Facial plastic surgery

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Rhinoplasty

Rhinoplasty is one of the most common and at the same time difficult plastic surgery operations made in recent years. This operation can improve the appearance of the nose with the reconfiguration, reducing or increasing the size of the nose, removing a hump, narrowing the width of the nostrils, narrowing the tip of the nose, or by changing the angle between the nose and the mouth. The rhinoplasty can also correct trauma to the nose or genetic defects. Rhinoplasty can be combined with the straightening of the nasal septum and the management of enlarged nasal turbinates. Rhinoplasty can improve the whole or part of the nose and make it more harmonious with other facial features.

 

The different techniques include rhinoplasty incisions just inside the nostrils (which is referred to as closed rhinoplasty) or in some cases, a small, well hidden incision of the underside of the nose (this is referred to as open rhinoplasty). Working through the incision, the bony and cartilaginous part of the nose is reconstructed using sutures, removal of cartilage and bone or addition of the above. In cases where the nose has been already operated on or when a large deformity is present, cartilage is harvested from another part of the body such as the ear lobe or the rib.

 

A stent is positioned in the nose after surgery and remains for about 10 days. In some cases, the tamponade is used which usually is removed in the first postoperative day. Swelling and bruising is normal after surgery. The swelling and bruising will fade during the first 2 weeks. Most patients are well enough to return to work after about two weeks, though strenuous activity should not take place for at least three to six weeks. While contact lenses may be worn immediately after surgery, eyeglasses should be taped to the front up to seven weeks after surgery. Finally sunbathing is contraindicated for about 8 weeks after surgery.

 

 

“Rhinoplasty is in my opinion the most challenging aesthetic / functional plastic surgery. The nose should not be divided in appearance and function as it is an organ where the above two elements are interconnected. Due to the complexity and the anatomical specificity of the nasal organ, rhinoplasty should be performed only by surgeons who know perfectly not only the anatomy of the external nose but also the complex physiology and functioning of the internal nose. As a trained ENT surgeon, entitled with the additional specialty of facial plastic surgery, knowing all rhinoplasty techniques (closed, open, using cartilage from the ear lobe, using cartilage from the rib) and having successfully operated on complex cases of total nasal reconstruction, I will do my best to achieve harmonious aesthetic and functional results and maximise patient satisfaction.”

 

Dr. Evangelos I. Giotakis, ENT – Facial Plastic Surgeon

 

 

Otoplasty

Protruding ears is often a source of teasing in childhood. Even as adults, we may feel embarrassed about our ears. Otoplasty is a plastic surgery procedure that corrects protruding ears. Using special suturing techniques, removal or thinning of the ear cartilage, reshaping the shape of the ear lobe in a natural look. The operation can be either performed on local or general anaesthesia and lasts about one and a half hour. The main incision is in the physical curvature behind each ear, and therefore, no visible scars are seen after surgery. The recovery after otoplasty takes about one to two weeks. A large bandage is applied to the ears after surgery and remains in place for about three days. Once the bandage is removed, you should wear a ribbon day and night for about an additional week. Numbness of the ear is frequent at first, and mild bruising may also occur after surgery.

 

 

“In otoplasty I focus mainly in a natural clinical outcome. Many otoplasty techniques, unfortunately, destroy the cartilage of the ear lobe. The surgeon must know perfectly all otoplasty techniques in order to choose for each patient the most appropriate technique. Only then can we achieve a long lasting and harmonious result. ”

 

Dr. Evangelos I. Giotakis, ENT – Facial Plastic Surgeon

 

 

Skin lesions of the head and neck,  Plastic reconstruction

“The face is aesthetically and functionally the most demanding part of the body. It is also the part of the body mostly exposed to sunlight. This constant exposure is unfortunately associated with skin cancer. Because of the anatomical and functional complexity of the different facial subgroups (nose, ears, eyelids, lips, cheek, forehead) the surgical treatment of these diseases requires perfectly qualified facial plastic surgeons with extensive experience, sound knowledge of cancer pathology and all plastic reconstruction techniques. Since each patient is different, the treatment is always completely personalized and discussed in detail with the patient. This is the only way to achieve the best aesthetic and functional results, with the least possible inconvenience to the patient. ”

 

Dr. Evangelos I. Giotakis, ENT – Facial Plastic Surgeon