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Facial Cosmetic surgery (1).pptx.pdf
1. Dr. Prof. SUPRIYA KOKANE PATIL
Cosmetic Surgeon
Fellow (Facial Plastic Surgery)
Professor(ORL MGM medical college)
VASHI I PANVEL I BORIVALI I PUNE
2.
3. Advancement in technology and affordability is leading
to popularity of cosmetic surgery procedures.
Facial plastic can be reconstructive to correct facial
features or cosmetic to improve appearance.
And today India is ranking 8th
country in carrying out
these procedure.
Cosmetic Surgery
4. WHY AND FOR WHAT?
Not only to look better but also to feel better
“surgery of the soul”
[psychosocial well being]
“surgery of desires”
Greater confidence, socially, physically and emotionally
No longer are nose jobs and tummy tuck a preserve of the affluent set or the
glamour profession, today, not just movie star and models, but also executives,
housewives, and college students see the aesthetic ideal as one worth pursuing
without apology or guilt.
5. ● Our favourite adage has been
Pleura to Dura
● And when these delicate regions can be
handled by us so efficiently,we surely are
handling the exterior with ease,
What is in there for ENT surgeons
6. MOST COMMON PROCEDURES IN INDIA
Nonsurgical
❑ Lasers
❑ Chemical Peel
❑ Botox, fillers
❑ Threads
Surgical
❑Hair Transplant
❑Liposuction
❑Rhinoplasty
❑Breast Augmentation
❑Abdominoplasty
● Among all cosmetic surgeries performed 80% are face & neck
surgeries, that majorly includes Rhinoplasty, face-neck
liposuction, Hair Transplants, Blepharoplasty, Dimple creation.
7. Statistics by the International Society of Aesthetic Plastic Surgery (ISAPS) in
2016,
8. COMMON FACIAL COSMETIC SURGERIES
● Rhinoplasty
● Face lift
● Scar revision
● Eyelid surgery
● Chin , malar implants
● Hair transplantation
● Endoscopic forehead, brow lifts
● Autologous fat grafting
● Liposuction {face and neck}
● Ear correction
● Lip correction
● Dimple Creation
● Liquid injectable for face aesthetics
9. HAIR TRANSPLANT
❑ Hair transplantation is one of the most rapidly evolving procedures in aesthetic surgery
(and with flourishing Black Market.)
❑ The recent advances in technology and the concept of using follicular unit grafts have
made this procedure reach a new height.
❑ Based on the ‘theory of donor dominance in androgenic alopecia.’
❑ Eyebrow transplantation
❑ Grafting eyelashes is a more challenging procedure
❑ Moustache/Beard reconstruction
10. Advanced Hair Transplantation Technique
Device used is efficient
Plastic Surgeons have to adapt to this
Dermatologists are in Awe of this
ENT surgeons Are using this since 4 decades
15. What options we have
50 year old comes with wrinkles and sagging skin.
Patient come with big forehead and wrinkles, what will you suggest
•Patient having big chubby face , wants slimmer look , what will we do
•Patients just wants to look young , fresh for her age , what options we
have
16. AESTHETIC SUB-UNITS
Combination of Various treatments
Required
Forhead: hair transplant ,lifts, Brow lifts,
endoscoplically
Eyes: upper and lower bhleph, double eye lid ,
Nose: rhinoplasty
Cheek and malar implants
Lip :reduction and augmentation
Chin and jaw implants
Face lifts: mini lifts, mid face and neck lifts
Neck : liposuction , lifts
Ear: otoplasty, shaping
Other: dimple creation, buccal fat removal, lipofilling,
botox, fillers
17. FACIAL SCULPTING
✔ Facial contouring / sculpting is the reshaping of the face
through a variety of procedures.
✔ Liposuction
✔ Lipofilling
✔ Facelifts ,Browlifts , Necklifts
✔ Fillers
✔ Face Implants
18. FACIAL FAT PAD PHOTO
● Liposuction or lipoplasty is a cosmetic
surgery that removes fat from many
different sites on the human body.
The procedure may be performed under
general, regional, or local anaesthesia.
Lipo Filling is procedure to address aging
skin where in we fill face planes with Fat.
19. 1. Ringer lactate 1000 cc
2. Inj. adrenaline 2 amp
3. Inj. hyalase 1 amp
4. Inj. triamcinolone 10 mg
5. Inj. xylocaine 2% 40 ml
6. Inj. bupivacaine 0.5% 20 ml
7. Inj. soda bicarbonate 40 ml
Tumescent liposuction
solution
25. FACELIFTS/ RHYTIDECTOMY
Designed to restore a more young
appearance by eliminating major wrinkles
and saggy drooping skin.(like double chin
and jowls)
26. BROW LIFT
● Can be called a minor version of facelift that
helps to get rid of excess skin and wrinkles on
forehead.
27. BLEPHAROPLASTY
❑Blepharoplasty is commonly known as an eyelid correction procedure. It involves removing excess
drooping skin, muscles and fat pads from near the eyelids.
❑Functional blepharoplasty is performed solely due to medical reasons. It is performed to remove loose
skin or excess fat from the upper eyelid which can sag due to the pressure, and impair vision.
❑Cosmetic blepharoplasty , on the other hand, is performed with the sole aim of improving one’s
appearance.
28.
29. LIP AUGMENTATION/REDUCTION
❑ Lip augmentation is a type of cosmetic
surgery that aims to improve the
appearance of the lips by increasing their
fullness through enlargement
32. ❑ The Non-Surgical Rhinoplasty
procedure modifies slight defects
of the nose by means of
subcutaneous injections of
biologically inert fillers.
33. OTOPLASTY
❑ Otoplasty denotes the surgical procedure for correcting the deformities and defects of the pinna.
❑ It involves bringing the ears closer to the face, reducing the size of ears and orienting/pruning some
structural ear elements.
34. Complications
• Bruising, swelling, varying sized scars, pain and numbness
• Allergic reaction to medications
• Infection
• Damage to the skin
• Skin necrosis (rare complication)
• Puncture of an internal organ
• Contour irregularities
• Thromboembolism
35. SCAR REVISIONS
Often more than one treatment or a combination of techniques is needed to attain the best results.
1 3
2
36. NO MATTER HOW BAD A SCAR
LOOKS, IT USUALLY CAN BE MADE TO
LOOK BETTER.
40. BOTOX
Botox, Dysport, and Xeomin are all used to counter wrinkles.
Purified form of botulinum toxin A (meaning there's no
botulism risk when used properly).
They work by blocking the nerves that contract muscles,
softening the appearance of wrinkles.
Other indications are lazy eye, cervical dystonia, muscle
contractures or chronic migraine.
41. ● Botulinum toxin injections usually begin working a few days after treatment.
● Depending on the problem being treated, the effect may last for three to
12 months. To maintain the effect, regular follow-up injections should be done.
42. FILLERS
❑ Hyaluronic acid (HA) This gel-like
❑ substance is found naturally in the body
❑ Calcium hydroxylapatite (CaHA)
❑ Poly-L-lactic acid.
❑ Polymethylmethacrylate (PMMA)
❑ Autologous fat injections (fat grafting)
44. THREAD LIFTS
A thread facelift is a convenient, less invasive alternative to traditional
facelifts, designed for people experiencing early signs of aging, such as
minor facial sagging.
Can be performed in just one or two hours, often without anesthesia.
During a thread facelift, the cosmetic surgeon inserts thin threads into the
face through tiny incisions made in the targeted area. These threads attach
to the skin tissue and are then pulled back to lift and smooth the face.
46. CHEMICAL PEEL
● During this technique, an acid solution is used to
exfoliate the outer layers of the skin. This solution
contains a mixture of lactic acid, phenol, glycolic acid,
trichloroacetic acid or salicylic acid. The treatment
takes 20-30 minutes and cause some stinging and
irritation.
47. MICRODERMABRASION
Uses a minimally abrasive instrument to gently sand your skin, removing the thicker, uneven
outer layer.
Used to treat light scarring, discoloration, sun damage and stretch marks.
48. LASER SKIN TREATMENTS
o Minimize fine lines or wrinkles
o Treat brown spots, redness or discoloration for more balanced skin tone
o Tighten skin and encourage collagen production
o Remove acne or surgical scars
o Remove unwanted facial or body hair
54. CONSENT AND PHOTOGRAPHY
PHOTOGRAPHY:this speciality is highly visual and relies on accurate
representation of form to diagnose, plan, treat, evaluate and track
patients outcome. it is indespensible.
INFORMED CONSENT: a thorough, detailed consent form specially for
the every case and image is necessary for proper medicolegal records.
Practitioners must remember the words of hippocrates ‘PRIMUM NON
NOCERE’.FIRST DO NO HARM. you can always come back and do more.
55. Latest advances
•Fat grafting in increasing : lift and fill concepts
•Robotoic hair transplants
•Kybella : fat dissolving
56. Setting up aesthetic clinic
•There is currently no internationally accepted definition of aesthetic
practice. The American Board of Cosmetic Surgery has defined
cosmetic surgery as “a subspecialty of medicine and surgery that
uniquely restricts itself to the enhancement of appearance through
surgical and medical techniques
•Consultation room
•Procedure room: laser, peeling, dental
•Ethical practice is the gold standard
•Proper patient counselling and addressing the patients’ concerns is
imperative.
57. •Place: One of the most important elements of your a succesful
practice is the location
•Practice and personnel:Front desk staff should be well groomed, have
knowledge of general office principles and be proficient at phone
etiquette and customer service. walk around your clinic
•Patients: Be an aggressive listener and communicate effectively
•Procedures: Before doing any procedure, make sure you have
explained adequately to the patient - the procedure details,
alternatives available, risks involved, complications that can arise,
outcome expected, duration of treatment and expenses involved.
60. Fellowship in Rhinoplasty
Fellowship in Hair Transplant
Fellowship in Facial Cosmetic Surgery
Contact :- Dr. Supriya Kokane Patil (Cosmetic Surgeon)
9653641750 / 9004350766
Professor [ORL]
Mahatma Gandhi Medical College
61. THANK YOU
Basic principles to be taken care……
❖ • Be conservative
❖ • Should know where to stop
❖ • Never promise miraculous results after surgery
❖ • Beware of psychotic patients
❖ • Consent
