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Cosmetic Surgery

  • Overview
  • Blepharoplasty
  • Botulinum toxin (Botox®) for
  • Facial wrinkles and frown lines
  • Facial and lip enhancement using fillers?

  • About
  • Before And After
  • Faq

About

Overview

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Dr Nima Pakrou is an Ophthalmic Plastic Surgeon with many years’ experience in both cosmetic and functional plastic surgical procedures. He also offers various cosmetic filler and anti-wrinkle treatments.

A range of filler brands and materials are available, based on patient requirements and patient choice. Dr Pakrou will offer his professional opinion in selecting the appropriate brand and material for you. He will also recommend the dosage amount based on your desired outcomes.

Treatment for injectables is performed on site in our dedicated surgical suite. The treatment may involve multiple injection points depending on your individual needs and desired outcome.

Blepharoplasty

What is a blepharoplasty?

This procedure involves the removal of excess upper lid (or less commonly lower lid excess) skin. Excess muscle and fat can also be removed. Generally the results of an upper eyelid blepharoplasty are more predictable and more dramatic as compared to lower eyelid blepharoplasty. Blepharoplasty can be performed for both functional and cosmetic reasons.

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Before

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Three weeks post surgery

cosmetic post surgery

Three months post surgery

Botulinum toxin (Botox) for facial and eyelid spasm

What is Botox?

Botox™ is a purified toxin that is used to weaken muscles by blocking nerve impulses transmitted from the nerve endings of the muscles. It is delivered by an injection to the overacting muscles.

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What is Botox used for?

Botox can be used on the face to temporarily treat:

  • Blepharopspasm (squeezing of eyelids)
  • Hemifacial spasm
  • Excessive tearing
  • Facial twitch
  • Enhancing facial aesthetics (reducing crow’s feet and frown lines).

When should it be avoided?

Botox ® treatment is generally not recommended if you:

  • Are allergic to any of the ingredients in BOTOX ®
  • Had an allergic reaction to any other botulinum toxin product such as Dysport ®
  • Have a skin infection at the planned injection site
  • Are pregnant
  • Have a disease that affects your muscles and nerves (such as amyotrophic lateral sclerosis [ALS or Lou Gehrig’s disease], myasthenia gravis or Lambert-Eaton syndrome).
  • Have had recent surgery on your face or are planning surgery in the proceeding 3-6 months
  • Have weakness of your forehead muscles, such as trouble raising your eyebrows
  • Have drooping eyelids
  • Are breast-feeding or plan to breastfeed. It is not known if BOTOX or BOTOX Cosmetic passes into breast milk
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How Botox is administered?

  • The injection site will vary, depending on the problem areas.
  • No anaesthesia is required.
  • The surgeon cleans and marks the site of injection.
  • The medicine is injected under the skin or into the muscle, using a very fine needle.
  • You can resume activities immediately.
  • Maximum effect is seen at 2 weeks post injection and can last for 3-4 months.

Botox for aesthetic purposes?

Botox can be used as a non-surgical, cosmetic treatment for moderate/severe frown lines. It has also proven to be a safe and effective treatment for wrinkles.

Medicare does not contribute to the cosmetic use of Botox.

Facial and lip enhancement using fillers?

A filler is an inert substance (commonly hyaluronic acid) which is injected into depressions and wrinkles around the eyelids and face. It can also be used to enhance and to fill the lips. Common areas treated by Dr. Pakrou include the lips, tear trough area below the eyes, and the lines between the nose and the mouth (nasolabial folds). Other areas that often benefit from fillers are the midface (to plump up and lift the midface) and the cheekbones. There are many fillers on the market and Dr. Pakrou will discuss the best options based on the desired outcomes.

Some fillers are enhanced with rejuvenating compounds and factors, which over time can improve the quality and radiance of the skin. Most fillers are temporary and results last between 6-12 months based on the product used, and the area being treated. Most of the fillers used can also be dissolved if the desired outcome is not achieved.

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Before And After

Before and After

What is a blepharoplasty?

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Botox® & Rejuvination : Before and After

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FAQ

This procedure involves the removal of excess upper lid (or less commonly lower lid excess) skin. Excess muscle and fat can also be removed. Generally the results of an upper eyelid blepharoplasty are more predictable and more dramatic. Blepharoplasty can be performed for both functional and cosmetic reasons.

Botulinum toxin A can be used as a very effective treatment for various conditions around the eyes and face. It is injected using a very small needle. It is injected into overacting muscles around the face, which can cause deep lines and wrinkles around the eyes and forehead area. It can also be used to treat debilitating conditions such as blepharospasm (involuntary severe spasms of the eyelids) and hemifacial spasms.

Common sites for injection are the vertical frown lines between the eyebrows (glabella lines), horizontal forehead lines, and crow’s feet around the eyes. The onset of effect is within 3-5 days and the effect can last between 3-4 months. With continued use the results can last even longer.

A filler is an inert substance (commonly hyaluronic acid) which is injected into depressions and wrinkles around the eyelids and face. It can also be used to enhance and to fill the lips. Common areas treated by Dr. Pakrou include the lips, tear trough area below the eyes, and the lines between the nose and the mouth (nasolabial folds). Other areas that often benefit from fillers are the midface (to plump up and lift the midface) and the cheekbones. There are many fillers on the market and Dr. Pakrou will discuss the best options based on the desired outcomes.

Some fillers are enhanced with rejuvenating compounds and factors, which over time can improve the quality and radiance of the skin. Most fillers are temporary and results last between 6-12 months based on the product used, and the area being treated. Most of the fillers used can also be dissolved if the desired outcome is not achieved.

Dr. Pakrou performs all procedures. As an eye and eyelid surgeon, Dr. Pakrou has extensive knowledge of the facial and eyelid anatomy. Although all procedures do carry a very small risk, Dr. Pakrou has the expertise to minimise any potential risks.

Patients are advised to avoid lying supine following treatment for four hours. They are also advised to avoid massaging or applying heat to the treatment area, and to avoid activities that cause flushing (such as exercising heavily, consuming alcohol, and hot tub use) on the day of treatment. These aftercare practices are used to reduce potential spread of the botulinum toxin and/or filler, however; they are not supported by randomized controlled trials.

Onset of effect and duration

Partial results following botox injection can be seen within 3-5 days with maximal reduction at two weeks following injection. Return of muscle function and wrinkles is gradual and generally after three to four months after treatment. Further treatment can be performed when muscle contraction is visible in the treatment area and before facial lines return to their pre-treatment appearance. Following multiple treatments, the effects of botox may be prolonged and, in most cases, treatment intervals can be extended.

The results following facial and lip fillers are almost instant. However initially there can be bruising, redness and swelling which can mask the ultimate result. These effects can be noticed very soon after injections, and can worsen over 24-48 hours before improving. Using cold packs can help minimise bruising and swelling. Most fillers are temporary and results last between 6-12 months based on the product used, and the area being treated. Most of the fillers used can also be dissolved if the desired outcome is not achieved.

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Melbourne Comprehensive Eye Surgeons (MCES) provides holistic eye care. Our modern purpose-built facility has been designed to provide a comfortable and relaxing place for our patients to receive modern ophthalmic care. Call (03) 9455 1714 to book a consultation.

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