To be successful, most docs keep up with the latest improvements. Experience is so important. There are a lot of new technologies that are worthless as well. They tend to be gimmicky lasers, ultrasound devices etc.... which the younger docs embrace and market to get new patients.
The modern face and neck lift has evolved past "skin only" to focus on natural lift vectors, tightening and elevation of underlying support tissues of the face, and incorporating fat grafting to the face to restore the lost soft tissue volume. These are newer techniques that have not been adopted by all plastic surgeons. As such, doing your research and asking good questions during your facelift consultation is critical.
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A detailed examination will help delineate the best surgical options. Consultation with a surgeon certified by the American Board of Plastic Surgery would be the next best step.
Thank you for your question. A board certified facial plastic surgeon has achieved continuous levels of up-to-date knowledge, training and expertise. In addition to board certification, experience (# of neck lifts per year), training and education are key criteria for selecting a facial plastic surgeon. Always consult with a board certified facial plastic surgeon. It is good that you are meeting with more than one surgeon so that you can compare their expertise and your rapport with each of them. Best wishes,
but only if proven and reproducible. Necks can be addressed in a multitude of ways, depending on what the problem is and what the patient's expectations are. Experience allows one to know the difference between something that can work versus something that is not. So this is one arena where seeing more experienced surgeons may be desirable.
I have found that it is with experience that new techniques develop. When coming straight from school, one practices to become extremely comfortable with one's skills. Generally after this happens does a surgeon begin to try to find a better way to do something. The newest techniques are presented at the conferences we attend and in the journals we read; however, the implementation of these techniques is often executed with the most comfort by those who are "extremely familiar with the territory." This is not to say that there aren't excellent surgeons out there who are very new to the field; it is just to say that often at the conferences, the more experienced surgeons are often the ones developing and presenting new techniques.
Neck lift techniques vary between surgeons, and the use of lipo or energy based devices for fat reduction and skin tightening along with surgery may give better outcomes. I suggest you see someone with a great reputation and experience. Best, Dr. Emer.
There are as many different approaches as there are anatomical variations that are being treated. The anatomy and tissue qualities should dictate the approach--presence or absence and location of fat, platysmal thickness and degree of laxity, skin elasticity and sagging of the submandibular glands and the muscles of the floor of the mouth must all be evaluated and addressed appropriately. Patient expectation, ability to tolerate recovery are also part of the equation. An overcorrected neck is usually more of a liability than an undercorrected neck in my experience. As far as the technology, barbed sutures (Quill) and dissolvable ribbons (Coapt from Microaire), autologous adhesives and fibrin sealants (Harvest),and the Argon Gas Coagulator for extremely large necks have all contributed to greater flexibility in handling difficult cases in my practice.
Whether a surgeon is better if young versus old is not as important as the quality of surgery the surgeon does. Those of us who have taught for more than 35 years not only practice new techniques that we teach two young plastic surgeons but also know the bad things that can occur when surgery is too aggressive. We cannot teach young surgeons how to be meticulous; they either have this or they don't. See several board certified surgeons who are certified in either general plastic surgery or facial plastic surgery as a starting point. The surgeon should do many of these procedures every month and not just a few a year. Most importantly look at the actual results the surgeon has done and meet with patients as well.
Thanks for your question. Techniques do evolve and change in time and all surgeons attend meetings and conferences to stay on top of new developments. Sometimes these new developments don't stand the test of time and are dropped proving that new is not always better!Since the nuances of necklifting techniques are best left to surgeons and not patients, my best advice is to meet several doctors with good reputations, review photos of other patients upon whom they've operated and find the surgeon who gives you the highest degree of confidence (and not hype). Best wishes,
Jon A Perlman MD FACS
Certified, American Board of Plastic Surgery
Extreme Makeover Surgeon ABC TV
Best of Los Angeles Award 2015, 2016
Beverly Hills, Ca
Young graduates may have learned recent techniques but they are usually taught by older experienced surgeons. Young graduates are very early in their learning curve so it's not always best to see them unless they are using some new technology which older doctors do not use. Otherwise, regardless of whether they are older or younger, experience counts. Board certification should be a given, but even that does not guarantee experience.