Facial

Procedures

the best version of yourself

FACIAL

Facial

FACELIFT/NECK LIFT

This procedure will help to reduce the signs of ageing, through tightening and removal of saggy skin.

A neck and facelift is a procedure whereby your facial muscles are tightened or stretched and removing excess fat from the neck and face gives the patient a more youthful look. A neck and face lift can be done independently, but they are commonly done in one procedure. 

How are they performed?

  • A traditional facelift incision:
    • The incision begins in the hairline above the temple and continues behind the ears until it reaches the lower scalp. In cases where a neck lift is required, this will include an incision under the chin.
  • A limited incision:
    • It is similar to a traditional one, however, it does not proceed to the lower part of the scalp.

What are the advantages?

A neck and face lift will help modify age-related changes that occur the older we get, such as sagging, decreased elasticity and fat composition changes in the face and neck. The appearance of other features may also improve such as the folds of the sides of the nose and mouth.

BROW/FOREHEAD LIFT

With our brow/forehead lift, we remove the deep “worry” lines that run across the forehead for a firmer and younger look.

A brow and forehead lift corrects the flowing:

  • Creases in the forehead.
  • Hooding of the upper eyelids
  • Sagging of eyebrows

These corrections are achieved by removing or raising the muscle tissue or skin in the forehead region. This muscle tissue or skin is responsible for wrinkles/deep frown lines and any drooping.

How is this procedure performed?

  • There are two primary procedures:
    • The classical (coronal) lift:
      • An incision is made in the forehead area extending from one ear to another. In other cases, it is done in the hairline to deal with the correction of issues with a high forehead (a large space between the top of the head and the eyebrows).
    • The endoscopic lift:
      • This is a less invasive method in which smaller incisions are made in the forehead to pass through a thin tube mobilized with a camera to view the tissue and muscle. Simultaneously another device is placed through another incision to make the alterations.

What are the advantages?

  • The forehead is given a more refreshed look.
  • Improvement of the appearance of frown lines.
BLEPHAROPLASTY (EYE LIFT)

By reducing or eliminating folds, wrinkles and saggy skin within the tissues surrounding the eyes, you will have a more firm and youthful face.

An eye lift is a procedure that aims to correct deformities, defects, and the sizes of the eyelids and to aesthetically modify the eye region of the face. This may involve the removal of excess fat, skin or muscle both in the upper and lower lid of the eye.

How is it performed?

An eye lift can be done on both the upper and lower lid:

  • On the upper lid, an incision is made along the folds of the eyelids to extract the excess skin, fat or muscle.
  • On the lower lid, an incision is made underneath the lashes in the natural crease.

Other eyelid problems such as an eyelid that droops excessively affecting a patient’s vision may require an additional procedure called Ptosis (this provides additional support to the eyebrow muscle).

What are the advantages?

  • Improvement of baggy/droopy upper eyelids.
  • The removal of any excess skin that may interfere with peripheral vision or result in any other eye difficulties.
RHINOPLASTY

(Note: full rhinoplasty/tip only)

Chin, Cheekbone and other augment

A rhinoplasty is a procedure aimed at correcting and reconstructing the nose. The motivation behind rhinoplasty can be characterized as reconstructive surgery and cosmetic surgery, as it is focused on the alteration of either the bone, cartilage, skin or all three.

How is this procedure performed?

It is highly dependent on the area of the nose that requires alterations resulting in a tip-only or full rhinoplasty.

  • Tip only rhinoplasty:
    • This procedure is done to improve the shape or look of the nose to deal with issues such as drooping, asymmetry, a bulbous tip and a hanging columella.
  • Full rhinoplasty:
    • A full rhinoplasty modifies the bone and cartilage in the nose through an incision made at the base of the nose. Cartilage and bone may be utilized from other parts of the body to meet the desired look. For the purpose of improving a patient’s breathing a Septoplasty can be performed to straighten the nasal septum (the wall dividing the nasal passage into a left and right side).

What are the advantages?

  • Aids breathing difficulties.
  • Slight changes can improve the look of the nose.
  • Can improve the disruption of snoring.
  • Deals with injuries such as a broken nose.
  • Improves confidence as it can provide an aesthetical identity.
LIP ENHANCEMENT

Make your lips look naturally fuller with our lip enhancement surgery. 

A lip enhancement is also commonly known as a ‘lip augmentation’, it is a surgical or non-surgical procedure that aims to change the appearance of the lips by altering the shape, structure and volume of the lips thus creating lips that are visually fuller.  

How is it performed?

There are a variety of methods that can be used to achieve a desired look and feel such as:

  • Lip fillers:
    • Are often made from injectable dermal substances (which are taken from the patient’s skin) that can be absorbed by the body at a quicker rate than others such as hyaluronic acid and collagen. These are then injected either in your lips or around the mouth.
  • Fat grafting/transfer:
    • This is done through the harvesting of fat from other parts of the body such as the abdomen; it is then purified and then injected into the lips.
  • Lip implants:
    • Are used as an alternative to temporary lip fillers.
    • Once the lips are anesthetized and sterilized a cut is made in the corners of the mouth to create a tunnel the shape of the lip which is then used to insert the implant.

What are the advantages?

  • Patients can see the results right away.
  • With lip filler, the amount of substance inserted can be controlled, and the treatment can be supplied in gradual doses over a specific time.
  • Certain types of Lip implants are solid and therefore are less prone to leaking or rupturing.

Fat grafting/transfer often lasts for 5 years or longer at the most.

FAT INJECTIONS

Removal of unwanted fatty from the specified area.

Fat injections can also be referred to as ‘autologous fat transportation’ that uses body fat as a filler agent. This is done to re-contour the face, reduce frown lines, crow’s feet, smile lines (nasolabial folds), and give definition to the cheeks and chin. Fat injections can also be used in other parts of the body to fill depressed scarred areas.

How is it performed?

A donor site (where the fat will be extracted) and a treatment site (the body part receiving the filler) need to be located. These sites are then both injected with a local anaesthetic, and then an IV (intravenous fluid) is injected into the donor site only to facilitate fat collection. The fat is then processed to remove unwanted fluids and is injected into the treatment site in multiple thin strands.

What are the advantages?

  • It is natural and non-allergic.
  • Injections may last for several months.
  • Little to no downtime.

Usually, no pre-testing is required because the fat is from the patient’s body.

More Procedures

Facial

Breasts

Body Contouring

Abdomen

Genital

Dermal Surgery

Hands

Patient Instruction Information

What you need to know before THE operation

INSTRUCTIONS

The pre-operative instructions are important in giving you insight on things that hamper your healing progress. Please read carefully. If you still have questions after reading this, call the rooms (011 485 4434), to have all your concerns addressed

TWO WEEKS BEFORE YOUR SURGERY

Medications:

• Do not take any aspirin-containing products (see the attached list), anti-inflammatories (e.g. ibuprofen, advil, Meloxicam), blood thinners (e.g. coumadin, warfarin, clexane), or vitamin E for 14 days before your operation. These medications thin the blood and increase the risk of bleeding. Paracetamol can be taken safely.

• Stop taking any supplements, herbal, natural, diet, or alternative drugs 14 days before your surgery (e.g. ginkgo biloba, ginseng, St. John’s wort).

• We recommend stopping birth control pills or estrogen replacement therapy 4-6 weeks before surgery, particularly for abdominoplasty (tummy tuck) or liposuction. These drugs increase the risk of blood clots in the leg.

• Only essential medications may be taken throughout the peri-operation. It’s important to inform the surgeon and the anesthesiologist are aware of any medications you take.

• Patients with heart disease, Diabetes Mellitus, Previous cerebrovascular accidents, and pacemakers should also highlight this to the surgeon and anesthesiologist.

 • Please notify our office before your surgery if you develop a cold or infection.

Smoking:

• Smoking should be stopped at least 2 weeks before your operation, and you should refrain from smoking at least 2 weeks after the operation as well. Smoking greatly increases the risk of poor wound healing and even skin loss.

NIGHT BEFORE & DAY OF SURGERY

• Arrange transport to fetch you after discharge and a person to look after you post-discharge.  

• You can take only essential medications (for example, cardiac or blood pressure pills) on the morning of surgery with a small sip of water (except those mentioned below).   

• Nothing to eat or drink after midnight the night before, and the morning of surgery. If you do eat or drink, your surgery will likely be cancelled.

• Remove all make-up and nail polish the night before surgery.

• If you are having a facelift or browlift surgery, wash your face with soap and shampoo your hair the night before surgery.

• If you are having breast surgery, make sure you have a post-operative or sports bra available and bring it into the operating room.

• Remove all jewellery and leave money and all valuables at home

• Do not shave 3 days before surgery. Shower before surgery.

• Wear comfortable, loose-fitting clothing that is easy to put on and take off (e.g. sweat pants, button or zipper shirt).

• Arrive at the hospital at least 2 hours before the scheduled operation time      

• Be prepared to take time off work. In general, at least 5-7 days (this varies quite a bit, depending on the procedure). Try to avoid strenuous work or exercise for 6 weeks post-surgery. It is recommended to have someone at your home who can assist you.

WE RECOMMEND THAT PATIENTS DISCONTINUE USE OF THE FOLLOWING AT LEAST TWO WEEKS PRIOR TO SURGERY:

Aspirin Containing Products and
Anti-Inflammatories
Herbs and Natural Products
ASA
Instantine
Ginkgo biloba
Actifed
Indomethacin
Garlic
Advil
Midol
Ginger
Aleve
Motrin
Ginseng
Alka Seltzer
Naprosyn
Feverfew
Anaprox
Nyquil
Clove
Ansaid
Nytol
Danshen
Aspirin
Oxycodone
Dong Quai
Bayer
Pamprin
European Mistletoe
Celebrex
Pepto Bismal
Fenugreek
Contact
Percodan
Focus-kelp, black tang
Coumadin (Warfarin)
Persantine
Goldenseal
Darvon
Phenylbutazone
Horse chestnut
Dristan
Propoxphene
Northern prickly ash
Duragesic
Robaxisal
Endodan
Sominex
Entrophen
Sudafed
Fiorinal
Talwin Compound
Flurbiprofen Sodium
Trandate
Heparin
Trental
Ibuprofen
Vitamin E

WHAT YOU NEED TO KNOW AFTER THE OPERATION

General Comfort

It is important for you to get up, move around the house, and take some deep breaths 4-6 times a day from day 1 after the operation. Plan to sleep on your back with your head elevated, if possible. Sleeping on your side will cause swelling on the side you are laying on. Making yourself a nest with pillows can be very helpful.

Some people experience a slight sore throat or mild cough for 2-3 days after surgery. This is a side effect of anaesthesia and should resolve in 48-72 hours.


Pain Management


The first night and day after surgery will be your most uncomfortable. The pain will then stabilize over the next 24-48 hours and then decrease day by day. Analgesia appropriate to the type of surgery will be prescribed for you. Report to the doctor if you have unbearable pain. You will heal faster if you are not tense and tired from pain.

Stool softener may be helpful for patients who develop constipation as result of opioid pain killers. You can progress to regular strength paracetamol as your pain subsides. Narcotics will interact with alcohol so do not drink at the same time you are taking them. Drains are used in 80% to 90% of our surgeries to prevent post-operative swelling and fluid buildup. You will be instructed in drain care before leaving the hospital.

The initial drainage will be bloody, changing to clear red then to clear yellow over the next 3-5 days. If blood clots in the tube, it can be cleared by applying pressure and “milking” the tube toward the bulb. Be careful not to put tension on the tube where it enters the wound. If you have less than 30mls of drainage in 24 hours before your first post-op appointment
you may call the office to make an appointment to have them removed.

Wound Care

• There is no need to change a clean, dry dressing for the first 2-3 days after surgery.
• It is preferable to have your 1st dressing change at the doctor’s office.
• You may shower after the original dressings and drains have been removed. Your doctor will give any other wound care instructions to you at the time of your surgery.
• Keep your supportive Bra on consistently for the first 6 weeks.

Complications

Please call or come into the consulting room or the Emergency Department when the clinic is closed as soon as possible if you have:

Increasing swelling, redness, or pain in the breasts.
Pus drainage from the breasts.
Excessive bleeding post-op (i.e., bandages become soaked with blood).
Shortness of breath.
Fever greater than 38 degrees orally.
Activity Limitations After Surgery


There should be no reaching above your shoulders, twisting or lifting more than 5 pounds for three weeks. No heavy activity or exercise for three weeks. Any activity that makes your face flush or makes you sweat can make you swell. No soaking your incisions (bathing or hot tubs) until your Steri-Strips® are removed, your sutures have been removed, and all scabs are healed.

After three weeks, you may resume normal activities. Do not wear underwire bras for 4 to 6 weeks after surgery, and then it is a matter of personal choice.

Scar Care


• Scar development is a process that lasts up to a year or more after surgery.
• Apply Micropore tape scars for a period of up to 6 months if possible.
• Use silicone base gel to massage the scar.
• Use clothing and sunscreen to protect the scars.
• Report any scars that you find unacceptable.
• Need to ask a question, email doctor on nkhens@mweb.co.za . We are here to help.

Contact

Get In Touch With Us

Don’t wait any longer to achieve your aesthetic goals. Reach out to us today and let us show you how we can help you.

Visit Us

Suite 304
24 12th Avenue
Linksfield West

Call Us

011 485 4434
066 006 6631

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admin@papillonaesthetics.co.za

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