Peggy kuhne

THE OPERATION
As people age, the effects of gravity, exposure to the sun, and the stresses of daily life can be seen in their faces. A Face Lift removes excess fat and skin, tightening the underlying muscles, and redraping the skin of your face and neck.

A Face Lift, known as Rhytidectomy, can certainly make one look ten to fifteen years younger.

INDICATIONS
Sunken cheeks, drooping jowls, sagging neck.

COUNTER INDICATIONS
Heavy smoking
Important adiposity

SURGERY (AS OUT PATIENT POSSIBLE)
Through an incision that goes from the temple along the anterior ear creases upwards behind the ear into the scalp, the slack skin and the soft tissues are undermined and repositioned. Occasionally, a short incision under the chin allows for a better re-draping of a slack neck.

OPERATION TIME: 3-4 hours
ANESTHESIA: general or local anesthesia with twilight premedication.
SCARS: inconspicuous, see above.

POSSIBLE COMPLICATIONS, UNDESIRABLE RESULTS
Hematoma
Hypertrophic scarring
Hair loss in the scalp region
Temporary muscle palsy

POST OPERATIVE CARE
Head bandage for 24 hours
Suture removal after 10 to 14 days
Resume work after 2-3 weeks

THE OPERATION
This procedure is designed to raise and smooth the forehead skin including the eyebrows. The brow lift dramatically helps improve the horizontal lines and furrows that can make a person appear angry, sad, or tired. This procedure is commonly performed on patients in the 40 to 60 range.

INDICATIONS
Forehead skin folds and descended eyebrows.

COUNTER INDICATION
High forehead

SURGERY (AS OUT-PATIENT POSSIBLE)
Several techniques are possible. Continuous scalp incision from ear to ear or continuous incision along the hair line from temple to temple. Also, endoscopic through several button hole incisions in the scalp or two temporal incisions in the hair bearing skin.
Operation time 1 -2 hours
Anesthesia general or local anesthesia with twilight premedication
Scars inconspicuous,see above

POSSIBLE COMPLICATIONS, UNDESIRABLE RESULTS
Hematoma
Hair loss in scalp region
Temorary muscle palsy
Nerve injuries

POST OPERATIVE CARE
Head bandage for 24 hours
Suture removal after 1 week to 10 days.
Resume work after 2 weeks.

RESULTS
Long lasting. It can minimize the appearance of aging for years.

THE OPERATION
This procedure corrects sagging, puffy or drooping eyelids, as well as bags and bulges above and below the eyes. Lower lid: redistribution and leveling of the fat deposits.

INDICATIONS
Sagging or drooping eyelids, creating a tired, sad expression. Make-up problems. Eye bags.

COUNTER INDICATION
Vision problems, dry eye syndrome. Lower lid: weak lid tone.

SURGERY (OUT PATIENT)
Upper eye lid: The surgeon makes a fine incision along the fold. He then removes excess fat and/or skin. Lower eye lid: The incision is just under the lower lashes, whereby he removes excess skin and/or fat. He then tightens the muscles and skin. Also possible in the conjunctive, if no skin removal is planned.

OPERATION TIME: 1 hour
ANESTHESIA: usually local anesthesia.
SCARS very inconspicuous

POSSIBLE COMPLICATIONS, UNDERSIRABLE RESULTS
Hemorrhage.
Deformed lid aperture.
Ectropion
Dry eyes. Formation of whiteheads. Difficulty in closing eyes completely (rarely permanent) Pulling down of the lower lids.

POSTOPERATIVE CARE
Paper tape for 3-5 days until stitch removal.
Resume work after 7days.

THE OPERATION
This procedure corrects sagging, puffy or drooping eyelids, as well as bags and bulges above and below the eyes. Lower lid: redistribution and leveling of the fat deposits.

INDICATIONS
Sagging or drooping eyelids, creating a tired, sad expression. Make-up problems. Eye bags.

COUNTER INDICATION
Vision problems, dry eye syndrome. Lower lid: weak lid tone.

SURGERY (OUT PATIENT)
Upper eye lid: The surgeon makes a fine incision along the fold. He then removes excess fat and/or skin. Lower eye lid: The incision is just under the lower lashes, whereby he removes excess skin and/or fat. He then tightens the muscles and skin. Also possible in the conjunctive, if no skin removal is planned.

OPERATION TIME: 1 hour
ANESTHESIA: usually local anesthesia.
SCARS: very inconspicuous

POSSIBLE COMPLICATIONS, UNDERSIRABLE RESULTS
Hemorrhage.
Deformed lid aperture.
Ectropion
Dry eyes. Formation of whiteheads. Difficulty in closing eyes completely (rarely permanent) Pulling down of the lower lids.

POSTOPERATIVE CARE
Paper tape for 3-5 days until stitch removal.
Resume work after 7days.

THE OPERATION
This procedure is designed to reshape the nose by reducing or increasing size, removing bump, narrowing the nostrils, changing the angle between the nose and upper lip, or changing the shape of the tip or bridge.

INDICATION
Nose deformities

COUNTER INDICATIONS
Cocaine addiction
Psychological problems (Dysmorphophobia)

SURGERY (AS OUT–PATIENT POSSIBLE)
Reshaping of the cartilaginous and bony structure, either with a closed procedure through the nostrils or with an open approach.
Operation time 1-2 hours.
Anesthesia usually general anesthesia, local anesthesia possible.
Scars inside the nostrils and in the open procedure across the columella.

POSSIBLE COMPLICATIONS, UNDESIRABLE RESULTS
Hemorrhage.
Secondary deformation through internal hypertrophic scarring (polly tip) or bone callus.

POSTOPERATIVE CARE
Nasal packing for 24 hours.
Light castduring up to 10 days.
Resume work after 1 week.

RESULTS
Permanent, but it may take a year for the final results to take shape.
In some cases, touch ups are necessary.

Full lips are definitely a sign of youth. What happens to our lips when we begin to mature with age? Lips become thinner, less attractive, vertical lines start to appear making it difficult for women to wear lipstick. This also holds true for men. Men whose lips are thin and hard may portray a steely attitude in the boardroom; however men with fuller lips look more attractive, boyish and younger.

Augmentive lip enhancement creates fuller, plumper lips as well as reducing fine lines and wrinkles around the mouth. The upper or lower lip may be treated singly, or both, upper and lower lips may be augmented at the same time. Many different techniques are available to obtain fuller lips like injectable fillers, fat transfer or fat-dermis grafts.

In the first technique, absorbable substances are used, most of the time a biannual treatment is therefore required. The fat transfers give a much longer lasting but nevertheless an over the years vanishing result.

Fat-Dermis grafts produce much longer lasting results. The graft is harvested from another area of the body; often it is readily available during an other surgical procedure like a face lift for example. It is then cleaned, prepared and inserted into the lip through small incisions in the corner of the mouth. Since this auto graft comes from the patient’s own body, there is no chance of an allergic reaction.

In the enhancement of the aging mouth area, it is best to address all of the following areas: the outer mouth (laugh lines), edge of lip (lipstick lines), and inner lip. While various injectable fillers can improve these various areas, some of them are more appropriate than others depending upon the targeted area.