Columbia Facelift doctors
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Richard J. Wassermann, MD, MPH
Columbia Plastic Surgeon
1220 Blanding St, Columbia |
2 answers | |
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J. Smythe Rich, MD
Columbia Plastic Surgeon
1711 Richland St. Suite 100, Columbia |
1 answer | |
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Chad B. Gunnlaugsson, MD
Columbia Facial Plastic Surgeon
114 Gateway Corporate Blvd Suite 120, Columbia |
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Peter C. Haines, MD
Columbia Plastic Surgeon
7033 St. Andrews Road Suite 204 , Columbia |
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Ram Kalus, MD
Columbia Plastic Surgeon
578 Lone Tree Drive Suite 102, Mount Pleasant |
Recent Answers
Am 55 with skin in very good condition. But have drooping upper lids and banding in neck. To have a lower face lift/platysmaplasty and upper eyelid surgery, doctor has offered me either the option of IV sedation with board certified anes. or was also told I was a candidate for just local with oral sedation, which will save me a substantial amount of money. Is there any reason not to do it this way? Is one form of anesthesia riskier than the other?
I have made a 180 on this issue and now reserve general ( including IV anesthesia) for more difficult patients and procedures, ie laser. It has been the proliferation of injectables that has shown the surgeons and the patients how much can be acomplished with a motivated patient. I view the safety issue to be the reverse. Even iv sedation carries a higher risk. The primary reason I was slow to change is the worst one most of us use " because we always have done it this way". Granted the patient must understand their part of increased tolorance just as when receiving Botox or fillers. Cost savings is just an coincidental benefit. As for your surgeon I would go with their advice as to the method they are most comfortable.
A beautician is recommending I undertake a series of cosmetic non-surgical treatments (laser and chemical peels) in the weeks leading up to my MACS face lift and upper & lower eyelid surgery. She advises that this will ensure my skin is in the best possible condition before the surgery. Is this correct? Should I commence these treatments or any other treatments? Will it make a difference to the results? Also, how long after the surgery could I have any laser treatment and/or chemical peels?
In general, treatment of the skin prior to any type of facelift is not necessary. Some patients may choose to begin a topical skin care regimen prior to any contemplated surgery, but this would only be only as part of a long term maintenance program. In patients with the most severe sun damage and elastosis of the skin, a concominant skin treatment can be considered at the time of facelift or as a planned secondary procedure somewhere on the order of 6-12 weeks after healing. There are limitations to any face lifting technique in regard to the improvement of aesthetic issues that are directly related to poor skin quality.
I am just under 10 weeks post necklift/ lower facelift with playtsma tightening. One year ago I had lipo under my chin and this left the playtsmal banding more pronounced. Since my last surgery 10 weeks ago, as the swelling goes down, the sagging gets worse.The playtsma banding, although much improved from before surgery, is still there. I am still swollen around the ears, cheeks and under the chin. I can feel tightness and pulling when I move my neck. The scaring is healing beautifully.
Your question and description of your observations raise several important post operative issues. In general, as swelling resolves and the final result evolves, you don't notice additional skin tightening. Given the complexity of your surgery, I would suggest following up closely with the operative surgeon so that he or she can complete your evaluation with serial physical exams and make certain that you are healing as expected.