Neck Lift Surgery: How It Differs From a Facelift
Ageing in the neck is not one problem but three independent ones: muscle (platysmal bands), fat, and skin. Which of these dominates determines the approach — and the fat itself sits in two separate layers, above and below the platysma muscle. Liposuction reaches only one of them. A neck lift can be performed on its […]
Breast Changes After Breastfeeding: How Long to Wait Before Surgery
Breastfeeding is widely blamed for breast sagging, but the evidence does not support it. In a study of 132 women, the independent risk factors for ptosis were number of pregnancies, age, body mass index, pre-pregnancy cup size and smoking history. Breastfeeding was not among them. The common approach to surgical timing is to wait at […]
How Long Do Breast Implants Last? When Should They Be Replaced?
No — and the source of that belief is a warranty period, not a clinical recommendation. As published reviews note, the FDA does not recommend a formal timeline for the routine replacement of breast implants. But implants are also not considered lifetime devices. What is recommended is not routine replacement but routine surveillance: for asymptomatic […]
What Is Capsular Contracture in Breast Implants?
Forming a capsule around an implant is a normal and expected process; the problem arises when that capsule thickens and tightens. This is capsular contracture, with an overall reported incidence of 10.6%. Severity is graded using the Baker classification, and grades III and IV generally call for surgery. The most consistently supported preventive measures are […]
Functional Rhinoplasty: Can Shape and Breathing Be Corrected Together?
Yes — and in most cases the two cannot be separated. Removing a dorsal hump creates an opening in the nasal roof; if that region is not reconstructed, problems follow in both appearance and breathing. Surgical sources describe middle vault reconstruction after hump removal as almost always necessary. And the techniques used to provide that […]
Open or Closed Rhinoplasty? A Comparison of Techniques
Pooled evidence shows no significant difference between the two techniques in satisfaction, complications or aesthetic outcomes. The columellar scar, assessed with validated scales, was rated unnoticeable in around 86 to 88 per cent of patients. Technique is selected according to the problem being corrected and the surgeon’s experience — not according to patient preference alone. […]
Revision Rhinoplasty: When Is a Second Nose Surgery Done?
The general recommendation for revision rhinoplasty is to wait at least 12 months after the primary operation. The reason is that swelling must resolve and scar tissue must settle; operating early adds fresh scar to tissue that is still healing. Revision is more difficult primarily because the nature of the work changes: a primary rhinoplasty […]
Managing Expectations Before Aesthetic Surgery
What determines satisfaction in aesthetic surgery is often not the technical success of the operation but the expectation the decision was made with. Improving a specific aspect of appearance is a realistic goal. Expecting the correction of one feature to change the general course of life is a different matter, and one that belongs in […]
Breast Implant Removal (Explant): Who Is It For and What Are the Results?
Removing a breast implant does not always require removing the capsule. According to a 2024 consensus statement, en bloc capsulectomy is necessary only for patients with established or suspected implant-associated cancer. Volume loss and some degree of ptosis are expected after removal; a lift can be planned in the same session where appropriate. There has […]
What Is “Ozempic Face”? Facial Volume Loss After Rapid Weight Loss
“Ozempic face” is not a medical diagnosis — it is a lay term describing facial deflation after rapid weight loss. The underlying change is no different from normal facial ageing: the superficial and deep fat compartments empty out. It simply happens far faster. Treatment options range from fillers and fat transfer to surgery, depending on […]