Face Lift: Description

Face Lift surgery has changed dramatically over the past two decades. Stigmata of early, subcutaneous face lift techniques included an operated, overly lifted and unnatural appearance. These suboptimal results have effectively been replaced by the naturally appearing, predictable and long lasting results of sub-SMAS and deep plane face lift operations. Modern face lift techniques no longer apply significant tension to the lifted skin.


Liposuction of the neck is frequently performed with a modern face lift. Thus an imbalanced appearance between an overly stretched face and an undertreated neck can effectively be avoided. Placement of the incisions has also been improved. The incision line runs inside the ear canal (retrotragal line), thus rendering the incision lines nearly invisible, even when the hair style is such that the ears are not covered.

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.

Rhinoplasty- Can I see what I will look like after the operation?

Yes, computer imaging can give you an idea of what your nose will look like. Some doctors offer computer imaging and others don’t. Those who are in favour of imaging find that it helps to precisely plan the operation and it is greatly appreciated by the patients. Those who dislike imaging are worried about raising undue expectations. Remember that the result will almost always differ somewhat from the computer generated outcome, regardless of the surgeon’s expertise.

What about the downtime after surgery?

This depends largely on what needs to be done, the technique used and, of coures, on your personal healing. Please ask your surgeon what you should respect before the operation and what you will be allowed to do afterwards. You will be told if you will have a cast or splint on your nose and how long it should stay on. In most patients, the eyelids are somewhat swollen and may be bruised for a few days after a correction of the bony nose and stitches on base of the nose may have to be removed. Most patients are back to work within a week or so.

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.

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.

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.

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.

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天

                                 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。

耳垢的處理

為什麼會有耳垢？

耳垢的產生是一個正常的生理現象，因耳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耳道的死皮，便會形成耳垢。

耳垢的集結需要處理嗎？

一般正常的耳朵都有耳垢集結，並不需要特別處理，而且耳垢有保護外耳道的皮膚免它受細菌感染，所以可不需清理。但如果耳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耳朵的深處時，耳垢便須用人工方法取出。

耳垢可以自行取出嗎？

如果耳垢被推掉到外耳道口，便可用紙巾或棉花抹去，切勿使用棉花棒、耳挖、牙簽、髮夾等東西挖耳，它們不但會把耳垢推進更深的地方，還會弄損外耳道皮膚而引致發炎，嚴重還會弄破耳膜。

嚴重的耳垢問題應怎樣解決？

找耳鼻喉專科醫生檢查耳朵，聽取他們的意見，在耳鼻喉專科診所裏去除耳垢。方法包括：

·             用滴耳藥水溶解耳垢，使耳垢自動流出外耳道口。

·             頑固的耳垢，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。

如何保護你的聲帶

保護聲帶

·             放慢說話速度

·             說話時要作停頓

·             保持聲線得到適當的休息

·             以適合自己的聲調說話

·             多飲水

·             避免長時間逗留在乾燥／多煙塵的地方

·             減少吃刺激性飲食

·             多放鬆自己

·             保持身心愉快，以理性的態度面對問題

·             日常生活有規律

·             減少娛樂中過度用聲

·             在許可情況下，培養多方面興趣

損害聲帶的行為

·             課餘時長時間不停的說話或唱歌，例如過度唱詩、煲電話粥

·             說話太快

·             在嘈吵環境中大叫和大聲說話，例如課室、茶樓、街上

·             用不適當音調說話或唱歌，(太高/太低音)

·             用不適當音量說話或唱歌，(太大/太細聲)

·             清喉嚨

·             大力咳嗽

·             激動地大笑/大哭

·             吸煙

·             飲刺激性飲料，例如酒、咖啡、濃茶

·             吃刺激性食物，例如煎炸/熱氣/太乾食物，太鹹/太甜/太辣食物，和太熱/太凍食物

·             吃宵夜過飽

·             娛樂節目中過度用聲，例如唱卡拉OK、打麻雀

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。

止鼻血的方法

流鼻血是一種常貝症狀，以兒童及老年人發病較多，一旦發生以上情况，發現者應保持鎮定，因為若病者精神緊張，血壓升高，出血會較難停止，對病者不利，以下是一般較簡易的應救措施：

·             先讓病者坐下，頭向前傾，解除頸部及胸部衣服的束縛，應保持鎮定，並安撫病者。

·             指示病人用口呼吸，並揘住鼻翼(鼻子的柔軟部份) 大約十分鐘，可以達到止血效果。

·             同時利用冰袋敷鼻樑及前額，可以收縮血管，幫助止血。

·             部份鼻血可能會流至口腔，應指導病者不應嚥下，及給予器皿盛載。

·             十分鐘後放鬆壓力，如果仍未止血，再壓十分鐘，此時病者仍不可把頭抬高。

·             不可用紙屑塞進鼻腔內。

·             出血情況停止後，叮囑病者避免身體過份用力，至少四小時內不要擤鼻涕，以免引致再流鼻血。

·             如急劇流鼻血或三十分鐘內仍未止血，應延醫治理。

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。