Surgical Rejuvenation

Minimal invasive surgical rejuvenation can make your face look as young as you feel. It is particularly useful for younger patients where the removal of excess skin is not required. Its benefits include smaller incisions, minimal numbness, minimal scarring, less bleeding, less hair loss, and quicker recovery. These procedures can be performed alone or in combination with others. They can smooth out wrinkles, correct heavy lids and drooping brows, and lift sagging cheeks and chin, among others.

MINIMALLY INVASIVE SURGICAL REJUVENATION:

  BOTOX® (Botulinum Toxin Type A)

• Botox® is the most common non-surgical cosmetic treatment performed today. Initially marketed for treatment of certain neurological problems, it was recently approved by the US-FDA for cosmetic use. It is effective, safe, and well tolerated. Botox® is one of the botulinum toxin type A approved by the US Food and Drug Administration (FDA). It is widely used to eliminate dynamic rythydes, or facial lines such as frown lines between the eyebrows, horizontal forehead wrinkles, and crow's feet or smile lines around the eyes. The effect of Botox® is temporary, and it has to be repeated once the lines and wrinkles return to their natural state. However, Botox® has been proven to improve and enhance the effect of other treatments such as fillers and facelifts. By relaxing the underlying muscle, Botox® aids in getting a smoother texture from the other therapies. Botox® has also been found to prolong the beneficial effects of fillers.

  
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  Dermal Fillers

• As a result of ageing, sun damage, worry, gravity, and other environmental factors, our facial skin begins to develop lines and wrinkles. This is a manifestation of skin ageing. It is possible to smooth out folds and wrinkles using dermal fillers to give the face a more relaxed and youthful appearance. This is also used to augment specific parts of the face such as the lips. There are many types of fillers in the market these days, and it can be very confusing when deciding on the appropriate product to use. Some of the most famous dermal fillers in the market are: Restyllane, AQUAMID, and Matridex. The chosen filler material is injected into the lines and defects to plump them out and then remains in the skin where it binds with water to produce a lift and firmness to the treated areas. The filler material is introduced into the skin by a simple injection technique, usually without the need for local anesthetics. For example, facial contouring of the cheek and chin dimples can be achieved using dermal fillers to smooth out the hollows and alter the facial contour. The exact type of filler chosen will depend on the site of treatment and the degree of correction required.

  
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  Mesobotox

• Mesobotox is a diluted solution of botulinum toxin type A-Botox. It is used to lift and shape the eyebrow for a more youthful appearance, soften folds or fine lines between the nose and mouth, remove chin dimpling and creasing, and reduce neck folds. The effect of mesobotox is temporary, and it has to be repeated once the lines and wrinkles return to their natural state, which is usually within four to five months. However, mesobotox has been proven to improve and enhance the effect of other treatments such as fillers and facelifts. By relaxing the underlying muscle, mesobotox aids in getting a smoother texture with other therapies.

  
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  APTOS/ Contour Thread Lift

• This is a new and minimally invasive procedure that brings an instant soft tissue lift of the face and neck area. This face and neck-lifting treatment uses threads to resuspend loose and lax soft tissue of the face due to ageing. It is a new innovative product that can provide the benefits of the surgical facelift procedure but with less risk. It creates a support to the facial soft tissue without having to undergo a traditional facelift. The threads are made of polypropylene. It is today considered to be one of the safest lifting procedures, and the threads can be left inside the skin indefinitely. The entire process can be done at our out-patient clinic under a local anesthetic. Minor temporary side effects such as bruising and swelling may occur.

  
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  Spider Vein

• These are unsightly vascular deformities with red to bluish hue under the skin. They are usually located at the lower extremities, particularly the knees, legs, and ankles. Women are notably more prone to develop this vascular malfunction or deformity. There are a lot of treatment options for spider vein such as laser treatment, support/compression stockings, and sclerotherapy. Sclerotherapy is the most popular treatment modality because of its lower cost and effectiveness. It is a simple office procedure that involves injecting a sclerosing solution which causes the vein to collapse and then fade from view after some time. This is performed with or without topical anesthetics (EMLA). Support stockings or elastic bandage are usually applied at the leg area to minimize swelling, bruising, and prevent the development of unsightly vascular lesions at the other areas of the lower extremities. Bruising and swelling eventually fade after one to two weeks.

  
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  Wire Scalpel

• Wire scalpel is a minimally invasive instant procedure that softens the nasolabial area using a fine saw-toothed wire which is inserted under the skin. It lasts for an hour and is performed under local anesthesia or intravenous sedation at our out-patient clinic. There will be minimal swelling or bruising after the procedure, but it usually subsides after few days to weeks.

  
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  Chemical Peel

• Chemical peeling is the application of an exfoliating agent to the skin surface. The peeling agent could be applied alone or in combination with other dermal peeling agents. Chemical peel is used for various indications such as cosmetic and pathologic changes in the skin. It may address the fine lines of the face, pigmentary disturbances, actinic keratosis, solar elastosis, and solar lentiges. It may also improve and smooth out the texture of the facial skin by removing its damaged outer layers. Chemical peel is helpful for individuals with facial blemishes, wrinkles, and uneven skin pigmentation. Phenol, trichloroacetic acid (TCA), and alphahydroxy acids (AHA’s) are the agents used for this purpose. The precise formula used may be adjusted to meet each patient's needs. All chemical peels carry some risks, but it is normally a safe out-patient procedure when performed by a qualified and experienced plastic surgeon. Infection and scarring, while infrequent, are possible.

  
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  Dermabrasion

• Dermabrasion is a procedure that refines the top layer of the skin through a method of controlled surgical scraping. This treatment softens the sharp edges of surface irregularities, giving the skin a smother appearance. It is most often used to improve the appearance of facial skin left scarred by accidents or previous surgery, and smooth out fine facial wrinkles around the mouth. The procedure usually lasts for a few minutes to more than an hour at our out-patient clinic, and it can be done in stages depending on the area of concern. The skin will appear quite red and with some swelling which usually subsides after a few days to weeks. The wound heals after two to three weeks. It can be done under local anesthesia or intravenous sedation depending on the extent of the procedure and the comfortableness of the patient and surgeon.

  
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