Rhinoplasty (Nose Re-shaping)
Rhinoplasty is a surgical procedure used to modify the size and shape of the nose in order to give it a more pleasant look and to adjust it more harmoniously to the face. You may want to change its shape if you feel that it is too large or uneven, or you may want to restore its shape after an injury.

Two methods for performing a rhinoplasty. In the "closed" method, the surgeon performs the rhinoplasty within the nose.

Working through the nostrils, without the need of making any exterior incisions, the surgeon reaches the cartilage and bone located under the skin, he may rasp or trim them with special instruments to give the nose the desired shape and size. The nose heals more quickly and does not disturb the nasal tissues as much.

The "open" procedure involves placing a small surgical incision outside between the two nostrils across the columella (the tissue that divides the nostrils) to access the bone. This gives the surgeon better visibility of the internal structures of the nose, and is used in more complex cases, where deeper modifications are needed. The shape and width of the nostrils may also be modified. This is done by means of two incisions at the base of the nose wings, these incisions become imperceptible soon after the surgery.

Rhinoplasty is performed under a general anaesthetic and you'll usually need to stay in hospital overnight.

Blepharoplasty (Upper / Lower Eyelid Surgery)
Blepharoplasty is one of the most popular surgical procedures. Eyelid surgery is a procedure to remove loose skin, surplus fatty tissue. Relaxed muscles in the eyelids are also removed to tighten the skin and leave a flatter, more youthful appearance. Blepharoplasty can lift drooping upper lids and reduce the puffy bags that form below your eyes.

In cases where lower eyelid fat only is removed, the surgeon may choose instead to place the incision within the interior of the lower eyelid resulting in no visible scar.

As you age the skin around your eyes loses its elasticity. You may develop loose folds of skin on the upper eyelids and deepening creases on the lower lids. As well as loose skin, the muscles in this area slacken so that any fat bulges forward, giving the appearance of bagginess.

During the blepharoplasty operation your Surgeon will make cuts around the natural lines of your eyelids and remove the excess skin and fat.

Eyelid surgery is usually performed under a general anesthetic and you will normally need to stay in hospital for one or two nights.

Face & Neck Lift (Rhytidectomy)
The basic or traditional facelift, also known as a Rhytidectomy involves the skilful removal of excess facial skin from the neck, chin and cheek areas and can reduce some of the more visible signs of ageing. A rhytidectomy smoothes the loose skin on your face and neck and tightens underlying tissue. As a result, your face will appear firmer and fresher.

There are several different techniques used to perform a rhytidectomy. In a full rhytidectomy your surgeon will make a surgical cut right around your hairline, past the front of your ear and sometimes under your chin. Your skin is then carefully separated from the underlying muscles of your face, removing excess skin and fat and tightening the muscles.

If you are in your late 30s or early 40s, a "mini" lift works well. A small incision is made in front of the ear, and a small area of skin is lifted. The so-called "weekend face lift" removes excess chin fat with liposuction and tightens the loose skin with a laser. The laser is used inside the neck on loose tissue of jowls. This technique does not remedy face wrinkles, or deep lines above the jaw line. Rather, the heat from the laser constricts the fat cells and tightens the surrounding tissue. Operation usually takes 1 1/2 hours or less under local anesthesia.

A rhytidectomy is sometimes performed on the brow area, lower face, or neck only. The cuts needed for these operations are less extensive than for a full facelift. Sometimes your Surgeon will perform a rhytidectomy by keyhole surgery (endoscopes) that are inserted through tiny cuts. Another type of facelift surgery is minimal access cranial suspension (MACS). Key hole surgery and MACS have the advantages of smaller scars and usually a shorter recovery time.

An endoscopic face lift reduces sagging in the lower face and helps remove signs of ageing. The operation lasts for 3 to 4 hours and often general anaesthesia is used. The incisions are smaller and heal faster with less chance of scarring.

facelift only affects a specific area on the face, usually the region from the eyes to your chin. Because of this, many patients choose to have more than one procedure done to their face at a time. Having multiple procedures ensures a more natural and balanced look. But having more than one cosmetic surgery procedure at a time prolongs your recovery period.

It is also common to have nose jobs, collagen or Botox injections to increase fullness and reduce wrinkles. Liposuction and laser treatments can help smooth out wrinkles, resurface skin, or remove fine lines.

Otoplasty (Ear Pinning Surgery)
Otoplasty is a procedure used to modify the size and shape of the ears. In most cases is carried out to set prominent ears back closer to the head or to reduce the size of large ears. Protruding ears are often a family characteristic; in some cases one ear is more prominent than the other and many people feel self-conscious about them During ear pinning your surgeon makes a cut behind your ear, close to the groove between your ear and your head. Adjustments are then made to the cartilage so that your ear lies closer to your head. If the lobe of your ear is especially large you may choose to have a small procedure to reduce its size. Ear pinning is most often performed during childhood (after the age of five), but can also be performed on adolescents and adults.

The operation will be carried out using a local or general anaesthetic and you may be in hospital for one to two days. Your consultant will advise what is appropriate for you. It is a relatively uncomplicated procedure, with little pain and quick recovery.

Split Earlobe Repair
Split earlobe repair is a surgical procedure to repair torn earlobes. Earlobe tears are most common in people who wear pierced earrings as these can easily be caught and pulled. Your surgeon will remove any skin lining the split to create a raw edge, and will then stitch the ear back together.

Earlobe repair is a relatively simple procedure performed under a local anaesthetic, so you'll normally be able to return home later the same day. However, you should expect some discomfort and swelling after surgery and you may need to wear a dressing on the ear for a few days. There may be some scarring after a split earlobe repair, although this will generally fade over time and your Consultant Surgeon will discuss this with you prior to your procedure.

Lip Augmentation
Lip augmentation is the procedure which uses synthetic or biological products or surgical restructuring to enhance the lips in many ways. Augmentation can be achieved by many procedures, some better than others. For people with very thin lips, the goal may be to have a more normal appearance. For others, very thick and sexy lips are the goal, while some desire a defined edge to the lip or a return to their less aged lip.

Brow Lift
A brow lift, also known as a forehead lift, is an operation to lift the level of your eyebrows to a higher position. It can also help to lift folds of skin that may hang over your eyes and smooth out frown lines between your eyebrows, and reduce wrinkles you may have on your forehead.

Brow lift surgery can be performed in several different ways, all of which have advantages and disadvantages. One method, called a coronal brow lift, involves your plastic surgeon making a cut across the top of your scalp, hidden within your hair. Through the cut, your surgeon removes excess skin, shortens the muscles that cause frown lines and lifts your eyebrows.

Another technique uses small endoscopes ('keyhole surgery') which are inserted through tiny cuts in your hairline, to reduce the muscles that cause frown lines. This type of brow lift normally has the advantage of minimal scarring, but your surgeon will not be able to make as many changes as when a coronal brow lift is performed.

Each method requires a local or general anaesthetic and you'll usually be able to return home later the same day. A brow lift or forehead lift can give good long-term results, but you will need to take care of your skin, including protecting it from sunlight. It is also important that you are realistic about the results of a brow lift and your plastic surgeon will discuss this with you prior to your operation.

Chin Implant
If you feel that your chin is not in proportion to the rest of your face, an implant can help to build out a recessive chin and improve the appearance of your facial features. Chin implants are sometimes performed at the same time as another operation to re-shape the face, such as a facelift.

Recessive chins are built out either by moving the chin forwards or by inserting an implant over the chin bone. During the operation your plastic surgeon will usually make a cut inside your mouth between your lower lip and gum and insert an implant to move your chin forward. In some cases your consultant may advise that the implant is inserted through a cut in the natural crease of your chin. The implant is usually made of silicone or another manufactured material, although sometimes it is necessary to use a bone graft. Because the implant is inserted through the mouth, there is not usually a visible scar. However, if a bone graft is used there will be scarring in the area the graft is taken from - usually the hip - and your consultant surgeon will discuss this with you prior to your operation.

Chin implant surgery is performed under a general anaesthetic and you'll usually be in hospital for one to two days.

Cheek Implants
Some people feel that their cheekbones are too flat and out of proportion with the rest of their face. A surgical cheek implant can raise the cheekbones and harmonise facial features. Cheek implants are sometimes performed at the same time as a facelift. The operation works by building on your existing bone structure, carefully inserting the implant over the top. Your plastic surgeon will usually insert the implant by making cuts inside your mouth where your cheek joins your upper gum, sliding the implant through these cuts. Another technique involves inserting the implant through a cut in the lower eyelid. The material used for the implant is usually silicone or another manufactured material that is tolerated well by the body. However, it is sometimes necessary to use a bone graft.

If the implant is inserted through the mouth, there is not usually a visible scar. However, if a bone graft is used there will be scarring in the area the graft is taken from - usually the hip - and your consultant surgeon will discuss this with you prior to your operation. Cheek implant surgery may be performed under a local or general anaesthetic and you should be able to return home later the same day.