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Thank you for your question and picture, however, without examining your skin texture and determining how much skin laxity there is its hard to advise. Depending on this non-surgical options such as fillers, chemical peels or botox could be an option. Alternatively, surgical options such as a lower facelift, under local anaesthetic would be a good options, which combines the latest surgical techniques with the use of local anaesthetic to dramatically reduce the risks associated with traditional facelifts, while significantly reducing the bruising and downtime of your recovery, from months to a matter of days. If you have lax facial skin, lost volume and feel that you have jowls and wrinkles on your cheeks and you look tired when you're not then the concept facelift can help improve your appearance. With concept facelift you will look natural and fresh just like the way you feel inside. There are no bandages, drains and hospital stay but with lasting results of traditional facelift techniques it fits with today's age.What are the benefits of a local anaesthetic facelift?Minimally invasive as it is a short scar faceliftThere is minimal bruising and swelling, especially when compared to traditional faceliftsAs the procedure is performed under local anaesthetic, you can go straight home following the procedureFull recovery in a matter of days rather than monthsSignificantly less risk than Facelifts performed under general anaestheticFresh, youthful and long lasting resultsPlease make sure you find a reputable and qualified plastic surgeon who can assess you properly to give you a realistic idea of what outcome you can achieve. All The Best
Not sure exactly which part is bothering you so more information would be helpful as to exactly what your areas of concern are
Hi! Thanks for your question. As the face ages it often looses volume and elasticity. There are many great options available ranging from fillers, to energy-based treatments, to surgical procedures. Please provide more information about exactly what you'd like to improve. Thanks!
Hi!Thank you for your question and thank you fir prividing a phoyo with your question. At rhe momenr I wish i had tge opportunity to examine your skin ti evaluate your skin texture and skin laxity. there is its hard to advise. I would advise surgery for you. You need forehead rejuvenation with a modest eyebrow lifting and upper eyelid job with endoscopic approach. I purposely prefer endoscopic approach as the scar is almost invisible and very very limited for this technique. You have some hollow formation under lower eyelid and increased eyelid cheek distance. I would also add nano and micro fat grafting as well. Endscopic approach with midface surgery will address that too. The use of endoscopic technique dramatically reduce the risks associated with traditional facelifts, while significantly reducing the bruising and downtime of your recovery, from months to weeks.
If you feel that your face does not reflect how young you feel on the inside, a facelift may be the solution to help you look and feel younger. During your consultation, your doctor will evaluate your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure. Based on this evaluation, he/she will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. Your doctor should make sure you have a full understanding of what results to expect.Always insist on a board certified surgeon!#drright #facelift
It would be difficult to tell you for sure, without seeing you, but I see aging in at least two regions. From the pictures (I cannot see if there are "neck bands" due to positioning of the pictures). There seems to be some excess skin in the jowl and your eyelid, cheek junction appears to have aged. I cannot tell from the picture if there are bags under the eyes. I also cannot tell from the positioning if your brow has fallen or your eyelids have excess skin.I might asssume that you are quite attractive and wish to maintain that look in a natural manner. I might also assume that living in Hawaii, you have had some sun exposure and probably exercise.Without seeing you and assuming that all of the above are true, there are several options that you have. The most non-invasive one would be skin tightening by a non-invasive system such as Ulthera and filler injections to the cheek and area around your eyes. Botox might be needed also. There would have to be re-treatment at intervals.A middle ground would be a FaceTite/Fractora skin tightening. The FaceTite is a device that is introduced under the skin through needle holes and, via bipolar radio frequency energy tightens the skin. There is a body of peer reviewed literature that shows that is can tighten skin 30-45% by contracting the "fibro-septal network" under the skin, so it is effective. The skin is then treated with Fractora (RF microneedling) that treats the skin and heats it. Care needs to be done to avoid changing the fat structure of your face. Filler around the eyes completes the treatment.The best treatment is a well done structural facelift that lifts your structure and skin to a more natural position. This is a specific treatment that lifts the skin and muscle together (you probably have fine skin and do not wish to show "joker" lines) to give a natural appearance that "cleans up" your look. You also might need to lift the mid-face and eyes or brow (I cannot see this area). This would re-gain your youthful look without people noticing and would give you years of enjoyment.In short, there are options for you that simply did not exist formerly. Consult with a facial plastic surgery specialist to explore these options and more.
Dear Lighthouse89,Thanks for your question. The correct solution for your facial aging will depend on your goals and tolerance for recovery. A plastic surgeon could offer you a full facial rejuvenation procedure, which would have the best results but the most recovery. Non-invasive options include injectable fillers, suture lifting (Silhouette Instalift) and energy based tightening devices such as Ulthera. It would be best to discuss what you are seeking with a plastic surgeon who could offer you the full range of options to decide what is best for you.Aloha,Shim Ching, MD
Hi, lighthouse89. The most striking thing I see in your photos is that you are not smiling much. It's difficult to understand why as I think your face has very attractive features and ideal proportions. It just needs a little freshening up. The area that looks the most aged is around your eye area. It just looks a little more tired than the rest of you. To brighten up and open your eyes, you can consider either minimally invasive endoscopic brow lift or upper blepharoplasty. You have some dark circles of your lower eyelids that make you look tired. This is due to the fact that your cheek and midface volume have deflated and drooped and your tear troughs have really sunken in (your upper lip has also lost some volume). This can all be addressed with an all natural option that has very little downtime, minimal scarring, less risks than other surgical options and produces the most natural looking results- fat transfers to the face (one of my specialties and personal favorite to do). Lastly, I think a skin resurfacing procedure such as a 35% TCA chemical peel or series of lesser invasive PIXEL fractional laser resurfacing procedures can give firm up your skin, give your skin a nice glow, shine and smoothness, smoothen your pores and fine lines, even out your skin tone and stimulate collagen production. I think you would be a great candidate and a perfect canvas to work on as you already have a great base to build on. I would be happy to see you for a complementary consultation.
Aloha and thanks for your question. However, from the limited views it is difficult to see what your main concerns are. It would be best for you to visit an experienced board certified plastic surgeon for an in-depth consultation to review your options.Mahalo, Dr D
Based on pictures you provided, you have very minimal laxity of jowls and neck area. I would recommend minimally invasive devices like Vivace, radio-frequency and micro-needling device, that can tightens your deep tissue. Laser devices like fractionated Co2 can improve your superficial skin and tighten the skin. I would NOT recommend any facelift procedure for you at this time.
This is an excellent question and it is asked by some of my patients during consultation. Dentures do not effect the outcome of your facelift surgery. Facelift is designed to improve the lower face and neck tissue laxity. You are a good candidate for a lower face and neck lift, if there are...
10 months should be ample time for healing and you should be able to wear earrings now. You should see your surgeon, your ears might need to be re-pierced. Good luck!
I have performed well over 3,000 facelifts. Initially for the first 500 of my facelifts, I used non-absorbable sutures using my Double C plication technique. About 4% of my patients had sutures reaction and extrusions. After that I changed my sutures to Vicryl, which absorbs in 6 months. I ...