Rochester Facelift doctors
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Brett S. Kotlus, MD
Rochester Oculoplastic Surgeon
8180 26 Mile Rd Suite 300, Shelby Township |
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Myra Danish, MD
Rochester Facial Plastic Surgeon
4550 Investment Drive Suite 290, Troy |
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Richard Hainer
Rochester Plastic Surgeon
441 S Livernois Rd Ste 260, Rochester |
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Joseph E. Mark, MD
Rochester Plastic Surgeon
1886 W Auburn Rd Suite 200, Rochester Hills |
Recent Answers
rather than get face lift i would prefer a nonsurgical treatment. what do the doctors say works best for sag in jowls and loose neck skin.
There are several options for people who want to improve the lower 1/3 to 1/2 of the face without full rhytidectomy (facelift).
Z-PLASTY: In a male with loose neck skin without much fat, a z-plasty is a possibility that has excellent results. The excess skin and muscle is removed with an incision shaped like a "Z", and this avoids the scars around the ears associated with facelifts.
FAT TRANSFER: In patients with a significant loss of facial fat and resultant sagging skin, facial fat transfer is an excellent option due to its longevity and ease of harvesting. These patients must have available fat to donate and must be willing to accept repeat treatments and swelling and bruising associated with the procedure. This can often simulate a facelift with very natural results. Other fillers are acceptable options, but require more maintenance.
TOTAL FX: The Lumenis UltraPulse Carbon Dioxide laser has the benefit of superficial tightening (ActiveFX/MaxFX) and deep tightening (DeepFX). This improves skin tone, texture, and fine lines with about 1 week of downtime. The Fraxel re:pair may be an equivalent technology.
Ultimately, there are going to be patients that require rhytidectomy (facelift) to acheive satisfactory rejuvenation of the lower face. These include patients with significant platysmal banding and severe jowls.