Dr. Peter Lohuis, MD, PhD

Internationally renowned Dr. Peter Lohuis, MD, PhD, is a fully qualified and experienced ear-nose-throat and head and neck surgeon who graduated from Utrecht University. He has worked for several top hospitals in the Netherlands, has acquired a postgraduate diploma from the European Academy of Facial Plastic Surgery, and is certified by the American Board of Facial Plastic and Reconstructive Surgery.

In addition, he is a member of the examination board of the European Academy of Facial Plastic Surgery and a highly regarded lecturer and practical trainer at global conferences and training sessions. He is the author of several professional manuals and chapters in a variety of manuals. In his prestigious academic career, he has published 110 scientific publications in peer-reviewed professional journals.

Peter Lohuis is the organizer and general manager of different professional training courses dedicated to facial plastic surgery, rhinoplasty and facial skin cancer treatments. His daily medical practice primarily focuses on oncological and reconstructive surgery of the head and neck, plastic surgery of the temporal bone related to the treatment of tumors of the skin in the ear canal, reconstructive and plastic surgery of the face, surgical treatment for the paralysis of the facial nerve, rhinoplasty and nasal reconstruction.

In Estonia, Dr. Peter Lohuis performs aesthetic and functional surgeries for the head and neck area, including rhinoplasty, various facial plastic surgeries (eyelids, forehead, brows, facelifts and modifications), and plastic surgery of the neck and ears.

Dr. Lohuis has a very positive attitude towards life; he is a broad-minded, open person who practices an active lifestyle and enjoys playing tennis and squash.


Small-scale plastic surgery for forehead and eyebrows is indicated if the lateral parts of the forehead have caused droopy eyebrows. A full brow and forehead lift is indicated if the eyebrows and forehead are sagging significantly. There are several surgical options for a brow lift. Eyebrows can be corrected by an endoscopic forehead lift or by lifting and fixating the eyebrows. In the latter case, the surgeon makes an incision in the crown of the head in the hair, on the hairline or on the inner side of the highest part of the eyebrow. Muscles are tightened and secured. The wound is closed, and the surgeon removes the stitches in only a week.

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Upper eyelids require surgical correction if the eyelids are sunken, saggy and droopy. Over a lifetime, the proportions between the structural elements of human skin change, and as a result the skin stretches and wrinkles appear. The subcutaneous fat is reduced, the eyebrows get saggy and the eyelids start to droop.

Often the fold of the upper eyelid is positioned just 3–5 mm from the lash line and the skin of the upper eyelid drops onto lashes, creating a sense of pressure on the eye and the eyelids. A droopy upper lid is not just a cosmetic issue, but might also limit a person’s field of vision and give an overall appearance of being tired.

During the surgery, a necessary amount of fatty tissue, eyelid muscle and the skin around the eye is removed, resulting in the tightening of the skin around the eyes. Following the adjustment of the upper eyelids, the field of vision is improved, the eyelids become less tired and the eyes get a younger and fresher appearance.

The surgical incision of the eye lift is made into the skin fold of the upper lid, resulting in barely noticeable scars.

Saggy lower eyelids are the cause of ‘bags under the eyes’. Big, saggy eye bags in the lower region of the eyes cause swelling in the area around the eyes.

The need for an adjustment of the lower eyelids arises with increasing age. The swelling under the eyes is caused by the accumulating fat, which is the reason for bags under the eyes – this can also be hereditary or depend on the lifestyle and diet.

In the course of the surgery, saggy skin and fat is removed and the fat is relocated. The incision of the lower eyelid surgery is made into the crease of the eye near the lash line of the lower lids, resulting in barely noticeable scars.

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Rhinoplasty is a facial plastic surgery that aims to aesthetically alter and restore the shape of the nose and to improve or recover the functions of the nose. The most frequent reasons for surgical treatment are an earlier trauma to the nose, a congenital defect, difficulties with breathing through the nose or a prior rhinoplasty with an inadequate result. Each rhinoplasty is performed differently for each patient by adapting the surgery to the patient’s needs. In order to improve the aesthetic appearance of the nose, the nose cartilage and bone size, shape and position are altered during the surgery. If the patient is also experiencing difficulties with breathing through the nose, it can be corrected during the same surgery (either through the plastic surgery of the nasal septum, nasal turbinates or sinuses. There are three possible surgical options for the execution of rhinoplasty: the closed and the open method and a combination of both. 
Closed rhinoplasty means that the incisions are made into the nasal mucous membrane behind the tip of the nose. Therefore, this method is generally used for altering the bridge of the nose, for example in order to remove a bump or adjust the straightness of the bony nasal part.

The classic closed method does not allow the adjustment of the tip of the nose, which is also the biggest downside to this method. Open rhinoplasty means that, in addition to the incisions inside the nose, an additional incision will be made into the skin between the nostrils. The subsequent scar is barely noticeable. The open method has the advantage of a very good access to all structures of the nose and offers broad opportunities for changing its shape and size. In comparison to the closed method, the open method offers a more effective way for changing the shape of the tip of the nose. Rhinoplasty is performed under general anesthesia.

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Otoplasty or auriculoplasty is the surgical pinning of the ears closer to the head that permanently changes the shape of the earlobes. The incision is made behind the ear so that the scar is less noticeable. On children, otoplasty is performed under general anesthesia, while surgery on adults is possible either under general or local anesthesia.

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Wrinkles and sagging skin start to appear on the neck region and the face as the years go by. Drooping may be caused by heredity, age and excessive sun exposure that has reduced the elasticity of skin and skin tissue.

Face and neck correction is intended for tightening sagging facial contours. Furthermore, excessive fat tissue often develops below the chin, and this can also be removed by surgery. In the field of face and neck plastic surgery, surgeries that tighten the face and neck and lift the brow area and the forehead are the most commonly performed. The surgery has a rejuvenating effect, but does not stop aging. Subcutaneous fat and muscle tissue is lifted and excess skin is removed. Surgically it is possible to carry out a full face surgery, a.k.a a facelift, which includes the tightening of the facial skin and muscles and the removal of excess skin from both face and neck.

A smaller scale face surgery, a so-called mini-facelift, focuses on the tightening of the skin and muscle of a specific area of the face or neck. Either small-scale or large-scale surgery is performed. The selection of a suitable method first and foremost depends on the anatomical particularities and the scope and characteristics of the signs of aging of the patient.

Postsurgically, it is definitely necessary to follow the treatment regimen.

The result of the surgery is natural and lasting, but largely depends on the elasticity and quality of the skin. Skin elasticity is determined by heredity and external factors, including diet, lifestyle, quality of sleep, and use of alcohol, tobacco, and drugs.

The surgery restores the fresh and youthful appearance of the face, but it must be taken into account that it’s a large-scale operation with a lengthy recovery period.

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Dr. Lauri Maisvee, MD

Dr. Lauri Maisvee is an experienced head and neck surgeon and an ear-nose-throat doctor.

Dr. Maisvee graduated from the University of Tartu Faculty of Medicine in 1995, completed his internship in 1999 and otorhinolaryngology residency in 2004. He is a member of the Estonian Society of Otorhinolaryngology and Head and Neck Surgery, the Estonian Plastic and Reconstructive Surgery Society, the Estonian Society of Oncologists and the European Academy of Facial Plastic Surgery.

Dr. Maisvee specialises in the surgical treatment of tumorous diseases in the head and neck area, more specifically the endoscopic microsurgery of the upper respiratory tract, the reconstructive surgery of the head and neck area and the aesthetic surgery of the face and neck area. He has acquired further knowledge at various specialized conferences and practical training in Estonia, Finland, Germany, the Czech Republic, Belgium, the United Kingdom, France, Turkey, South Korea, the United States of America and the Netherlands.

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Plastic surgery always requires the patient to be physically and mentally able to cope with the changes. Therefore, surgery is preceded by a consultation that identifies the patient’s main important health indicators. Consultation fee is 95 €.

In Fertilitas, aesthetic and functional surgeries for the face and neck area are performed by Dr. Peter Lohuis in collaboration with Dr. Lauri Maisvee. Dr. Lauri Maisvee carries out all necessary consultations, counselings and other procedures with the patients prior to Dr. Peter Lohuis’ surgeries.

Contact us and we’ll book a suitable consultation time for you, so we can identify your desires and expectations, and introduce the possible solutions!



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