Open Your Eyes: Periorbital Rejuvenation

Consultant plastic surgeon Mr Gary Ross describes how he combines these techniques to provide individualised results. The eyes are one of our most striking facial features and rejuvenation of the eyes in the form of blepharoplasty helps to provide a more youthful look with minimal downtime. Upper blepharoplasty is a common procedure where the skin of the upper eye is removed, placing the scar in a natural crease line. It is one of the commonest aesthetic procedures and results in minimal downtime with minimal risks and complications. It can often be performed under local anaesthetic. Sometimes small amounts of fat need to removed and occasionally fat needs to be added in the form of autologous fat transfer. The ageing process leads to weakening of the muscles of the eye and drooping of the contents and this is particularly important in the lower eyelid. Lower eyelid blepharoplasty is often performed in combination with upper blepharoplasty. In lower eyelid blepharoplasty, the contents of the orbital septum need to be tightened and patients often need treatment of eye bags and hollowing, which result from ageing of the lower lid and sagging of the mid-face.

This lid-cheek junction and mid-face sagging often is not addressed by a standard blepharoplasty technique but by using the same minimal scars as a lower blepharoplasty the mid-face can be lifted so that the sagging tissue of the mid-face can be repositioned into the lid-cheek junction, disguising the hollowing and rejuvenating not just the eyes, but also the midface. It is well known that the ligaments of the mid-face relax as we age, with thinning of the tissues and sagging of the soft tissue. The aims of mid-face rejuvenation are to reposition this sagging tissue. Previously, facelifting techniques would be required to lift the mid-face through separate scars and although in certain patients this still remains the best option – especially in patients with drooping of the jowls and lower face – the mid-face can often be addressed adequately through this minimal scar technique. The mid-facelift in combination with blepharoplasty can tighten the sagging lower eyelid and the mid-face through a minimal incision with a net effect that minimal tissue needs to be removed and the tissue is simply repositioned into a higher position. Sometimes additional tissue in the form of autologous fat needs to be added. The recovery following this surgery is a lot quicker than standard facelifting techniques.

 

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Body Contouring: Skin tight

Many people who have lost a substantial amount of weight are overjoyed at their success. But after losing weight you may still have some to lose due to the heavy folds of skin left that can be left behind, reminding you of your former self. Surgery can remove the extra skin and improve the shape and tone of tissue in your arms, thighs, breasts, buttocks and abdomen. Plastic Surgeon Gary Ross explains to The Cosmetic Surgery Guide what options are available to patients after bariatric surgery.

Body contouring after major weight loss reduces the excess skin and fat that is left behind after a major weight loss. The expansion of skin, loss of fat and lack of tissue elasticity results in sagging skin that commonly develops around the face, neck, upper arms, breast, abdomen, buttocks, and thighs and can make your body contour appear irregular. The success of body contouring, whether it is done to reduce, enlarge or lift, is influenced by your age and by the size, shape and skin tone of the area to be treated.

Some contouring procedures leave only small, inconspicuous scars. More noticeable scars may result when surgical removal of fat and skin is necessary to achieve your desired result. Most patients find these scars acceptable and enjoy greater self-confidence. Any area that affects the patient could potentially be treated by surgery. Generally the abdomen is probably the commonest area that patients wish to have addressed. Options involve panniculectomy (removal of overhanging tissue only), abdominoplasty (tummy tuck) and total body lifting (removal of tissue circumferentially around the body).

Arm lifting and thigh lifting are also commonly performed to remove excess tissue and improve contour while mastopexy implant is the most commonly performed rejuvenation procedure for the breast. Above all, body contouring surgery must be tailored to the patient’s individual needs and requirements, and treatments must be individualised accordingly.

 

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Treatment in Focus: Breast Augmentation Revision

Revisionary breast augmentation is an increasingly specialised field of breast surgery. With all breast reconstruction one must consider the patients wishes for improvement in terms of size, shape and symmetry. Both clinician and patient need to establish what can be achieved and whether all expectations can be met.

 

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Thanks to the body lift, I was able to get rid of my saggy skin after losing 9-and-a-half stone

It is one of the most drastic and, some might say, barbaric cosmetic operations: the body lift.

Used to tackle the legacy of dramatic weight loss – the unsightly apron of flesh left behind after skin has stretched to accommodate fat – the four-hour procedure involves virtually cutting the patient’s body in half to remove the unwanted tissue and tighten the underlying muscles, before stitching it back together.

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Would you brave a mum-tum tuck?

Would you brave a mum-tum tuck? It costs up to £6,000 and carries drastic risks, but it’s still become Britain’s fastest growing cosmetic surgery

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Spotlight On…Mummy Makeover

The term ‘mummy makeover’ is increasingly being used in cosmetic practice and in the media. For this issue’s Spotlight On… feature, we ask Mr Gary Ross to explain exactly what this involves and how combination treatments can transform the body after pregnancy.

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Reconstruction of larger breasts following mastectomy

Immediate reconstruction following prophylactic mastectomy for larger ptotic breasts is difficult. Tissue expansion in these patients often results in poor cosmetic outcomes. Autologous options may not be possible due to clinical unsuitability or patient choice. Using the inferior dermal flap with implant achieves lower pole fullness and allows a one-stop reconstruction in the larger ptotic breast.

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Choose Your Treatment: Mastopexy

Breast uplift surgery is designed to help those women whose breasts have sagged, either as part of the natural ageing process – sadly, gravity takes its toll on our bodies as well as our faces – or as a result of childbearing or weight loss.

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