All posts by : دکتر شاهرخ عطاریان

A brow lift is done to raise the eyebrow and reduce ridges and furrows on the forehead, this creating smoother, more youthful appearance. This procedure is typically done with other facial surgery, namely most on the eyelid.

Candidate for Brow Lift Surgery
Brow lift surgery can improve the appearance of lines and creases in the forehead area, including frown lines. Forehead sagging that causes droopy eyebrows and hooded eyelids can also be addressed with this procedure. A forehead lift can lift the skin back its youthful position and smooth the entire brow area so that creases and lines no longer appear as severe.

Surgery & Recovery
During forehead lift, muscle and tissue are removed and tightened to smooth the furrows and wrinkles above the eyes and nose. The originally described brow lift has involved an incision in the hairline extending from one ear to the other. More typically today, the brow lift is performed endoscopically using 3-5 smaller incisions in the scalp and specialized instruments to elevate the skin and muscle of the forehead and resuspend them.
And more recently several different techniques can be used including endoscopic brow lift, coronal brow lift or temp brow lift patient who undergoes forehead lift may experience some numbness and temporary discomfort around the incision. Recovering from forehead lift takes about 10 days and most visible signs of surgery should disappear within about 3 weeks.

Also known as reduction mammaplasty, breast reduction surgery removes excess breast fat, glandular tissue and skin to achieve a breast size in proportion with your body and to alleviate the discomfort associated with overly large breasts.

Enhancing your appearance with breast reduction surgery Overly large breasts can cause some women to have both health and emotional problems. In addition to self image issues, you may also experience physical pain and discomfort. The weight of excess breast tissue can impair your ability to lead an active life. The emotional discomfort and self-consciousness often associated with having large pendulous breasts is as important an issue to many women as the physical discomfort and pain. Also known as reduction mammaplasty, breast reduction surgery removes excess breast fat, glandular tissue and skin to achieve a breast size in proportion with your body and to alleviate the discomfort associated with overly large breasts.

Is it right for me? Breast reduction surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image. Breast reduction is a good option for you if: You are physically healthy You have realistic expectations You don’t smoke You are bothered by the feeling that your breasts are too large Your breasts limit your physical activity You experience back, neck and shoulder pain caused by the weight of your breasts You have regular indentations from bra straps that support heavy, pendulous breasts You have skin irritation beneath the breast crease Your breasts hang low and have stretched skin Your nipples rest below the breast crease when your breasts are unsupported You have enlarged areolas caused by stretched skin

The excessive weight of overly large breasts can be a burden, causing back & neck pain, shoulder pain, headache, skin irritation, bra strap indentations, poor posture and interference with normal daily activities such as exercise. But many women with large, heavy breast experience more than just physical discomfort, they experience emotional pain as well. Breast reduction is a reconstructive procedure that makes the breast smaller, lighter and more proportionate to the body. The surgery removes fat, glandular tissue, and skin from the breast, it can also reduce the size of the areola, the darker skin surrounding the nipple. This can alleviate the health problems associated with large breast and improve a woman’s confidence in her appearance. Making the breast smaller also allows women to pursue activities they never could before.

Candidates for Breast Reduction Surgery
Women who have breasts that are too large for their frame are excellent candidates for a breast reduction surgery, as they are likely to experience discomforts caused by the weight of their breast reduction may be safely performed on adult women of all age.

Surgery & Recovery
Breast reduction surgery is an outpatient procedure. It is done under general anesthesia and typically takes 2-3 hours.
During the breast reduction procedure, an anchor –shaped incision is made around to areola (the dark skin surrounding the nipple) and extends down the natural curve of the breast to the crease beneath the breast. Excess fat tissue and skin are removed and the remaining skin is tightened to from a newly shaped breast and the nipple-areola complex is repositioned higher. Patients will need to limit strenuous upper body activity and wear a sports bra for several weeks after surgery.
The patients may experience swelling, bruising and minor discomfort but this side effects will lessen as you heal. If you feel uncomfortable because of the size of your breasts, schedule a consultation whit Dr. Ghorabi so that you can learn more details specific to your own individual situation.

Gynecomastia can be a result of actual breast gland growth or fatty infiltration of the male breast area. There is often no known cause for gynecomastia, although there have been some correlations with various drugs and medical conditions. Transient gynecomastia is also a common phenomenon during puberty.

Men who feel self-conscious about their appearance can be helped with breast reduction surgery. The options for treatment are multiple and it is important to have a comprehensive consultation with an experienced Plastic Surgeon to reach the right treatment decision for you.

Liposuction only, breast gland excision and full breast reduction( subcutaneous mastectomy) are all possible treatment options depending on the degree of tissue enlargement and the amount of excess skin. The result is a more contoured chest that is flatter and firmer. Treatment decisions are best individualized as each case presents different findings.

Liposuction method requires insertion of a cannula, a thin hollow tube, through several small incisions. The cannula is moved back and forth in a controlled motion to loosen the excess fat, which is then removed from the body by vacuum suction.

Subcutaneous mastectomy is recommended where glandular breast tissue or excess skin must be removed to correct gynecomastia. This method also is necessary if the areola will be reduced, or the nipple repositioned to a more natural male contour.

During your consultation with Dr. Mirabolfathi, a discussion will take place regarding your particular anatomy, degree of excess skin and desired outcome. A treatment decision will be made with you to best match your desired outcome and scar limitations.

An arm lift, or brachioplasty, is a surgical procedure that:
Reduces excess sagging skin that droops downward
Tightens and smoothes the underlying supportive tissue that defines the shape of the upper arm
Reduces localized pockets of fat in the upper arm region

Fluctuations in weight, growing older and heredity can cause your upper arms to have a drooping, sagging appearance. This is a condition that cannot be corrected through exercise.

Arm lift surgery may be right for you if the underside of your upper arms are sagging or appear loose and full due to excess skin and fat.

Who is a good candidate for arm lift surgery?
In general, arm lift candidates include:
Adults with significant upper arm skin laxity
Adults of any age whose weight is relatively stable and who are not significantly overweight
Healthy individuals without medical conditions that impair healing or increase risk of surgery
Nonsmokers
Individuals with a positive outlook and realistic expectations

Arm lift costs may include:
Anesthesia fees
Hospital or surgical facility costs
Medical tests
Post-surgery garments
Prescriptions for medication
Surgeon’s fee

As they age many people, mainly women, have trouble with excess skin on their thighs. The main reasons are aging, causing reduced elasticity in the skin, or after significant weight loss. Excess skin easily gives rise to eczema and other skin ailments. It is also a significant cosmetic problem that many of the affected feel psychologically bad about. With us at the Esthetics Centre you can, however, receive effective assistance in the form of thigh lifts.

Leaner with the use of plasty
The goal of a thigh lift is to improve the shape of the thighs. This is done by stretching the skin, which increases its strength. Thigh plasty can be combined with liposuction. The thigh is slimmed down by a liposuction and the skin stretched and adapted to the new shape.
Thigh plasty at our clinic

A lift is a major surgery that is always performed under general anesthesia. The operation takes a few hours. At the engagement our experienced surgeons lay a T-shaped section along the inside of the thighs and up to the groin. The scar is initially clearly visible, but fades with time to being nearly invisible. The pain after surgery is usually relatively mild, but one should still expect about 1-2 weeks of absence from work afterwards. Meanwhile, we must also have a tight girdle around the thigh, around the clock. Then girdle is worn for another couple of weeks but only during daytime.

After surgery
When the surgery is complete, you can usually go home the same day and then come back for a return visit in a week. Then the wound healing process is checked and check that everything else looks normal. The stitches are removed about two weeks after surgery.

The scars on the abdominal area usually fade away with time. As with any other surgery, there is a risk of infection, but they are rare after thigh lifts.

Warm and personal care
Our patients’ sense of security is important to us. Therefore you get to meet our skilled and experienced plastic surgeons during the initial consultation.. Together you discuss the aim of the thigh lift your expectations and requirements. Generally, there is a good chance to treat any of the following symptom with thigh plasty:
• Saddlebag thighs
• Loose thighs
• Thighs that are disproportionate big in comparison with the top of the body

Also known as blepharoplasty, eyelid surgery improves the appearance of the upper eyelids, lower eyelids, or both. It gives a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert.

Treatable conditions: Upper eyelid surgery can remove excess fatty deposits that appear as puffiness in the upper eyelids. Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision, can be treated by eyelid lift surgery. Lower eyelid blepharoplasty can remove excess skin and fine wrinkles of the lower eyelid. Bags under the eyes can be corrected by blepharoplasty. Lower eyelid surgery can correct droopiness of the lower eyelids, showing white below the iris (colored portion of the eye).

Is it right for me? A blepharoplasty procedure is usually performed on adult men and women who have healthy facial tissue and muscles and have realistic goals for improvement of the upper and/or lower eyelids and surrounding area. You should undergo blepharoplasty surgery for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

Good candidates for cosmetic eyelid surgery are: Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing Non-smokers Individuals with a positive outlook and specific goals in mind for blepharoplasty Individuals without serious eye conditions

You must tell your doctor if you have any of these medical conditions: Eye disease such as glaucoma, dry eye or a detached retina Thyroid disorders such as Graves’ disease and under or overactive thyroid Cardiovascular disease, high blood pressure or other circulatory disorders or diabetes

Cosmetic eyelid surgery is one of the most common plastic surgery procedures. In a way that in recent year it has been the most common cosmetic surgery in America. The above surgery creates a better view of eyelids. Especially in middle-aged women face will look younger. In addition, in extreme cases it also improves sight.

As we grew older more fat accumulates in the upper and lower eyelid, skin loses its elasticity and causes vision impairment because eye is covered with eyelid skin.

Do you need blepharoplasty?
If you want your eyelids to look younger, you may be a candidate for blepharoplasty. After doing this surgery, your eyelids will look younger than before. If drooping eyelid causes a blurred vision, then surgery must be performed for non-cosmetic reason.

What happens in blepharoplasty consultation meeting?
Your medical history
Apart from a thorough review of your health and disease history, issues related to surgery are completely checked.
Hypothyroidism disease is one of those diseases that must be excluded; in addition, the dry eye, glaucoma and severe allergies may prevent the surgery.

Preoperative Evaluation:
• place of the eyebrow
• the amount of elastic properties of the skin
• eye movements
• ability to produce tears

Care instructions before surgery:
Stop taking aspirin and other painkillers for two weeks before and after surgery, because it increases the bleeding. Of course to discontinue your medication, consult your doctor.

Please refrain from excessive exposure to the sun because it causes permanent discoloration of the operated skin.

Age, sun exposure, and hereditary factor all contribute to work, deep lines and puffiness around the eyes. This can create a tired or aged appearance. A Blepharoplasty is designed to restore a more youthful and rested appearance to your eyes. A Blepharoplasty can involve the upper lids, the lower lids, or both.

Candidates for Blepharoplasty Surgery
Cosmetic eyelid surgery (Blepharoplasty) benefits patients who due to aging or genetics, have droopy fat and skin around the eyes. Excess skin both on the appear and lower eyes lids can be eliminated in the Blepharoplasty procedure to create a more smoothed skin in this area.

Surgery & Recovering
During the Blepharoplasty procedure, small incisions are made in the natural creases of your upper eyes lids and just below the lashes in the lower lid, and are very well hidden once healed. The Blepharoplasty procedure usually performs under anesthesia the surgery typically involves some skin removal and resuspension of the muscles and skin surrounding the lids. While it’s not a very painful operation, there is a fair amount of bruising and swelling which can last 1-2 weeks.
Sutures are generally removed 4-7 days after surgery and makeup can be worn once the stitches are out. Contact lens usually is worn again about 2 weeks after surgery.

A brow lift is done to raise the eyebrow and reduce ridges and furrows on the forehead, this creating smoother, more youthful appearance. This procedure is typically done with other facial surgery, namely most on the eyelid.

Candidate for Brow Lift Surgery
Brow lift surgery can improve the appearance of lines and creases in the forehead area, including frown lines. Forehead sagging that causes droopy eyebrows and hooded eyelids can also be addressed with this procedure. A forehead lift can lift the skin back its youthful position and smooth the entire brow area so that creases and lines no longer appear as severe.

Surgery & Recovery
During forehead lift, muscle and tissue are removed and tightened to smooth the furrows and wrinkles above the eyes and nose. The originally described brow lift has involved an incision in the hairline extending from one ear to the other. More typically today, the brow lift is performed endoscopically using 3-5 smaller incisions in the scalp and specialized instruments to elevate the skin and muscle of the forehead and resuspend them.
And more recently several different techniques can be used including endoscopic brow lift, coronal brow lift or temp brow lift patient who undergoes forehead lift may experience some numbness and temporary discomfort around the incision. Recovering from forehead lift takes about 10 days and most visible signs of surgery should disappear within about 3 weeks.

Ear surgery, also known as otoplasty, can improve the shape, position or proportion of the ear. Otoplasty can correct a defect in the ear structure that is present at birth that becomes apparent with development or it can treat misshapen ears caused by injury. Ear surgery creates a natural shape, while bringing balance and proportion to the ears and face. Correction of even minor deformities can have profound bene?ts to appearance and self-esteem. If protruding or dis?gured ears bother you or your child, you may consider plastic surgery.

Specifically ear surgery can treat:Overly large ears — a rare condition called macrotia Protruding ears occurring on one or both sides in varying degrees — not associated with hearing loss Adult dissatisfaction with previous ear surgery

Children who are good candidates for ear surgery are:Healthy, without a life-threatening illness or untreated chronic ear infections Generally 5 years old, or when a child’s ear cartilage is stable enough for correction Cooperative and follow instructions well Able to communicate their feelings and do not voice objections when surgery is discussed

Teenagers and adults who are good candidates for ear surgery are:Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing Non-smokers Individuals with a positive outlook and specific goals in mind for ear surgery Ear surgery is a highly individualized procedure and you should do it for yourself, not to full someone else’s desires or to try to any sort of ideal image.

Large protruding ears can have a devastating effect on self-esteem especially for children and young adults. An otoplasty is done on prominent ears in order to set them back closer to the head or to decrease the size of large ears. Surgery can be done on adults as well as children, although children should typically wait until age 5 or 6 so that the ears have stopped growing

Candidates for Otoplasty
While teasing that targets those with large ears or ears that protrude noticeably from the head usually stops after childhood, the embarrassment suffered can last a lifetime, otoplasty is usually performed between the age of 5 or 6, but it can be performed on adults as well.

Surgery & Recovering
Otoplasty usually performed under a local anesthetic, during the procedure, an incision is made behind the ear and excess cartilage is removed. The remaining cartilage is pinned into place with sutures and left to heal. In some cases, some cartilage may need to be reshaped before the ear is repositioned. The incision is inconspicuous once healed. Following the surgery, a head wrap is placed to protect the ears. Once the wrap is removed in the office, patients are often asked to wear a headband for several weeks. To maintain the new ear position and prevent injury particularly when sleeping.
Side effects of otoplasty include swelling and brushing, but they usually fade away within a week. Discomfort is mild and most normal activities can be resumed within a few weeks.
Otoplasty can improve both appearance and self-confidence.

Nose Job, Nose Surgery, Rhinoplasty

Rhinoplasty, or nose surgery, is sometimes referred to as “nose reshaping” or a “nose job. Nose cosmetic surgery improves the appearance and proportion of your nose, enhancing facial harmony and self confidence. Nose surgery may also correct impaired breathing caused by structural abnormalities in the nose. While the shape of your nose is usually the result of heredity, the appearance may have been altered in an injury or during prior surgery.

Rhinoplasty surgery can change:Nose size, in relation to the other facial structures Nose width, at the bridge Nose profile, with visible humps or depressions on the bridge Nasal tip, that is large or bulbous, drooping, or too upturned Nostrils that are large, wide or upturned Nasal asymmetry and deviation

Nose surgery is a good option for you if:Your facial growth is complete and you are 13 years of age or older You are physically healthy You do not smoke You have specific, but realistic goals in mind for the improvement of your appearance Nose cosmetic surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

The nose is of the most prominent and defining features of the face, with great influence on how we feel about our looks. For those patients dissatisfied with the size or shape of their nose a Rhinoplasty can be performed for reshaping purposes. Rhinoplasty can make your nose larger or smaller and can change the shape of the bridges, tip or nostrils. It should come as no surprise that many thousands of people every year choose to change the size or shape of theirs noses. Rhinoplasty is a straight forward procedure that can yield a huge return on self-esteem self-confidence and can restore balance and proportion to the face.
Rhinoplasty can also relieve breathing abnormalities or correct a birth defect or injury.

Candidate for Rhinoplasty Surgery
Rhinoplasty can be used to alter the size, shape, and contour of nearly any aspect of the nose.
It can also be used to correct breathing problems, either alone or with nasal reshaping. Correcting the shape of the nose or breathing problems is also somethings necessary after previous trauma to the nose.

Surgery & Recovery
The surgery is done on an outpatient basis under general or local anesthesia. during the rhinoplasty procedure, incisions are made either along or inside the nostrils which there should be no real visible scarring. Next, the skin is separated from the bone and cartilage, which is sculpted to the desired shape. When the Rhinoplasty surgery is complete a splint is applied to help your nose keep its new shape. For the first 2-3 days after Rhinoplasty you may experience some minor discomfort and puffiness in your face.in addition to the nose itself, the eyelid region may become quite swollen and bruised. Patients often have nasal packing which is removed in the first few days. There is usually some type of external splint which adheres to the nose, this is removed 7-10 days after the surgery. The incisions are very well hidden across the columella. the fleshy structure between the nostrils, and internally in the nose. The final result may not be apparent for several months and it usually takes a full year to completely appreciate the final result there was a time when people thought that there was such a thing as an ideal nose, but is no longer true .in fact the goals of rhinoplasty surgery is usually to improve the appearance of the nose while maintaining identity that is your own. An in-depth discussion with our plastic surgeon allows him to understand your goal and expectations from your surgery to provide you with the best result possible.

If you are bothered by signs of aging in your face, facelift surgery may be right for you. Technically known as rhytidectomy, a facelift is a surgical procedure to improve visible signs of aging in the face and neck, such as: Sagging in the midface Deep creases below the lower eyelids Deep creases along the nose extending to the corner of the mouth Fat that has fallen or is displaced Loss of muscle tone in the lower face may create jowls Loose skin and excess fatty deposits under the chin and jaw can make even a person of normal weight appear to have a double chin Rejuvenation procedures typically performed in conjunction with a facelift are brow lift, to correct a sagging or deeply furrowed brow, and eyelid surgery to rejuvenate aging eyes.

What facelifts won’t do: As a restorative surgery, a facelift does not change your fundamental appearance and cannot stop the aging process. A facelift can only be performed surgically; non-surgical rejuvenation treatments cannot achieve the same results, but may help delay the time at which a facelift becomes appropriate and complement the results of surgery. Facelift surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires to to try to fit any sort of ideal image.

Facelift surgery is a good option for you if: You are physically healthy You do not smoke You have a positive outlook and specific, but realistic goals in mind for the improvement of your appearance

The face lift is one of the most well-known cosmetic procedures for good reason. It’s one of the most rewarding plastic surgery for the both patient and the physician term of its power to reverse the effects of aging on the face and restore the spirit of the individual. Full face surgery can have a dramatic impact on a person who feels they have lost their youthful grow. For some people, a mini-face lift is all that’s needed to turn back the clock several years.

Candidates for Face Lift Surgery
The natural aging process, the sun, and the weight fluctuation can be very unkind to our face. As time goes by, the muscles on the neck can become loose, result in wrinkles and jowls. Face lift surgery primarily addresses the lower two-thirds of the face, as well as the neck area to help patients with surgery in these areas, achieves an improved, rejuvenated appearance. Good candidates for face lift surgery include people with jowls or loss of muscle tone in the lower region of the face and those who would like to eliminate excess skin and fat from under the chin & jaw. If you are unsure which procedure is right for you, please schedule a face lift surgery consultation with our office.

Surgery & Recovering
Face lift can be down alone or in conjunction with others procedure, such as Blepharoplasty or Rhinoplasty.
Most face lifts are done as an outpatient procedure in an office or outpatient surgery center. They can be performed with sedation or under general anesthesia. Also, prolonged recovery is not usually necessary with the new face lift techniques employed by our plastic surgeon.
The most patient who undergoes face lift experiences little pain or discomfort of their procedure. Any discomfort can be controlled and minimized with medication.
There may be some swell. bruising .and numbness following the procedure. To minimize these, it is best to keep the head elevated the first few days. After in about a week, the stitches are removed. Most patients are able to return to their daily routine in two to three weeks.