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There are many derivations of the use/treatment of the SMAS during a facelift.&nbsp; SMAS elevation with mobilization, imbrication or plication.&nbsp; All of these approaches have their place in facelifts, both in first time patients and secondaries.&nbsp; There are a number of factors which will allow choosing one approach over another including, overlying skin quality, soft tissue fullness/deficiency, primary or secondary cases with/without prior SMAS lift, SMAS mobility etc.&nbsp; Each case much be evaluated individually.

Many of the docs at RS have said that facelifts using SMAS plication do not involve true mobilization. Does this mean that if my surgeon is cutting an elliptical section out of the SMAS that I am getting greater skin flap mobilization and the probability longer lasting result than I would get from a more simple plication facelift? Please don't tell me to just look at before and after photos.

SMAS imbrication vs SMAS plication

SMAS facelift will not address either brow or lower eyelid issues.&nbsp; Be sure to address each of these issues independently to your surgeon so that your expectations are realistically met.

Does an SMAS full facelift address forehead and under eye bags?

LIVS, or local with IV sedation is an extremely common method of performing these type of cases and, when performed by a qualified CRNA or Anesthetist, is very safe.&nbsp; We use this type of anesthesia routinely in our office and is preferred over General Anesthesia for a number of cases

Is it safe to use a light IV sedation for a 3 1/2 hour facial rejuvenation procedure ....SMAS Lift, Temporal Brow Lift and Corset Platysmaplasty?

Is it safe to use light IV sedation for a 3 1/2 hour procedure? SMAS Lift, Temporal Brow Lift and Corset Platysmaplasty.

Lasers used for <a href="/Hair-removal/info">hair removal</a> rely on a beam of high intesity light (Light Amplification by Stimulated Emission of Radiation) focused to a specific wavelength (pigment) and target. Important to note that <a href="/Hair/info">hair</a> grows in cycles or phases (anagen, telogen and catagen) or &quot;growing&quot;, dorment, or transitional. Hair in different parts of the body grow at different rates, and also go through growth phases/dormency at different rates.
Lasers are only effective if the hair is in the active growth phase--it doesnt kill the hair in dorment or transitional phases. Therefore, each <a href="/Laser-treatment/info">laser treatment</a> kills only those hairs in active growth phase (only a percentage of all hairs present in a particular area) and therefore requires multiple treatments over time to get an appreciable result.
Shaving is recommended between treatment because the process of shaving does not throw off the growth cycle process, as does plucking and <a href="/Electrolysis/reviews">electrolysis</a>. As such, more hairs will be in active growth phase when you get your treatments. If you pluck or undergo electrolysis, hairs in active growth phase are disrupted in their cycles and my throw off the number of hairs that will be in active growth when it is time for your next treatment with the laser. This results in less effective treatment and more required treatments to get to the desired reduction in hair growth.

They say you have to shave before each your treatment. Will it be stubbly and coarse on your upper lip between treatments? I don't want to walk around with my husband and have a coarse mustache!!

Will Shaving Before Laser Hair Removal Result in Coarse Hair?

Patients on <a href="/Accutane/reviews">ACCUTANE</a> considering either surgical procedures or topical skin treatments including laser or <a href="/Chemical-peel/reviews">chemical peels</a> are at higher risk of <a href="/Scar-removal/reviews">scarring</a> than patients not on ACCUTANE.
It is recommended to be off ACCUTANE for a MINIMUM of 6 months before undergoing these treatments/surgery--1 year off would reduce risks further.
I hope this helps.

Can I get <a href='/reviews/breast-implants'>breast implants</a> while on Accutane? The doctor says that he uses local anesthesia with sedation. I am on my next to last month of <a href='/Accutane/reviews'>Accutane</a>. This doctor uses an under arm incision.

Can I Get Breast Implants While on Accutane?

The pricing of Juvederm is by the syringe. What you don't use at the first injection is stored for you until your next injection (up to 6 months).
In our area, the cost per syringe to patients is between $450-$700 depending on rebates by Allergan or specials by physician's offices.

What is the Cost of Juvederm? Are Juvederm injection&nbsp;prices expensive?

How Much Does Juvederm Cost?

Chemical peels are great for the right patient. Not all patients are candidates due to the risk of post op <a href="/Hyperpigmentation/info">hyperpigmentation</a>, <a href="/Scar-removal/reviews">scarring</a> or ochrinosis. TCA (trichlorocetic acid) is a great product for treating blotchy hyperpigmentation of the skin or <a href="/Sun-damage/info">sun damage</a> without the downsides of phenol (<a href="/Hypopigmentation/info">hypopigmentation</a> and cardiac arrythmias). But remember, <a href="/Chemical-peel/reviews">chemical peels</a> (aside from deep <a href="/Phenol-peel/reviews">phenol peels</a>) do not treat <a href="/Wrinkles/info">wrinkles</a>--just discoloration and complexion issues.
Having said all that as a prelude:
Light <a href="/TCA-chemical-peel/reviews">TCA peels</a> will have minimal downtime with only light peeling/flaking similar to a RetinA treatment -- downside is -- because it does not go as deep as a medium depth or deep TCA peel, your results will be less and will require repeated treatments to achieve better results.
Medium to deep TCA peels will require a good 7-10 days to recover from (ie. until the peeling has finished). Make up can be applied only after the peel is complete and all areas of redness are seen to be settling evenly and at the same rate.
All of my patients are pretreated with products for 6-8 weeks prior to the peel in order to:
1. Reduce the risk of post operative hyperpigmentation
2. Improve the speed and course of healing.
Do your research. Check out our national site, American Society of Aesthetic <a href="/Plastic-surgery/info">Plastic Surgery</a> or American Society of Plastic Surgery for more information.

I am a professional, very busy. Cannot afford to be out of work for long recovering from a&nbsp; chemical peel.&nbsp;

How much downtime can I expect from chemical peels of different depths?

As you know already, <a href="/Latisse/reviews">Latisse</a> is distributed by physicians only and by prescription. The reason for this is that this product has a few potential side effects that you, as a patient and consumer, must understand and appreciate prior to using this product. It is also not appropriate in some patients with ocular pressure problems.To investigate if you are a candidate, look on the <a href="/Latisse/reviews">Latisse</a> website for a physician in your are who provides this service.

I read that you have to have a prescription to get the <a href='http://www.realself.com/reviews/latisse'>Latisse eyelash growth</a> stuff, but will a doctor give it to anybody?&nbsp; Can I just walk in and ask for the Latisse, or would I have to &quot;qualify&quot; somehow to be given a prescription (eyelashes less than a millimeter long) or something?

How to Get a Latisse Prescription

As previously stated, the amount of <a href="/Botox/reviews">Botox</a> used in this area is dependant on the strength of the muscles. Patients with thicker, stronger lateral obicularis oculi muscles (often seen in men) will require more Botox to treat that patients with thinner, less strong muscles (older patients with thin skin and muscles). In general, I have found that 8U (thin, less strong muscles) to 14U per side usually improves <a href="/Crows-feet/info">crow's feet</a> significantly.

I have had <a href='/reviews/botox'>Botox</a> for a few years and love it. I have changed my location. I have a new person doing Botox, my problem is I have always maintained 22-24 units that has been perfect and on one occasion 28 units. Which was great as well. My problem is this, my new person that is doing Botox has guessed 39 units I was shocked, I told her no.

How Many Units to Botox Crow's Feet?

Of all of the injectable fillers available, I have found Juvederm an excellent product for lip augmentation with Perlane as a second choice.&nbsp; Don't go too big -- subtle is more aesthetic and pleasing.

the juvederm tv ad shows it used for around the mouth, so what would it be like to get juvederm in lips to give me plumper lips?

Can Juvederm be used in lips to make them more plump?

David L. J. Wardle, MD

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