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Facial aesthetic procedures •

Changing a face means understanding the bone under it

Skin sits on muscle, muscle sits on bone. A surgeon who works on facial bones every week reads a face differently from someone who only ever treats the surface.

Formally recognised •

Why an oral surgeon does this work

On 6 December 2022 the Government of India and the Dental Council of India formally recognised facial aesthetic procedures within the scope of oral and maxillofacial surgery. 

The reasoning is simple. This specialty already operates on the nose, the cheekbones, the eye sockets and the jaw. It already reconstructs faces after accidents and cancer surgery. Aesthetic work uses the same anatomy, the same instruments and the same training, with a different goal. 

An honest note before you read further. Not every face needs changing, and a good result comes from small, well judged changes rather than dramatic ones. If what you are asking for is unlikely to make you happier, we will tell you that at the consultation instead of taking the booking.

The clinic’s daily territory: teeth, jaws, the joint they hinge on, and the bone that holds all of it together.
 
Surgical procedures •

Structural changes

These change the shape itself, so results are long lasting. They involve real surgery, real recovery time, and a proper conversation beforehand.

Rhinoplasty

Reshaping the nose, whether for appearance, for breathing, or for both. A nose that was broken years ago can often be corrected at the same time.

Eyelid surgery

Blepharoplasty removes the heaviness of loose upper lids or the puffiness below the eyes, which is often what makes people look tired when they are not.

Ear correction

Otoplasty reshapes ears that stand out further than a person is comfortable with. Frequently done for children before school becomes difficult.

Facial bone recontouring

Adjusting the cheekbones, chin or jaw angle to change the underlying shape of the face rather than just the surface.

Facelift

Lifting and repositioning tissue that has descended over time. Best done conservatively, so the result reads as rested rather than altered.

Hair transplant

Moving your own hair follicles from the back of the scalp to areas that have thinned, in a pattern designed to still look right in fifteen years.
Your smile •

Teeth are half the face

People rarely name the teeth when they say they dislike a photograph of themselves, but very often that is what they are reacting to.

Rhinoplasty

Planning the shape, length, colour and proportion of the front teeth as one set, working with your lip line and face shape rather than against them.

  • Tooth coloured restorations and veneers
  • Reshaping uneven edges
  • Professional whitening
  • Gum line correction for a gummy smile

Braces and aligners

Straightening teeth either with fixed braces or with clear removable aligners, depending on the case and on how visible you want the treatment to be.

  • Fixed braces
  • Clear aligners
  • Adult orthodontics
  • Combined with jaw surgery in severe cases

Replacing what is missing

A single missing tooth towards the front changes a smile completely. Implants and crowns close the gap permanently.

  • Single tooth implants
  • Crowns and bridges
  • Full mouth rehabilitation
Without surgery •

Smaller changes, shorter recovery

Injectable and skin treatments do not change bone structure, so results are softer and temporary. For many people that is exactly the right amount of change.

Botox

Injectable and skin treatments do not change bone structure, so results are softer and temporary. For many people that is exactly the right amount of change.

Dermal fillers

Restores volume in cheeks, lips or hollows under the eyes. Reversible, which is a genuine advantage.

Scar revision

Improving the appearance of scars from injury, acne or previous surgery so they catch the light less.

Skin procedures

Treatments for texture, pigmentation and dullness, matched to your skin type rather than sold as a package.
Before you book •

Fair questions to ask us

How do I know if I actually need surgery or just a smaller treatment?

You do not need to know. That is what the consultation is for. Dr Pathak will look at the structure of your face and explain which of your concerns come from bone, which come from soft tissue, and which come from the teeth. Very often the smaller, cheaper option is the right one.

It varies a great deal. Fillers and Botox need almost no downtime. Eyelid surgery usually means a week of visible bruising. Rhinoplasty and facial bone work need two to three weeks before you would be comfortable at a social event, and several months before the final result settles.

You will be given a realistic timeline in writing, including the ugly middle stage, because that is the part people are not warned about often enough.

Not if it is done well. The aim is that people notice you look well rather than notice you have had something done. This is why we tend to advise less than patients initially ask for, and why we will decline a request that would look wrong on your face.

For most procedures, no. For anything involving facial bone in a young person, growth needs to be complete first, which is usually the late teens. Ear correction is the common exception and is often done in childhood.

Next step •

Start with a conversation, not a procedure

Come in, say what bothers you when you look in the mirror, and get a straight assessment of what would and would not help.

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