Are the cheek pads always respositioned without being undermined when a person has a lower facelift and neck lift? Or is this a technique that only certain doctors use? Thank you.
Answer: Cheek Pad Manipulation in Facelift & Neck Lift Hi Brooke, This is a great question. Not all facelifts are equivalent. Many minimally invasive facelifts, which are marketed as quick, in-office procedures done under local anesthesia, do not involve significant manipulation of the deeper tissues of the face. This layer, which is called the SMAS (superficial musculoaponeurotic system), makes up the bulk of the fat and muscle of the face. Procedures which do not involve some manipulation of this layer tend not to have long-lasting results. Most board-certified plastic surgeons and facial plastic surgeons choose to reposition the SMAS layer in some manner. Different surgeons manipulate this layer in different ways; some plicate it (sew it to itself), some remove a strip of it and sew it back together, and others completely lift it up and reposition it entirely. There is no one way to achieve the best results - it largely depends on your anatomy, as well as the skill and experience of your surgeon. There is also a cheek fat pad, called the buccal fat pad. This is located deep to the SMAS. Some surgeons choose to reposition this, and in some patients with particularly full cheeks, this fat pad can be partially removed. Hope this helps. Best of luck.
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CONTACT NOW Answer: Cheek Pad Manipulation in Facelift & Neck Lift Hi Brooke, This is a great question. Not all facelifts are equivalent. Many minimally invasive facelifts, which are marketed as quick, in-office procedures done under local anesthesia, do not involve significant manipulation of the deeper tissues of the face. This layer, which is called the SMAS (superficial musculoaponeurotic system), makes up the bulk of the fat and muscle of the face. Procedures which do not involve some manipulation of this layer tend not to have long-lasting results. Most board-certified plastic surgeons and facial plastic surgeons choose to reposition the SMAS layer in some manner. Different surgeons manipulate this layer in different ways; some plicate it (sew it to itself), some remove a strip of it and sew it back together, and others completely lift it up and reposition it entirely. There is no one way to achieve the best results - it largely depends on your anatomy, as well as the skill and experience of your surgeon. There is also a cheek fat pad, called the buccal fat pad. This is located deep to the SMAS. Some surgeons choose to reposition this, and in some patients with particularly full cheeks, this fat pad can be partially removed. Hope this helps. Best of luck.
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CONTACT NOW Answer: Direct methods for Cheek Pad Repositioning
The procedure that is most effective for addressing the cheek pad is a Mid-face Lift, as that procedure directly moves the cheek mass. Certain versions of Face Lift procedures also move the cheek mass, but not as effectively as a Mid-face lift. Finally, a true isolated Neck Lift will have no effect on the cheek mass. Whichever surgeons you visit, discuss your desired changes by pointing to regions of your face and emulate the movements that you wish to achieve - let them tell you how they will do it (and what name they give the procedure...)
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CONTACT NOW Answer: Direct methods for Cheek Pad Repositioning
The procedure that is most effective for addressing the cheek pad is a Mid-face Lift, as that procedure directly moves the cheek mass. Certain versions of Face Lift procedures also move the cheek mass, but not as effectively as a Mid-face lift. Finally, a true isolated Neck Lift will have no effect on the cheek mass. Whichever surgeons you visit, discuss your desired changes by pointing to regions of your face and emulate the movements that you wish to achieve - let them tell you how they will do it (and what name they give the procedure...)
Dr. B
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February 24, 2010
Answer: Cheek pad elevation with some Facelifts The only lower facelift that will elevate your cheeks (mid-face lift) is called the deep plane facelift. This is a technical name for a facelift technique (as opposed to a marketing term). In addition ot improving your neck and your jowl / jaw-line, the deep plane facelift will elevate your cheek pads as well. If cheek elevation is all you are looking for, then a mid-face lift may be a better option.
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Answer: Cheek pad elevation with some Facelifts The only lower facelift that will elevate your cheeks (mid-face lift) is called the deep plane facelift. This is a technical name for a facelift technique (as opposed to a marketing term). In addition ot improving your neck and your jowl / jaw-line, the deep plane facelift will elevate your cheek pads as well. If cheek elevation is all you are looking for, then a mid-face lift may be a better option.
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September 23, 2009
Answer: Facelift: Midface, Jowl, and Neck Elevation When explaining the term Facelift to patients, I generally describe the procedure as a mid face, jowl, and neck elevation. In my hands, the "vector of pull" of the jowl and mid face will be vertical, thereby raising and providing more volume to the mid face. The "vector of pull" in the neck is generally posterior (back). I find that there is a great deal of synergy to mid facial enhancement when lower eyelid Blepharoplasty is performed at the same time.
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Answer: Facelift: Midface, Jowl, and Neck Elevation When explaining the term Facelift to patients, I generally describe the procedure as a mid face, jowl, and neck elevation. In my hands, the "vector of pull" of the jowl and mid face will be vertical, thereby raising and providing more volume to the mid face. The "vector of pull" in the neck is generally posterior (back). I find that there is a great deal of synergy to mid facial enhancement when lower eyelid Blepharoplasty is performed at the same time.
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September 22, 2009
Answer: Cheek pads are repositioned during comprehensive face/neck lift The cheek pads are usually repositioned with a traditional face/neck lift so as to resuspend them back up into their normal anatomical position. This is the normal course for a comprehensive face/neck lift.
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CONTACT NOW September 22, 2009
Answer: Cheek pads are repositioned during comprehensive face/neck lift The cheek pads are usually repositioned with a traditional face/neck lift so as to resuspend them back up into their normal anatomical position. This is the normal course for a comprehensive face/neck lift.
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August 7, 2009
Answer: Cheekpads are always repositioned to some degree Dear Brooke Cheek pad repostioning means very different thing to different surgeons. You can be sure that when there are a lot of really different ways of doing something, no one approach is best. There are many maneuvers that are done in an effort to reposition the cheek fat pad. Some are ok and some are, to be kind, unnatural. I think that there is general agreement that over time the cheek or malar fat pad falls. What to do about this is an other matter. I am of the school that most of what makes the under eye circle and jowl is the descent of the malar fat pad. However this pad falls mostly vertically, very little of this fall is from sagging of the face from the side. Why is it important how the face sags you might ask? The answer is that we operate passed on our theories. If a theory is not correct, well then it is likely that the surgery will also not be right. I have a vertical midface lift that I use to address the fall in the malar fat. This surgery is performed through the eyelid. However, many surgeons attempt to lift the cheek fat pad through the facelift incision or throught an incision above the ear which may or may not be part of the facelift incision. This is a so-called temporal midface lift. The problem with this approach is that the dissection pathway from the temple damages the fat in the way of the dissection. After surgery the cheek fat is pulled to a place that looks unnatural and often it looks like a bit has been taken out of the bony rim of the eye socket. Originally surgeons also attempted to pull the cheek fat pad to the side of the face using a composite facelift in an effort to flatten the nasolabial fold. This is a very unnatural effect that results in permanent facial disfigurement. The moral of the story is that you really need to pick your surgeon not your procedure. Consult with surgeons and attempt to assay if they make sense to you, do they answer you questions, are they kind, and do you like their work. This will help you find someone who is right for you.
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CONTACT NOW August 7, 2009
Answer: Cheekpads are always repositioned to some degree Dear Brooke Cheek pad repostioning means very different thing to different surgeons. You can be sure that when there are a lot of really different ways of doing something, no one approach is best. There are many maneuvers that are done in an effort to reposition the cheek fat pad. Some are ok and some are, to be kind, unnatural. I think that there is general agreement that over time the cheek or malar fat pad falls. What to do about this is an other matter. I am of the school that most of what makes the under eye circle and jowl is the descent of the malar fat pad. However this pad falls mostly vertically, very little of this fall is from sagging of the face from the side. Why is it important how the face sags you might ask? The answer is that we operate passed on our theories. If a theory is not correct, well then it is likely that the surgery will also not be right. I have a vertical midface lift that I use to address the fall in the malar fat. This surgery is performed through the eyelid. However, many surgeons attempt to lift the cheek fat pad through the facelift incision or throught an incision above the ear which may or may not be part of the facelift incision. This is a so-called temporal midface lift. The problem with this approach is that the dissection pathway from the temple damages the fat in the way of the dissection. After surgery the cheek fat is pulled to a place that looks unnatural and often it looks like a bit has been taken out of the bony rim of the eye socket. Originally surgeons also attempted to pull the cheek fat pad to the side of the face using a composite facelift in an effort to flatten the nasolabial fold. This is a very unnatural effect that results in permanent facial disfigurement. The moral of the story is that you really need to pick your surgeon not your procedure. Consult with surgeons and attempt to assay if they make sense to you, do they answer you questions, are they kind, and do you like their work. This will help you find someone who is right for you.
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