Sean Hill, MD

Thank you so much for submitting your question. 

When it comes to risks and benefits, facet is far less likely to cause any complications compared to a surgical facelift. The facetite probe will be based in a plane superficial to your facial nerve. Additionally the heat that the device is putting out is unlikely to cause permanent nerve damage. You may see what we call a temporary nerve palsy (weakness) due to irritation etc but this should not persist after 3 weeks. 

Thank you so much and best of luck. 

Thank you so much for submitting your question. 

When it comes to medicine, one needs to analyze the source of a problem to properly treat it. This can be applied to all areas of the body. When I examine the jawline/chin of a patient I ask myself

- Is it a fat excess issue

- Is it a skin laxity issue

- Muscle laxity?

-Or a combination of the sources.




This is what will guide the surgeon. For the modalities

- Liposuction: This is used to remove excess fat. It may have a minimal impact on skin tightening at best. It is ideal alone for a younger patient with great skin quality and mild/moderate fat excess

- Coolsculpting: This is a non surgical fat reduction technique. It has minimal impact on skin tightening as well. It is best suited for a younger patient with minimal fat excess. It does require multiple treatment sessions

- Skin tightening devices: Facetite falls here. These technologies cause damage to your own native collagen, allowing it to regenerate and rejuvenate leading to skin tightening. Results can be less predictable compared to surgery but is quite effective in a patient with mild/moderate fat excess and mild/moderate skin laxity. It does not require surgery or anesthesia

- Surgical facelift/necklift: For the older patient with poor skin quality and moderate/severe skin excess and platysmas banding. Does require surgery. Results can be most profound but does require anesthesia. 




In your case I often will combine facetted with liposuction in the same session to get the ideal result. You may see the results you want from liposuction alone like the earlier surgeons recommended though combining it with facetite will likely give a more profound and predictable result as it will treat any fat excess as well as address skin quality/excess. Thank you for your question. 

Thank you so much for submitting your question. 

It is challenging to answer your question without knowing exactly what plane (sub muscular, dual place, or sub glandular) was used for your surgery. Also it may prove helpful to know exactly 

Flex or animation deformity is when implants are placed in the sub muscular/dual plane position and is caused from the movement of the pectorals muscle. It can be corrected by both surgical and non surgical means though most commonly will be corrected with a change to a subglandular position. One can attempt to correct it by doing a neurectomy (divide the nerve) that feeds the pectorals major muscle. 

You do have a line across your breast which is likely the pectorals muscle. It seems you may be developing what we call the double bubble deformity, in which the breast implant continues to descend below the mammary fold. It can be due to any number of things. I would usually wait 3-6 months after your surgery for the tissues to settle. It would need to be corrected surgically likely with a pocket change and moving the implant into the subfascial or sub glandular position. 

The best thing for you to do is follow up with your surgeon for an in person examination. Thank you and best of luck.

Thank you so much for submitting your question. 

When it comes to breast lift, the one thing we are all trying to avoid is recurrent ptosis (drooping). Surgeons have been chasing this dream like it is the holy grail. WE have tried any number of suture/pedicle/etc techniques and eventually time and gravity conquer all. 

This is where the promise of various surgical meshes comes into the equation. Mesh has been used in hernia repair surgery for decades and has withstood the test of time. When it comes to breast surgery there have been several iterations of mesh which fall into two categories

- Biologic: Alloderm, Strattice. These messes serve as a scaffolding which your own tissue grows into and forms healthy tissue. These are used quite frequently in complex hernias and breast reconstruction after cancer. They have a long track record and are quite effective. The downside for a cosmetic patient is the steep price point with which they come. 

- Artificial: Galaflex and before this Seri. Gala flex is made from poly-4-hydroxybutyrate, which is an artificial material which our body resorbs. It is the same material in several suture (stitches) material as well as another mesh that was used in breast reconstruction. It is eventually absorbs by your body and becomes scar tissue. It is different from the above in the respect that it does not integrate and form your own tissue it is replaced by scar like tissue. 

Galaflex is relatively new to the market and has been adopted by a large number of surgeons. In limited studies is has been shown to decrease the risk of recurrent ptosis. I personally use it in all patients who are higher risk for recurrent ptosis. 

I hope this helps. Best of luck on your journey!

Thank you so much for submitting your question. 

In my opinion cosmetic surgery is no different then any other elective surgery; there is no specific age limit but it is more if a person is a candidate for surgery. I have operated on 70 year olds and refused to operate on 30/40 year olds and my decision point is based on their health and whether they will tolerate the surgery itself as well as the post operative recovery. If you are in your 50s and of good health, then by all means you should be able to undergo a breast lift procedure. 

Regarding breast implants: I do not think a certain implant is better or worse for a particular age group. When it comes to the implant it is based on a patient's anatomy and desired look which we can use to decide on implant filler type as well as profile selection. 

I would encourage you to seek out an in person consultation to get a better idea of what your specific options would be. Best of Luck!