Fairfax Facelift doctors
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Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
2021 K Street NW #206, Washington D.C. |
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69 answers |
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Christopher L. Hess, MD
Fairfax Plastic Surgeon
3930 Pender Drive Suite 120, Fairfax |
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38 answers |
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Rondi Kathleen Walker, MD
Washington Plastic Surgeon
3301 New Mexico Avenue, N.W. Foxhall Square, Suite 252, Washington |
2 answers | |
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Marwan R. Khalifeh, MD
Chevy Chase Plastic Surgeon
5454 Wisconsin Ave Suite 1710, Chevy Chase |
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Adam Tattelbaum, MD
Washington DC Plastic Surgeon
3203 Tower Oaks Blvd 2nd Fl, Rockville |
Recent Answers
I've had both upper and lower eye lid surgery, arm reduction and a tummy tuck. I am a smoker and am 51 years old. I've healed fine in all cases. Why can't I have a neck or facelift?
It is possible for you to have a facelift if you smoke. Your excellent recovery from your previous surgeries is a positive sign.
Smoking decreases the blood supply to the skin by constricting the vessels, and this makes the healing time longer and also increases your chances for skin loss. Many surgeons will not perform a facelift on a patient who smokes for these reasons. I will perform the face and neck lift but I do much less skin undermining and tightening. The patient also understands that they are at increased risk.
I am worried about how the skin can be pulled up in a facelift (back to the cheek area), and then after the underlying work, it is redraped and tightened, so how does the skin "reattach", and what is the protection for not taking too much skin so the mouth doesn't close, etc.
During a "facelift" procdure the underlying tissues are "injured" in a controlled fashioned, as the platysma and deeper tissues are tightened. The overlying skin has been surgically lifted off these tissues also creating a "controlled injury". The body then heals these area by laying down sheets of collagen - which are the bodies own natural glue. The collagen is smooth, and provides the facial skin a new smooth not overly tight look.
I have noticed nasolabial folds since I was 32 and it is worse on the left side of my face. Since then, I had 2 vials of juvederm ultra injected into my cheekbones and the left nasolabial fold and now, 6 months later, it is already bothering me again. Even right after the procedure, it did not see to do that much. I would like something more permanent and something that would show more improvement, but have been told to wait till I'm older by 2 surgeons. Would a cheek lift solve my problem?
Hi coffeeluver,
Thank you for your question and photo. Based on the information provided, I agree with the other plastic surgeons and specialists. First, everyone has nasolabial folds, even the children. However, the nasolabial folds may deepen and change with age. Generally, the best treatments for smile lines are office injections with a facial fillers. Many options are available such as Restylane, Juvederm, Sculptra, or Radiesse to name some. Another option to consider at this time is fat injections. Fat has the potential for permanent results that other fillers cannot offer.
Surgery with a cheek lift or face lift may be more appropriate once your a bit older, but not at this time. Only after a comprehensive evaluation can a specialist help determine appropriate options for you. Best of luck.
Dr. Chaboki
