Upper Eyelid Surgery, Fraxel Repair CO2 Skin Rejuvenation
Dr Ehsan Jadoon
HISTORY & BACKGROUND
Donna had been having cosmetic injectable treatments for over 5 years.
In 2014, Donna felt that she wanted something more substantial to address her sun damaged skin, sagging facial contours and sagging neck. Dermal Fillers and Anti-wrinkle injections were not enough to do the job.
Having had a few surgical procedures in the past for non-cosmetic reasons, Donna was not new to surgery and after doing her research for several months, she opted to undergo the procedure with Dr Jadoon because she did not want to have the procedure done under General Anaesthesia.
Dr Jadoon had already been doing Donna’s cosmetic injectable treatments for the past 2 years. He knew Donna well. At the initial consultation Dr Jadoon evaluated Donna’s suitability for the procedure.
Donna’s General health and overall suitability to undergo a cosmetic makeover surgery.
Donna’s current medical history and current medication.
Discussion about alternative treatment options available to Donna.
Emotional health & wellbeing.
Donna’s financials (Donna had saved money for over 12 months)
Availability of a carer to look after her for the first few days after the surgery.
ALTERNATIVE TREATMENT OPTIONS:
-Pelleve’ Skin Tightening
-Liquid Face Lift with Dermal Fillers
-Stem Cells enriched Fat grafting
PREPARATION FOR SURGERY:
Once the decision was made that Donna was undergoing the procedure; she was informed about the mandatory cooling off period of at least 2 week and a date was booked that suited her. She was given detailed instructions (both verbal and written) about preparing herself for the surgery. Please click here for details.
DAY OF SURGERY:
Donna arrived in the clinic at 11 am. She was dropped off by her friend who was also going to pick her up aftter the surgery and was going to stay with her for few days during the recovery.
Donna was advised to have a heathy and light breakfast as her surgery was planned to be done under local anesthesia alone.. She did not have to fast over night (as is the case with surgeries done under general anaesthesia).
After completing the necessary paper work including consent forms, Dr Jadoon decided to have another consultation with Donna to make sure she was mentally prepared for the procedure and had followed pre surgical instructions given to her a few weeks earlier.
Clinical photography was done followed by the clinical markings on Donna’s face.
Donna was feeling a bit nervous but the reception staff, clinic nurse and Dr Jadoon reassured her not to stress as mini face lift is a relatively straight forward surgery and she was not going to feel any pain or discomfort once the local anaesthetic solution was gently infiltrated in the treatment area.
Donna was given theatre gown to wear during the surgery.
Presurgical base line observations were done incuding Blood Pressure monitoring , Heart rate, Respiratory rate, Oxygen saturation etc.
Donna’s mini face lift surgery went smoothly. There was minimal bleeding as Donna had religiously followed the pre surgical instruction given to her and avoided any oral medication or prodcuts that could cause thinning of her blood and make it easier to bleed.
Donna did not feel any discomfort as the area was completely annaethetized. Dr Jadoon had 80’s soft rock music playing in the theatre as per Donna’s request. Surgery took just over 3 hours.
Donna’s face was given a gentle clean using luke warm sterile water to whipe off the betadine antiseptic solution.
Dressing was applied and she was transferred to the recovery room. Where the nursing staff measured her vital signs to make sure she was physically stable.
Donna was given fresh fruit juice which she had using a straw and was given oral pain relief Tablets.
Reception staff called Donna’s friend to come and pickher up from the clinic.
Donna was given detailed post surgical instruction along with Dr Jadoon’s personal mobile number in case of any emergency post surgery.
Donna’s friend was given instructions how to look after Donna during the recovery phase, especially during the first 24 hours after surgery.
Donna left the clinic just after 5 pm.
DAY 1 FOLLOW UP:
At 9 am the following day, nursing staff called Donna on her mobile to ask how she went over night and if everything was okay.
Donna informed them that she had minimal discomfort after surgery but did not get very good sleep due to the bandage wrapped around the sides of her face and head. She was advised to make sure to have a healthy breakfast.
Donna aride at the clinic accompanied by her friend. She seemed in good spirits. She was taken in to the procedure room where her dressing was carefully removed and the wound edges were examined by Dr Jadoon to make sure she did not have any post surgical bleeding overnight and that the skin in the treated area was looking pink and healthy. She had minimal bruising.
A new dressing was applied and Donna was asked to come back again for another review in 7 Days. She was instructed how to carefully remove and reapply the dressing (crepe bandage) herself. She was informed that clinic staff will call her everyday over the phone to make sure she is doing okay.
DAY 7 FOLLOW UP:
Donna was seen again on day 7 by Dr Jadoon. She looked ecstatic about her new look and was very happy with the healing progress. Non absorbable sutures were removed and Donna was advised that she does not need to wear her dressing anymore. She was asked to resume light physical activates again.