Wednesday, July 27, 2011

Forehead Lift Operation

It is a relatively simple operation for the surgeon and for the patient as well. Forehead lift procedures may be completed under local anesthesia, with or without mild sedation, or under general anesthesia. The procedure may be performed in an out-patient facility, in the office, or hospital. Although the procedure is typically painless, you may have occasional mild discomfort during the procedure. If your surgeon elects for you to have general anesthesia, you will sleep through the procedure. The entire procedure may take from one to two hours, depending on the operation technique that will be used.

In conventional open approach, a coronal incision that is made slightly behind the natural hairline can be used. An alternative is the pre-trichial incision. This is similar to the coronal incision except that the mid-portion of the incision is made directly at the hairline. Your surgeon will then separate the skin and muscle from the underlying structures, depending upon the type of lift and desired results. Underlying structures are then suspended by permanent sutures or barbs. Your surgeon will then excise about 1 to 3 cm of excess skin; lift your skin to the desired level of lift; and lastly apply sutures or staples.

Another approach is endoscopic surgery. This commonly preferred technique is less invasive but it may require more surgery time. Several small incisions are placed just behind the hairline. An endoscope is placed under the skin in order to get a clear view of the muscles and tissues under the skin. Then the surgeon inserts another instrument through another incision to lift the forehead skin and remove or alter the muscles and underlying tissues. The forehead skin is hold up in a higher position with temporary sutures. The skin will heal in this position.


Reference information: www.eafps.org

It is not intended as medical advice to any specific person. If you have any need for personal advice or have any questions regarding your health, please consult your ENT specialist for diagnosis and treatment.

Sunday, July 24, 2011

Forehead Lift preparation

Your first step should be to contact a surgeon to schedule an initial consultation. During the consultation, your surgeon will work with you to establish realistic expectations about the results of your forehead lift procedure. The surgery will be explained in great detail so as not to leave any question or concern you have unaddressed. Depending on your needs and your surgeon's observations, additional facial procedures may be recommended.

Your surgeon will also arrange to view your comprehensive medical history to decide if you are in satisfactory condition for forehead lift surgery. The surgeon must be made aware of conditions such as high blood pressure, heart disease, and bleeding disorders, as these can increase the risks associated with your operation. Previous surgeries are also crucial to know about, as they can affect the risk of complications. Your surgeon may also ask for medical clearance from your general physician and, depending on your health, request laboratory testing. In the weeks leading up to your forehead lift, it is important to cut down, if not eliminate, smoking and drinking alcohol.

Aspirin, any medications containing aspirin, ibuprofen or other non-steroidal anti-inflammatory drugs, gingko biloba, ginseng and vitamin E supplements should be avoided in the weeks leading up to the surgery. Lastly, daily medicines must be continued as long as they have been approved by your surgeon. You may not eat or drink after midnight the evening before the procedure unless instructed otherwise. Before the procedure, make sure to shower and shampoo your hair. Cosmetics should not be worn. False eyelashes, contact lenses, jewelry, and any other unnecessary accessories should be left at home.


Reference information: www.eafps.org, www.entific.com.hk

It is not intended as medical advice to any specific person. If you have any need for personal advice or have any questions regarding your health, please consult your ENT specialist for diagnosis and treatment.

Friday, July 22, 2011

Forehead Lift (Description )

Forehead lift is the name of the surgical procedure that is performed to raise and rejuvenate the eyebrows.

Brief anatomy
The skin around the brow, forehead and temple areas loses its elasticity with age. Drooping of the eyebrows, horizontal wrinkles and vertical frown lines between the eyebrows are the earliest signs of aging. These give a tired, angry, or sad expression. A forehead lift can address these problems by surgically altering the muscles and tissues that cause wrinkling in the area above the eyes.

General information on the procedure
A forehead lift is often performed to treat conditions associated with aging. It may be done in conjunction with other facial plastic surgery procedures to achieve a more harmonious appearance. A forehead lift may be performed in several ways. The main difference among various methods for forehead lifting is the place of the incisions. Principally, a conventional open approach, or an endoscopic approach can be used.

Reference information: www.eafps.org

It is not intended as medical advice to any specific person. If you have any need for personal advice or have any questions regarding your health, please consult your ENT specialist for diagnosis and treatment.

Sunday, July 10, 2011

鼻及鼻竇内窺鏡手術

適用於鼻竇炎,鼻息肉,甚至鼻腫瘤等等
改善鼻塞,鼻水倒流,頭痛等等
更重要的是預防併發症

藥物治療       類固醇噴劑或抗組織胺,抗生素治療感染

術前注意                 大部份都是全身麻醉,除了不適合的病人或是簡單的鼻息肉切除
                                比較大型,一般2-3小時
術後注意                  填塞方法       例如海棉或紗布1-2
                                 流眼淚,面腫,面痛,頭痛等等
                                 藥物去減少這些不舒服
                                 避免過熱的食物
                                          
併發症注意              眼損傷 → 留意視力如眼矇,重影
                                 腦損傷 → 頭痛,發燒,持續流清鼻液

出院以後                  鹽水洗鼻
                                 輕微流血
                                 嚴重 → 回去急診室
                                 休息兩至三天,視符工作性質
   繼續藥物治療防止復發
                                 復發 → 藥物或再做手術

參考資料: www.entific.com.hk
以上所提供的資訊僅作為教育及參考用途,如果你有任何醫療問題,應向自己的耳鼻喉專科醫生查詢,而不應單倚賴以上提供的資料。

Friday, July 8, 2011

耳垢的處理

為什麼會有垢?
垢的產生是一個正常的生理現象,因道的皮膚下藏有很多分泌腺,其分泌匯集空氣中的灰塵異物和道的死皮,便會形成垢。

垢的集結需要處理嗎?
一般正常的朵都有垢集結,並不需要特別處理,而且垢有保護外道的皮膚免它受細菌感染,所以可不需清理。但如果垢的集結而引致聽力减退、發炎或阻礙耳鼻喉專科醫生檢查朵的深處時,垢便須用人工方法取出。

垢可以自行取出嗎?
如果垢被推掉到外道口,便可用紙巾或棉花抹去,切勿使用棉花棒、挖、牙簽、髮夾等東西挖,它們不但會把垢推進更深的地方,還會弄損外道皮膚而引致發炎,嚴重還會弄破膜。

嚴重的垢問題應怎樣解決?
耳鼻喉專科醫生檢查朵,聽取他們的意見,在耳鼻喉專科診所裏去除垢。方法包括:
·             用滴藥水溶解垢,使垢自動流出外道口。
·             頑固的垢,耳鼻喉專科醫生可用吸液機和吸液管把它吸出。


參考資料: www.entific.com.hk

以上所提供的資訊僅作為教育及參考用途,如果你有任何醫療問題,應向自己的耳鼻喉專科醫生查詢,而不應單倚賴以上提供的資料。