Facial Plastic Surgery Questions and Answers: Part 10

Question: Facelift after tightening procedures?
Answer: The previous non-invasive treatments that you have will have no effect moving forward performing a lower face and neck lift procedure. Study your prospective surgeon’s before and after facelift photo gallery to make sure that the results look very natural.

Question: Facelift did not fix/ tighten my jowls – I look exactly the same after facelift. What can I do to fix this? 
Answer: A full set of facial and neck photographs from all angles are required to make a determination about how best to proceed. You’re gonna need to wait at least one year after the primary facelift before embarking on another procedure to allow full healing first. Your incisions are still very fresh, and you have significant edema behind your ears. your next surgeon they want to see a copy of the operative report as well.

Question: Should I wait for fillers and Botox to dissolve before having a facelift and a neck lift?
Answer: Botox and fillers will have no effect on a lower face and neck lift procedure, So it is very acceptable to undergo a surgical treatment you are interested in performing.

Question: 46 contemplating a neck lift, any suggestions?
Answer: The limited photographs demonstrate platysmal bands in the neck, with loose and inelastic skin in the neck. A neck lift procedure can accomplish tightening the neck bands, and removal of fat deposits in the neck with liposuction. A lower face and neck lift is required if the skin tone is very loose and there is lots of excess skin in the neck itself.

Question: Looking at lower face and sunspots – Best procedure for me?
Answer: To rejuvenate the lower face, consider a lower face and neck lift. In our practice, this procedure accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing fat deposits in the neck which also includes a platysma- plasty to significantly improve the jawline. We no longer perform Chemical peels since there are much better alternatives today. The wrinkles on your upper and lower lips can be treated with dermabrasion or laser resurfacing. The sunspots are treated by dermatologists in the office setting.

Question: Is it safe to combine a facelift and brow lift with liposuction? 43 year old healthy male who is fit physically.
Answer: In our practice, a male facelift and brow lift would take approximately 5 hours of surgery/ anesthesia time. Adding body liposuction would add additional hours depending upon what you’re try to accomplish. It’s probably best to separate your facial work from the body work and have them done separately, since this is done as an outpatient surgical procedure, not inpatient at a hospital. Please post full set of facial photograph to make a determination about being a candidate for both the facelift and brow lift procedures.

Question: Why don’t doctors recommend a cheek or mid face lift? 
Answer: It’s because the Face does not descend vertically with the aging process, like the lateral face does. The mid face shrinks with volume loss, therefore we place cheek implants in the cheeks to restore that lost volume. There are many different complications can occur with a midface lift, that’s why we never recommend them.

Question: Recessive chin and fat cheeks – SMAS face/necklift and/or genioplasty? 
Answer: Even though you’ve had a chin implant, you still have a recessive chin, so consider placement of a larger chin implant. You also have significant fat deposits in your neck, located both above and below the platysma muscle. You will also require a neck lift procedure to remove both fat compartments in the neck, in addition to a platysma – plasty. At age 35, your skin tone should be acceptable, and skin removal should not be required. You should also have a BMI of less than 32 before undergoing any of these facial and neck procedures.

Question: I was told a mini facelift combined with Profound would give me good results? 
Answer: From the photographs presented, a lower face and neck lift is going to be required to tighten loose facial and neck skin, tighten loose facial and neck muscles, lift the jowls, and remove any fatty deposits of neck with liposuction. Minimally invasive devices will not accomplish any of these goals.

Question: Should I consider neck lift after no result from Facetite and Morpheus8 (late 20s)? 
Answer: The Photographs demonstrate a process of the chin profile, and fat deposits located both above and below the platysma muscle in the neck itself. Noninvasive procedures simply will not help with these issues. Consider placement of a chin implant to augment the chin forward. A neck lift procedure involves removal of fat above the muscle with liposuction, and surgical extraction of the fat below the muscle along with a platysma-plasty. Also best make sure that your BMI is less than 30 before undergoing this procedure.

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