Face Lift: Preoperative evaluation

Reference information: www.entific.com.hk

Most aspects of pre-, intra-, and postoperative care vary considerably among surgeons. The suggestions given herein represent the author's preferences at the University of Regensburg (Germany) and have proven successful over time. However these suggestions are not meant to be dogmatic or to imply that different preferences are less effectual.



Paramount to the preoperative evaluation is a long, thorough and honest discussion with the patient. The surgeon must develop an excellent understanding of the patient's wishes and concerns. It is also the surgeon's responsibility to clearly communicate realistic expectations about the treatment effect, both short-term and long-term, and what the risk of a less than perfect outcome would be.


A separate discussion should also take place between the anaesthesiologist and the patient so that measures to avoid postoperative nausea and pain are employed. Quality photographs are taken and serve both as a guide in the preoperative discussion and as a reference for the surgeon intraoperatively.

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.

Face Lift: General information on the procedure

With time, the skin and deeper tissues of the face and neck loosen, lines and furrows form. The fat pads of the cheek descend towards the mouth, creating marionette lines. Moreover, the transition from the face to the neck becomes blunt, the contour of the mandible less visible. Jowls form and fullness under the chin is noted.

Although a person typically still feels young and energetic, their face and neck portends a tired and sometimes sad appearance. Various rejuvenation procedures are available to correct different areas of the face. The choice of the right procedure or combination of procedures depends on a variety of factors, most importantly the patient's wishes and expectations as well as the individual anatomy.


The deep plane face lift is among the most definite procedures available for the treatment of age-related facial changes, especially when changes of the neck are present as well.

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.

及早控制鼻敏感 保持生活質素

每逢轉季的時候，張小姐便會出現鼻敏感。通常是剛起床不久即出現鼻癢、流鼻水和打噴嚏，而連續的噴嚏令她感到頭昏腦脹，弄得整個早上提不起精神來。

鼻敏感的對象不分年齡，可分間歇性和持續性兩種。病徵持續出現少於四星期間歇性，多於四星期為持續性。成因多為患者吸入致敏原令鼻腔內的細胞受到刺激而釋出組織胺，引致鼻塞、鼻癢、打噴嚏、流鼻水等病徵持續出現。而致敏源多來自家居與生活環境，如塵蟎、寵物的毛髮皮屑、塵粒和二手煙等。

良好的家居衛生對治療鼻敏感非常有幫助，保持寢具與室內環境清潔可以減少致敏原出現。對於持續性的鼻敏感,第一綫藥物多處方無睡意抗組織胺藥物，再因應患者對藥物的反應與病情，考慮處方類固醇噴鼻劑。醫生亦會了解患者鼻敏感出現的模式，建議患者最佳受藥時間，減少感到需要長期服藥的心理負擔。

鼻敏感不是嚴重疾病，然而對學習生活或日常工作會帶來不便，所以，若持續出現鼻敏感病徵需考慮作詳細檢查，以降低學習與工作情緒受影響，或是社交生活裡帶來的尷尬情況。

黃德彰耳鼻喉專科醫生

參考資料: 健康動力

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。

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。