Columbia Lower Face Lift doctors
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Michele A. Shermak, MD
Baltimore Plastic Surgeon
1304 Bellona Avenue, Lutherville |
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10 answers |
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Daniel P. Markmann, MD
Baltimore Plastic Surgeon
9171 Baltimore National Pike Suite 205, Ellicott City |
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Adam Tattelbaum, MD
Washington DC Plastic Surgeon
3203 Tower Oaks Blvd 2nd Fl, Rockville |
Recent Answers
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?
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.
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.
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.
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.
I see 2 major options for you. One would be a lower facelift with incision around the ear up to the sideburn. Another nonsurgical option to consider is Sculptra. This treatment would fill the midface and secondarily lift the lower face, requiring 3 treatments in the office. This is an option you may want to research. I would recommend you see a Board-Certified plastic surgeon who has all the tools in the box, so you have a full spectrum of options available to you. Seeing you in person and assessing your medical history is also critical to determining the best possible treatment.
