Facial Surgery Procedures

Eyelid Surgery

Overview

Procedure

Anaesthetic

Recovery

Risks

Ancillary

Cost

Upper eyelids often appear 'heavy' with excess skin and puffiness. This can make us look tired and obliterates the eyelash line. As we age we can develop 'bags' below the lower eyelids. This happens as the cheek descends and the fat below the eye bulges.

Excess skin and fat is removed from the upper eyelid. The bulging fat of the lower eyelid is repositioned to fill the hollow under the eyelid. This was previously removed, but often resulted in hollow looking eyes. The scarring in this region is excellent.

Usually local anaesthetic with light sedation in rooms.

80% recovery in 10 days.

Mainly bruising and swelling.  Not indicated for people with significant lower eyelid laxity or hanging brows.

Botox brow lift or crow’s feet treatment, TCA chemical peels, frown muscle excision.

From R 12 000

Forehead Lift

Overview

Procedure

Anaesthetic

Recovery

Risks

Ancillary

Cost

Eyebrow position plays a vital role in our facial expression. When we get older the outer portion of the eyebrow often descends creating a sad or tired look. A forehead lift, or brow lift, can help to lift the brow line to a higher, more natural position and recreate a fresh youthful look.

A brow lift can be accomplished by non-surgical or surgical means. Non-surgical treatment involves selective placement of Botox or filler. Surgery involves incisions in the hairline. The brow is then elevated to a higher position.

Non-surgical brow lifts do not require any anaesthetic and are performed in the rooms. Brow lifts are usually done under conscious sedation in the rooms or theatre as a day case.

Non-surgical, 24 hours. Surgical. 80% recovery in 10-14 days

Non-surgical: Excessive brow elevation. This is easily corrected. Surgical: mainly bruising and swelling.

TCA chemical peels, blepharoplasties and facelifts.

BOTOX Brow Lift

From R 1 960

Surgical Brow Lift

From R 16 000

Midface Lift

Overview

Procedure

Anaesthetic

Recovery

Risks

Ancillary

Cost

The mid face or cheek area descends and becomes deflated over time. This can lead to a gaunt look, deep nasal-labial folds and accentuates baggy lower eyelids.

The midface can either be lifted by means of surgery or the lost volume can be replaced. Surgery is done with an incision in the upper gum and hairline area. The cheek is then elevated to create a full youthful appearance. Volume replacement can be combined with surgery or can be accomplished with filler or fat injections.

Surgery is done under general anaesthetic in theatre with an overnight stay in hospital. Volume replacement is done under local anaesthetic with conscious sedation either in the rooms or in theatre as a day case.

Surgery: 80% recovery in 14 days. Volume replacement: 5-7 days

Surgery: Swelling can be prolonged. Non-surgical: Fat graft survival is not always predictable and fillers usually last between 18-24 months.

Botox, TCA chemical peels, fat grafting to other areas in the face and blepharoplasties.

Mid face lift with Filler

From R 8 000

Fat Grafting

From R 16 000

Surgical Midface Lift

From R 43 000

Lower Face & Neck Lift

Overview

Procedure

Anaesthetic

Recovery

Risks

Ancillary

Cost

Aging of the lower third of the face and neck are often the most apparent sign of aging. These changes may include the development of deep lines in the cheeks and around the mouth; loose, excess skin in the cheeks, jaw line, and neck; and banding around the neck.

Unfortunately nonsurgical treatments are not very effective for these problems. A combination of skin resurfacing, filler and Botox can improve can improve this area. Surgery usually involves an incision made around the ear and under the chin. The deeper layers in the face are then re-tightened before removing some of the excess skin. A small amount of liposuction is usually performed in the neck area and some fat grafting to the midface area.

Usually done under conscious sedation in theatre as a day case.

80% recovery within 10-14 days.

Mainly bruising and swelling. Nerve damage is a possibility although this is rare.

TCA chemical peels, Botox, blepharoplasties and forehead lifts.

From R 27 500

Nose Reshaping

(RHINOPLASTY)

Overview

Procedure

Anaesthetic

Recovery

Risks

Ancillary

Cost

Often, the structure or size of the nose is not proportionate with the other features on the face. Common complaints involve a dorsal bump, unrefined tip or breathing difficulties.

Fillers can sometimes be used to hide small imperfections, but cannot alter the shape of the nose significantly. Surgery usually involves an incision inside the nose to expose the framework of the nose. This is then reshaped. A splint is the placed on the nose and occasionally an internal plug is placed inside the nose. Although it might appear painful, the surgery is usually well tolerated.

Fillers are done in the rooms.

Surgery is done under general anaesthetic in theatre with an option of staying overnight.

80% recovery in 10-14 days. Remaining 20 % can sometimes take up to 4 months.

Mainly bruising and swelling. Minor imperfections can result from healing which is beyond our control.

Chin augmentation.

Filler

From R 2 500

Surgical

From R 35 000

Ear Surgery

Overview

Procedure

Anaesthetic

Recovery

Risks

Ancillary

Cost

Ear surgery, also known as otoplasty, is a procedure to correct the size of the ears or to get prominent ears closer to the head. Prominent ear correction surgery is usually done from age of 4 onwards.

A small incision is made behind the ear. The ears are then folded to the correct position. Initially a bandage is worn for about 5 days. Wearing a light compression headband or buff for 4 weeks follows this.

Sedation and local anaesthetic for patients older than 16 (Rooms or Theatre).

General anaesthetic for younger patients, in theatre.

This is not a painful procedure.

80% recovery 1 week

95% recovery 6 weeks

Infection and bleeding can occur, but the risk is low.

Any

Sedation

From R 15 800

General Anaesthetic

From R 25 000

Dr JC van der Walt Inc.

Plastic & Reconstructive Surgeon

The Stables

1 How Avenue

St George's Hospital

Port Elizabeth

Reg. No. 015/218777/21

VAT. No. 4550270468

PO Box 20058

Humewood

6013

South Africa

Tel: + 27 (0) 41 373-2261

Fax: + 27 (0) 41 373-2267

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