Lancaster Facelift doctors

Sarmela Sunder, MD Sarmela Sunder, MD
Beverly Hills Facial Plastic Surgeon
201 S. Lasky Drive , Beverly Hills
3 answers
Ivan Thomas, MD Ivan Thomas, MD
Los Angeles Plastic Surgeon
2080 Century Park East Suite 501, Los Angeles
1 answer
Ruwanthi Campano, MD Ruwanthi Campano, MD
Lancaster Facial Plastic Surgeon
44105 15th St West Suite 202, Lancaster

Recent Answers

Much Numbness and Lips Dont Work Right!

After midface lift and infraorbital rim placement, will all this numbness of face, nose (even inside), lips & teeth resolve? i cant pucker, whistle or talk normally. Will my normal lip function return? the surgery was through my mouth with entry points on each side. ive been having paresthesia since 24 hrs after surgery but no noticeable improvement. what gives?! thanks for your reply.

A: Phases of Healing

Your problem may be normal if you are now in the very early phase healing, however, you did not mention how long ago your operation was. You should always see your surgeon as soon as possible. Only he/she can address your concerns and take the appropriate action.

Ivan Thomas, MD
Los Angeles Plastic Surgeon
Do Most Surgeons Draw Pre-Op Surgical Markings on Your Face While You Are Unconscious?

When is the pre operative surgical markings done for a face lift and blepharoplasty. It is before the surgery while you are awake and sitting up or after you are sedated and lying down?

A: Surgical Markings Vary with Surgeon Preference

Hi,
When to mark the patient is generally based on personal preference and training. There really isn’t a right or wrong way to do it. I personally like marking my blepharoplasty and facelift patients while they are awake and sitting up.
Once they are sedated and lying down, I verify my measurements and adjust or make additional markings as needed. I prefer to do the markings with the patients sitting up because that is how the patient is going to see herself/himself most of the time, with the effects of gravity in full force! I also like marking my patients awake so that I can review my plan with them one last time, so that there are no “surprises.” I know of other surgeons who do not perform any markings until the patients are sedated because they have had experiences with patients becoming anxious with the process. Again, surgeons have been doing it both ways for ages and have had great results with both. Hope this helps!
Dr.Sunder
 

Sarmela Sunder, MD
Beverly Hills Facial Plastic Surgeon
Nasolabial Folds After Mid-Facelift

I am 52 and had a mid-lift Facial procedure with upper and lower eyelid Blepharoplasty with Co2 laser of lower Eyelids and upper lip done 2 weeks ago. I still notice some nasal labial fold sagging from the sides of my nostrils to the corners of my mouth. Will that get better as I heal? If not, what can be done? Everything else looks ok, but I'm not to happy with that.

A: Addressing Nasolabial Folds after Midfacelift

Hi,
The purpose of a mid-face lift is to reposition the fat pads in the cheek and midface. This can result in

  •  lifting the sagging fat and tissues of the cheek, and to a lesser extent the jowls
  •  diminishing the hollow appearance under the eyes
  •  increasing the fullness (or anteroposterior dimension) of the upper cheek, giving a more youthful appearance

The nasolabial folds (NLFs) can be made less prominent with a midface lift because the sagging fat pads which made the NLFs more pronounced in the first place, are now in a higher position. Following a midface lift, the NLFs should not be as deep as they were prior to surgery. With that said, they will not be completely effaced.

In my opinion, it looks unnatural to not have any visible nasolabial folds at all. The trend in facial plastic surgery nowadays is to leave a hint of the folds so that the patient does not look too “overdone”. If you feel that your folds are too prominent, the only way to address this will be with injectable fillers such as Juvederm, Perlane, Radiesse or your own fat. I generally recommend waiting 2-3 months after a midfacelift to use fillers, so that a significant amount of the swelling from the surgery has gone down and you are left with a realistic picture of how much needs to be filled. Hope this helps! Good luck!

Dr.Sunder
 

Sarmela Sunder, MD
Beverly Hills Facial Plastic Surgeon
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