Eyelid reduction (blepharoplasty) is a procedure to remove surplus skin and protruding fat to produce a more alert appearance and improve the contour. In the lower lid the fat bag alone can be removed from the inside of the lower lid (transconjunctival blepharoplasty) avoiding an external incision. This may be combined with laser resurfacing to obtain the best cosmetic result.
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The MACS lift (Minimal Access Cranial Suspension Lift) was described by a Belgian group in 2001 and has been used by Mr Dujon for more than 10 years.
An incision is made in front of the ear and along the hairline. 2 or 3 semipermanent suspension sutures are used to elevate the underlying soft tissues and muscle. These pass down to the neck, jowls and cheek fat pad. Unlike many other facelifts which do not include significant mid face elevation the extended MACS lift elevates the malar fat pad reducing the nasolabial folds. In many cases liposuction is performed to the neck area below the angle of the mandible, both to remove excess fat here and also to free up the skin to allow it to be re-draped by the suspension sutures. The MACS lift produces results at least equivalent, or in most cases, better than a conventional facelift. It is ideally suited to the younger patient with a sagging mid face but can be applied to patients of all ages. In patients with marked sagging of the neck it may be necessary in some cases to make an incision posterior to the ear to take up this slack, but in most cases this is not necessary. The operation may be done under local anaesthetic and sedation as a day case or overnight stay. in some cases a general anaesthetic may be preferred.
As the muscles in the face begin to relax as the years go by, this can lead to the brows descending down the face and creating an ‘overhang’. Botulin Toxin (Botox) is one temporary method of reversing this effect, however brow lift surgery is more permanent. A brow lift is a procedure that lifts eyebrows that have become droopy (this is referred to as a ‘brow ptosis’). The operation may be performed on its own or, more commonly, in conjunction with an upper eyelid blepharoplasty (an upper eyelid lift or cosmetic eyelid operation).Brow lift surgery consists of three different methods. All involve cutting the forehead tissue to leave a deep exposed surface, elevating the brow and allowing it to heal in a higher position.
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A rhinoplasty (or ‘nose job’) is a cosmetic operation to improve the appearance of your nose. It involves operating on the bones and cartilage that give your nose its shape and structure. The goal of surgery is refining the appearance of the while maintaining equilibrium and balance with other facial features. If there is associated airway obstruction a septoplasty may be required which can performed simultaneously by an ENT specialist at the same time as cosmetic refinement.
For patients requiring septal correction to improve breathing Mr Dujon has a long standing relationship with Mr Andrew Parker a consultant ENT specialist with expertise in septal surgery for airway problems. A combined septo-rhinoplasty is often a good way to address both issues of breathing and cosmetic concerns in one operation.
A liquid rhinoplasty uses dermafillers to alter the contours of the nose and can be used as a primary procedure or to refine the result of previous surgery.
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Liquid rhinoplasty is an outpatient procedure in which a dermal filler is injection into the skin of the nose to change the contour. This can often be as effective as surgery in adjusting the equilibrium of the nose to give a more harmonius appearance
Otoplasty (prominent ear corrrection) is done to recreate the natural antehelical fold which reduces the amount that the ear sticks out. It is often done under a local anaesthetic as a day case.
