Many of my patients do not express a desire to look younger but want a fresher look and to not look as tired or angry. women and increasingly men can pluck their eyebrows to get some height and if further elevation is required then botox or a similar ant-wrinkle muscle relaxant can be used to raise the brow by weakening the brow depressor musculature. please see http://www.taylorclinic.com.au for more on non-surgical browlift

For patients with significant brow ptosis then surgical intervention may be required. this can be done via a direct, trans-blepharoplasty or most commonly an endoscopic approach.

I use the endoscopic technique in combination with the medtronic bone bridge, endotine or ultratine systems to achieve permanent accurate brow lifting position.

So if it is to restore your brow position after a Bell’s palsy or to achieve a more exotic look, or simply to look a little more fresh a brow-lift can help achieve your cosmetic goals.

please visit http://www.sydneyfacialplastics.com.au/cosmetic.html#browlift or paste it into your browser to learn more about this exciting procedure.

For more information please visit http://www.taylorclinic.com.au or call 1300 658 968

Surgery that has been performed may be able to be completely or partially reversed or certainly improved. Patients seeking Facial Plastic/Cosmetic procedure reversal or revision should make an appointment to see Dr Pincock at Sydney Facial Plastics at 02 88833699 or for overseas patients +61 2 88833699

For patients seeking revision or reversal of a body procedure they should make arrangements to see Dr Tavakoli – please visit his webpage by pasting the following address in your browser http://www.drtavakoli.com.au

First and foremost it is extremely important that the patient wait an appropriate time between their primary procedure and a secondary or revision rhinoplasty. It is surprising despite how many times I inform patients about the time taken for subtle swelling to settle down, many patients will ask within the first month after a rhinoplasty if the nose is still swollen – of course ! I also get many second opinions from patients who have recently undergone surgery with another surgeon and are unhappy with the results and are disbelieving of the surgeon that the nose is still swollen. It is imperative that the patient understand that the healing process takes time and although most of the swelling settles by 3 months very subtle changes continue for up to 18-24 months.

If a patient seeks a revision or secondary rhinoplasty, as always it is important to make sure patient and surgeon “are on the same page” as far as desired outcome and whether that is a realistic outcome.

common revision rhinoplasty problems and the approach to correction

1. further change to nasal shape – usually the result of surgeon wanting to be conservative or patient stating they did not want a major change when in fact they did. It is important to use computer imaging here to make sure both parties are aware what the desired outcome is and whether it is achievable. in particular patients will often feel their nose is over-projected after surgery. It can take some time for the nose to settle after surgery.
2. asymmetry – if it is bony it is fairly straight forward and can be approached by an endo-nasal approach. if it is tip asymmetry this is more complex and will require an external approach. tip asymmetry within the first 12 months of surgery can still be related to differential rates of tip oedema resolution. Bony asymmetry can be addressed early if obvious, tip asymmetry should be delayed till at least 12 months after initial surgery unless its clear it will not resolve
3. irregularity of underlying bone – this can be a common cause for patients to seek a referral or be concerned post-operatively. it is very common after surgery for there to be irregularity at the sites of bony osteotomy. These settle with time. It only needs to be addressed in the case of osteoma formation or if the irregularity is visible
4. over-resection of nose – fake appearing nasal shape – this is unfortunately still a common occurence, the nose is small, very upturned and often blocked. This is almost always the result of a closed rhinoplasty technique with over-resection of lower lateral cartilages or “cephalic trim”. This needs to be corrected via an external approach rhinoplasty with an alternate source of cartilage stock. either ear or rib cartilage. Surprisingly I do occasionally get asked to achieve this look for some patients, in this situation most people will realise its not a desirable appearance after some explanation.
5. post rhinoplasty nasal obstruction – very rare when performed by an ENT trained facial plastic surgeon, and most general plastic surgeons specialising in rhinoplasty recognise the at-risk patient prior to surgery. most rhinoplasty involved making the nose smaller and this can reduce airflow in a patient with a marginal nasal airway. This can be corrected quite easily by an ENT (ear, nose and throat surgeon) and does not require an external incision.

Undergoing rhinoplasty can be an extremely positive experience. It is imperative that a patient choose their rhinoplasty surgeon wisely. Visit http://www.rhinoplastysydney.net.au or call us at Sydney Facial Plastics on 02 88833699 if in Australia or +61 288833699 from overseas for more information about making a consultation regarding rhinoplasty.

1) deviation of the nasal septum
2) turbinate enlargement
3) nasal mucosal lining inflammation
4) adenoidal enlargement (most commonly in children)
5) external nasal deformity (including alar and tip collapse)
It is imperative that a correct diagnosis is made for your nasal obstruction as treatment needs to be directed at the exact problem. For example. performing septal surgery on someone with bad hay fever/allergic rhinitis is a waste of time. Similarly giving nasal steroid spray to someone that has an extreme septal deviation is not going to work.
An examination of the nose must be performed initially to assess the cause of nasal obstruction. Mucosal irritation can be treated with nasal sprays, immunotherapy or UV light therapy (rhinolight). Anatomical abnormalities such as adenoid enlargement, deviated nasal septum, turbinate hypertrophy pr external nasal issues are all treated surgically.

I often see desperate patients who have had 3 operations on their septum that clearly have unaddressed mucosal disease or an external nasal deformity such as alar collapse that is easily rectified.

I am dedicated to correctly diagnosing the cause of a patients nasal obstruction and treating it appropriately. Please call 02 88835368 to book a consultation for nasal obstruction. For any cosmetic disorders of the nose please call 02 88833699 or visit htttp://www.sydneyrhinoplastyexpert.com

Dorsal humps can be either bony or cartilaginous but most often are a combination of both. My technique is to expose the hump completely and then take it down by shaving it about 1/2 mm at a time. I think this a good way to make sure not too much is removed which results in a very artificial overdone appearance.

So what is the ideal dorsum?, well it differs for everyone and is a combination of several factors including skin type, facial bone structure, cultural background and personal preference. This is where computer imaging is very beneficial as many patients think they want a certain profile but realise it does not suit them after seeing the imaged profile. Personally I think a straight or very slightly convex dorsum is desirable in a male and a straight or very gentle concavity is desirable in a female.

It is very important to identify a low nasal takeoff or nasal radix on initial assessment as this can lead to over aggressive dorsal humpectomy if not recognised. In these cases a small radix graft with crushed cartilage and a conservative rasping of the dorsal hump yields a very natural result. This is especially true in asian rhinoplasty where the nasal take off point is often very shallow.

To discuss the possibility of dorsal hump surgery you should see a trained rhinoplasty surgeon, which is either an ENT surgeon with specialised training in facial plastic surgery or a general plastic surgeon with an interest in facial surgery. Make sure your surgeon has an FRACS qualification.

please visit http://www.rhinoplastysydney.net.au for more detailed information on rhinoplasty.

Appointments can be made by calling Sydney Facial Plastics on 02 88833699 or calling Illawarra ENT, Head and Neck on 02 42261055

Dr Pincock has a pure facial plastic and reconstructive practice in the Illawarra and therefore only see’s patients for the following issues there

If this is the case for you then you may want to consider facial or neck liposuction. This is a very quick, easy and minimally invasive way to get results fast. Dr Pincock reccomends being at or close to your ideal weight before considering this procedure. This is not the weight you were at in high school or the weight you would love to be, it is the weight you think you can healthily maintain long term.

Young patients benefit from skin elasticity which can give their neck an entire lift by re-draping the skin of the neck effectively across the whole neck. For patients that are older or with a heavy neck it can be combined with a number of “corset” techniques to redesign the neck to achieve a more youthful contour.

Operative time ranges from 30 minutes for simple sub-mental liposuction to 2 hours for a full neck lift with corset platysmoplasty.

Downtime is from as little as 3 days.

For more information please paste this link into your browser: http://www.sydneyfacialplastics.com.au/cosmetic.html#necklift