San Diego Lower Face Lift doctors

Glynn Bolitho, PhD, MD, FACS Glynn Bolitho, PhD, MD, FACS
San Diego Plastic Surgeon
9834 Genesee Ave Ste 311, La Jolla
3 answers
Steve Laverson, MD Steve Laverson, MD
San Diego Plastic Surgeon
477 North El Camino Real Suite D-304, Encinitas
2 answers
Amir M. Karam, MD Amir M. Karam, MD
San Diego Facial Plastic Surgeon
4765 Carmel Mountain Road 201, San Diego
1 answer
Johan E. Brahme, MD Johan E. Brahme, MD
San Diego Plastic Surgeon
9850 Genesee Avenue, Suite 130 Ximed Building, La Jolla
Paul E. Chasan, MD Paul E. Chasan, MD
San Diego Plastic Surgeon
1431 Camino Del Mar , Del Mar

Recent Answers

Is It Better to Have Filler First Before Lower Face Lift?

I'm considering Lower Face Lift but I would like to try fillers first. I am 49 years old.

A: Fillers before facelift.

Absolutely.  At your age you are likely to benefit greatly from fillers.  This will buy you some time and allow you to really research your facelift.

Glynn Bolitho, PhD, MD, FACS
San Diego Plastic Surgeon
Do I Need a Lower Facelift?

I'm 44 and have noticed the oral commissure starting to drop. I have considered filler in this area but I'm not sure which one is better. I've been told that I need a lower facelift to eliminate jowls and tighten my neck, yet another consult told me I just needed filler. I just had a 20% TCA peel done 2 months ago along with IPL, Fraxel and Accent. I see no improvement from any of these modalities. I'm not sure what to think at this point because I'm not sure what I need done. Thank you.

A: Is it time for a facelift?

Although it may seem artificial to compartmentalize your face, it is a useful exercise right now.  If your primary concern is descent of the oral commissure, then I am not surprised that you are disappointed.  The nonsurgical options you mention are all great for younger patients like yourself, but they are primarily aimed at improving skin texture.  The options to improve descent of the oral commissure include Botox to the DAO, surgical division of the DAO muscle, a Flowers-style commisuroplasty, and facelifting.  A facelift will obviously provide the most emphatic improvement, with the added improvement to the lower face and jowls, but it comes at a far greater cost.  Only you can decide if the time is right to embark on a facelift at your relatively young age.  Perhaps wait a few years until it really bothers you, and then go find yourself a really good facelift surgeon.

Glynn Bolitho, PhD, MD, FACS
San Diego Plastic Surgeon
Eyebrow Frozen After Lower Facelift, How is that Possible?

I had a mini face lift 3 days ago mainly to correct sagging jowls problem. The incision is at the ear. My left brow isn't moving much now and can't be raised making my eyelid droop a little and thus left eye looks smaller than right eye. The right eyebrow can be raised normally. I notice some swelling at my left temple. I don't understand how a lower face lift will damage anything in the forehead or brow. What has happened? And how soon can I recover?

A: Frontal nerve injury after facelift

Injury to the frontal branch of the facial nerve is an attendant risk to facelift surgery.  You really do need to discuss with your surgeon whether the nerve may have been at risk from the dissection itself, or possibly from a suture placed at the time of the surgery.  From what you describe, the latter may be more likely.   There is a (sentinel) vein that runs alongside the temporal branch of the facial nerve, and the swelling is suggestive that both the vein and nerve may have been traumatized at the time of the surgery.  It does sound like the surgery was primarily directed at the lower face rather than your brow.  It may be that the nerve is involved in a suture, and if so it may be necessary to re-explore this. 

Glynn Bolitho, PhD, MD, FACS
San Diego Plastic Surgeon
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