Facial Plastic Surgery Questions and Answers: Part 06

Question: Is it important to have a Board Certified Plastic Surgeon?
Answer: Yes, indeed, it is important to make sure that your surgeon is board-certified in plastic surgery, or facial plastic surgery. It’s also very important to study your prospective surgeon’s before and after facelift photo gallery to make sure that it is extensive with lots of natural results.

Question: 5’9, 185lbs, what type of procedure would you suggest I need for more definition between neck & face? 
Answer: The noninvasive treatments you were recommended are not going to be of any benefit for you. It is very important to understand that there are two compartments of fat in the neck, and they are located both above and below the platysma muscle in your neck. From these photographs presented, it appears that most of your fat is located below your platysma muscle, which is going to require a neck lift procedure to surgically extract the fat below the muscle, and also includes a platysma plasty to significantly improve your jawline. Liposuction is also performed, however, liposuction can only remove the fat deposits above the Muscle. You when patients have a recessive chin profile, we also recommend a chin implant when necessary which helps improve the jawline.

Question: Should I do a mini face and neck lift or something else? 
Answer: A mini facelift is not going to address the issues in your neck. To address the issues in your neck is going to require a neck lift procedure. You’re also appear to have Jowls, therefore, a face and neck lift is going to probably be required. Mini facelift give mini results.

Question: Is additional Lipo & microneedling needed for Facetite? 
Answer: First of all, non-invasive treatments are going to be a waste of time for you. You have significant fat deposits located both above and below your platysma muscle in the neck. Liposuction alone can only remove the fat deposits above the muscle. A surgical neck lift is going to be required to remove the fat above the muscle, with liposuction and surgical removal of the fat deposits below the muscle, which also includes a platysma plasty to significantly improve the jawline. Non-invasive treatments cannot do anything for these issues. At age 34, you do not have a skin tone issue.

Question: What type of facial surgery would I benefit most from?
Answer: Consider performing just an upper blepharoplasty to remove the hooded and excess skin on your upper lids. This procedure can be done under local anesthesia as an outpatient procedure, which takes about 30 minutes. You are really not ready for a facelift yet at such a young age.

Question: Best way to slim my face and double chin? 
Answer: The side profile photograph demonstrates a recessive chin profile and only minimal fat deposits in the neck. Consider placement of a chin implant to augment the chin forward for better facial balance and proportions. Liposuction of the minimal fat deposits in the neck will probably be unnecessary.

Question: Time for a mini lift? 45 and not liking my mid/lower face. Want lower/mid face lifted and the jowls and saggy under skin gone.
Answer: The photograph is rather limited, so a full set of facial photographs would be more helpful. A lower face and neck lift is going to be required to tighten loose and inelastic skin in the neck and lift the jowls.

Question: Mid facelift, brow lift, what would be the best approach to avoid any problems? 
Answer: We do not perform a mid facelift due to the fact that the mid-face looses volume, and does not descend vertically with aging process. For mid face rejuvenation, we place small cheek implants in the midface to augment the lost volume. The implants are placed thru an intra-oral approach under a brief general anesthesia. The height of your eyebrows is more than acceptable, and a brow lift be unnecessary. Also important to see a full set of facial and neck photographs to see if you are a candidate for a lower face and neck lift.

Question: BBL or facelift surgery first? How far apart?
Answer: It does not really matter which procedure comes first, but you should separate two general anesthetics for cosmetic surgery at least one month apart to give yourself time to recover from either procedure.

Question: Would a mini face and neck lift address my issue? 
Answer: A mini facelift will not address your issue, since mini facelifts give mini results. Consider placement of a chin implant to augment your recessive mandible forward for better facial balance and proportions. Since you have both jowls and fat deposits located in your neck below the platysma muscle, you’re going to require a lower face and neck lift procedure.

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