Doylestown Doctors

Am I a Candidate For a Mid Face Lift? Tried Injectable Fillers and was Unsatisfied. (Photo)

Hi At 32, I suffer from a prematurely aged mid face area. Gravity has pulled the fat down from the area underneath my chin bone to below the corners of my mouth as you can see. Would a mid face lift help me to reduce my 'jowly' appearance as well as reducing the hollowed cheeks, drawn face look? My aim would not be to look 25, but to not have people surprised when I tell them my real age. I've tried restylane (1ml each side) in the cheek, didn't think it helped much. Thanks

I enjoy performing the mid face lift to use your own tissues to restore youthful volume to the cheek area, but your pictures show that you do not have much tissue to lift.  Therefore you need some sort of implant to the cheeks.  Although fat injections are an excellent method to add volume to the cheeks, you may need more than one procedure.  I would therefore suggest cheek implants to help you meet your goals with one procedure that gives a permanent result.

Bruce Genter, MD

Abington Plastic Surgeon

Will Behind the Ear Hearing Aids Make a Difference for Mini Face Lift?

I am considering a mini face lift. I am a 70 year old female with very Little sagging for my age but I would like to keep up my appearance. I wear behind the ear hearing aids. Will the incisions interfere with the comfort and/or fit of my hearing aids?

Typically the mini lift incision does not extend behind the ears, so I think this will work well for you.  You should have a detailed discussion with your plastic surgeon about this.  Before surgery he or she can mark you with the hearing aids in place to be sure that no interference will be created by the scars.

Bruce Genter, MD

Abington Plastic Surgeon

Borderline Needing a Lift. Are Subglandular Silicone Implants Right for my Ptosis? (photo)

I've had consults with 3 PS's and am considering around 450cc silicone implants placed over the muscle. I don't want a lift at this time and one PS told me this would be my best option for a lifting effect without a lift. I don't have kids yet and would be open to a full lift in the future, instead of just having a circumareolar mastopexy now. Would HP or mod profile implants be best for upper-pole fullness? And would 450cc silicone in the subglandular position be appropriate for me?

With a dual plane technique (partially separating the breast tissue from the muscle) there is no reason to have the implants placed over the muscle.  I would recommend that you consider a possible peri-areolar mastopexy at this time.  My approach is to have a detailed discussion about this possibility at the consultation.  Then at surgery I place the implants through a lower areolar incision.  If the breasts look nice, then the operation is over.  If the nipples require elevation, then I will continue with the peri-areolar lift.

Bruce Genter, MD

Abington Plastic Surgeon