The beauty of the facial ageing process is that we transform from the strength and vitality expressed by the young face, to the trustworthiness and credibility reflective of accumulated life experience and loss of naivety which is often described as ‘’character’’. The difficulty of plastic, reconstructive and aesthetic medicine and surgery is to strike an optimal balance between these two extremes, while making sure it fits the actual age of the patient.

Our facial expressions allow us to interact and communicate with each other, and our appearance is influenced by how others perceive us. This is why aesthetic problems of our face, whether new or longer standing, may have a very strong impact on our wellbeing and confidence. Each face is unique and there are many different reasons for desiring facial plastic surgery. You might want an overall younger, more refreshed look, or wish to address the shape and appearance of a particular facial feature. While some desire to lessen the effects of time and age on the face, others seek to return to their original appearance after ablative (cancer) surgery or trauma of the face and neck. Over the course of the last 50 years, facial plastic and reconstructive surgery has undergone enormous progress, and many conditions such as the effects of aging, subjective or objective facial abnormalities, previous facial surgery or trauma can now be corrected through a variety of well-established procedures and techniques with predictable and reproducible outcomes.

Facial plastic surgery is offered by many different surgical specialties these days, most often plastic surgeons, maxillofacial surgeons and otorhinolaryngologists. The advantage of having facial plastic surgery under the care of an otolaryngologist is that they are specialized not only in the esthetic appearance of the face, but also the functional aspects of it. This is particularly important in rhinoplasty (nose-correction), since most esthetic nasal problems are associated with a degree of functional decline, while many functional nasal problems are visible on the outside of the nose as well. Moreover, esthetic surgery itself may lead to functional decline, while functional nasal surgery may be complicated by significant change in the outer appearance of the nose. Training in and focus upon both of these important aspects therefore helps to make sure that your surgery leads to a balanced result in which both the esthetic and the functional outcome of your surgery is optimal.

At ANDSURGEONS, we believe that the key to successful facial plastic surgery lies in a thorough and adequate clarification of the patients’ problem before the surgery. We approach this first and foremost by listening very carefully to the patients perception of the problem, his/her wishes with regard to a possibly solution, followed by our expert analysis of the situation which we try to objectify as much as possible. Once the problem is firmly established and agreed upon, the next step is to discuss possible treatment solutions. During this process, we rely heavily on both our many years of training with some of the best facial plastic, ablative and reconstructive surgeons in the world as well as our own experience of analyzing and treating patients with functional-esthetic problems of the face. The bottom-line of it all is that we rather spend a bit of extra time analyzing and establishing the problem in order to objectify it as much as possible, rather than jumping into surgery without sufficiently having thought things through. Sometimes, there may be situations in which we recommend against surgery. In such cases, we will always do our best to offer a non-surgical solution in case this is available. As many patients come to us for second opinions, we realize that our opinions might differ from those of previous caretakers, which is not uncommon in medicine and surgery. In such situations, careful analysis of those differences and the reasons behind it resolves uncertainty and contributes to optimization of patient expectations and surgical outcomes.

Who is this for?

Facial plastic and reconstructive surgery can be a very positive and life-changing experience in patients who feel psychologically or physically limited by their facial appearance. However, the anticipation, experience and postoperative recovery of facial surgery can also be associated with a degree of anxiety and psychological distress. The tranquil, clean, secure and health-conscious microstate of Andorra provides the ultimate environment to alleviate stress around your operation, with a degree of privacy which is unparalleled in our current world.