So after so many weeks of searching a good face lift surgeon it seems I get different answers. I don't understand this anymore, does facelift implies using FOREIGN bodies, as some doctors said "permanent" sutures in my face or not ??????? I would avoid such things like permanent foreign bodies in my face, because of later infection or those sutures can broke as I rationally believe. Also some doctors offer this surgery under local anesthesia, some offer it under general only
Answer: Different Surgeon Different Techniques Simply put, each surgeon's technique varies based on their own experience and preferences and my use either permanent sutures or dissolvable sutures. Generally speaking, surgeons who use permanent sutures believe that these sutures provide a lasting "lift" by securing the tightened tissue in place permanently. Dissolvable sutures would begin to degrade over time and rely on the body's ability to hold the lift in place with scar tissue. There are, of course, pros and cons of each technique with a very rare chance of foreign body reaction against permanent sutures in the form of nodules or granulomas and lack of longevity of result with dissolvable sutures. I have had good success with both approaches, and I would tailor said approach toward each patient individually based on their anatomy, desires, and concerns. I would recommend you seek guidance by a board certified plastic surgeon with experience in facial rejuvenation.
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Answer: Different Surgeon Different Techniques Simply put, each surgeon's technique varies based on their own experience and preferences and my use either permanent sutures or dissolvable sutures. Generally speaking, surgeons who use permanent sutures believe that these sutures provide a lasting "lift" by securing the tightened tissue in place permanently. Dissolvable sutures would begin to degrade over time and rely on the body's ability to hold the lift in place with scar tissue. There are, of course, pros and cons of each technique with a very rare chance of foreign body reaction against permanent sutures in the form of nodules or granulomas and lack of longevity of result with dissolvable sutures. I have had good success with both approaches, and I would tailor said approach toward each patient individually based on their anatomy, desires, and concerns. I would recommend you seek guidance by a board certified plastic surgeon with experience in facial rejuvenation.
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October 4, 2023
Answer: Sutures can be permanent or dissolvable Dear Andrea,
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October 4, 2023
Answer: Sutures can be permanent or dissolvable Dear Andrea,
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September 18, 2023
Answer: Every surgeon is different In short- every surgeon's practice is different..1. Regarding sutures- the vast majority of surgeons will use sutures in the deeper layers of your face while performing a facelift, though the exact selection of suture type can vary. Some surgeons use "permanent" and some use "dissolving" or "temporary" sutures for these deeper layers. The reason for these sutures is typically to plicate (tighten) the SMAS layer, a fibromuscular layer which is is tightened to improve the aesthetic appearance and longevity of results with a facelift (compared to skin resection alone). I would not be so worried about these deep sutures, as many surgeons generally consider them necessary to achieve a good result, and you will likely be thankful they dod use them.2. Regarding the anesthesia- although some surgeons prefer putting patients fully asleep under general anesthesia for this procedure, some perform it under IV sedation ("twilight sedation") with local anesthesia, or just under straight local sedation, as you are describing here..Everything ultimately comes down to surgeon and patient preference, so always have the conversation with your surgeon so you both know exactly what to expect, and so you both feel comfortable with how the procedure will be performed prior to proceeding. Hope this helps!.Best, Dr. Donald Groves Plastic Surgeon
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September 18, 2023
Answer: Every surgeon is different In short- every surgeon's practice is different..1. Regarding sutures- the vast majority of surgeons will use sutures in the deeper layers of your face while performing a facelift, though the exact selection of suture type can vary. Some surgeons use "permanent" and some use "dissolving" or "temporary" sutures for these deeper layers. The reason for these sutures is typically to plicate (tighten) the SMAS layer, a fibromuscular layer which is is tightened to improve the aesthetic appearance and longevity of results with a facelift (compared to skin resection alone). I would not be so worried about these deep sutures, as many surgeons generally consider them necessary to achieve a good result, and you will likely be thankful they dod use them.2. Regarding the anesthesia- although some surgeons prefer putting patients fully asleep under general anesthesia for this procedure, some perform it under IV sedation ("twilight sedation") with local anesthesia, or just under straight local sedation, as you are describing here..Everything ultimately comes down to surgeon and patient preference, so always have the conversation with your surgeon so you both know exactly what to expect, and so you both feel comfortable with how the procedure will be performed prior to proceeding. Hope this helps!.Best, Dr. Donald Groves Plastic Surgeon
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August 21, 2023
Answer: Facelift and sutures.. I recomen to speak with your board certified plastic surgeon about your concerns. Current techniques avoid tension on the deep planes resulting on log lasting results; this can be done with permanent sutures as well. Anesthesia can be local + sedation or general, both are safe and this will depend on what your surgeon feel most comfortable to reach the best result in a safer way according to your specific case.
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August 21, 2023
Answer: Facelift and sutures.. I recomen to speak with your board certified plastic surgeon about your concerns. Current techniques avoid tension on the deep planes resulting on log lasting results; this can be done with permanent sutures as well. Anesthesia can be local + sedation or general, both are safe and this will depend on what your surgeon feel most comfortable to reach the best result in a safer way according to your specific case.
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August 13, 2023
Answer: Options during facelift procedures. There are options which you could choose for your facelift surgery. These should be discussed with your surgeon so all can agree the best path forward for you. For anesthesia, this can be either local with sedation or general, whichever you would be most comfortable with. If you were only having a mini facelift, local anesthesia with sedation would work very well. If you’re having a total facelift and neck lift with suturing of the platysma muscle and the SMAS, you may find that your experience is better under general anesthesia. Check with your plastic surgeon to see which they recommend. The sutures which are placed underneath your skin, are meant to elevate and smooth your SMAS layer. The SMAS is the support structure in your face, just under your skin, and needs to be sutured upward and posteriorly in order to straighten your jawline and contour your neck. While permanent sutures could be used, I prefer using a long, lasting, dissolvable, suture, which assures me that eventually they will dissolve and not be a concern. Best wishes.
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August 13, 2023
Answer: Options during facelift procedures. There are options which you could choose for your facelift surgery. These should be discussed with your surgeon so all can agree the best path forward for you. For anesthesia, this can be either local with sedation or general, whichever you would be most comfortable with. If you were only having a mini facelift, local anesthesia with sedation would work very well. If you’re having a total facelift and neck lift with suturing of the platysma muscle and the SMAS, you may find that your experience is better under general anesthesia. Check with your plastic surgeon to see which they recommend. The sutures which are placed underneath your skin, are meant to elevate and smooth your SMAS layer. The SMAS is the support structure in your face, just under your skin, and needs to be sutured upward and posteriorly in order to straighten your jawline and contour your neck. While permanent sutures could be used, I prefer using a long, lasting, dissolvable, suture, which assures me that eventually they will dissolve and not be a concern. Best wishes.
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