Facial Lacerations

FACIAL LACERATIONS REPAIR SINGAPORE | FACIAL TRAUMA & FACIAL INJURY TREATMENT Welcome to Dr Sandeep’s Clinic – Premier Care for Facial Injuries and Lacerations. When accidents leave their mark, it’s not just your skin that needs healing—it’s your peace of mind. At Dr Sandeep’s Clinic, we understand that facial injuries are more than skin deep, and that’s why we go beyond standard care. We are your advocates for a restored appearance and well-being. YOUR FACIAL RESTORATION, OUR PROMISE Under the expert care of Dr Sandeep and his team, our clinic delivers up-to-date treatment for facial trauma and lacerations, ensuring that you receive both immediate care and long-term cosmetic excellence. Whether you face a minor injury or require complex reconstructive facial surgery in Singapore, we prioritize your individual needs, offering a tailored approach to bring back the natural harmony of your features. EXPERTISE BEYOND THE ORDINARY With an adept team led by Dr Sandeep, our clinic is a fusion of advanced medical proficiency and artistic finesse. We bring years of specialized experience to the table, making us passionate in both emergency medicine and facial reconstruction in Singapore. Our commitment is to deliver not just healing, but the reclamation of your facial identity. PRECISION MEETS HEALING We’re equipped with the latest in medical technology, ensuring that each procedure is executed with the utmost precision. Our clinic boasts 3D imaging and modern treatments, setting the stage for effective, minimally invasive interventions that promote rapid healing and discreet scarring. CLIENT-FIRST PHILOSOPHY We believe in the power of personalization. Every face tells a story, and every injury requires a unique narrative of care. That’s why we offer a comprehensive assessment to craft a treatment plan that’s as individual as you are, focusing on optimal recovery and aesthetic discretion. IMMEDIATE, EXPERT FIRST AID Our express check-in is designed to address your needs without delay. From swift haemostasis to initial wound care, our skilled nursing staff lay the foundation for the exceptional, specialized treatment to follow. SURGICAL INTERVENTIONS OF THE HIGHEST QUALITY Dr Sandeep is meticulous in surgical precision, using an array of closure techniques to seamlessly blend healing with aesthetic restoration. For severe cases, immediate treatment under general anaesthesia is available to address complex concerns promptly. ANTIBIOTICS AND PREVENTIVE MEASURES We take a proactive stance in health management, offering immediate access to antibiotics and vaccinations to pre-empt complications and encourage a robust recovery. AFTERCARE AND AESTHETIC COUNSELING The journey to recovery is a continuum, and our clinic is with you every step of the way. Follow-up visits are scheduled for diligent monitoring, and consultations on cosmetic aftercare ensure that you have support for any scar-related concerns. TRANSFORMATIVE SCAR MANAGEMENT TECHNIQUES We offer a suite of advanced scar management options to reduce visibility and aid in your emotional recovery. Techniques are chosen based on your unique case, ensuring the most effective approach. COMPREHENSIVE CARE FOR ALL FACIAL INJURIES Our clinic stands at the forefront of managing an extensive array of facial injuries, from abrasions to avulsions and facial fractures. Our approach combines immediate attention with ongoing, individualized care. VIRTUAL CONSULTATIONS Distance shouldn’t be a barrier to expert care. Our virtual consultation services ensure you receive Dr Sandeep’s expertise wherever you may be. EMBRACE HEALING WITH PRECISION AND COMPASSION Accidents may happen, but their marks don’t have to define your future. Dr Sandeep blends contemporary technology with personalized care to turn back the clock on facial injuries. Join hands with a team that sees beyond the wound. Take Action Now: Reclaim your confidence and unveil the beauty that lies beneath. Schedule your consultation with Dr Sandeep today and embark on a journey to flawless healing and restored elegance. Book Your Appointment | Experience Expert Care | Begin Your Transformation Explore Our Other Treatments – Rhinoplasty Singapore, Facelift Singapore, Double Eyelid Surgery Singapore, Otoplasty Singapore, Upper Blepharoplasty Singapore & More! Read All Facial Injury Blogs Here

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Facial Nerve Paralysis and Rehabilitation

FACIAL NERVE PARALYSIS AND REHABILITATION SINGAPORE Facial nerve paralysis is a medical condition characterised by the loss of voluntary muscle movement in one or more areas of the face. This paralysis usually occurs due to damage or dysfunction of the facial nerve, which is also known as the seventh cranial nerve. The facial nerve is responsible for controlling the muscles of facial expression, among other functions. HOW MAY FACIAL NERVE PARALYSIS EFFECT A PERSON? Facial nerve paralysis in Singapore has a significant impact not only on the physical aspects of the face but also on emotional well-being, social interactions, and quality of life. Here are some of the key effects of facial nerve paralysis: PHYSICAL EFFECTS Facial Asymmetry One side of the face may droop or become stiff, leading to an uneven appearance. Impaired Facial Expressions Difficulty in smiling, frowning, or making other facial expressions can occur. Difficulty Speaking Pronunciation and articulation can be affected, making speech less clear. Eating and Drinking Clients may have trouble eating or drinking and may experience drooling. Eye Problems Inability to close the eye on the affected side can lead to dryness, irritation, and potential vision issues. Loss of Taste The front two-thirds of the tongue may lose their sense of taste. Increased Sensitivity to Sound Known as hyperacusis, this can occur in the ear on the affected side. PHYSICAL EFFECTS Self-esteem Facial asymmetry and inability to express emotions can negatively affect self-esteem and body image. Social Anxiety Affected individuals may become self-conscious and avoid social interactions. Depression The physical limitations and social challenges can lead to feelings of depression. Communication Barriers Facial expressions play a crucial role in non-verbal communication. Paralysis can hinder this, causing misunderstandings or feelings of disconnect. READ ALL BLOGS OF FACIAL NERVE PARALYSIS AND REHABILITATION SINGAPORE SOCIAL AND PROFESSIONAL IMPACT Workplace Challenges Depending on the severity, facial nerve paralysis can impact professional life, particularly for those in roles requiring public speaking or customer interaction. Relationship Strain Communication barriers and self-esteem issues may put a strain on personal relationships. LONG-TERM HEALTH CONCERNS Eye Health Long-term inability to properly close the eye can lead to corneal ulcers or vision loss. Muscle Atrophy Prolonged paralysis can lead to muscle wasting on the affected side of the face. FACIAL NERVE PARALYSIS REHABILITATION SINGAPORE Management of facial nerve paralysis often requires a multidisciplinary approach involving neurologists, facial plastic surgeons, physical therapists, and psychologists. Treatment may include physical therapy to improve muscle function, surgical interventions for nerve repair, and psychological support to help individuals cope with the emotional and social impact. In summary, the effects of facial nerve paralysis are multi-faceted, affecting physical function, emotional well-being, and social interactions. Timely and comprehensive care is crucial for improving outcomes and quality of life. WHAT CAUSES FACIAL NERVE PARALYSIS OR WEAKNESS? Facial nerve paralysis can be caused by a variety of factors, including: BELL’S PALSY Bell’s palsy is a condition that causes sudden, temporary weakness or paralysis of the muscles on one side of the face. It is the most common cause of facial nerve paralysis. The exact cause of Bell’s palsy remains unknown, but it is thought to occur due to viral infections that cause inflammation of the facial nerve. Symptoms The onset of Bell’s palsy is usually abrupt, and symptoms may include: Sudden weakness or paralysis on one side of the face. Difficulty smiling, frowning, or making facial expressions. Loss of the sense of taste on the front two-thirds of the tongue. Increased sensitivity to sound in one ear. Tearing or drooling. Impaired speech. Difficulty eating and drinking. Bell’s Palsy Diagnosis Singapore Diagnosis of Bell’s palsy generally involves ruling out other potential causes of facial nerve paralysis. History: This includes detailed history taking regarding the onset of facial paralysis, it is duration , history of trauma, ear problems or surgery, facial swelling, and other medical conditions that the client may have. Clinical Examination: A clinical examination to assess the extent of facial weakness. Blood tests: To rule out other medical conditions like diabetes or Lyme disease. Imaging tests like MRI or CT scans to exclude other causes such as tumours or brain abnormalities. Electromyography and Electroneuronography: These tests are performed to determine the degree of damage to the facial nerve and the potential for recovery. Bell Palsy Treatment Singapore Treatment for Bell’s palsy aims to relieve symptoms and promote nerve recovery. Common treatment options include: Corticosteroids: Prednisone is often prescribed to reduce inflammation and swelling. Antiviral Medications: If a viral infection is suspected, antiviral medications may be administered. Physical Therapy: Exercises may help improve muscle strength and coordination. Eye Care: Artificial tears or an eye patch can protect the eye if you are unable to close it completely. Prognosis The prognosis for Bell’s palsy is generally good. Most people start to recover within a few weeks, and many regain normal facial function within three to six months. However, some people may continue to experience mild weakness or other symptoms, which may be permanent. Prevention There’s no guaranteed way to prevent Bell’s palsy, but maintaining a healthy lifestyle and managing medical conditions like diabetes can potentially reduce the risk. If you suspect you have Bell’s palsy, it’s important to seek medical advice promptly for an accurate diagnosis and to begin treatment as soon as possible to achieve the best outcome. TRAUMA Traumatic facial paralysis refers to the loss of facial muscle control due to physical injury or trauma. Unlike Bell’s palsy, which usually has an idiopathic (unknown) cause, traumatic facial paralysis is directly linked to an external event, such as an accident, surgical complication, or violent encounter. Causes The most common causes of traumatic facial paralysis include: Skull Fractures: A fracture in the temporal bone can damage the facial nerve. Blunt Force Trauma: Accidents such as car crashes or falls can injure the facial nerve. Penetrating Injuries: Gunshot wounds or stab wounds can cause nerve damage. Surgical Complications: Some surgeries, particularly those involving the head, neck, or ear, may inadvertently damage the facial nerve. Sports

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Nasal Bone Fractures

NASAL BONE FRACTURES X-Ray showing nasal bone fracture. OUR MANAGEMENT PHILOSOPHY Nasal bone fractures are the most commonly encountered facial fractures, and we are committed to providing unparalleled care in their diagnosis and treatment. Our treatment philosophy hinges on holistic client care. We believe in treating you, not just your symptoms. We involve you in the treatment planning, taking into account your lifestyle, aesthetic goals, and psychological factors that may be affecting you due to the injury. We create a personalized plan geared toward optimal recovery and the best possible aesthetic results. WHAT CAUSES NASAL BONE FRACTURES? Nasal fractures are usually the result of: Blunt trauma to the face. Motor vehicle collisions. Sporting incidents. Falls or trips. Physical altercations. SYMPTOMS TO LOOK OUT FOR If you’ve suffered an injury to the nose, be aware of the following symptoms: Localized pain and tenderness. Swelling and discoloration. Difficulty or changes in breathing through the nose. Visible deformity. Frequent nosebleeds. Altered sense of smell Although rare, headache, nausea, vomiting, leakage of clear fluid (CSF) from the nose, drowsiness or altered level of consciousness may occur and may be a sign of concussion or brain injury. These require immediate attention in a hospital setting. OUR MANAGEMENT APPROACH IMMEDIATE CARE First Aid: If you suspect a nasal fracture, immediate first aid measures such as applying a cold compress to the area can help control swelling and pain. Emergency Assessment and Diagnosis: Timely medical evaluation is crucial for determining the extent of the injury and for preventing complications such as difficulty in breathing. DIAGNOSIS Your journey to recovery begins with an accurate diagnosis. We utilize detailed physical examination combined with modern imaging techniques like CT scans to determine the type and extent of your fracture. TREATMENT OPTIONS NON-SURGICAL TREATMENTS Nasal fractures are often undisplaced and not associated with any nasal septal deviation. For such fractures treatment is observation and injury avoidance while the fracture heals naturally. Treatment includes: Cold compresses to manage swelling. Pain Management: Over-the-counter pain relievers like acetaminophen or ibuprofen are effective in controlling. If needed our team will prescribe other anti-inflammatory medication for control of pain and swelling. Nasal Decongestants: To help with breathing if the nasal passages are obstructed. SURGICAL TREATMENTS CLOSED REDUCTION (MANIPULATION OF NASAL BONES) Simple fractures of nasal bones are realigned without making any external incisions. This type of treatment is ideally performed within 7-10 days of injury. OPEN REDUCTION For more complex fractures, especially if 7-10 days have passed since the injury. SEPTORHINOPLASTY An advanced procedure that addresses both the fracture of the nasal bones and nasal septum along with any pre-existing functional or aesthetic deformities. POST-TREATMENT CARE Follow-up Appointments: To assess the healing process and make any necessary adjustments to your treatment plan. Cosmetic Reconstruction: If required, additional surgical procedures can be performed to ensure optimal aesthetic results. IMMEDIATE POST-OPERATIVE CARE IN THE RECOVERY ROOM Your vitals will be monitored closely. Pain management protocols will be initiated to ensure your comfort. BEFORE DISCHARGE You’ll receive detailed instructions regarding at-home care. Medications will be prescribed to manage pain and prevent infection. AT-HOME CARE GUIDELINES PAIN MANAGEMENT Continue prescribed medications as advised. Using a cold compress may also help relieve discomfort. SWELLING AND BRUISING Keep your head elevated to reduce swelling. Apply ice packs periodically, avoiding direct contact with the skin. WOUND CARE Keep the surgical area clean and dry. Follow specific cleaning instructions provided by Dr Sandeep. BREATHING AND SLEEP Breathing might be more laborious initially; take care not to exert yourself. Sleep in a position that minimizes pressure on your nose. It is recommended to sleep on your back. DIET Stick to soft foods that don’t require extensive chewing for the first few days. EXERCISE Avoid vigorous exercise like running, lifting weights, and bending forwards for 3 weeks to reduce the risk of bleeding. Avoid contact sports and crowded places for 2-3 months after surgery to prevent the risk of accidental injury to the nose. CLOTHING AND ACCESSORIES Soft, Loose-Fitting Tops: Avoid any clothing or accessories that come into direct contact with the treatment area. It is best to avoid garments which must be negotiated around the head. Instead opt for garments with buttons down the front to avoid any contact with your nasal area when dressing. Cotton or moisture-wicking materials can help keep you comfortable, especially if you’re experiencing hot flushes or temperature changes post-surgery. Headgear: Avoid hats or any headgear that sits tightly on your head or puts pressure on your nose. Glasses and Sunglasses: If you usually wear glasses, consider switching to contacts during the initial recovery period to avoid putting pressure on your nose. If you must wear glasses, do not rest them on the nasal bridge. It is best to tape them to the forehead. Our team can suggest specialized padding or advice on minimizing stress on the nasal area. FOLLOW-UP APPOINTMENTS Regular follow-ups are essential for assessing the healing process. During these visits, any stitches or splints may be removed, and further care options will be discussed. MONITORING FOR COMPLICATIONS Contact us immediately if you experience: Excessive bleeding. Signs of infection such as increased redness, warmth, or discharge. Severe pain not relieved by prescribed medication. PREVENTIVE MEASURES Your safety is our concern even beyond the clinic walls. We encourage: The use of protective headgear during high-impact activities. Vigilance in car safety, including seat belt use. Being cautious in environments where slips and falls are likely. RESTORE HARMONY: NASAL BONE FRACTURE TREATMENT WITH DR SANDEEP Is a nasal fracture affecting your facial symmetry? Our Nasal Bone Fracture Treatment is focused on meticulously realigning and restoring the natural contour of your nose, ensuring both functional and aesthetic recovery. Trust in our compassionate and detailed-oriented approach for optimal results. Reclaim the balance of your features and breathe with ease. Initiate your journey to a restored profile today. Book a specialized consultation for nasal bone fracture treatment with Dr Sandeep.  Read more to learn about Rhinoplasty>>

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Facial Fractures

FACIAL FRACTURES: UNDERSTANDING YOUR INJURY WHEN TO SEEK MEDICAL ATTENTION FOR FACIAL FRACTURES? If you or someone you know is exhibiting any of the symptoms or signs associated with facial fractures detailed below, immediate medical attention is highly recommended. Delaying evaluation and treatment can result in long-term functional deficits and cosmetic deformities. Understanding the symptoms and physical signs of facial fractures is vital for early diagnosis and effective treatment. We specialize in diagnosing and treating a wide range of facial fractures. Here are the types of fractures we commonly treat: NASAL FRACTURES The most common facial fracture, typically resulting from blunt force trauma. The injury may involve the nasal bones and/or cartilage. X-Ray showing nasal bone fracture IMMEDIATE SYMPTOMS Pain: The most immediate and noticeable symptom is localized pain at the site of injury. Nosebleeds: A fracture is often accompanied by bleeding from one or both nostrils. Swelling: Almost all nasal fractures will show some degree of swelling around the nose and possibly extending into the facial area. Sometimes surgery to treat nasal bone fracture may have to be delayed by a few days till the swelling settles. Breathing Difficulties: The swelling or deformity may cause problems breathing through the nose. Bruising: Over the course of a few hours or days, you may notice bruising around the nose or eyes. Altered Smell: In some instances, your ability to smell might be compromised. PHYSICAL SIGNS Deformity: A visible change in the shape of the nose, either subtle or pronounced, may be evident. Crepitus: A grating sound or sensation can be felt when touching the nose, indicative of fractured bone moving against each other. Tenderness: Touching the area even lightly may elicit pain, indicating underlying trauma. Septal Hematoma: In some cases, a blood clot may form inside the nose, which requires immediate medical attention. Deviated Septum: The partition of the nose may buckle, bend, get dislocated or fractured leading to narrowing of the nasal passage and nasal obstruction. Read more about Nasal bone fractures and their management >> MANDIBULAR (LOWER JAW) FRACTURES Lower jaw fractures can be categorized into: Angle: Occurs near the molars. Body: Involves the horizontal portion of the lower jaw. Condylar: Near the joint connecting the lower jaw to the skull. Symphyseal and Parasmphyseal: Located at the front of the lower jaw, near the chin. Multiple sites: Fractures may involve two or more of the above sites. IMMEDIATE SYMPTOMS Pain: Intense, localized pain often at the site of impact. Swelling: Prominent swelling at the site of fracture. Bruising and Swelling: Visible bruising and/or swelling around the jawline or along the floor of the mouth. Open Wound: In cases of compound fractures, there may be an open wound. Haemorrhage: Bleeding within the oral cavity may be observed during a clinical examination. Ear Pain: Referred pain may extend up to the ear. Speech Impediments: Difficulties in articulating certain sounds or words. Chewing Difficulties: Experiencing difficulty or discomfort while chewing. PHYSICAL SIGNS Facial Asymmetry: Obvious or subtle changes in the shape of the lower face. Jaw Stiffness: A feeling of stiffness or restriction in the jaw. Crepitus: Crunching or grinding sounds during jaw movement due to bone fragments. Numbness: Loss of sensation along the lower lip or chin due to nerve damage. Malocclusion: Improper alignment of the teeth. Bite Disruption: An uncomfortable or shifted bite, particularly near the back molars. ZYGOMATIC (CHEEKBONE) FRACTURES 3-D reconstructed CT scan showing cheek bone fracture. Cheekbone fractures can disrupt the alignment of the eye and cheek and lead to difficulty in mouth opening. These may require surgical intervention for repair. PRIMARY SYMPTOMS Facial Pain: Sharp or throbbing pain localized to the cheek area, especially when attempting to open the mouth or move the face. Swelling: Significant swelling is usually observed over the cheekbone area, extending towards the lower eye rim and side of the face. Numbness: You may experience numbness or reduced sensation over the cheek and upper lip due to nerve damage. SECONDARY SYMPTOMS Visual Disturbances: Difficulty moving the eye, double vision, or blurring may occur due to muscle entrapment or swelling. Difficulty in Mouth Opening: Discomfort or resistance when opening the mouth is common due to muscle attachment to the zygomatic bone. Altered Facial Appearance: There might be an obvious or subtle change in the facial contour, leading to asymmetry. PHYSICAL SIGNS Step-Off Deformity: A physical indent or “step” can be felt along the bone’s edge, often near the lateral eye rim or below the zygoma. Bruising: Bruising may develop below the eye or around the cheek, sometimes extending to the neck or chest due to gravity. Ecchymosis: ‘Raccoon eyes’ or periorbital ecchymosis may be apparent in severe cases. Trismus: Limited mouth opening due to muscle spasm or mechanical blockage by displaced bone fragments. MAXILLARY (UPPER JAW) FRACTURES 3-D reconstructed CT scan showing upper jaw fracture. Affecting the upper jaw, these fractures can also impact the alignment of the teeth and the position of the palate. Types include: Le Fort I: Horizontal fracture above the upper teeth Le Fort II: Pyramidal fracture affecting the nose and upper jaw Le Fort III: Transverse fracture that separates the facial skeleton from the cranial base Palatal Fractures: These fractures affect the roof of the mouth, involving both the hard palate. Maxillary fractures, involving the upper jaw, are complex and can significantly affect facial function and appearance. Quick identification and intervention are essential for the best possible outcomes. Here, we provide an in-depth guide to the symptoms and signs of maxillary fractures. PRIMARY SYMPTOMS Pain and Tenderness: Acute pain in the upper jaw, often intensifying when speaking, chewing, or moving the face. Swelling: Swelling often extends from the upper jaw to the surrounding facial areas, including the cheeks and lower eye regions. Malocclusion: A noticeable change in dental alignment or bite, which may affect eating and speech. Bleeding: Blood may be visible in the nose, mouth, or even in the throat, potentially causing difficulty in swallowing. SECONDARY SYMPTOMS Numbness: A loss of sensation in the upper lip,

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