Encinitas Facelift doctors

Steve Laverson, MD Steve Laverson, MD
San Diego Plastic Surgeon
477 North El Camino Real Suite D-304, Encinitas
31 answers
Johan E. Brahme, MD Johan E. Brahme, MD
San Diego Plastic Surgeon
9850 Genesee Avenue, Suite 130 Ximed Building, La Jolla
9 answers
Roy A. David, MD Roy A. David, MD
San Diego Facial Plastic Surgeon
3252 Holiday Court Suite 206, La Jolla
7 answers
Vincent P. Marin, MD Vincent P. Marin, MD
San Diego Plastic Surgeon
1431 Camino Del Mar, Del Mar
4 answers
H. Michael Roark, MD H. Michael Roark, MD
San Diego Plastic Surgeon
9850 Genesee Avenue, Suite 130 Ximed Building, La Jolla
4 answers

Recent Answers

Sagging Skin After Weight-loss at 21. Is a Facelift my Only Option? (photo)

I’m 21 and I’ve been overweight most of my life. I’ve recently dropped 55 lbs over the course of a year. (180, now 125 at 5’2”) I’ve noticed sagging or loose skin and I’m definitely concerned about my face. The sagging became noticeable when my face started slimming about 5 months ago. Should I lose more and my face will firm? Should I look into a facelift or are there other non-surgical ways? Does my skin just need more time and/or a specific care regimen? Facial exercises? Glycolic Peels?

A: Facelift at age 21 ?? (photo)

You are to be sincerely congratulated and commended for losing the extra weight, and hopefully, you'll be able to keep it off.  A smile will instantly lift your face, which is why so many surgeons post photos of their post surgical facelift patients smiling.  I don't see sagging in your face or neck at all.  Your upper lid marginal reflex distance is lower than normal, and you have about 1 mm scleral show beneath your corneoscleral limbus and lower eyelid-cheek junction is clearly demarcated, with lower eyelid contour irregularities.  Your canthal tilt is beautiful.  The corners of your lips turn up nicely, and only if the nasal labial furrows bother you would I treat them with filler.

The treatment I would recommend depends on which of your features bothers you, what your budget is, available recovery time, and risk tolerance.  Also, how strongly you feel about a permanent (or very long lasting) result is germane.  Specifically, what exactly is the distasteful "sagging" you reference?

Steve Laverson, MD
San Diego Plastic Surgeon
I Would Like to Know the Risks and Possible Side Effects of Having Facetite.

I am considering having facetite. I would like to know if it is safe and what the risks and possible side effects are.

A: Skin tightening

You should find a physician or surgeon in your area who offers "Facetite," schedule an appointment, and have your questions answered in person, as the procedure applies to you.  Look at before and after treatment photos of patients who have had Facetite sessions, and critically evaluate the results to help decide whether or not you wish to proceed.

Steve Laverson, MD
San Diego Plastic Surgeon
How Come a Face Lift is Muscle Repositioning Oposed to Just Pulling the Skin Back?

When you hear about a face lift you hear the doctors say they have to re position the muscles in the face opposed to what seems to be the obvious thing to do and that is to just pull the skin back and sow???

A: How a Facelift is performed

It is not actually the facial muscles that are repositioned in a facelift, but the investing layer of fascia, called SMAS for short. By tightening the SMAS, overlying fat and skin are also tightened, but without direct tension on the skin, so the skin will not look stretched.

Roy A. David, MD
San Diego Facial Plastic Surgeon
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