Cosmetic Facial Surgery – Facial Makeovers Cosmetic jaw surgery may be carried out by Maxillofacial Surgeons in conjunction with other cosmetic facial procedures. If many procedures are carried out all at the same time this is termed a Facial Makeover. Facial Makeover include many of the following procedures…….. Facelift / Neck lift / Endoscopic Brow lift Rhinoplasty Upper and lower blepharoplasty Lip enhancement / reduction Neck Muscle surgery to improve contour Liposuction/Liposculpture to improve jaw neckline Jaw Surgery Treatment of furrows and wrinkles Collagen implant surgery Customised Implant Surgery Erbium YAG skin resurfacing Scar revision Cosmetic excision / laser treatment of skin lesions and birthmarks Cosmetic Dentistry / Orthodontics Joint management with colleagues who have special training and expertise in certain procedures is an NCAFOS policy - in line with our goal of providing Clinical Excellence across a broad range of surgical procedures. Please see additional literature for further descriptions of these procedures available at the NCAFOS. Patient Confidence and Expectations Facial Makeovers can involve major surgery lasting 8 hours or more. Patients require appropriate preoperative counselling and realistic expectations may be encouraged by computer planning technology. From a psychological perspective, family support is ideal for patients entertaining such surgery. Lack of such support can lead to emotional problems between family members. On occasion a formal psychological assessment may be required prior to surgery to investigate adverse psychological disorders which may be a contraindication to surgery. Such patients may have a devastating view about their perceived appearance which cannot be demonstrated on screen with computer technology. As a general rule, major cosmetic problems are the easiest to rectify. Minor changes in aesthetics are more difficult to secure. It is important that the patient can relate to the surgeon and explain precisely how they wish the facial aesthetics to be changed. Computer planning is helpful in this respect. Cosmetic Facial Surgery - Facial Makeovers Case Study – Computer Prediction A computer simulation of surgery (page 28) illustrates the likely effects of the following treatment plan:- 1. Bilateral SMAS Face Lift 2. Endoscopic Brow / Forehead Lift 3. Rhinoplasty 4. Liposuction / Liposculpture to chin / neck 5. Additional Collagen Augmentation of Labiomental Folds 6. Erbium YAG Skin Resurfacing Photomorphanalysis™ - Case Demonstration