It is the aesthetic and functional reconstruction of the nose in congenital or acute deformities or traumas or nose tumors excisions.
It is a multi-intervention procedure on cartilage and bony frame of the nose and if it is performed for aesthetic reasons. We prefer to operate after the age of 16 on female and 18 on male patients.
It usually represents reduction and repositioning of the nose elements on the frame of cartilages and bones, following particular rules of symmetries on the face. In the case of congenital or traumatic loss of elements we actually augment the nose using cartilage, bone and skin grafting, either local or from distant parts of the body, using multiple techniques.
In any case our surgical techniques should be precise and individualized pre-operatively and in almost all cases under general anaesthesia.
Nasal Hump Sectrum Deviation
Rhinoplasty Correction of the Sectrum.
1 month post operation
Rhinoplasty Correction of the Sectrum.
6 months post operation
It is the correction of laxity of skin and muscle in the upper or lower eyelids, removal of excess fat that appears like a hernia throughout the eyelid septum to the skin in the form of fat pads in multiple sites, mostly in lower but also in the upper lids.
Correction is done under local anaesthesia and is rather painless, executed alone or in combination with other interventions on the face.
After - Upper Blepharoplasty
Upper and lower Blepharoplasty
Whether congenital or not, eyelid ptosis is due to different causes. It appears with excess laxity and weakness of the elevator muscle of the upper eyelid (which is responsible for upper lid elevation) usually while ageing.
According to the cause and degree of ptosis (measured in mm of ptosis of upper eyelid over the pupil) we operate on the muscle under local anaesthesia so that we can achieve symmetry of both sides.
It is the correction of prominent ears (normally positioned at 30 degrees from the lateral sides of the head). It is executed under local anaesthesia most of the times, even in children over the age of seven, when growth of ear cartilage is completed.
It is the congenital inability of the cartilage to form the anthelical part (so that the ear is prominent more than 30 degrees from the lateral side of the head) with or without enlargement of the concha. Therefore, our operation on the back of the ear tοwards the cartilage aims at the creation of anthelica so that the ear has a natural turn back, using sutures also to stabilize the mid concha to the lateral side of the head under the skin, if needed.
Complete or partial creation or ear in cases of congenital or traumatic loss of ears is also considered as otoplasty. Using a series of surgical techniques we recreate all or part of it, using cartilages from other parts of the body – rib cartilages – or custom made silicone frames in place of the missing ear cartilages.
FACE NECK LIFT
It is an actual intervention on laxity and ptosis of the skin and muscles of the face and neck due to ageing, which appears with laxity and atrophy of all elements of the area: skin, muscles, ligaments, even bony skeleton.
We undermind the skin at the temporal, lateral facial and neck line, continue on the back of the ear and occipital area of the head. We undermind the smas –muscular, aponeurotic system- under the skin, elevate and pull it in an upward and oblique trend in the face and an horizontal and backwar trend in the neck, remove the excess smas and stabilize it with sutures. We reposition the skin flap with zero tension, remove the extra skin very conservatively and suture at the site of the original incisions: in front and behind the ear, at the temporal area and lower in the occipital area of the head.
DOUBLE CHIN LIPOSUCTION-LIPOSCALPTING ON FACE
It is a very popular and easy procedure, consisting of extra fat removal and laxity correction of the chin and neck, under local anaesthesia. We achieve a very fresh and youthfull appearance through tiny insicions under the chin and behind the ear lobes, where we infiltrate the area with Tumescent local anaeshesia and also do the liposuction of the whole area. It can be combined with fat grafting on the face: nasolabial folds, lips, temporal, zygomatic areas, upper eyelid, nose. If needed we can be combine liposuction with threads if laxity is excessive.
LIPOSUCION - LIPOTRANSFER
TUMORS OF THE FACE - SCARS
Excision is usualy under local anaesthesia with simlple eliptical excision, if the tumor is not big, inside the natural skin folds or in parallel with these and immediate suturing with no tension.
In cases of big tumors reconstruction of skin defect is done with plastic surgery techniques using flaps or skin grafts.