I am 45. I have marionette lines that filler did not help much and I am starting to get jowls. I am going to get a lower facelift, but I have concerns that it will stretch my mouth out from side to side. I see this in so many celebrities and it looks so unnatural. Is there a way to avoid this?
Answer: Facelift that Looks Natural A vertically oriented facelift like the MACS Lift or LiteLift prevents the unnatural appearance such as "stretching the mouth" as you described. It seems rational that the more extensive a procedure is, the more dramatic and long lasting the outcome will be but this is not always true. Though there is still a place for the traditional facelift, with it there is also increased recovery time and potential for problems. By using advanced techniques deep to the skin, we are able to minimize external skin incisions and scarring. For example, placing the scar within portions of the ear and ending the incision behind the earlobe crease eliminates the usual telltale scar of a full facelift. Similarly, repositioning the incisions to hide them is also used. For example, beveling the incisions just behind the hairline allows the sideburn not to be displaced too high while allowing hair to grow through the scar to conceal it. In contrast to the traditional facelift, the Lite-Lift™ re-draping of skin is upward, a more natural, antigravity, direction eliminating the “swept away” unnatural pull too often seen in Hollywood stars with older facelift techniques. These and other advanced techniques along with modifications and innovations by Dr. Nichter is what make up the essence of the Lite Lift™.
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Answer: Facelift that Looks Natural A vertically oriented facelift like the MACS Lift or LiteLift prevents the unnatural appearance such as "stretching the mouth" as you described. It seems rational that the more extensive a procedure is, the more dramatic and long lasting the outcome will be but this is not always true. Though there is still a place for the traditional facelift, with it there is also increased recovery time and potential for problems. By using advanced techniques deep to the skin, we are able to minimize external skin incisions and scarring. For example, placing the scar within portions of the ear and ending the incision behind the earlobe crease eliminates the usual telltale scar of a full facelift. Similarly, repositioning the incisions to hide them is also used. For example, beveling the incisions just behind the hairline allows the sideburn not to be displaced too high while allowing hair to grow through the scar to conceal it. In contrast to the traditional facelift, the Lite-Lift™ re-draping of skin is upward, a more natural, antigravity, direction eliminating the “swept away” unnatural pull too often seen in Hollywood stars with older facelift techniques. These and other advanced techniques along with modifications and innovations by Dr. Nichter is what make up the essence of the Lite Lift™.
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Answer: Stretched smile after facelift Yes, there is a way to avoid this. The best way to prevent this is to have a plastic surgeon who understands how you're aging. The mouth should never be pulled in a facelift unless the surgeon is overpulling. Generally, the mouth is treated with volume and resurfacing, not pulling. Once you have a facelift, volume will be needed to lift the midface and that will help address the corners of the mouth; the marionette grooves can then be treated for bony volume loss and soft tissue volume loss as both contribute to aging in this area. If you have lines around the mouth, those can improve with skin resurfacing.
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Answer: Stretched smile after facelift Yes, there is a way to avoid this. The best way to prevent this is to have a plastic surgeon who understands how you're aging. The mouth should never be pulled in a facelift unless the surgeon is overpulling. Generally, the mouth is treated with volume and resurfacing, not pulling. Once you have a facelift, volume will be needed to lift the midface and that will help address the corners of the mouth; the marionette grooves can then be treated for bony volume loss and soft tissue volume loss as both contribute to aging in this area. If you have lines around the mouth, those can improve with skin resurfacing.
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December 13, 2016
Answer: Lower Facelifts Should Look Natural The “stretched” look you are referring to comes from a poorly executed lower face lift. The skin needs to be pulled mainly vertically to give a more natural result. Pulling in a mainly horizontal position can create an unnatural appearance. The underlying muscle should also be tightened. In some patients, facial fat grafting is recommended smoothen the marionette lines in addition to the lower facelift. You need to find a facial plastic surgeon who understands anatomy if you want a result that looks rejuvenating without being “done.” I hope this helps.
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December 13, 2016
Answer: Lower Facelifts Should Look Natural The “stretched” look you are referring to comes from a poorly executed lower face lift. The skin needs to be pulled mainly vertically to give a more natural result. Pulling in a mainly horizontal position can create an unnatural appearance. The underlying muscle should also be tightened. In some patients, facial fat grafting is recommended smoothen the marionette lines in addition to the lower facelift. You need to find a facial plastic surgeon who understands anatomy if you want a result that looks rejuvenating without being “done.” I hope this helps.
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December 23, 2014
Answer: Lower Face Lift Thank you for your question. With the goal of a natural result, a properly done lower facelift will not distort the corners of the mouth. An overly aggressive lift could stretch on the mouth but this should improve as it loosens over time. A lower facelift targets the lower 1/3 of the face (and neck) and would improve any jowling and marionette lines, but fillers may be needed for residual defects. I hope this helps!
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December 23, 2014
Answer: Lower Face Lift Thank you for your question. With the goal of a natural result, a properly done lower facelift will not distort the corners of the mouth. An overly aggressive lift could stretch on the mouth but this should improve as it loosens over time. A lower facelift targets the lower 1/3 of the face (and neck) and would improve any jowling and marionette lines, but fillers may be needed for residual defects. I hope this helps!
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December 8, 2014
Answer: Does a lower facelift stretch the mouth out from side to side? In short, no - a properly performed facelift (usually with deeper tightening of the supportive "SMAS" tissues - as opposed to just skin layers - in the appropriate vectors) should nicely smooth those areas, without producing an unnatural "tight" or "swept" look, especially at the corner of the mouth. A facelift with usually soften the nasolabial lines (from lateral nose to corner of mouth), as well as the marionette lines below, as well as the jowling effect along the jawline lateral to this, but I caution patients that it does not directly treat the immediate perioral or lip/chin areas. Soft tissue filler may be used at the time of a facelift to (temporarily) improve these areas, but a more long-lasting approach generally includes micro-fat transfer to the cheek and/or resistant deeper "grooves", and possibly laser or dermabrastion treatments in the perioral areas. Thank you for your question and best of luck to you.
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December 8, 2014
Answer: Does a lower facelift stretch the mouth out from side to side? In short, no - a properly performed facelift (usually with deeper tightening of the supportive "SMAS" tissues - as opposed to just skin layers - in the appropriate vectors) should nicely smooth those areas, without producing an unnatural "tight" or "swept" look, especially at the corner of the mouth. A facelift with usually soften the nasolabial lines (from lateral nose to corner of mouth), as well as the marionette lines below, as well as the jowling effect along the jawline lateral to this, but I caution patients that it does not directly treat the immediate perioral or lip/chin areas. Soft tissue filler may be used at the time of a facelift to (temporarily) improve these areas, but a more long-lasting approach generally includes micro-fat transfer to the cheek and/or resistant deeper "grooves", and possibly laser or dermabrastion treatments in the perioral areas. Thank you for your question and best of luck to you.
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