Board Certified Plastic Surgeon
Dr. Vial is a plastic surgeon in Bend who avoids premature assessments — instead, he patiently discusses your unique concerns and expectations to craft an individualized treatment plan that adheres to your specific ideals of beauty.
Asked By: Fearless434727
ANSWER
While this could be possible this is most likely secondary to tension on the wound and not the suture. Deep plane face and neck lifts are tensionless closures and do not require deep sutures in the skin. All of my patient’s sutures in the skin are removed at 7 days. If the sutures really are the problem that should not be an issue.
Asked By: Jemima889
ANSWER
The effects of facial fat grafting in different patients dissipate at different rates. 6 months to 1 year is a good timeline to see what your final result will be with fat grafting.
Asked By: Honest319324
ANSWER
A CO2 laser or a phenol peel are great options for reducing heavy wrinkles in the face especially around the mouth. A phenol peel will get a better longer lasting result but the down time will be longer.
Asked By: Memo83
ANSWER
You can achieve great results with an endoscopic approach. If there is significant redundant skin then skin must be removed and facelift scars must be used for skin removal. If you do not have a redundant skin issue than an endoscopic approach alone can work.
Asked By: Friendly914297
ANSWER
I do not inject sculpture. The results can be unpredictable. Plus, there is the threaded complication of sculpture granuloma which can occur years after sculpture has been injected. The best thing to do is to wait. It can take years for the effects of sculptra to dissipate.
Asked By: Atlanteansister
ANSWER
If this was done in a traditional manner is unlikely that is causing these health issues. Surgery can stimulate an immune response and may have been the hair on the camel’s back that is leading to your other immune problems. I think the advice of your plastic surgeon as correct. Maybe also consider a rheumatologist
Asked By: Alime78
ANSWER
I think the biggest mistake here is not pulling the trigger on a full face and neck lift. High SMAS face and deep plane neck lift. Getting less work done now and will lead to more work down the road and you will have a better result with a more aggressive procedure.
Asked By: Creative7316
ANSWER
These appear to be small festoons. They are a collection of fluid in the face. There are many options to manage them. Speak with a plastic surgeon who specializes in their care.
Asked By: Jgb46
ANSWER
High SMAS deep plane neck left to address the redundant skin and jowls. You also have significant loss of facial volume that would benefit from fat grafting to the jawline. A chemical peel or CO2 laser could be used to address lines around the mouth.
Asked By: X_O_X_O
ANSWER
A facelift can have dramatic effect on nasal labial folds. It depends on the facelift type. A mid facelift would have more effect on the nasolabial fold. Micro-liposuction is a good addition to address the nasolabial folds if they are thick. In older patients the nasolabial folds can be excised directly without a facelift and have a good result.
Dr. I. Nick Vial is highly regarded for his expertise in various plastic and cosmetic surgical procedures, including , , , , , and . Patients consistently praise his meticulous attention to detail, compassionate care, and ability to achieve outstanding results. His commitment to patient satisfaction and his thorough, personalized approach have earned him a stellar reputation among both patients and peers.
