procedures

Face and neck

It is a fact of nature that our skin ages, muscles slacken and therefore our faces experience new and not always welcome contours – your photos from years gone by will tell you this. With ageing and sun damage, loss of elasticity to our skins and even weight loss, the skin on our necks can become loose and lined. Cosmetic plastic surgery is the ideal approach to take to address these issues. Mr Yang combines good judgement and established techniques to carefully restore facial aesthetics in a subtle and rejuvenating manner.  Mr Yang is committed to achieving the best possible outcomes for you.

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Face Lift +

UPPER, MID AND LOWER FACE LIFT - Depending on the individual and what they wish to address through this cosmetic surgery, upper, mid or lower facelifts are performed. During your consultation, Mr Yang will assess your face and discuss with you just what is needed to provide you with the results you seek. Many people combine the facial procedure with an eye or brow lift and micro fat grafting to restore volume and shape. Facelifts today are about obtaining a fresher more youthful tone, not the taut, shiny and unrealistic result of days gone by. Scars are hidden behind ears and in natural creases and fade over time. The procedure is done under general anaesthetic at either Tristram Private Clinic, or Braemar Hospital.

Neck Lift +

By surgically tightening loose skin, lines and wrinkles will resume a smoother, more youthful appearance. Liposuction may be used to complement the procedure, removing any excess fat under the chin and jowls, contouring and defining the jaw line. It is often most effective when combined with lower face lift.

Am I a candidate? There is no age limit for when facelift and neck surgery should be administered; although the most suitable candidates are between 40 and 65.You may be a suitable candidate if:

  • You have noticeable signs of facial ageing (skin laxity/sagging skin)
  • You are near or at your ideal weight (excessive weight gain or loss will affect the results of surgery)
  • You are not a smoker, or have stopped smoking for at least 4 weeks

Rhinoplasty +

Rhinoplasty - often referred to as a “nose job” - may be performed for either cosmetic or functional purposes. Mr Yang is passionate about this procedure, which is regarded as one of the most challenging branches of facial aesthetic surgery. He has a keen eye for detail and is fastidious about symmetry and realistic outcomes. Rhinoplasty deals with facial balance and breathing functionality. Nose surgery remodels the shape of the nose and achieves a more desirable look by eliminating bumps and asymmetry in both front and side views. The end result is a more symmetrical and balanced nose that complements other facial features. Rhinoplasty may be performed following trauma, or to refine and/or improve nose deformations ranging from minor to severe (such as seen in congenital cleft lip and palate patients). Mr Yang received fellowship training under the auspice of international rhinoplasty master Professor Nasim Cerkes and attends international rhinoplasty courses and symposiums to keep up to date with the latest rhinoplasty concepts and techniques shared by international masters in the field.

Am I a candidate

The nose normally matures by the age of 17-18 years. A rhinoplasty is not usually performed before this age, as further nose growth causes unwanted shape changes.

You may be a suitable candidate if:

  • You have noticeable nose hump, bulges, shapes or asymmetry that you would like improved
  • You have a birth deformity affecting the nose
  • You had damage to the nose or its internal structure due to injury, which may have also restricted the breathing passages
  • You are not suffering from chronic nasal diseases
  • You are over 18 years old
  • You are in good overall health
  • You are wanting it for your own reasons, not someone else’s or for secondary gains

Chin Reshaping +

Also known as Genioplasty. The chin is an integral component of the aesthetic harmony of a face. Mr Yang will assess the whole face to make sure a pleasing balance between the nose, the chin and the cheeks can be achieved. Reshaping of the chin can be performed individually or at the same time as a rhinoplasty. Options of reshaping may include injectables, fat graft, implant, or reshaping of the chin bone.

Eyes and Brows +

Some of the earliest signs of ageing occur around the eyes. Common changes include drooping of the eyebrows, lines across the forehead, excess skin developing in the upper eyelid. Sagging (ptosis) of the eyebrows can also contribute to sagging of the upper eyelids. As the problem worsens, the skin fold starts to interfere with vision affecting both men and women. When evaluating these concerns we need to determine how much the eyebrows, and how much the eyelids are independently contributing to the problem. While most patients can have these concerns addressed with eyelid surgery alone (blepharoplasty), some patients will need a combination of eyelid surgery and brow lift surgery. Mr Yang provides upper eyelid and brow assessments and provides corrective surgery that best suits your aesthetic (cosmetic) and functional goals. This will range from simple blepharoplasties (tidying up of excessive upper eyelid skins) to procedures combined with correction of droopy eyelids (blepharoptosis), and brow/forehead lifts.

Upper and Lower Eyelid Reduction +

Blepharoplasty - With ageing or hereditary factors, saggy eyelids commonly occur and are the source of dislike for many people (hooding in upper eyelids; eye bags in lower eyelids). Blepharoplasty is one of the most regularly performed surgical procedures, where excess skin and sometimes fat, is removed from either the upper or lower eyelids, or both.

In some instances, the upper eyelid itself is drooping (eyelid ptosis) and is masqueraded by excess upper eyelid skin. During an upper blepharoplasty procedure the eyelid position can also be corrected by tightening the eyelid opening mechanism (ptosis surgery).

For lower eyelids, eye bags may be exacerbated by loosening of the eyelid through the natural process of ageing, allowing them to turn outwards (ectropion) and causing tears to pool and not drain properly. During a lower blepharoplasty procedure, the lower eyelid can also be tightened (ectropion surgery). Sometimes a mid-face lift may also be combined to further bolster the support to a loose lower eyelid.

The blepharoplasty procedures can significantly improve and refresh the overall shape and look of the eyes. While these are usually cosmetic procedures, sometimes excess skin, significant upper eyelid ptosis, or severe lower eyelid ectropion can interfere with vision, in which case some medical insurers may contribute to costs. The surgery restores a more youthful appearance, the downtime is minimal and the procedure can be done under both general and local anaesthesia.

The benefits from blepharoplasty may include:

  • Restoring youthful definition to your eyelid
  • Removing excess skin and fat
  • Reducing lines and wrinkles under and around the eyes
  • Correcting a droopy upper eyelid position, eyelid ptosis

You may be a suitable candidate for upper eyelid surgeries if:

  • You are concerned about drooping eyelids, excess eyelid skin, eyelid bulges or hallowing, or eyelids obstructing your vision
  • You have good health and realistic goals and expectations with regards to the surgery
  • You do not have problems with chronic dry eyes or persistent watering of the eyes
  • You are not suffering from recurrent active bouts of upper eyelid swelling (oedema)
  • You are not currently having treatment for an eye disease through an eye specialist

You may be a suitable candidate for lower eyelid surgeries if:

  • You are concerned about lower eye bags, or out-turned lower eyelids with pooling of tears

Your surgeon may advise combining an upper eyelid blepharoplasty with the following:

  • Brow/forehead lift - brow positions can drop with forehead ageing to compound the appearance of excess folds in upper eyelid skin, giving a false impression of a constantly tired and/or angry appearance
  • Face lift

Your surgeon may advise combining a lower eyelid blepharoplasty with the following:

  • Lower eyelid ectropion surgery
  • Mid-face lift

Brow Lift +

A brow lift gives a person a more refreshed, and less ‘angry’ look by decreasing the drooping and wrinkling around the forehead and eyes. Drooping of the brows occurs with age, but frequently a low brow can appear to sit in a normal location because the muscle of the forehead constantly tries to elevate the brow to assist with vision, creating the horizontal wrinkle lines across the forehead.

The benefit from brow lift may include:

  • Elevate the brow higher towards a more normal position
  • Improve forehead wrinkles
  • Lessen frown lines around eyes and near nose

You may be a suitable candidate for brow lift surgery if you:

  • Have a heavy feeling in the forehead and a low sitting brow
  • Have forehead wrinkles
  • Are realistic about what you want and can be achieved
  • Is knowledgeable about how the procedure is administered
  • Have no serious medical issues

Double Eyelid Surgery +

Asian Blepharoplasty - Many Asians are born with eyelids that are naturally without a crease (“single eyelid”). Asian blepharoplasty is a cosmetic procedure in which the eyelid is reshaped and an upper eyelid created with a crease (i.e. "double eyelid").

Epicanthoplasty +

Asian Eye Widening - The medial epicanthal fold is a unique feature to the Asian eye, stretching over the inner (medial) corner of eye where the upper and lower eyelids meet. Medial epicanthus greatly affects the appearance of the eye. Epicanthoplasty is a procedure that realigns skin folds at the inner corner of the eye to make the eyes look larger and clearer. The procedure is often performed with the Asian double eyelid surgery to maximise the enhancement to eyelid appearance. It requires a series of small incisions at the inner corner of the eyelids. Mr Yang takes great care to minimize scarring through a conservative approach with fine instruments. Mr Yang received fellowship training in Korea for double eyelid surgery. If you are considering having this procedure, please contact Mr Yang for a consultation.

Mr Yang is able to conduct consultations for speakers of Mandarin Chinese. Please inform the staff when organising a consultation.

Ears +

Otoplasty deals with surgery of the ears. This can be for both cosmetic or functional reasons, minimising ears that “stick out”, are uneven or too big, or have been damaged over time, i.e. “cauliflower ears”. Otoplasty can be life changing for people who are often victims of teasing and bullying due to ear size.

Ear reduction (setback otoplasty) is a procedure to reshape or adjust the position of the ears by cutting and/or removing cartilage at the back of the ears. Because of the position of this incision, scarring is not at all obvious. The procedure is most successful in children as the cartilage is still soft, but still effective in adults and teenagers. Ear surgery can be done under local or general anaesthetic, a padded bandage is in place for up to seven days meaning this procedure is ideal for students to schedule during school breaks.

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I always spend the time necessary to understand and address each patient’s individual goals and concerns through open discussions grounded in trust and mutual respect.
— Arthur Yang
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