Cath’s Important Transformation

This was Cath’s second visit after having a facelift; this time she returned for an arm lift. As you can see, her arms have excess skin as well as some localized fat. The concern extends not only under her upper arms but also along the sides of her torso. After evaluation, Doctor Dominic decided to perform an extended arm lift, addressing both the underside of the arms and the adjacent side areas for a more comprehensive contouring.

Cath always has tear coming out from her dry eyes caused by Entropian. Moreover her upper eye lid starts sagging and make her look tired and sad even if she is indeed very optimistic , bright, and full of positive energy. Moreover she also doesn’t like her arms, as she feel not comfortable with the excess sagging skin. Dr.Dominic called this type of sagging as “Bat Wings” which need “Extension” of the normal armlift.

Additional Procedure besides Arm Lift

As mentioned before Doctor Dominic also noticed Cath has a problem with her lower eyelid muscle (entropion), causing the eye to not close properly and to tear. He decided to repair the lower eyelid to fix this symptom.

Definition

• Entropion is a condition in which the eyelid (usually the lower lid) turns inward so that the eyelashes and skin rub against the surface of the eye (cornea and conjunctiva).

Causes

• Age-related (involutional): weakening or laxity of eyelid tissues and muscles — the most common cause in older adults.

• Cicatricial: scarring of the inner or outer eyelid from trauma, burns, surgery, or inflammatory disease that pulls the lid inward.

• Spastic: involuntary muscle contraction from irritation or inflammation (e.g., conjunctivitis).

• Congenital: present at birth due to abnormal eyelid development (rare).

• Paralytic: facial nerve palsy can alter eyelid position and contribute indirectly.

Symptoms

• Irritation, redness, tearing (epiphora)

• Foreign body sensation or constant discomfort

• Increased sensitivity to light and wind

• Corneal abrasions, recurrent corneal ulcers, or infection if untreated

• Blurred vision from tear film disruption or corneal damage

Diagnosis

• Clinical examination by an ophthalmologist:

  • Observation of inward-turning lid and lash contact with the eye

  • Assessment of eyelid laxity, scarring, and ocular surface condition

  • Fluorescein staining to detect corneal epithelial defects

  • Evaluation for underlying causes (e.g., skin scarring, facial nerve function)

Treatment

• Conservative (temporary or mild cases):

  • Lubricating eye drops and ointments to protect the cornea

  • Taping the eyelid outward at night

  • Botulinum toxin injection (temporary relief for spastic entropion)

  • Moisture shields or bandage contact lenses for corneal protection

• Surgical (definitive treatment for most cases):

  • Lateral tarsal strip procedure to tighten the lower eyelid and correct laxity (common for involutional entropion)

  • Everting sutures (quick, temporary or adjunctive measure)

  • Scar revision or grafting for cicatricial entropion

  • Full-thickness wedge resection or other eyelid-plasty techniques tailored to cause and anatomy

Before the procedure, Doctor Dominic performed a final consultation, reviewed the plan with her, and made the precise surgical markings. The surgery began with an extended arm lift, followed by a forehead lift and corrective surgery for her eyes to address the ectropion. Total Operation was 12 Hours for all procedures.

Summary of Procedures:

1) Extended Arm Lift

2) Temporal Lift , Cheek Lift, and Lower Eye Lift to fix the Ectopian

3) Upper Eye Lift and Fats Graft on Upper Eye Lift

4) Forehead Lift to elevate the upper face.

Total Hours for all Surgery : 10 Hours

The management team has visited Cath after the operation is finished, bring her the teddy bear.

Cath was having a follow up on wound care by dr.Dominic.

These photos were taken after the operation. Doctor Dominic visited her frequently during her early recovery, and the hospital’s management team also called to check on her progress and comfort. Cath stayed in the hospital for five nights.

For Post Op Care, we provide Cath with Hospital Standard Protocal as follows:-

• ICU Wards after Operation for 24/7 Closed Observiation, Vital Sign Monitoring, and IV Medication for pain management and antibiotics.

• Follow Up by Dr.Dominic, Wound Care, and Red Light Therapy

• 3 Meals a day served at her room

• Hair Wash Service

• Total 5 Nights at Hospital (actually it was longer but Cath just wanna move to Hotel!)

• Transportation Service between hotel, and hospital, as well as air port pick up

• home medication

• Personal Assistant to make sure Cath is happy throughout the trip.

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Cath loves her result. Her arms are now tight and firm. Her eyes and upper face look tighter and more refreshed. She no longer has dry eye discomfort. Her upper eyelids are lifted, and the lower lids are supported by the cheek lift from the temporal and forehead lifts.

The Results are beyond expectation!

Cath looks much more refreshed, especially now that both her upper and lower eyes have been corrected. The forehead lift truly elevates her eyes and brows, bringing a harmonious balance with the rest of her face. She looks exactly as her heart feels: beautiful, positive, and genuinely happy.

Another thing Cath wants to share to everyone, the Retreat Hotel!

Cath really can’t help but want to let everyone know that she absolutely loves the hotel we arranged for her. She insists she will come back again just to stay here and fully relax and enjoy herself. The hotel is Sens Wellness Hotel. The following are the photos of the hotel we are talking about.

Cath showed us her retreat hotel’s room. She said “I wanna live here forever”

The hotel is very peaceful and ideal for retreat. The room is big and has all facilities. Very beautiful indeed.

“The service I received from the hospital was amazing. Dr. Dominic is very caring, and he is a genius,” she said. On the sixth day she was transferred to a nearby hotel, where she enjoyed her stay immensely. “I could stay here forever. The hotel feels like a resort, surrounded by trees; the place is peaceful and quiet — very ideal for recovery.”

Funny moment: Dr. Dominic and Caths show the new arm transformation.