Facial Plastic Surgery Questions and Answers: Part 7

Question: 56, female, how long does a facelift last & how can I improve it’s longevity?
Answer: In our practice, a face and neck lift usually lasts 10 to 15 years. To maintain your facelift results, it’s always best to use sunscreen when you’re outside, and not smoke cigarettes. Mini facelifts to give mini results and don’t last as long. Study your perspective surgeon’s facelift photo gallery to make sure that it is extensive with results that look natural.

Question: Is it okay to lose weight after a lower face and neck lift ?
Answer: It is always best to lose the weight first since you have extensive fat deposits in the neck located both above and below the platysma muscle.The surgical neck lift component can accomplish removal of the fat deposits below the muscle, while Liposuction can only remove the fat deposits above the muscle.

Question: How can I get ready for the recovery process for a face, brow and eye surgery?
Answer: Every plastic surgeon has their own preoperative and postoperative protocol, so it’s always best to check with your operative surgeon Regarding these three procedures.

Question: Mini facelift for 30-something year old? 
Answer: At 30 years of age, you do not need it in any type of facelift or mini lift. You have a prominent pre-Jowl sulcus just in front of your Jowl area. This can be augmented with a pre-Jowl style chin implant without giving you any forward projection, and just fill in your two sidewalls of your chin. This procedure can be performed under local anesthesia as an outpatient procedure, which takes about 30 minutes.

Question: I had a full facelift 10 months ago. What are these pouches under my chin? How can they be corrected? 
Answer: The Photographs are rather limited, so full set of facial photographs from all angles with your hair pulled up behind your ears would be more helpful. From the limited photographs, there appears to be residual fat deposits in the neck which can be located above or below the muscle cords themselves. The muscle cords themselves are separated. It also appears that there’s additional skin laxity in the neck and prominence of the salivary glands as well. While a necklift alone can address most of the issues,but if there’s excess skin present a revision lower face and neck lift will be needed to tighten loose and inelastic skin in the neck.

Question: I have sagging on my neck under my chin. Would I be a candidate for facelift or PDO threads? 
Answer: Minimally invasive techniques Will not accomplish rejuvenating the neck. A lower face and neck lift procedure accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing fat in the neck with Liposuction.

Question: Neck lift, lipo, or chin augmentation? 
Answer: Based on your side profile photographs and your age, you’re going to require a lower face and neck, lift procedure. This accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, removal of the fat deposits in your neck with liposuction, and lifting the jowls. A platysma plasty is also performed which significantly improves your jawline.

Question: Am I a candidate for a mini facelift? 
Answer: No, you are not a candidate for a mini facelift. You do not have jowls. You do have a prominent pre-Jowl sulcus on both sides of your chin. You can augment that area temporarily with fillers, or permanently with a chin implant performed under local anesthesia. A full set of pictures from all angles are required to make a determination about which type and size of chin implant would be required.

Question: Would I benefit from a chin implant, or rhinoplasty to balance my face? 
Answer: A chin implant can augment your chin forward for better facial balance and proportions. Augmenting your bridge line on your nose would also be helpful as well. Both procedures can be done together or separately. Digital computer imaging of both your chin and your nose would be helpful to understand what can be accomplished with either one or both procedures.

Question: Facelift surgery is scheduled for 5:00 p.m. – is this normal?
Answer: That does sound rather abnormal for outpatient elective cosmetic surgery. In our practice, we don’t schedule any long surgical procedures after 2 PM.

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