Would like a facelift at lower cost by a resident. Had a consult for a mini & she said I would be a perfect candidate (Photos)
Doctor Answers 23
Please be careful doing the wrong procedure just for the sake of wanting to do something to address your facial aging pattern. A mini lift will likely leave you with a pulled appearance along your jawline. Based on your pictures, there are different ways of helping you achieve whatever goal it is that you have in mind. It's very important to discuss your goals and expectations with your surgeon so that you are both on the same page. These goals may be to look younger, less tired, less sad, refreshed, etc. Most patients have a specific goal in mind. It's the role of your surgeon to help guide you through the different treatment options, surgical and non-surgical, that will help you achieve what you have in mind. This is best accomplished by sitting down with an experienced surgeon who specializes in facial rejuvenation and regularly performs these procedures.
Lower face and neck lift by a resident in training
Minilifts tend to give mini results, therefore we rarely perform them. From the photographs presented, a full and comprehensive lower face and neck lift is required. It is possible to have that procedure performed by a resident in training at your local medical center, but it's equally important to make sure that the supervising physician has excellent credentials and it's important to look at their before and after results. For more information and many examples, please see link and the video below
Mini facelift by surgical resident?
Thank you for posting your question and photographs. I find you to be very poor candidate in my opinion for a mini facelift if I see the contours of your neck properly. I think your surgery would be a challenge for a resident. Think of the consequences of a disappointing outcome as a result of having your work done by a doctor in training. I may be wrong and you may get a wonderful result, but the odds are not in your favor in my opinion. You might be better off simply having fillers or eyelid surgery and delaying the more major procedure that would be required to get a good result.
Good luck with your choices,
Jon A Perlman M.D., FACS
Diplomate, American Board of Plastic Surgery
Member, American Society for Aesthetic Plastic Surgery (ASAPS)
Beverly Hills, California
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Are you a good candidate for a facelift?
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!
MACS Lift + Fat Injection
Thanks for your photos. In my opinion you need a MACS Lift procedure. The procedure contains upper and lower blepharoplasty and liposuction for the neck area. A fat injection at your face can be performed at the same time. Please consult with a board certified plastic surgeon. All the best.
Mini vs full face lift
Thanks for sharing your question. I can appreciate your concern.
Resident clinics is a good low cost alternative to very expensive cosmetic surgery. However, as any surgical procedure to your face you need to make sure the sponsoring surgeon has good outcomes.
On a different note, I do not think that a mini facelift is the best procedure for you. there is significant descent of the tissues to your face and neck requiring a more invasive technique.
Wishing you the best in your journey
Low cost is a motivating factor, but there are additional risks.
Be sure to understand who is doing your surgery, what role the attending has and how much direction the resident will get. Inquire about past experiences and understand you have more risks than having it done by someone more experienced.
Best of luck,
A. Dean Jabs M.D. Ph.D. FACS
Board Certified Plastic Surgeon
6430 Rockledge Drive
Bethesda MD 20817
FULL FACELIFT NECKLIFT CANDIDATE
Dear lynnemurphy, You would be a candidate for a full facelift/necklift combination. If you came to me for consultation I would likely suggest that you also have some work performed on the upper third of your face with a combination browlift/blepharoplasty to give you an overall more youthful and well balanced appearance. See the weblink below for examples and the video above to see these combined procedures. Best regards, Michael V. Elam, M.D.
Mini Will Not Cut It
The extent of the facelift operation is tailored to each patient's needs.
• A mini lift: a small skin excision from in-front of the ear that tightens the skin along the jaw line in young patients.
• A lower face and neck lift: an extension of the mini lift that brings the incision higher in front of the ear to the sideburn and further back behind the ear into the hairline to tighten the neck and reposition the deeper soft tissues of the face to efface neck bands, lift the jowls, and add volume back to the cheeks (a cheek lift).
• An upper and lower face and neck lift: a further extension of the incision higher in-front of the sideburn to allow tightening of the upper face — addressing the crows feet.
Your pictures demonstrate a degree of skin laxity of the face and neck and facial decent that cannot be significantly improved with a mini-lift alone. For optimal treatment, a full face and neck lift with fat graffting to the cheeks and an upper and lower lid blepharoplasty should be entertained. Recovery for this surgery is often less than two weeks. Surgical residencies can be a valuable resource - however do your homework.
See the link below for more info.
A detailed examination will help delineate the best surgical option. Consultation with a surgeon certified by the American Board of Plastic Surgery would be the next best step.
Hello and thank you for your questions. Based on your pictures, it is best to consider a full facelift. UCLA and USC both have residency programs that you may be interested in. Please make sure the attending surgeon will be there in the exam room at all times. As always, please consult with a board-certified surgeon. I wish you the best of luck!
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.