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CLAIM YOUR PROFILESome changes to facial structures not addressed during facelift is expected to occur; this happens due to internal tissue rearrangement and tightening during facelift surgery. I hope this helps answer your question.
Board Certified Oral & Maxillofacial Surgeon
It appears that your face has lost a lot of volume which is very common with age and weight changes.
Facial volume and contours can be improved with fillers or fat grafting.
In regard to lines and folds; there are two types, dynamic lines in the forehead and between the eyes and those can be improved with relaxing the underlying muscles with Botulinum toxin (Botox). Deeper lines are static and need volume replacement with filler or fat grafting.
Facelift addresses loose skin and internal sagging structures of the mid face and neck- full face lift, or mini face lift to address mid face only. The forehead lines and brow position can be improved with Browlift procedure.
Board Certified Oral & Maxillofacial Surgeon
A good lab can produce aesthetic crowns, it is not the technology, it is the technologist skills. I hope this helps answer your questions about dental implants.
Board Certified Oral & Maxillofacial Surgeon
You will be on soft diet during the healing time. It is not uncommon to allow the surgical site to heal before placing temporary teeth. I hope this helps answer your question about how you can eat.
Board Certified Oral & Maxillofacial Surgeon
Lip Implants move and become problematic. There is no way to reposition the implant and fix it in the new position. Your best bet is remove, let it recover then fillers, fat grafting or SILIKON 1000 injection by an experienced injector.
Board Certified Oral & Maxillofacial Surgeon
Dental implants are the standard of care to replace single or multiple missing teeth. They are safe and have been in use for over 50 years. Short term side effects are related to surgery such discomfort, swelling etc…
After complete healing of the implant and placement of the implant crown, the implant is considered successful; long term side effects are rare and allergy to the implant material is very rare. Success rate of implants is 95-98%.
Dental implant is composed of;
Implant (Screw shaped fixture, placed in the jaw bone).
Healing Abutment (Round or oval shaped fixture which is screwed into the implant during the healing phase of the implant, it molds and shapes the gum over the implant to facilitate obtaining an impression to replicate the position and the surface contours of the gum over the implant, this will enable the dental lab to make an accurate restoration).
Final Abutment (Fixture secured to the implant with a fixation screw as foundation for the implant crown)
Dental Implant Crown
Fixation screw
Dental implants can potentially last a lifetime, but it depends on many factors;
-Type of implant placed- reputable brands of implants have a longer and better track record of research, technology and success rate; hence more expensive. ( you get what you pay for).
-Type of restoration (crown) used, screw retained restoration are safer as there is no dental cement use, which can potentially cause bone loss around the implant and result in implant failure. Screw retained restorations carry the risk of screw loosening or breaking which is usually fixable and salvageable without affecting the implant itself; sometimes the restoration may need to be replaced.
It is important to ensure all the parts used in the implant, abutment and abutment screw are genuine and made by the same implant manufacturer, no mixing and matching with aftermarket components; this can result in screw loosening and fracture.
General health of the patient- individuals with uncontrolled diabetes, bone disease, poor oral hygiene and bruxism (teeth grinding) and smokers tend to have higher failure rate of dental implants.
Quality and volume of the bone around the implants shrinks overtime with age and remodeling of the jaw bone which can result in threads of the implants showing through the gum, this may require some surgical maintenance, but usually it’s preventable with proper hygiene, frequent dental hygiene visits ( minimum of twice a year), balanced biting forces (night guard for teeth grinders) and well controlled systemic diseases if present.
Overall dental implant treatment takes anywhere from 4-12 months; depending on whether additional bone (bone graft) was added or not. On average it requires 6-10 visits to complete treatment. 4-6 office visits with your Oral and Maxillofacial surgeon to place the implant and check on the healing and integration of the implant in the jaw bone; the surgeon releases the implant to be restored (place the crown) by the Restorative Dentist (your general dentist) after performing stability test on the implant; your dentist will require 2-3 office visits to complete the crown part of the dental implant treatment.
Final advice:
Stay healthy, brush and floss your teeth twice a day, see your dentist twice a year and wear a nightguard and your implant should look, feel and act like you have never lost a tooth. Find yourself a good board-certified Oral & Maxillofacial surgeon, talk to your dentist, ask a lot of questions.
Board Certified Oral & Maxillofacial Surgeon
Corrective jaw surgery or orthognathic surgery to correct position, size, shape, symmetry of the jaws and bite issues; it is done in conjunction with orthodontic treatment.
Upper jaw surgery is called LeFort I osteotomy which involves reposition the upper jaw to its correct position; based on your profile photo your upper jaw appears be slightly flat- Le Fort I osteotomy with advancement of the maxilla can improve flattening of upper jaw and cheek bones.
Lower jaw surgery is called Bilateral Sagittal Split Ramus Osteotomy which involves repositioning the segment of the jaw containing the lower jaw teeth into the correct bite position while maintaining the position of TMJ Temporomandibular joints.
Upper and lower jaw surgeries are often done simultaneously, along with chin surgery (Genioplasty) to achieve harmonious facial structures while correcting the bite (overbite, underbite, open bite, crossbite, etc..)
Consult with a board-certified Oral & Maxillofacial surgeon.
Board Certified Oral & Maxillofacial Surgeon
Board Certified Oral & Maxillofacial Surgeon
Board Certified Oral & Maxillofacial Surgeon
Board Certified Oral & Maxillofacial Surgeon
Dr Elias is my hero! Here’s a little history. I had a small butt lift 2 years ago that left me deformed. I had done my research and went to a fancy Beverly Hills doc who specialized in body lifts, so I figured I was in the right hands. I was not. Things went terribly wrong. I looked awful. I was super self conscious and terrified to go back under the knife ever again. I resolved that I would just need to dress in clothing that would hide the problem for the rest of my life. I went to see Dr Elias NOT actually intending to have more surgery. When he saw what had happened to me he told me that he was confident that he could fix my botched lift. I was gun shy to say the least. I’d had such a horrible experience before. He explained that it would be a scar revision that he’d combine that with some a little lipo to the area to achieve a good result. I went home to think and discuss with my husband. Once he met the doctor and felt comfortable we decided to go ahead. I’m here to tell you Dr Elias is a true artist. There was so much wrong with me that I figured maybe I’d get an ok result. What I got was so above and beyond my expectations. He has such a keen attention to detail. I’m blown away! My previous Dr relegated me to his PA for all follow up visits. Not Dr Elias. I never felt rushed on any follow ups. He's a very genuine, kind man. Huge shout out to his Dianne who was always by his side with love and kindness. She also did my Lymphatic massage post op and worked wonders. She’s a gem!
Dr. Elias is wonderful! He did Facetite on me on a Friday and I was back to work on Monday. He's a true artist & perfectionist! He's really good at injectables as well. I get Botox & fillers all the time with him. The staff is very friendly!
Facelift, eyelids, fat grafting, laser resurfacing, chin implant. I met Dr. Elias 5 months ago for a consultation for my face, I suffered from acne scars all my life, also I didn’t like the bags under my eyes and the loose skin on my face and neck; from the moment I met him, I knew he is the one who will be my surgeon, he is calm, honest, down to earth, explained everything in details of what I needed to achieve the results I’m looking for; needless to say I booked my surgery same day; recovery and the results are better than what I expected. I am so pleased with my new jawline, my refreshed look, I feel and look younger. I can’t say enough about Dr. Elias, knowledge, skills, passion for his work and delivered results. Go see him if you need any cosmetic work, you won’t regret it.
Dr. Elias did FaceTite on me, and did a fabulous job! Everyone thinks I got a face lift! My skin was sagging before and it’s so much tighter now and looks amazing! I highly recommend Dr. Elias, he is great at explaining everything in detail and making your feel comfortable with the procedure!
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