Dr Andy Chiang is an eminent plastic surgeon from China, working as a Consultant Facial Aesthetic Plastic and Reconstructive Surgeon in Shanghai at the 9th Peoples Hospital. This department of Plastic and Reconstructive Surgery is ranked No. 1 in China with 104 Surgeons who are working within 20 sub-specialties of plastic surgery. The PRS department conducts some 35,000 operations of which 20,000 are cosmetic, annually – these are truly mind-blowing numbers!
Ethnic Facial Contouring
In this presentation Dr Chiang discusses how facial beauty is perceived in China today, with the effects of globalisation. He discusses how the facial bones, cartilage and muscles make up the external features and appearance, and how these are viewed by Chinese people and westerners, with examples of famous Asians actors and models, both in China and overseas. From a surgical perspective he considers how modern techniques can alter the underlying bony and soft tissues, to create the desired changes in the Asian face.
Asian Upper Blepharoplasty
In this presentation, Dr Chiang focuses his attention on the eyes, perhaps the most striking of all the facial features. He discusses how trends and desired features have changed throughout history and how the modern western appearance has influenced a staggering increase in blepharoplasty surgery in China today, where those under 30 make up 40% of all patients.
43% of Chinese people have a single eyelid or monolid, which is some 600,000,000 people. As the single lid can give the appearance of being tried or lazy, the desire for corrective upper blepharoplasty surgery, to create a double fold to give a larger, brighter and more refreshed appearance, has grown.
In these two excellent and fully descriptive surgical technique videos, the renowned plastic and ear reconstruction surgeon Mr Tariq Ahmad (Cambridge UK), presents his Posterior Approach Pinnaplasty (correction of prominent ears) technique using resorbable polydioxanone (PDS) sutures.
Refinements of surgical technique requires an in-depth knowledge and understanding of not only the anatomy, but an appreciation of what the subject matter is and how the patient is motivated by the need for correction. In the case of a Pinnaplasty, this is often in young children. To consider changing accepted methods, the surgeon must know first-hand, the limitations of other techniques and how this impacts upon the patient.
This module comprises two live surgical videos, both Posterior approach Pinnaplasty in young patients. One is a young female patient, where we watch with considerable detail the planning, skin excision and fascial flap creation, posterior pocket dissection, neo antihelix construction and set back correction as performed by Mr Ahmad.
The other video, of a teenage male patient, allows you to follow the key elements for the posterior approach Pinnaplasty. With the posterior approach, the cartilage is not undermined or dissected at all on the anterior surface where the skin remains in full contact with the cartilage; this approach is therefore safer for the patient with less bruising and swelling and much less risk of damage to the cartilage.
Most posterior Pinnaplasty approaches use a permanent suture. With this technique by Tariq, a resorbable suture can be used if you follow the principles shown in this video: Make a posterior pocket and divide the muscle, push the muscle and all the soft tissue back along the post-auricular surface almost all the way to the hair line where you see the glistening surface of the mastoid fascia. Then, having cleaned the posterior surface of the ear cartilage and similarly cleared the mastoid fascia, the cartilage and perichondrium of the conchal bowl is sutured directly onto and abutting in contact with the periosteum of the mastoid. If these two surfaces are together with no intervening soft tissue, a couple of PDS sutures will stick the two surfaces together with much less risk of recurrence.
This is a must-watch module for all plastic, reconstructive and ENT surgeons offering, or considering offering, Pinnaplasty.
In this module on Breast Reduction, Mr Muhammad Riaz demonstrates the surgical technique of the Dermal Wing Breast Reduction with an edited 42 minute live surgical video.
This is accompanied by Muhammad’s webinar presentation on the technique, which he has adapted and performed over the past three years on many delighted patients.
The Breast Mastopexy with Dermal Wings technique, following massive weight loss, was first described by Colwell and Breuing in 2008 as a technique for maintaining the new shape of the breast using the skin in the lateral and medial margins. However, the use of this technique in association with breast reduction is a new and fascinating advance.
It is ideal for women that have large breasts, who want to maintain a “breast shape” but without excessive medial and lateral over-fullness post- operation. In his 42 minute live surgery video Mr Muhammad Riaz brings his adaptation of this exciting surgical technique to TheWebinarSurgeon.
The advantages for the patient are enormous, changing not only the size and shape of the breast, but, possibly for the first time, repositioning the breast to give a more youthful position, shape and dimension.
TheWebinarSurgeon proudly brings you the minimally-invasive “R” facelift technique, presented by Mr Muhammad Riaz.
Refined and developed over years of training and private practice, this technique provides a temporal, mid-face and neck lift to rival those associated with the more aggressive open surgery, but with none of the downtime and the increased risks associated with them.
In the fascinating 45 minute live surgery video, and accompanying Powerpoint webinar, Muhammad talks us through his unique approach, and makes this technique look easy, which could not be further from the reality!
You’ll find out why Muhammad Riaz has been voted Best For Facelifts in Tatler’s Beauty & Cosmetic Surgery Guide 2016; it’s taken two-and-a-half years to perfect the technique, but the ‘R’ facelift is proving popular. ‘Since I launched it, I’ve done nothing else,’ he says. That’s because it’s far less invasive than traditional facelifts. Here, the skin is not lifted – instead, he makes an R-shaped incision at the side of the face, along the hairline and behind the ear. Removing excess skin and pulling it tight (he uses deep, looped stitches that gather the underlying muscle) keeps things looking seamless. The result? Previously jowly faces become triangular, and in men it slims the face nicely while bringing out lost cheekbones. There’s little in the way of bruising and no bleeding whatsoever. ‘Within a week, everything has healed,’ claims Riaz. ‘It’s minimal treatment, maximum confidence.’
Don’t lose your patients!
Facelifts used to be the domain of aesthetic surgeons. However, lifestyle changes and increasingly effective non-invasive techniques mean that patients are looking for shorter downtime. And patients are being taken away from surgeons.
Have you noticed this happening in your practice?
You can do safer, smaller operations that require less downtime and are more effective than non-surgical solutions, to keep these patients. This module shows you how to adapt to this changing landscape – you need to learn less invasive but surgically effective techniques, to get patients back from your non-surgical competitors.
Contributors include Dr Greg Mueller MD, Mr Vik Vijh, Prof James Frame, and Mr James McDiarmid.