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Chin Reduction Surgery (Reduction Genioplasty)

CHIN REDUCTION SURGERY (REDUCTION GENIOPLASTY) Chin reduction surgery, also known as reduction genioplasty or mentoplasty, is a surgical procedure designed to reduce the size of the chin to achieve a more balanced facial appearance. This procedure can be performed for both aesthetic and functional reasons. Here’s a more detailed breakdown of the chin reduction genioplasty procedure: PROCEDURE CONSULTATION Before the procedure you will have an in-depth scheduled consultation with Dr Sandeep. This will include discussing your aesthetic goals, taking medical history, and performing a physical examination. Imaging studies, like X-rays or CT scans, might be taken to evaluate the chin’s bone structure. Preoperative photographs will be taken for discussion and computer simulation to demonstrate the potential results of proposed surgery. ANAESTHESIA The procedure is typically performed under general anaesthesia, so the client is asleep and feels no pain. INCISION Dr Sandeep will make an incision inside the mouth (intraoral approach). The intraoral approach has the advantage of leaving no visible scars, but there’s a slightly increased risk of infection. BONE WORK Dr Sandeep will use specialized instruments to cut and remove a portion of the chin bone (mandible) or reposition the bone in a more posterior and superior position. The amount of bone removed and moved depends on the desired reduction. After bony work, the chin’s tip will be repositioned and fixed in place using titanium plates and screws. CLOSURE The incisions are sutured closed using sutures which will dissolve on their own over time. RECOVERY The client might have a dressing or bandage applied to the chin area. Swelling, bruising, and discomfort are common post-operatively. These symptoms usually improve over a week or two. Pain can be managed with prescribed medications. If the intraoral approach was used, oral hygiene is crucial to prevent infections. Rinsing with an antiseptic mouthwash might be recommended. A soft or liquid diet might be advised for a few days to a week. Most clients can return to work and regular activities within a week or two. However, strenuous activities and exercises should be avoided for about 4-6 weeks. FOLLOW-UP Dr Sandeep will schedule follow-up appointments to monitor the healing process, remove non-absorbable sutures (if used), and address any concerns. ADVANTAGES OF REDUCTION GENIOPLASTY IMPROVED FACIAL PROPORTIONS One of the primary reasons people opt for reduction genioplasty is to achieve a more balanced and harmonious facial appearance. A chin that is too prominent can overshadow other facial features. ENHANCED PROFILE The procedure can improve the side profile of an individual, making the chin align better with the rest of the facial features. CORRECTION OF DEFORMITIES OR ASYMMETRY For individuals who have chin deformities or asymmetry due to congenital conditions, trauma, or other reasons, reduction genioplasty can provide a corrective solution. COMPLEMENTARY TO OTHER PROCEDURES Reduction genioplasty can be combined with other facial surgeries, such as rhinoplasty, to achieve a comprehensive facial rejuvenation or balance. BOOSTED SELF-CONFIDENCE For many, having a chin that they feel is too large can be a source of self-consciousness. By adjusting the chin to a size that feels more natural and proportionate, many clients experience a boost in self-esteem and confidence FUNCTIONAL BENEFITS In some cases, a large chin can cause functional issues, such as discomfort when lying face down or difficulty fitting into certain protective equipment like helmets. Reduction genioplasty can alleviate these issues. PERMANENT RESULTS Unlike some cosmetic procedures that might require regular maintenance or touch-ups, the results of a reduction genioplasty are permanent. MINIMAL SCARRING The incisions made during a reduction genioplasty are typically placed inside the mouth or under the chin, making any potential scars less noticeable. SAFETY When performed by a qualified and experienced surgeon, reduction genioplasty is generally safe with a low risk of complications. LIMITATIONS OF REDUCTION GENIOPLASTY Dr Sandeep and his team are always transparent about the limitations of surgical procedures, including reduction genioplasty. Here are some of the key limitations that they discuss with their clients: LIMITED CHANGE Reduction genioplasty can reduce the size and projection of the chin, but there are anatomical limits to how much change can be achieved without compromising function or aesthetics. Sometimes the overlying skin does not conform to the bony contouring due to its plasticity, thus rendering the procedure less effective. AGE RESTRICTIONS The procedure is generally not recommended for individuals whose facial bones are still growing, typically those under 18. HEALTH CONDITIONS Clients with certain medical conditions, such as diabetes or immune system disorders, may have a higher risk of complications and may not be suitable candidates. NOT A COMPREHENSIVE SOLUTION While reduction genioplasty addresses the chin, it doesn’t solve issues with other facial features. Sometimes, additional procedures like rhinoplasty or neck liposuction are needed for balanced facial aesthetics. UNREALISTIC EXPECTATIONS Sometimes, clients have expectations that are too high or misaligned with what the surgery can realistically achieve, leading to perceived failure of the procedure. VARIABLE HEALING Every client heals differently, and individual variations in scarring or bone remodelling can affect the final result. PSYCHOLOGICAL LIMITATIONS Emotional well-being is essential for a successful outcome. Clients with unrealistic expectations or underlying psychological conditions may not be satisfied with the surgery. COST The procedure can be expensive, and it’s often not covered by insurance as it’s considered cosmetic rather than medically necessary. DOWNTIME Postoperative recovery requires a period of rest and limited activity, which may not be feasible for everyone due to work or personal commitments. POSSIBILITY OF REVISION SURGERY In some cases, a second surgery may be needed to correct issues or achieve desired results, adding to the cost and recovery time. POTENTIAL RISKS AND COMPLICATIONS OF CHIN REDUCTION SURGERY Like all surgical procedures, sliding genioplasty comes with potential risks and complications. Here are some of the most common and significant ones: Infection: As with any surgical procedure, there’s a risk of infection at the surgical site. Proper post-operative care and antibiotics can help minimize this risk. Nerve Damage: The inferior alveolar and mental nerves, which provides sensation to the lower lip and chin, runs

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Chin Implant Surgery

CHIN IMPLANT SURGERY Here’s a step-by-step overview of the Chin Implant procedure: CONSULTATION During the consultation Dr Sandeep will discuss your goals and expectations. He will then evaluate your facial anatomy, skin elasticity, bone structure and dental occlusion to assess the appropriate method of chin augmentation most suitable for you. If chin implant is assessed to be the best option for you Dr Sandeep will select the appropriate size and shape of the chin implant. IMAGING X-rays or 3D CT scan imaging techniques are used to plan the surgery by assessing the bone structure and the degree of chin augmentation or reduction needed. PRE-OPERATIVE PHOTOGRAPHS Purpose: They are taken from multiple angles to provide a clear understanding of the patient’s current anatomy and discuss their aesthetic concerns. Comparison: These photos are used as a baseline to compare with post-operative results. COMPUTER SIMULATION Visualization: Utilizing advanced software, Dr Sandeep can manipulate pre-operative images to simulate potential outcomes of the surgery. Communication: This aids in ensuring that the surgeon and patient have a mutual understanding of the desired goals and realistic expectations. Customization: Computer simulations allow for adjustments and refinements to the surgical plan, tailored to the patient’s unique facial structure. Both pre-operative photographs and computer simulations are integral to the process, helping to guide the surgery and set expectations for the final result. PRE-OPERATIVE PREPARATION You may be asked to undergo certain lab tests, X-rays and CT scan of the face as preparation for surgery. Medications might be adjusted, and certain drugs, like aspirin, and certain herbal medications and health supplements may be stopped to reduce the risk of bleeding. Smoking should be stopped well in advance of the surgery as it can impair healing. Instructions will be given regarding eating and drinking on the day of the surgery. ANAESTHESIA The procedure can be performed under local anaesthesia with sedation or general anaesthesia. INCISION During surgery Dr Sandeep will make a small incision either inside the mouth (intraoral approach) or under the chin (submental approach). The intraoral approach leaves no visible scar, but there might be a slightly higher risk of infection since the mouth contains bacteria. The submental approach leaves a small barely perceptible scar under the chin, but it’s usually well-hidden and offers a direct view for the surgeon. IMPLANT INSERTION A pocket is created in front of the chin bone and under the muscles. The implant, which is typically made of silicone or another biocompatible material, is then inserted into this pocket. The implant is positioned and adjusted to achieve the desired look. Dr Sandeep may fix the implant to the bone with titanium screws to reduce the risk of implant migration and consequent asymmetry after surgery. CLOSURE OF INCISION The incision is closed using sutures. If the incision is inside the mouth, absorbable sutures are typically used, which dissolve on their own. If the incision is under the chin, the sutures might need to be removed in a follow-up visit. RECOVERY There will be some swelling, bruising, and discomfort after the surgery. A chin bandage may be applied to reduce the swelling. Cold compresses can help reduce swelling. Pain medication and antibiotics may be prescribed. It’s advised to keep the head elevated and avoid vigorous physical activity for a few days after surgery. Most clients can return to work within a week, but strenuous activities should be avoided for several weeks. If the incision was made inside the mouth, a soft diet might be recommended for a few days. FOLLOW-UP Dr Sandeep will schedule follow-up visits to monitor the healing process and ensure the implant is in the correct position. Sutures will be removed on day 5 to 7. POTENTIAL RISKS AND COMPLICATIONS OF CHIN IMPLANTATION Chin implantation, like any surgical procedure, carries inherent risks and potential complications. While many people undergo chin augmentation without experiencing significant problems, it’s essential to be informed about the potential risks and complications. Infection: As with any surgical procedure, there’s a risk of infection. If the incision is made inside the mouth, the risk might be slightly higher due to the presence of oral bacteria. Implant Displacement: The implant can shift from its original position, leading to an asymmetrical or undesired appearance. This might require a revision surgery to correct. Nerve Damage: The surgery can potentially damage the nerves in the area like the mental nerve, leading to numbness or tingling in the chin or lower lip. While this is often temporary, there’s a small chance it could be permanent. Scarring: If the incision is made under the chin, there’s a risk of visible scarring. However, Dr Sandeep usually places the incision in a discreet location to minimize its visibility. Capsular Contracture: This is when the scar tissue that naturally forms around the implant tightens and compresses it. This can change the shape and feel of the implant and might require surgical intervention. Bone Resorption: In some cases, the presence of an implant can lead to the resorption or erosion of the underlying chin bone over time. Overcorrection or Under-correction: The chin might appear too prominent or not prominent enough after the surgery, leading to dissatisfaction with the results. Adverse Reaction to Anaesthesia: As with any procedure requiring anaesthesia, there’s a risk of complications such as allergic reactions or breathing difficulties. Hematoma or Seroma: A collection of blood (hematoma) or clear fluid (seroma) might form around the implant site. This might require drainage or additional procedures. Implant Extrusion: Rarely, the implant might work its way out through the skin, necessitating removal. Dissatisfaction with Cosmetic Results: Even if the procedure goes smoothly, there’s always a risk that the client might not be satisfied with the final appearance. Chronic Discomfort: Some clients might feel discomfort or a foreign body sensation in the area of the implant. To minimize these risks, it is essential to have a thorough discussion with Dr Sandeep about the potential risks and benefits of the procedure to make an informed decision regarding chin implantation. Dr Sandeep uses techniques

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Chemical Peels

CHEMICAL PEELS Chemical peels are a type of skin treatment used in cosmetic and dermatological procedures to improve and smooth the texture of the skin. They involve the application of a chemical solution to the skin, which causes the top layers to exfoliate and eventually peel off. This process reveals newer, more youthful skin beneath. Chemical peels can be used to treat various skin issues, including wrinkles, discoloured skin, and scars, primarily on the face. They come in different strengths: light, medium, and deep, each targeting different skin concerns and offering varying degrees of effects. SUPERFICIAL PEEL Superficial chemical peels, also known as light chemical peels or lunchtime peels, are the mildest type of chemical peel and can be a great option for those new to skin resurfacing procedures. They typically target the epidermis, the outermost layer of the skin, and are quick to administer, usually with minimal downtime. The concentrations of the acids used are generally lower compared to medium or deep peels. Common ingredients used in superficial peels include: ALPHA-HYDROXY ACIDS (AHAS) Glycolic Acid: 20-50% Lactic Acid: 20-30% BETA-HYDROXY ACIDS (BHAS) Salicylic Acid: 20-30% JESSNER’S PEEL  A combination of salicylic acid, lactic acid, and resorcinol, usually at lower concentrations. FRUIT ENZYMES Papain (from papaya) and Bromelain (from pineapple) WHAT DO SUPERFICIAL PEELS TREAT? Superficial peels are well-suited for a range of minor skin issues and cosmetic improvements. Here are some of the conditions and imperfections that superficial peels commonly treat: FINE LINES AND WRINKLES Superficial peels can help reduce the appearance of fine lines, especially those around the eyes and mouth. MILD ACNE AND ACNE SCARS The treatment can help control mild acne and reduce the appearance of minor acne scars by exfoliating the outer layer of skin and unclogging pores. UNEVEN SKIN TONE Superficial peels can help improve uneven skin tone and reduce hyperpigmentation, including age spots and melasma. DULL COMPLEXION These peels can remove dead skin cells, revealing a fresher, more radiant layer of skin beneath. SUN DAMAGE Superficial peels can help treat minor sun damage, although they are not suitable for more severe forms of photodamage. ROUGH OR DRY SKIN The treatment can improve the texture of rough or dry skin by removing the outer layer of dead skin cells. ENLARGED PORES Some people find that a superficial peel can make pores appear smaller by removing the surface layer of skin and unclogging pore openings. MILD ROSACEA In some cases, superficial peels can help improve the appearance of mild rosacea, although it’s essential to consult a healthcare provider for a proper diagnosis and treatment plan. RESULTS Because superficial peels are mild, they usually require little to no downtime. However, multiple sessions are often needed to achieve noticeable results, and maintenance treatments may be necessary to sustain these improvements. PROCEDURE FOR SUPERFICIAL PEELS The procedure for a superficial chemical peel typically follows a series of steps to ensure both the effectiveness and safety of the treatment. Below is a general outline of what you can expect during a superficial chemical peel procedure: PRELIMINARY CONSULTATION Skin Analysis: Dr Sandeep will evaluate your skin type, condition, and medical history to determine if a superficial peel is appropriate for you. Patch Test: A small area of your skin may be tested with the peel solution to check for any adverse reactions. Treatment Plan: Our team will discuss the treatment goals, number of sessions required, and any preparatory skin care regimen. PRE-TREATMENT CARE Skin Preparation: You may be advised to use specific skin care products to prepare your skin for the chemical peel. This often includes retinoid creams or glycolic acid-based products. Avoid Sun Exposure: It is crucial to avoid excessive sun exposure before the treatment to minimize risks. DAY OF PROCEDURE Cleansing: The treatment area will be thoroughly cleansed to remove any makeup, oils, and dirt. Protection: Barrier creams or gels may be applied to protect sensitive areas like the eyes and mouth. Chemical Application: The chemical solution, often containing alpha hydroxy acids (AHAs) like glycolic acid or lactic acid, is applied to the skin. Observation: The solution is left on the skin for a specific time, usually just a few minutes, while closely monitored for signs of irritation. Neutralisation: After the desired time has elapsed, the chemical solution is neutralised with water or a special neutralising solution. Soothing: A calming lotion or gel, often containing ingredients like aloe vera, is applied to soothe the skin. POST-TREATMENT CARE Cooling: Cold compresses may be used to cool down the skin post-procedure. Hydration and Sunscreen: A hydrating lotion and broad-spectrum sunscreen are usually applied. Home Care: You will be given specific instructions for skin care at home, which often includes avoiding sun exposure and using mild cleansers. FOLLOW-UP Check-up: You may be scheduled for a follow-up appointment to evaluate the results and discuss any additional treatments. RECOVERY Minimal downtime, you can usually return to your regular activities immediately. Some redness, tingling, or mild stinging may occur, but this generally subsides within a day. Peeling may occur for 3-7 days, but it’s usually not noticeable enough to require downtime. MAINTENANCE Superficial peels often require multiple sessions for optimal results, and periodic maintenance treatments may be recommended. FREQUENCY Superficial peels can be repeated every 2-6 weeks, depending on your skin’s needs and the recommendation of our team. It’s essential to follow all pre- and post-treatment instructions carefully and consult our team for a treatment tailored to your specific needs. Always ensure you understand the risks, benefits, and aftercare associated with a superficial chemical peel. ADVANTAGES OF SUPERFICIAL PEEL Quick and convenient, often completed within 30-60 minutes. Minimal discomfort and side effects. Suitable for all skin types, though a patch test may be done to rule out any adverse reactions. LIMITATIONS Not effective for deeper wrinkles or more severe skin conditions. MEDIUM PEEL Medium chemical peels are a step up in intensity from superficial peels, targeting both the epidermis and the upper layers of the dermis. These peels are designed to address moderate

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Cheek Augmentation Impalant Surgery

CHEEK AUGMENTATION IMPLANT SURGERY WHAT CAN MALAR IMPLANTS ACHIEVE? Malar implants, commonly referred to as cheek implants, are used to add volume and projection to the cheekbones, creating a more defined facial structure. Here’s what malar implants can achieve: ENHANCED CHEEK DEFINITION Malar implants can create more pronounced cheekbones, contributing to a more contoured facial appearance. RESTORATION OF FACIAL VOLUME They can restore lost volume due to aging or weight loss, giving the face a fuller, more youthful look. IMPROVED FACIAL PROPORTIONS Implants can help balance facial proportions and symmetry, which can be particularly beneficial for those with naturally flat or asymmetrical cheeks AESTHETIC ENHANCEMENT Malar implants can enhance the overall aesthetic of the face, providing a more harmonious look that complements other facial features. LONG-LASTING RESULTS Unlike temporary fillers, cheek implants provide a permanent solution to volume enhancement in the cheek area. SUPPORT TO MIDFACE STRUCTURES They can provide support to midfacial tissues that may have sagged over time, indirectly improving the nasolabial folds. CUSTOMIZABLE OUTCOMES Implants come in various shapes and sizes, allowing for a customized approach to each individual’s aesthetic goals. WHAT CAN MALAR IMPLANTS NOT ACHIEVE? FULL FACIAL REJUVENATION While malar implants can enhance the cheekbones, they do not address signs of aging in other areas of the face, such as wrinkles, fine lines, or sagging skin. SKIN QUALITY IMPROVEMENT The implants will not improve the texture or quality of the skin, including issues like pigmentation, scarring, or acne. CORRECTION OF UNDERLYING HEALTH CONDITIONS If facial asymmetry is due to underlying medical conditions, malar implants alone may not correct the issue. IMMEDIATE AND SHORT RECOVERY Although malar implants are relatively straightforward, they still require surgical intervention, meaning that immediate recovery and return to normal activities are not possible. NATURAL AGING PROCESS Implants won’t halt the natural aging process; over time, the skin and soft tissues of the face will continue to age. COMPLEX CONTOURING While they can add volume, they can’t provide nuanced reshaping of the cheek area in the way that some other procedures, like fat grafting or dermal fillers, might offer. PROCEDURE Rigorous preoperative planning is crucial for aligning expectations between Dr Sandeep and the client, as well as for anticipating potential challenges. CONSULTATION Medical History: Dr Sandeep undertakes an exhaustive evaluation of the client’s health records to determine eligibility for both surgical intervention and anaesthesia. Aesthetic Goals and Expectations: In a detailed conversation, Dr Sandeep gauges the client’s aesthetic objectives and ensures that they hold realistic anticipations before moving forward with the procedure. Facial Analysis: Employing modern 3D scanning technology, Dr Sandeep performs an all-encompassing analysis of the client’s jawline and facial features. Morphing: Photographic images of the client are captured and sophisticated software is utilized to digitally manipulate them. This aids in both educating the client about achievable outcomes and in planning the surgical procedure. Discussion of Procedure: Dr Sandeep reviews surgical aims, potential hazards, and anticipations with the client, while also exploring various options for implant materials and dimensions. Dr Sandeep will discuss the desired outcome, choose the appropriate size and shape of the implant, and explain the procedure. ANAESTHESIA The procedure is typically done under general anaesthesia. INCISION Dr Sandeep makes an incision either inside the mouth (near the upper gum) or just below the lower eyelid. This ensures that there are no noticeable scars. IMPLANT PLACEMENT The implant is then inserted and positioned over the cheekbone. Dr Sandeep may use screws or sutures to secure the implant in place, though this is not always necessary. CLOSURE The incisions are closed with sutures. If the incision was made inside the mouth, dissolvable sutures are typically used. RECOVERY Immediate Post-Surgery Symptoms: Expect initial swelling, bruising, and a degree of pain, which usually subside within a fortnight. The final result can be seen once the swelling and bruising subsides, usually within a few months. Pain Management: Medications for alleviating discomfort are provided by Dr Sandeep’s team. Oral Hygiene: Exceptional oral care is essential, particularly if incisions are within the oral cavity, to prevent infections. Dietary Guidelines: A soft food regimen is commonly recommended during early recovery. Time Away: Plan for a 2-3 week hiatus from work or academic responsibilities. You will be expected to avoiding strenuous activities, sleeping in a specific position, or taking prescribed medications after surgery. Duration of Recovery: The principal healing phase lasts around two weeks, though residual swelling may persist for an extended timeframe. Support System: Post-surgery, especially if under general anaesthesia, assistance from someone is advisable. FOLLOW-UP APPOINTMENTS Scheduled Check-ups: Regular post-surgery consultations with Dr Sandeep are crucial for monitoring healing and addressing implant integration issues promptly. Ongoing Monitoring: Consistent follow-ups with Dr Sandeep ensure the healing trajectory aligns with client expectations. Activity Limitations: Strenuous activities and contact sports are generally discouraged for a set period post-surgery, typically three months. FINAL ASSESSMENT Swelling Resolution: Once all swelling has dissipated, Dr Sandeep conducts a conclusive evaluation to verify that the surgery has achieved the client’s aesthetic goals. Clients may experience swelling, bruising, and discomfort for several days. Oral antibiotics may be prescribed to prevent infection. POTENTIAL RISKS AND COMPLICATIONS Malar (cheek) implants can provide a more defined or youthful facial contour, but like any surgical procedure, there are associated risks. Here are some potential risks and complications of malar implant surgery: Infection: As with any surgical procedure, there’s a risk of infection. If an infection occurs around an implant, it might require removal of the implant until the infection is treated. Implant Shifting or Malposition: The implant can move from its original position, leading to asymmetry or an undesirable appearance. This might necessitate a revision surgery. Hematoma or Seroma: Blood or fluid can accumulate at the surgical site. This might require drainage or additional procedures. Scarring: Even though incisions for malar implants are often placed inside the mouth or under the eyelid to hide scars, there’s still a risk of visible or problematic scarring. Eyelid malposition: In a small proportion of clients where the incision is placed

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Botulinum Toxin (BOTOX) Injection Procedure

BOTOX® ® INJECTION PROCEDURE The procedure for botulinum toxin injection is a minimally invasive process that Dr Sandeep has specialized training and expertise in. The specifics can vary depending on the area being treated. Here’s a general overview of what you can expect: PROCEDURE CONSULTATION Dr Sandeep will discuss your medical history, medications, expectations, and aesthetic concerns. He will then perform a detailed examination and advice regarding the best treatment options available for your particular needs. INFORMED CONSENT You’ll be asked to sign a consent form that indicates you understand the risks, benefits, and alternatives. PREPARATION The treatment area may be cleansed with an antiseptic, and a topical anaesthetic may be applied, although this is often unnecessary due to the minimal discomfort associated with the injections. NEEDLE SELECTION Very fine, short 32 or 33 FG needles are used by Dr Sandeep to minimize discomfort. DOSING Dr Sandeep will determine the appropriate dosage and number of injection points, which may vary depending on the treatment area and the specific botulinum toxin product used. TECHNIQUE For facial wrinkles, the skin may be slightly stretched, and the botulinum toxin is injected into the targeted muscles. For medical conditions like migraines or hyperhidrosis, the injection points may be more dispersed over a larger area. DURATION The entire procedure typically takes between 10 and 30 minutes, depending on the number of injection sites. IMMEDIATE AFTER-CARE Cold packs may be applied to the treated areas to reduce swelling or bruising, although this is usually minimal. Avoid touching or massaging the treated area for at least 24 hours. Remain upright for 4-6 hours post-procedure. Avoid strenuous exercise for 24 hours. FOLLOW-UP A follow-up appointment may be scheduled to assess the results and make any necessary adjustments. POSSIBLE SIDE EFFECTS AND COMPLICATIONS Asymmetry: One side may respond differently than the other, requiring a follow-up for correction. Bruising or Bleeding: At the site of injection. Usually minimal and temporary. Temporary Weakness: In adjacent muscles. Asymmetry: In facial expressions. Ptosis: Drooping of the eyelids or eyebrows, though this is rare. Infection: Although rare, it can occur. Allergic reaction: To the specific botulinum toxin being used may require change to a different brand for future injections. Reduced potency: May occur after multiple injections in some clients and require change to a different variety of Botulinum toxin. ABSOLUTE CONTRAINDICATIONS Allergy to Botulinum Toxin: Individuals who have had an allergic reaction to the toxin or any of its components should avoid this treatment. Active Infection at the Injection Site: Any skin infection or condition (like herpes simplex) near the planned injection site is a contraindication. RELATIVE CONTRAINDICATIONS Pregnancy and Breastfeeding: The safety of botulinum toxin during pregnancy and breastfeeding has not been established. Neuromuscular Disorders: Conditions like myasthenia gravis, Eaton-Lambert syndrome, or amyotrophic lateral sclerosis (ALS) can be exacerbated by botulinum toxin. Use of Certain Medications: Some medications such as aminoglycoside antibiotics, anticholinergic drugs, or other muscle-relaxing agents may interact adversely with botulinum toxin. Blood Clotting Disorders: People with bleeding disorders or who are taking anticoagulant medications like warfarin should exercise caution. Psychological Readiness: Emotional and psychological preparedness are important; individuals with unrealistic expectations or body dysmorphic disorder should be evaluated carefully. When it comes to botulinum toxin injections, there are several factors that Dr Sandeep takes into account. It’s crucial to have a thorough consultation with Dr Sandeep to discuss your medical history and any existing conditions or medications that could interact with the treatment. Only after this detailed evaluation can he decide whether botulinum toxin injections would be appropriate and safe for you. Read more about indications for Botulinum toxin (Botox) injection REFINE YOUR LOOK WITH DR SANDEEP’S BOTULINUM TOXIN EXPERTISE Delve into the artistry of subtle rejuvenation with Dr Sandeep’s Botulinum toxin enhancements. Aimed at diminishing the visible signs of aging while preserving your individuality, Dr Sandeep’s precise treatments promise to refresh your appearance with a touch of youth. Embark on the path to a smooth, serene complexion. Schedule your consultation with Dr Sandeep and start your transformation to timeless elegance

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Upper Blepharoplasty Procedure

UPPER BLEPHAROPLASTY PROCEDURE STEPS CONSULTATION Before the surgery, a thorough consultation with Dr Sandeep is essential. Detailed consultation will include: MEDICAL HISTORY Dr Sandeep will inquire about any medical conditions, especially those related to the eyes, such as glaucoma, dry eye, Lasik, or other previous eye surgeries. He will also ask about medications, allergies, and any previous surgeries. PHYSICAL EXAMINATION This includes assessing the position of the eyebrows, eyelid skin’s elasticity, the amount of excess skin and fat, and fat distribution. Sometimes, drooping eyebrows (brow ptosis) can contribute to the appearance of sagging upper eyelids, and addressing this might be recommended either alone or in conjunction with upper blepharoplasty. VISION TEST If the procedure is being considered for functional reasons, a peripheral vision test might be conducted to document any visual impairment caused by the drooping eyelids. PHOTOGRAPHS Standardized photographs of the eyes, both open and closed, are usually taken from different angles. These photos serve as a “before” reference and can be used for surgical planning. ANAESTHESIA The procedure can be performed under local anaesthesia, with sedation or general anaesthesia, depending on the client’s preference and Dr Sandeep’s recommendation. SURGERY INCISION Dr Sandeep makes an incision along the natural crease of the upper eyelid. This placement ensures that the resultant scar is well-hidden and inconspicuous. TISSUE REMOVAL OR ADJUSTMENT Excess skin and, in some cases, a small amount of muscle and fat are removed from the upper eyelid. The goal is to create a smoother, more youthful eyelid contour. Sometimes Dr Sandeep prefers to reposition or redistribute the fat in the eyelid instead of removing it, to prevent a sunken eyelid. CLOSURE The incisions are closed with fine sutures, which can be removed in about a week. RECOVERY IMMEDIATELY AFTER SURGERY After the procedure, the eyes might be lubricated with ointment, and a cold compress will be recommended to reduce swelling. FIRST FEW DAYS Swelling, bruising, and some discomfort is not uncommon. Clients are advised to keep their head elevated and apply cold compresses to minimize swelling. STITCHES Typically, these are removed after 5-7 days. POSTOPERATIVE CARE MEDICATIONS Pain relievers and sometimes antibiotics are prescribed. Topical antibiotic ointment will be prescribed to aid in healing. If dry eyes are a concern, lubricating eye drops might be recommended. ACTIVITY RESTRICTIONS Most clients can return to work and daily activities within 7-10 days, but strenuous activities and heavy lifting should be avoided for at least 2-3 weeks. Clients should avoid activities that increase blood flow to the eyes, such as bending over, for several days. Eye make-up may be applied once the incisions have healed. PROTECTION Wearing sunglasses can help protect the eyes from wind and sun, which can cause irritation during the healing process. FINAL RESULTS While initial results are visible once swelling and bruising subside, the final outcome may take several weeks to months as scars mature and fade. ADVANTAGE OF UPPER BLEPHAROPLASTY Dr Sandeep and his dedicated team often discuss the advantages of upper blepharoplasty with their clients. This surgical procedure primarily targets the eyelids, removing excess skin, muscle, and sometimes fat from the upper eyelid area. The team believes that the benefits of this surgery extend beyond aesthetics; it can significantly improve the quality of life for many people. A MORE YOUTHFUL APPEARANCE Sagging or drooping upper eyelids hide the natural fold of the upper eyelids and give a tired or aged appearance or feeling. By removing excess skin and tightening the upper eyelid area, clients often appear younger and more alert. Puffy appearance due to excess fatty deposits in the upper lid is addressed leading to rejuvenation of the eyes and upper face. REDUCED EYE STRAIN Dr Sandeep informs his clients that the removal of extra weight and skin from the upper eyelids can alleviate tension and strain around the eyes, making daily activities more enjoyable. IMPROVED VISION Excess skin from the upper eyelids that interferes with vision and difficulty wearing glasses or contact lenses due to sagging skin. Dr Sandeep notes that by eliminating the drooping skin that often obscures sight, clients experience clearer, unobstructed vision. INCREASED SELF-CONFIDENCE The transformation often leads to boosted self-esteem, as clients feel more comfortable with their appearance. VERSATILITY IN MAKEUP APPLICATION  For those who enjoy cosmetics, the newly defined eyelid crease offers a smoother canvas for makeup application, as explained by the clinic’s aesthetician. LONG-LASTING RESULTS Our takes pride in offering a procedure with long-lasting outcomes, depending on individual factors. QUICK RECOVERY TIME The procedure generally has a short recovery period, allowing clients to return to their daily activities promptly. CUSTOMISATION Dr Sandeep tailors each procedure to the client’s specific needs and desired outcomes, ensuring the most natural-looking results. COMBINED PROCEDURES Upper blepharoplasty can be performed in conjunction with other facial rejuvenation procedures, A brow lift is often needed as a complimentary procedure to achieve optimal results. It may be combined with other procedures like face lift offering a more comprehensive aesthetic transformation. For those considering upper blepharoplasty, a consultation with Dr Sandeep and his team provides an opportunity to discuss these advantages in detail, tailored to individual needs and circumstances. DISADVANTAGE OF UPPER BLEPHAROPLASTY While Dr Sandeep and his team often speak highly of the benefits of upper blepharoplasty, they also believe in providing their clients with a balanced view by discussing the potential disadvantages or risks associated with the procedure before proceeding with any surgical intervention, including upper blepharoplasty. During consultations, they discuss these potential disadvantages in depth, tailored to the individual’s medical history and needs. Here are some of the considerations: DOWNTIME Even though recovery is typically quick, there is some downtime involved. Our team recommends planning accordingly. NUMBNESS OR CHANGES IN SENSATION Temporary numbness or altered sensation in the eyelid area can occur. This usually resolves on its own over time as nerves regenerate. ADVERSE REACTION TO ANESTHESIA As with any procedure involving anaesthesia, there’s a risk of complications such as allergic reactions or breathing difficulties. An anaesthesiologist monitors clients during surgery to address

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Lower Blepharoplasty (Eyebag Removal) Procedure

LOWER BLEPHAROPLASTY (EYEBAG REMOVAL) PROCEDURE Lower blepharoplasty, commonly known as eyelid surgery, is a surgical intervention focused on enhancing the region beneath the eyes. This procedure is primarily employed to address issues such as noticeable or subtle under-eye bags, wrinkles, and surplus skin. CONSULTATION A consultation is a crucial step for anyone considering eyelid surgery. During this appointment, you’ll have the opportunity to discuss your concerns with Dr Sandeep, learn more about the procedure, and determine if you’re a good candidate. It’s your opportunity to get all your questions answered, set realistic expectations, and ensure you’re making an informed decision. Here’s a guide on what to expect and how to prepare: Preparation for the Consultation: Medical History: Be ready to provide a full medical history, including any medications you’re currently taking, past surgeries, and any known allergies. Photos: It might be helpful to bring older photos of yourself for Dr Sandeep to see how your eyelids have changed over time. Questions: Make a list of questions or concerns you’d like to address during the consultation. During the Consultation Health: A thorough medical history review is essential. Conditions like thyroid disorders, diabetes, or cardiovascular diseases may affect surgical candidacy. Smoking: Smokers are advised to quit well before the surgery and during the recovery phase as smoking can complicate both the procedure and the healing process. Physical Examination: Dr Sandeep will examine your eyes, the surrounding area, and the rest of your face. He will assess the skin quality, amount of excess fat, muscle tone, and the overall facial structure. Certain measurements will be taken to aid with surgical planning. Discussion of Goals: You’ll be asked about what changes you’d like to see and what your primary concerns are. It’s essential to be open and honest about your expectations. Procedure Explanation: Dr Sandeep will explain the different surgical techniques, such as the transconjunctival and subciliary approaches, and recommend what’s best for your situation. They may also discuss alternatives or complementary procedures. Risks and Complications: Dr Sandeep will provide a comprehensive understanding of the potential risks associated with lower blepharoplasty. This is the time to voice any concerns or ask for clarifications. Recovery Time: Ask about the typical recovery timeline, when you can return to work, and when you can resume regular activities. Cost: Discuss the total cost of the procedure, including surgeon’s fees, facility fees, anaesthesia fees, and any potential additional expenses with our experience practice manager. Post-operative Care: It’s essential to understand the aftercare, including medications, activity restrictions, and follow-up appointments. You will be provided with reading material to aid in your understanding of the procedure and care required before and after surgery. After the Consultation: Decision Time: After gathering all the information, take the time to think and decide whether the surgery aligns with your goals and if you’re comfortable with the potential risks. Dr Sandeep encourages his clients to have a discussion with close friends and family members before deciding to go ahead with surgery. Second Opinion: If you’re uncertain, there’s no harm in seeking a second opinion from another surgeon. Our team will be happy to make a recommendation. Scheduling: If you decide to proceed, you’ll work with our team to choose a date for your surgery and receive instructions for pre-operative preparations. ANESTHESIA The procedure can be done under local anaesthesia with sedation or general anaesthesia, depending on the client’s preference, Dr Sandeep’s recommendation, and the extent of the surgery. CLEANSING The area around the eyes is thoroughly cleansed with an antiseptic solution to reduce the risk of infection. INCISION Lower blepharoplasty may be performed by Dr Sandeep using one of the following approaches depending upon your unique anatomy, risk factors and aesthetic goals: Subciliary Approach: An incision is made just below the lower eyelashes, it allows for the removal or repositioning of fat and removal of excess skin. This approach leaves a very fine, barely perceptible scar. Transconjunctival Approach: An incision is made inside the lower eyelid, leaving no visible scar. This method is usually chosen when there is no excess skin to be removed, only fat. Lower blepharoplasty is primarily aimed at the rejuvenation of the lower eyelids. As we age, or due to genetic factors, the area beneath the eyes can develop: Fat Protrusion: Fat pads beneath the eyes can protrude, leading to a puffy appearance, commonly referred to as “bags under the eyes.” This may be addressed by: Fat Removal: The protruding fat located in the three fat pockets beneath the eye leads to bags under the eye. Dr Sandeep carefully excises the fat in these pockets to reduce the bulge while leaving enough fat to prevent a hollow appearance. Fat Repositioning: Some people might experience hollowing or a sunken appearance beneath the eyes, like the tear trough deformity. In these situations, Dr Sandeep redistributes fat as body’s natural filler material to areas with hollowing to give a more youthful appearance. Excess Skin: The skin loses elasticity with age, which can result in sagging or wrinkling of the skin under the eyes. The redundant skin is addressed by: Skin excision: The excess sagging skin is excised carefully. Skin Resurfacing: To improve skin texture and address fine wrinkles, additional procedures like laser resurfacing or chemical peels can be done concurrently. Muscle Adjustment: In some cases, the muscle beneath the skin might need adjustment to achieve the desired result. Lower Lid Tightening Procedures: This may be required If the lower lid is lax leading to the eyelashes everting or excessive tearing. CLOSURE If external incisions were made, they are closed with sutures. Sutures are removed after 1 week. Incisions inside the eyelid are usually closed with absorbable sutures, these do not need to be removed. POST-OPERATIVE CARE After the surgery, the client’s eyes might be lubricated and possibly covered with a cold compress or sterile bandage to minimize swelling. The client will receive post-operative instructions, including care for the surgical site, medications to take for pain relief and to reduce the risk of infection,

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Ethnic Differences in Upper Eyelid Anatomy

ETHNIC DIFFERENCES IN UPPER EYELID ANATOMY EYELID ANATOMY Before we talk about double eyelid surgery in Asians it is important to understand how the anatomy of the upper eyelid varies among different ethnic groups, and there are distinct differences between Caucasian and Asian eyelids. These anatomical differences have implications for cosmetic and reconstructive procedures. Dr Sandeep and his team are aware of these variations and use them to achieve natural-looking results. Our approach is to prioritize the unique aspects of everyone’s ethnic background to ensure that the outcomes of their procedures, while enhancing the client’s natural features, also maintain and honour their ethnic identity. For example, double eyelid surgery (Asian blepharoplasty) aims to create a crease in the upper eyelid for those who desire it, but the goal is often to achieve a result that looks natural for an Asian face, rather than trying to replicate a Caucasian eyelid. Here’s a breakdown of the primary differences between Asian and Caucasian upper eyelids: BROW POSITION Caucasians: The brow position is typically higher. Asians: The brow position is generally lower, closer to the eyes. EYELID CREASE Caucasians: Most Caucasians naturally have a well-defined eyelid crease. The crease is typically situated about 7-10 mm above the eyelashes. Asians: Many Asians have what’s referred to as a “monolid” or a “single eyelid,” which means there’s no visible crease. However, it’s worth noting that not all Asians lack this crease; some have a low or partial crease. EYELID SKIN Caucasians: The skin is often thinner, which can lead to earlier signs of aging, such as wrinkles and sagging. Asians: The skin is generally thicker, which can contribute to the absence of a crease. This thicker skin can sometimes delay the appearance of wrinkles. FAT DISTRIBUTION The distribution of fat in the Asian eyelid, combined with the levator aponeurosis’s attachment, can contribute to a fuller or puffier appearance of the eyelid. The septum, which usually holds back fat in the eyelid, may be weaker or have a different attachment point in some Asians, allowing fat to protrude more anteriorly. EPICANTHIC FOLD Caucasians: Rarely present. Asians: Many Asians have an epicanthic fold, which is a skin fold of the upper eyelid that covers the inner corner of the eye. This gives the eye a more almond-shaped appearance. POSITION OF THE LEVATOR APONEUROSIS CAUCASIANS The levator aponeurosis is a critical structure in the formation of the eyelid crease, especially in Caucasians. It’s an extension of the levator muscle, which is responsible for elevating the upper eyelid. The way this aponeurosis inserts into the skin and underlying structures plays a significant role in the appearance of the eyelid crease. Here’s a breakdown of its role in the formation of the Caucasian eyelid crease: ANATOMY AND INSERTION In Caucasians, the levator aponeurosis extends anteriorly (forward) from the levator muscle. As it progresses forward, it fans out and inserts into the skin and the tarsal plate of the upper eyelid. The anterior insertion of the levator aponeurosis into the skin is what creates the eyelid crease in Caucasians. When the levator muscle contracts, it pulls on the aponeurosis, which in turn pulls on the skin, creating the crease. POSITION OF THE CREASE The position of the eyelid crease in Caucasians is typically higher than in many Asians, situated about 7-10 mm above the eyelashes. This higher position is due to the more anterior attachment of the levator aponeurosis. SURGICAL CONSIDERATIONS Double eyelid surgery, or Asian blepharoplasty, often involves manipulating the levator aponeurosis to create a crease. Surgeons may use sutures or make incisions to adjust the aponeurosis’s attachment, resulting in a crease that looks natural for an Asian face. CONCLUSION The levator aponeurosis plays a pivotal role in the formation and position of the eyelid crease in Caucasians. Its anatomy and function are fundamental considerations in both cosmetic and reconstructive eyelid surgeries. ASIANS The levator aponeurosis in the Asian eyelid plays a significant role in the unique anatomical features of the Asian upper eyelid. Its attachment and interaction with other eyelid structures influence the presence or absence of an eyelid crease, which is a distinguishing characteristic among many Asians. Here’s a breakdown of the role of the levator aponeurosis in the Asian eyelid: ANATOMY AND INSERTION The levator aponeurosis is an extension of the levator muscle, responsible for elevating the upper eyelid. In many Asians, the levator aponeurosis has a more posterior (rearward) attachment compared to Caucasians. This means it attaches closer to the tarsal plate and further from the skin. Due to this posterior attachment, the force exerted by the levator muscle doesn’t create a pronounced crease in the skin, leading to the characteristic “monolid” appearance in many Asians. PRESENCE OR ABSENCE OF THE CREASE The position and attachment of the levator aponeurosis largely determine whether an Asian eyelid has a crease (double eyelid) or lacks one (single eyelid or monolid). Not all Asians lack an eyelid crease. Some have a low or partial crease, and this can vary widely based on individual anatomy and regional differences within the Asian population. Asian eyelids exhibit a variety of crease types, and the presence, absence, or specific shape of the eyelid fold can significantly influence an individual’s appearance. Here are some of the common types of eyelid folds found in Asians: Single Eyelid (Monolid): This type lacks a defined crease, resulting in a smooth extension from the lash line to the brow without a visible fold. The eyelid may appear fuller or puffier due to the absence of the crease. Low/Partial Crease: A faint or incomplete crease is present, but it’s positioned closer to the lash line compared to typical double eyelids. The crease might not extend across the entire width of the eyelid. Double Eyelid: A clear crease is present, similar to the eyelid fold seen in many non-Asian populations. However, the specific shape and position of the crease can vary widely among Asians. Common subtypes include: Parallel Crease: The crease runs parallel to the lash line across the eyelid.

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Epicanthoplasty Procedure

EPICANTHOPLASTY PROCEDURE Epicanthoplasty can significantly alter the appearance of the eyes, making them look larger or more open. Here are the steps that Dr Sandeep and his team follow for this procedure. CONSULTATION Before the surgery, it is important to have a thorough consultation with Dr Sandeep. He will evaluate your eyelid anatomy, discuss the desired outcome, and plan the procedure accordingly. ANESTHESIA Epicanthoplasty is typically performed under local anaesthesia with or without sedation, but general anaesthesia can also be used, especially if combined with other procedures. EPICANTHOPLASTY TECHNIQUES There are several techniques for Epicanthoplasty, with the choice often depending on the surgeon’s preference and the specific needs of the client: Y-V Epicanthoplasty: This is one of the most common methods. A Y-shaped incision is made at the medial canthus. The skin is then rearranged in a manner where the Y becomes a V after suturing, effectively moving the starting point of the eye opening. Re-draping Technique: The incision is made on the epicanthal fold, and the skin is re-draped to expose the medial canthus. This method avoids external scarring but may not be suitable for those with a prominent fold. Z-Plasty: A Z-shaped incision is made, which helps redistribute the tension and potentially reduce scarring. However, this method might be more technically demanding. Semi-open Technique: This approach combines elements of the open and closed techniques, aiming to balance scar visibility with effectiveness. Minimal Incision Epicanthoplasty: This technique involves making tiny incisions to release the medial canthal ligament and re-drape the skin, with the goal of minimizing scarring. PROCEDURE INCISION Dr Sandeep makes an incision along the inner corner of the eye, following the natural curves to minimize visible scarring. The exact placement and shape of the incision depend on the individual’s anatomy, desired outcome and the technique used. TISSUE RESHAPING Excess skin is removed, and the underlying tissues are reshaped to reduce the prominence of the epicanthic fold. CLOSURE The incisions are closed with fine sutures to ensure minimal scarring. RECOVERY Immediately after surgery: Clients can expect some swelling, redness, and discomfort in the operated area. Cold compresses can help reduce swelling. Stitches: Sutures are typically removed after 5-7 days. Activity: Most clients can return to work and daily activities within a week, but strenuous activities and direct sun exposure should be avoided for at least 2-3 weeks. FINAL RESULT While initial results are visible once swelling and redness subside, the final outcome may take several weeks to months as scars mature and fade. POTENTIAL RISKS AND COMPLICATIONS Scarring: While Dr Sandeep will make efforts to minimize visible scarring, there’s always a risk of hypertrophic scars or keloids, especially if the client is predisposed to such conditions. Asymmetry: There might be differences in the appearance of the two eyes. Unsatisfactory Cosmetic Outcome: The client might not be pleased with the appearance after the surgery. Infection: As with any surgical procedure, there’s a risk of infection. Blindness: Any surgery around and in the eye carries a risk of loss of vision. CONCLUSION It’s essential to have realistic expectations and choose a qualified and experienced surgeon like Dr Sandeep, familiar with the procedure to achieve the best possible outcome. Proper preoperative evaluation and postoperative care are crucial for optimal results. ELEVATE YOUR APPEARANCE WITH EPICANTHOPLASTY! Experience a significant change through the skilled practice of Dr Sandeep in performing Epicanthoplasty. This cosmetic procedure is expertly crafted to broaden the inner corners of your eyes, resulting in a more enchanting and youthful look. Epicanthoplasty transcends mere aesthetics, delivering a subtle yet substantial makeover that can harmonize exquisitely with your overall facial features. Don’t let the opportunity to enhance your innate beauty pass you by. Schedule your Epicanthoplasty consultation with Dr Sandeep today! Click here to access our appointment booking page and reach us via WhatsApp for a seamless and convenient appointment process.

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Asian Blepharoplasty (Double Eyelid Surgery)

ASIAN BLEPHAROPLASTY (DOUBLE EYELID SURGERY) Double eyelid surgery, also known as Asian blepharoplasty or double eyelid blepharoplasty, is a cosmetic surgical procedure that creates a crease in the upper eyelid, resulting in what’s commonly referred to as a “double eyelid.” This procedure is popular among East Asians who naturally have a “monolid” or a single eyelid without a crease. PURPOSE OF DOUBLE EYELID SURGERY COSMETIC ENHANCEMENT Many individuals desire a double eyelid for aesthetic reasons, as it can make the eyes appear larger or more alert. FUNCTIONAL IMPROVEMENT In some cases, the skin of the upper eyelid may droop over the lashes, obstructing vision. Creating a crease can help alleviate this. PROCEDURE STEPS CONSULTATION During a thorough consultation, Dr Sandeep will discuss your desired aesthetic outcome and determine the best technique suitable for your particular needs. ANAESTHESIA The procedure can be performed under local anaesthesia, with sedation or general anaesthesia. TECHNIQUES INCISIONAL METHOD An incision is made along the desired crease line, and a small amount of skin, muscle, and fat may be removed. The skin is then sutured to create a permanent crease. This method is suitable for those with thicker eyelids or excess skin. SUTURE METHOD (OR NON-INCISIONAL METHOD) Small punctures are made along the desired lid crease, and sutures are used to create a crease. This method is less invasive and has a quicker recovery time but may not be as long-lasting as the incisional method. CLOSURE The incisions or puncture sites are closed with sutures. RECOVERY IMMEDIATELY AFTER THE PROCEDURE Swelling and bruising are expected. Cold compresses can help reduce swelling. FIRST FEW DAYS Patients are advised to keep their head elevated and avoid activities that strain the eyes, such as reading or screen time. STITCHES Typically, these are removed after 5-7 days for the incisional method. ACTIVITY Most patients can return to work and daily activities within a week, but strenuous activities should be avoided for at least 2-3 weeks. FINAL RESULTS Swelling may take several weeks to months to fully subside, revealing the final results. POTENTIAL RISKS AND COMPLICATIONS Infection: Although rare, infections can occur after any surgical procedure. Oral or intravenous antibiotics are typically prescribed. In rare cases, surgical drainage might be necessary. Hematoma: Accumulation of blood in the surgical area. Small hematomas might resolve on their own, but larger ones may require drainage. Lagophthalmos: Inability to close the eyelids completely. This can be temporary due to swelling or, in rare cases, permanent. Lubricating drops or ointments can help, but severe cases might need surgical intervention. Scarring: While the incisions are made in the natural creases to hide scars, some people might develop more noticeable or hypertrophic scars. Treatments like silicone gel, steroid injections, surgical scar revision or laser therapy can help improve the appearance of scars. Dry or Irritated Eyes: Some patients may experience dryness, burning, or itching after the procedure. Lubricating eye drops or ointments are typically prescribed. In some cases, punctal plugs or other interventions might be necessary. Vision Changes or Blindness: Extremely rare but serious complications include temporary or permanent vision changes or even blindness, typically due to bleeding or excessive pressure on the eye’s blood vessels. Immediate medical attention is crucial. This might involve reducing pressure in the eye or emergency surgery. Double vision: Rarely injury to the muscles which move the eye may result in double vision. Unfavourable Cosmetic Outcome: You might be dissatisfied with the appearance after the surgery, such as overcorrection or under correction. There might be differences in the appearance of the two eyelids. Minor asymmetries might improve with time as swelling subsides. Significant asymmetries might require revision surgery. Loss of the Crease: Especially with the suture method, the crease might not be permanent. Numbness or Changes in Sensation: Temporary numbness or altered sensation in the eyelid area can occur. This usually resolves on its own over time as nerves regenerate. Adverse Reaction to Anesthesia: As with any procedure involving anaesthesia, there’s a risk of complications such as allergic reactions or breathing difficulties. An anaesthesiologist monitors patients during surgery to address any issues immediately. Infection: As with any surgical procedure, there’s a risk of infection. CONCLUSION Double eyelid surgery can offer significant cosmetic enhancement for those who desire a crease in their upper eyelids. As with any surgical procedure, it’s essential to have realistic expectations and choose a qualified and experienced surgeon like Dr Sandeep. Proper preoperative evaluation and postoperative care are crucial for optimal outcomes. Read more to learn about ethnic differences in upper eyelid anatomy>> ACCENTUATE YOUR EYES WITH DOUBLE EYELID SURGERY: SCHEDULE YOUR CONSULTATION NOW! Transform your eyes with Dr Sandeep’s Double Eyelid Surgery, designed for those who wish to enhance their eyelid structure by creating or defining a crease. This procedure is perfect for achieving a brighter, more structured eye appearance, which can be especially desirable for individuals who lack a natural eyelid crease. Experience how Double Eyelid Surgery can offer more than just an aesthetic upgrade—it can also contribute to a vibrant and youthful look that complements your entire face. Book your consultation with Dr Sandeep today and take the first step toward an eye-opening change.

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