Southlake Facelift doctors

Scott E. Kasden, MD Scott E. Kasden, MD
Dallas Plastic Surgeon
1422 Main Street Suite 274, Southlake
35 answers
Michael A. Bogdan, MD Michael A. Bogdan, MD
Dallas Plastic Surgeon
410 N Carroll Avenue Suite 170, Southlake
22 answers
Walter D. Gracia, MD Walter D. Gracia, MD
Arlington Plastic Surgeon
1204 5th Avenue, Fort Worth
8 answers
Michel Siegel, MD Michel Siegel, MD
Houston Facial Plastic Surgeon
7700 San Felipe Street Suite 420, Houston
8 answers
Steven Holzman, MD Steven Holzman, MD
Austin Plastic Surgeon
6818 Austin Center Boulevard Suite 206, Austin
1 answer

Recent Answers

What Procedure Accomplishes This Kind of Upward Diagonal Correction? (photo)

I have read extensively about the MFLs and FLs but doctors and I do not think I'd really benefit from the "standard" techniques. I'm 32 but have extra skin in the mouth area that form "pouches" or folds. There is no fat to remove. If I pinch my skin up by my sideburn, this alleviates the problem entirely. So I wonder if a skin-only lift could be done, with the scar in this region (see image). I don't think I need subperiosteal dissection - and doubt I'd benefit from standard MFL techniques.

A: Facelift techniques and patient age

Dear Adam,

The incision pattern you have drawn is a common / known variant of facelift incisions, but it is normally not the first choice.  First off, you are rather young and have minimal signs of facial aging to justify the risks / scars of a facelift.  (I'd advise waiting.)  Normally for a first facelift, incisions are designed in front of the ear and then go up into the hair directly above the ear.  This minimizes the possible "visible" portions of the scar (you cannot be sure how you will heal, and it is nice if the visible scar region is short in case you happen to get a bad scar).  Because you want to maintain your sideburn, this incision choice does limit how much upper facial skin can be removed.  If you know you scar well, when it is time for a secondary face lift, one can design the incision as you have shown to address facial laxity near the eye.  Don't do it as a first choice - just imagine getting a hypertrophic scar in the region you have shown!  It would plague you daily for a year or two...
Dr.B 

Michael A. Bogdan, MD
Dallas Plastic Surgeon
Facelift Surgery Before and After Photos

I'm considering face lift surgery, and I want to talk with a few different surgeons. What should I look for in facelift before and after pictures? How will I know what is good?

A: Just as in surgery, photographic technique is important

When reviewing a surgeon’s facial photo gallery, you should pay attention to the technical details of the photographs - are they cropped the same, is the patient angled the same, are they looking at the same point in the distance, is lighting the same?  Not every pre and post operative photo set will be the same due to some uncontrollable variables (patients may wear different color clothing in the pre vs post op shots, which will effect automatic exposure control and lighting on the pictures), but in general you will be able to get a feeling if the surgeon is trying to be uniform with their pictures and honest with the results. Once you see uniformity in photos, then you can assess their work.  Watch out for “cheaters” - if you notice all post op pictures have patients wearing makeup, looking upwards to improve their neck appearance, or smiling to flatten the jowls, then keep looking for other surgeons.

Dr.B

Michael A. Bogdan, MD
Dallas Plastic Surgeon
Ten Months After Facelift Am Unable to Blink Involuntarily in Right Eye, What Would You Recommend?

ten months after facelift right eye still unable to blink involuntarily.Am using drops and ointment at night since eye does not stay closed at night. I am 67 years old, dr says should wait for 2 more months since I have shown improvement over facial palsy I had on right side..Last 2 months showed improvement on cheek and mouth but right eye still a problem. What would you recommend? I can provide a photo,is there anyway to send a video of eye blinking since that would show problem.

Please see updated question here.

A: eyelid blinking problems after facelift

It sounds like you sustained an injury to the nerves that control your facial muscles. Because there has been improvement it sounds like the nerves were not permanently damage. It can take many months for recovery, and the recovery may not be complete.

Priority at this point is to make sure that your non-blinking eye remains moist, as you have been using the drops and ointment. A moisture patch, or chamber may also help. The other consideration would be the placement of a gold weight too help you blink. 

Full examination by an eye specialist, and and/or a Facial Plastic or ENT specialist  would be my recommendation.

My Best,

Michel Siegel, MD
Houston Facial Plastic Surgeon
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