Face Head Neck
The commonest head and neck tumors are Basal Cell and Squamous cell carcinomas. Although the majority of lesions can be removed through excision and direct closure one may require reconstruction with local flaps and/or skin grafts. The majority of these can be removed under local anesthetic as an outpatient.
Occasionally tumours may spread to the neck and a lymph node dissection may be required to remove tumor that has spread to the lymph nodes. This requires a general anesthetic and a stay in hospital of a few days.
The presence of sebaceous hyperplasia can lead to an unsightly growth of the nasal skin. Removal of this either by laser surgery or direct excision may be required to improve both aesthetic and functional problems.
The different components of the nose can develop in an unusual fashion or can be damaged through trauma. The different components namely the bones and the cartilage can be reshaped to improve both function and cosmesis.
Prominent ears can lead to significant aesthetic concerns. Different techniques are available to reduce the projection of the ears, the ear lobule and recreate the normal cartilaginous appearance of the ear. These can often be performed under local anesthetic. Following otoplasty patients will require to were a head bandage for at least a week following surgery
Different techniques of face lifting allow one to individualize results. The use of the layer under the skin can be used to enhance the contour of the face. The neck may also be improved either by the same incision located around the ear or via a direct incision under the chin. Face lifting can also be combined with other rejuvenation techniques such as autologous fat transfer, laser resurfacing, chemical peels and chin/cheek implants.
Both the upper and lower eyelids can age resulting in an excess of skin and also a weakening of the layer under the muscles. Removal of excess skin and tightening the layers under the muscle with redistribution/removal of fat can help to improve contour. Lifting of the muscle may also be used in the face to give a lift to the mid face.
Facial Palsy often leads to a paralysis of the eyebrow leading to asymmetry between the two sides. A brow lift can help to improve cosmesis and can be performed by either an incision above the eyebrow, a small incision on the forehead or endoscopically.
Facial Palsy often affects the position of the corner of the mouth. The descent of the face leads to an obvious difference that can also cause patients functional problems such as speech, eating and drinking. Lifting techniques can involve a number of different techniques using incisions in the hairline, the nasolabial fold, an incision underneath the lower eye or an incision around the nose and cheek.
Often facial paralysis leads to an asymmetry between the normal and abnormal sides. Although lifting techniques can be applied to the abnormal side weakening the normal side can improve cosmesis. One can target the injection of individual muscle groups to individualize treatments.