Growing Old is …

Growing Old is Inevitable , Looking Young Is Negotiable !

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Nose Surgery also known as rhinoplasty, a cosmetic surgical procedure that improves the appearance and proportion of your nose thus enhancing facial harmony.

– Rhinoplasty can change:
– Nose size, in relation to facial balance
– Nose width
– Nose profile, with visible humps or depressions on the bridge
– Nasal tip, that is enlarged or bulbous, drooping
– Nostrils that are large or wide
– Nasal asymmetry due to previous injury
– Crooked nose or the nose that is off-centered
The technique used willdepend on the surgical goal. Incisions will be placed inside your nose. Sometimes a very short incision is made across the vertical strip of tissue that separates the nostrils called the columella. This technique is called an “open rhinoplasty”. The incisions used, will ultimately be very inconspicuous.

Through these incisions, work is done on the cartilage and bone that form the framework of your nose.

Sometimes, the position of certain bones may need to be altered in order to make your nose look narrower and straighter. If your nose needs to be built up in some areas, this can be done using cartilage, bone or an implant. The skin and soft tissues then re-drape themselves over this new framework.

If the base of the nose is narrowed or the nostrils reduced, small wedges of skin at the base of the nostrils will be removed. Incisions are hidden in the natural crease where the nostril joins the cheek.

General after care & Post-operative course:

You need to be admitted in the hospital for 12-24 hrs. Generally a splint or some tape will be applied over your nose for 5-7 days to maintain the shape given to nose. There will be some temporary swelling, discoloration of nose & surrounding area for initial few days that will ultimately go away. You need to keep your head end elevated for 3-4 weeks as advised. You should protect the nose from direct sunlight for the first three to six months after surgery. Make your first sun exposure after advice of your doctor only. Once daily steam inhalation for two or three months after the surgery is helpful for easy breathing and beneficial to prevent any kind of dryness in side the healing nose. You should not perform heavy exercises for the first two weeks after surgery & never play with your nose. This will increase the chance of scarring and may disturb the shape of your nose. Avoid any kind of trauma to newly operated nose.

Since the healing process is gradual, you should expect to wait up to one year to see the final result. However your new look is visible within few weeks of your surgery.

The results of rhinoplasty are permanent, except for possible changes associated with the normal aging process.

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Face Lift, or a Rhytidectomy, is designed to restore a more youthful appearance by removing major wrinkles and sagging skin of face by reattaching the skin & soft tissue to their normal position. It involves tightening of the facial and neck muscles as well as the removal of any excess skin. The skin begins to wrinkle and sag as a result of age, sun exposure, gravity and genetics. Children and young adults have smooth & round faces due to evenly distributed fatty tissues in facial contours. Over time, the skin sags and folds over the chin, jawline and neck. Not only does a facelift improve facial appearance but also has a dramatic effect on the neck, enhancing its contour and profile.

A face lift can make a patient look 5 to 10 years younger. Dramatic as the end results are, this is not a simple procedure. It requires a week to 10 days of recovery.

Before Facelift Surgery

We will evaluate your medical history in order to determine your overall health. We will discuss with you how your face can look and what you can expect from surgery. Our objective is to create a natural appearance that is pleasing to you. Preoperative Instructions: Avoid cigarette smoking, any kind of tobacco and drugs that contain aspirin several weeks prior to surgery to minimize excess bleeding. You may be required to take antibiotics to prevent infection. You may be instructed to shampoo your hair the night before surgery. Shaving of head is not required.

Facelift Surgery Procedure

A facelift is frequently performed in conjunction with blepharoplasty (eyelid surgery), forehead lift, chin augmentation, and / or liposuction of neck, to create an overall rejuvenation of the face. Facelifts are performed in inpatient surgical centers. General anesthesia is usually required. The surgeon will make incisions inside the hairline at the temple, in front of the ear, then around the earlobe and behind the ear, ending at the scalp area. Excess skin is removed and sagging muscles and connective tissues are tightened and fixed in a desired direction. In some cases, fatty deposits are removed from beneath the chin and neck. Incisions are closed with small sutures. The procedure may take up to 2-3 hours depending on whether any other procedures are performed at the same time.


Initially you will have a large dressing wrapped around your head. You may have surgical drains attached to bulbs hanging at your neck. These will be removed in approximately 24-48 hours. Stitches around the ears will be removed in a few days. The scalp sutures will be removed in 7-10 days.
To minimize scarring, the doctor may remove the sutures in stages. Scarring fades quickly. Swelling and discoloration decrease within two weeks. Tightness in your face will be present for several weeks, which will soften gradually.
We recommend that you avoid the sun for several weeks after surgery.

Complications following facelift are rare. These include bleeding, infection, facial nerve injury, discoloration of the skin, numbness, asymmetry and scarring. Infection is rare due to the large blood supply to the face. As mentioned, the risk of bleeding is greater if you take aspirin or blood thinners within 2 weeks of the surgery. The risk of wound complications increases in diabetics, persons with a history of radiation, autoimmune and collagen disease as well as in smokers. By following pre and post-operative instructions, you will minimize potential problems.
In the weeks following surgery, the facial skin and area around the ear may be numb. There may also be some temporary discoloration as healing begins, which may take a few months to disappear. Occasionally, the facial nerve is bruised during surgery, resulting in temporary loss of function or sensation. However, actual permanent damage to the facial nerve is rare.
The healing process is gradual, so you will not notice final results for few months. A single procedure often achieves the desired results. Most patients who have had facelifts are pleased with their new, more youthful appearance.

Is there some minimal procedure for the same result?

Modified face-lift (soft face lift), Thread lifts (suspending the drooped tissues using barbed threads) along with endoscopic surgery of the brows and minimal surgery in the chin / neck area can give a younger look which may not be as powerful as a full-face neck lift. The recovery time for such a procedure is just a week and is a day care procedure with people going back home in the evening. The downtime for such soft face lifts is usually not be as good as full face lifts and you may require re-lifting of face after 2-3 yrs.

By: Dr. R. K. Mishra Continue reading

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