Facial Rejuvenation Treatment in Mumbai

Due to age or excessive facial expressions such as frowning, the forehead shows signs of ageing such as wrinkles, creases and drooping eyebrows. The brows are often the first indicators of ageing as the skin of the forehead begins to lose its elasticity. This can make you appear angry, depressed, sad, or tired-looking.

The brow lift is a procedure designed to reverse the signs of ageing in the forehead and brows by elevating the brows and weakening the muscles that cause the deep creases. The commonest age group for brow lifts is men and women between 40 and 60 years. Brow lifts are often done using Botox nowadays, and the surgical procedures are reserved for advanced cases. Designer Bodies is best Facial Rejuvenation Treatment in Mumbai.

Brow lifts are commonly done in addition to other facial surgery, such as a facelift, eyelid surgery, or cheek or chin implants.

Post-operatively, you will look younger, feel more confident, and your eyes will appear fresh.

Brow reshaping is more often done with non-surgical techniques such as Botox nowadays.

As people age, the contours of their faces begin to soften and develop wrinkles and furrows, and the skin of the cheeks and jaw begins to sag. This gives you a tired look, and makes you look older than you feel.

A Face Lift is a procedure that is done in people who want to rejuvenate their face. It is also known as Rhytidectomy. The goal of a facelift is to reduce the obvious signs of aging by removing excess fat and tightening the skin and underlying tissue causing wrinkles, creases and lines to disappear. Designer Bodies is best Facial Rejuvenation Treatment in Mumbai.

A facelift is normally required after the age of 40. The type of procedure that would suit you depends on the area of the face that concerns you, the amount of excess skin, fat and the quality of your tissues.

Face Lift Procedures

The face is usually divided into thirds for examination as well as treatment, and there are a number of procedures are available to treat the relevant areas. Surgical face lift procedures are done under General Anaesthesia.

Techniques available:

Traditional Facelift

A traditional facelift involves a large incision along the margin of the ears through which the entire facial skin and muscles are raised, tightened and redraped, giving your face a more youthful appearance, with better-defined contours and the disappearance of most of your wrinkles.

Mini - Facelift

A mini facelift is a surgical procedure that involves smaller and fewer incisions than a traditional facelift. The correction achieved is not as dramatic as a full facelift, but it is very useful in younger patients. People who have done a mini facelift may never need a full traditional facelift in the future.

Laser Facelift

In younger patients who want to delay the early signs of ageing, a laser facelift may be of certain benefit, as there are no incisions or sutures, and the recovery time is short. However this procedure is not for all patients. Designer Bodies is best Facial Rejuvenation Treatment in Mumbai.

Endoscopic Facelift

An endoscopic facelift is done using multiple tiny incisions to gain access to the tissues under the skin. It is quite effective if you do not have too much loose skin. The effect, however is not as pronounced as a surgical facelift.

Threadlift

A threadlift is a minimally invasive procedure that uses specially designed surgical sutures to suspend sagging facial tissues. It is effective in select cases, and the effects last for a shorter period. However the procedure is short, most patients going home the same day, and it can be repeated if necessary.

Non- Surgical Facelift

This is a term used for a number of procedures, used alone or in combination, to reduce the effects of ageing of the face. These procedures involve Botox, Fillers and Dermabrasion.

As people age, their lower eyelids begin to develop ‘bags', while their upper eyelids start sagging, initially at the outer edges, then all over. This gives them a tired, sad look. Women can disguise this problem more easily than men using cosmetics.

One can also develop cholesterol deposits beneath the skin of the upper and lower eyelids, causing irregular, pigmented skin.

Cosmetic Eye Surgery, or Blepharoplasty, involves a number of procedures to correct sagging or bulging eyelids, as well as other problems, such as cholesterol deposits or skin lesions.

Drooping of the upper lids, known as Ptosis can also be corrected. This may be congenital, due to accident, injury or disease, or occur with advancing age. Designer Bodies is best Facial Rejuvenation Treatment in Mumbai.

Senile Ptosis, an extremely common condition arises when the skin of the upper eyelids gets stretched over years of use, and the patient starts elevating their eyebrow to see clearly. Eventually, even this does not work, and vision becomes reduced due to the partial closure of the upper lids. This condition can be easily corrected by a blepharoplasty.

Eye Surgery Procedure

A blepharoplasty can take anywhere from 1 to 3 hours depending on the type of procedure being done.

It can be done as a day care procedure under local anesthesia in most cases, but may also be done under sedation or general anaesthesia.

You will be able to go home within a few hours, and may have a dressing for a day or two. Full recovery may take upto a week.

You should avoid any strenuous activity that for the first few days, and sleep with your head raised. You will usually be able to wash your hair after 48 hours.

Your nose is the most prominent feature of your face. Regardless of which direction you view your face your nose is always the center of attention. Many people are unhappy with the appearance of their nose, thinking it too large, wide, crooked or curved.

A ‘Nose Job' or Rhinoplasty can dramatically improve the appearance of a nose, and correct imperfections, and is performed for cosmetic reasons or for reconstructive purposes to correct birth defects, chronic breathing problems or after injury.

The aim of rhinoplasty is to reshape the nose and correct any disproportion. A nose can be made smaller and shapelier, the width of the nostrils can be reduced, the tip can be raised, a curved hump can be removed, the angle of the nose with the lip can be changed, depending on your specific complaint and the proportion of the rest of your features. It can be combined with other procedures such as chin augmentation to enhance the aesthetic results.

There are two main sculpting techniques used in rhinoplasty surgery.

Open Rhinoplasty

Open rhinoplasty involves making an incision on the skin outside the nose, in order to peel back the skin and fully visualize the bones and cartilages. It provides the best access for technical precision.

Closed Rhinoplasty

In a closed rhinoplasty, all the incisions are made inside the nostrils, so that there are no scars visible on the outside. However, this procedure is more technically challenging and may not be indicated for all patients. Designer Bodies is best Facial Rejuvenation Treatment in Mumbai.

Most people who dislike their ears think that they are too large or that they stick out. Women can disguise this problem more easily than men, because they can adjust their hairstyle to minimize ear show. Growing up with protruding and odd shaped ears, however, can have a huge psychological impact on a child, who may become the object of jokes.

In today's fashion-conscious world, ladies also tend to wear heavy earrings, which may cause the hole in the earlobe to enlarge, or even tear if the earrings are caught in clothing or pulled out by accident.

Cosmetic Ear Surgery, or Otoplasty, involves a number of procedures to correct prominent ears, as well as other problems, such as torn ear lobes or enlarged ear-ring holes.

Surgery for Torn Earlobes

This involves repairing earring holes which have become enlarged due to wearing heavy jewelry, or have torn completely due to earrings getting caught in clothing, or being pulled by small children.

Reconstruction of a Birth Defect

Congenital deformities of the ears are not very common, but these defects may have a severe impact on the psyche of the child. Depending on the ear structures and tissues present, a number of surgical procedures can be done to correct these deformities.

Ears Too Close To Your Head

This extremely rare condition can be rectified by placing a piece of cartilage (or silicone) underneath your skin and behind your ear to push your ear forward into a normal position.

Other Ear Irregularities

Other irregularities cause problems as well. For example, your ears can be too large, or the upper area of your ears can droop over (Lop Ears) or be pointed. In addition, the lobes of your ears can be too big or torn and disfigured. Designer Bodies is best Facial Rejuvenation Treatment in Mumbai.

The hair on your head is often described as your crowning glory, and it is therefore a cause of concern to you when you see it thinning or falling out. This is a problem common to both men and women, although the patterns of the hair loss are different in both cases.

There are a number of options, from medical to surgical that can help you slow or stop hair loss, or even restore your lost hair.

Medical hair restoration involves using a number of medicines to slow down hair loss, and even restore some hair. It is the first line of management in hair loss.

About Hair Loss

A hair follicle is composed of a structural protein called keratin which is present in our nails and the outer layer of our skin. Each strand of hair consists of three layers:

  • The innermost core known as medulla found only in mature thick hair
  • The middle layer or the cortex , the main body of the hair which provides color, texture and strength to hair
  • The outermost colorless layer or cuticle , the main function of which is to protects the cortex

Under normal circumstances hair growth in each hair follicle follows a well structured cycle. There are three main phases of the hair growth cycle:

  • Anagen - Growth Phase (2-6 years, 85% of scalp).
  • Catagen - Transitional phase (30 to 60 days).
  • Telogen - Resting Phase (2 to 3 weeks, 10-15%)

Diet, environment, stress, past surgeries, past experiences etc. are some of the causes of hair loss, though genetics plays a large part.

Hair loss in men

Male–Pattern Baldness (Androgenic alopecia) is the commonest cause of balding in men.

Male hormones or androgens (DHT) are present in both men and women, though the concentrations vary greatly. The production of DHT, and also the density and the location of androgen-sensitive hair follicles on the scalp is genetically determined. It is the metabolism of these androgens which is the main cause of Androgenic Alopecia. Designer Bodies is best Facial Rejuvenation Treatment in Mumbai.

Proper nutrition is also critical for the maintenance of the hair. DHT prevents the necessary proteins, vitamins and minerals from providing nourishment to the hair follicles.

Male pattern baldness is classified according to the Norwood scale.

Hair loss in women

Female pattern baldness is classified according to the Ludwig Scale.

Hair loss can also occur for other reasons such as:

  • Temporary shedding of hair (Telogen effluvium) usually after a stressful period such as pregnancy, severe illness, etc.
  • Breaking of hair (from styling or straightening of hair).
  • Patchy areas of total hair loss (alopecia areata) due to disease or allergy
  • Thyroid Diseases
  • Certain skin diseases

As we begin to age our tissues become weak, we lose subcutaneous fat and the underlying support structure becomes lax and begins to sag. Sagging is seen earliest around the cheeks, eyes, brows, the jowls, and neck creating a longer and older-looking face, with blurred or softened jaw lines.

The Threadlift procedure is a minimally invasive procedure that utilizes sutures to mechanically lift the skin. The suture material has been used in surgery for decades. It has been modified by creating “cogs”, “barbs” or “cones” on one side of the suture. These barbs engage the soft tissue and create a lifting effect. Newer absorbable threads have also been designed.

It is also known as the Featherlift, Contour Lift, Aptos Lift, and Endo-Aptos Lift, Happy Lift, and Suture Suspension Face Lift, depending on the type of thread used.

Each thread may have unidirectional or bidirectional barbs, and each type of thread has a specific indication and location that it can be used. The best and longest lasting results can be obtained by threads that are anchored in the tough tissues of the face and neck.

AREAS TREATED:

Face and Neck

The face is the most common area of the body to be treated by threadlift among both men and women. Not all patients are good candidates for threadlifts. The individual areas that can be treated are the forehead, the eyebrows, the cheeks, the jowls, and the midface. Threadlift can also be done for sagging neck folds

Buttocks

The shape of the buttocks is formed by subcutaneous fat. The goal of threadlifts of the buttocks is to correct a minimal sagging of the fat pads.

Breasts

In Females: Threadlift of the female breast is done to correct early sagging of the breasts with minimal pain, rapid recovery, quick return to normal activities, and virtually no scarring. It is done in women who feel that their breasts have begun to sag, usually after breastfeeding stops, or as age advances, but who do not need or want to undergo a full breast lift surgery. Threadlift of the breasts can even be done to reposition the nipples

  • This procedure may involve the use general anaesthesia (GA), but is usually done under IV sedation and local anaesthesia (LA).
  • Most people who have this type of procedure may need to stay in hospital for a few hours, possibly up to one day. You will be informed about the estimated duration of your hospital stay from your doctor.
  • The operation lasts approximately one to three hours, depending on the areas that need to be addressed, and the number of threads that are needed.
  • You should ideally wear a compression bandage over your chin and neck for a couple of days after the procedure.

Fillers

Temporary Fillers

Injectable fillers are one of the most popular facial rejuvenation techniques. As a person ages, our tissues begin to sag due to the effects of gravity, sun exposure, diet, genetics, and years of facial movement and expression. All these factors contribute to the development of lines, wrinkles and folds in the face.

Modern day fillers give shape with the body's own natural material called collagen or hyaluronic acid. They bind water in your skin, to lift and give new firmness. After injection, the gel binds water and generally remains for many months. One of the great advantages of temporary fillers is that they are long-lasting but not permanent.

How long a treatment holds its effect is very individual. This depends on many factors, such as your age, skin type, lifestyle and muscle activity, as well as the injection technique. Once fully absorbed the gel disappears unnoticed from the body.

Most patients choose to have a follow-up treatment six to twelve months after an initial treatment of wrinkles or facial contouring. After lip treatments, a follow-up is normally needed after about six to nine months.

Permanent Fillers

Permanent fillers are also available to correct contour defects of the face and body, especially for plumping up the lips. These materials do not get absorbed by the body and therefore have a long lasting effect.

Botox

Repeated facial movements such as frowning, squinting, laughing etc. form lines known as dynamic wrinkles. These are commonly seen around the eyes, forehead, and mouth, and may give the appearance of advancing age. Botox works by relaxing the muscles that cause dynamic wrinkles giving the face a rejuvenated appearance. The procedure is so simple and quick that patients can have it done in their lunch hour, and go back to work immediately after.

When injected by a trained doctor, the procedure takes just a few minutes. The wrinkle-smoothing result can be seen within days, and can last for 3 - 6 months. It is a simple, noninvasive treatment that gives more relaxed, refreshed, and younger-looking faces.

Specific areas can be targeted for Botox treatment, such as ‘Crow's Feet' around the eyes, drooping eyebrows or the deep lines around the mouth.

Botox can also be used to reduce excessive sweating of the hands and armpits.

Threadlifts

As we begin to age our tissues become weak, we lose subcutaneous fat and the underlying support structure becomes lax and begins to sag. Sagging is seen earliest around the cheeks, eyes, brows, the jowls, and neck creating a longer and older-looking face, with blurred or softened jaw lines.

The Threadlift procedure is a minimally invasive procedure that utilizes sutures to mechanically lift the skin. It is most commonly used in the face and neck to correct signs of early ageing, although it can be used to lift sagging breasts and buttocks. It is usually done under Local anaesthesia and IV sedation, or entirely by local anaesthesia as a day care surgery.

Threadlifts are done using absorbable or permanent threads, and can make you look upto ten years younger. The effect of a threadlift usually lasts for 2 – 3 years, after which gravity and age begin to catch up with you again. Threadlifts with absorbable threads can be repeated if necessary.

Fat injections

Fat injections are also very useful to fill out aged sunken areas of the face and body, and restore the volume of youth. The fat is first removed from an area of your own body, processed and reinjected into areas that are depressed.

Fat injections are mostly used to augment the breasts, lips, and cheeks. Fat injection can give a much longer lasting effect than temporary fillers.

Growth Factors

Growth factors are chemicals which enable our tissues to grow and heal. The Platelets in blood can be made to release these growth factors under certain conditions in the lab. These growth factors are then injected into the skin of the face, giving you a healthy glow and a new younger, fresher look without any surgical scars. Growth factors can even be used to restore volume to the face. Designer Bodies is best Facial Rejuvenation Treatment in Mumbai.

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Fat Grafting

  • Fat grafting to augment the breasts, cheeks and lips has been done for the last 2 decades.
  • The procedure has not been very popular because of the problem of fat resorption, i.e; the volume of fat that is grafted reduces with time. This would lead to having to graft upto 50% more fat than desired as the final volume, with it’s accompanying issues such as stretch marks over the breast, etc., or having to do repeat touch-up procedures.
  • Also, if a patient put on a lot of weight, the grafted areas would also become bigger or lumpy.
  • Of late, technological and procedural advances have led to a much better rate of fat survival.
  • The advent of technology like the Vaser, which is significantly less traumatic to the harvested fat has improved the outcomes.
  • Further, early studies are showing that mixing harvested fat along with adipose-derived Stem Cells markedly improves the survival rate of transplanted fat. This is known as Cell-Assisted Lipotransfer or CAL.
  • The advantages are that there are no scars, minimal downtime, the ‘feel’ is more natural than Implants, and, most importantly, there is no rejection of the fat by the body, as it is the patient’s own fat. Also, an additional plus point is that you will lose some fat from an area which you choose!”

Nanofat Therapy

Fat is harvested from another region on your body, usually your tummy. It is then processed and injected under the skin of the face. This causes a rejuvenation effect to the face and hands, especially, and the quality of skin improves greatly, leading to a younger look. It is used to reduce under-eye dark circles as well. Microfat grafting is done to restore lost volume, without any scars. Designer Bodies is best Facial Rejuvenation Treatment in Mumbai.

After a facelift, there may be a certain amount of bruising and swelling visible in the skin, depending on the procedure you have undergone. You may have a compression garment around the sides of your face to minimize post-operative swelling and bleeding. Designer Bodies is best Facial Rejuvenation Treatment in Mumbai.

Your face will be sore for 3- 4 days, and you will be able to resume work in a week or so.

You have to avoid exposure to direct sunlight for at least one month afterwards to minimize pigmentation of the scar.

Meet your Doctor


All procedures performed by Dr. Rustom F. Ginwalla, M.B.B.S., M.S. (Gen Sx), F.R.C.S. (Ed.), D.N.B. (Plastic Sx), a Board-Certified Plastic Surgeon in practice since 2007

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