Ken Dolynchuk, MD

Thanks for the question and your pics. There is little more that non-invasive techniques can offer. The real role for these procedures is on the face. The neck requires actual suspension to correct laxity, such as the Labbé lift. This is performed under local with oral sedation in less than 3 hours, The benefit for you is that the banding seen in the neck side pleat area will be better corrected, and the skin is removed behind the ear and in the sideburn area, and healing is acceptable with makeup in a week. See a board certified plastic surgeon with experience in this technique for a consultation and further details. Hope this helps.

Thanks for the question. Certainly local provides adequate anaesthesia and if you are anxious an oral sedative hypnotic will take the edge off. We tend to inject local for its anaesthetic benefit intra operatively whether or not you are asleep. The advantage too, is a relative cost saving since you don't require an anaesthetist if local and oral sedation are used. There are less post operative anaesthetic complications as well, like nausea and vomiting which can cause excessive bleeding post op, also a potential benefit long term as well. Hope this helps.

Thanks for your question and photos. Although still unapproved by Health Canada the Korean Thread lift would be your best option for the marionette and nasolabial fold hollows. The chin would benefit from calcium hydroxy appetite or Radiesse injections as the degree of lift is greater than with hyaluronic acid filler and lasts 18 months. Find an experienced aesthetic injector as these are different techniques than found in the usual scope of plastic surgery practice. Good luck. 

Thanks for your question and photo. Based on what is visible in the photo of your infraumbilical scar you should benefit from a scar revision. The surgeon would be able to do this under local anaesthesia and even make the depression under the umbilical less visible. The down time will be less. You should be doing most activities without restriction in a month. Hope this helps.

Thanks for your question. Assuming there has been no infection around the implant we will usually simply take out the implant. The scar or capsule is usually thin and doesn’t lead to deformity if left in. Hope this helps .