acial Plastic Surgery Questions and Answers: Part 2

Question: Facelift compression and claustrophobia – Is it possible to skip the compression garment?
Answer: In our practice, we have not used compression garments after a facelift in over 25 years. We have also seen skin necrosis from the compression garment from other practices. We use Jackson Pratt drain’s there left in place for two days.

Question: Under 100lbs, 33, would a chin implant or mini neck/facelift help with submandibular glands? 
Answer: The photographs demonstrate a recessive chin profile and fat deposits located both above, and mostly below the platysma muscle in your neck. You may also have enlarged submaxillary glands as well. Consider placement of a chin implant to augment your chin forward for better structural support for the soft tissues in the neck. A neck lift procedure can accomplish removal of both compartments of fat above and below the muscle in addition to a platysma plasty. If the glands are enlarged, which is determined at the time of surgery, then a conservative partial removal can also be accomplished as well if needed. Both a chin implant and neck lift procedure can be accomplished in about an hour and a half under general anesthesia as an outpatient procedure.

Question: Is it better to do all face procedures at the same time? 
Answer: Yes, indeed, it’s certainly possible to undergo a lower face/ neck, lift, a brow lift along with upper and lower eyelids all done at the same time under one anesthesia with one recovery period. A full set of facial photographs are required to make a determination about being a candidate for all of these procedures. For many examples from our practice of all of these procedures done together and separately, please see the link below.

Question: Should I consider a Mini FL or Full FL? Can laser resurfacing help with sagging skin and jowls? 
Answer: At 38 years of age, you’re rather young to undergo a facelift procedure, however the only way to get rid of excess and loose skin in the neck is to do a lot lower face and neck lift procedure. The loose and inelastic skin in the neck can be tightened, along with tightening loose facial and neck muscles, and removal of the small amount of fat in the neck to improve the jawline as well. It would certainly be acceptable to wait five years.

Question: Does a deep plane facelift include tightening of the neck?
Answer: It may or may not depending upon what your individual surgeon is performing. Sometimes a deep necklift is required when fat deposits are located underneath the platysma muscle in the neck. Study your prospective surgeon’s before-and-after facelift photo Gallery. In our practice, the goal of a lower face and neck lift is to tighten loose facial and neck skin, tighten loose facial and neck muscles lift the jowls, and remove fat deposits located above and below the platysma muscle in the neck.

Question: Would getting rhinoplasty balance my face? 
Answer: From the one limited photo, their first been overly projecting nose and an under projecting chin. The under projection of the chin makes your nose look bigger than it really is. Consider rhinoplasty and a chin implant combination for better facial balance and proportions.

Question: Facelift nerves. What are the chances of it causing my to have a droopy lip?
Answer: If you have fat deposits located below the platysma muscle in your neck, you are at a higher chance of having a temporary lower lip that is droopy. The facial nerve branch that runs the lower lip is located in that area. A full set of facial photographs from all angles would be required to better answer your question. The chance of getting a droopy lower lip is very low, and it’s almost always a temporary issue.

Question: Improvement of neck with facelift?
Answer: In our practice, a lower face and neck lift involves tightening loose neck skin, tightening loose neck muscles, and removing any fat deposits in the neck. Performing only a facelift from in front and behind ears will not have any beneficial effect in the neck itself. You should be very clear with your plastic surgeon about what your needs are, and what the surgeon can accomplish. There are many different types of facelift procedures, so it’s important to be very specific about your needs.

Question: How old is too old for a mini facelift? 
Answer: A full set of facial and neck photographs from all angles with your hair pulled back behind your ears are required to make a determination about how best to proceed. Mini lifts tend to give mini results, and are not very effective, therefore we rarely ever perform them. At age 72, you are going to most likely require a face and neck left procedure which accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing any fat deposits in the neck which also includes a platysma plasty. Choose your surgeon very wisely based on extensive experience producing natural results.

Question: Facelift concerns – what are signs a person has had a facelift? What should I look for in results?
Answer: It’s very important to study your perspective surgeon’s before and after facelift photo gallery, looking for detectability of the incisions. Make sure that the hair is pulled back over the ears so that you can see the incisions in front of the ear. Also look for a pixie ear lobes, elevated hairlines, wide scars or an over pulled look. In addition, study how well the neck looks rejuvenated from all angles.

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