McRae Plastic Surgery

Practice Information
MIillcroft Professional Center Unit 2, 4300 Upper Middle Road, Burlington, Ontario
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About the Practice

10 Before & After Photos
36 Answered Questions

Doctors & Other Staff Members

Mark McRae, MD
Certified Plastic Surgeon
4.8

10 Before & After Photos

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36 Answers

Facelift
Q Is a facelift appropriate for a young 24 year old patient if they lost an extreme amount of weight (150lbs)? (Photo)
A Congratulations on achieving such significant weight loss Losing weight does result in less volume within the facial fat compartments, and can contribute to signs of aging. That said, based on the concerns listed, facelift surgery would only be able to help address some of them. The facelift typically targets the lower face, jawline, and nasolabial folds. The forehead is addressed in browlift surgeries as well as non surgical modalities. The area around the eyes (peri orbital) is typically treated with blepharoplasty surgery. If the bags under the eyes are noticeable this can be a very effective surgery. Particularly in men the mid face over time faces more fat atrophy than in women at the same stage of life. Fillers or fat transfer can be considered in these cases as additional procedures to help address soft tissue or fat pad deficiencies if they exist. This can be as a complement to a facelift, or on its own. I would not be able to make a recommendation for facelift surgery in your case based on the photos provided here at this stage. However an in person consultation with a board certified plastic surgeon would be worthwhile to help explore your options. In terms of droopy lips- an upper lip lift can be considered as the distance between the nose and the upper lip increases with time. I don't think he yet meets criteria for this intervention. He still has a relatively youthful distance based on the photo provided so I would advise him to wait for that. Congratulations on this inspiring health journey.
Answered by Dr. McRaeNovember 20, 2023
Facelift
Q Any recommendations to improve my jowls? (Photo)
A Facelift and neck lift surgery does a wonderful job targeting the lower face and neck for reversible signs of aging. Some of these signs are present in your photographs. Delaying surgery as long as possible is always a good idea, however it sounds as though you are ready for more definitive treatment than can be offered with non surgical modalities. A good face/neck lift surgery will improve your jaw line definition significantly, treat the jowls, and provide more definition to the neck. Depending on your goals, and concerns, you can consider other treatments for the skin and other regions of the face. Unfortunately surgery does not prevent further aging as time marches on. It would be very reasonable to seek a consultation to discuss your options with a board certified plastic surgeon at this stage.
Answered by Dr. McRaeNovember 20, 2023
Facelift
Q Asymmetrical face - what might be causing this? (Photo)
A As it turns out every single person in the world has facial asymmetry. As a craniofacial surgeon I see this in everyone I examine. I see this asymmetry in most cases as beautiful, unique, and usually not something that I recommend addressing with surgery. Put in a google search for: George Clooney Facial Symmetry. It is a wonderful lesson to see how George Clooney, a very attractive man, has facial asymmetry just like the rest of us. If you do have specific concerns, make sure you consult with a board certified plastic surgeon to get advice that you can trust.
Answered by Dr. McRaeOctober 28, 2023
Facelift
Q BBL or facelift surgery first? How far apart?
A Dear Intelligent 133927, My advice is to rank your areas of concern and to go with the area of highest concern first. There are many reasons why surgeries may be delayed and so go first with the one that is your highest priority. In my opinion your timeline is not realistic and I would recommend separating these two procedures with several months in between. At a minimum 6 weeks. You really want to be fully recovered before surgery #2. You are right the 2 surgeries should not be combined as the time under anaesthesia would be quite long, and lengthy surgery puts you at a higher risk for complications. It would not be worthwhile. In terms of time in between the surgeries: Any kind of recovery delay or even a minor complication from surgery #1 would require you to cancel surgery 2. You may be back to normal activities 2 weeks after facelift, but another surgery is not a normal activity. Surgery is a major stress on your body. The safest way is always the best way. Start with priority 1, and leave priority 2 for another time. Your surgeon should still be available whenever you are able to get more time off.
Answered by Dr. McRaeOctober 28, 2023
Facelift
Q Persistent inflammation and intermittent swelling 6 months post facelift
A It is quite unfortunate to have persistent pain and swelling after facelift. In terms of pain: Pain is quite rare but will improve with non surgical modalities. Pain may not necessarily be improved by surgery and in some cases revision surgery can make pain syndromes worse. If the pain can be localized to a very discrete location, you may have a neuroma and that can be improved either with therapy, or with surgery. Your surgeon will be able to help you determine that. If you are one of the very rare cases after any surgery or trauma where a pain syndrome may be present, your best bet is to be referred to a pain management team that can help address your pain from multiple modalities. Some modalities may be invasive (such as injections and blocks), and others such as psychologists that can help you navigate and overcome pain. Saint Joseph’s Hamilton has an incredible pain management team with a wealth of resources available to you. Massage therapy may be helpful to desensitize and help the nerves adjust. Other modalities such as acupuncture and muscle stim systems have also been found helpful if you have this kind of condition in other areas of the body and so may benefit you also. Unfortunately revision surgery may improve your appearance, but it may not be able to address your pain. However with the right help you should be able to make improvements over time.
Answered by Dr. McRaeOctober 22, 2023

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