Is it at all possible to get a lower facelift without using a horizontal vector? Are there any lower facelifts that use non-horizontal/vertical vector for skin repositioning? I'm a bit terrified of having my lips elongated horizonatlly (as one plastic surgeon was kind enough to simulate for me)--please tell me there are other ways of going about this!
Answer: Lower Facelift with Vertical Skin-pull Vectors
The move to vertical facelifting I believe has been one of the most significant technique advances to give patients a more natural, less visually "pulled" result. The use of vertical vectors is commonplace today, and various techniques on the facial and neck muscles really focus on this issue. In my experience, one addition that has helped me gain the best results in the vertical pull direction has been the use of the new generation of Quill (Angiotech) suture to secure my SMAS after the deep plane pull. This new class of sutures provides a unique capacity to really distribute the tension in the vertical line over many small points of fixation. This distributed tension philosophy I believe is one of the most significant advances in facelifts over the past few years.
Helpful 4 people found this helpful
Answer: Lower Facelift with Vertical Skin-pull Vectors
The move to vertical facelifting I believe has been one of the most significant technique advances to give patients a more natural, less visually "pulled" result. The use of vertical vectors is commonplace today, and various techniques on the facial and neck muscles really focus on this issue. In my experience, one addition that has helped me gain the best results in the vertical pull direction has been the use of the new generation of Quill (Angiotech) suture to secure my SMAS after the deep plane pull. This new class of sutures provides a unique capacity to really distribute the tension in the vertical line over many small points of fixation. This distributed tension philosophy I believe is one of the most significant advances in facelifts over the past few years.
Helpful 4 people found this helpful
February 25, 2011
Answer: Lower facelift effect on the lips during consultation
The horizontal pull on the lips that you saw during your consultation with your plastic surgeon should not happen as a result of a well performed facelift. When facelifts are simulated by tugging on the lateral cheeks and jowls during consultation lip pulling occurs because the pull is primarily on the skin and not underlying tissues. The reveres is true in surgery where usually much more tightening is done of the underlying tissue and generally the mouth or lips themselves are not pulled at all. Facelift surgery rarely extends to the area of the modiolus (lateral attachement of the mouth/ lips) and should not effect this area negatively.
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February 25, 2011
Answer: Lower facelift effect on the lips during consultation
The horizontal pull on the lips that you saw during your consultation with your plastic surgeon should not happen as a result of a well performed facelift. When facelifts are simulated by tugging on the lateral cheeks and jowls during consultation lip pulling occurs because the pull is primarily on the skin and not underlying tissues. The reveres is true in surgery where usually much more tightening is done of the underlying tissue and generally the mouth or lips themselves are not pulled at all. Facelift surgery rarely extends to the area of the modiolus (lateral attachement of the mouth/ lips) and should not effect this area negatively.
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Answer: Lower facelift vectors When performed properly, face and neck lifts should lift the tissues in a vector that is both vertical and horizontal. As we age, most of the facial soft tissues tend to drift inferiorly (toward the feet) and medially (toward the midline of the face). Both of these directions need to be addressed in order to achieve the best result. Keep in mind that what you or your surgeon may simulate by pulling on the cheeks or neck might not be an accurate representation of what surgery will do. Be sure to look at face or neck lift before and after photos to see if you like that surgeon's results, as these are the best representation of what you might be able to expect for yourself. In some cases, computer simulations might also be helpful, and this is something I routinely provide for my patients at no charge. Be sure to see a surgeon who specializes in facial aesthetic procedures. All the best,
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Answer: Lower facelift vectors When performed properly, face and neck lifts should lift the tissues in a vector that is both vertical and horizontal. As we age, most of the facial soft tissues tend to drift inferiorly (toward the feet) and medially (toward the midline of the face). Both of these directions need to be addressed in order to achieve the best result. Keep in mind that what you or your surgeon may simulate by pulling on the cheeks or neck might not be an accurate representation of what surgery will do. Be sure to look at face or neck lift before and after photos to see if you like that surgeon's results, as these are the best representation of what you might be able to expect for yourself. In some cases, computer simulations might also be helpful, and this is something I routinely provide for my patients at no charge. Be sure to see a surgeon who specializes in facial aesthetic procedures. All the best,
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June 16, 2014
Answer: Vector of pull with Lower Facelift The typical vector of pull I use is superior/oblique. I have not seen the mouth pulled in an unusual way, though there is very nice improvement of the lines around the mouth. Incision is around the ears and well hidden!Best of luck!
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June 16, 2014
Answer: Vector of pull with Lower Facelift The typical vector of pull I use is superior/oblique. I have not seen the mouth pulled in an unusual way, though there is very nice improvement of the lines around the mouth. Incision is around the ears and well hidden!Best of luck!
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May 11, 2014
Answer: Vertical Vector Facelift Thank you for the fantastic question. Yes, this is not only possible but is the best way to achieve natural-appearing results. A vertical-vector facelift involves some changes in the incision placement and deep suturing, to orient the lift in the direction of gravity (vertical!). In my practice, I use a deep-plane facelift technique to vertically lift the lower face, neck, and midface together -- in fact, I've written a paper or two about it!. This allows me to get a great lift while avoiding the pulled or stretched look associated with a more horizontal "lift." Best of luck moving forward!
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May 11, 2014
Answer: Vertical Vector Facelift Thank you for the fantastic question. Yes, this is not only possible but is the best way to achieve natural-appearing results. A vertical-vector facelift involves some changes in the incision placement and deep suturing, to orient the lift in the direction of gravity (vertical!). In my practice, I use a deep-plane facelift technique to vertically lift the lower face, neck, and midface together -- in fact, I've written a paper or two about it!. This allows me to get a great lift while avoiding the pulled or stretched look associated with a more horizontal "lift." Best of luck moving forward!
Helpful
July 3, 2015
Answer: What's a facelift with a vertical vector? Some physicians use a vertical vertical vector when elevating the SMAS (muscle layer). By doing this, the correction of the jowls and neck laxity is maximized. I think the vertical vector can improve the face and neck in a much more powerful way than the horizontal vector. However, it does not mean that the horizontal vector will distort your face and lips. Any technique, if overdone, can create un-natural results. Consult with a surgeon that has experience with the facelift procedure.
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July 3, 2015
Answer: What's a facelift with a vertical vector? Some physicians use a vertical vertical vector when elevating the SMAS (muscle layer). By doing this, the correction of the jowls and neck laxity is maximized. I think the vertical vector can improve the face and neck in a much more powerful way than the horizontal vector. However, it does not mean that the horizontal vector will distort your face and lips. Any technique, if overdone, can create un-natural results. Consult with a surgeon that has experience with the facelift procedure.
Helpful 2 people found this helpful