Spokane Facelift doctors

	William Portuese, MD Seattle Facial Plastic Surgeon 1101 Madison St Suite 1280, Seattle		214 answers
	Sam Naficy, MD Seattle Facial Plastic Surgeon 1110 112th Ave NE Suite 150, Bellevue		17 answers
	Carol Hathaway, MD Spokane Plastic Surgeon 1415 N Houk St Suite B, Spokane Valley
	Jeffrey W. Karp, MD Spokane Plastic Surgeon 801 W 5th Ave Suite 619, Spokane
	Melanie Lang, M.D. Spokane Facial Plastic Surgeon 2807 S. Stope Suite 202, Spokane

Recent Answers

Why Can't I Have Neck or Facelift as a Smoker? 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?

A: Why smokers shouldn't have facelift

Smoking creates two serious issues with a facelift that are not present in other operations. Smokers have a higher carbon monoxide component in their bloodstream, which preferentially binds to red blood cells so that oxygen cannot get to the tissues. The second component is nicotine, a vasoconstrictor, which further compromises the delivery of oxygen to the tissues. Simply put, the skin around the incision can slough and die due to smoking. This is why most surgeons will not perform a facelift on smokers.

William Portuese, MD

Seattle Facial Plastic Surgeon

Will a Facelift Result Be Affected by a Skeletal Defect? Hi i have a skeletal and dental defect which are both 2mm to the left will that affect the result of a facelift?

A: Skeletal defect and facelift results

A 2 mm skeletal and dental defect is probably not enough to significantly affect results from a facelift.

William Portuese, MD

Seattle Facial Plastic Surgeon

What is Your Opinion on Marionette Fold Excision? I have recently had a partial facelift that unfortunately did not correct my marionette folds. I have had filler in the past which also did not adequately reduce/correct these. I am considering having these folds excised. I realize that there is much controversy surrounding this procedure due to the issue of scarring. In my mind I would trade a small likely imperceptible scar for obvious and glaring marionette folds. I would appreciate any input. Thanks so much.

A: Marionette fold excision

Direct excision of marionette fold is probably not the best idea since it will result in a prominent visible scar. A total and comprehensive face/neck lift should lift the marionette folds quite well. Any residual marionette lines can be augmented with injectable fillers. In 20 years of private practice, we have never excised marionette folds.

William Portuese, MD

Seattle Facial Plastic Surgeon