I am 47 and am considering having a facelift in the next few years. I saw a video of a renowned British PS performing a TDML and securing the lifted layers with titanium screws inserted into tiny holes drilled into the patient's cheekbones. What are the potential drawbacks of this operation? And could it be combined with a traditional face- and neck-lift for maximum vertical and horizontal rejuvenation?
Answer: Facelift Hi Peyton,I think the main question to ask is if you need all of that extra work with the associated increased risk of complications and the increased recovery time. The idea behind the more invasive facelift procedures is to give a better, longer-lasting result, a goal that all of us would love to achieve! However, there are several studies that question whether the increased complexity actually leads to any better result than other techniques. I advise you to find a good plastic surgeon in your area--one who specializes in facial plastic surgery--and see what he or she has to say after examining you. Ask them if they think you need a more invasive surgery or whether a less invasive, complex, and risky procedure is the right one for you. They will be able to recommend a procedure that has the right level of complexity for your case.Thanks for your question and good luck!!!
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Answer: Facelift Hi Peyton,I think the main question to ask is if you need all of that extra work with the associated increased risk of complications and the increased recovery time. The idea behind the more invasive facelift procedures is to give a better, longer-lasting result, a goal that all of us would love to achieve! However, there are several studies that question whether the increased complexity actually leads to any better result than other techniques. I advise you to find a good plastic surgeon in your area--one who specializes in facial plastic surgery--and see what he or she has to say after examining you. Ask them if they think you need a more invasive surgery or whether a less invasive, complex, and risky procedure is the right one for you. They will be able to recommend a procedure that has the right level of complexity for your case.Thanks for your question and good luck!!!
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Answer: Problems with the trans conjunctival deep plane midface lift. This is a very tricky operation when the ligament that separates the lower lid from the cheek is released. It should only be perform by surgeons who do this regularly. Aesthetic problems resulting from this operation are sometimes impossible to fix.
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Answer: Problems with the trans conjunctival deep plane midface lift. This is a very tricky operation when the ligament that separates the lower lid from the cheek is released. It should only be perform by surgeons who do this regularly. Aesthetic problems resulting from this operation are sometimes impossible to fix.
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February 21, 2016
Answer: Midface lifting Your question is a difficult one because so many different doctors would approach that given problem via so many different approaches. Some would add volume with fat, some with fillers. Some would address the midface as a temporal approach, some via an eyelid approach, and some via a transconjunctival approach. Few would use screws, some would use barbed devices, others dissolvable plastic-like devices and yet others sutures. The pros and cons are so complicated and in depth, I suggest a different way of approaching this.I think you should begin with a consultation with a few different plastic surgeons to get different opinions. I think you becoming enamored with any one given method of addressing facial aging may be problematic. Your midface may be less of an issue and may be addressed secondarily via one of the more classic approaches. I think it is more important to start with your anatomy, via submitting photos, or even better, talking with plastic surgeons and getting in person examinations. Then, your surgeon can come up with the best operation given your anatomy rather than the other way around. I hope this helpsBest of luck!Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA
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February 21, 2016
Answer: Midface lifting Your question is a difficult one because so many different doctors would approach that given problem via so many different approaches. Some would add volume with fat, some with fillers. Some would address the midface as a temporal approach, some via an eyelid approach, and some via a transconjunctival approach. Few would use screws, some would use barbed devices, others dissolvable plastic-like devices and yet others sutures. The pros and cons are so complicated and in depth, I suggest a different way of approaching this.I think you should begin with a consultation with a few different plastic surgeons to get different opinions. I think you becoming enamored with any one given method of addressing facial aging may be problematic. Your midface may be less of an issue and may be addressed secondarily via one of the more classic approaches. I think it is more important to start with your anatomy, via submitting photos, or even better, talking with plastic surgeons and getting in person examinations. Then, your surgeon can come up with the best operation given your anatomy rather than the other way around. I hope this helpsBest of luck!Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA
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February 21, 2016
Answer: Options for facial rejuvenation. There are many different techniques described for facial rejuvenation from minimally invasive to very extensive. Common sense dictates that if 1 technique gave much better and longer lasting results, then everyone would use that, and it would be presented at all the major plastic surgery meetings. I know of no one in my locale who does this type of facelift and I have never heard it presented at any of the major plastic surgery meetings I attend yearly. It was used in the past but now has fallen into disfavor due to long recovery and higher complication rates. Excellent facial rejuvenation can be achieve with less invasive procedures which have a recovery of 7-10 days. See a board certified plastic surgeon who can show you an extensive experience in faclift results for a detailed consultation so you can find what would work best for you.
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February 21, 2016
Answer: Options for facial rejuvenation. There are many different techniques described for facial rejuvenation from minimally invasive to very extensive. Common sense dictates that if 1 technique gave much better and longer lasting results, then everyone would use that, and it would be presented at all the major plastic surgery meetings. I know of no one in my locale who does this type of facelift and I have never heard it presented at any of the major plastic surgery meetings I attend yearly. It was used in the past but now has fallen into disfavor due to long recovery and higher complication rates. Excellent facial rejuvenation can be achieve with less invasive procedures which have a recovery of 7-10 days. See a board certified plastic surgeon who can show you an extensive experience in faclift results for a detailed consultation so you can find what would work best for you.
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February 22, 2016
Answer: Transconjunctival Deep Plane Midfacelift Depending on where your skin laxity is, the mid facelift can be performed as a solo procedure, or in combination with a traditional lower facelift. The major "pro" of the transconjunctival approach is that the incision is placed inside the eyelid and spares you an external incision. The "con" is that if you have excess eyelid skin that needs to be removed, that approach doesn't fix that. In that situation, you end up needing that external incision anyway. How the midface tissue is suspended can vary from surgeon to surgeon. Some use screws, others use suture. That's just a matter of preference and training. Both are effective. Personally, I perform an "orbicularis sling" technique which holds up the midface quite well. This sutures the lower eye muscle to the temporalis tissue just above the eye. I suggest to not get hung up on one approach vs another. A thorough consultation will reveal what will work best for you. Take your time and get several opinions. I wish you the best!
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February 22, 2016
Answer: Transconjunctival Deep Plane Midfacelift Depending on where your skin laxity is, the mid facelift can be performed as a solo procedure, or in combination with a traditional lower facelift. The major "pro" of the transconjunctival approach is that the incision is placed inside the eyelid and spares you an external incision. The "con" is that if you have excess eyelid skin that needs to be removed, that approach doesn't fix that. In that situation, you end up needing that external incision anyway. How the midface tissue is suspended can vary from surgeon to surgeon. Some use screws, others use suture. That's just a matter of preference and training. Both are effective. Personally, I perform an "orbicularis sling" technique which holds up the midface quite well. This sutures the lower eye muscle to the temporalis tissue just above the eye. I suggest to not get hung up on one approach vs another. A thorough consultation will reveal what will work best for you. Take your time and get several opinions. I wish you the best!
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