Facelift - chin: In some before/after facelift photos I notice that the face looks longer and the chin looks larger.
In some before/after facelift photos I notice that the face looks longer and the chin looks larger with everything in a sharp v rather than a round face shape. Some pictures which dont have this are with surgeons who use a purse string method? I obviously dont understand at all the technical terms but what should I ask prospective surgeons in order to ensure they offer a defined but feminine shape and dont make the chin look larger
Doctor Answers 13
The best way to avoid a facelift you aren't happy with is to choose your surgeon wisely. Look at the surgeon's photos and make sure their patients have the postoperative look that you would want if you were that patient. The "purses string" approach, like any other plastic surgery technique, is only as good as the surgeon using it. I, like some other facial surgeons, use an imagining system that allows you to view your proposed postoperative image before we select the specific techniques for your particular best result.
I find this technique to be very honest and helpful for my patients and puts them at ease regarding my desires being in tune with theirs.
I find this technique to be very honest and helpful for my patients and puts them at ease regarding my desires being in tune with theirs.
The best way to avoid a facelift you aren't happy with is to choose your surgeon wisely. Look at the surgeon's photos and make sure their patients have the postoperative look that you would want if you were that patient. The "purses string" approach, like any other plastic surgery technique, is only as good as the surgeon using it. I, like some other facial surgeons, use an imagining system that allows you to view your proposed postoperative image before we select the specific techniques for your particular best result.
I find this technique to be very honest and helpful for my patients and puts them at ease regarding my desires being in tune with theirs.
I find this technique to be very honest and helpful for my patients and puts them at ease regarding my desires being in tune with theirs.
Hi there! I believe what you are observing is a correction of the fullness of the lower face that occurs with aging. Our face morphs from a more oval or egg shape to one that is square or boxy down low. Often, surgeons performing a face lift with perform liposuction of the cheeks and along the lower jawline. This can make the face take on an overly slim or long appearance and exaggerate the appearance of the chin.
As a part of my consultation, my patients and I discuss aesthetic goals in front of a 3-fold mirror or using 3D imaging software. This helps us to achieve an incredible result about which everyone can be proud. I hope this helps answer your question. Good luck to you!
- Dr. Schmidt
As always, please remember that this response is for informational purposes only and does not constitute a patient-physician relationship.
As a part of my consultation, my patients and I discuss aesthetic goals in front of a 3-fold mirror or using 3D imaging software. This helps us to achieve an incredible result about which everyone can be proud. I hope this helps answer your question. Good luck to you!
- Dr. Schmidt
As always, please remember that this response is for informational purposes only and does not constitute a patient-physician relationship.
Hi there! I believe what you are observing is a correction of the fullness of the lower face that occurs with aging. Our face morphs from a more oval or egg shape to one that is square or boxy down low. Often, surgeons performing a face lift with perform liposuction of the cheeks and along the lower jawline. This can make the face take on an overly slim or long appearance and exaggerate the appearance of the chin.
As a part of my consultation, my patients and I discuss aesthetic goals in front of a 3-fold mirror or using 3D imaging software. This helps us to achieve an incredible result about which everyone can be proud. I hope this helps answer your question. Good luck to you!
- Dr. Schmidt
As always, please remember that this response is for informational purposes only and does not constitute a patient-physician relationship.
As a part of my consultation, my patients and I discuss aesthetic goals in front of a 3-fold mirror or using 3D imaging software. This helps us to achieve an incredible result about which everyone can be proud. I hope this helps answer your question. Good luck to you!
- Dr. Schmidt
As always, please remember that this response is for informational purposes only and does not constitute a patient-physician relationship.
Depending upon how the tissues are lifted can change the shape of the face. This can make it look more heart shaped or rounded depending upon the goals. Very perceptive.
Web reference: https://www.stevenwallachmd.com/face-procedures/facelift/
Depending upon how the tissues are lifted can change the shape of the face. This can make it look more heart shaped or rounded depending upon the goals. Very perceptive.
Learn more: https://www.stevenwallachmd.com/face-procedures/facelift/
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Hello and thank you for your question. I agree with you. The goal of a good facelift should be a natural appearance to rejuvenation of the face. It is very
important that you thoroughly research your surgeon before committing to
surgery. It is a good idea to research your surgeon's educational background,
online reviews, before & after pictures, and speak with anyone who you may
know who has had surgery with that surgeon. During your consultation, make sure
that you don't feel rushed and make sure that you have adequate time with your
surgeon and not just their patient coordinator or nurses. If the majority of
your consultation is spent with someone other than the surgeon, this is usually
not a good sign. The most important aspect is to find a surgeon you are
comfortable with. I recommend that you seek consultation with a qualified
board-certified expert surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
Hello and thank you for your question. I agree with you. The goal of a good facelift should be a natural appearance to rejuvenation of the face. It is very
important that you thoroughly research your surgeon before committing to
surgery. It is a good idea to research your surgeon's educational background,
online reviews, before & after pictures, and speak with anyone who you may
know who has had surgery with that surgeon. During your consultation, make sure
that you don't feel rushed and make sure that you have adequate time with your
surgeon and not just their patient coordinator or nurses. If the majority of
your consultation is spent with someone other than the surgeon, this is usually
not a good sign. The most important aspect is to find a surgeon you are
comfortable with. I recommend that you seek consultation with a qualified
board-certified expert surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
It really depends on the patients pre-op facila shape, and is not neccesarily a reflection of the technique used. the best thing to do is see a few surgeons and look at their before/and after results. Look for someone who consisitently gets the "softer" look you are looking for, and dont focus on the technique used. It is not the technique, it is the docotr!
Web reference: http://www.faceliftmiamiflorida.com/
It really depends on the patients pre-op facila shape, and is not neccesarily a reflection of the technique used. the best thing to do is see a few surgeons and look at their before/and after results. Look for someone who consisitently gets the "softer" look you are looking for, and dont focus on the technique used. It is not the technique, it is the docotr!
Learn more: http://www.faceliftmiamiflorida.com/
You have a keen eye. Of course each case is different but technique does play a role regarding the result you desire. One way to soften the look is to transfer fat.
Fat transfer from the tummy or thighs to the face is an excellent option for people of all ages. Younger patients can enhance their cheekbones or lips with fat that is natural and long lasting. As we age, our face deflates, losing fat, causing sagging skin to look more obvious. Fat grafting to the face rejuvenates the face with biological filler, your own fat! I frequently use fat transfer to my facelift patients to enhance and prolong the result. Depending on the individual, one treatment does the trick, but sometimes secondary touch ups are needed. Be sure to consult with a board certified plastic surgeon. Good luck!
Fat transfer from the tummy or thighs to the face is an excellent option for people of all ages. Younger patients can enhance their cheekbones or lips with fat that is natural and long lasting. As we age, our face deflates, losing fat, causing sagging skin to look more obvious. Fat grafting to the face rejuvenates the face with biological filler, your own fat! I frequently use fat transfer to my facelift patients to enhance and prolong the result. Depending on the individual, one treatment does the trick, but sometimes secondary touch ups are needed. Be sure to consult with a board certified plastic surgeon. Good luck!
You have a keen eye. Of course each case is different but technique does play a role regarding the result you desire. One way to soften the look is to transfer fat.
Fat transfer from the tummy or thighs to the face is an excellent option for people of all ages. Younger patients can enhance their cheekbones or lips with fat that is natural and long lasting. As we age, our face deflates, losing fat, causing sagging skin to look more obvious. Fat grafting to the face rejuvenates the face with biological filler, your own fat! I frequently use fat transfer to my facelift patients to enhance and prolong the result. Depending on the individual, one treatment does the trick, but sometimes secondary touch ups are needed. Be sure to consult with a board certified plastic surgeon. Good luck!
Fat transfer from the tummy or thighs to the face is an excellent option for people of all ages. Younger patients can enhance their cheekbones or lips with fat that is natural and long lasting. As we age, our face deflates, losing fat, causing sagging skin to look more obvious. Fat grafting to the face rejuvenates the face with biological filler, your own fat! I frequently use fat transfer to my facelift patients to enhance and prolong the result. Depending on the individual, one treatment does the trick, but sometimes secondary touch ups are needed. Be sure to consult with a board certified plastic surgeon. Good luck!
Hi, I have performed facelifts for over 30 years and have performed many minimally, invasive type facelifts. 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.
A weak chin 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. Chin implants increase forward projection to balance the lower face.
"Jowls” 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, purse strings 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 and subperiosteal facelifts) but with these added benefits:
Hope this helps.
A weak chin 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. Chin implants increase forward projection to balance the lower face.
"Jowls” 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, purse strings 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 and subperiosteal facelifts) but with these added benefits:
- very small incisions
- minimal tissue dissection = less bruising and swelling = rapid recovery
- 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
Hope this helps.
Web reference: http://www.beverlyhills-plasticsurgery.com/facelift/#sub
Hi, I have performed facelifts for over 30 years and have performed many minimally, invasive type facelifts. 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.
A weak chin 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. Chin implants increase forward projection to balance the lower face.
"Jowls” 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, purse strings 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 and subperiosteal facelifts) but with these added benefits:
Hope this helps.
A weak chin 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. Chin implants increase forward projection to balance the lower face.
"Jowls” 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, purse strings 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 and subperiosteal facelifts) but with these added benefits:
- very small incisions
- minimal tissue dissection = less bruising and swelling = rapid recovery
- 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
Hope this helps.
Learn more: http://www.beverlyhills-plasticsurgery.com/facelift/#sub
Select a Board Certified Plastic surgeon and be evaluated.
Look at his work in the before and after pictures and be sure
like what you see. You should also have a pleasant experience
and the trust to feel confident in his/hers hands. If you do not,
try another one. See the link below for a board certified plastic
surgeon in your area.
Best wishes!
Look at his work in the before and after pictures and be sure
like what you see. You should also have a pleasant experience
and the trust to feel confident in his/hers hands. If you do not,
try another one. See the link below for a board certified plastic
surgeon in your area.
Best wishes!
Web reference: https://find.plasticsurgery.org/default.aspx
Select a Board Certified Plastic surgeon and be evaluated.
Look at his work in the before and after pictures and be sure
like what you see. You should also have a pleasant experience
and the trust to feel confident in his/hers hands. If you do not,
try another one. See the link below for a board certified plastic
surgeon in your area.
Best wishes!
Look at his work in the before and after pictures and be sure
like what you see. You should also have a pleasant experience
and the trust to feel confident in his/hers hands. If you do not,
try another one. See the link below for a board certified plastic
surgeon in your area.
Best wishes!
Learn more: https://find.plasticsurgery.org/default.aspx
Aging of the face results in fullness of the lower face as tissues drop-eg jowls. The goal of a facelift is to lift the tissues and restore a youthfull look with an oval or triangular shape. This certainly can be overdone. It is important to discuss your goals in detail with your plastic surgeon. The purse string method does not fully address neck laxity which explains the difference that your see.
Web reference: http://www.bostonplasticsurgeryspecialists.com/services/face/facelift/
Aging of the face results in fullness of the lower face as tissues drop-eg jowls. The goal of a facelift is to lift the tissues and restore a youthfull look with an oval or triangular shape. This certainly can be overdone. It is important to discuss your goals in detail with your plastic surgeon. The purse string method does not fully address neck laxity which explains the difference that your see.
Learn more: http://www.bostonplasticsurgeryspecialists.com/services/face/facelift/
A youthful face is triangular - the base of the triangle parallel and even with the eyes. As one gets older, the triangle changes with the base of the triangle in the jowls with a narrower upper portion of the face.
What you are describing is not that the chin looks larger but rather "normal." By correcting the jowls the base of the triangle becomes shorter and the chin resumes its youthful shape.
Whether one uses the purse string method or not, the ultimate goal of a facelift, among others is to reduce the jowls.
Discuss your concerns with a surgeon certified by the American Board of Plastic Surgery.
Good luck.
What you are describing is not that the chin looks larger but rather "normal." By correcting the jowls the base of the triangle becomes shorter and the chin resumes its youthful shape.
Whether one uses the purse string method or not, the ultimate goal of a facelift, among others is to reduce the jowls.
Discuss your concerns with a surgeon certified by the American Board of Plastic Surgery.
Good luck.
A youthful face is triangular - the base of the triangle parallel and even with the eyes. As one gets older, the triangle changes with the base of the triangle in the jowls with a narrower upper portion of the face.
What you are describing is not that the chin looks larger but rather "normal." By correcting the jowls the base of the triangle becomes shorter and the chin resumes its youthful shape.
Whether one uses the purse string method or not, the ultimate goal of a facelift, among others is to reduce the jowls.
Discuss your concerns with a surgeon certified by the American Board of Plastic Surgery.
Good luck.
What you are describing is not that the chin looks larger but rather "normal." By correcting the jowls the base of the triangle becomes shorter and the chin resumes its youthful shape.
Whether one uses the purse string method or not, the ultimate goal of a facelift, among others is to reduce the jowls.
Discuss your concerns with a surgeon certified by the American Board of Plastic Surgery.
Good 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.
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