DOUBLE EYELID SUGERY DOUBLE EYELID SUGERY

NON INCISIONAL
Non-incisional is suited to patients without excess of
fatty tissue and sagging skin.

NON INCISIONAL

PARTIAL INCISIONAL
Grand Esta Double eyelid surgery is not only defined in the single Partial incision is recommended for those who have
lidded/mono lid patient cases but, people with ptosis, visible asymmetry an excess of fat tissue under the eyelid but no sagging skin.
of the right and left eye, or who simply want a larger crease all can
choose to undergo this procedure. If you want your eyes elongated or
to look bigger, epicanthoplasty and lateral canthoplasty is also an
option.
As with all surgeries, there are different methods used for the
double eyelid procedure. The technique will be decided after a facial
analysis is performed by our surgeons with a detailed discussion
to understand the patient’s desired aesthetic. PARTIAL INCISIONAL

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 DOUBLE EYELID SUGERY DOUBLE EYELID SUGERY

FULL INCISIONAL EPICANTHOPLASTY

The incisional method is recommended for patients who Epicanthoplasty is eye surgery to remove the mongolian
have an excess of sagging skin and fatty deposits in the surround folds.
eyelid region.

EPICANTHOPLASTY
FULL INCISIONAL

PTOSIS CORRECTION LATERAL CANTHOPLASTY

Lateral canthoplasty elongates the outer aspect of the eyes
Ptosis Correction is defined as tissue dropping from the where horizontal enlargement is required.
upper eyelid due to weak levator muscles.

PTOSIS CORRECTION

Normal Slight Ptosis Moderate Ptosis Intersive Ptosis

LATERAL CANTHOPLASTY

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RHINOPLASTY RHINOPLASTY
There are two methods for rhinoplasty: Open Rhinoplasty and
Closed Rhinoplasty.

Open rhinoplasty

Open rhinoplasty involves using a horizontal at the collumela

just below the tip. The nasal tissues are then lifted to allow the surgeon
access to view and addresses the tip car tilages along with any
concerning deficiencies. This exposure is particularly advantageous
for the occasional rhinoplasty surgeon due to exposure of the nasal
structure.
The trade off for open rhinoplasty is the external scar which,
while generally heals well in most patients, some patients who are
more prone of scarring may be left with a visible mark.

Closed rhinoplasty

Rhinoplasty is one of the most commonly performed procedures

The closed rhinoplasty, done entirely in a small incision inside
whiles being the most complex and the most difficult, especially to
the nostril, does take greater manual dexterity and the technical
revise should dissatisfaction arise. No two noses are the same. Learn
knowledge to perform an operation “through a key hole”. Experienced
about the rhinoplasty techniques and implants available which
surgeons will tell you that their visualization is not impaired, and in
would be best suited to enhance your nose.
fact, this approach of course has been used for nearly 100 years
with great success.

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FAT GRAFTING FAT GRAFTING

Grand Esta is the first clinic to introduce fat grafting into

Thailand. Through extensive research, our surgeons developed the
“Dual Compaction Technique” with far superior survivability than
the conventional fat graf ting techniques. Our patented dual
compaction technique involves a secondary centrifuge purification
which in addition separates the healthy fatty cells from the waste
material, while reducing risk of cell damage during the process. Our
surgeons then will use this concentration of fat cells into the tissues
compact layer by layer, thus greatly increasing survivability of the
concentration. The resorption rate of this technique is significantly
lower than the conventional methods. As we have multiple 2 year
follow up of patient’s analysis and patient’s clinical trials to ensure
high recommendations to all our patented. The dual compaction
fat grafting techniques is significantly of upmost highest standard
Facial dimensions and visible aging can be improved through the in the field.
procedure of fat grafting. This is a non-invasive procedure performed by
extracting excess fat from areas like the buttocks, the abdomen
and the thighs. EPIDERMIS
E P IDER MIS
The extracted fat is then processed using a centrifuge where D ERMIS
D ER MIS
the fat is purified and then administered into the desired area. The
SUBCUTANEOUS TISSUE SUBCUTANEOUS TISSUE
facial dimensions along with any aging process becomes more (FAT LAYER) (FAT LAYER)
youthful and fresh as a result achieved easily via this method of BEFORE AFTER

fat grafting injection. Using PRP, the durability of fat grafting

can be enhanced.

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V-LINE SURGERY V-LINE SURGERY

Reduction and reshaping of the chin and jaws is carried out

using V-line surgery.

T-osteotomy for V-line

The procedure of cutting/shaving the bone in a T shape,

discarding the middle por tion and then fusing the remaining

bones of the chin together and trimming the line of the chin is

the T-osteotomy for V-line surgery.

Using the t-shaped bone cutting, adjustments can be made

for the ratio of the chin tip, if the chin line is long or wide. In doing
so trimming can also be performed. Moreover, the alignment of

the chin from the rear and frontal view can also be made
propor tionate as well as the movement of the chin can also

be adjusted.

Long curved mandibular contouring and rotatory

mandibular full contouring to create V-line

Trimming of the chin line from the mandibular angle to

the tip of the chin is done using this surgical method. This method
is also used for performing the cortical osteotomy. This procedure
helps to attain the sof t chin cur vature, a slim tip along with
a gentle chin line in cases where a wider chin is evident.

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FACIAL CONTOURING FACIAL CONTOURING
Mandible Reduction
Mandibular reduction is performed to smoothen the jawline

to reveal a softer curved aesthetic. This procedure is ideal for patients

with square and orwide jaws.

Chin Surgery
Chin augmentation (Mentoplasty) corrects and improves a weak
chin. For simple and common cases, an implant is used to enhance
the contour of the chin. Incisions are made intraorally or under the
chin, depending on the surgeon's diagnosis. A pocket will then be
created whereby a customized implant will be inserted and sealed
ygoma Reduction Chee bone in place. Often, chin augmentations are performed in conjunction

Cheekbone reduction corrects overly prominent cheekbones with rhinoplasty to balance the enhanced facial features.

give the patient an over-projected harsh and unbalanced look in

a face. Surgical incisions are made orally and/or near the hairline, Sliding Genioplasty
thus the cheekbones are chiseled to suit the face with no visible In severe cases where the patient has an overtly short and
s c a r s . T h i s a l l o w s t h e pa t i e n t to a c h i e ve a s m a l l e r f a c e w i t h weak chin, a chin implant may not be the solution. Patients who find
a more delicate and refined features. themselves in such a predicament may not experience enough
Conditions re uiring chee bone reduction. of an improvement by merely augmenting the chin. Additional
- From a 45° lateral view, the cheekbone seems to jut out. chin implants are unable to modify the vertical dimension of the
- A concave surface creating a shadow can be visible just chin. Therefore, in applicable circumstances sliding genioplasty
beneath the cheekbone. would be the ideal procedure for achieving facial harmony.
- Appearance of unevenness due to protruding cheekbones.
- The high cheekbones make the face appear wider in the
central portion.

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FACE LIFTING FACE LIFTING

FACE LIFTING
At Grand Esta we per form our facelif ts using the SMAS
technique, the entire lower face is pulled up and the jowls are
reduced, the neck is tightened, the sagging cheeks are lifted up
and the mouth and nose lines are removed. The separation of the
skin and the muscle layer is required to carry out the SMAS face lift.
The layers are adjusted in such a way that the cheeks are
adequately raised. After complete contouring of the face, the skin
is placed back , excess skin removed and the skin reattached in
the new ideal location. This procedure is typically per formed
together with a neck lift f o r o l d e r p a t i e n t s w i t h v i s i b l e n e c k
sagging and double chin.
FOREHEAD LIFTING
NECK LIFTING
Grand Esta uses the endoscopic method for our forehead
A neck lift is performed via a tiny incision around the lower
lifting. This method produces no scarring, minimal swelling and
ear lobe towards the back of the ear. From then sagging tissue,
immediate results. Traditional forehead lif ting requires a full
f a s c i a a n d m u s c l e a re v e r t i c a l l y a u g m e n t e d a n d f u s e d t o
incision over the hairline which can leave a visible scar and
an elevated position.
damage surrounding tissues. However our surgeons are trained to
produce a youthful lifted effect without the scarring and without Therefore reversing a double chin and/or sagging chin and
the damage. This surger y not only corrects a sagging wrinkled reversing the neck region to a youthful state. Our surgeon then
forehead, but also lifts the dropping eyebrows, giving patients carefully conceals the incision scar within a crease which leaves
a much more youthful appearance. traces of the surgery undetectable.

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 BREAST SURGERY BREAST SURGERY

Breast tissue analysis

Determines whether the whole breast requires augmentation
or certain areas of the breast is deficient.

After Breast tissue analysis

the most appropriate implant material, shape and size will
be selected for you. For example, some people with only mild
deficiencies in cer tain por tions of the breast can consider
a fat graft instead of using an implant.

E amine and measure your breasts

including detailed measurements of their size and shape,
skin quality, and placement of your nipples and areolas.

Incision site
Usually the breast augmentation is carried out by making
a cut at the underarm followed by the implant being eased and
adjusted into the breast pocket. However, cuts can also be made
below the breast or under the nipple depending on the
patient’s lifestyle and body.

Breast augmentation surgery is carried out after an in-depth

consultations with our surgeons because the process requires great
exper tise and tailoring according to the patient. Our Breast
Specialist Surgeons will discuss the following with the patient:

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 BREAST SURGERY ABDOMINOPLASTY

Abdominoplasty Tummy Tuc

In cases where liposuction is not sufficient to produce
satisfactory results, the alternative is a Tummy Tuck. Tummy tuck
or abdominoplasty is recommended when the patient has not only
excess fat in the belly area, but has sagging skin and stretch marks.

At Grand Esta we use the MIP technique (minimally invasive

panniculectomy) by removing excess skin, fat whilst tightening
drooping muscle and the surrounding tissues all via a tiny incision.
Our technique yields optimal results with faster recover y, less
scarring and minimized down time.

Breast Lift
For women who have aged or have given bir th, sagging
breasts are a common occurrence. A breast lif t or mastopexy
re s to re s s h a p e a n d vo l u m e b y l i f t i n g t h e b re a s t t i s s u e a n d
removing excess skin and tissue. The underlying muscle and skin
is then tightened and repositioned together with the nipple to
areola to balance the overall aesthetic of the breast to its new
position.
At Grand Esta, we frequently perform breasts lifts together
with breast augmentation for our patients who request perky
youthful looking breasts which are a few cup sizes above their
original breasts.

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BODY CONTOURING BODY CONTOURING

BEFORE AFTER

BEFORE AFTER

Liposuction also referred to as lipoplasty and liposculpture, is

surgery which breaks up and "sucks" the fat from all unwanted parts of
the patient. Most commonly the abdomen, love handles, buttocks,
thighs, neck, chin, upper and lower back, arms and calves. A cannula is
inserted through a tiny incision where the fat is physically removed via
a high-pressure vacuum.
BEFORE AFTER

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