Does having dentures make it more difficult to predict the outcome of a facelift?

Question

I'm assuming from past experience that you cannot wear dentures under anesthesia, how will this affect the surgeons ability to make judgements on incisions and stitches, since not wearing them changes the appearance of your face

Thomas Trevisani, MD · Answer

Removable dentures will be removed during anesthesia---- you are correct. The surgical incisions--- the muscles tightening and most all of the facelift procedure occurs outside of the denture affecting area. So, the short answer is the dentures will not affect the final result of the cheeks and neck.

Vincent N. Zubowicz, MD · Answer

Long-term use of dentures leads to resorbed shown of alveolar bone that can magnify some of the features of aging. Surgical planning is done with this in mind. However, the operation will effectively be executed the same as with an individual without dentures.

Timothy R. Miller, MD · Answer

No, having dentures does not make predicting the outcome of a facelift more difficult.  The dentures may be be removed, if the case is under general anesthesia, and usually are if the case is performed under twilight anesthesia.The analysis of the face and the surgical plan is determined before the surgery is performed, typically during the consultation(s) and further refined or reinforced during the pre-operation visit just before the surgery. I hope this helps.

Jonathan Kulbersh, MD · Answer

Wearing dentures will not significantly impact your surgeons ability to perform a facelift. Any influence they have on the appearance of the face is minimal. Your surgeon will tailor the facelift to the following:1) Overall facial structure 2) Facial proportionsI hope this helps, and I wish you the best of luck.

Edward J. Gross, MD · Answer

Patients who wear dentures tend to have soft
tissue loss around the mouth. Due to this loss, it often times decreases the
chance of a patient being a viable candidate for surgery. However, if the doctor
approves moving forward with surgery, the patient will remove the dentures
while being put under anesthesia. Then
once the patient is completely under and stable, the dentures will be place
back in the mouth to achieve the best results for the patient.

Trevor M. Born, MD · Answer

Dear IceyblueThe dentures can be placed in the mouth after you are put to sleep with a general anesthetic- this will allow for precise contouring of the face, jawline and neck.With Warm RegardsTrevor M Born MD

Carey Nease, MD · Answer

Your teeth play a significant role in the aesthetic appearance of your face.  However, this should not affect the results of a facelift.  In some cases we perform facelift surgery under local anesthesia with or without light sedation, in which case you would leave them in.  If the procedure is done under general anesthesia then they would need to be removed.  But either way, you should not expect any less than great results!

Earl Stephenson, Jr., MD, DDS, MBA · Answer

The facelift addresses sagging areas of the jowl and neck. Dentures are important to dental aesthetics  and they give upper and lower lip support. Not having your dentures doing a facelift surgery should have little bearing on your outcome and your surgeon's judgment to produce a predictable improved results.Good luck.Earl Stephenson Jr MD DDS FACS

Christopher Cote, MD · Answer

You are absolutely right that wearing of dentures has an important consideration when undergoing facelift.  But it is actually BEFORE and not during the procedure this should be considered.  They should not impact incisions or stitches, but rather what the loss of teeth has done to your overall facial appearance.  As we age, our faces shrink-called volume loss, and our bony skeletons even shrink..  For people without teeth, this effect is even greater.  So part of rejuvenating a face with a facelift should include addressing this important part of aging.  Some ways to restore volume loss in the the cheeks and jaw area include facial implants, fat transfer or fillers.  You should discuss with your surgeon how they are going to compregensively address all the effects of aging, including the loss of your teeth.

Adam David Lowenstein, MD, FACS · Answer

Your dentures will need to be removed at the time of surgery but should not have any effect on your procedure or outcome.  While the presence or absence of dentures have a significant impact on the way your face looks, they are really inconsequential during surgery since the work is not being done near the mouth.  The planning of your surgery takes place before the actual procedure, and your surgeon will take your dentures into account at that time.

Does having dentures make it more difficult to predict the outcome of a facelift?

Answers (16)

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