The goal of face cosmetic surgery is to enhance the patient’s facial look.
Rhinoplasty, blepharoplasty (eyelid surgery), rhytidectomy (facelift), browlift, genioplasty (chin augmentation), otoplasty (ear relocation), liposuction, and fat transfer are examples of common surgical treatments. The effects of aging, including as loose skin, diminished tissue volume around the face and neck, crow’s feet at the corners of the eyes, fine lines on the forehead, loss of jawline contour, drooping jowls, and double chin, are often treated surgically.
Rhinoplasty
Rhinoplasty is arguably the most popular and challenging facial plastic surgery.
It is done to fix internal and external nasal pathology, improve unattractive aesthetics, lessen airway obstruction (caused by septal deviation, inferior turbinate hypertrophy, deviated/fractured nasal bones, and limited internal nasal valve area), and fix congenital nasal anomalies.
The cartilaginous and skeletal framework, mucous membrane lining, subcutaneous soft tissue, and nasal skin are all altered during a rhinoplasty.
The columella, the fleshy tip of the nose that divides the nares, is where the incision is done during an open rhinoplasty as opposed to an endonasal rhinoplasty.
The osseocartilaginous nasal framework is separated from the nasal skin and soft tissues in a rhinoplasty procedure so that the framework can be modified to create the ideal nasal outlines. Complication rates for the technically difficult technique of rhinoplasty range from 4.8% to 18.8%.
Revision surgery may be necessary due to patient dissatisfaction, postoperative edema and scarring, or both (secondary rhinoplasty).
In the last ten years, structural procedures that use cartilage tissue to enlarge the airway, reconstruct form, and create the proper aesthetic contour have become more popular in rhinoplasty surgery.
The use of cartilage for structural grafting has advanced in this field.
The usage of rib cartilage in rhinoplasty has increased at least tenfold recently as rib graft use became more common in even primary aesthetic rhinoplasty. Traditionally, rib cartilage was exclusively utilized for large reconstructive nose procedures.
Polydioxanone foils to stabilize structural planes, ultrasonic instruments to execute precise osteotomies, and the use of traditional high-speed powered instruments intranasally are just a few of the new technological innovations that have emerged in recent years.
Digital imaging has advanced to become a crucial part of the preoperative consultation and has become an increasingly significant component of rhinoplasty planning.
Most surgeons today frequently use three-dimensional (3-D) imaging devices and 3-D image morphing technologies, albeit there is no commonly used software platform.
Facelift
Another frequent surgery carried out by facial plastic surgeons is the facelift.
Over a century ago, the early proponents of facelifts recommended performing the surgery by making several incisions and tightening the skin on the face.
The old incision used to be made behind the ear, up into the hairline, curling around the base of the lobule, and then in front of the ear.
Sutures are used to separate the deeper tissues from the skin before they are further tightened. The superfluous skin is cut off and the skin is redraped in the last stage.
The expectations and preferences of patients have played a significant role in the advancement of facelift operations. Modern patients choose minimally invasive procedures that require little to no recovery time. The advent of so-called lunchtime facelift-type procedures has had a significant impact on the treatment of the aging face.
Due to significant soft tissue dissections and exposure of the facial nerve branches in the middle of the 1990s, facelifts and other procedures for skin rejuvenation were becoming more technically challenging and dangerous.
In the hands of a skilled surgeon, these challenging surgeries produced excellent results; however, patients treated by less skilled surgeons frequently suffered from protracted postoperative edema, sensory or motor nerve injury, and facial asymmetry.
Deep plane facelifts, composite facelifts (which require moving and fixing the orbicularis oculi muscle), midfacelifts, minifacelifts, thread lifts, periosteal facelifts, skin-only facelifts, and minimal access cranial suspension lifts are only a few of the facelift techniques used today.
Both are capable of producing excellent results, but they mostly depend on the surgeon’s expertise and the anatomical differences between patients.
Less invasive operations that could be carried out under local anesthetic with oral benzodiazepines or with moderate sedation increased in popularity in the 2000s.
Because of the marketing of numerous nationally recognized facelift and rejuvenation companies, the overall number of facelifts grew.
The American Society for Aesthetic Surgery estimates that there were 27.7% more facelifts performed in 2014 than there were in 1997.
Combining facelift procedures with autologous fat transfer has become a popular approach in recent years since it also addresses the volume loss that comes with age.
Check out directions to Dr William Portuese.
