Boston Mini Lift doctors

You have very valid concerns. I would want to know what the previous surgery was that resulted in skin sagging in the midface. Was there soft tissue removed? Also, have you had significant weight fluctuation in the last 5 years with recent weight loss? If you are concerned about scarring from a face lift, which I don't believe would address your problem adequately anyway, then you may want to consider medial submalar cheek implants which will replace volume and lift the tissue without any facial incisions. Generally the face lift incision in a man is not hidden inside the ear as such a design will bring hair-bearing skin into the ear and it is difficult to manage even with LHR. Also, most men wear their hair short, and the incisions have a tendency to be more conspicuous. The blepharoplasty incisions can be well camouflaged but can cause ectropion or tension on the lower lid from the suspended cheek tissue and cause rounding of the eye. The endoscopic approach is technically difficult and in your case may yield only limited results given heavy midface soft tissue. You can also discuss autologous fat transfer as an option with your surgeon.

The reason for the different anesthesia options may have to do with the options available to your doctor and not necessarily your choice. The mini-lift or the lower face-lift is frequently performed in the office by a facial or general plastic surgeon under local analgesia with or without oral sedation. However, if the lift requires a more extensive dissection or expected to take longer to perform, the surgeons who have access to an Ambulatory Surgery Center or Hospital may schedule the procedure there or as in my practice, if the surgeon has an accredited office-based surgical facility, the surgeon can recommend or the patient can request IV sedation or general anesthesia for the procedure without the additional cost of going to another facility. In these cases, patient is closely monitored and frequently an anesthesiologist or a CRNA will administer the anesthesia. It is important to discuss your options and preferences regarding anesthesia with your surgeon prior to the procedure.

Its important to know what you want to improve about your face. Is it skin texture, facial volume, contour, cheek or chin projection, brow position, etc.? Generally speaking, 25 is too young to expect any significant facial soft tissue sagging that would need resuspension or repositioning. I also doubt you have much skin excess unless you've had significant, rapid weight loss which may require excision of redundant skin if there is inadequate spontaneous skin contraction after at least 12 months. In the absence of the rapid weight loss, frequently, at this age, I would recommend addressing exactly what the problem is. I find that a small chin and/or cheeck implant can markedly improve facial volume, contour and projection. These procedures are simple, low risk and reversible. You may also see noticible improvement with a brow lift or even neuromodularors (such as Botox, Dysport or Xeomin) or fillers to locally enhance volume and contour. Also, if skin texture, vascularity or dyspigmentation is contributing to the aged look, a simple but effective chemical or LASER resurfacing procedure along with good skin care and hygiene regimen can make a dramatic difference. You are not too young to educate your self about your options and take steps to look your best and feel good about your appearance, but I would caution you that at your age you may wish to start with conservative measures in the hands of a competent surgeon who is willing to take the time to educate you about your options and never rush you into a procedure.