I am confused by different techniques & vectors etc. It seems conclusive that the SMAS is the key, but is an extended/high SMAS lift different to a standard SMAS lift? What's the difference between plication, imbrication, SMASectomy, etc? What about a MACS lift - is this an imbrication technique? What is a purse-string? Where should the lift be sutured to achieve long-lasting & effective jowl lifting? A lot of people on this website seem to have recurrent jowls after full SMAS facelifts - why?
June 6, 2016
Answer: Maybe not only a lift! Hi Heartsease,Sometimes the reasons jowls seem to reappear is because the surgeon didn't address the front of the jowl as well as pulling the SMAS behind it.There are a number of areas that need to be treated and a comprehensive approach is the key.
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June 6, 2016
Answer: Maybe not only a lift! Hi Heartsease,Sometimes the reasons jowls seem to reappear is because the surgeon didn't address the front of the jowl as well as pulling the SMAS behind it.There are a number of areas that need to be treated and a comprehensive approach is the key.
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June 2, 2016
Answer: Face Lift Techniques for Jowls Dear Heartsease, The questions you ask are very valid and actually the answers to them are a little too complex to describe in this electronic arena, without photographs to even come near deciding which procedure would be the best for your needs. It is best if you could be evaluated by a Board Certified Facial Plastic Surgeon in person, to evaluate your face, jowls, tissue laxity, bone structure, skin quality and together you could review each of these facelifting techniques to ascertain which would give you the best results for your face and your lifestyle. You may be pleasantly surprised that even a micro-invasive solution might be possible for you but that would have to be determined after thorough evaluation of your face, if it would be appropriate for your particular type of facial "maturing". In addition to ThermiTight, the prototype, there are some more newly FDA approved devices that have just arrived from Israel after 8 years successful use there and also in Europe and Canada, finally arriving here in the USA. A select handful of surgeons who are experienced with these techniques have them at this point. It would be good to be evaluated in person and decide which route would be most effective for you. Best Wishes in your quest, Dr. Anna PetropoulosBoston's North Shore, Danvers, MA
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June 2, 2016
Answer: Face Lift Techniques for Jowls Dear Heartsease, The questions you ask are very valid and actually the answers to them are a little too complex to describe in this electronic arena, without photographs to even come near deciding which procedure would be the best for your needs. It is best if you could be evaluated by a Board Certified Facial Plastic Surgeon in person, to evaluate your face, jowls, tissue laxity, bone structure, skin quality and together you could review each of these facelifting techniques to ascertain which would give you the best results for your face and your lifestyle. You may be pleasantly surprised that even a micro-invasive solution might be possible for you but that would have to be determined after thorough evaluation of your face, if it would be appropriate for your particular type of facial "maturing". In addition to ThermiTight, the prototype, there are some more newly FDA approved devices that have just arrived from Israel after 8 years successful use there and also in Europe and Canada, finally arriving here in the USA. A select handful of surgeons who are experienced with these techniques have them at this point. It would be good to be evaluated in person and decide which route would be most effective for you. Best Wishes in your quest, Dr. Anna PetropoulosBoston's North Shore, Danvers, MA
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May 31, 2016
Answer: Best facelift More important than the facelift technique is the surgeon. An experienced facelift surgeon knows that each face is different and different techniques should be used to maximize the result for each individual. Some patients can get by with relatively simple techniques while others may need extremely sophisticated techniques to get the desired result. I'd recommend seeing a surgeon who specializeds in facial rejuvenation and can give you options that will maximize your result. For difficult anatomy, I prefer a high SMAS deep plane technique with subplatysmal contouring for those who need it. Andrew Campbell, M.D.Facial Plastic SpecialistQuintessa
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May 31, 2016
Answer: Best facelift More important than the facelift technique is the surgeon. An experienced facelift surgeon knows that each face is different and different techniques should be used to maximize the result for each individual. Some patients can get by with relatively simple techniques while others may need extremely sophisticated techniques to get the desired result. I'd recommend seeing a surgeon who specializeds in facial rejuvenation and can give you options that will maximize your result. For difficult anatomy, I prefer a high SMAS deep plane technique with subplatysmal contouring for those who need it. Andrew Campbell, M.D.Facial Plastic SpecialistQuintessa
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