Baltimore Lower Face Lift doctors

	Samir Shureih, MD Baltimore Plastic Surgeon 10 East 31 Street, Baltimore		21 answers
	Michele A. Shermak, MD Baltimore Plastic Surgeon 1304 Bellona Avenue, Lutherville		10 answers
	Ricardo Rodriguez, MD Baltimore Plastic Surgeon 1300 Bellona Avenue Suite C, Baltimore		2 answers
	Rondi Kathleen Walker, MD Washington Plastic Surgeon 3301 New Mexico Avenue, N.W. Foxhall Square, Suite 252, Washington		2 answers
	Thomas T. Le, MD Baltimore Facial Plastic Surgeon 4785 Dorsey Hall Drive Suite 111, Ellicott City		1 answer

Recent Answers

Can a Lower-lid Retraction Be Improved by Performing a Mid-face Lift Through the Mouth? Could a mid-face lift by performed via the mouth in order to correct lower lid retraction by providing support -- and possibly increase volume of my hollow cheek area? Any additional eye lid cutting is a concern because I already had a blepharoplasty and canthopexy.

A: Lower eye lid Retraction

Lower lid retraction can be caused by several mechanisms.

The lower lid is composed of three layers:

1: Skin or anterior Lamella

2: muscle or middle lamella

3: conjunctiva and lid retractors or posterio lamella.

Any shortage of these layers or scarring of these layers can cause lid retraction and the treatment is different for each cause.

The treatment is very complex and depend on appropriate diagnosis, and may require multiple steps to correct the original cause and another procedure (done at the same time) to support the repair.

The surgical execution is also very important for a successful repair. May require a skin graft , or an acellular graft or in complex cases a cartilage graft. Plus a canthopexy or even a canthoplasty.

Samir Shureih, MD

Baltimore Plastic Surgeon

Breast Lift and Lower Facelift Together? I'm 44 and had a breast reduction in 1989. The procedure was successful aside from needing radiation under my breasts for keloids. As I am older now with sagging skin I'd like to reduce my breasts slightly as well as lift them and am wondering if I could combine such a surgery with a lower facelift. The facelift would be much more minimal than the breast so I'm wondering if I could combine the two or whether it would be too complicated/dangerous. What do you think?

A: Combination lower facelift and breastlift

It makes sense to combine 2 operations, to allow one recovery and probably a lower cost. In general it is safe to perform facial and breast surgery in a combined procedure. The key is to meet with a Board certified Plastic Surgeon who can perform both of these procedures and discuss them with her/him. If you developed significant scarring with prior breast surgery, this may be a problem again; and particularly may be a problem with facial incisions and scars. This issue needs to be discussed with the surgeon.

Michele A. Shermak, MD

Baltimore Plastic Surgeon

Incision Location for Lower Facelift and Neck Lift With a Lower Face and Necklift, Does the Incision Have to Go in Front of the ear and up the back of the ear, or does it also have to cross over at the back of ear into the hair? Does it depend on how much skin has to be removed? It seems that incision going across would be the one that could be the most visible. Any help is appreciated.

A: Incision for lower facelift

The incision for a lower facelift may be limited to sideburn area, to the front of the ear, to the crease behind the ear. If there is not a lot of neck laxity, this will be adequate. If there is significant neck laxity, it may be necessary to have the incision extend to the hairline behind the ear. You are right - that would be the most visible incision, so it is a nice one to avoid.

Michele A. Shermak, MD

Baltimore Plastic Surgeon