Surgical specialty

Facial surgery.

The face is a dynamic structure — bone, muscle, fat, and skin change over time in ways that are not uniform. For this reason, the procedures we recommend are not a fixed "cosmetic package"; they are an adjustment plan based on individual clinical assessment.

Our approach.

Most patients come to us with broad goals: "look younger," "look refreshed," "look more balanced." These are legitimate aims, but they need to be translated into specific surgical decisions — which region, which tissue layer, to what degree. The consultation exists for that work. A sound decision cannot be made on the basis of marketing terms alone.

At The Gioi Dep, every facial procedure is performed under hospital-grade sterile conditions with a dedicated anesthesiologist present throughout. We do not offer "no-anesthesia" or "no-inpatient" alternatives for invasive facial surgery.

Procedures.

Facelift

Repositioning of the deep facial tissues (SMAS) combined with limited removal of excess skin. The objective is to restore the natural contour of the face — not to create a different face.

Suitable for

  • Skin laxity of the midface and jawline
  • Deep nasolabial and marionette folds
  • Age-related volume loss in the midface

Anesthesia

General anesthesia

Inpatient stay

One-night inpatient

Expected recovery

Significant swelling and bruising in the first 10–14 days; most of the result settles by 3–6 months

Forehead & brow lift

Surgical elevation of the forehead to address brow ptosis and horizontal forehead lines. Performed through hairline-hidden incisions or endoscopically, depending on the clinical presentation.

Suitable for

  • Ptotic or asymmetric brows
  • Fixed forehead lines unresponsive to injectables
  • Heavy upper-eyelid hooding caused by brow descent

Anesthesia

General anesthesia

Inpatient stay

Day case or one-night inpatient

Expected recovery

Swelling and bruising 7–14 days; transient scalp numbness is common

Chin & jawline contouring

Refinement of the lower facial skeleton (chin and mandibular angle) through controlled osteotomy or burring, performed intraorally to avoid external scars.

Suitable for

  • A long, deviated, or asymmetric chin
  • A jaw angle that is overly square or prominent
  • Vertical facial proportions requiring adjustment

Anesthesia

General anesthesia

Inpatient stay

1–2 nights inpatient

Expected recovery

Marked facial swelling for 2–3 weeks; soft diet for 7–10 days

Chin augmentation with implant

Improvement of a weak or recessed chin profile using a biocompatible implant (medical-grade silicone or ePTFE). A less invasive option than a sliding genioplasty.

Suitable for

  • A small or retruded chin
  • Imbalance between the chin and the nose or overall face
  • A desire for a reversible change (implants can be removed)

Anesthesia

General anesthesia or sedation with local anesthesia

Inpatient stay

Day case

Expected recovery

Swelling for 5–7 days; avoid direct chin trauma for 4–6 weeks

Otoplasty (ear surgery)

Correction of prominent or asymmetric ears. Generally recommended after age 6, when ear cartilage has nearly reached adult size.

Suitable for

  • Prominent ears
  • Asymmetry between the two ears
  • Minor congenital deformities of the auricle

Anesthesia

Local anesthesia with sedation, or general anesthesia in children

Inpatient stay

Day case

Expected recovery

Compression dressing for one week; avoid contact activities for 6 weeks

Autologous fat grafting to the face

Fat harvested from a donor site (thigh, abdomen) by gentle liposuction, processed, and transplanted into volume-deficient areas of the face. A portion of grafted fat resorbs over the first months — this is expected.

Suitable for

  • Hollow temples and deep tear troughs
  • Volume loss in the cheeks and nasolabial regions
  • A preference for an autologous alternative to filler

Anesthesia

Sedation with local anesthesia or general anesthesia

Inpatient stay

Day case

Expected recovery

Facial swelling for 1–2 weeks; final volume settles by 3–6 months

When facial surgery is a reasonable option.

Facial surgery is generally considered when non-surgical alternatives (clinical skin care, energy-based treatments, injectables) no longer meet the patient's goals. That said, not every aesthetic concern needs surgery, and a responsible specialist will indicate when a procedure is appropriate — and when it is not the right answer.

The factors we assess in consultation include: general medical health, chronic conditions, current medications, surgical and anesthesia history, allergies, specific facial structural features, and the gap between expectation and what surgery can realistically achieve.

Limits to know in advance.

Facial surgery does not halt the aging process. Scars — even when carefully placed in concealed locations — exist and require time to fade (typically 6–12 months). Some results may need refinement after a number of years. These are points we discuss before you sign consent, not afterwards.

What a consultation looks like.

  1. Listen. You describe your goals in your own words. The surgeon does not suggest packages at this stage.
  2. Examine. Assessment of bony structure, skin elasticity, facial mimetic muscle behavior, and factors that affect technique choice.
  3. Discuss options. The surgeon presents one or more approaches with their specific limitations and risks.
  4. No decision on the spot. Many patients return weeks later with more questions or to change course. We treat that as normal.
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