COSMeTIC-SURGERies
FACE
1.Intermittent Fasting (IF) Training
Face
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Face Lift or Rhytidectomy
Surgical Procedure
During a facelift, the tissues under the skin are tightened and fat pads that give the face it’s shape are relocated to a higher position. This helps to create a firmer, more youthful appearance. Incisions are usually made above and across the hairline in order to diminish scarring. The incision then follows the crease in front of the ear, behind the ear, and along the lower scalp so as to make scars invisible, with fine sutures. The surgeon separates the skin from the fat and tightens the muscles beneath with dissolvable sutures, then tightens and cuts the excess skin. Excess muscle may be trimmed and excess fat may be suctioned from around the neck and chin area to improve the contour.
Hospital Admission
One to three nights depending on area to be treated
Duration of Operation
Two to ten hours
Anaesthetic
General anaesthesia
Pre Operative Care
Inform your surgeon of any allergies, all medical conditions, and any medication that you are taking (both prescription and non-prescription). Avoid aspirin and brufen-containing medication for two weeks prior to surgery to eliminate the chance of post op. bleeding. You should not smoke for 2 weeks prior to surgery as this may affect your reaction to the anaesthetic and prolong the healing process. Patients that suffer from hypertension must inform the surgeon prior to surgery.
Post Operative Care
Following surgery, if the surgeon feels it necessary, you may have a small tube temporarily inserted under the skin behind your ear to drain any blood or excess fluid. This is usually removed a day after surgery. You may also wake with your head in bandages to minimize bruising and swelling. Loose bandages will be removed with a couple of days, but a compression garment may have to be worn for a few weeks.
It is important not to perform any strenuous activity after surgery to avoid tension on the wound, which could stretch your incisions and cause scarring. Dental work is not advised. The recovery takes one to two weeks. Although you may have some bruising or swelling most people are happy with the result and may return to work after approximately 2 weeks.
Risks and Complications
Complications that can occur after surgery include haematoma, (blood clotting) this is rare and uncommon, yet possible. The nerves near the ears can be traumatised and you may feel numbness for some time, but this is usually temporary until the nerves mend and you will gradually obtain normal sensation, this may take up to 12 months. Other risk factors are infection and reactions to the anaesthesia. Your surgeon will give you antibiotics prior to surgery to eliminate infection. If you have any problems with anaesthetic you must inform the anaesthetist prior to surgery. Smokers may experience a delay the healing process, but ultimately still obtain the same results.
Results
Facial profile looks more youthful and fine lines are less transparent.
Eye
2.Eyelid Surgery or Blepharoplasty
Surgical Procedure
The surgeon will, according to how a patients presents, remove the excess fat of a baggy eyelid and possibly tighten the muscles. The surgeon may also remove excess skin.
Hospital Admission
Outpatient procedure. No admission necessary
Duration of Operation
Two to three hours
Anaesthetic
Normally, it is done under local anesthetic injection. The procedure can also be done under general anesthesia.
Pre Operative Care
Before surgery please inform your surgeon of any allergies, all medical conditions, and any medication that you are taking (both prescription and non-prescription). To eliminate the chance of post op. bleeding you should avoid aspirin and any medication containing Aspirin or brufen for two weeks prior to surgery. You should also not smoke for 2 weeks prior to surgery as smoking can affect your reaction to the anesthetic and slow down the healing process. Patients that suffer from hypertension must inform the surgeon prior to surgery.
6 hours prior to surgery
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No food and liquid intake if general anesthesia is planned.
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No eye make-up, mascara and ensure the face is clean of any cosmetics.
Post Operative Care
Dressing : A compressive adhesive tape over the lower eyelid will usually be applied for 3 days. Clean the sutured area twice daily with non irritating substance like saline solution or the medication provided by your surgeon.
Medication : You will be provided with oral antibiotics, anti-swelling and pain reliever tablets. Take the medications as directed by your surgeon. Note that it is important to complete the full course of antibiotic therapy.
Cold compression : Can be applied for the first 3 days to prevent further bleeding from the wound and to minimize swelling.
Warm compression : Can be applied after 3 days to assist healing. Warm compression should not be used for the first 3 days unless instructed by your surgeon.
Suture Removal : Will be done on the 5th or 7 th day post-op.
Follow-up appointments : Scheduled on the 7th day following your surgery. Your surgeon may also schedule other follow-up appointments as necessary.
Showering : Keep the suture site dry and away from any sweat and dirt until your stitches are removed. You may apply Chloramphenicol ointment over the suture line before taking a shower.
Activity : It is advised to have bed rest in a cool and dry room and to limit your activities for a few days following surgery. You should also avoid all activities that are strenuous for the first 3 days.
Lying position : In the first few days and when sleeping, it is best to lay with your head elevated.
Recovery
In the first 2 days following the procedure, pain may be intense and bruising and swelling will be evident. This will start to subside after approximately 3 days, with 80% recovery most likely in 3 weeks. The scar will be hidden very close to the lower eyelash.
Risks and Complications
Risks are inherent to any surgical procedure. The most common risks are swelling, bruising, bleeding, infection, excess fluid and scarring. Ectropion or the eversion of the lower eyelid rim may happen in some patients that have very weak eyelid. You can reduce your risks by closely following your surgeon’s instructions both before and after surgery.
BREAST
Breast
1.Breast Augmentation
Surgical Procedure
During breast augmentation, a breast implant is placed either under the breast tissue and over the chest muscle, or under both the chest muscle and the breast tissue. Your surgeon will advise you on the most suitable procedure for you. This helps to increase or balance the size of the breasts, restore breast volume, or restore the shape of breasts after partial or total loss. Please note that breast augmentation cannot correct significantly sagging or drooping breasts. In these instances, a breast lift is often necessary, which may be performed in conjunction with this procedure.
All breast implants are made with a silicone based casing but they are filed with either silicone gel or saline. The outer silicone case may be smooth, shiny, polished, or a slightly rough texture. The type, style, and size of breast implants you choose are determined by your lifestyle, body contours, the amount of breast tissue you have, and the cup size and appearance that you would like to achieve. You should talk to your doctor about choosing the breast implant option that is right for you
We offer the most commonly used methods of incision and insertion; at the nipple, under the breast or under the armpit and it may be more than a simple case of aesthetics as to which option is chosen. Your surgeon will advise you of best procedure to suit you.
Hospital Admission
One nights
Duration of Operation
Two to three hours
Anaesthetic
General anaesthesia
Pre Operative Care
When assessing the size and placement of the implant our aim is to augment your breasts in proportion with your body and to maintain a natural look. The size and placement of the implant chosen depends on many factors, such as your cup size, your desired cup size, your build, including chest muscle tone. If you have a small amount of breast tissue and want to augment as much as possible, it is recommended that a large implant is placed below the muscle, in order to prevent the feeling or appearance of the implant. There is also less chance of capsular contracture (hardening). If you have large chest muscles the implant should be placed above the muscles in order to allow for comfortable movement and a natural look. For patients with mild to moderate breast sagging, a larger implant placed over the muscle is recommended. This enables a full and natural augmentation. Inform your surgeon of any allergies, all medical conditions, and any medication that you are taking (both prescription and non-prescription). Avoid aspirin and blood thinning medication such as brufen for two weeks prior to surgery to eliminate the chance of post op. bleeding. You should not smoke for 2 weeks prior to surgery as this may affect your reaction to the anaesthetic and prolong the healing process. Patients that suffer from hypertension must inform the surgeon prior to surgery.
Post Operative Care
All dressings and bandages are removed on the second or third day following the procedure. Afterwards, you are free to bath and shower as usual.
You will be directed by your nurse on the correct procedure and the reasons for breast massage which should be conducted twice a day or as directed by your surgeon.You will probably be able to resume exercise and normal physical activities within a month or two, after any residual soreness has subsided.
Women that choose silicone implants should have an annual mammogram to ensure that their implants are not leaking, as silicone leaks out slowly unlike saline – which is easier to rupture and will deflate fairly quickly. If there is a leakage or break in the implant, it should be replaced.
Risks and Complications
Since 2000, statistics show that a low number of silicone or saline implant recipients have experienced complications.Capsular contracture occurs if the capsule, or shell, around the implant begins to tighten and thicken. This will cause the breast to feel hard and appear unnatural. Preventing this can be best achieved by regular self-massage. Your surgeon will advise you on just how to do this. Should a problem arise, there are a number of ways to correct the issue. Sometimes removal of the capsule is required, or perhaps the implant may need to be replaced, however this is uncommon if you follow your surgeon’s directions.
If a breast does become infected or deflated, the implant must be removed immediately. You will need to wait several months before repeating the operation.
Despite bleeding generally being minimal during the operation, there is a possibility that continual bleeding after surgery may result in a blood clot – which would need to be removed. This is uncommon and it is suggested you remain in Thailand for approximately 2 weeks for your surgeon to monitor your improvement after surgery. Infection is uncommon, but possible. Your surgeon should provide you with antibiotics prior to surgery to eliminate this possibility. A reputable accredited surgeon will perform these procedures to eliminate risk. Detecting breast cancer may be more difficult.
Autoimmune Risks
According to scientific research, women with breast implants are not at any increased risk of autoimmune or connective tissue diseases. Although some patients have claimed of complications to their health due to ruptured silicone implants in the past, studies have not conclusively indicated that implants bring about increased risks of any rare diseases.
Results
Breast augmentation increases breast size which can enhance your self esteem and confidence. The procedure will leave you with a better figure and help to balance your body proportions. For many women, including those who may have undergone a mastectomy, child birth or weight loss, you will notice a magnificent improvement and initial scarring will gradually fade.
In 2000, both Silicone and Saline implants were both approved by U.S. health officials. Implants manufactured by Inamed and Mentor – the two leading marketers of implants – were considered safe and effective for continued use.
Breast Lift
Surgical Procedure
During surgery, the surgeon removes excess skin and tightens the remaining skin. The surgeon starts by assessing the required lift and fullness needed to achieve the desired result. This is done by marking a new nipple position. Using a scalpel, the surgeon then makes an incision along the pre-marked lines and separates the skin from the tissues below. The excess breast fat is then removed, the nipple relocated to its new position and finally the new breast shape is reconstructed. The incision is usually made around the nipple and under the surface of the breast, like an upside down T, however a different technique may be used depending on the degree to which your breasts sag. If you decide to have implants with your breast lift, they will be placed directly under the breast tissue or chest muscle.
Hospital Admission
One nights
Duration of Operation
Four to six hours
Anaesthetic
General anaesthesia
Pre Operative Care
Before surgery please inform your surgeon of any allergies, all medical conditions, and any medication that you are taking (both prescription and non-prescription). To eliminate the chance of post op. bleeding you should avoid aspirin and any medication containing aspirin or brufen for two weeks prior to surgery. You should also not smoke for 2 weeks prior to surgery as smoking can affect your reaction to the anaesthetic and slow down the healing process. Patients that suffer from hypertension must inform the surgeon prior to surgery. In your consultation you should discuss your expectations of the outcome of the surgery and listen to the surgeon’s opinion. You will probably be required to send photos of your breasts to the surgeon prior to the consultation. This will enable the assessment and also serve as a reference following surgery.
Post Operative Care
When you wake after surgery you will be wrapped in elastic bandages, gauze dressings and a surgical bra. A small tube may be placed in each breast to drain blood and fluids for the first day or two.
The extent of the post operative swelling and bruising depends on whether you tend to bruise or swell easily. Every person is different. Application of cold compresses or ice packs will reduce swelling and relieve discomfort.
A couple of days after surgery the pressure bandages will be removed. The surgical bra must be worn at all times for several weeks, until the swelling and bruising subsides, or until your surgeon advises you otherwise. You should only remove the surgical bra to bathe and to wash the garment.
Usually, sutures will be removed in the first week. Sometimes the surgeon will use dissolvable sutures. If the breast skin is very dry following surgery, a moisturizer can be applied several times a day. Vitamin E cream is extremely effective and also helps the scarring to heal, however the suture area must be kept dry at all times, particularly after bathing.
For the first few months it is important not to place tension on the wound by performing strenuous activities like lifting or stretching your arms above your head, as this may increase scarring by stretching the tissue. You will need assistance to carry your groceries or hang your washing !
Your surgeon will try to ensure that your incisions as subtle as possible, however it is important to remember that the scars are extensive and permanent. They may be red for months, and then slowly become fainter, eventually fading to thin white lines. In most cases the scars are positioned so that they would not be seen if you wear low-cut tops and dresses. Recovery usually takes about two weeks. Most people are back to work within three weeks.
Risks and Complications
Risks are inherent to any surgical procedure. The most common risks are swelling, bruising, bleeding, infection, fluid, scarring, numbness, or a change in sensation to the nipple. The most common risk particular to this surgery is damage to the nerve and blood supply of the nipple. In some cases this could lead to a loss of feeling in the nipples, however a breast lift does not prevent future breastfeeding as a breast reduction can.
Scars will fade gradually but nipple numbness may take up to 12 months before sensation returns.
Breast Reduction
Surgical Procedure
During surgery, breast fat, glandular tissue, and skin are removed, to make the breasts smaller, lighter, and firmer. An incision is usually made around the nipple and under the surface of the breast, like an upside down T. The nipple and areola are almost always left attached to their blood vessels and nerves. The skin from above the nipples is then pulled down to shape the new breast and a hole is cut for the new nipple and areola. If the breasts are particularly large the nipple may need to be completely removed and grafted to a higher position – this results in a loss of sensation to the nipple and areola.
Hospital Admission
Two nights
Duration of Operation
Four to six hours
Anaesthetic
General anaesthesia
Pre Operative Care
Before surgery please inform your surgeon of any allergies, all medical conditions, and any medication that you are taking (both prescription and non-prescription). To eliminate the chance of post op. bleeding you should avoid aspirin and any medication containing aspirin for two weeks prior to surgery. You should also not smoke for 2 weeks prior to surgery as smoking can affect your reaction to the anaesthetic and slow down the healing process. Patients that suffer from hypertension must inform the surgeon prior to surgery. In your consultation you should discuss your expectations of the outcome of the surgery and listen to the surgeon’s opinion. You will probably be required to send photos of your breasts to the surgeon prior to the consultation. This will enable the assessment and also serve as a reference following surgery.
Post Operative Care
When you wake after surgery you will be wrapped in elastic bandages, gauze dressings and a surgical bra. A small tube may be placed in each breast to drain blood and fluids for the first day or two.
The extent of the post operative swelling and bruising depends on whether you tend to bruise or swell easily. Every person is different. Application of cold compresses or ice packs will reduce swelling and relieve discomfort.
A couple of days after surgery the pressure bandages will be removed. The surgical bra must be worn at all times for several weeks, until the swelling and bruising subsides, or until your surgeon advises you otherwise. You should only remove the surgical bra to bathe and to wash the garment.
Usually, sutures will be removed in the first week. Sometimes the surgeon will use dissolvable sutures. If the breast skin is very dry following surgery, a moisturizer can be applied several times a day. Vitamin E cream is extremely effective and also helps the scarring to heal, however the suture area must be kept dry at all times, particularly after bathing.
For the first few months it is important not to place tension on the wound by performing strenuous activities like lifting or stretching your arms above your head, as this may increase scarring by stretching the tissue. You will need assistance to carry your groceries or hang your washing !
Your surgeon will try to ensure that your incisions as subtle as possible, however it is important to remember that the scars are extensive and permanent. They may be red for months, and then slowly become fainter, eventually fading to thin white lines. In most cases the scars are positioned so that they would not be seen if you wear low-cut tops and dresses. Recovery usually takes about two weeks. Most people are back to work within three weeks.
Risks and Complications
Risks are inherent to any surgical procedure. The most common risks are swelling, bruising, bleeding, infection, fluid, scarring, numbness, or a change in sensation to the nipple. The most common risk particular to this surgery is damage to the nerve and blood supply of the nipple. The possibility of breast feeding may decrease after surgery. Breast reduction is recommended for people that have had children already and do not wish to have any more. Breast reduction does NOT increase the risk of breast cancer and indeed may slightly decrease the risk. Mammograms will still be possible after surgery. Scars will fade gradually but nipple numbness may take up to 12 months before sensation returns.
Revision of Breast Implant
Surgical Procedure
The surgeons typically approaches the implant through the same surgical incisions as your original breast augmentation. Surgery may be as short as two hours, but this will vary depending on your particular condition. Revision to correct a complication can take longer and will often require more complex surgical techniques, depending on the initial reason for implant removal.
Hospital Admission
One night at least
Duration of Operation
Two to three hours
Anaesthetic
General anaesthesia
Pre Operative Care
During the consultation you will need to discuss your medical history, including any medical conditions or drug allergies you may have. You should also discuss any previous surgeries you’ve had, especially to the breast, and what drugs you are currently taking, including supplements, herbal and over-the-counter (OTC) medications. It is important to tell the surgeon if you think you may be pregnant. To eliminate the chance of post op bleeding you should avoid aspirin and any medication containing aspirin or brufen for two weeks prior to surgery. You should also not smoke for 4 weeks prior to surgery as smoking can affect your reaction to the anaesthetic and slow down the healing process. Patients that suffer from hypertension must inform the surgeon prior to surgery.
Post Operative Care
After revision of breast implants you are likely to have some discomfort, swelling, bruising, hardness and pain/twinges in the breasts. These are temporary and should subside after the first few weeks. It may take several months for the shape of your breast to settle.
Depending on the average physical activity of the patient, and the complexity of the surgery, a return to normal lifestyle usually occurs within one to two weeks following their breast revision surgery.
Risks and Complications
Like all surgical procedures, breast implants revision surgery has its own set of risks and side effects. Knowing what complications may arise, as well as what can prevent them will help patients enjoy a positive experience.
Some of the complications that may result from this procedure include:
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Infection
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Unsatisfactory results
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Excessive bleeding
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Adverse reaction to anesthesia
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Need for second or even third procedures