Facial Plastic Surgery Questions and Answers: Part 3

Question: Neck Lift & mandible implant – What should I have done first if different surgeons are performing doing it? 
Answer: In our practice, we perform a lower face and neck lift and chin implants simultaneously under one anesthesia with one recovery period. In addition, the chin implant goes through the facelift incision underneath the chin. No sense in undergoing two separate surgeries. Find a physician you can do both procedures for you simultaneously. 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 any fatty deposits in the neck. The chin implant is placed through a submental incision directly under the periosteum of the bone and augments the chin forward.

Question: Can fillers improve my lower face sagging? 
Answer: Much more information is needed, such as your age, and a full set of facial photograph from all angles to make a determination about how best to proceed. Nasolabial folds are best treated with fillers. You do not have jowls. You have a prominent pre-Jowl sulcus and a bit of a recessive chin profile, therefore consider either fillers in that location on temporary basis, or a chin implant for a permanent result. A neck lift requiredRemove fat deposits in the neck and tighten skin.

Question: How long do I have to wait to get a facelift after having cataract surgery?
Answer: It’s probably best to wait at least a month after your cataract surgery before undergoing a lower face and neck left procedure which is performed under general anesthesia.

Question: Would a sliding genioplasty help balance my face? 
Answer: A genioplasty is performed by an oral surgeon under general anesthesia in a hospital setting with an overnight stay at the hospital, and it’s much more invasive. This procedure is usually performed when the teeth are significantly out of alignment. Consider placement of a small chin implant to augment your chin forward for purely cosmetic purposes. This can be performed under local anesthesia as an outpatient procedure, which takes about 30 minutes.

Question: Facelift or Other Options? 
Answer: From the two Limited photographs presented, you look fantastic for your age and are NOT a candidate for a facelift procedure. If you’re trying to augment your left cheek, consider placement of fillers.

Question: I was thinking of a facelift but not sure. What can I do to look better? 
Answer: The photographs demonstrate a hanging columella on the nose, a recessive Chin profile, and normal changes in your neck at your age. Consider a tip rhinoplasty to reduce the hanging columella,Placement of a chin implant, and a lower face and neck lift. A lower face and neck lift accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing the fat deposits in the neck along with a platysma-plasty which significantly improves the jawline.

Question: Considering neck lift. Can this be improved with a single incision? 
Answer: From the photographs presented, there is significant laxity in both your face and neck. When that is the case, a traditional lower face and neck lift is going to accomplish tightening loose facial and neck skin, tightening loose facial and neck muscles, removal of any Fat in the neck itself, and lifting the jowls. This will require incisions in front and behind the ears due to the significant skin laxity and the shift of skin posteriorly.

Question: Under-eye and mid face rejuvenation options? 
Answer: The mid face does not descend vertically with aging process, but loses volume. For a temporary augmentation, consider fillers in the midface. For a permanent augmentation, consider cheek implants.

Question: My neck and face blend in together – what surgery would help most? 
Answer: A full set of facial photographs from all angles that are in focus are required to make a determination about which procedures are going to be best for you. If you’ve already had liposuction with no success, you probably have fat deposits located underneath the platysma muscle in your neck which requires a surgical neck lift to get rid of that compartment of fat. A platysma plasty is also performed as well to significantly improve the jawline.

Question: Bleph before or after facelift?
Answer: It does not matter which procedure is done first or second if you’re doing them separately. We frequently perform both procedures together under one anesthesia with one recovery. Performing them separately will give you two weeks of visible, bruising and swelling for each procedure. In our practice, just an upper blepharoplasty can be performed under local anesthesia, however, the facelift procedure is performed under general anesthesia. Study your perspective surgeon’s eyelid and facelift photo gallery very carefully to make sure that your plastic surgeon is very experienced producing natural results consistently.

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