La Jolla Facelift doctors

Tom J. Pousti, MD Tom J. Pousti, MD
San Diego Plastic Surgeon
8851 Center Drive Suite 300, San Diego
14 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
Robert Singer, MD Robert Singer, MD
La Jolla Plastic Surgeon
9834 Genesee Ave Suite 100 , La Jolla
4 answers
Robert B. Pollack, MD Robert B. Pollack, MD
La Jolla Plastic Surgeon
4510 Executive Drive Suite 105, La Jolla
4 answers
John G. Apostolides, MD John G. Apostolides, MD
La Jolla Plastic Surgeon
528 Nautilus Street , La Jolla
2 answers
Richard Chaffoo, MD Richard Chaffoo, MD
San Diego Plastic Surgeon
9850 Genesee Ave. Suite #480, La Jolla
2 answers

Recent Answers

Why Can't I Have Neck or Facelift as a Smoker?

I've had both upper and lower eye lid surgery, arm reduction and a tummy tuck. I am a smoker and am 51 years old. I've healed fine in all cases. Why can't I have a neck or facelift?

A: Facelifting for Smoker?

Nicotine is constrictor of blood vessels,  decreasing blood flow to tissues that need to flow to heal after surgery. When plastic surgeons do operations that involve longer incisions and/or tissue flaps,  the blood flow to these areas become critical. Without the blood flow ( or a decreased blood flow secondary to the effects of nicotine) healing can be compromised and/or tissue may not survive (tissue necrosis).

For this reason, most plastic surgeons will not operate on patients who smoke within a time period prior to surgery (for specific operations such as facelifting, breast lifting, tummy tuck surgery etc.).

I hope this helps.

Tom J. Pousti, 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
Will a Facelift at 50 Last Through my 60's?

Does it make a difference at which age you get a facelift in terms of how long it will last?

A: Facelift: How long will it last? when is the right time to have the procedure?

A Facelift is a surgical procedure with many variations and styles and each technique is associated with certain results and longevity.  In general, cutting corners or finding the "easy," quick option comes with a price, and that is less results.  A facelift that is based on repositioning the underlying muscle and soft tissues such as a high SMAS lift can give you natural dramatic results that last you many years.  Having a well done facelift in your 50's is an ideal time.  Your body and facial tissues will heal well and your results will likely last you through your 60's.  This is dependent on having a facilift that elevates and repositions your SMAS layer to gain longevity, aesthetics, and natural results.  Combining this surgical procedure with skin care and a healthy diet and lifestyle will allow you to mainain and maximize your beauty!

John G. Apostolides, MD
La Jolla Plastic Surgeon
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