s feet or other wrinkles at the side of your eye as they require injections. Eye lid surgery will not eliminate dark circles under your eyes. In addition it will not lift sagging eyebrows; these need brow lift. If required, Blepharoplasty can be done in conjunction with other facial surgery procedures such as facelift or with various injections such as Botox or facial fillers

Overall blepheroplasty is a very safe procedure and problems and complications are rare. However, like any surgery there are some risks associated and it is important to know them. These complications are very rare and most patients have an uneventful recovery.

  • Infection may develop in the lids when they would become tender, red and swollen and the wound may breakdown. If this happens then you should contact me as antibiotic tablets may be needed to help correct this and allow the lids to heal. It might be necessary to re-stitch the wound once the infection has settled.
  • Bleeding after the operation is usually slight and stops within a short time. If bleeding continues you should contact me in case further treatment is required.
  • Extremely rarely, severe bleeding around or behind the eye can cause loss of vision.
  • Very rarely, too much skin is removed and if this causes problems with lid closure, skin will need to be replaced.

  • Nothing to eat or drink after midnight.
  • The evening before your surgery, wash your face with anti-bacterial soap. Do not apply any moisturizers or other products to your face afterward. The morning of your surgery, shower and wash your face again with anti-bacterial soap. Do not apply any moisturizers or other products to your face afterward.
  • Do not wear any make-up, and do not apply any moisturizers, sunscreens, or anything else on your face, head or neck. No hairspray or perfume.
  • If you wear contact lenses, bring prescription eyeglasses or prescription sunglasses to wear after your surgery. You may also bring a scarf, hat, or sunglasses to wear after your eyelid surgery.
  • Moderate discomfort (take pain medication)
  • Moderate swelling
  • Bruising (black and blue discoloration)
  • Bloodshot eyes
  • Mild bleeding from wound edges
  • Because of eye drops / ointment, you may have blurred vision for 24 hrs.

Most of these are prominent for 2-3 days and should get better after that. Contact me immediately if

  • You feel severe pain not responding to pain medication;
  • You notice marked swelling or obviously more swelling on one side than the other
  • You experience significant changes in vision (anything more than mild blurring).
  • You will be black and blue and bruised around the eyes for 3 to 7 days. Most blepharoplasty patients can go out in public with sunglasses in 3 or 4 days.
  • Resuming Normal Activities and Work- Most blepharoplasty patients can return to normal light work in 5 to 7 days or less.
  • Avoid vigorous physical activity, including heavy weight lifting, strenuous exercise and contact sports for 4 weeks.

A successful cosmetic surgery depends upon excellent surgical skills as well as good communication between the surgeon and the patient so that each are aware of the expected results and the limitations of the desired procedure. I have in depth understanding of the facial anatomy and the required procedure as I have not only trained extensively in this procedure but have managed to enhance my skills by working exclusively in the head and neck region. In addition I can also perform brow lift and/or face lift at the same setting if required. Later on, if indicated, we can use various facial fillers or Botox injections for getting the optimum result.

If desired, I can see you in in my special cosmetic clinic that is designed to provide the greatest degree of privacy and confidentiality.

I would welcome you to visit my website “www.entcancercare.com” to learn about my credentials and expertise. Please feel free to contact me for any questions you might have.

  • When you arrive home, be prepared to rest in bed for the first 24 hours after blepharoplasty surgery.
  • Use two pillows under your head – keep your head propped up for 3-4 days.
  • You will be black and blue around the eyes for 48 - 72 hours and will have puffy eyes for two weeks.
  • You may eat lightly and drink water.
  • You may go to the bathroom and walk around (careful if vision blurred!).
  • You can expect to have slightly blurred vision for the first day or two after eyelid surgery. You may read or watch television when the blurring resolves.
  • Take the antibiotics and pain medication prescribed according to the pharmacy instructions.
  • Take the pain medication at the correct time.
  • NO HOT OR WARM COMPRESSES!
  • Apply cold compresses to your eyelids using 4 x 4-inch gauze pads or a clean washcloth soaked in dilute salt water (1 teaspoon of salt to quart of water.) The water does not have to be iced, although it may be if it feels more comfortable. You may freeze the gauze pads. Alternatively, you can use frozen pea bags from the supermarket after cleaning the pack. Cold compresses are soothing and help control swelling.
  • Contact Lenses - You won’t be able to wear your contact lenses for about two weeks, and they may feel uncomfortable for a while after that.
  • Hair - You may wash your hair three days after blepharoplasty surgery. Dry your hair with a towel or a blow dryer on the cool setting. You may use hair rollers, but DO NOT USE A BLOW DRYER ON THE WARM OR HOT SETTING OR SIT UNDER A WARM OR HOT HAIR DRYER.
  • Make-Up - You may wear eye make-up and/or concealer after two weeks.
  • Dryness - Some blepharoplasty patients may experience dry eyes for a few months after eyelid surgery. You may use saline eye drops every 2 or 3 hours to alleviate dryness.
  • Smoking & Drinking – Absolutely no smoking for 2 weeks after your eyelid surgery to prevent coughing and possible bleeding. Do not drink alcohol for 10 days after eyelid surgery or while you are taking pain medication.
  • Driving - You may drive a car after one week.

It is important to see me as scheduled after eyelid surgery. The first post-operative appointment will be 5 days after the eyelid surgery to remove the stitches. The second post-operative appointment will be in two week and I will see you at 3 month, six month and finally at 12 month.

A facelift surgery is done to improve visible signs of aging in the lower part of the face (from the eyes and ears downwards) and neck such as:

  • Sagging in the middle of the face
  • Deep creases below the eye
  • Deep creases along the nose extending to the corner of the mouth
  • Skin folds in the lower face because of loss of skin tone
  • Double chin because of loose skin and excess fatty deposits
Anything above the eyes is treated with a brow-lift.

The loss of youthful appearance of the face can be due to a variety of factors, including heredity, gravity, environmental conditions, and stress. Poor dietary habits, sedentary life style, excessive exposure to sunrays and addictions such as smoking can also contribute to the ageing of face.

As we age, the skin and the deeper tissues of the face and neck loosen, lines and furrows form. The fat pads of the cheek descend towards the mouth, creating deep cheek lines. In addition, the transition from the face to the neck becomes less defined, the outline of the jaw bone less visible. Skin folds form and fullness under the chin is noted. All of this lead to a tired and sometimes sad appearance.

A face-lift involves elevating and repositioning the skin and underlying tissue of the face. These include the fat pad of the cheek and the muscles of the neck and face. Without tension, the facial skin is then very carefully draped over the repositioned soft tissues, the hairline is aligned and the excess skin is removed.

Face-lifts are commonly performed while you are asleep under general anaesthetic. The operation takes between two to five hours, and you are likely to need to stay in hospital overnight

The choice of the right procedure or combination of procedures depends on a variety of factors, most importantly your wishes and expectations as well as the individual anatomy. Rejuvenation procedures typically performed in conjunction with a facelift are brow lift, to correct a sagging or deeply furrowed brow, and eyelid surgery(Blepheroplasty) to rejuvenate aging eyes.

Non-surgical rejuvenation treatments can complement the results of surgery. These include injections with Botox or facial fillers which can be used before surgery, to delay the operation or after the face lift procedure to gain the optimum result.

As a restorative surgery, a facelift does not change your fundamental appearance and cannot stop the aging process.

Face-lifts are generally successful procedures and can have dramatic results, often setting the clock back about ten years. However, you need to be aware that no face-lift will ever make you look 18 again! In addition face lift cannot deal with the ageing of eyelids or your forehead, each of these require a different procedure.

Pain is not a major problem with facial surgery, and complications arising from face-lifts are usually not serious. However, all patients need to be aware that there is the chance of the following complications

  • Sustaining damage to the facial nerves – These nerve branches run just under the tissues of your facial skin and are at risk during the surgery. Damage to this nerve can cause weakened movement of the eyebrow and lip. Temporary weaknessof this nerve is more common and this generally improve over several weeks. However a permanent damage is a very rare possibility and you must keep this in mind.
  • Bleeding under the skin can occasionally occur, similar to any other operation. Generally this is mild and does not require any intervention. Occasionally, it may be significant enough for re-exploration under a second operation to find and control the site of bleeding.
  • Wound breakdown or infection are very rare.

Following surgery, it is common to experience:

  • Feelings of tightness when opening mouth
  • Swelling and bruising of the face and around your eyes
  • Feeling low and depressed in the first week
  • Discomfort at night (sleeping upright with ice packs applied to cheeks is recommended)
  • Pins and needles around the incision site
Within four weeks, you will be feeling more like yourself, albeit a younger looking version. However, I would strongly advised not to judge the final result of a face-lift for about nine to twelve months.

All being well, you will go home the day following your operation. The dressing is changed the morning after surgery.

  • The wound should be kept clean and moist with the prescribed ointment for 10 days, and you will receive 5 day course of oral antibiotics.
  • Ice packs are very useful to speed up the resolution of bruising and swelling after the operation. Use one every half an hour for the first 48 hours after your operation, frozen pea bags from supermarket are ideal as they can be molded to the facial contour.
  • Try to sleep with extra pillows under your head for the first two weeks after your operation and if possible, elevate the head end of your bed.
  • You can gently shampoo and condition your hair after 3 days of operation. However, take care around the surgical incisions and do not pull your ears.
  • Please wear the given compression dressing for one week day and night and an additional week just at night.
  • Sutures will be removed 7 days after surgery.
  • Do not consume Aspirin, Vit E or any herbal product for 3-4 weeks.
  • Do not consume alcohol for at least a week and absolutely no smoking for 3 weeks after the operation.
  • You must limit any significant physical activity for 3 weeks and also avoid using makeups during this period.
  • You must avoid direct exposure to sun for at least six months and use a hat or high SPF sun screen when going out. This is critical to avoid any discoloration of the surgical incisions.
  • Regular follow-up visits are scheduled until healing has taken place. Visits at 3 months and 1 year postoperatively complete the early postoperative care.

Face Lift surgery has changed dramatically over the past two decades. Stigmata of early, subcutaneous face lift techniques included an operated, overly lifted and unnatural appearance. These suboptimal results have effectively been replaced by the naturally appearing, predictable and long lasting results of sub-SMAS and deep plane face lift operations that I practice. The deep plane face lift is among the most definite procedures available for the treatment of age-related facial changes, especially when changes of the neck are present as well. I also perform neck lift frequently to avoid an imbalanced appearance between an overly stretched face and an undertreated neck. In addition I can also perform blepharoplasty for eye lid wrinkles at the same setting. Later on, if indicated, we can use various facial fillers for getting the optimum result.

If desired, I can see you in in my special cosmetic clinic that is designed to provide the greatest degree of privacy and confidentiality.

I would welcome you to visit my website - www.entcancercare.com – to learn about my credentials and expertise. Please feel free to contact me for any questions you might have.

BOTOXis a purified protein that is used to eliminate the wrinkles between the brows, flatten deep forehead wrinkles, and soften the ‘crow’s feet’ wrinkles next to the eyes. It blocks nerve transmission to the muscles that cause wrinkles of the face. After treatment, the muscles relax, and the overlying skin becomes smooth and unwrinkled. BOTOX is a safe treatment that has been used to treat a variety of conditions worldwide for more than 15 years, and it is FDA approved to treat the wrinkles between the eyebrows.

I use a few tiny microinjections to deliver the BOTOX, so discomfort is minimal. The treatment is usually done in about 10-20 minutes and within a few days, you can see a marked improvement that can last up to 6 months. With so many advantages, it is easy to see why patient satisfaction is so high with these treatments.

It is critical that BOTOX injection is given properly, at the right site and at the correct dose or one runs the risk of having an unnatural appearance with a ‘frozen’ look. An experienced BOTOX injector knows exactly how to produce natural results that enhance the appearance.

Fillers, which come in a variety of materials, are injected into the depression or crease in a wrinkled area. We classify them as temporary, semi-permanent, and permanent. In general, we use fillers to replace volume, which then helps to restore a natural, rested look. Restelyn, one of the most commonly used filler and the only one that is FDA approved for use around the lip can have its effect apparent for around a year. One of the big advantage of using this filler is that if you feel that the volume is more than desired at a specific area, we can use another injection that has a natural enzyme to dissolve it!

I sometimes use fillers in combination with other treatments. A Botox injection, followed by a filler treatment, is one of the most common combination treatments and is a fast way to reach the cosmetic goal. Both men and women seek injectables to restore their youthful appearance without drastically altering their looks, in order to enhance their attractiveness and self-confidence in their social and personal lives, and in today’s competitive workplace and business environment.

In general, those who have lost volume or have deepening furrows, creases, and lines characteristic of aging can benefit from fillers. Those who are younger, but desire bigger lips or bigger cheeks or a more defined chin can also benefit from fillers.

There are numerous facial injectable products available that can be used to restore the facial volume and fill out wrinkled or uneven areas of the face. For the safety of his patients, I use only FDA approved products on my patients, sometimes in conjunction with fat transfer. During your consultation, I can recommend which facial filler can achieve the enhancement you desire. The result you'll see is a restoration of younger, smoother facial contours without an invasive surgical procedure. Facial filler treatments may be used alone or in conjunction with a surgical procedure, such as a facelift or Blepheroplasty.

Juvederm®
Restylane®
Radiesse®
Perlane®
Scluptra®

CLINIC INFORMATION

Northampton General Hospital
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Northampton NN1 5BD
Tel - 01604 634700
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Northampton NN1 5DR
Tel - 01604 620311

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