Facial Plastic Surgery Questions and Answers: Part 07

Question: I’m 44 years old and have sagging in my lower face and neck. Should I do a lower facelift or a deep plane facelift? 
Answer: From the limited photographs, it appears that you do not have loose skin, and you’re only 44 years of age. Consider a neck lift procedure to remove the fat deposits above your platysma muscle with liposuction, and surgical extraction of the fact about is below the muscle which also includes a platysma plasty to significantly improve your jawline. Skin removal is probably not required at your age.

Question: What sort of eye procedures would I benefit from? 
Answer: The picture that you’ve sent is rather blurry,so makes it very difficult to make a determination about how best to proceed. It appears that your upper eyelid skin is rather hooded and resting on your eyelashes, therefore consider an upper blepharoplasty procedure which can be performed under local anesthesia as an outpatient procedure.

Question: Mini facelift: what does it include and cost?
Answer: A mini facelift lift tends to give mini results, and we rarely ever perform them. A mini lift does not include any work in the neck. 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 in the neck, which also includes a platysma plasty. Regarding your eyelids, upper blepharoplasty and lower blepharoplasty are two different procedures. All of these can be combined when necessary. A full set of photographs would be required to make a determination about being a candidate for these three procedures.

Question: Surgeon’s age – what is your opinion on an older plastic surgeon?
Answer: More important than looking at the age of the surgeon, is to look at their most recent before and after facelift results. Study your perspective surgeon’s before and after facelift photo gallery, and make sure that it is up-to-date and current with great results that you like that look very natural.

Question: What procedures are best to reduce a wide face, big cheeks, and a big nose?
Answer: Consider a closed rhinoplasty procedure to reduce the large nose. The dorsal hump can be shaved down, the tip refined in the bridge line narrowed with all the incisions placed on the inside of the nose. No external incisions are required, and no painful packing is required either. Digital computer imaging of your nose upon your facial features would be helpful to understand what can be accomplished with the procedure. Best to leave the rest of your face alone.

Question: Will a mini neck lift be sufficient for me (56 year old female)
Answer: No, a lower face and neck lift procedure is going to be required to tighten loose facial and neck muscles, tighten the significant loose facial and neck skin, lift the jowls, and remove the fat deposits in the neck located above and below the platysma muscle in the neck itself. A platysma plasty is also performed.

Question: I am hearing that a lot of facelifts don’t last past 5 years. Is this true? 
Answer: In our practice, that’s not true. We perform a high SMAS, comprehensive lower face and neck lift procedure, which accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing fat deposits above and below the platysma muscle in the neck, in addition to a platysma plasty to significantly improve the jawline. We typically revise our own facelift patients between 10 and 20 years after their initial Face and neck lift. You may be referring to as to what a mini lift can accomplish, which gives only mini results. Study your prospective surgeon’s before and after facelift photo gallery.

Question: Would a mini facelift help correct lines, laxity and wrinkles? 
Answer: Much more information is needed, such as your age and a full set of facial and neck photographs at repose, not when smiling. Mini lifts will give mini results and are usually not worth it.

Question: Deep plane facelift incision what is the best option?
Answer: An intra oral incision for a facelift is not necessary. Facelift incisions are typically placed both in front and behind the ears. There are many different types of facelift procedures, so it’s difficult for the consumer to understand the minute variabilities. Study your perspective surgeon’s before and after facelift photo gallery to make sure that it is extensive with results that you like, and the results look natural.

Question: 56 year-old lady. What are my best options to look more youthful? 
Answer: In our practice, a lower face and neck lift with accomplish tightening loose facial and neck skin, tightening loose, facial and neck muscles, lifting the jowls, and removing the significant compartments of fat located both above and below your platysma muscle. This also includes a platysma plasty to significantly improve the jawline.

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