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Facial Cosmetic Surgery

Facial cosmetic surgery integrates structural understanding, proportion and anatomy to create refined, harmonious outcomes. It is not about looking “done” but restoring balance while respecting each person’s unique facial identity and function.
Facial surgery can enhance appearance, restore function, or often do both. But harmony is key - focusing on one feature in isolation may not always create the most natural result. Even the smallest changes in the face can be noticeable, because our eyes are naturally drawn to symmetry and balance.
My Approach
Your safety and wellbeing are always my first priority. Together, we will:
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Review your medical history and optimise your health (e.g. managing high blood pressure, which can increase bleeding risks after surgery)
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Discuss lifestyle factors (such as smoking, alcohol, and medications) that affect healing
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Carry out a detailed physical examination and plan surgery together based on your goals
The Layers of the Face
Ageing affects the face at multiple levels, each contributing in different ways:
- Skin: pigmentation changes, reduced elasticity, sagging
- Muscle: wrinkles and lines from repeated movement
- Fat: bulging (eye bags), volume loss, hollowing, jowls
- Bone: gradual structural changes that reduce support and balance (e.g. brow descent)
Form
Some people are born with natural differences in facial structure that don’t align with current aesthetic preferences:
- Skin: no upper eyelid crease (monolid), or multiple creases
- Muscle: extra bulk in the eyelid, or absence of dimples
- Fat: puffiness in the eyelid, fullness under the chin
- Bone: a chin or nose that projects too much or too little
Function
Facial structures can also affect day-to-day function:
- Eyes: drooping lids (ptosis) or excess skin (dermatochalasis) can obstruct vision
- Ears: prominent ears may affect confidence, especially in children
- Nose: structural problems can cause blocked breathing
- Lips: previous cleft lip repair may leave a “whistle” deformity
Treatment Options
Depending on your needs, surgery may include:
- Rejuvenation: face and neck lift, fat grafting, lip lift etc.
- Eyes and brows: upper or lower eyelid surgery, brow lift, ptosis repair
- Nose and ears: rhinoplasty (cosmetic or functional), otoplasty (reshaping of prominent ears), lobuloplasty (ear lobe repair)
- Skin: microneedling and nanofat grafting to improve skin quality, underchin liposuction
- Others: dimple creation, chin augmentation (with fat or implant) etc.
Frequently Asked Questions
1. Is this covered by insurance or Medisave?
This depends on your insurance plan and whether the surgery is considered functional or cosmetic. My team can assist with this process.
2. What will the scars look like?
Scars are placed carefully to be as discreet as possible. My aim is always to achieve natural-looking results.
3. Do you do XYZ technique?
There are many techniques you may read about online. While I’m familiar with them, my philosophy is to preserve your natural tissues whenever possible. That’s why I often use preservation approaches - such as closed rhinoplasty or minimal-incision eyelid surgery - which deliver natural results, reduce risks, and allow faster recovery.
4. Can I treat more than one area at the same time?
Yes. In fact, combining procedures can often provide the most balanced results - for example, a facelift with eyelid surgery and fat grafting.
5. Do you offer facial implants?
In general, I prefer not to use implants, as they carry long-term risks such as shifting or infection. The exception is the chin, where implants can sometimes achieve a more natural outcome than fat alone.
6. Can facial cosmetic surgery improve both appearance and function?
Yes, depending on the individual, surgery may also address functional concerns such as obstructed vision from dermatochalasis or nasal airway issues. My planning always considers both form and function, not just change in appearance.
7. How does Doctor Stitch aftercare support recovery?
Doctor Stitch is my personalised aftercare service that extends beyond routine reviews. It means you have continuity of care, discreet support, and attentive follow-up by me personally, whether at home or in clinic, throughout your recovery journey.
My Related Research & Publications
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Boonipat T, Lin J, Cherukuri S, Ng ZY, Chen EY, Yao CF. Impact of orthognathic surgery on emotional expression and smile aesthetics in Chinese patients as measured by FaceReader: a before-and-after study. Arch Craniofac Surg. 2025 Jun;26(3):115-123. doi: 10.7181/acfs.2025.0007. Epub 2025 Jun 20. PMID: 40624975; PMCID: PMC12235305.
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Boey JJE, Boey JJJ, Chen Z, Cao T, Tan ASM, Ng ZY. Superior Outcomes with Ultrasound-Guided Hyaluronidase for Impending Filler-Induced Facial Skin Necrosis: A Systematic Review and Pilot Meta-Analysis. Aesthetic Plast Surg. 2025 Jul;49(13):3519-3525. doi: 10.1007/s00266-025-04707-0. Epub 2025 Jan 29. PMID: 39881073.
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Boey JJJ, Boey JJE, Cao T, Ng ZY. Conventional High-Dose vs Low-Dose Hyaluronidase for Skin Necrosis after Hyaluronic Acid Fillers: A Systematic Review and Pilot Meta-Analysis. Aesthetic Plast Surg. 2024 Oct;48(19):3971-3978. doi: 10.1007/s00266-024-04334-1. Epub 2024 Aug 30. PMID: 39214904.
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Boey JJJ, Ho W, Ng ZY. Comment on "Chin Augmentation With Hyaluronic Acid: An Injection Technique Based on Anatomical Morphology". Dermatol Surg. 2024 Sep 1;50(9):886-887. doi: 10.1097/DSS.0000000000004210. Epub 2024 Apr 30. PMID: 38686929.
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Dimasi I, Chalhoub X, Ng ZY. Botulinum Toxin A for Gummy Smile-Keep It Simple. Aesthet Surg J. 2023 Aug 17;43(9):NP718-NP719. doi: 10.1093/asj/sjad138. PMID: 37157919; PMCID: PMC10435012.
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Ng ZY, Lellouch AG. Use of Micro Botulinum Toxin for a Face-lifting Effect: A Systematic Review. Dermatol Surg. 2022 Aug 1;48(8):849-854. doi: 10.1097/DSS.0000000000003483. Epub 2022 May 12. PMID: 35560135.
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Tan SS, Ng ZY, Zhan W, Rozen W. Role of Adipose-derived Stem Cells in Fat Grafting and Reconstructive Surgery. J Cutan Aesthet Surg. 2016 Jul-Sep;9(3):152-156. doi: 10.4103/0974-2077.191672. PMID: 27761084; PMCID: PMC5064678.
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Ng ZY, Fogg QA, Shoaib T. Where to find facial artery perforators: a reference point. J Plast Reconstr Aesthet Surg. 2010 Dec;63(12):2046-51. doi: 10.1016/j.bjps.2010.01.002. Epub 2010 Mar 5. PMID: 20207209.
I was awarded the ISAPS Bronze Medal for Rhinoplasty (2025) and Best Abstract Award (2024) at the London Rhinoplasty Course, Techniques in Rhinoplasty with an Integrated ENT-Plastics Approach for my contribution to advancing closed preservation methods for tip reshaping. I also received the British Association of Aesthetic Plastic Surgeons (BAAPS) Face, Eyes & Nose Prize in 2024, as well as their Travelling Fellowship award in 2023.
