Richmond Facelift doctors
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Travis L. Shaw, MD
Richmond Facial Plastic Surgeon
8700 Stony Point Parkway Suite 110, Richmond |
3 answers | |
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Matthew Bridges, MD
Richmond Facial Plastic Surgeon
14051 St. Francis Blvd Suite 2211, Midlothian |
2 answers | |
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Michael Godin, MD
Richmond Facial Plastic Surgeon
410 Libbie Ave, Richmond |
1 answer | |
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Gordon Lewis, MD
Richmond Plastic Surgeon
1451 Johnston-Willis Drive , Richmond |
1 answer | |
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Burton M. Sundin, MD
Richmond Plastic Surgeon
7611 Forest Ave Suite 210, Richmond |
Recent Answers
I've had several consultations. One doctor puts in drains, one doesn't, and one uses glue.
Of course this depends on who does your surgery. If the surgeon chooses not to use drains, it is critical that there be excellent control of bleeding during the case. To do this the surgeon must "clean the kitchen as he cooks". What I mean by this is that a very precise and careful technique is required. Any bleeding must be stopped immediatley using electrocautery which seals the blood vessels. This method of operating takes longer than simply lifting the flap and then stopping all of the bleeding at one time, but it results in less bruising and a quicker recovery for the patient in my experience. I have a busy facelift practice and have not used a drain in one for fifteen years.
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?
You should definitely look into Sculptra. I've been doing it for over a year and have had really good results with it. It is a collagen stimulant rather than a filler and it lasts 2 years or more. It is used to "re-volumize" the midface, helping to pull the nasolabial folds out without having to fill the folds themselves as much. I've been using to fill the area under the eyes (the tear troughs) as well with good results.
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?
Carrie Anne- I will try and address your 2 questions 1) Any reason not to use oral sedation and local anesthesia? If you feel comfortable awake and without feeling pain for an extended time period then you will do wonderfully. I use this same technique for some patients who do not want IV sedation and an anesthesiologist. Most people fall asleep during the procedure and comment later that the exerience was not at all unpleasant . 2) Is one form of anesthesia riskier? Use of IV sedation can result in loss of your own airway protective reflexes and requires close monitoring of all of your vital signs. In the hands of a qualified anesthesiologist the risks of sedation or general anesthesia are small, though greater than risks of oral sedation and local injection. Discuss any concerns with your surgeon and then make a decision which you feel most comfortable with. Best wishes- Dr S
