Facial Surgery

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Face and Necklift

There are now several types of lifts that improve the consequences of ageing of the face and neck in either a localised or more extended way. The neck and face lift is the most often performed; this is the surgical correction of ageing of the neck and face from the temples to the jaw line.
The operation aims to treat sagging and slackening of the skin, subcutaneous tissues, facial muscles (temples and eyebrows, cheeks, jaw line, facial contours) and neck.
The objective of such a procedure is not to change the shape and proportions of the face. On the contrary, simple restoration of the various anatomical structures of the face and neck (skin, muscle, fat) allows the patient to regain his/her appearance of some years earlier.
This surgery for aesthetic reasons cannot be covered by health insurance.

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Blepharoplasties

Blepharoplasties are aesthetic surgery procedures on the eyelids that aim to eliminate hereditary or age-related problems.
They can involve the two upper or lower eyelids or all four lids at once.
Blepharoplasty can be performed alone or combined with another facial aesthetic surgery procedure (temporal lift, frontal lift, neck and face lift) or even a medico-surgical therapy (laserbrasion, peeling, or dermabrasion). These may be performed during the same procedure or in a second operation.

Upper lid blepharoplasty:

A blepharoplasty corrects signs of ageing of the eyelids and replaces the “tired” appearance of the face by a more rested and relaxed appearance.
The most common problems are the following:
Heavy, drooping upper eyelids with excess skin can form a more or less pronounced fold. With time, a small fold can cause sagging of the lid over the lashes and interfere with vision. Many patients have tired eyes or are always obliged to “lift” their eyebrows to see better. Sometimes this fold on the upper lid is not caused by excess skin on the lid itself, but by sagging of the eyebrows and/or forehead, creating a pseudo-excess of skin on the upper lid. In this case, a brow lift or frontotemporal lift is advised.

Lower lid blepharoplasty:

The most common problems are the following:
Sagging and wrinkled lower lids, with small horizontal lines following distension of the skin.
Fatty deposits responsible for “bags under the eyes” in the lower lids or puffy upper lids.
The procedure aims for long-lasting correction of these problems by surgically removing excess skin and muscle as well as fatty protuberances, without of course altering the essential functions of the eyelids.
It must be noted that numerous other changes may exist that can only be corrected by making use of techniques more complex than a simple standard blepharoplasty, or by recourse to additional surgical procedures.
Ptosis or sagging of the edge of the eyelid in front of the pupil can be an additional problem. This is characterised by excessive length of a muscle lifting the eyelids or a problem with nerve control. In this special case, the muscle can be shortened to give the eyelid a better resting position.
In the case of “hollow” eyelids, a more complicated technique is necessary. It can be performed by transposition of fat or a local lift of the cheek.
Sagging of the forehead and eyebrows, frown lines on the forehead, crow’s feet at the corners of the eyes, circles, “hollow” eyes, “sad” eyes with drooping corners, and small imperfections of the skin surface (scars, spots) may be other problems.
The procedure, done on women and men, is commonly performed after the age of forty. However, it is sometimes done much earlier when the problems are constitutional (hereditary factors) and not age-related, like certain “fatty pockets”.
Temporary oedema can occur around the upper and lower eyelids due to fatigue, pollen allergy, a cold, nasal disorders, etc. This cannot be corrected by surgery. A blepharoplasty only corrects permanent imperfections.

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Frontotemporal lift

A temporal lift allows signs of ageing in the area of the temples to be corrected. This area, between the frontal and cervico-facial areas, can also benefit from a lift. A temporal lift, which can be performed alone, is in practice often combined with eyelid surgery (blepharoplasty).
This surgery for aesthetic reasons cannot be covered by health insurance.

This procedure treats sagging of the lateral part of the eyebrow, smoothes crow’s feet and slightly tightens the skin of the outer portion of the eyelids.

It does not aim to change the features, but to place the anatomical structures, in particular the ends of the eyebrows, back in their position of some years earlier.

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Protruding ears

Correction of protruding ears requires a surgical procedure called “otoplasty”, aiming to reshape outer ears considered excessively conspicuous. The operation is usually performed on both ears, but can sometimes be unilateral.
An otoplasty corrects anomalies in the cartilage of the outer ear responsible for its “detached” look. Three types of malformations, often combined to a greater or lesser degree, can be distinguished.
Too great an angle between the outer ear and the skull characterises true “detachment” (valgus)
Excessive size of the cartilage of the concha (cf. diagram), causing the ear to project forward, accentuates the detached look (of the concha).
Deficient folding in the usual contours of the cartilage gives the outer ear an appearance that is too smooth, as if “unfolded” (a defect in folding of the antihelix).
The procedure aims to definitively correct these anomalies by remodelling the cartilage to obtain ears that are “reattached”, symmetric, and of a natural size and appearance, putting an end to the teasing and other unpleasant comments likely to cause psychological problems or school conflicts. An otoplasty can be performed in adults or adolescents, but usually the correction is considered in childhood from the age of 7, or when the child complains of his appearance and suffers from it.

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