V-line surgery and deep plane facelift.

Question

Can v-line surgery be done at the same time as smas/deep plane facelift?

Sang Woo Lee, MD · Answer

Like every surgery, it is very important to consider each case thoroughly and accurately. Thus it will be much better if we can see your photos and physical details such as ages. Medically it is possible to do these surgeries together. But it will be most efficient for people over the ages of 45+ who will have a high chance of skin sagging problem after the v-line surgery. In such a case doing the dual plan lifting surgery along with V-line surgery will be very effective. Also, we will have to consider if these patients will be healthy enough for prolonged surgery as well.

Keith Denkler, MD · Answer

V Line surgery relates to deeper jaw sculpting.It can be performed with SMAS facelift, but the hours under surgery will be prolonged, as will the swelling afterwords.

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed facelifts for over 30 years and have performed many minimally, invasive type facelifts.  Non smiling photos of your face from the front and side would help in the evaluation.  Following the beauty principles outlined in my book on face and body beauty, women look the most feminine, youthful and attractive with heart shaped faces.  Heart shaped faces have cheeks that are full and round in the front.  Cheek augmentation with a dermal filler or using cheek implants for a permanent enhancement will create full, round cheeks that will feminize the entire face.

If the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin.  Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face.   I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick and highly effective.

If you have "jowls” these are sagging facial tissues and an indication for some form of a SMAS facelift.  The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last).  The excess skin is then removed and the facelift incisions closed.

My most popular facelift is the minimally invasive, short incision facelift that has all the benefits of more invasive facelifts (traditional, mid-face, deep plane, cheek lift and subperiosteal facelifts) but with these added benefits:

very small incisions and no incisions extend or are placed within the hair.
minimal tissue dissection = less bruising and swelling = rapid recovery ( several days instead of weeks or months with the more invasive type facelifts mentioned)
can be performed in 90 minutes or less, with or without general anesthesia
no incisions within the hair = no hair loss
excess fat can be removed
excess skin removed
cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants
most patients fly back home to parts all over the world in as little as 3 days post-op
I combine facial shaping with every facelift procedure.  When jowls are present, these should be done in concert and not alone or separately in order to create a naturally, more attractive face.

Hope this helps.

V-line surgery and deep plane facelift.

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Everything you need to know about V Line Surgery

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V-line surgery and deep plane facelift.

Answers (3)

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Everything you need to know about V Line Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.