Facial Plastic Surgery Questions and Answers: Part 5

Question: Where are the sutures for a lower face and neck lift generally placed?
Answer: The sutures for a lower face and neck lift are located up behind the hairline in the sideburn area, behind the tragus, and then behind the ear and back behind the ear up into the hairline as well. There’s also a 1 inch incision underneath the chin.

Question: What would you do to improve my face? 
Answer: The photographs demonstrate a recessive chin, fat deposits in the neck, and hooded upper eyelids. Consider placement of a chin implant to augment your chin forward for better facial balance and proportions. The fat deposits in your neck appear to be located both above and below the platysma muscle in your neck, so a neck lift procedure with a platysma plasty would be required to significantly improve your jawline. An upper blepharoplasty would help your hooded upper eyelids. All three procedures can be performed under one anesthesia with one recovery.

Question: How long does a mini face lift last?
Answer: Mini face lifts tend to give mini results, and just don’t last very long since they’re minimally invasive. A full set of facial and neck photographs from all angles are required to make a determination about which is the best procedure for you. In our practice, a comprehensive lower face and neck lift accomplishes lifting the jowls, tightening loose facial and neck skin, tightening loose facial and neck muscles in three locations, removal of fat compartments in the neck above and below the platysma muscle, which also includes a platysma plasty to significantly improve the jawline.

Question: Lower facelift + closed rhinoplasty + tummy tuck – Okay to go to the same surgeon and do these together? 
Answer: Trying to perform all three of those surgeries at one time is probably a bit too much, but it’s also important to ask your prospective surgeon how long of time it’s going to take to accomplish all three procedures. You may not be a candidate for outpatient surgery, and might have to be admitted to a hospital. Probably best to do the closed rhinoplasty and lower face neck lift as one surgical procedure, wait about a month and then you can undergo the tummy tuck procedure. In our practice, a lower face and neck lift with a closed rhinoplasty would take about 3 1/2 hours under general anesthesia. Closed rhinoplasty is one of the most difficult procedures to perform correctly in the entire field of cosmetic surgery, so choose your rhinoplasty specialist wisely, based on extensive experience producing natural results.

Question: 2nd Facelift – is it safe?

Answer: A secondary facelift is just as safe as a primary facelift. It’s very important that you study your perspective surgeon’s before and after facelift photo gallery, which should be extensive with results that look very natural.

Question: Chin Liposuction of Facetite + Morpheus8? How can I achieve this result? 
Answer: If you’re looking for a significant improvement, the non-invasive treatments simply cannot accomplish what surgical procedures can do. Liposuction of the neck, will address removal of only the fat deposits above the muscle. If you have any fat deposits below the muscle, that will require a neck lift. A platysma plasty will also significantly improve your jawline.

Question: Am I good candidate for a Mini-facelift or a mid-facelift? 
Answer: A mini facelift will give you mini results an would be a waste of time And money. If you’re looking to Address the aging mid face, consider placement of small cheek implants to restore lost volume in the mid face from the aging process. The photographs demonstrate fat bags in the lower lids, a recessive chin profile, jowls and significant deposits of fat above and below the platysma muscle in the neck . A lower blepharoplasty can accomplish removal of those fat bags in the lower lids and a conservative tightening of the lower lid skin if necessary. A lower face and neck lift is going to be required lift the jowls, tighten loose facial and neck skin, tighten loose facial and neck muscles, and remove Both deposits of fat in the neck in addition to a platysma-plasty. Also consider placement of a small chin implant the same time to augment the chin forward which will get better structural support for the soft tissues in the neck.

Question: Unsure if laser (or what kind) is needed or mini or mid facelift or threads? 
Answer: Much more information is needed, such as your age, and a full set of facial photographs from all angles, especially the side profile.The goal of the lower face and neck lift is to tighten loose facial and neck skin, tighten loose facial and neck muscles, remove fatty deposits in the neck, and lift the jowls. Nonsurgical options cannot accomplish what a surgical lower facelift can do.

Question: Are these Face TouchUp results realistic? 
Answer: The resolution on the current photographs presented is inadequate to make a determination. A closed rhinoplasty approach can accomplish shaving down the dorsal hump, straightening the crooked nose, narrowing the bridge line, and refining the nasal tip and decreasing the hanging columella with all of the incisions placed on the inside of the nose. No external incisions are required, and no painful packing is required either. It’s also important not to turn the nose up,since it will look piggish from the frontal profiles. Consider placement of a small chin implant to augment your chin forward for better facial balance and proportions from the side profile. Both procedures are frequently performed together.

Question: 53 & re-entering the workforce, would mini-facelift or fillers help lines, neck, & general facial drooping?
Answer: A mini facelift is going to give you mini results, therefore we rarely ever perform them. To rejuvenate your face and neck is going to require a lower face and neck lift procedure. In our practice, this procedure accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing any fat deposits in the neck. This also includes a platysma plasty to significantly improve your jawline.

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