Kennewick Lower Face Lift doctors

William Portuese, MD William Portuese, MD
Seattle Facial Plastic Surgeon
1101 Madison St Suite 1280, Seattle
11 answers

Recent Answers

Mid Face Lift or Lower Face Lift with Chin Implant?

I am in early forties and I'm noticing indents on the corner of my upper mouth and lines around my mouth. I was wondering if I shall go in for mid face lift or lower face lift with chin implant? Also, I have undergone rhinoplasty which had gone bad.

I have asymmetrical nostrils with too much cartilage removed on one side. Two months ago I got juvederm on my upper lips, and it looks overly done. Also, I have some radiasse on my cheeks which too appears looking crooked.Please help. Thanks.

A: Options for facial aging

A chin implant is placed through a submental incision and is used to augment the mandible.  The implants are made of solid silicone and come in many different shapes and sizes.  If needed, they can easily be removed.  A lower face/neck lift is best performed on patients with significant jowling and/or laxity in the neck.  A midfacelift will not raise the corners of the mouth.  Consider cheek implants to augment flat cheek area rather than fillers in the lower face area.  

William Portuese, MD
Seattle Facial Plastic Surgeon
Sagging Jowls - Is a Mid-Face Lift Needed with Lower Lift?

I am 54, but look slightly younger. I don't mind the normal aging around my eyes, etc. but my sagging jowls bother me. My Plastic Surgeon says he would not recommend having a lower face lift without at least also doing a mid-face lift, as well as a brow lift. Now he has agreed he would feel comfortable doing the lift without a brow lift, but says he would definitely recommend a mid-face lift with the lower face lift. Is it really necessary to also have a mid face lift with a lower face lift?

A: Lower face/neck lift can be done without mid-facelift

A comprehensive face/neck lift will lift the jowls, so a mid-facelift is unnecessary. If the cheeks are quite flat, lifting will help, although if more of a contour augmentation is preferred, then consideration for cheek implants inserted through an intraoral approach to augment the cheek area can be considered. A comprehensive lower face/neck lift will address jowls, any facial laxity, fat removal above and below the platysmal muscle, and tightening the neck muscles both the front and the posterior portion of the neck. Both procedures can be done at the same time as a brow lift. Low-set eyebrows must be present in order to undergo a brow lift.  

William Portuese, MD
Seattle Facial Plastic Surgeon
Incision Location for Lower Facelift and Neck Lift

With a Lower Face and Necklift, Does the Incision Have to Go in Front of the ear and up the back of the ear, or does it also have to cross over at the back of ear into the hair? Does it depend on how much skin has to be removed? It seems that incision going across would be the one that could be the most visible. Any help is appreciated.

A: Incisions for Lower face/neck lift

The incision for a neck lift is approximately a one inch incision in the submentum at the submental crease and two one-half incisions behind the ears. A lower face neck lift incision involves placing incisions on each side at the sideburn area, behind the tragus around the postauricular area of the ear, down at the hairline at the postauricular area, and weaving the incision back up into the hairline to prevent any stepoff or moving the hairline. Placement of the incisions are very important in a lower facelift in order to have natural results. Slightly longer incisions do have to be made when there is much excess skin that has to be redraped.  

William Portuese, MD
Seattle Facial Plastic Surgeon
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