GBAesthetics
With over 15 years of experience and 10,000 patients, Dr Greg Bran has produced incredible results for people just like you.
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Answers to frequently asked questions. Alongside our FAQs, we also have a series of educational videos for each of our treatments.
Other beneficial procedures that can complement neck lift surgery include face lift, lip lift, or chin augmentation surgery. As a non-surgical addition many patients benefit from >Wrinkle-filler our unique all-natural and patient blood-based skin treatment > NABFAB. In order to find out more you should book a confidential consultation with Mr. Bran. As an expert in facial plastic surgery, he will be able to answer all of your questions and explain the details of your tailored procedure.
Depending on the technique, incisions will be placed in a natural crease around your earlobes, in the groove behind your ears and underneath your chin. Scars will be visible for the first months after surgery. As the scars continue to mature, they will become less noticeable. Mr. Bran wrote his PhD on scar treatment and has a particular interest in scars and the management of them. He continuously improves his surgical techniques in order to create superior results with the least noticeable scars.
You will be able to appreciate the new silhouette of your neck immediately after your neck lift procedure. During the first two weeks after your surgery some swelling will appear which will obscure the result for that time. Results are considered final after approximately 2-3 months, when residual swelling has subsided.
We advise our patients to plan enough time for their recovery. In the first week you should expect swelling around your neck. In order to keep discomfort at a minimum, we advise our patients to wear the garment. You will receive this garment as part of the after-care package. You are to wear it 24 hours daily for the first seven days after your procedure, and only at night for the following two weeks. Discomfort is usually minimal and easily controlled with adequate pain medication. We advise our patients to avoid strenuous exercise, avoid bending over and to sleep in an elevated position of the upper body in order to control post-operative swelling and protect your healing incisions. Mr. Bran and his team will guide you through your healing process at all postoperative visits to ensure a smooth recovery. Patients can go back to their daily activities within approximately 10 days after surgery.
Minimal discomfort is expected. This includes swelling of the operated area. Bruising is uncommon. You will be given adequate pain medication to keep your discomfort at a minimum.
The results after neck lift surgery are first and foremost natural. You will be able to appreciate the improvements for approximately 5-10 years. Although the ageing process will unfortunately still have its effect on the appearance of your face and neck in various ways, the contours of the not increase in volume again should you maintain a stable weight.
Usually neck lift surgery takes approximately 2 hours to perform, however if you have additional procedures, operating time will increase accordingly.
Neck lift surgery is usually offered as a day case procedure, performed under general anaesthetic. Patients who do not have excess skin due to laxity usually do not require a full neck lift. Less invasive techniques, such a liposuction of the neck, can be offered under local anaesthetic as a day case procedure.
The three main reasons for a heavy appearance of a neck are: Excessive volume due to an accumulation of fat tissue (this phenomenon can be hereditary, therefore unrelated to age or personal body weight – some athletic patients can still have an undesirable “double-chin”. Age-related fat displacement also leads to jowl formation and loss of definition across the jawline laxity of the platysma muscle (a thin muscle sheath that is attached to the skin around the neck). Loss of tone and volume in the platysma can lead to vertical banding in the neck, which may also create two paired bands in the midline Loss of skin tone (reduction of collagen, hyaluronic acid and elastin), which is accelerated through sun damage, results in excess skin and sagging
By reducing the fullness of a heavy neck or removing any excess skin, we create smooth contours that allow our eyes to see distinct transitions of light and shadow. These demarcations help us appreciate aesthetic subunits between your shoulders, your neck and your face. A well-defined jawline accentuates a slender and youthful appearance of the face. such a result can restore self-confidence and boost self-esteem.
The goal of a neck lift is to tighten the skin of the neck, to remove excess fat deposits if required, in order to create a smooth and toned contour of the neck with a more defined angle. Depending on the individual anatomy of a neck, various techniques can be combined in order to accomplish the established goals.
Other beneficial procedures that can complement ear surgery include rhinoplasty, face lift, or neck lift. In order to find out more you should book a confidential consultation with Mr. Bran. As an expert in facial plastic surgery, he will be able to answer all of your questions and explain the details of your tailored procedure.
You will be able to enjoy improved symmetry and the new contours of your ears. Our ears will still continue to change as we age. However, you will be able to enjoy your results for decades to come.
We advise our patients to plan enough time for their recovery. In the first week you will be advised to wear a bandage around your head in order to protect your ears and provide necessary support for the ears to while they heal. Removal of sutures usually is only scheduled for ear lobe reduction procedure between day 7 and 10 (depending on your skin type and details of your procedure). For the patient who have had an otoplasty, you can return to work after about 1 week, whereas ear lobe reduction patients can return to work the day after your procedure. The sensation of your ears will be reduced, but will return after several weeks.
The otoplasty or ear lobe reduction surgery takes anywhere between 45 min and 1.5 hours, depending on the complexity of the case.
Ear lobe reduction is a safe and very rewarding procedure that requires minimal downtime. Restoration of a balanced appearance of the ears means that many patients can make lifestyle changes like freedom of different hairstyles, and improved self-confidence and self-esteem. The results can be seen immediately after surgery and last a for many years.
Ear lobes are at the bottom of our ears. They are the only anatomical structure that is not being supported by a cartilaginous framework. As we age, our ear lobes loose volume and stability. Both reasons result in elongation of your ear lobes. Wearing heavy ear rings accelerates to this process as the tissue is stretched whenever you are wearing big or heavy ear jewellery.
Cosmetic surgery of the ear lobe, is an aesthetic procedure that corrects the size, shape or position of your ear lobes. The goal is to restore a natural appearance and balance when looking at the ears.
Otoplasty is a safe and very rewarding procedure for both, the patient and the surgeon. It is of particular interest for patients with one or two protruding ears. Otoplasty improves the position, shape and symmetry of your ears, regaining a balance of your facial features. The results can be seen immediately at the end of your surgery and will last a lifetime.
Otoplasty is a cosmetic surgical procedure that corrects the size, shape or position of the ears. The goal is to restore a natural appearance and balance to the face. Surgery can be performed once the ears have reached full growth. This generally happens between the ages of 5 and 6 years of age.
Other beneficial procedures that can complement chin surgery include rhinoplasty surgery, face lift, or neck lift. In order to find out more you should book a confidential consultation with Mr. Bran. As an expert in facial plastic surgery, he will be able to answer all of your questions and explain the details of your tailored procedure.
Depending on the technique chosen, there will no scar (incision placed inside your mouth) or a small incision (approximately 1 to 1.5 cm) underneath you chin. This scar will be visible for the first months after surgery. As the scar continues to mature it becomes less noticeable. Mr. Bran has a particular interest in scars and the management of them. He continuously improves his surgical techniques in order to create the least noticeable scars.
After chin surgery there will be some swelling around the chin. Results look close to final after approximately 6 weeks, and are considered final after about 3-4 months., when residual swelling has subsided.
We advise our patients to plan enough time for their recovery. In the first week you should expect swelling around your chin and reduced movement of your lower lip. In order to keep discomfort at a minimum, we advise our patients to consume a liquid-only diet for a day or two after surgery, and continue with soft diet for up to a week after. Mouth-care is also very important if you have an incision in the mouth; use of alcohol-free mouthwash after every meal or sugary drink is recommended. Patients can go back to their daily activities within 7-10 days after surgery. Discomfort is usually minimal and easily controlled with adequate pain medication. We advise our patients to avoid strenuous exercise, avoid bending over and to sleep in an elevated position of the upper body in order to control post-operative swelling and protect your healing incisions.
Minimal discomfort is expected. This includes swelling of the operated area and minimal bruising. Any bruising will resolve within approximately 10 days. The swelling of the chin requires several weeks to settle.
Chin surgery leads to a long-lasting result, that you will be able to enjoy for many years to come. While the aging process will affect the appearance of your face and neck in various ways, your enhanced chin contour will not change. Like with any facial implant, there is a slight risk that trauma to the face could damage your implant and require another surgery to replace it.
Usually most of the chin surgery procedures take less than 1 hour to perform, however if you have additional procedures, operating time will increase accordingly.
Both chin reduction or chin augmentation, can be performed using a scar-less approach, accessing your chin through the inside of your mouth. This approach is usually offered as a day case procedure, performed under general anaesthetic. Chin augmentation can also be performed under local anaesthetic through a small incision underneath your chin. This procedure is offered as a day case in our practice.
Other beneficial procedures that can complement brow lift surgery include eyelid surgery, face lift, or neck lift. In order to find out more you should book a confidential consultation with Mr. Bran. As an expert in facial plastic surgery, he will be able to answer all of your questions and explain the details of your tailored procedure.
Incisions are either placed behind your hairline, at the very front of your hairline or within the horizontal creases across your forehead. As the scars continues to mature they will become barely noticeable. Mr. Bran wrote his PhD on scars and continuously improved his surgical techniques in order to create the least noticeable scars.
Asymmetric eyebrows are not uncommon. Mr. Bran will examine the shape and position of your eyebrows during your consultation. Brow lift surgery can help to improve the symmetry of your eyebrows. Patients should be aware that asymmetry may be caused by various anatomical factors, which include bone shape, facial muscle engagement and overall shape of the brows. Asymmetric brows can also be caused due to irregular shaping, plucking or eyebrow maintenance habits.
Brow lift surgery is offered using a minimally invasive approach. Minimal discomfort is expected. This includes swelling of the operated area. Patients report tightness in their brow and forehead rather than pain. You will be given adequate pain medication to keep your discomfort at a minimum. Bruising, if it occurs, is rare.
No, your hair will not be cut or shaved during brow lift surgery.
Usually brow lift surgery takes less approximately 1.5 hours to perform, however if you have additional procedures, operating time will increase accordingly.
Brow lift surgery is performed under general anaesthetic and can be offered as a day case.
We advise our patients to plan enough time for their recovery. The minimum after an endoscopic brow lift are usually 7 days. In this week you should expect mild swelling around your forehead and eyes. Swelling will usually resolve over the first week. After 6-7 days the surgical clips used to close the incisions will be removed. Patients can go back to their daily activities approximately 7 days after surgery. We advise our patients to avoid strenuous activities or exercise completely for 3 weeks after surgery.
Patients with a high forehead and a recessed or receding hairline are not ideal candidates for an endoscopic browlift. Instead, they benefit from alternative methods: For patients with a high forehead the the Pretrichial Brow Lift is recommended. This method uses a similar approach that is used in HAIRLINE LOWERING The incision is placed across the forehead, just at the very front of your hairline. After releasing the forehead tissue and getting your eyebrows at the desired position, any excess skin is removed. The incision is then closed skilfully and delicately to achieve the best possible scar. Patients with a receding hairline, or bald patients – mostly men – benefit from a Direct Brow Lift. Due to the low position of the eyebrows, the forehead muscle is continuously engaged to keep the brows elevated. This results in permanent horizontal wrinkles across their forehead. The incisions are placed above the eyebrows creating fine scars, that will be disguised within the horizontal creases across the forehead.
Brow lift surgery is a safe procedure that will restore a more youthful contour of the upper one-third of your face. You will be able to enjoy a more refreshed appearance that better reflects your natural vibrance. Your eyes will appear brighter and more alert, resulting in others finding you more approachable. Self-confidence may improve as others no longer mistakenly perceive you as worried, angry or concerned. There is also no visible scaring as the procedure is done endoscopically through small incisions on the scalp that are hidden in the hair
A brow lift, also commonly called a forehead lift, rejuvenates the face above the eyes and restores a refreshed appearance. This is accomplished by raising sagging eyebrows that create hooding of the upper eyelids.
Other beneficial procedures that can complement buccal fat removal surgery include, fat transfer, lip lift, face lift, or neck lift. In order to find out more you should book a confidential consultation with Mr. Bran. As an expert in facial plastic surgery, he will be able to answer all of your questions and explain the details of your tailored procedure.
Incisions are placed inside your mouth, so there are no external scars to be seen. Oral mucosa heals with very limited scar formation. As the scar inside your mouth continues to mature it will become barely noticeable.
You will be able to appreciate the new contours of your cheeks immediately after your buccal fat removal procedure. During the first 24 hours after your surgery some swelling will appear which will obscure the result for the first days. Results are considered final after approximately 2-3 weeks, when residual swelling has subsided.
We advise our patients to plan enough time for their recovery. In the first week you should expect swelling around your cheeks. In order to keep discomfort at a minimum, we advise our patients to consume a liquid-only diet for a day or two after surgery. Mouth care is also important to ensure healthy healing of the incision. You will be advised to use an alcohol-free mouthwash to help reduce the risk of infection. Patients can go back to their daily activities within 5-7 days after surgery. Discomfort is usually minimal and easily controlled with adequate pain medication. We advise our patients to avoid strenuous exercise, avoid bending over and to sleep in an elevated position of the upper body in order to control post-operative swelling and protect your healing incisions.
Minimal discomfort is expected. This includes swelling of the operated area. Bruising is uncommon. You will be given adequate pain medication to keep your discomfort at a minimum.
Volume reduction within the buccal fat pad lasts a life time. Although the ageing process will unfortunately still have its effect on the appearance of your face in various ways, the contours of the cheek hollows will not increase in volume again should you maintain a stable weight.
Usually buccal fat removal surgery takes less than 1 hour to perform, however if you have additional procedures, operating time will increase accordingly.
Buccal fat removal surgery is performed under local anaesthetic through a small incision (approximately 15 mm) placed inside your mouth, on the inner portion of your cheek. The procedure is generally performed under local anaesthetic as a day case in our practice.
Buccal fat removal is a safe and effective procedure, that accentuates the contours of your cheekbones by selectively reducing the fat volume in the hollow part of your cheek. In men the reduction of facial plumpness results in a more chiselled jawline and cheeks. Women appreciate the more delicately sculpted slender facial contour. Buccal fat removal is done as a day case procedure through an incision in the mouth which means minimal downtime and no visible scars.
The goal of buccal fat removal is to reduce the fat volume in your cheeks, specifically in the lower part of your face where the cheek hollows.
Other beneficial procedures that can be performed in conjunction with Piezo Rhinoplasty include forehead rejuvenation or brow lift surgery, face lift, or neck lift. In order to find out more you should book a confidential consultation with Mr. Bran. As an expert in facial plastic surgery, he will be able to answer all of your questions and explain the details of your tailored procedure.
Other beneficial procedures that can complement ethnic rhinoplasty surgery include chin surgery, buccal fat removal or eyebrow surgery. In order to find out more you should book a confidential consultation with Mr. Bran. As an expert in facial plastic surgery, he will be able to answer all of your questions and explain the details of your tailored procedure.
One incision is placed across the columella, which is the skin under your tip, between both of your nostrils. In selected cases, whenever the width of the nasal base is reduced, additional incisions will be placed inside the nostrils, extending into the natural fold underneath your nostrils. You will receive instructions how to take care of your scars on a daily basis. As the scars continue to mature they will become barely visible. Mr. Bran wrote his PhD on scars and continuously improved his surgical techniques in order to create the least noticeable scars.
We advise our patients to plan enough time for their recovery. The minimum after any rhinoplasty are usually 10-14 days. In this time, you should expect swelling around your eyes, your cheeks and lips. Most of the swelling will usually resolve over the two weeks. Due to the delicate nature of our nose, residual swelling can take up to 12 months to fully settle. You will receive a guide what to do and what to avoid in the first weeks after your procedure. Cooling packs may be applied within the first days and you will be advised to rest with an elevated position of your head. After 6-7 days the sutures used to close the incisions will be removed. The cast on the back of your nose usually comes off on day 10. Patients can go back to their daily activities approximately 14 days after surgery. We advise our patients to avoid strenuous activities or exercise completely for 3 weeks after surgery.
Mr. Bran uses PIEZO technology for ethnic rhinoplasty. During most ethnic rhinoplasties the contours or alignment of the nasal bones need to be addressed. Different to conventional methods (e.g. using rasp, hammer and chisel) Piezo rhinoplasty enables us to improve the contours of the nasal bones with no trauma to the soft tissue surrounding the bone. As a consequence, post-operative pain, bruising and swelling are significantly reduced. The initial swelling will extend down to your cheeks and your upper lip in the days after surgery. Patients report breathing impairment and a tender feeling along their nose due to swelling. Some patients experience oozing from the nose in the first few days post-opreatively. You will be given adequate pain medication and appropriate instructions how to take care of your nose to keep your discomfort at a minimum.
Depending on the complexity of the case ethnic rhinoplasty can take anything from 2.5 to 4 hours. Most ethnic rhinoplasty cases require harvesting of rib cartilage, which can then be used in order to create grafts for increase the height of the bridge.
Ethnic rhinoplasty is performed under general anaesthetic and can be offered as a day procedure. For out-of-town patients we suggest an overnight stay at the hospital in the first night after your procedure. In the following days patients can use our special rates at some of the hotels in Marylebone and Chelsea.
Unrealistic expectations, patients that experience a lot of personal or professional stress, you were told by others (partner, colleagues, friends or family members) that you should have a rhinoplasty
A good candidate for eyelid surgery has one or more of the following: realistic goals and expectations a nose that is too big or too wide a bump on the bridge a tip that is either bulbous, droopy, or pointing upwards a crooked, deviated nose you are a non-smoker or can stop smoking for a minimum of 2 months
Ethnic rhinoplasty allows patients to achieve a nasal contour they prefer. It allows patients to enhance their appearance in a safe and natural way without losing characteristic features of their ethnicity. This can increase self-confidence and quality of life. However, it is important to remember, that even though a beautifully contoured nose may be seen a success, it does not guarantee an improvement of self-esteem or self-confidence in every patient.
Rhinoplasty surgery aims to improve the contours of your nasal appearance. This includes the size and width of the nose, the profile of the bridge and the shape of your tip. Increasing the projection of the bridge, refining the tip contour, or narrowing the alar base are common goals during ethnic rhinoplasty.
You may consider yourself a good candidate when you have: Realistic expectations Good scalp laxity (mobility of the hair-bearing skin on top of your head) No family history of hair loss Female with a high hairline and thick hair and high density along the hairline Men with a naturally high hairline or large forehead can also be good candidates, however they should have thick hair without a personal or a family history of hair loss.
Usually about 2-2.5cm of hairline lowering can be achieved, however this depends greatly on scalp laxity. Following an assessment and measurements taken during your consultation, we will be able to establish the degree of hairline lowering. It is important to take into consideration the overall proportions of your face when planning the new hairline. Mr. Bran will be able to help you identify an ideal and realistic position.
Hairline lowering is both an effective and efficient procedure that can significantly improve the overall balance of a face. The results last a lifetime. It leads to instant gratification, as patients are able to see the difference immediately after surgery.
Hairline lowering, also known as forehead reduction is a surgical procedure that aims to correct an overly high forehead by bringing the hair-bearing tissue of the scalp forward. It reduces the height of the forehead and thereby improves the overall balance of the facial proportions.
We're located at 70 Harley Street, in the heart of the Marylebone district of London. Should you have trouble finding us on the day please do not hesitate to call us on +447510075517 for help finding us.
We feel very privileged for having patients that are willing to travel “the extra mile” in order to experience expert care in a private and convenient setting. Our team warmly welcomes out of town and international patients and will gladly assist you to ensure your surgical experience is worry-free and safe. In order to accommodate our out of town patients we offer virtual consultations prior to surgery, as well as concierge plastic surgery services.
Incisions are placed across the columella, the piece of skin between your nostrils. If a narrowing of the nasal base is required, additional incisions will be placed on the floor of your nostrils. The scars will initially be red and raised, however as scars continue to mature they will become barely visible. Mr. Bran wrote his PhD on scars and continuously improved his surgical techniques in order to create the least noticeable scars.
We advise our patients to plan enough time for their recovery. The minimum after Piezo Rhinoplasty operation is usually 10-14 days. In this time, you should expect swelling around your eyes and cheeks. Most of the swelling will usually resolve over the first week. Due to the delicate nature of our nasal structures, residual swelling can take up to 10 weeks to settle. You may be advised to use a specific nasal spray to elevate any temporary breathing difficulties you may be having due to swelling. You will also be advised to sleep with your head elevated to help reduce swelling. After 6-7 days the sutures used to close the incisions will be removed. The cast on your nose will be removed around day 10. Patients can go back to their daily activities approximately 7 to 10 days after surgery. We advise our patients to avoid strenuous activities or exercise completely for 3 weeks after surgery.
During most primary rhinoplasties the contours or alignment of the nasal bones need to be addressed. Different to conventional methods (e.g. using rasp, hammer and chisel) Piezo rhinoplasty enables us to improve the contours of the nasal bones with no trauma to the soft tissue surrounding the bone. This results in less post-operative pain and discomfort. Although less than if a conventional rhinoplasty method were used, you should still expect some swelling. The initial swelling will extend down to your cheeks and your upper lip in the first days after surgery. Patients report breathing impairment and a tender feeling along their nose due to swelling. Some patients experience oozing from the nose in the first few days post-operatively. You will be given adequate pain medication and appropriate instructions how to take care of your nose and how to keep your discomfort at a minimum.
Piezo Rhinoplasty takes between 2-2.5 hours in primary cases, which means a nose that has not been previously operated.
Piezo rhinoplasty is performed under general anaesthetic and can be offered as a day procedure. For out-of-town patients we suggest an overnight stay at the hospital in the first night after your procedure. In the following days patients can use our special rates at some of the hotels in Marylebone and Chelsea.
Minimal discomfort is expected. This includes swelling and minimal bruising. Any swelling or bruising should resolve after approximately 10 days.
Usually most of the lip surgery procedures take approximately 40 to 60 minutes to perform.
Most of the methods described above can be offered as a day case procedure, performed under local anaesthetic in our practice. If you are having a general anaesthetic for another facial procedure, lip surgery may then be combined.
You will be able to enjoy the new, lowered position of your hairline immediately after surgery. Once the swelling has settled and the scar has healed well, your forehead will appear well-balanced with your face. Previous worries like windy weather, going for a swim or having a photo taken will belong to the past. Your result is permanent.
We advise our patients to allocate enough time for their recovery. In the first 7 to 10 days you should expect some swelling around your forehead, which may descend to your temples and cheeks. Bruising is rare. Removal of sutures is usually scheduled between days 7 and 10 (depending on your skin type and details of your procedure). You can return to work after about 2 weeks. You are to refrain from any vigorous activity or exercise for 4 weeks. Exercise increases your blood pressure, which in turn can increase swelling, or worse bleeding. The sensation of your scalp will be reduced, but will return after several months. It is normal to experience itchiness and tingling sensations along the scalp once the sensation starts to return. This is a sign of the nerves recovering.
We're located at 70 Harley Street, in the heart of the Marylebone district of London. Should you have trouble finding us on the day please do not hesitate to call us on +447510075517 for help finding us.
We feel very privileged for having patients that are willing to travel “the extra mile” in order to experience expert care in a private and convenient setting. Our team warmly welcomes out of town and international patients and will gladly assist you to ensure your surgical experience is worry-free and safe. In order to accommodate our out of town patients we offer virtual consultations prior to surgery, as well as concierge plastic surgery services.
Usually about 2-2.5cm of hairline lowering can be achieved, however this depends greatly on scalp laxity. Following an assessment and measurements taken during your consultation, we will be able to establish the degree of hairline lowering. It is important to take into consideration the overall proportions of your face when planning the new hairline. Mr. Bran will be able to help you identify an ideal and realistic position.
Hairline lowering is both an effective and efficient procedure that can significantly improve the overall balance of a face. The results last a lifetime. It leads to instant gratification, as patients are able to see the difference immediately after surgery.
Hairline lowering, also known as forehead reduction is a surgical procedure that aims to correct an overly high forehead by bringing the hair-bearing tissue of the scalp forward. It reduces the height of the forehead and thereby improves the overall balance of the facial proportions.
You will be able to enjoy the new, lowered position of your hairline immediately after surgery. Once the swelling has settled and the scar has healed well, your forehead will appear well-balanced with your face. Previous worries like windy weather, going for a swim or having a photo taken will belong to the past. Your result is permanent.
We advise our patients to allocate enough time for their recovery. In the first 7 to 10 days you should expect some swelling around your forehead, which may descend to your temples and cheeks. Bruising is rare. Removal of sutures is usually scheduled between days 7 and 10 (depending on your skin type and details of your procedure). You can return to work after about 2 weeks. You are to refrain from any vigorous activity or exercise for 4 weeks. Exercise increases your blood pressure, which in turn can increase swelling, or worse bleeding. The sensation of your scalp will be reduced, but will return after several months. It is normal to experience itchiness and tingling sensations along the scalp once the sensation starts to return. This is a sign of the nerves recovering.
Other beneficial procedures that can be performed in conjunction with Piezo Rhinoplasty include forehead rejuvenation or brow lift surgery, face lift, or neck lift. In order to find out more you should book a confidential consultation with Mr. Bran. As an expert in facial plastic surgery, he will be able to answer all of your questions and explain the details of your tailored procedure.
Other beneficial procedures that can complement ethnic rhinoplasty surgery include chin surgery, buccal fat removal or eyebrow surgery. In order to find out more you should book a confidential consultation with Mr. Bran. As an expert in facial plastic surgery, he will be able to answer all of your questions and explain the details of your tailored procedure.
One incision is placed across the columella, which is the skin under your tip, between both of your nostrils. In selected cases, whenever the width of the nasal base is reduced, additional incisions will be placed inside the nostrils, extending into the natural fold underneath your nostrils. You will receive instructions how to take care of your scars on a daily basis. As the scars continue to mature they will become barely visible. Mr. Bran wrote his PhD on scars and continuously improved his surgical techniques in order to create the least noticeable scars.
We advise our patients to plan enough time for their recovery. The minimum after any rhinoplasty are usually 10-14 days. In this time, you should expect swelling around your eyes, your cheeks and lips. Most of the swelling will usually resolve over the two weeks. Due to the delicate nature of our nose, residual swelling can take up to 12 months to fully settle. You will receive a guide what to do and what to avoid in the first weeks after your procedure. Cooling packs may be applied within the first days and you will be advised to rest with an elevated position of your head. After 6-7 days the sutures used to close the incisions will be removed. The cast on the back of your nose usually comes off on day 10. Patients can go back to their daily activities approximately 14 days after surgery. We advise our patients to avoid strenuous activities or exercise completely for 3 weeks after surgery.
Mr. Bran uses PIEZO technology for ethnic rhinoplasty. During most ethnic rhinoplasties the contours or alignment of the nasal bones need to be addressed. Different to conventional methods (e.g. using rasp, hammer and chisel) Piezo rhinoplasty enables us to improve the contours of the nasal bones with no trauma to the soft tissue surrounding the bone. As a consequence, post-operative pain, bruising and swelling are significantly reduced. The initial swelling will extend down to your cheeks and your upper lip in the days after surgery. Patients report breathing impairment and a tender feeling along their nose due to swelling. Some patients experience oozing from the nose in the first few days post-opreatively. You will be given adequate pain medication and appropriate instructions how to take care of your nose to keep your discomfort at a minimum.
Depending on the complexity of the case ethnic rhinoplasty can take anything from 2.5 to 4 hours. Most ethnic rhinoplasty cases require harvesting of rib cartilage, which can then be used in order to create grafts for increase the height of the bridge.
Ethnic rhinoplasty is performed under general anaesthetic and can be offered as a day procedure. For out-of-town patients we suggest an overnight stay at the hospital in the first night after your procedure. In the following days patients can use our special rates at some of the hotels in Marylebone and Chelsea.
Unrealistic expectations, patients that experience a lot of personal or professional stress, you were told by others (partner, colleagues, friends or family members) that you should have a rhinoplasty
A good candidate for eyelid surgery has one or more of the following: realistic goals and expectations a nose that is too big or too wide a bump on the bridge a tip that is either bulbous, droopy, or pointing upwards a crooked, deviated nose you are a non-smoker or can stop smoking for a minimum of 2 months
Ethnic rhinoplasty allows patients to achieve a nasal contour they prefer. It allows patients to enhance their appearance in a safe and natural way without losing characteristic features of their ethnicity. This can increase self-confidence and quality of life. However, it is important to remember, that even though a beautifully contoured nose may be seen a success, it does not guarantee an improvement of self-esteem or self-confidence in every patient.
Rhinoplasty surgery aims to improve the contours of your nasal appearance. This includes the size and width of the nose, the profile of the bridge and the shape of your tip. Increasing the projection of the bridge, refining the tip contour, or narrowing the alar base are common goals during ethnic rhinoplasty.
Incisions are placed across the columella, the piece of skin between your nostrils. If a narrowing of the nasal base is required, additional incisions will be placed on the floor of your nostrils. The scars will initially be red and raised, however as scars continue to mature they will become barely visible. Mr. Bran wrote his PhD on scars and continuously improved his surgical techniques in order to create the least noticeable scars.
We advise our patients to plan enough time for their recovery. The minimum after Piezo Rhinoplasty operation is usually 10-14 days. In this time, you should expect swelling around your eyes and cheeks. Most of the swelling will usually resolve over the first week. Due to the delicate nature of our nasal structures, residual swelling can take up to 10 weeks to settle. You may be advised to use a specific nasal spray to elevate any temporary breathing difficulties you may be having due to swelling. You will also be advised to sleep with your head elevated to help reduce swelling. After 6-7 days the sutures used to close the incisions will be removed. The cast on your nose will be removed around day 10. Patients can go back to their daily activities approximately 7 to 10 days after surgery. We advise our patients to avoid strenuous activities or exercise completely for 3 weeks after surgery.
During most primary rhinoplasties the contours or alignment of the nasal bones need to be addressed. Different to conventional methods (e.g. using rasp, hammer and chisel) Piezo rhinoplasty enables us to improve the contours of the nasal bones with no trauma to the soft tissue surrounding the bone. This results in less post-operative pain and discomfort. Although less than if a conventional rhinoplasty method were used, you should still expect some swelling. The initial swelling will extend down to your cheeks and your upper lip in the first days after surgery. Patients report breathing impairment and a tender feeling along their nose due to swelling. Some patients experience oozing from the nose in the first few days post-operatively. You will be given adequate pain medication and appropriate instructions how to take care of your nose and how to keep your discomfort at a minimum.
Piezo Rhinoplasty takes between 2-2.5 hours in primary cases, which means a nose that has not been previously operated.
Piezo rhinoplasty is performed under general anaesthetic and can be offered as a day procedure. For out-of-town patients we suggest an overnight stay at the hospital in the first night after your procedure. In the following days patients can use our special rates at some of the hotels in Marylebone and Chelsea.
Minimal discomfort is expected. This includes swelling and minimal bruising. Any swelling or bruising should resolve after approximately 10 days.
Usually most of the lip surgery procedures take approximately 40 to 60 minutes to perform.
Most of the methods described above can be offered as a day case procedure, performed under local anaesthetic in our practice. If you are having a general anaesthetic for another facial procedure, lip surgery may then be combined.
We use plastic surgery to create subtle aesthetics that compliment how you want to be perceived and portrayed.
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