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Facial plastic surgery is a group of different procedures done to treat or reshape structures of the face and neck, including ears, chin, cheekbones, neckline, and more. However, it is more than mere cosmetic changes. Plastic surgery is a surgical speciality that improves a person's aesthetics and appearance. In plastic surgery, the word 'plastic' is derived from the ancient Greek work known as 'plastikos', which means to mould or give form. There are different types of facial plastic surgeries that help to treat any deformity related to the face and correct conditions like sun damage, facial trauma, or effects of ageing. Reconstructive plastic surgery may be done to help treat congenital deformities like protruding ears, crooked smiles, cleft lip and palate, and more.
Who Are the Best Candidates for Facial Plastic Surgery?
A candidate is considered good for facial plastic surgery if he/she meets the following conditions:
- Any facial deformity that needs to be corrected.
- Sagging or loose skin
- Double chin
- Poor jawline
- Sunken cheeks
- Moderate to severe wrinkles
- Individuals who are physically healthy and fit
Who Should Not Consider Facial Plastic Surgery?
Facial plastic surgery should be avoided in medically unfit patients, and extra caution is taken in the
following patients:
- Diabetes
- High blood pressure
- A bleeding disorders
- Heart disease
- Obesity
- Alcohol abuse
- Smoking
- Nutritionally weak
- Have unrealistic expectations from facial plastic surgery
How to Prepare for Facial Plastic Surgery?
The surgeon will explain the process in great detail and how it will transform or affect the body. In addition, the patient will be informed about the Facial Plastic Surgery procedure, the benefits, risks, and possible complications. During this stage, one should understand all the possible outcomes of the surgery before making any decision. Here are some questions one might ask the surgeon before the facial plastic surgery:
- How is the surgery performed?
- Are there any other options available for this surgery?
- What results can I expect from this procedure?
- How much time will it take to complete the process?
- Will there be any scars after the treatment? If yes, will they fade over time?
Once done, the clinical team will review general questions about patient health, current medications, lifestyle issues (like smoking), and more. Apart from this, some preparation is also required for facial plastic surgery, including:
- Medical evaluation
- Physical examination
- Take pictures of the face to compare the before and after results of the procedure.
- Avoid taking anti-inflammatory drugs to avoid the risk of bleeding
- Stop smoking
How is Facial Plastic Surgery Done?
The primary goal of facial plastic surgery is to correct any deformity of the face or improve facial aesthetics. Depending upon the condition, the doctor will recommend the following facial plastic surgery:
- Facial Reconstruction: The surgery is used to reconstruct facial defects. The surgery is done after cancer surgery, removal of birthmarks, correction of congenital deformities, scar revision, and more.
- Browlift: The cosmetic procedure is performed to improve the appearance of the forehead by raising the brows. The surgery is also performed for low or sagging brows, droopy eyebrows, and forehead wrinkles.
- Rhinoplasty/Nose job: The cosmetic surgical procedure involves improving the appearance and function of the nose. The surgery helps to correct or change the nose's size and correct the tip, bridge, and nostrils.
- Blepharoplasty: The surgical procedure is performed to improve the aesthetics and function of the eyelids. The surgeon improves the upper and/or lower eyelids to fix conditions like drooping eyelids or change the appearance of the eyes.
- Liposuction: Liposuction surgery is done to remove excess fat under the chin or neck.
- Rhytidectomy (Facelift): The surgical procedure is meant to counteract the effects of ageing on the face. The surgery is done to tighten the skin and remove excess wrinkles to improve facial features.
- Facial Implants: In some cases, the surgeon may use facial implants to make certain structures of the face more prominent. The most common areas that can be augmented with implants include cheeks, chin, and jaw.
- Otoplasty: Cosmetic surgery is performed to reshape the structure of the ears. The surgery is used to treat conditions like protruding ears.
Taking Care After the Surgery
Facial plastic surgery can dramatically change facial appearance. At first, patients might experience some swelling, which may be there for a few months. There might be some bleeding or drainage from the site of the incision. However, it generally goes away on its own after a few days. The medical team will provide a detailed post-operative care plan, which may include:
- Avoiding strenuous activities
- Avoid extreme facial expressions
- Avoid excessive pressure or motion on and around the incisions
- Avoid using makeup till allowed by the surgeon
- Avoid direct sun exposure for a few weeks
- Avoid bleaching or colouring of hair for a few weeks
Complications After Facial Plastic Surgery
There might be some possible complications with facial plastic surgery, including swelling, hair loss, skin loss, and others. Scars from facial plastic surgery may be permanent in some cases.
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Frequently Asked Questions
What is Facial plastic surgery, and what are the common procedures included in it?
Facial plastic surgery is a branch of plastic surgery focusing on enhancing facial aesthetics and correcting facial abnormalities. Common procedures in facial plastic surgery include facelifts, rhinoplasty (nose reshaping), blepharoplasty (eyelid surgery), brow lift, chin augmentation, otoplasty (ear surgery), and neck lift. These procedures aim to improve facial symmetry, restore youthful appearance, and address specific cosmetic concerns.
What are some benefits of Facial plastic surgery?
The benefits of facial plastic surgery are multifaceted. They can include improved self-confidence, enhanced facial harmony, restoration of youthful contours, reduction of visible signs of ageing like wrinkles and sagging skin, correction of facial asymmetry, and refinement of prominent facial features. Facial plastic surgery helps individuals achieve their desired aesthetic goals and enhance their overall quality of life.
Is Facial plastic surgery only for cosmetic purposes, or are there medical reasons for undergoing these procedures?
Facial plastic surgery serves both cosmetic and medical purposes. While many individuals seek facial plastic surgery for cosmetic reasons to enhance their appearance, there are also valid medical reasons to undergo these procedures. For example, rhinoplasty can improve breathing difficulties, correct a deviated septum, or repair nasal deformities resulting from trauma or congenital conditions. Facial plastic surgery can address functional issues alongside aesthetic enhancements.
Is there a difference between Facial plastic surgery and General plastic surgery?
Facial plastic surgery is a specialized subset of plastic surgery that focuses on procedures involving the face, head, and neck. General plastic surgery encompasses a broader range of procedures involving the face, body, and other areas. Facial plastic surgeons have specialized training in facial anatomy, aesthetics, and surgical techniques, allowing them to provide specialized care and expertise for facial procedures.
Are there non-surgical alternatives to Facial plastic surgery?
Yes, there are non-surgical alternatives available for facial rejuvenation and enhancement. Non-surgical options include injectables like dermal fillers (like hyaluronic acid or collagen stimulators) and neuromodulators (such as Botox or Dysport) to address wrinkles, fine lines, and volume loss. Other non-surgical treatments include chemical peels, laser resurfacing, microdermabrasion, and non-invasive skin tightening procedures. These alternatives offer less invasive approaches with minimal downtime, although their results may be temporary and require ongoing maintenance.
What is recovery like after Facial plastic surgery?
The recovery process after facial plastic surgery can vary depending on the procedure performed. Generally, patients may expect some bruising, swelling, and discomfort immediately following surgery. Pain medication can be prescribed to manage discomfort. The duration of recovery depends on the procedure and individual healing abilities. Patients must follow post-operative instructions provided by the surgeon, which may include keeping the head elevated, avoiding strenuous activities, and adhering to a specific skincare routine. Attending follow-up appointments to monitor the healing process and address any concerns.
What are some risks and complications associated with Facial plastic surgery?
As with any surgical procedure, some complications and risks associated with facial plastic surgery include infection, bleeding, scarring, adverse reactions to anaesthesia, asymmetry, nerve damage, and poor wound healing. It is essential to choose a board-certified facial plastic surgeon with extensive experience to reduce these risks. By following pre-and post-operative instructions and having open communication with the surgeon, the likelihood of complications can be reduced.
Can Facial plastic surgery address both signs of ageing and structural abnormalities?
Yes, facial plastic surgery can address signs of ageing and structural abnormalities. Procedures like facelifts and eyelid surgery help reduce sagging skin, wrinkles, and under-eye bags, providing a more youthful appearance. Rhinoplasty can correct structural abnormalities, reshape the nose, and improve breathing. Facial plastic surgery aims to enhance overall facial aesthetics while also addressing functional concerns or irregularities.
What is the appropriate age range for considering Facial plastic surgery?
The appropriate age range for considering facial plastic surgery varies depending on the individual and their concerns. While there is no strict age limit, most individuals seeking facial plastic surgery are in their 40s to 60s, which is when signs of ageing become more pronounced. However, younger individuals may also seek facial procedures for issues such as congenital conditions or facial asymmetry.
Are there any limitations or contraindications for undergoing Facial plastic surgery?
There are certain limitations and contraindications for undergoing facial plastic surgery. Factors like overall health, pre-existing medical conditions, unrealistic expectations, and psychological well-being are important considerations. Individuals with health conditions like uncontrolled high blood pressure, bleeding disorders, or autoimmune diseases may not be suitable candidates for surgery.
How long can the results of Facial plastic surgery last?
The longevity of results from facial plastic surgery may vary depending on the procedure, individual factors, and the natural ageing process. While facial plastic surgery cannot halt the ageing process, it can provide long-lasting improvements. Facelifts, for example, can typically provide results that last around 10 years or more, but the ageing process will continue. Maintenance treatments or additional procedures may be recommended in the future to further enhance or maintain the results.
Can Facial plastic surgery correct asymmetry or irregularities in facial features?
Yes, facial plastic surgery can correct asymmetry or irregularities in facial features. Procedures such as rhinoplasty, chin augmentation, or otoplasty can help address facial asymmetry, reshape prominent features or correct irregularities. A thorough evaluation by a facial plastic surgeon will determine the most appropriate surgical techniques to achieve facial symmetry and improve overall facial aesthetics.
What is the role of Facial plastic surgery in addressing facial trauma or reconstructive needs?
Facial plastic surgery plays a crucial role in addressing facial trauma and reconstructive needs. It can help repair facial fractures, restore facial symmetry, reconstruct damaged facial tissues, and minimize scarring after trauma or accidents. Facial plastic surgeons work closely with other specialists, such as oral and maxillofacial surgeons or oculoplastic surgeons, to provide comprehensive care and restore both function and aesthetics following facial injuries.
Are there different techniques or approaches used in Facial plastic surgery?
Yes, there are different techniques and approaches used in facial plastic surgery to address specific concerns and individual needs. Depending on the procedure, surgeons employ various surgical techniques, such as open or closed approaches. For example, facelift techniques may vary, including traditional facelifts, mini facelifts, or non-surgical facelift alternatives. The technique depends on the desired outcome, the extent of correction needed, and the surgeon's expertise.
Can Facial plastic surgery be combined with other cosmetic procedures?
Yes, facial plastic surgery may be combined with other cosmetic procedures to achieve facial rejuvenation or enhancement. Patients may choose to undergo multiple procedures simultaneously or in a staged approach. For example, facelift surgery may be combined with eyelid surgery or brow lifts to address multiple signs of ageing in the upper and lower face. Combining procedures can provide a more balanced and harmonious rejuvenation, but it should be discussed with the surgeon to ensure safety and optimal results.
How does Facial plastic surgery impact facial expressions and natural-looking results?
Facial plastic surgery aims to enhance facial features while maintaining natural-looking results. Surgeons take great care to preserve facial expressions and avoid an overdone or artificial appearance. Procedures like facelifts and eyelid surgery are designed to tighten and lift sagging tissues, resulting in a youthful look without compromising natural facial expressions.
Are there specific pre-operative instructions or preparations for Facial plastic surgery?
Yes, there are specific pre-operative instructions and preparations that patients need to follow before undergoing facial plastic surgery. These instructions may include discontinuing certain medications or supplements that can increase bleeding risks, avoiding smoking or nicotine products to optimize healing, and arranging transportation to and from the surgical facility. Pre-operative instructions include fasting guidelines, proper skincare routines, and guidelines for avoiding certain foods or beverages before surgery. It is crucial to carefully adhere to these instructions to ensure a smooth and successful surgical experience.
Are there any non-cosmetic benefits to Facial plastic surgery, such as improved breathing or alleviation of sinus issues?
Yes, facial plastic surgery can offer non-cosmetic benefits beyond aesthetic improvements. Procedures like rhinoplasty can address structural issues, such as a deviated septum or nasal obstructions, improving breathing and alleviating sinus issues. Additionally, eyelid surgery (blepharoplasty) can remove excess skin or fat that may impair vision, leading to an improved field of vision and overall eye comfort. These functional benefits contribute to an enhanced quality of life for patients.
How long does it typically take to see the final results after Facial plastic surgery?
The timeline to see the final results after facial plastic surgery can vary depending on the procedure performed, individual healing, and the extent of the surgery. While initial results may be visible soon after surgery, swelling and bruising may take weeks to subside. The final facial plastic surgery results may gradually become apparent over several months as the tissues heal and settle into their new position. Patience is key, and following post-operative instructions and attending follow-up appointments to monitor the healing progress is crucial.
Can Facial plastic surgery address concerns such as wrinkles, sagging skin, or prominent facial features?
Yes, facial plastic surgery can address specific concerns such as wrinkles, sagging skin, and prominent facial features. Procedures like facelifts, neck lifts, and brow lifts are effective in reducing the appearance of wrinkles, lifting sagging skin, and restoring youthful contours. Rhinoplasty can reshape and refine the nose, chin augmentation can enhance facial balance, and otoplasty can correct protruding ears. Facial plastic surgery offers tailored solutions to address aesthetic concerns and achieve desired facial harmony.
Review
Reviewed by Dr. Asheesh Dhingra, Senior Consultant - Aesthetic And Reconstructive Surgery.