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Facial Rejuvenation | Procedures | Dr Vikas Kakkar

FACIAL REJUVENATION


Periorbital Rejuvination

Periorbital rejuvenation is one of the most important areas of rejuvenation of the aging face these days. The eye area is important in contact between individuals, with eye-to-eye communication or eye to eye contact occurring in approximately 80% of all interactions. The orbital area conveys information on general health and impressions regarding individual health, fatigue, interest, and emotion. For many individuals with limited budgets or limited interest in facial rejuvenation, the eye area is the focus of facial rejuvenation surgery.


Chin Augmentation

Chin Augumentation is an excellent option for anyone who feels that their chin is not shaped right in relation to the rest of the face. Popular among men and women, chin enhancement can be accomplished via facial implants for chin enlargement or advancement, or via chin reduction surgery for those who would like their jaw to appear less prominent.
Chin augmentation adds proportion to the chin and provides balance to other facial features. A weak chin makes the neck appear fleshy. It accentuates the size of a normal nose and makes a large nose seem especially big. Chin enlargement through chin implant surgery brings the facial features into harmony and balances the overall facial structure.


Blepharoplasty

What is eyelid surgery / blepharoplasty?

Blepharoplasty is a surgical procedure to improve the appearance of the eyelids and rejuvenate the area surrounding your eyes. It can be done for either the upper and lower lids, or both.



What are the indications for blepharoplasty?

Loose or sagging skin that creates folds on upper eyelid, sometimes impairing vision
Excess fatty deposits that appear as puffiness in the eyelids
Excess skin and fine wrinkles of the lower eyelid
Drooping lower eyelids Bags under the eyes


What is done in upper eye lid surgery?

The upper eyelid can be corrected through an incision within the natural crease on the eyelid. This allows for removal of excess skin, removal or repositioning of fat deposits, and muscles tightening.


What is done lower lid surgery?

The lower eyelid can be corrected with an incision just below the lower lash line. Through this incision, excess skin in the lower eyelid is removed and the excess fat can be repositioned or removed.

By an alternate technique, transconjunctival approach, incision is given inside of the lower eyelid, to correct lower eyelid conditions and redistribute or remove excess fat with no skin removal.


What are the risks and complications of eyelid surgery?

Swelling and bruising, bleeding
Dryness to the eyes
Sensitivity to sun or other bright light
Difficulty closing your eyes, an outward rolling of the eyelid, Lid lag
Possible need for revision surgery


How is post op recovery?

Initial healing may include some swelling, bruising, irritation or dry eyes, and discomfort that can be controlled with medication, cold compresses, and ointment. Irritation at the incision sites is also possible.

You must use darkly tinted sunglasses for sun protection until the healing process is fully complete.



When will you appreciate results of Blepharoplasty?

The results of eyelid surgery will appear gradually after few weeks as swelling and bruising subside to reveal a smooth, better-defined eyelid and surrounding region, and an alert and rejuvenated appearance. The results of eyelid surgery will be long-lasting.


Smile Creation

Smile Creation is prepared under local anesthesia and it is just a single day case. The demand of the particular surgery is almost equal among both men and women. The very presence of dimples usually suggests good fortune and fertility but lately, it is more viewed as a sign of cuteness or rather uniqueness. Moreover the smile is brightened and a character is added to it.

This surgery is performed by attaching laughing muscle to dermis. For the surgery to be completely painless, local anesthesia is required. Usually single cheek, even both cheeks and sometimes even the chin are preferred areas for the surgery. If you are looking to add to cute Smile to your face with the short dimple, Smile Creation surgery at Vikas kakkar Clinic will offer an excellent result.


Nose Reshaping

Nose reshaping surgery, improves the shape, size, and symmetry of a person’s nose, bringing it into better proportion with the rest of shape of your face. When performed by a skilled, qualified cosmetic surgeon, Nose reshaping also known as rhinoplasty can be a rewarding and life-enhancing procedure—patients often notice that their overall appearance has improved, as the nose they see now looks natural, like the nose they have always thought they should have.

Who is an ideal candidate for Nose Reshaping?

Men and women of all ages can get benefit from rhinoplasty. Nose reshaping is one of the more popular cosmetic surgery procedures for teenage patients too, although cosmetic surgeons take special care when evaluating whether or not a younger patient is ready for rhinoplasty. Physically, the nose must be fully developed—typically by around age 14 for girls and 16 for boys. Younger patients also need to demonstrate emotional maturity and understanding about the cosmetic surgery process.


Forehead Lift

What is a brow lift/ forehead lift?

Brow lift is a procedure to reduce the horizontal wrinkle lines that develop across the forehead, to improves frown lines (vertical creases between eyebrows)
It also raises sagging eye brows that are hooding the upper eyelids, and brings eyebrows in more alert and youthful position


What are brow lift surgery risks & complications?

Anesthesia risks
Bleeding, Infection
Loss of hair around the incisions, Unfavorable scarring
Possibility of revision surgery


What is post op protocol and how’s recovery?

You should keep your head elevated and avoid vigorous physical activity. Wound healing may take 10 to 14 days. You may be able to do normal activity and return to after two weeks. The final results will be appreciated in the next few months. A healthy lifestyle will also help to give more youthful appearance.

What is nonsurgical forehead lift/ thread lift?

This is office procedure or day care procedure done under local and regional anaesthesia. In this procedure Barbed threads are used under skin to fix sagging brow to temple.

What are the advantages of thread lift?

It is office based procedure, now anaesthesia risk and surgical risk and complication with minimal down time.


Botox

1) What is botulinum toxin?

Botulinum toxin is a protein substance produced from bacteria which is used for facial rejuvenation mainly to alleviate wrinkle to give more youthfulness. These wrinkles may be Crows feet, Frown lines, Forehead furrows or skin bands on the neck

2) How wrinkles do develop?

Any facial movement like Smiling, frowning, squinting and even chewing - can also lead to one of the most common signs of aging: wrinkles, which give your appearance tired or even angry when you are not. Botulinum toxin is fastest and safest remedies for wrinkles.

3) How does botulinum toxin works?

Botulinum injections blocks nerve muscle signals, which then weakens the muscle so that it can't contract and diminish unwanted facial wrinkles, preserving natural facial expressions. By using very fine small amounts of botulinum toxin injected into specific muscles. It usually takes 10- 15 minutes. No anesthesia is required. There is no down time or recovery time. You may resume normal activities immediately.

You may start observing results within a few days, but it can take up to a week to see the full result. The results usually last about four to six months. When the effects of botulinum toxin begin to fade, muscle actions and the wrinkles will return.

4) What precaution in required?

Most important thing is don't rub or massage at treated areas after the wrinkle treatment because it can cause the toxin to migrate to another area of face and can cause temporary facial weakness.

5) How safe this procedure is?

Usually it is one of the safest office procedures, but counseling about few minor issues should be done, although it doesn’t happen to most of the clients. It sometimes lead to-

Bruising and pain at the injection site
Headache, Flu-like symptoms
Temporary facial weakness or drooping


Fillers

What are the fillers?

Fillers are natural or you can say it is a synthetic material used to restore youthfulness to your face, lips, enhance shallow contours or soften those facial creases and wrinkles by adding more volume giving immediate result.

Although it has limitations, it can’t correct excess sagging skin. These treatments aren't permanent, however, and they must be repeated and maintained.


Who is an ideal candidate for filler?

Any healthy individual, who is positive about his appearance and knows expectation with treatment and limitations of fillers and not ready for surgical facelift. As you can't stop the aging process but Dermal fillers are wonderful to rejuvenate your appearance

What are the types of fillers?

They are: Temporary and Semi-Permanent/ permanent.

Temporary

Collagen is a natural protein substance, derived either from human skin or cows (known as bovine collagen), then injected into your face. This is impressive in filling of facial hollows.

Hyaluronic acid is also a natural substance found in body. Its high concentrations mainly found in soft connective tissue and in the fluid around eyes, in some cartilage and joint fluids, as well as skin tissue. Hyaluronic acid is not derived from animal sources. Brand names include: Juvederm, Perlane and Restylane.

Calcium hydroxylapatite, is found naturally in human bones. This mineral-like compound is reserved to fill the deepest creases such as nasolabial folds, marionette lines and frown lines. It's also used to enhance fullness of the cheeks and other facial contours. Calcium-based microspheres are suspended in a water-based gel. Brand names include: Radiesse.

Semi-Permanent

PMMA (polymethylmethacrylate) fillers contain about 20 percent PMMA microspheres suspended in 80 percent purified collagen gel. This substance, considered semi-permanent, can be removed. PMMA is mostly used to treat medium-to-deep wrinkles, particularly nasolabial folds. It can also be used to fill out pitted scars and to augment thin lips. Brand names : Articol, Artefill.

How does it work in deeper lines and scar?

Deeper areas will often require multiple injections to achieve desired results. So a local anesthetic is given to make you comfortable. Common sites for deeper tissue fillers are the nasolabial folds and marionette lines, or to enhance fullness in the cheeks.



What are the risks involved in fillers application?

Complications from fillers are uncommon. Fillers that are derived from non-human sources sometimes require a pre-treatment allergy test. The risks include:

Bruising/ Bleeding/ Skin rash/ Temporary numbness, which disappear in few hrs to few days.
Under- or over-correction of wrinkles/ Asymmetry
How is recovery in fillers application?

There is no downtime with dermal fillers. You can resume normal activities right away. Take a precaution, not to rub the treated area so that the filler material remains undisturbed.

Is filler results are permanent?

It's important to realize that dermal fillers are not. The way our face continues to age and how body absorbs fillers will determine the timing of repeat treatments. permanent. Even the semi-permanent variety eventually require re-treatments..


Thread Lift

What is nonsurgical face lift/ thread lift?

This is office procedure or day care procedure done under local and regional anaesthesia. In this procedure Barbed threads are used under skin to fix sagging face skin to temple.

What are the advantages of thread lift?

It is office based procedure, now anaesthesia risk, surgical risk and complication with minimal down time.


Mole Removal

What is a mole?

Many people refer to a mole as any dark spot or irregularity in the skin. Doctors use different terms. But the following types of skin marks such as these are not treated the same way moles are and are not discussed here:

Birthmarks
- Abnormal formations of blood vessels (hemangiomas)
- Keratoses (benign or precancerous spots, which appear after about age 30 years)

What causes moles?

- Some people are born with moles. Other moles appear later in life.
- Sun exposure seems to play a role in the development of moles and may even play a role in the development of atypical, or dysplastic, moles.
- The role of heredity cannot be overemphasized. Many families have a type of mole known as dysplastic (atypical), which can be associated with a higher frequency of melanoma.

Why remove a mole or skin tag?

Most moles and skin tags don't require treatment. But sometimes people want to remove them for cosmetic reasons or because they cause discomfort when they rub against clothing or get caught in jewelry.


Fat Injection

What Is Autologous Fat Transfer (AFT)/ Microlipoinjection?

Fat transfer is an injection method of facial fat sculpting, can restore attractive contours to your cheeks, chin, and under-eye area, and add volume to your lips. In this procedure individual's own body fat is used to plump up sunken or emaciated areas of the face or to add volume where desired.

In whom autologous fat transfer is offered?

Facial fat injections can eliminate aspects of facial "wear and tear" that often appear with age, such as smile lines, frown lines, marionette lines (running from the sides of the mouth down to the chin), wrinkles and furrows, and hollows in the face (such as under the eyes or under the cheekbones). Lips that have lost volume may also be treated through fat transfer as can scars or depressions in the face from scars (such as those from acne). Individuals with one or more of these conditions may be good candidates for autologous fat transfer.

What areas of the face can be treated with Fat injections?

The facial areas that can be improved with fat injection treatment include creases in the forehead or in between the eyebrows, and hollows under the eyes. Fat injection can also plump up or improve the contour around the nose, the area between the upper lip and the nose, the jawline, and the temples. Indeed, fat transfer can correct scars, sunken or hollow areas, and any place on the face or neck where fat has been lost.

How Autologous fat transfer is done?

It has three steps. The first step involves the liposuction of excess fat in body. The second step involves the isolation and cleansing of the fat cells. The third and final step involves the injection of the fat cells into the targeted facial areas.

What anaesthesia is used in AFT?

A fat transfer procedure performed alone is usually done with local anesthesia only; some surgeons may also offer an oral sedative for patients who are more apprehensive.

What are the risks and benefits?

Facial fat sculpting offers several major benefits. In addition to correcting problems of the aging face, autologous fat transfer is natural. It's also versatile; the fat can be used for many facial imperfections, including scars and depressions in the skin. The effects of facial fat sculpting are very long-lasting than artificial fillers. And facial fat sculpting is safe, since there are no allergic reactions to worry about, because the fat transplantation is from your own body.

Is the fat transfer procedure painful?

The pain from fat grafting should be minimal in almost all cases. Discomfort should be only short term and usually can be managed with oral pain medication.

How post operative recovery and protocol?

Once fat transfer is complete, there is going to be some swelling and/or bruising at the donor site or the recipient site on face. The swelling can be expected to go away in a few days, and any discomfort can be managed with pain medication. Many patients return to their normal daily activities within hours or a day or two of the fat transfer procedure.

Are multiple fat injections needed to achieve desired results?

Although it depends on the extent of change the patient desires, multiple fat transfer injections are very often recommended by the cosmetic surgeon performing the procedure. Splitting the procedure up into multiple installments allows for more tissue to be transferred with less damage to both the donor and injection sites.

How long will transferred fat typically last?

There is no definite length to the amount of time that the benefits of a fat transfer will last. Over the course of a few months or a year, a portion of the injected fat will be reabsorbed and fraction of the original volume will remain in place.


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  • 564, B-Block, Ranjit Avenue, Amritsar
  • +91 98151-31355, 0183-2500955
  • clinickakkar@gmail.com

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