Face Lift :

Facial aging include the loss of midface volume, jowling, development of nasal labial fold, wrinkling, laxity in the neck region and loose skin. Patient with the above appearance who would like to have improvement to the facial appearance would benefit from face and neck lift surgery, be it full face lift or short scar face lift (MACS). Face lift surgery can minimise the effects of ageing by smoothing out lines and wrinkles and tightening up loose skin on the face and neck.

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Permalip :

Lip augmentation is most commonly performed with injectable filler that are non-permanent and will need to be repeated on a regular basis. The use of a soft silicone implant (permalip) improve the volume with a single surgical procedure. Patient will no longer required regular injection to replenish the filler and if the patient is unhappy with the implant, it can be easily removed with a short procedure with minimal residue effect.

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Nose Reshaping (Rhinoplasty) :

Patients who dislike certain features of their nose can have it reshaped with either an open or close rhinoplasty procedure. The surgery can altered the shape of the nose but there is limitation to the degree of changes and your surgeon can explain all to you.

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Lip Augmentation :

Besides natural thin lips, aging leads to bony resorption and facial volume loss. Lip augmentation can improve the peri-oral appearance and increase lip volume. While the use of hyaluronic acid injection (filler) is the most common method, other technique using fat injection and lip implant are also available.

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Facial Rejuvenation :

Facial rejuvenation is very individualized. That’s why it’s important to discuss your hopes and expectations with a certified plastic surgeon who has experience with many different types of surgical and non-surgical facial procedures.

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Eye Lid Surgery (Blepharoplasty) :

With ageing, the upper eyelid skin becomes more lax and droopy (dermatochalasis) and in the worst scenario, it can obstruct vision. The lower eyelid can have a baggy appearance due to skin and underlying tissue weakness. This required surgical intervention where the excess skin and fat are removed and the underlying structure tightened.

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Endoscopic Brow Lift :

The position of the eyebrow descends with age and can produce an appearance of tiredness or sadness. Re-positioning of the brow at a slightly higher position can produce a younger and fresher look. Before you proceed, you should always compare your brow position currently with old photographs.

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Ear correction (pinnaplasty) :

The lack of the anti-helical fold and prominent “concha” are the cause of prominent ears and patients dislike the protrusion appearance. This can be corrected through an incision at the back of the ear and the curvatures of the ear altered using sutures. Patients are required to wear bandage at night for approximately 6 weeks.

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Double eyelid surgery :

The lack of tarsal fold is common among orientals and this is known as single eyelid. The change into double eyelid required surgical intervention to create a tarsal crease. This is best performed with the incisional method (cutting) but some patients are suitable for the suturing technique (non-cutting).

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Chin Augmentation/Reduction :

Chin reduction / Augmentation is an effective way of dealing with the common problem of a receding chin or a prominent chin. It can greatly improve the profile of a person by making noses and overbites appear smaller and leave the face better proportioned, giving an overall balanced effect.

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Cheek Augmentation :

Cheek Augmentation / Cheek Implants is a common procedure used to bring balance to the facial structure by way of correcting a deficient cheek area due to congenital deficiency, age-related bone resorption or facial trauma…

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Asian Aesthetics :

There are unique facial features in all ethnic groups and even within Asian/Oriental. Alteration of these ethnic features is best carried out by physicians that understand and appreciate the requirement of patients.

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Breast asymmetry :

Breast asymmetry is a common condition but when it becomes an issue, surgery is a good method in improving the symmetry between the two side using a combination of techniques. After examination, your surgeon can give you advice according to your physique and your preference.

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Male breast reduction (gynaecomastia) :

Male breast (gynaecomastia) is a common condition that can cause embarrassment and provided there is no underlying medical issue, the gynaecomastia can be corrected with liposuction and glandular excision leaving minimal scarring. In the more advance cases, some skin excision may be necessary.

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Breast Reconstruction :

Wide local excision or mastectomy leave deformity and asymmetry between the two breasts and surgery can be useful in improving the different by introducing addition skin and soft tissue from other part of the body or the use of implant and surgical techniques to reshape the breasts to improve the cosmetic appearance. The surgery can be carried out at the time of the breast surgery (immediate) or on a later date (delayed).

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Breast Reduction (Mammoplasty) :

Large breasts (macromastia) can cause back and shoulder pain, postural changes and skin infection. Breast reduction surgery involved excision of the breast tissue and skin and at the same time, improve the shape and nipple position by the uplifting effect from the reduction surgery.

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Breast lifting (Mastopexy) :

The lost of skin elasticity, breast volume and gravitational changes lead to ptotic changes of the breast where the shape become less projecting and the position of the nipple become lower. Breast lifting surgery improves the projection and nipple position by excising the excess skin and tightening of the breast tissue. It can be combined with breast augmentation at the same time to improve the volume loss.

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Breast Augmentation :

Breast volume can be increased by using silicone or saline implant and in special cases, the use of a person fatty tissue from elsewhere. Silicone implant is still the most commonly used and your surgeon can clarify the different options during consultation.

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Acellular Dermal Matrix :

Acellular dermal matrix (ADM) has transformed implant based breast reconstruction and even in certain cases of aesthetic breast surgery.  It provides additional inferior support for the implant and tissue and acts as an internal bra…

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Mini-abdominoplasty :

Mini-abdominoplasty are for patient who has some lower abdominal excess skin but insufficient for a full abdominoplasty and may have abdominal bulging from childbirth and muscle weakness. The lower abdominal scar is usually shorter and there is no scar around the umbilicus.

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Abdominoplasty (Tummy Tuck) :

Abdominoplasty is the operation of choice when there is excess skin in the lower abdomen in addition to fatty tissue or when the midline muscles need to be repair to reduce the bulging.

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Thigh Lift :

Liposuction is the treatment of choice for excess fatty tissue deposition in the thigh region. However, with increase in age and large volume reduction, the excess skin on the medial aspect of the thigh will be unsightly. The excess skin will need to be removed by surgery and will either leave a scar along the groin crease or along the length of the thigh.

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Massive Weight Loss Surgery (MWLS) :

Patient who successfully loss a significant amount of weight is to be applauded but in many cases, they are left with excess laxed skin that needed to be removed to improve the cosmetic appearance. These surgeries include circumferential body lift, abdominoplasty, arm lift, breast uplift and so forth. A detail consultation will help with the planning and the type of surgery best suited to the patient.

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Male breast reduction (gynaecomastia) :

Male breast (gynaecomastia) is a common condition that can cause embarrassment and provided there is no underlying medical issue, the gynaecomastia can be corrected with liposuction and glandular excision leaving minimal scarring. In the more advance cases, some skin excision may be necessary.

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Liposuction and Liposculpturing :

Liposuction and liposculpturing are techniques used to remove excess stubborn fat from area that persist despite dieting and exercising. They are not the solution to weight loss. There are many machines that have been advertise but the result is more dependent on the surgeon rather than the machine.

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Circumferential body lift and abdominoplasty :

This is extremely troublesome for patients both socially and physically with recurrent skin infection and unable to buy clothing. The treatment of choice is to have a circumferential body lift…

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Arm Reduction :

The relaxation of the suspensory ligaments with age and massive weight loss lead to the appearance of ptotic upper arm tissue (Bingo wing). This can be treated by a combination of liposuction and skin excision.

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Split earlobe :

Accidental avulsion of earrings or heavy earrings can lead to partial or complete splitting of the earlobe. This can be repaired with a minor surgical treatment under local anaesthetic leaving relatively minimal scarring. It is important to realize the repair will take time to strengthen and therefore, immediate re-piercing is not recommended.

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Scar Revision :

Thickened and widened scars can lead to an unsightly appearance and occasionally a tight band limiting movement. Scar revision usually required the excision of the old scar and allowing the wound healing process to start afreash. This provide a second chance for the scar to heal in a better controlled environment. Unfortunately, scarring is permanent and can never be completely eliminated.

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Moles and skin lesions :

Most skin lesions such as moles, skin tags and cysts are non-cancerous. You may be concerned of some changes such as colour or size or simply dislike the appearance.

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Mark Ho-Asjoe

MB.Bch, FRCS FRCS(Plast)

Consultant Plastic and Reconstructive and
Aesthetic Surgeon at the London Plastic Surgery Clinic

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