Aesthetic Facial
Surgery
Treatments
1. Rhinoplasty
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Many people considering rhinoplasty are hesitant to take the step. This is very understandable. The nose is in the middle of the face and is crucial for the balance and appearance of the entire face. That’s why a nose correction can bring the face into harmony.
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What is a nose correction or 'rhinoplasty'?
Rhinoplasty is a surgery that improves the shape and/or function of the nose. As with all forms of facial plastic surgery, good health and realistic expectations are essential for the treatment.
There is no ideal rhinoplasty. The goal is to optimize the aesthetics of the nose and harmonize it with the other structures of the face. Skin type, ethnic background, and age play an important role in this.
During the consultation, the structure and build of your nose, both externally and internally, will be examined and evaluated. This way, you know exactly what to expect from a rhinoplasty. The structures of the nose, including the bone and cartilage, will be explained in terms of how they can be adjusted in shape. Photos are then taken from different facial angles.
How is rhinoplasty performed?
For small corrections, local anesthesia may be sufficient. Through internal incisions, the nasal bone and cartilage are approached. Because these incisions are internal, they are invisible. This 'closed' or endonasal approach generally leads to faster recovery. Sometimes a small incision is made in the skin between the nostrils; this is the 'open' or external approach. This method is usually performed under general anesthesia. The advantage of this method is that the shape of the nose can be adjusted under direct vision, with more precision. All contours of the nose, as well as the height of the nasal bridge relative to the nasal tip and the angle between the upper lip and the nose, can be very precisely balanced with this external technique.​
A temporary disadvantage of the external approach is the scar; however, this scar is invisible in everyday life. The choice between endonasal or external approach varies per situation. There is no 'standard ideal approach', so be well-informed and choose a specialist who masters both methods. Dr. Menger is happy to inform you about the ideal solution for your individual situation.
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Regardless of the method, bone and cartilage are removed, added, or moved to achieve a new structure and shape. For example, the nasal tip can be shortened, lengthened, or refined. The nasal bridge can be made lower, higher, wider, narrower, shorter, longer, or straight. Adjusting the angle between the upper lip and the nose can, for example, provide a more youthful appearance.
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After the nasal skeleton has been adjusted, the incisions are closed, and the nose is packed. A light bandage material provides internal support and prevents bleeding. This material can usually be removed after a day. Externally, a protective cap is placed, which is removed after a week.
2. Eyelid Surgery (blepharoplasty)
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Do you feel your vision is obstructed? Or do you have permanent bags under your eyes? Your eyelids may have become saggy, and your lower eyelids may have become slacker. An eyelid correction, also known as blepharoplasty, can help in both cases. During this procedure, the excess skin of your eyelids is surgically removed.
Sagging eyelids can not only obstruct your vision but also give a tired and aged appearance. This effect is amplified if your lower eyelids have also become slacker, causing bags under your eyes. An upper eyelid correction, lower eyelid correction, or a combination of both can give your face a fresh, youthful appearance. Dr. Menger can give you excellent advice on which type of eyelid correction is best for you.
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Upper Eyelid Correction
Over the years, your skin loses its elasticity, which is quite normal. Around your eyes, this loss of elasticity will be visible a bit earlier because the skin there is thinner. You can remedy this with an upper eyelid correction, where a small strip of skin from your upper eyelid is removed. This often achieves the desired effect. Do you suffer from more pronounced sagging eyelids? Then a little bit of fat and muscle tissue will also need to be removed. Keep in mind that if you are over 30 years old, a more extensive upper eyelid correction is likely to be suggested. It may also be necessary to subtly lift a drooping eyebrow at the side for a fresher appearance.
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Lower Eyelid Correction
Due to the sagging of your skin, an excess of skin can develop in your lower eyelids. When this is combined with bulging fat tissue, we speak of so-called bags. These can give you a tired and older appearance. If you are bothered by these bags, a lower eyelid correction can offer a solution. During this treatment, the excess skin is removed and any bulging fat is repositioned. For a lower eyelid correction, there is also the possibility of a more extensive procedure. Besides removing skin excess and possibly fat, the muscle ring around your eye will be examined for reinforcement to prevent the lower eyelids from drooping. It is also possible to reposition fat from the region to fill in your tear troughs.
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Consultation
During the intake interview, you can indicate what bothers you the most and what you would like to change. Based on this, the most suitable surgical technique will be proposed and discussed with you. Dr. Menger will show you in front of the mirror what this technique entails and what you can expect in terms of the end result.
At the end, your consultation will be summarized into a treatment plan with the total costs. These will be discussed with you directly, as well as the recovery period and any potential risks and complications.
3. Ear Correction (otoplasty)
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Do you find the position of your ears bothersome? Protruding ears can often be a source of frustration and in some cases even lead to psychological issues. Protruding ears, result from a congenital deformation of the cartilage skeleton of the earlobe. Surgical correction of the ear (Otoplasty) can improve this condition.
The shape, size, and position of the ear can be adjusted with this treatment to better balance the ears with the rest of the face. A minor adjustment can change the position of the ears enough to eliminate annoyance and feelings of insecurity.
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There are two types of otoplasty available, depending on the shape of your ear. In a standard otoplasty, the shape of the cartilage of the auricle is normal, and the ear is positioned closer to the skull. In an extensive otoplasty, the shape of the cartilage of the auricle deviates, requiring additional procedures. During this procedure, a stitch is placed under the skin in the cartilage at the back of the ear and in the front to correct the contour.
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Would you like to know more about Otoplasty? Dr. Menger will provide you with more information during an obligation-free consultation.
4. Eyebrow Lift
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Drooping eyebrows can give a somber expression to the face. If only the lateral part is drooping, an eyebrow lift can make a difference. Together with Dr. Menger, you will discuss the possibilities and whether the desired result can be achieved.
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This treatment uses an "open" technique, with various options for the incision. An incision can be made above the eyelid, behind the hairline at the temples, or above the eyebrows. The difference between a standard eyebrow lift and an extensive one lies in the size of the incision and the area to be lifted. During your consultation, the most suitable option for you will be discussed.
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5. Chin Correction
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Do you have a small chin that is not in balance with your facial profile? Or does your chin blend into your neck? Together with the nose, the chin strongly defines your facial profile. A chin correction ensures that your chin remains in balance with your face, improves its shape, and enhances a beautiful jawline.
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Chin correction is often applied to people with a receding chin, which can be very characteristic of the face. It can significantly alter someone's appearance. In men, a strong chin is associated with masculinity, while in women, a chin correction can contribute to the harmony and natural beauty of the face.
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Although it is a relatively minor procedure, it can yield significant results. During the examination of your chin, Dr. Menger will consider your entire face. A vertical line drawn from the front of your lower lip should just touch the chin. If the most prominent part of the chin is behind this line, a chin correction can help bring more balance to your face.
Chin correction can be performed separately or combined with rhinoplasty or facelift. Chin implants, usually made of silicone and available in various shapes and sizes, can be used for chin correction.
6. Lip Lift
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Do you have thin lips and wish to have fuller lips? A lip lift can be a solution if your lips already have sufficient volume. During this procedure, a small piece of skin underneath the nose is removed, which brings your upper lip more outward. This reveals more red lip tissue, resulting in fuller-looking lips. A lip lift subtly enhances the shape and proportions of your lips, aiming for a natural-looking result.
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In addition to increasing lip size, a lip lift can also improve the proportions between the lips, nose, and other facial features, enhancing the overall harmony and aesthetics of your face.
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If you are interested in a lip lift, discuss the possible options, expectations, and recovery period with Dr. Menger. A thorough evaluation will help achieve your desired outcome and optimize your satisfaction with the treatment.
7. Facelift Surgery
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S-Lift (Mini Facelift)
The S-lift, also known as a mini facelift, is a less invasive facelift where an S-shaped incision is made in front of the ear. Only superficial skin tissue is lifted, not the underlying tissues.
The result mainly focuses on the area just above the jawline, correcting sagging cheeks and tightening the jawline. Wrinkles around the mouth, lips, and eyes are not treated. The procedure can be done under local anesthesia or general anesthesia and is usually performed as a day procedure.
MACS Lift
The MACS lift goes beyond the superficial correction of the S-lift by tightening deeper tissue layers (SMAS). This provides more lasting results and addresses deep folds around the mouth and sagging cheeks.
The incision runs from the temple down in front of the earlobe, where muscle tissue is shortened and secured. Excess skin tissue is also removed. Like the S-lift, a MACS lift is usually a day procedure with the possibility of going home the same day.
8. Botox and Fillers
Dr. Menger offers two types of injectables: Botox, a muscle relaxant, and fillers, a volumizer. Both are injected under the skin with a thin needle to reduce wrinkles and creases or improve facial contours.
Botox targets muscle relaxation to reduce dynamic wrinkles, while fillers add volume to specific areas such as the lips or cheeks.
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Depending on your desires, you can choose between Botox and fillers. During the consultation, it is important to discuss your specific wishes so that Dr. Menger can provide the best advice on which treatment is most suitable for your desired outcome.
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