SPECIALIST CERTIFICATION GMC, UK

I am a maxillofacial surgeon with 20yrs+ experience in complex facial surgeries in UK. I have special interest in facial aesthetics and I use all my years of training to offer you a personalised treatment option that would hopefully match your expectations.Please contact me directly for a virtual consultation. Thank you for reaching out

Facial Cosmetic Surgeries- Rhinoplasty, Blepharoplasty, Brow lift, Face lift (MAC LIFT & DEEP PLANE), Chin & Cheek augmentation, Neck lift
Orthognathic- Maxilla & Mandible osteotomies
TMJ- arthroscopy,  TMJ replacement surgeries 


MBChB(Medical degree, Birmingham, UK)

MRCS

FRCS

FFDRCSI

Bupa

Axa PPP

Vitality

Aviva

Moorthy Halsnad 

Aesthetic plastic surgeon

Doctor or Physician

General surgeon

Oral and maxillofacial surgeon

Otorhinolaryngologist

Member of European Academy of Facial Plastic Surgeons, Member of International Association of Oral & Maxillofacial Surgeons, Member of British Association of Oral & Maxillofacial Surgeons

IAOMS

BAOMS

Surgical correction or reshaping of the nose performed as an open or closed procedure, depending on the aims of surgery. Open rhinoplasty requires more extensive incisions to display the structures under the skin. Sometimes cartilage grafts are used to reshape the nose. Rhinoplasty can be performed to make the nose straighter, more defined, reshape the tip, reduce nostril size and refine other nasal features. Rhinoplasty and septorhinoplasty are also performed to improve breathing.

Rhinoplasty

Fat is taken from one part of the body, such as the inner knee or lower tummy, using a mini-liposuction procedure, and injected into the face to add volume, contour, or define certain features.  The procedure requires careful technique to ensure as much of the fat as possible survives. The fat cells are injected using special blunt instruments called cannulas.  Fat grafting can provide a lasting effect in facial rejuvenation either performed on its own or in conjunction with other procedures.

Fat grafting

This treatment uses tiny needles to penetrate the skin and deliver heat at the same time.  Radiofrequency energy passes through the needles in order to provide heat, either through the whole needle or just the tip. Radiofrequency needling is designed to stimulate collagen and tighten tissues more than needling alone.  The treatment is usually performed using local anaesthesia.

Radiofequency needling

A treatment that improves the skin’s condition using gentle techniques such as massage, exfoliation, the application of topicals, and masks. Numerous types of facials are available to improve hydration, smoothness, and radiance. Some devices are used in addition to manual techniques during skin facials, with tips that provide suction, peeling, and moisturising. There is usually little or no downtime after skin facials.

Skin facial

The brow is lifted by placing an incision at the brow hair itself.  This incision may be placed in an existing line or wrinkle to hide it as much as possible.  Some skin is removed and the incision is closed with stitches, lifting the brow to an elevated position.

Direct brow lift

This is a blood product that is prepared by spinning a whole blood sample in a centrifuge in a special syringe. The blood separates into different components, including plasma rich in platelets, cell fragments that release growth factors. The gold-coloured platelet-rich plasma is used to rejuvenate tissues such as skin or hair, usually by injecting it in small droplets.

Platelet-rich plasma (PRP)

Invasive surgical realignment or manipulation of the jaw or bones of the face to improve the contours of the face or correct dentofacial deformities.  A receding maxilla and receding or protruding chin can be corrected with orthognathic surgery, dramatically changing the profile view and enhancing facial proportions.

Orthognathic surgery for maxilla and jaw

These soft, flexible implants consist of medical-grade biocompatible silicone that can be implanted into human tissues.  Implants come in various shapes and sizes to enhance or augment features including the chin, cheeks, and lips.  An incision is made and the implant is placed using sterile technique. Silicone implants are permanent and do not dissolve, but can be removed or replaced.

Silicone implant

A surgical procedure using an incision at or behind the hairline to lift the soft tissues of the forehead. A forehead lift can improve deep forehead wrinkles and lift the brows. The procedure is usually performed under general anaesthesia and requires some dissection under the skin to effectively lift the forehead and hold it in place.

Forehead lift

This procedure helps improve under-eye bulges or bags as well as loose skin. The incision used is either just under the eyelashes in the skin (transcutaneous) or on the inside of the lower eyelid (transconjunctival). Variations in lower blepharoplasty include trimming away excess bulging fat, repositioning this fat to reduce under-eye hollows, and supporting the outer lower eyelid with fine stitches to prevent it from sagging and improve the shape of the lower eyelid.

Lower blepharoplasty

Lasers use a specific wavelength of light to exhibit their effects. The wavelength determines the target for that specific laser. Most lasers are designed to heat and destroy a specific target and leave surrounding tissue untouched and undamaged. Lasers can peel skin, remove hair, rejuvenate skin, treat vascular conditions and remove pigmentation and tattoos. Various safety protocols are required when lasers are used, such as eye protection with goggles or eye shields.

Laser

A lift of the middle part of the face including the cheeks, nose-to-mouth folds and mouth corners. This may be performed through incisions placed behind the hairline near the temple, in the lower eyelid, and in the mouth. Special stitches may be used to lift and suspend the tissues of the midface to improve the shape of the face, reduce sagging, and lift the cheeks.

Midface lift

This surgical procedure helps make the eyes appear more youthful by removing excess skin, muscle and fat between the eyelids and brows. A small incision is made in the crease of the eyelid either under local or general anaesthesia. Fine stitches are used to close the incision and these are usually removed 5-7 days after surgery. Upper blepharoplasty rectifies the hooding that occurs with aging in some people.

Upper blepharoplasty

In some cases, fillers are injected into the soft tissues to reshape the nose and make it appear straighter or more defined.  The most commonly used fillers for this purpose are non-permanent fillers like hyaluronic acid, a clear, sterile, biocompatible gel substance.  Other non-surgical rhinoplasty techniques use botulinum toxin injections to elevate the tip of the nose.  Some doctors use threads to modify the appearance of the nose.

Non-surgical rhinoplasty

Techniques to reduce the appearance of a gummy smile including surgically cutting muscles that lift the upper lip and cutting away part of the gums that cover the upper teeth. This has the effect of making the teeth appear bigger and improves the proportion of the gums and teeth on smiling.

Gummy smile surgery

Surgical remodelling of the soft tissues or cartilage of the ear to improve shape, symmetry, or projection.  Various otoplasty techniques have been described to treat congenital conditions, or changes that have occurred over time or with trauma.  A head bandage is usually required after otoplasty surgery.

Ear surgery/otoplasty

The outer layer of skin is removed by sanding it down using a rotating rough tip on a powered device called a dermabrader.  This is performed under general or local anaesthesia. Dermabrasion improves skin texture, wrinkles and scars by removing the top layers. There is redness and swelling after the treatment for a period of time.

Dermabrasion

A deep plane facelift is a surgical facelift procedure involving techniques that pass deeper into the face, underneath the muscular layers.  This differs from facelifts that lift and stitch skin and underlying layers that lie close to the skin.

Deep plane facelift

The peeling away of the outer layer of dead skin cells on the skin’s outermost layer. Most microdermabrasion devices use tiny particles, diamond-tipped grits, or patented tips to gently blast or scrape away the epidermal cells. Microdermabrasion is designed to give an instant smoothing effect, although a course of several treatments is often recommended to give better results over time. The skin may be pink after treatment but this usually resolves quickly.

Microdermabrasion

Definitive removal of something from the body through an incision and dissection, either under local or general anaesthesia. 

Surgical removal

A peeling treatment that uses lasers, such as carbon dioxide and erbium lasers, to remove the outer skin layers precisely. The type of laser and settings used determine how the skin peels and heals. Laser skin resurfacing is used to reduce sun damage, pigmentation, and fine wrinkles. The treatment usually requires some form of anaesthesia and special skin care during the healing period after the treatment.

Laser skin resurfacing

Light emitting diode (LED) devices produce light wavelengths that correspond to light in the visible spectrum, such as red and blue. LEDs may be placed over the face, shielded using eye goggles, to treat acne, wrinkles, redness and other conditions.  Blue light is purported to treat acne, whereas red light may be used for collagen stimulation or hair growth.

Various threads are used to lift different parts of the face, or even body. These can be dissolvable or permanent materials, and have different appearances. Some are smooth, some have tiny hooks or barbs, others have cones. A thread lift is usually performed under local anaesthesia as a minimally invasive treatment. The threads may be anchored or ‘free-floating’. Some thread lifts require small incisions whereas others are inserted through punctures without making incisions.

Thread lift

Surgically improving the appearance of a pre-existing scar using various techniques. The existing scar is often removed using a separate, new incision. The edges of the new wound are brought together in a way that reduces tension on the healing incision, so that the scar becomes less obvious.

Scar revision

This fat gives fullness to the lower face, between the jowls and the cheeks.  Partial removal of the buccal fat is performed to reduce a full lower face, or “chipmunk cheeks”.  Buccal fat removal is usually done through a small incision on the inside of the mouth where the fat is gently retrieved.  It may be performed under local anaesthesia or as part of other surgical procedures.

Buccal fat removal / Bichectomy

The brows are lifted using keyhole surgery.  Small incisions, usually 4-5,  are made behind the hairline and instruments with cameras and lights are used to guide the surgery.  During the endoscopic brow lift procedure the tissues near the brow are released under the skin so the brows can be elevated to the desired position.  The tissues may then be anchored to the bone to maintain the brow lift.

Endoscopic brow lift

A short scar facelift is a surgical procedure that lifts the face through an incision that may be shorter than a traditional face lift incision.  The incision is usually placed in front of the ear.  Different techniques can describe a short scar facelift.

Short scar facelift

This is used to remove unwanted skin cells by freezing them. The area is sprayed until temperatures are so low that the skin lesion freezes. More than one treatment may be necessary to remove the unwanted cells. Cryotherapy, or therapy that induces very low temperatures in tissues, may also be used to treat unwanted fat. This is called crylipolysis or “fat freezing”.

Cryotherapy

Liposuction is used to contour the body by removing fat that lies under the skin through special suction tubes called cannulas. Liposuction can be performed under local anaesthesia or general anaesthesia. Almost all parts of the body can be treated with liposuction. Various forms of liposuction exist, including those that use suction alone, or those that use energy to assist the procedure, such as laser, ultrasound, or vibration.

Liposuction

A surgical neck lift usually involves tightening the muscles to remove the sagging and improve the angle under the chin, as well as lifting and trimming excess skin. This is commonly performed together with a face lift. The incisions and scars vary, but can be behind the ear and into the hairline and a smaller incision under the chin to access the muscles. A neck lift is a definitive surgical rejuvenation that requires healing and recovery.

Neck lift

An incision is made immediately under the nose to hide the scar, and a variable amount of skin is removed. When the incision is closed with stitches, the lip elevates, resulting in a more youthful or rejuvenated appearance. The surgical lip lift can also evert the upper lip, making it appear fuller. Stitches are removed after approximately one week. Variations in the shape of the incision are designed to lift the lip in different ways, such as defining the cupid’s bow.

Surgical Lip lift

A series of small injections of a purified neurotoxin that temporarily blocks nerve impulses to muscles or other tissues, causing the muscles to relax.  When muscles relax, the overlying skin moves less, effectively reducing wrinkles.  Botulinum toxin injections can be strategically placed for various other indications, including rejuvenation of the upper and lower face, reducing sweating, and medical conditions such as migraine. The effects usually wear off after a few months.

Botulinum toxin injections

The Minimal Access Cranial Suspension (MACS) lift is a surgical procedure that lifts the face through an incision along the hairline and in front of the ear.  The tissues under the skin are lifted using stitches that are anchored.  Some skin is removed near the hairline. The MACS lift may be considered less invasive than some forms of traditional facelift.

MACS lift

The most commonly used fillers today are non-permanent and consist of hyaluronic acid, a naturally occurring molecule found in skin, joints and in the eyes.  Several brands of hyaluronic acid filler are available.  They all comprise a clear, soft, sterile gel that is injected into the skin or beneath the skin to soften lines, contour facial features, or add volume.  Fillers may be injected under local anaesthesia, and results can last about 6-18 months.

Fillers

This surgical procedure has been used for many years to improve sagging of the face due to aging. A traditional facelift incision is usually made in front of the ear, along the hairline, and inside the hairline. There are various types of facelift procedures. Drains and bandages may be placed to ensure optimum recovery after surgery. A neck lift is frequently performed at the same time.

Face lift

Lasers are powerful devices that emit light at certain wavelengths in order to have an effect on tissues in the skin or body. Ablative lasers vaporise or peel skin. Non-ablative lasers usually heat skin without peeling. Lasers can heat collagen effectively, causing improvement in texture, tightness and pores. Lasers can be used to rejuvenate by treating blood vessels, removing hair, stimulating biological processes or peeling the outer, unwanted layers of skin or tissue.

Laser rejuvenation

Surgical facial contouring sometimestages may include bone resection: removing part of a bone with special tools to change its shape.  Bones that can be shaped or resected during aesthetic procedures include the nose, mandible, and chin.  Bone resection is usually used when modifying the soft tissues over the bones is either not appropriate or effective enough to make the desired change.

Moorthy Halsnad

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