Bangkok Cosmetic Surgery: June 2011

Sunday, June 19, 2011

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Bangkok Cosmetic Surgery: Alar Resection or Alarplasty

Bangkok Cosmetic Surgery: Alar Resection or Alarplasty: "Overview of the surgery: Alar Resection is a cosmetic surgery procedure of the nose that narrows the wide flaring and large opening of the ..."

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Look and Feel Entirely Natural: Alar Resection or Alarplasty

Look and Feel Entirely Natural: Alar Resection or Alarplasty: "Overview of the surgery: Alar Resection is a cosmetic surgery procedure of the nose that narrows the wide flaring and large opening of the ..."

Alar Resection or Alarplasty

Overview of the surgery:

Alar Resection is a cosmetic surgery procedure of the nose that narrows the wide flaring and large opening of the nasal nostrils.

The alar of the nose is reduced and suture in its position, aim is to make the balance of nasal tip and alar of the nose.

Duration of the operation:

The procedure usually takes around 1 hour.

Post-Operative Care

Splint the nasal tip with 3-4 mm thin strips of waterproof tape. Steri-Strips also can be used. Run the strips along each side of the nose and gently wrap them under and around the tip. As all sutures are absorbable, none require removal. Revision surgery should not be considered before at least 6 months have elapsed since the original operation.

Recovery period:

Normally, you will feel some pain and discomfort at the nose area during the first days after the operation but it can be alleviated by the medications prescribed. After 2 or 3 days, you will feel no pain but swelling in the nose and eyelid area will persist. Swelling and bruising around the eyes will start to disappear within a week and will completely subside for about 2 weeks. You can go back to work after 1 or 2 weeks, but avoid strenuous activities that can increase pressure to the face, which can prolong swelling and bruising for the next 2 to 3 weeks. After the removal of the bandage and stitches, the patient must take care of her/his nose not to be injured until it is completely healed. The frames of glasses should not be allowed to rest on the bridge of the nose for three weeks. A little bleeding is common during the first few days following surgery; patient may continue to feel some stuffiness for several weeks. Patient must try not to blow nose for a week or so, while the tissues heal.

Possible risks and complications:

Serious complications are rare. The most common complication is patient dissatisfaction. Other complications include: hematoma, airway obstruction, injury to the nose, infection, excessive swelling and bleeding.

Anesthesia:

Using IV sedation (medicine administered through an IV) and local anesthesia (numbing medication administered in the surgical area)

Hospital admission:

The patient can be discharge from the hospital on the same day of the surgery.

Preparation before Surgery:

Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.

For more information about the procedures you may contact: International Marketing Coordinator:osias@miraclecosmeticsurgery.net, info@miraclecosmeticsurgery.net or call mobile phone: +66816572522, Tel: (02) 753-9206, or visit our website: www.miraclecosmeticsurgery.net

Tip Plasty and Tip Graft

Overview of the surgery:

Tip Plasty and Tip Graft may be performed to reduce a large, square, or bulbous nasal tip, to treat an upturned or sagging nasal tip, or just to change the appearance of the nasal tip.

The surgery includes realignment of the alar cartilage by resection and suture, fibroareolar and subcutaneous tissue, tip graft and columellar strut. The nasal tip is positioned high and elegant, methods such as cartilage suture, cartilage grafting and blocking the nasal septum.

Duration of the procedure:

The procedure usually takes around 1 hour depending on the surgical treatment and the extent of reshaping required.

Post operative care:

You will feel some pain and discomfort at the nose area during the first days after surgery but can be alleviated by medications prescribed. Expect some bruising and swelling during first few days and will usually subside in about 1 week.

Recovery period:

The typical recovery would be around 3 weeks. Sutures are removed within 10 days after the procedure.

Possible risks and complications:

These are complication free. However, all grafts have potential for asymmetry and migration. Although this may seem like a simple operation because it involves such a small area, a tip plasty may be one of the most challenging aspects of nose surgery. Disruption of the cartilage that supports the tip of the nose can cause the tip to collapse, rotate or lose projection; therefore tip plasty should be performed by an experienced rhinoplasty surgeon.

Anesthesia use:

This procedure is generally under local or general anesthesia.

Hospital admission:

The patient can be discharge from the hospital on the same day of the surgery.

Preparation before surgery:

Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.

Saturday, June 18, 2011

Reduction Rhinoplasty

Overview of the surgery:

Reduction Rhinoplasty is for patients who have prominent large noses with oversized bridges and depressed nasal tips. It aims to create a well balanced nose by reducing the dorsal hump, narrowing the bridge, improving the nasal tip projection and definition.

The incisions are placed on the rim of the alar of nose. Soft tissues of the nose are then separated from the underlying structures, the bone and cartilage are then reshaped and the skin re-draped over the surface. Patients who have a deviated septum may benefit by correction of this problem at the time of surgery.

Duration of the operation:

The procedure usually takes about 1-2 hours.

Post operative care:

The nose will be covered with either plaster or a light metal or plastic splint to maintain the position of the nasal bones. You will feel some pain and discomfort at the nose area during the first days after surgery but can be alleviated by medications prescribed.

Recovery period:

You can go back to work or return to school within 2 days following surgery and will take about 1-2 weeks until it will be completely healed.

Possible risks and complications:

When Nose Reduction is performed by a qualified plastic surgeon, complications are infrequent and usually minor. Nevertheless, there is always a possibility of complications, including infection, nosebleed, or a reaction to the anesthesia. You can reduce your risks by closely following your surgeon's instructions both before and after surgery. After surgery, small burst blood vessels may appear as tiny red spots on the skin's surface; these are usually minor but may be permanent. As for scarring, when Nose Reduction is performed from inside the nose, there is no visible scarring at all; when an "open" technique is used, or when the procedure calls for the narrowing of flared nostrils, the small scars on the base of the nose are usually not visible

Anesthesia:

Local anesthesia with mild sedation

Hospital admission:

It depends on your preferences as well as your surgeon’s. Reduction Rhinoplasty can be performed on an out patient basis, in the hospital, or in an ambulatory surgical suite.

Preparation before Surgery

Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.

Look and Feel Entirely Natural: Conjunctival Incision Blepharoplasty

Look and Feel Entirely Natural: Conjunctival Incision Blepharoplasty: "Overview of the surgery: Conjunctival Incision Blepharoplasty is another type of cosmetic procedure used to remove pocket of fat beneath the..."

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Bangkok Cosmetic Surgery: Conjunctival Incision Blepharoplasty

Bangkok Cosmetic Surgery: Conjunctival Incision Blepharoplasty: "Overview of the surgery: Conjunctival Incision Blepharoplasty is another type of cosmetic procedure used to remove pocket of fat beneath the..."

Conjunctival Incision Blepharoplasty

Overview of the surgery:

Conjunctival Incision Blepharoplasty is another type of cosmetic procedure used to remove pocket of fat beneath the lower eyelids but not tightening or removing the skin. Incision is made on the inside of the lower eyelid. Excess fat and muscle are removed (no tightening or removing of skin). Incision is closed with self-dissolving sutures or they will heal naturally without sutures.

Duration of the operation:

Conjunctival Blepharoplasty generally takes about one to 2 hours to complete.

Post operative procedure:

After surgery, the physician will lubricate your eyes with ointment to reduce dryness in this area. Your vision may be blurred temporarily from the ointment. The first evening after surgery, you should rest quietly with your head elevated. It will help to apply cold compresses to your eyelids. Your blood pressure should be monitored to avoid bleeding complications that can affect vision. And, although you can be up almost immediately, you should limit your activities.

Recovery period:

In general, bruising and swelling are less than with other types of eyelid surgery, and recovery is rapid. A small amount of residual swelling, however, will persist for some months and resolve very gradually.

Possible risks and complications:

Significant complications from aesthetic eyelid surgery are infrequent. As with any surgical procedure, however, there is always a possibility of infection, or reaction to the anesthesia, bleeding behind the eye, temporary problems with excessive tearing, and decreased sensation in the eyelid, dry eyes, prominence or firmness of the scars, blurred vision, and asymmetry in healing or scarring, difficulty closing eyes completely; in rare cases. You can help minimize certain risks by following the advice and instructions of your plastic surgeon, both before and after your eyelid surgery. Pre-existing conditions can also put you at risk. They include thyroid problems such as hypothyroidism, insufficient tear production or dryness of the eye, elevated blood pressure or other circulatory disorders, cardiovascular disease, and diabetes.

Anesthesia use:

Local anesthesia with oral or intravenous sedation

Hospital admission:

It depends on your preferences as well as your surgeon’s. Conjuctival Incision blepharoplasty can be performed on an out patient basis, in the hospital, or in an ambulatory surgical suite.

Preparation before Surgery

Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.

Lower Eyelid Blepharoplasty (Lower Eyelid Surgery)

Overview of the surgery:

Lower Eyelid Blepharoplasty is used to remove the fat deposits and loose skin that may form on the lower eyelids with age. An incision is made along the lash line, smile creases. Excess fat, muscle and skin are removed. Fine sutures are used to close the incision.

Duration of the Operation:

Lower eyelid blepharoplasty generally takes about one to three hours to complete, depending on the technique used and the extent of repair.

Post operative care:

After surgery, the physician will lubricate your eyes with ointment to reduce dryness in this area. Your vision may be blurred temporarily from the ointment. The first evening after surgery, you should rest quietly with your head elevated. It will help to apply cold compresses to your eyelids. Your blood pressure should be monitored to avoid bleeding complications that can affect vision and limit activities from mild to moderate gradually. You should wear dark sunglasses for a couple of weeks to protect your eyes from wind and sun irritation.

Recovery Period:

Stitches will be removed within the first week. Bruising, swelling and discoloration around your eyes will gradually subside for several weeks. Within the fist week you will be permitted to use make up to conceal any discoloration if desired. You will receive eye drops to help relieve burning sensation and itching as well. For the first week you need to avoid activities like watching TV, wearing contacts and using computer. For the first 3or 4 weeks, you should avoid any activity that increases blood flow to the eyes, including bending, lifting, crying and sports.

Possible risk and complications:

Complications are rare; however there are risks associated with any medical procedure. Possible complications include: infection, bleeding (rare) but can cause loss of vision, prominence of the scars, asymmetry in healing or scarring, dryness, decrease sensation in the eyelid, difficulty closing the eyes, or any reaction to anesthesia and in rare instances blindness. You can help minimize certain risks by following the advice and instructions of your plastic surgeon, both before and after your eyelid surgery. Pre-existing conditions can also put you at risk. They include thyroid problems such as hypothyroidism, insufficient tear production or dryness of the eye, elevated blood pressure or other circulatory disorders, cardiovascular disease, and diabetes.

Anesthesia use:

General or local anesthesia with mild sedation

Hospital admission:

It depends on your preferences as well as your surgeon’s. Lower eyelid blepharoplasty can be performed on an out patient basis, in the hospital, or in an ambulatory surgical suite.

Preparation before Surgery

Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.

Lateral Eyebrow Lift

Overview of the surgery:

Lateral Eyebrow Lift corrects the drooping of the outer brow line. This technique is also known as a temporal brow lift, and addresses sagging around the outside of the eyebrow almost exclusively. Lateral brow lifts can be performed in conjunction with blepharoplasty or other procedures.

During a lateral brow lift, incisions are placed in the hairline at the temples towards the sides of the face. The lateral brow lift removes excess skin, lifting the outer corners of the forehead. Unlike a traditional brow lift, a lateral brow lift will not raise the middle of the brow, but it will somewhat alleviate crow's feet (the creasing at the outer corners of the eyes). Lateral brow lifts are ideally suited to prospective patients who are only concerned with the drooping of the ends of the eyebrow.

Duration of the operation:

The procedure normally takes about 20-30 minutes.

Post operative care:

When your procedure is completed, your forehead may be taped and your head may be loosely wrapped with a soft compressive dressing usually for 1-2 days to minimize swelling and bruising. A thin tube may be present to drain any excess blood or fluid that may collect under the skin. You may experience little or no postoperative pain for the first few days. Analgesic medications for pain and antibiotics to prevent infection will be prescribed.

Recovery Period:

Swelling in the eyelids can be profound but is usually short lived. Most patients can go back to work in about a week. Sutures or staples maybe remove at 5-7 days post op.

Possible risk and complications:

Complications are rare; however, there are risks associated with any medical procedure. Some patients may not be able to move their eyebrows or forehead. Scar formation and permanent hair loss within the scar area may occur. Permanent lack of sensation at the incision line is also a rare complication. Infection, bleeding, and other minor complications are possible.

Anesthesia use:

Most brow lifts are performed under local anesthesia with sedation.

Hospital admission:

Lateral Brow Lift can be performed on an out patient basis or in the hospital under local or general anesthesia. You and your surgeon will discuss preferences.

Preparation before Surgery:

Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.

Incisional Suturing Technique

Overview of the surgery:

Incisional suturing technique is the type of cosmetic surgery procedure where the skin around the eye is reshaped to create an upper eyelid with a crease (double eyelid) from an eyelid without a crease (single eyelid). The method of suturing is the most common in Asian double eyelid surgery. The skin is incised with a scalpel at a desired height. A small strip of skin above this initial incision is excised using scissors. The incision is carried deeper into the eyelid through the orbicularis muscle and orbital septum until the orbital fat is exposed. Small strips of muscle and fat are excised. The final crease height and shape are the result of both selective tissue removal and precise internal tissue rearrangement. The incisional approach is considered the "gold standard" in Asian double eyelid surgery.

Duration of the operation:

The surgery lasts less than an hour.

Post operative care:

After your surgical procedure is already completed, cold compress and lubricating ointment may be applied to the surgical area to control the discomfort of swelling, bruising, dryness of the eyes, and in some cases your eyes may be loosely covered with gauze.

Recovery Period:

Sutures are placed and removed anywhere from 5-7 days after surgery and will usually take about 7-10 days recovery period. Activities and exercise can be resumed about 1 month after surgery.

Possible Risks and complications:

Complications are rare, however, there are risks associated with any medical procedure. Possible complications include Ptosis (asymmetrical eyes), hollow eyes wherein too much fat were removed that will result to incapability of the patient to close eyes fully and scarring. These risks can be easily corrected with surgery

Anesthesia Use:

Incisional suturing technique can be performed under local anesthesia with minor sedation or with general anesthesia.

Hospital admission:

Incisional Suturing Technique can be performed on an out patient basis or in the hospital under local or general anesthesia. You and your surgeon will discuss preferences.

Preparation before the surgery:

Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.

Non-Incisional Suturing Technique

Overview of the surgery:

Non-Incisional Suturing technique is a minimally-invasive method that employs two sutures on each upper eyelid that are tied in three places and twisted around each other four or five times at the central tie. The threads can be tightened and the drooping upper lid can be elevated to a better position in more secure and therefore longer lasting results with no dissection of eyelid tissues is required.

Duration of the Operation:

The procedure can be done quickly, usually 15-30 minutes.

Post operative care:

You should rest preferably in bed on two pillows or in a recliner. A bandage over the eyes is not needed. In the evening, you may take a bath. Avoid straining or bending over. Watching television is acceptable. Apply clean (not sterile) cold compresses to the eyelids to prevent swelling. Pain after surgery is usually mild. You will be given pain medication.

Recovery Period:

It is normal for the eyelids to become red, swollen, and bruised for a few days and will gradually subside. A small amount of bloody fluid draining from the wound is normal for a few days. If you were given an antibiotic drop or ointment, gently apply a small amount to any stitches before going to bed, and then twice a day thereafter.

Possible risk and complications:

Complications are rare; however there are risks associated with any medical procedure. Possible complications include: infection, bleeding (rare), uneven skin scars, asymmetry in healing, tissue injury, crease loss is common. You can help minimize certain risks by following the advice and instructions of your plastic surgeon, both before and after your eyelid surgery.

Anesthesia use:

General anesthesia or local with sedation

Hospital admission:

Non-Incisional Suturing Technique can be performed on an out patient basis or in the hospital under local or general anesthesia. You and your surgeon will discuss preferences.

Preparation before Surgery:

Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.

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