Facial Rejuvenation Surgery
Facelift is a cosmetic surgery procedure to create a younger and rejuvenated facial appearance by alleviating the effects muscle relaxation, skin sagging and deep folding of the tissues. The loss of youthful fresh look of the face can be attributed to multiple factors ranging from sun damage to gravity and ageing. There are different types of facelifts which may be combined with other plastic surgery procedures such as neck lifts, brow lifts and eyelid surgery.
Facelift surgery aims to rejuvenate the face as well as neck. In some patient groups, this can be provided by isolated facelift surgery and in some groups this needs to be combined with a neck lift procedure.
Mr Tekeli's approach is individualised to patient's skin type, ageing style as well as the quality of the facial fat planes. He has a special interest in deep plane facelifting technique which is technically more demanding. However, the effects are longer lasting as well as natural compared to other older techniques where skin may look tightly pulled. He still utilises other techniques such as short scar or extended SMAS techniques. He likes the effects of facelift especially in mid-face which requires an additional skill set to facelift surgery. He will tailor the treatment according to your needs and feasible expectations.
During almost every facelift surgery, different types of nerves and vessels are exposed. Mr Tekeli uses surgical magnifying loupes as well as disposable nerve stimulators to avoid any damage to these important structures. He is a firm believer a cosmetic facelift surgeon should be able to carry out facial nerve surgery for other problems such as disease or trauma.
Generally a neck lift procedure is combined with a facelift procedure. However, there are certain type of patients who have very "heavy" necks but fresh looking faces. In these isolated cases, a neck lift procedure may suffice on it's own. The procedure is still technically demanding and will require attention to detail in order to get long lasting results.
Brow Lift (Endoscopic or Direct)
A brow lift is commonly utilised to alter the shape of the brows. Ideally, in females, lateral brow should be higher; just above the bony rim of the eye socket compared to medial brow. With ageing and decreased elasticity of skin, the brows can become very saggy which would give an overall appearance of a tired upper face. The aim of this cosmetic surgery procedure is to freshen up forehead as well as eyes.
This procedure regularly used in conjunction with eyelid surgery and there should be special consideration given to eyelids when brow lift surgery is used in isolation. In facial plastic surgery, Mr Tekeli believes in that brows and eyelids should be considered together to achieve the optimal outcomes.
Blepharoplasty (eyelid surgery)
Ageing of the skin along with sun damage and loss of elasticity may contribute to excess eyelid skin and prominent fatty bags under eyelids. This appearance may be further complicated by the presence of tear through deformities. Cosmetic eyelid surgery can rejuvenate the eyes and give the individuals a fresh look. Surgery requires attention to detail and precision due to the important function of the eyelids protecting the eyes. It may be carried out under local anaesthesia in an operating theatre environment.
Total Facial Makeover
This is a term coined by Mr Tekeli who believes the facial structures should be assessed and treated together tailored to individual needs of every patient. The harmony among different parts of the face is paramount important in order to get optimal long-lasting results. A total facial makeover is a combined list of procedures to rejuvenate the whole face and neck including mid-face, eyelids and forehead, jowls and neck. It will require careful planning and execution with a very close follow up in order to provide excellent outcomes.
Genioplasty (chin surgery)
Mr Tekeli puts special emphasis on lower face especially jaw area. He thinks in certain cases, it should be combined with a rhinoplasty which would affect the individual's profile in a very positive way. He also carries out feminisation surgery where masculine facial structures are feminised with combination of surgical procedures. Jaw region is very specific in that the shape dictates the overall appearance of lower face.
Total facial makeover
Chin-jaw line contouring