Boulder Facelift doctors
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Paul C. Zwiebel, MD
Denver Plastic Surgeon
2050 East County Line Road, Highlands Ranch |
33 answers | |
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Claude H. Burrow, MD
Boulder Plastic Surgeon
2800 Folson St Suite B, Boulder |
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Hans R. Kuisle, MD
Boulder Plastic Surgeon
2525 4th Street Suite 202, Boulder |
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Jeffrey Swail, MD
Boulder Plastic Surgeon
Boulder |
Recent Answers
Rosacea is under control, but I have thin skin. Thank you
It is reasonable to consider a facelift if you have Rosacea, but there are important risks and considerations.
- It is important to recognize that stress can make Rosacea worse: undergoing any surgery is stressful, even if it is elective cosmetic surgery.
- There is a tendency for thin, delicate skin with telangiectasia ("broken capillaries" or "spider veins") to develop more of these with surgical facelift or laser resurfacing procedures.
- Steroid medications, including creams and ointments can cause significant impairment to healing after surgery.
A thoughtful approach combining the expertise of your Dermatologist and your Board Certified Plastic Surgeon is important in advising you in determining if the benefits outweigh the risks. With this approach, many people with Rosacea have successfully benefited from facial rejuvenation procedures.
Am 55 with skin in very good condition. But have drooping upper lids and banding in neck. To have a lower face lift/platysmaplasty and upper eyelid surgery, doctor has offered me either the option of IV sedation with board certified anes. or was also told I was a candidate for just local with oral sedation, which will save me a substantial amount of money. Is there any reason not to do it this way? Is one form of anesthesia riskier than the other?
I have done hundreds of facelifts with IV Sedation, as well as with oral medication plus local anesthesia.
In general, for healthy individuals with an uncomplicated medical history, the safety considerations between the two sedation approaches are not significantly different. You will find equally valid arguments on each side of the issue among experts.
It is easier to keep you completely comfortable, even completely unaware of the surgery (including the injections of local anesthetic), using properly monitored intravenous sedation.
Your comfort and therefore your good experience with this significant life event is very important. The reason we use IV sedation is to save you the discomfort of these procedures. I think it worth the money to make the experience less stressful, less uncomfortable and a good one.
Your surgeon's judgment and counseling for making the procedure safe and optimal in every way is necessarily personal and individualized for you.
How Many Days Post Op from a Facelift Should Sutures in Front of Ears Be Removed, for the best possible chance of limited scarring? Thank you
The timing for suture removal after Facelift is important to set up the incision line for minimal scar: too soon and incision may separate and the scar may spread. If we leave the sutures in too long, there can be marks from the sutures or foreign body irritation that leads to scar thickening.
Most Facelift surgeons will use a low reactive suture material (polypropylene or nylon) of relatively delicate caliber in front of the ear and then remove the sutures at 5-7 days.
There may be some variation in the judgment of the surgeon, for managing tension in the closure or for skin type.
