The Ultimate Guide to Face Surgery - Dr Mark Kohout

The Ultimate Guide to Face Surgery

  1. Are you one of the thousands of people who are concerned about facial surgery?
  2. Have you ever considered how you might look after facial surgery, a nose job, or an eyelid lift?
  3. Are you youthful and full of energy from the inside but showing signs of aging from the outside?

If so, facial surgery could be perfect for you. Every year, many people choose to turn back the clock through facial surgery.

Plastic surgery ends up with an unnatural appearance and a pulled-out look, but modern facial surgery places emphasis on a rejuvenated and natural look rather than the tightness of the skin. Before going into the most popular procedures, let’s look at what causes the aging of our facial tissues and skin.

This will not only help you understand how your facial structure changes as you age, but it will also provide you with insights into lifestyle choices that can help you maintain the benefits of facial surgery.

How to Face Structural Changes

What causes facial skin to gradually sag? Look at this analogy. The lining of a lined coat or jacket may have shrunk during dry cleaning or laundering, causing the outer fabric to sag. Think of it this way: Consider your bones and supporting structures as the lining and your facial skin as the exterior cloth. The skin slides downward, occasionally sagging, like the outside fabric of your jacket draping over the hemline. When those bones and tissues contract, your muscles lose bulk, and tone.

The SAMAS, superficial muscloapomurotic system, beneath your skin as sags, which affects the jowls, low brows, and other unwanted folds. The SAMAS is an elastin, collagen, and fat cell tissue sheet that runs from neck to forehead. By linking mimetic muscles to the dermis, it is essential for facial expression. As this sheet droops, the skin loses its elasticity.

Fat pads are the layers of fat under the cheeks and eyes that keep you younger. Gravity pulling on the cheek pads can cause sagging skin and hollows under the eyes as well as deepen the nasolabial folds, which are grooves that extend from both sides of the nose to the mouth’s corners

We often hear about issues like jowls, loose neck skin, droopy under eyelids, and bad upper eyelids. The following most common procedures can give you the most natural and best results.

Eyelid Surgery

1. Eylid Surgery (Blepharoplasty)

Blepharoplasty is a kind of easy and quick procedure to remove all the excess skin from the upper eyelid and reduce the bagginess of the lower eyelid.

Why is Eyelid Surgery Done?

Typically, this surgery is performed for cosmetic purposes only. It is also a successful method for helping to improve the sight of older people whose drooping upper eyelids are in the way of their vision. This surgery does not remove dark circles under the eyes or other facial wrinkles. It is done along with other methods like filler injections, laser resurfacing, or forehead lifts.

Who Is Good for Eyelid Surgery?

People in good health who have a clear vision of what they want are the best candidates for an eye lift. The majority are at least 35 years old, but if droopy or baggy eyelids run in your family, you might choose to get surgery sooner.

Eyelid surgery can boost your confidence by making you look better. Consider your objectives and talk about them with your surgeon before deciding whether to get surgery.

Preparation for Eyelid Surgery

You have to have another person who can drive you home or to the hospital and can stay with you at night.

Check out the before and after effect with below image

2. Genioplasty

A genioplast is a surgical procedure used to change the appearance of the face and chin protrusion. This helps to fashion the chin point. The possibility of chin alteration is because, separating from the teeth and gums, the chin bone can be separated and manipulated.

Why Get a Genioplasty?

Genioplasty can be done for multiple reasons:

  • Expecting a different look
  • Balancing the lower face
  • Changing your face’s appearance by modifying your skeletal, dental, and soft tissues
  • Restoring receding chinns
  • Realingning Chins
  • Getting rid of the extra chin

This kind of surgery is more common in older people who are also getting other types of cosmetic procedures.

How does the genioplasty procedure work?

Chin surgery is of two kinds. Menoplasty and Genioplasty. Some surgeons use these terms interchangeably.

Menoplasty is a chin-reduction surgery. This surgical procedure involves making your chin smaller or protruding it out. Doctors remove excess bone instead of adding extra material for incisions and augmentation.

Genioplasty involves reshaping your chin. Typically, this occurs with chin implants. Here, silicon is used to mimic bone. For repositioning of the chin, doctors make an incision in your chin or on your upper lip.

What to Expect During Genioplasty?

You will be injected with anesthesia to make sure you can sleep during the operation. For general anesthesia, you will need a person who can drive you home after the procedure. It would be best to have someone to look after you at that time. The healing process of this surgery takes one to two weeks.

Check out the before and after effect with below image

3. Facelift

In the early years, a face lift was just a tightening of skin, but the modern face lift concerns repositioning muscles, skin, and fat.

What Happens During Face Lifting?

For face lifting, the surgeon will make a cut in front and behind the ear and the deeper tissues of the neck and cheek, which allows the surgeon access to the tissues and muscles under the skin.

Who is Perfect for a Facelift?

People who exhibit some facial aging symptoms but still have some skin elasticity become the greatest candidates for face-lift surgery. Generally, this comprises those who are between the ages of 40 and 70, although older individuals occasionally qualify.

You should be in good health and have reasonable expectations prior to having a facelift. The aim of a face-lift is to appear more youthful and less worn-out, not to totally reverse the effects of aging.

Check out the before and after effect with below image

4. Rhinoplasty

Many people are self conscious about their nose. They may have issues like, a wide or bulbous nasal tip, a hump on the bridge, or too big nostrils. They may experience trouble breathing via one or both sides of the nose, or the problem may be the result of a prior injury that left the nose crooked. Some patients only feel that their noses don’t fit with the rest of their facial features in proportion.

In order to set reasonable expectations before the operation, it is critical that you are aware of the aspects of the nose that worry you and how you would like to see them altered. However, if you don’t, computer imaging might help you explain your worries to your surgeon by visualizing various nasal shapes.

Rhinoplasty Procedure

A nose job is typically an outpatient procedure that does not require an overnight stay. You will either receive a general or local anaesthetic. If you have a general anesthetic, the procedure will keep you asleep. You won’t be able to feel the pain since local anaesthetic will sedate you and numb your nose.

The surgeon makes cuts inside the nostrils during an operation. The surgeon might also make cuts across the nose’s base in more challenging circumstances.  The interior bone and cartilage are then reshaped by the surgeon to create a more attractive appearance.

Rhinoplasty Recovery

After a surgical procedure, you may have to keep your head elevated for 24 hours. You will notice bruising around the eyes and swelling that remains for up to 2 or 3 weeks. Your little swallow may remain for 6 months, which leads to your nose’s final shape after healing.

For 3 to 6 weeks following surgery, you should refrain from heavy exertion. You can resume your social activities as soon as two to three weeks after the treatment.

Who is right for rhinoplasty?

If you have any of the following conditions, you may be a suitable candidate for rhinoplasty:

  • Having a hump on the nasal bridge.
  • You have an inadequate nasal bridge.
  • When viewed from the front, your nose appears to be too wide.
  • Your nose appears overly big or tiny for your face.
  • The tip of the nose droops.
  • The nasal tip has grown larger or thicker.
  • Your nostrils have a lot of flare.
  • Your nose is crooked or off-center.
  • Your nose is lopsided due to a prior injury.
  • You have respiratory problems as a result of past injuries.

Check out the before and after effect with below image

5. Facial Implants

A facial implant is another way to give a specific look to your face. Young people also enhance the glory of their faces by adding definition and character to them. While older people combine implants with other facial surgeries to achieve a more youthful appearance,


For chin augmentation, Medpor implants are used that fix strongly to the underlying bone. Men use chin implants to get a more masculine and stronger look, but women use them to balance their facial features.


Nasal implants improve the height and nasal bridge. This implant is more common among Asians who want a wider bridge in their nose.


Cheek implants are a popular procedure that occurs on the cheekbone. These implants, perhaps more than others, alter the appearance of the face in a subtle but noticeable way. These implants create high cheekbones, which give the face more definition, character, and strength.

Who is the best candidate for facial implants?

A person who has good health is a good candidate for a face implant. It won’t make you like anyone else. Face implants only enhance your features.

Before proceeding with a face implant, you must first discuss your medical history with the surgeon if you have a dental problem and have had prior surgery.

After making the decision about which surgery you are going to have, decide what type of anesthesia you’ll have.

A Facial Implant Procedure

A facial implant is an outpatient surgical procedure. The length of  surgery depends on which part of your face is involved. Mostly, surgery remains for one or two hours. The following types of implants occur normally:

Implant in the lower jaw. The implant is inserted beneath the lower lip. Sutures will be used to close the incision site and will dissolve in 2-3 weeks. The procedure takes between one and two hours.

Implantation of the cheek. The implant is inserted either internally through your upper lip or externally through your lower eyelid. This procedure lasts for an hour.

Chin Implant.The implant is inserted beneath your chin or through your lower lip. It takes time between 30 minutes and an hour.

Check out the before and after effect with below image

6. Otoplasty

If you or your child have “bat ears”, “telephone ears” or “elephant ears” and try to hide them under your hair. Cosmatic surgery can be an option to get rid of this unwanted unshape of the ear. The doctors call this type of surgery an otoplasty.

Having large ears is common, but unfortunately, this is embarrassing or distressing for self-conscious children and adults. Mostly, children aged 4 to 14 years undergo this kind of surgery. Otoplasty corrects large pinna, lop-ear, and shell ears. Optoplasty is done for the following reasons:

  • Your ears protrude from your head.
  • Your ears are a peculiar shape.
  • One ear protrudes more than the other.
  • One of your ear’s folds is missing.
  • Your earlobe is larger than the rest of your ear.
  • Ear Surgery Procedures

Your surgeon makes a cut at the back of your ear to get access to the cartilage. This surgical method involves two types. One includes cutting of ear cartilage, other is stitching or folding cartilage.

How to prepare for Otoplasty?

Mostly, ear surgery lasts two or four hours. In adults, surgery is completed within a few hours. It can take longer depending on how complex the procedure is in your case.

Your surgeon would most likely combine local anaesthetic with a sedative if you are an adult. Unable to move throughout the procedure, the youngster will likely undergo a general anesthetic and be put to sleep.

General anesthesia patients are not allowed to eat or drink after midnight the night before or the morning of the procedure. The previous night’s final supper meal should be very light.

Check out the before and after effect with below image

7. Brow Lift

Eventually, our forehead and browline may become saggy as we get older and frown lines appear. This gives you a tired look on the eyelids and forehead muscles.

  • Types of Brow Lift
  • There are two types of brow lift:
  • Classic lift
  • Endoscopic lift

The classic lift entails a single, continuous cut that starts at your ear level and moves upward along your hairline. The surgeon will try to minimize apparent scarring based on where your hair line is.

Endoscopic lift involves the insertion of a scope, a small camera with a thin tube, into the target area to make necessary changes. The surgeon makes a small cut on your scalp. This is more invasive than classic lifting.

Preparation for Your Brow Lift

Your surgeon gives you complete details about what to do when you want brow lift surgery. You have to avoid smoking and drinking wine (temporarily) for certain medications.

Check out the before and after effect with below image

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