Facelift: Q&A
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Why Such Conflict of Opinions on Deeplane Facelifts Being "Natural" or "Windswept Look"?
Whys Such Conflict of Opinions on Deeplane Facelifts Being "Natural" or "Windswept Look"?
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18 Doctor Answers |
Asked by
kidhal
in lacey, washington
+3
Face lift techniques and avoiding windswept look
No patient wants to have that Catagory 3 Hurricane look after a facelift. This look can occur when only the skin layer is addressed, the skin is pulled too tight and is pulled in an unnatural direction.
All the different techniques debated and discussed by experienced plastic surgeons can be overwhelming for a lay person. Sometimes it can overwhelming for a plastic surgeon!
My advise for patients is to get maybe 2 or 3 consultations from a board...
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Deep plane vs SMAS facelift
A skin only facelift can make the most windswept look because all the tension is on the skin. A deep plane facelift as described by Dr. Hamra requires "extraordinary tension" in the closure and only moves the tissue in one direction. A SMAS lift which is my preference allows the surgeon to move the deep tissues in a vertical direction and skin separately in a natural direction with little tension. Consequently I prefer the SMAS lift. But in the end, it is an...
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Windswept facelift results
One main goal of a facelift is to redistribute volume in the face
skin only facelifts do this by pulling skin
smas flap/deep plane facelifts do this by gently relocating the underlying tissue, rearranging the actual soft tissue structure of the face - thus less pull is needed on the skin
less pull = less distortion in my opinion.
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A facelift by any other name is still a facelift
We are seeing in facelift just what has occured in liposuction, with an ever increasing list of techniques and confusion. With facelift we see deep plane, SMAS, three layer, smasectomy, soft, vertical, vampire (really) and many others. Aspects of all work well if applied when needed. No matter what, windswept is a thing of the past, we learned that lesson.
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Why Such Conflict of Opinions on Deeplane Facelifts
Because deep plane is more anatomical, logical and efficient than any another technique, but it has several warnings:a.-more difficult and risky for deep nerves b.- sweeling last double to get solved c.- it stays a little thighting at first weeks that is why looks artificial but later looks great and last the effects much more than other techiniques. it is ideal for elderly people after 60 y.o.
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"Windswept" Look With Facelift
The actual results from a Facelift have much more to do with the artistry of the Surgeon than the specific name given to his/her procedure. I personally feel that a "high SMAS" imbrication technique (Connell) makes the most sense because it allows for elevation of the mid and lower facial tissues, while still allowing for a slightly different vector with skin removal. The techniques that are described such as "deep plane", "SMAS",...
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Deep plane facelift and natural appearance.
The progression of the history of facelifting techniques has served to give better and longer lasting results without the "windswept" look. Facelift techniques are still evolving and the latest trend is to add fat grafting to the procedure to repace fat volume lost due to normal ageing. In general, a deep plane facelift or a SMAS lift (if done corrrectly) will give the best results. This is because most of the tension is placed on the deeper layers to replace them...
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Deeplane Facelifts Being Natural or Windswept?
Any type of face lift can look natural or unnatural based on how it is performed and on whether the face lift was accompanied by other procedures to make the result more natural. In general, the deep plane lifts have a more natural result since there is less pull on the skin.
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Deep Plane Facelifts and Windswept Look
The windswept look is a function of vector of pull on the skin and the amount of tension on closure not the individual management of deeper tissues. Kenneth Hughes, MD Los Angeles, CA
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Does deep plane look done
In my opinion it takes a deep plane at least a year to look good and not "done". This is the assesment of the originator Dr. Hamra. My patients in Beverly hills look good in weeks with my technique and they need to.Therefore I need to do a procedure which heals quickly and looks natural early. A deep plane is not it
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"Natural" Facelift vs. "Windswept" Look
The reason is actually straightforward. Regardless of what facelift technique is employed, the surgeon's artistic sense and technical skills are what makes the difference between natural and "windswept". There are some surgeons who claim expertise at "deep plane" which makes them appear more technically capable than their colleagues. The reality is that a surgeon who has experience performing facelift surgery can perform all types of facelift surgery variations...
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Deep plane lift and the windswept look
Currently the deep plane lift may be on the wane although in the right hand (i.e. experienced) it will give excellent results. The SMAS lift is a bidirectional lift in that the deep layers and the skin are pulled along different vectors. As to being windswept this should not be a problem in most cases unless the skin is over-pulled (inexperience) or in late seniors where the skin laxity is extreme and the operator attempts to overcome this by over pull instead of the proper pre...
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How the surgeon drapes your skin and tissues is what determines the natural or windswept look.
How the surgeon drapes your skin and tissues is what determines the natural or windswept look, not whether your facelift is deep plane or a SMAS repositioning technique.
I hop this helps.
+1
Why Such Conflict of Opinions on Deeplane Facelifts Being "Natural" or "Windswept Look"?
To me aesthetically, there's no conflict. Any Face Lift technique can make the face appear flat, feature-less and wind swept. The mid Face Lift and the deep plane versions have very extensive tissue dissection and due to that factor increase the degree to which this may occur.
IMHO all Face Lifts to be aesthetically successful must follow the proper aesthetics of facial beauty for the creation of a naturally, more attractive face which include shaping the cheeks to...
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Avoiding a windswept look with facelift
Any facelift can be done poorly or with too much tension. Mostly the "windswept" look is created by loosening skin only and pulling too tightly, especially straight back. A natural facelift is more likely if the deeper tissues are supported and directed more vertically while the skin is redraped with only moderate tension up and back. I find the SMAS technique to be the most reliable with the least recovery time and the least risk. Deep plane face lifts can...
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Natural look after facelift
I agree with most of the respondents to this question. Every surgeon who does this procedure has his or her favorite method of getting good results, without looking overdone (windswept). Probably the best way to judge this is to look at past results. Obviously, no other patient will look like you, but you will be able to judge the severity of the result in photos.
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Why Such Conflict of Opinions on Deeplane Facelifts Being "Natural" or "Windswept Look"?
It's all in the artistic ability of your surgeon. Any style of facelift can look bad if done poorly. I must say after 30 years of doing every variety of facelift you can think of, I find the traditional deep plane to be unnecessary. Studies done on long term results and patient satisfaction also have confirmed my feelings. There is litle difference in the final result. There are other types of lift that look better faster and avoid the potential complications and prolonged recovery of...
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How to get natural appearing results from facelift
Fear of having the windswept look after a facelift is one of the reasons why some people are afraid to have it done, but it is avoidable. The deep plane facelift is also associated with longer swelling and recovery time. The key is to get vertical lifting in the layer under the skin called the SMAS, while redraping the skin without tension. Replacing volume in a 3-dimensional way is also important.
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