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
Question: What kind of facelift is best for a proactive 35yr old wanting to prevent nasolabial wrinkles?  Answer: Based upon your photographs, you do not need any type of facelift procedure. You do have a mild recessive chin, so consider placement of a chin implant under local anesthesia as an outpatient procedure, which takes about 30 minutes. That would give you more facial balance and proportions. Question: Follow-up: Neck wrinkles and crepey neck skin 2 months after neck lift and facelift. Do I need a revision? Answer: The photographs demonstrate loose and inelastic skin in the neck, along with residual fat deposits in the neck as well. Best to wait at least one year, and then perform another lower face and neck lift procedure to address all of these issues. Question: Had fat injected in hollow under my chin after face/neck lift in 2018. What can be done to correct
Question: Chin lipo & FaceTite or neck lift?  Answer: Much more information is needed such as your age, and a full set of facial photographs to make a determination about how best to proceed. In our practice, a necklift removes fat deposits above and below the platysma muscle in addition to a platysmal plasty. When there’s loose and inelastic skin in the neck which is probably the issue in these limited photographs, then a lower face and neck lift is going to be required to tighten loose and inelastic facial and neck skin. Question: I am considering a neck lift. Should I remove the large gland in my neck? Answer: Much more information is needed, such as your age and a full set of facial photographs from all angles to make a determination about which procedure is best for you. If you’re over age 50 and your skin tone is
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
Question: Is it important to have a Board Certified Plastic Surgeon? Answer: Yes, indeed, it is important to make sure that your surgeon is board-certified in plastic surgery, or facial plastic surgery. It’s also very important to study your prospective surgeon’s before and after facelift photo gallery to make sure that it is extensive with lots of natural results. Question: 5’9, 185lbs, what type of procedure would you suggest I need for more definition between neck & face?  Answer: The noninvasive treatments you were recommended are not going to be of any benefit for you. It is very important to understand that there are two compartments of fat in the neck, and they are located both above and below the platysma muscle in your neck. From these photographs presented, it appears that most of your fat is located below your platysma muscle, which is going to require a neck lift
Question: What kind of chin implant for my face?  Answer: In our practice for over 25 years we have used Implantech brand of solid silicone chin implants with an excellent success rate. We also use the Mittleman pre-jowl chin implant usually size small or medium. When their significant recession demonstrated in the photographs, size medium would probably be the appropriate size. Question: What is the likely cause of my eyelid asymmetry and how can it be balanced?  Answer: Everyone has some degree of eyelid asymmetry due to the embryologic development of the face from both the left and right half. A conservative skin only upper blepharoplasty can accomplish improvement of the asymmetry. This can be performed under local anesthesia as an outpatient procedure. Question: Jowls, jawline, skin pigmentation, enlarged pores what do you suggest? Answer: Much more information such as a full set of facial/neck photographs from all angles with
Question: Am I a candidate for a mini lower facelift? 28 Year old Female  Answer: A full set of facial and neck photographs from all angles are going to be required to make a determination about how best to proceed. At 28 years of age, your skin tone in your neck should be just fine and a face/necklift should not be necessary . This procedure is usually performed on patients in their 50s, 60s and 70s. Question: Would a mini facelift work for my sagging jowls?  Answer: If you’re referring to the loose skin on the outer corners of your mouth, then a mini facelift would probably be able to tighten that skin and the fascia layer underneath it for more of a permanent result. A full set of face and neck photographs from all angles are going to be required to make a determination about being a candidate for
Question: Why is my double chin still present after chin lipo? Answer: It’s very important to understand that there are two compartments of fat in the neck, and they’re located both above and below the platysma muscle in the neck. Liposuction can only accomplish a partial removal of the fat deposits above the muscle. You probably have fat deposits located below the platysma muscle which is going to require a necklift procedure as an outpatient procedure.  Question: What is the best procedure to lift face and get rid of wrinkles and 11s? Answer: Your eyebrows are in excellent position, so brow lift is not necessary, therefore placement of Botox Will be all that’s required for the 11s between your eyebrows. A full set of facial photographs from all angles are required to make a determination about lower face and neck lift procedure. Question: Is there any way I can have
Question: Is finding a surgeon that will make minor adjustments to tip/nostrils under local plausible? Answer: Trying to perform a rhinoplasty under local anesthesia is a bad idea, and will be very painful. A full set of facial photographs from all angles are going to be required to make a determination about which maneuvers may be needed to perform your rhinoplasty. Thick skin in the tip of the nose is going to prevent refinement as well, so it is important to have realistic expectations. Question: What surgeries/implants should I get to correct my weak chin/wide jaw angle? Answer: The limited photographs demonstrate a recessive chin profile for which a chin implant can improve. The implants themselves are manufactured in a large array of thicknesses, sizes, and shapes which can be custom carved when needed to match patient’s unique anatomy. The procedure can be performed under local anesthesia as an outpatient
Question: Are there any surgical alternatives to fixing or at least improving a bulbous tip? Answer: A full set of facial photographs are going to be required to make a determination about how best to proceed, since the nose is a 3-dimensional structure, and rhinoplasty is performed in all 3 dimensions. A closed rhinoplasty approach can accomplish reduction of the bulbous nasal tip with a combination of conservative cartilage removal and suture techniques applied to those nasal tip cartilages.  Question: Am I a candidate for chin lipo? Answer: From the limited photographs, it appears that there is a small amount of fat deposits in the neck which can be removed with Chin liposuction. This can be performed under local anesthesia as an outpatient procedure. Question: Will a second rhinoplasty be needed in the future? Answer: The nose does not continue to grow, so a rhinoplasty procedure is permanent change to
Question: Fullness under chin after lower neck & face lift 9 months ago, what’s needed to correct?  Answer: You have multiple issues going on after your previous lower face and neck lift which include residual fat deposits underneath the platysma muscle in your neck, platysma cords, excess neck skin, and most likely prominent sub maxillary salivary glands. Make sure your facelift surgeon is comfortable addressing all of those issues. Question: Should you do skin boosters before a deep plane facelift?   Answer: Skin boosters will not have any affect with the results of your facelift. Best not to cause any scar tissue in the interim. It’s important to understand that facelift procedures involve tightening loose facial and neck skin, tightening loose facial and neck muscles, removing fat deposits in the neck above and below the platysma muscle, lifting the jowls, and also performing a platysma plasty to significantly improve your jawline.
Question: Facelift v neck lift to treat my loose jowls/jawline?  Answer: Much more information is needed, such as a full set of facial and neck photographs from all angles And your age. The skin tone in your neck will determine which is going to be the best procedure for you. In our practice, a neck lift involves removal of fat deposits above and below the platysma muscle in addition to a platysma plasty. No skin removal is required, and it is usually performing people less than 50 years of age. When the skintone is inelastic in the neck you’ll require a lower face and neck lift procedure to tighten that loose skin. Facelifts are usually performed on patients over 50 years of age. Question: Would a thread lift help my sagging face area after weight loss?  Answer: The goal of a lower face and neck lifters to tighten loose facial
Question: Unsatisfactory results from mini facelift, 2nd opinion please? Answer: Mini facelift give many results, and this is just about what you would expect from a mini lift. In our practice, 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 deposits in the neck along with a platysma plasty to significantly improve the jawline. Nasolabial folds will not be improved with a facelift. Question: Do I need a lower facelift or would Ultherapy and fat transfer for the under eye and fillers work?  Answer: The photographs demonstrate a recessive chin for which a chin implant can certainly improve. Placement of the chin implant can accomplish augmenting the mandible forward for better structural support for the soft tissues in the neck. A lower face and neck lift can be performed simultaneously and can accomplish
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
Question: Do u think getting rhinoplasty will give a huge change to my face ?  Answer: The photographs are rather limited, however a closed rhinoplasty approach can accomplish shaving down the dorsal hump, narrowing the bridge line and refining the nasal tip and overall making the nose smaller. All the incisions are placed on the inside of the nose. Digital computer imaging would be helpful to see what your new nose would look like upon your facial features. Question: Would a mid face lift or cheek pad lift be a better option for a fallen mid face area? 56 years old.  Answer: The photographs demonstrated a recessive Chin profile with a prominent pre-Jowl sulcus, which makes your jowls look bigger than they really are. Consider placement of a chin implant to augment the chin forward and give you more width from the frontal projection as well. If there’s loose and
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.
Question: Age 52 loose skin, do I need a neck lift? Answer: It’s important to look at a full set of facial photographs from all angles in a chin neutral position in order to make a determination about either a neck lift, or a lower face and neck lift. If you have loose and inelastic skin, you’re probably going to be a candidate for a face and neck lift procedure. In our practice, a lower face and neck lift accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing fat deposits in the neck, in addition to a platysma plasty to significantly improve your jawline. Question: Thread lift after skin only facelift? Answer: A mini facelift, or a skin only facelift, would be a very poor choice, because all of the tension is now placed on only the skin, which will give
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
Question: Facelift compression and claustrophobia – Is it possible to skip the compression garment? Answer: In our practice, we have not used compression garments after a facelift in over 25 years. We have also seen skin necrosis from the compression garment from other practices. We use Jackson Pratt drain’s there left in place for two days. Question: Under 100lbs, 33, would a chin implant or mini neck/facelift help with submandibular glands?  Answer: The photographs demonstrate a recessive chin profile and fat deposits located both above, and mostly below the platysma muscle in your neck. You may also have enlarged submaxillary glands as well. Consider placement of a chin implant to augment your chin forward for better structural support for the soft tissues in the neck. A neck lift procedure can accomplish removal of both compartments of fat above and below the muscle in addition to a platysma plasty. If the
Question: Do I need to pay 500k for a facelift? Answer: There are many excellent facial plastic surgeons, who perform natural appearing facelifts without spending 500 K. Study your prospective surgeon’s before and after facelift photo gallery, which should be extensive with natural appearing results. Closely study the after photos for detection of the incisions along with. Question: Best procedure to fix lower face, neck, and the drooping of left eye? Answer: There are several issues going on with your face, based on these limited photographs. You still have residual fat deposits in the neck, jowls, elevated temporal/ sideburn hairlines, and Pixi earlobes bilaterally. A lower face and neck lift procedure properly performed could address repairing all of these issues which would help not only rejuvenate your face, but remove the issues that are shown on your photographs. Question: What kind of doctor to see for a facelift: a plastic
Facelifts are increasingly popular among people seeking to reverse the direct signs of aging. This comprehensive guide is designed to address all aspects of the procedure, covering everything from what exactly a facelift is, through to realistic expectations of recovery, and answering the most commonly asked questions about the topic. Understanding the Facelift: A facelift, in essence, is a surgical procedure aiming to provide an improved look via tightening the skin and underlying muscles of the face and neck, and removing excess skin. It primarily addresses changes in the lower facial region and neckline, such as sagging near the cheeks, jowls, and neck, thus providing patients with a fresher, more youthful appearance. Types of Facelifts: Facelift procedures range from minimally invasive ‘mini lifts’ to more extensive advanced surgery. A mini-facelift, for instance, often targets a precise area of the face such as the neck and jowl regions and generally involves
How Long Is Recovery For A Facelift The facelift is an increasingly popular choice for those who want to reduce the signs of aging and restore a more youthful look. It’s natural to have questions about the recovery process and want to know what you can expect during your healing period. As a facial plastic surgeon, I understand the importance of knowing how long it takes to recover from a facelift procedure. In this article, I will provide an overview of the factors that influence recovery time after a facelift, as well as tips on how you can speed up your healing process. Understanding what happens during the recovery period will help you prepare for any potential complications and ensure you get the best results possible. Finally, I’ll explain why it’s important to choose an experienced surgeon with plenty of experience performing facelift procedures when considering this type of cosmetic
What Can A Facelift Be Used To Improve? A facelift is a popular cosmetic procedure that can help you look and feel your best. With the right surgeon, you can achieve amazing results with a facelift. Whether you’re looking to reduce wrinkles, remove excess skin, or restore volume to sagging areas of the face, a facelift can make it happen. In this article, we’ll explore what exactly a facelift can do for you and why it’s such an effective treatment for facial rejuvenation. The aging process affects us all in different ways, but it’s inevitable that our skin will start to lose elasticity as we get older. The effects of sun exposure and genetics play a role in how our face ages, but no matter what the cause, the result is often wrinkles and creases in areas where there used to be smooth skin. A facelift can help reverse these
What Type Of Facelift Will Works Best For Me Are you considering a facelift to improve your appearance and reverse the effects of aging? Facelifts can help you look years younger, but it’s important to choose the right technique based on your individual needs and goals. I’m here to guide you through understanding which type of facelift will work best for you. Cosmetic surgery has come a long way in the last few decades, offering a variety of techniques for lifting sagging skin and restoring volume in the face. From traditional facelifts to minimally-invasive procedures, there’s an option for everyone. During a consultation, I’ll evaluate your facial structure, skin laxity and aesthetic goals to determine which type of facelift will provide optimal results. The most important aspect of selecting a facelift is finding an experienced surgeon who understands the nuances of facial anatomy and can recommend a treatment plan that
How Long Does A Facelift Take? Do you dream of a youthful appearance and smooth, wrinkle-free skin? A facelift is one of the most popular cosmetic surgeries that can help you achieve this look. But before committing to a facelift, it’s important to know how long the procedure takes. In this article, we’ll explore what to expect from a facelift surgery and how long the process takes. If you’re considering a facelift, you’re probably wondering exactly what happens during the surgery and how much time it requires. The truth is that many factors influence the length of a facelift, such as pre-operative tests, anesthesia type and more. We’ll break down each step of the process so you can understand exactly what goes into a successful facelift surgery. The length of your recovery will also play an important role in determining how long your overall experience takes. We’ll cover how to
What Is A Mini Facelift Are your wrinkles, sagging skin, and jowls making you look older than you feel? If so, then a mini facelift may be the perfect answer. This procedure is growing in popularity as it offers a less invasive alternative to traditional facelifts. As a plastic surgeon, I’m here to tell you all about this exciting procedure and how it can help restore your youthful appearance. A mini facelift is an advanced surgical technique that focuses on rejuvenating the lower third of your face. It’s designed to correct signs of aging such as jowls, sagging skin around the jawline, and deep wrinkles along the nose and mouth. This procedure usually takes less time than a traditional facelift and produces results that last for several years. Unlike other facial procedures, a mini facelift requires minimal downtime for recovery. Most people can return to their daily activities within one
What Happens During An Initial Facelift Consultation Welcome to the world of facial plastic surgery! Facelifts are a popular way to restore a youthful look and reduce signs of aging. During an initial consultation with a facial plastic surgeon, you’ll be asked many questions about your goals and medical history. This article will explain what happens during an initial facelift consultation so you can be prepared for your visit. As a facial plastic surgeon, I’m dedicated to helping my patients achieve their aesthetic goals while providing a safe and comfortable experience. During your initial consultation, we’ll discuss your aesthetic goals, medical history, any medications or supplements you’re taking, and possible risks and complications associated with the procedure. I’ll also review imaging studies and conduct an in-depth physical examination of your face. By the end of the consultation, we should have a better understanding of your current condition and what type
Facelift Facts Are you considering a facelift but don’t know where to start? There are many facts to consider when it comes to facelifts and they can be overwhelming. This article will provide an overview of the most important facts you need to know before undergoing a facelift. The first fact is that a facelift isn’t a one-size-fits-all procedure. There are several different types of facelifts, including mini-lifts, mid-facelifts, deep plane lifts, and SMAS lifts. Each type has its own unique benefits and drawbacks, so it’s important to speak with your doctor about which option is best for you. The second fact is that there are risks associated with any surgical procedure, including facelifts. It’s important to discuss these risks with your doctor before proceeding with the surgery so that you can make an informed decision. Possible complications include bruising, swelling, infection, scarring, and changes in skin sensation. In conclusion,
What A Facelift Does Not Do Are you considering having a facelift? Before you decide to go ahead with the procedure, it’s important to understand what it won’t do. As a plastic and cosmetic surgeon, I’ve seen firsthand how many people have unrealistic expectations when it comes to the results of a facelift. This article will explain exactly what a facelift does not do in order to help you make an informed decision that’s right for you. A facelift will not stop the natural aging process. It is impossible to completely reverse or eliminate all signs of aging, such as wrinkles and sagging skin. While a facelift can provide dramatic results, these effects are often temporary and need to be maintained over time with regular touch-ups and other treatments such as Botox or fillers. Finally, a face lift will not change your overall appearance. If you are looking for a
Benefits Of A Facelift Do you ever feel like your face has lost its youthful glow? Have you been looking for a way to restore your natural beauty? A facelift is an excellent solution to help you look and feel more confident! As an aesthetic plastic surgeon, I have seen firsthand the amazing benefits of this procedure. A facelift can help to eliminate wrinkles and sagging skin, restoring a more youthful appearance. It will also improve the tone and texture of the skin, creating a smoother complexion. Additionally, it can be used to correct drooping or asymmetrical features, giving you a more balanced facial structure. The results of a facelift can be dramatic and long lasting – some patients have reported satisfaction with their results for many years after the procedure! In my experience as an aesthetic plastic surgeon, I can confidently say that facelifts are one of the most
Am I A Good Candidate For A Facelift? Are you feeling the effects of aging on your face? Are you looking to make a change and restore your youthful look? If so, you may be considering a facelift. At our practice, we specialize in helping patients achieve their desired look with the right combination of treatments. In this article, I’ll evaluate whether or not you are a good candidate for a facelift. A facelift is an extremely popular procedure that can provide dramatic results when performed by an experienced plastic surgeon. During a facelift, excess skin is removed from the mid and lower face to reduce wrinkles and sagging skin. It can also correct jowls and other signs of aging, such as deep creases around the nose and mouth. However, it isn’t suitable for everyone. It’s important to understand the potential risks involved with any cosmetic procedure before making a
Dr. William Portuese – Board Certified Facial Plastic Surgeon in Seattle WA If you are searching for a board-certified facial plastic surgeon in Seattle, WA, look no further than Dr. William Portuese. With over three decades of experience, Dr. Portuese is a double board-certified facial plastic surgeon and one of Seattle’s best rhinoplasty experts in the Pacific Northwest. Board certification is a crucial factor when it comes to selecting a facial plastic surgeon. Dr. Portuese is board certified by the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS) and the American Board of Otolaryngology Head and Neck Surgery (ABOto). These certifications signify that he has undergone extensive training and passed rigorous exams in his field of practice, making him a highly qualified and skilled surgeon. Dr William Portuese’s expertise in facial plastic surgery is widely recognized, as evidenced by his numerous awards and accolades. He has been named one
The question comes up often. How much is a facelift in Seattle WA? Alot of plastic surgeons and facial plastic surgeons in the Seattle area will tell you the lower face’s skin and tissues are addressed by a facelift. The cost of the procedure is determined by the amount of correction required and the amount of time spent in the operating room. However.. we are different. The cost is – Face/Neck Lift $14,300 (Surgeon & Operating Room) + $1,377 (Anesthesia)
Many people who have had facelifts are interested in hearing how long they will be hearing loss and ringing in the ears after the procedure. This is a very common question among those who have had the procedure done, and it is one of the biggest misconceptions about the operation that exists. The fact of the matter is that after your procedure is done your ears will not necessarily be ringing for a short period of time. It is during the recovery process that most of the sounds in your ears will disappear, but this does not mean that they will not exist for some time. If you have any fear at all of having residual sounds in your ears or of going through a period of “ringing” after your procedure it is important that you talk to your surgeon during the recovery period to find out what your exact
If you have just had a face lift and your doctor has recommended that you have a forehead lift, you may be wondering how long after facelift you can sleep on your side. You may have seen that some patients can sleep on their stomach for several days after a face lift. It seems incredible that you can sleep this long after a surgical procedure, but many plastic surgeons believe that this is a normal reaction of the body to remove excess fat from the face. Your doctor may not want to keep you on the mattress for more than a few days, because it can be very uncomfortable for you. The plastic surgeon will probably give you a prescription for pills to take for a few days, until which time he will start to reposition your neck in preparation for the forehead lift. Once the surgery is performed and


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