I am currently investigating facelift and lower eyelid surgery. I have two doctors that I've narrowed down to perform different types of lifts. One uses a more traditional SMAS type lift (45 degree vector) and the other an ENT Dr. suggested a deep plane lift (60 degree vector). What is your opinion of which lift might be better for a 56-year-old woman with a very saggy neck? Both doctors said they would place a suture under my neck.
March 1, 2016
Answer: The specific technique used for a facelift is generally not as important as the skill of the surgeon performing it. The specific technique used for a facelift is generally not as important as the skill of the surgeon performing it. Each individual is different and will benefit from a different type of treatment, and the key is finding a surgeon who understands this and will tailor an approach based on your specific concerns and goals. Different surgeons may prefer different facelift approaches, but ultimately the results are what matter.I would look for a double board certified facial plastic surgeon, as these types of surgeons devote their entire career to facial procedures, and thus tend to have the most experience and are able to obtain the best results. You can look at before and after photos, read testimonials, and of course see the surgeon in person for a consultation in order to help make your decision.
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March 1, 2016
Answer: The specific technique used for a facelift is generally not as important as the skill of the surgeon performing it. The specific technique used for a facelift is generally not as important as the skill of the surgeon performing it. Each individual is different and will benefit from a different type of treatment, and the key is finding a surgeon who understands this and will tailor an approach based on your specific concerns and goals. Different surgeons may prefer different facelift approaches, but ultimately the results are what matter.I would look for a double board certified facial plastic surgeon, as these types of surgeons devote their entire career to facial procedures, and thus tend to have the most experience and are able to obtain the best results. You can look at before and after photos, read testimonials, and of course see the surgeon in person for a consultation in order to help make your decision.
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April 27, 2015
Answer: Type of Facelift Best for a 56-year-old Woman At 56, in my opinion you are unlikely to achieve the best possible and most durable results with a traditional SMAS type facelift alone. In my hands, sub-SMAS or deep plane facelift achieves the best and most durable results. The neck is almost always addressed as well. The exact vector achieved can vary between individuals; I always evaluate that first in the consultation and then during the procedure itself, to ensure we achieve the best possible results for each individual patient. I also perform a lateral platysmal (neck muscle) suspension to the area behind the ear that helps to improve the longevity of your results. Elevating the neck skin from the muscle below the jawline, from the ear to the chin, is crucial to redraping the skin the best and therefore getting the best neck results. This all takes some additional time and experienced hands to do it well, but if you want the best results, it is well worth it.Lastly, be sure to consider volume restoration along with the lifting; for most patients, I achieve the best results when the patient addresses the volume loss as well. This can be done either at the time of the lift (ideally) or any time thereafter, and with either your own best filler (your fat) or with synthetic fillers.
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April 27, 2015
Answer: Type of Facelift Best for a 56-year-old Woman At 56, in my opinion you are unlikely to achieve the best possible and most durable results with a traditional SMAS type facelift alone. In my hands, sub-SMAS or deep plane facelift achieves the best and most durable results. The neck is almost always addressed as well. The exact vector achieved can vary between individuals; I always evaluate that first in the consultation and then during the procedure itself, to ensure we achieve the best possible results for each individual patient. I also perform a lateral platysmal (neck muscle) suspension to the area behind the ear that helps to improve the longevity of your results. Elevating the neck skin from the muscle below the jawline, from the ear to the chin, is crucial to redraping the skin the best and therefore getting the best neck results. This all takes some additional time and experienced hands to do it well, but if you want the best results, it is well worth it.Lastly, be sure to consider volume restoration along with the lifting; for most patients, I achieve the best results when the patient addresses the volume loss as well. This can be done either at the time of the lift (ideally) or any time thereafter, and with either your own best filler (your fat) or with synthetic fillers.
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April 6, 2015
Answer: Correct technique for 58 year old I would advise you not to focus on the technique as much as the surgeon. I have worked with many surgeons around the world and they all have their own variation on sound surgical principles. These can be given different names (MACS, SMASectomy, SMAS plication, deep plane etc) but what really matters is the ability and experience of the surgeon with that technique. A good surgeon will get you a good result.
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April 6, 2015
Answer: Correct technique for 58 year old I would advise you not to focus on the technique as much as the surgeon. I have worked with many surgeons around the world and they all have their own variation on sound surgical principles. These can be given different names (MACS, SMASectomy, SMAS plication, deep plane etc) but what really matters is the ability and experience of the surgeon with that technique. A good surgeon will get you a good result.
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