Face

• Forehead/Brow lift
• Face & neck lift
• Blepharoplasty (surgery for baggy eye lids)
• Cheek & chin Augmentation
• Rhinoplasty (Nose reshaping)
• Lip augmentation
• Botox (for wrinkles)
• Fillers
• Auto fat grafting
• Microdermabrasion/ surgical dermabrasion
• Laser hair removal

Face & Neck Lift

Upliftment of sagging (aging) face with tightening of facial muscles & skin with jowls & neck to produce more youthful appearance.

• Duration: usually 2-4 hrs.
• Anesthesia: usually general.
• Recovery time: 10-14 days. Some swelling may persist 2-3 weeks.

Post surgical side effects / complications.

• Nerve damage
• Hematoma (blood collection)
• Asymmetry
• Irregular scar
• Altered hair line

Results

Usually last long but as u grows older, the effects of aging & gravity may be seen.

Brow & Forehead Lift

Upliftment of upper part of face, smoothing forehead wrinkles & lifting lowered eyebrows to give a more youthful appearance.

• Duration: 2-3 hrs.
• Anesthesia: usually general.
• Recovery: 7-10 days.

Side effects/complications: are same as in face lift.

Results

Long lasting but aging & gravity slowly affect.

Rhinoplasty (Reshaping of Nose)

Nose being most prominent part of the face needs to be addressed when having any cosmetic and /or functional problem .While altering the shape, size and improving breathing, the aim remains to give a natural looking, freely breathing nose in harmony with rest of the face.

• Anesthesia: Usually General.
• Recovery time: Usually 2 Weeks.
• Strenuous activity after 6 Weeks.

Side effects/complications

• Bleeding, asymmetry, possible difficulty in breathing.
• A touch up procedure may require refining the results.

Results

Permanent, but aging may affect.

Blepharoplasty (Lid Lightening for Laggy Eyelids)

The eye lids may become baggy due to loosening of lid skin, orbicular is muscle and /or herniation of paraorbital fat. Baggy eye lids give very sad and tired looks. Tightening of baggy eye lids done by tightening the muscle, repositioning of herniated fat and if require, excision of extra (loose) skin. This gives very youthful appearance.

• Duration: 1-3 hrs
• Anesthesia: General or local with sedation.
• Recovery time: usually back to work in 7-10 days.

Side effects/ complications

Infection, asymmetry, impaired eyelid function.

Results

Long lasting, aging may affect slowly.

 

Facelift

Facelift surgery, or a rhytidectomy, is designed to restore a more youthful appearance by removing major wrinkles and sagging skin. It involves tightening of the facial and neck muscles as well as the removal of any excess skin.
The skin begins to wrinkle and sag as a result of age, sun exposure and genetics. Children and young adults have smooth, round faces due to evenly distributed fatty tissues in facial contours. Over time, the skin sags and folds are the chin, jawline and neck become prominent. Not only does a facelift improve facial appearance but also has a dramatic effect on the neck, enhancing its contour and profile.
A facelift can make a patient look 5 to 10 years younger. Dramatic as the end results are, this is not a simple procedure. It requires a week to 10 days of recovery.

BEFORE SURGERY

We will evaluate your medical history in order to determine your overall health.
Last Name(s) will discuss with you how your face can look and what you can expect from surgery. Our objective is to create a natural appearance that is pleasing to you. Before and After photographs will reveal what the surgery has accomplished.
Preoperative Instructions: Avoid drugs that contain aspirin several weeks prior to surgery to minimize excess bleeding. You may be required to take antibiotics to prevent infection. You may be instructed to shampoo your hair the night before surgery. A small amount of hair may be shaved around your ears and temples.

THE PROCEDURE

A facelift is frequently performed in conjunction with blepharoplasty (eyelid surgery), forehead lift, chin augmentation, and/or liposuction, to create an overall rejuvenation of the face. The procedure can be repeated as gravity continues its effects after the first surgery.
Facelifts are performed in outpatient surgical centers or in an accredited physician’s office. Local anesthesia with intravenous sedation is most commonly used, with premedication to help you relax. General anesthesia is generally not required but can be used if desired.
The surgeon will make incisions inside the hairline at the temple, in front of the ear, then around the earlobe and behind the ear, ending at the scalp area. Excess skin is removed and sagging muscles and connective tissues are tightened. In some cases, fatty deposits are removed from beneath the chin and neck. Incisions are closed with small sutures.
The procedure may take up to 5 hours depending on whether any other procedures are performed at the same time.

POST OPERATIVE CARE

It is necessary to have someone drive you home and stay with you for the first 24 hours. Initially you will have a large dressing wrapped around your head. You may have surgical drains attached to bulbs hanging at your neck. These will be removed in approximately 24 hours. Stitches around the ears will be loosened or removed in a few days. The scalp sutures will be removed in 7-10 days.
To minimize scarring, the doctor may remove the sutures in stages. Scarring fades quickly. Swelling and discoloration decrease within two weeks. Tightness in your face will be present for several weeks and there may be slight changes in your hair pattern around the incision.
We recommend that you avoid the sun for several weeks after surgery.
Complications following facelift are rare. These include bleeding, infection, loss of skin behind the ears, facial nerve injury, discoloration of the skin, numbness, asymmetry and scarring. Infection is rare due to the large blood supply to the face. As mentioned, the risk of bleeding is greater if you take aspirin or blood thinners within 2 weeks of the surgery. The risk of wound complications increases in diabetics, persons with a history of radiation, autoimmune and collagen disease as well as in smokers.
By following pre- and post-operative instructions, you will minimize potential problems.

RECOVERY: WHAT TO EXPECT

In the weeks following surgery, the facial skin and area around the ear may be numb. There may also be some temporary discoloration as healing begins, which may take a few months to disappear. Occasionally, the facial nerve is bruised during surgery, resulting in temporary loss of function or sensation. However, actual permanent damage to the facial nerve is rare.
The healing process is gradual, so you will not notice final results for up to 6 months. A single procedure often achieves the desired results. Most patients who have had facelifts are pleased with their new, more youthful appearance.

Rhinoplasty (Reshaping of Nose)

Nose being most prominent part of the face needs to be addressed when having any cosmetic and /or functional problem .While altering the shape, size and improving breathing, the aim remains to give a natural looking, freely breathing nose in harmony with rest of the face.
Dr Kapil S Agrawal is one of the best Rhinoplastic Surgeon in India.
Rhinoplasty is performed in order to reshape the nose. Appearance can be improved for those people who are dissatisfied with the shape and size of their nose. Many who have difficulty in breathing as well as deformed shape of the nose  can get very good shape and a freely breathing nose by a procedure known as Septorhinoplasty.Nasal reconstruction was one of the first cosmetic procedures ever developed and is among those most frequently performed today. Rhinoplasty is a surgical procedure in which deformities of the nose are corrected by removing, rearranging or reshaping bone or cartilage.

REASONS FOR SURGERY

Reasons include reducing the size of the nose, removal of bumps as well as improving the angle of a nose. Conditions may be natural or due to external trauma to the face. This operation will also help patients who have difficulty breathing. The operation can be performed on all age groups, including teens and the elderly. .

BEFORE SURGERY

A medical history along with a careful examination is conducted in order to evaluate your general health. We will discuss with you the way your nose can look in relation to your other facial features. Digital photographs and computer imaging allow Surgeon to evaluate the appropriate procedure to achieve the desired results. Pre-operative instructions may include the elimination of certain drugs that contain aspirin in order to minimize the possibility of excess bleeding. Antibiotics may be prescribed before surgery to prevent infection.

METHOD OF SURGERY

Surgery is usually performed under General anesthesia. In most cases involving a reduction in shape or size of the nose, angle or removal of a hump, the skin of the nose is separated from the underlying skeleton of bone and cartilage. The bone and cartilage are then reshaped and the skin re-draped over the surface. Patients who have a deviated septum may benefit by correction of this problem. The incisions are placed inside the nose, unless the surgeon uses an open approach, in which case very small  incision is  made across the columella (tissue between the nostrils) which is usually become almost invisible later. In cases where the nostrils flare, the surgeon may make an incision at the junction between the nose and the skin of the upper lip to narrow the flared appearance. It is not unusual to combine rhinoplasty with chin augmentation to improve the profile.

POST-OPERATIVE INFORMATION

The recovery takes one to two weeks. Most people resume their normal activities within a week or two. Following surgery, a lightweight splint is applied to maintain the new shape of the nose. The splint is usually kept for 2 weeks . Nasal packs may be inserted at the time of surgery to protect the septum. These are removed in 48 hrs.
Pain is minimal and is controlled with medications. Bruising occurs around the eyes, but begins to fade within a few days. Discoloration usually disappears in two weeks.

 Results

Permanent, but aging may affect

BOTOX® Cosmetic

Botox treatment is used to reverse the  facial wrinkles, Crow’s feet, worry lines (forehead wrinkles)and laugh lines. These are referred to as dynamic wrinkle lines and all are treatable with BOTOX® injections.
Cosmetic denervation is the process by which botox treats the tiny facial muscles that create the wrinkles.

Pre injections procedure

Medical history, complete examination of  eyes & overall health.
The areas that will be treated are marked and digital photographs are taken in order to determine the amount of improvement after surgery.

THE BOTOX PROCEDURE

Botox injections are performed without anesthesia because it is virtually painless. Only a very small sting is felt when the injections are made. The effects are not permanent and may need to be repeated two to three times per year to retain the effects. Research has suggested, however, that long term use of the injections leads to a longer duration of each treatment’s effect. Patients over the age of 65 may not experience as dramatic of results. Botox is only useful in treating expression lines and cannot be used to repair sagging skin caused by aging.
After the operation patients may experience slight bruising around the area that quickly fades. Normal activities can be performed immediately.

Side effects/complications

Possible side effects are temporary weakness of nearby muscles or in rare cases an eyelid may droop(ptosis)temporarily. Botox is completely reversible so any side effect is only a temporary condition.

Facial Fillers

Restylane

Restylane is a safe and natural cosmetic dermal filler that restores volume and fullness to the skin to correct moderate to severe facial wrinkles and folds. It is a satisfying lip filler, bringing “new life” to small, narrow lips. You will be very satisfied with this treatment experience. The results are appreciated before you even leave the office.
Restylane is made of non-animal based hyaluronic acid. Hyaluronic acid is a natural substance that already exists in the human body and is used to provide volume and fullness to the skin. Unlike rooster-derived hyaluronic acid-based products, Restylane is free from animal proteins. This quality limits any risk of animal-based disease transmission or allergic reaction.
Restylane requires no pre-testing and the effects generally last for about six months. Restylane is injected directly into the skin in tiny amounts by an ultrafine needle, resulting in minimal discomfort. The procedure is simple and convenient, and the results are practically instantaneous.

Perlane®

Recently FDA approved, Perlane is a welcome addition to the growing family of cosmetic fillers. Perlane® restores volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds).
Perlane is made of non-animal based hyaluronic acid, similar to Restylane. The difference between the two fillers is that the hyaluronic acid molecules in Perlane are larger. Therefore, the filling potential is greater. The larger molecules also contribute to the longevity of Perlane.
Perlane is expected to last approximately 12 months. .Patients are happy when it is used in the nasolabial folds and in the lips. Perlane, as does Restylane, requires no pre-testing. Perlane is injected directly into the skin in tiny amounts by an ultrafine needle, resulting in minimal discomfort. This 10 minute procedure is simple and convenient with virtually no downtime. The results are instantaneous and long-lasting.

Radiesse®

Radiesse® is a safe, next generation cosmetic dermal filler that’s setting a new standard for the correction of facial lines and wrinkles such as Nasolabial Folds. That’s because clinical studies prove that Radiesse lasts longer than some of the leading competing fillers.
Radiesse® is ideal for the treatment of lines and wrinkles around the nose and mouth. These lines are typically above the mouth, running from the nose to the corners of the upper lip (Nasolabial Folds), or pointing down from the corner of the mouth towards the chin (Marionette Lines).
Radiesse is made of unique calcium-based microspheres that are suspended in a natural gel that is injected into the skin through a simple, safe and minimally invasive procedure. On average, the results last over 1 year, saving your time and money, since the injections are less frequent.
Radiesse® works with your body, below the skin’s surface, to stimulate the production of collagen and encourage tissue regeneration. It does more than just temporarily fill-in facial lines and wrinkles, it rebuilds your skin’s foundation.

Juvederm

Juvederm is the one of the latest dermal fillers introduced to the U.S. market by Allergan, the company which manufactures Botox. It is a hyaluronic acid based filler similar to Restylane. However, JUVÉDERM™ injectable gel employs its unique manufacturing process to provide the highest concentration of cross-linked hyaluronic acid of any currently available hyaluronic acid dermal filler for long-lasting results. This advanced manufacturing process also creates a smooth consistency gel that flows consistently and easily into the skin and provides a smooth, natural look and feel.
Recently approved by the FDA, Juvéderm™ injectable gel is a “next-generation” dermal filler. The smooth consistency gel helps to instantly restore your skin’s volume and smooth away facial wrinkles and folds, like your "smile lines" or “parentheses” (nasolabial folds—the creases that run from the bottom of your nose to the corners of your mouth).
With Juvederm, the results are immediate with minimal downtime. Most patients need one treatment to achieve optimal wrinkle smoothing, and the results last up to 6 months or more. Juvederm can be used virtually anywhere on the face, with most success in the lips, nasolabial folds (lines from the nose to the corners of the mouth), and the marionette lines (lines from the corners of the mouth downward to the jawline).

Brow & Forehead Lift

Brow and Forehead Lift is done to raise eyebrows and reduce ridges and furrows on the forehead, thus creating a smoother, more youthful appearance. This procedure can be performed in conjunction with other surgeries.
An incision is generally made across the top of the head from the front of one ear to the front of the other ear. The forehead and brows are elevated and excess skin is removed. The flap is then sutured. Newer techniques now allow us to perform Forehead Lifting through small incisions in the scalp by using an Endoscope and specialized instruments. This accelerates the healing process.

POST-OPERATIVE INFORMATION

Antibiotics may be prescribed for several days following surgery. Sutures are generally removed within one week. Swelling and some bruising may occur, they should subside within a few weeks. Our doctors will prescribe ice compresses and eye exercises to reduce swelling and regain mobility. Women will be allowed to use eye cosmetics up to two weeks after surgery. You can proceed with your normal daily activities within 1-2 weeks. A final evaluation may occur within several months from the initial surgical procedure.

Blepharoplasty(Lid Lightening for  Baggy Eyelids)

Eyes are a prominent facial feature. It is the surrounding skin, rather than the eyes themselves, that conveys emotion. The tissue, muscle, fat, hair and lashes all contribute to the wide array of expressions. Age, sun exposure and hereditary factors all contribute to wrinkles, deep lines and puffiness around the eyes.
The eye lids may become baggy due to loosening of lid skin, orbicular is muscle and /or herniation of paraorbital fat. Baggy eye lids give very sad and tired looks. Tightening of baggy eye lids done by tightening the muscle, repositioning of herniated fat and if require, excision of extra (loose) skin. This gives very youthful appearance.

1. Duration: 1-3 hrs
2. Anesthesia: General or local with sedation.
3. Recovery time: usually back to work in 7-10 days.

The aging process can cause unwanted changes in expression, causing us to look permanently fatigued and older than we really are. These changes in appearance can cause emotional distress and sometimes even visual impairment. An eyelid lift, or blepharoplasty, is designed to restore a more youthful appearance to your eyes. It may involve the upper lids, the lower lids, or both.

 TECHNIQUES

Blepharoplasty: An incision is made in the crease of the upper lid toward the temples. Once healed, it is not noticeable when the eye is open. On the lower lid, the incision is made along the lash line toward the temples, and is hidden by lashes when healed.
Please ask your doctor if you have any questions about which procedure is right for you.

THE SURGERY

Complications are unlikely when performed by a surgeon with experience in blepharoplasty. These include: bleeding and swelling, delayed wound healing, infection, drooping of eye upper or lower eyelid, asymmetry, double vision and dry eyes.

RECOVERY: WHAT TO EXPECT

The area surrounding the eyes will remain swollen in the days following the surgery. It should begin to subside after the first day. Some vision blurring is normal.
The stitches will be removed in 4-5 days. Swelling and bruising will persist for about 10 days, but you can begin wearing makeup to help conceal these concerns. You may expect to resume normal activity within a week to 10 days, and start enjoying your new look within approximately 10-14 days. It may take about 6 months for the scars to lose their redness.
Wrinkling will recur later in life, however it is unlikely that the “bags” will recur because the fat has been removed. Deeper wrinkles around the outer eye extended onto the temple are not greatly affected by the eyelid lift. These areas may be treated with laser resurfacing.

Results

Long lasting, aging may affect slowly