Getting your looks back with smart cosmetic surgery

cosmetic surgery examination

Dr. Frank Trepsat

Residence les Hauts de Genolier, Route de Muids, Genolier

January 8, 2022

Getting your looks back with smart cosmetic surgery has never been easier. Cosmetic surgery itself is a form of plastic surgery, but unlike plastic surgery, the cosmetic one beautifies instead of repairs. There are numerous reasons why people opt to undertake this surgery. Some want to remove a defect they’ve had since birth, or have gotten it via their lifetimes. Some just want to look as they did while they were younger. All of this is possible with cosmetic surgery. It also keeps progressing and evolving as time marches on, resulting in much better outcomes. Even surgeons themselves are getting operated on nowadays by their colleagues!

Want to learn more? Keep reading the article by Dr. Frank Trepsat!

Cosmetic surgery is a branch of plastic surgery. While plastic surgery repairs, cosmetic surgery beautifies or restores the face or body of a few years ago.

The demand for cosmetic surgery can be divided into two different areas:

Some people have never been satisfied with their appearance and want to remove a defect (a nose that is too long, drooping eyebrows), while others have been satisfied with their appearance but want it back because they no longer recognize it.

Plastic and aesthetic surgery is a specialty in its own right, like orthopedic surgery or neurosurgery, training includes general surgery, then specialization. In Switzerland, this training is attested by the title of specialist FMH.

Aesthetic medicine cannot replace surgery, it can wait, it can be complete, but their means are not the same. A competent aesthetic doctor will be able to tell you when the various injections have reached their limits, just as an honest surgeon can tell you to resort to peels or injections when you have requested a procedure that he or she considers inappropriate for your case. The ultimate goal of these specialties is to make the patient feel good about himself or herself and have a good self-image. In this sense, plastic surgery is a somato-psychic specialty since the physical has an impact on the moral.

Like any other specialty, plastic surgery is constantly progressing and evolving. Congresses are an opportunity to compare our techniques, our results and to evolve in contact with our peers. Medical ethics are opposed to any flashy media coverage. Any evolution or novelty must indeed undergo the test of time before being mediatized.

One of the proofs that surgery is effective is the fact that surgeons themselves are operated on by their colleagues.

When should you consult a specialist and how should you go about it?

It is the discrepancy between the image reflected in the mirror and the image you have of yourself that may prompt you to see a specialist. Age should not be a determining factor in the decision to seek treatment.

A consultation is absolutely essential for the patient to be fully informed and for the practitioner to understand the patient’s concerns. This interview can last an hour and should cover all aspects of the operation: preparation, anesthesia, length of stay, post-operation. Of course, the choice of the surgeon is absolutely crucial. Do not be influenced by the notoriety falsely created by excessive media coverage, but rather ask your doctor who he or she would confide in.

The consultation

During the consultation, thanks to computers, we can juxtapose a photo taken 20 years ago with the one taken during the consultation. The patient can then perfectly visualize on the screen the morphological differences linked to aging. The surgeon is able to propose solutions adapted to his wishes.

Our understanding of aging has changed significantly over the last decade. Where we used to think only in terms of skin tension, or the removal of excess skin, we now think as much about the form, the content, as the container. If you compare a photo of yourself 15 years ago with a photo of yourself today, you will realize that the most significant change is in deformation, not just in skin sagging.

We age like a fruit that dries out, shrivels, and withers. To refresh this fruit, it must be rehydrated, re-inflated, and reformed.

  • The upper eyelids become empty: where they were full, bulging, they become drooping, because they are empty. They often become hollow, especially towards the nose. The skin is inelastic and appears to be in excess. If it were removed without correcting this emaciation, the tired and aged appearance would be aggravated, revealing sunken eyes.
  • Similarly, the lower eyelids become hollowed out and encircled. Puffiness, previously hidden by the subcutaneous fatty layer, appears and one finds oneself with dark circles and bags.
  • The top of the cheekbones become empty and one may have the impression that they have descended. This illusion is due to the fact that the upper part alone has melted.
  • The chin also becomes smaller, and one loses the image of animal energy that a marked chin used to give. The lower jaw also becomes thinner, which reinforces the visibility of the lower cheek, the jowl.
  • The furrows between the nose and the cheek, the nasolabial folds, also deepen. The nose lengthens and appears all the more important, which does not diminish while the rest of the face atrophies.
  • Lips: the upper lip becomes longer and, like a blind that unrolls downwards, it becomes thinner. It completely hides the upper teeth, while a sensual mouth clears the upper incisors. The lower lip loses its fullness and, unlike the upper lip, reveals the lower teeth (piranha).
  • On the other hand, the neck becomes more fleshy, dewlaps develop and everything becomes unstructured, the lower jaw can no longer be distinguished.

The current solution is intelligent surgery, adapted to each situation.

The major evolution has been the possibility of recreating lost volumes thanks to micrografts of the patient’s own fatty tissue to reshape the curves and shapes of youth. We, therefore, take, without a scar, thanks to very fine cannulas, microscopic fragments of adipose tissue in the areas of the body where it has accumulated: inside of the knees, saddlebags, abdomen, and we will then sow, deposit, graft these multiple fragments in the areas of your face where you had them when you were young. The medical term for this technique is lipostructure or lip modeling. This is much more natural than injections of artificial products because, among the fat cells, there is a very high percentage of stem cells, which will truly rejuvenate the local tissues and in particular, the skin. These autografts of adipose tissue, once performed, persist throughout life, like hair or skin transplants. Simply, the natural aging process will resume its course, keeping the beneficial effect of the intervention.

These micro fat grafts complete cosmetic surgery procedures, improve them, make them much more natural, but do not replace them. Their dosage is very important and only a very experienced surgeon with a good aesthetic sense will be able to give you back the fullness of your youth.

  • For the upper eyelids: after having corrected the fat deficit, the surgeon will remove the excess skin, but much less because the eyelid will already be re-sculpted from the inside. The scar, completely hidden in the fold of the eyelid, will be much shorter.
  • For the lower eyelids: we never remove any skin. There is therefore no scar under the lashes. In this region, it is necessary to correct the bags, the ring and avoid the “round” eye. The correction of bags is done through the inside of the eyelid, passing through the conjunctival mucosa. It is a question of removing the fatty balls that push the skin from the inside. The correction of the dark circles is done at the same time, by recreating the top of the cheekbone and its junction with the eyelid by means of fat micrografts. No more bags, no more dark circles, higher cheekbones: the look is restored.

The lower face and neck: here too, modern cosmetic surgery is a combination of reshaping and light tightening. When the time has come, and various injections have not only become ineffective but lead to an artificial appearance, only a facelift, and a reshaping facelift can rejuvenate you. During your light anesthesia, the surgeon will remove fat tissue from the body, reshape the hollowed areas, recreate the mandibular line, remove fat from your neck, and then re-drape your skin and muscles over your reshaped face.

It is no longer a question, as before, of tightening a parchment-like skin on a gaunt face, but of redraping on a shaped face.

The incisions of the skin part of this facelift are located in the hair of the “paw”, in the ear and not in front of the ear, then in the furrow behind the ear and hidden in the hair of the nape. No hair is sacrificed.

Of course, this can be combined with procedures on the eyelids, nose, lips, etc…

You will be discharged from the clinic the next day, after a shampoo, and you will be swollen and more or less swollen for 15 days. But the more time passes, the better you will be and the better you will feel. The effect of the stem cells, transposed with the fat cells, will progressively manifest itself in a spectacular rejuvenation of the skin.

Thanks to these technical evolutions, skin rejuvenation procedures such as peels and lasers are much less often proposed, except for the perioral area and the upper lip.

Thanks to the synergy between plastic surgery, aesthetic medicine, aesthetic dermatology, and aging prevention, we currently have very important possibilities to maintain your health capital, but also your aesthetic capital.

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