Lifting procedures for different types of fat. Hello. So I have studied the human facial anatomy alot lately. As we know there are superficial fat pads and deep fat pads. The question is, let's say you only have sagging in a few superficial fat pad compartments but the placement of your deep fat pads is still high and healthily located. Well, is it possible for any facelifting technique to specifically target superficial fat pads? I have this odd suspicion that facelifts can only really address lifting the deep fat pads. Am I wrong?
Answer: Fat pads during facelift surgery - Carpet Metaphor Greetings from Washington DC, Excellent question! As you probably already have researched, during a facelift the SMAS layer is manipulated in some way (my preference is to do the deep plane technique so you can freely move that layer anywhere). You want to think about the fat pads of the face in relation to that SMAS layer and think of it like a carpet. The fat pads that are superficial and medial (closer to the midline) to the SMAS entry point, are the ones that will be repositioned since they sit on top of the carpet. This tends to be the jowl fat pad and the midfacial/malar fat pads. Most of the deeper fat pads do not really get moved during the surgery since they are deep to the carpet/SMAS (unless the buccal fat pad was trimmed through the deep plane), but may be tightened inwards. I hope that helps! Wishing you all the best,Dr. SitaparaChevy Chase Facial Plastic Surgery
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Answer: Fat pads during facelift surgery - Carpet Metaphor Greetings from Washington DC, Excellent question! As you probably already have researched, during a facelift the SMAS layer is manipulated in some way (my preference is to do the deep plane technique so you can freely move that layer anywhere). You want to think about the fat pads of the face in relation to that SMAS layer and think of it like a carpet. The fat pads that are superficial and medial (closer to the midline) to the SMAS entry point, are the ones that will be repositioned since they sit on top of the carpet. This tends to be the jowl fat pad and the midfacial/malar fat pads. Most of the deeper fat pads do not really get moved during the surgery since they are deep to the carpet/SMAS (unless the buccal fat pad was trimmed through the deep plane), but may be tightened inwards. I hope that helps! Wishing you all the best,Dr. SitaparaChevy Chase Facial Plastic Surgery
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January 5, 2023
Answer: You are wrong! Great reading up on the anatomy! Yes, there are superficial and deep fat pads, and the aging process affects them differently but in a predictable pattern that only varies a bit between individuals. "Sagging" of the superficial fat pads comes mostly from two things--loss of volume in the deep fat pads and laxity in the skin and SMAS layers. Modern facelifts address both the deep and superficial fat pads based on the patterns of the aging process, so the deep pads are revolumized with fat grafting and the superficial fat pads are repositioned with the skin and SMAS layers. Some of the superficial fat pads can be augmented with fat grafting too, usually the superficial high malar and superficial middle malar fat pads to highlight the cheekbones and give the cheeks a more full, youthful appearance.
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January 5, 2023
Answer: You are wrong! Great reading up on the anatomy! Yes, there are superficial and deep fat pads, and the aging process affects them differently but in a predictable pattern that only varies a bit between individuals. "Sagging" of the superficial fat pads comes mostly from two things--loss of volume in the deep fat pads and laxity in the skin and SMAS layers. Modern facelifts address both the deep and superficial fat pads based on the patterns of the aging process, so the deep pads are revolumized with fat grafting and the superficial fat pads are repositioned with the skin and SMAS layers. Some of the superficial fat pads can be augmented with fat grafting too, usually the superficial high malar and superficial middle malar fat pads to highlight the cheekbones and give the cheeks a more full, youthful appearance.
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October 21, 2022
Answer: Treatment of Facial Fat Pads Different facelifting techniques can target various deep and superficial fat pads, depending on their exact location. Superficial fat can be left attached to the skin flap and raised with it. Fat can also be reduced via surgical dissection or liposuction at the time of skin flap dissection. For example, if fat is left on the platysma muscle when elevating the neck flap, that fat can be trimmed over the muscle surface to thin down the neck.
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October 21, 2022
Answer: Treatment of Facial Fat Pads Different facelifting techniques can target various deep and superficial fat pads, depending on their exact location. Superficial fat can be left attached to the skin flap and raised with it. Fat can also be reduced via surgical dissection or liposuction at the time of skin flap dissection. For example, if fat is left on the platysma muscle when elevating the neck flap, that fat can be trimmed over the muscle surface to thin down the neck.
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October 18, 2022
Answer: What gets targeted with a facelift In addition to addressing skin laxity during face- and neck-lift surgery, fat pads in certain areas can be directly targeted as well. Besides the repositioning of facial fat, two areas are amenable to direct fat-pad extraction: 1)superficially, the jowls can be removed with a very fine 2.4mm cannula on a very low power-assist setting accessed via a 2mm dot behind the earlobe; 2)secondly, people who are concerned with "round/puffy" facial structures, who lack desired definition, can under removal of buccal fat pads (also knows as Bichat's pads) from the intra-oral approach, thereby giving more definition to the cheekbones and jaw by thinning the midface.
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October 18, 2022
Answer: What gets targeted with a facelift In addition to addressing skin laxity during face- and neck-lift surgery, fat pads in certain areas can be directly targeted as well. Besides the repositioning of facial fat, two areas are amenable to direct fat-pad extraction: 1)superficially, the jowls can be removed with a very fine 2.4mm cannula on a very low power-assist setting accessed via a 2mm dot behind the earlobe; 2)secondly, people who are concerned with "round/puffy" facial structures, who lack desired definition, can under removal of buccal fat pads (also knows as Bichat's pads) from the intra-oral approach, thereby giving more definition to the cheekbones and jaw by thinning the midface.
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October 16, 2022
Answer: Facelift techniques for addressing fat in the face There are many different locations of fat within the face. Some a re deeper than others. There a many different facelift techniques. Some address different fat pads better than others. It is important to choose a facelift surgeon who is experienced in many techniques to get the best result. One size does not fit all - so to speak. Good luck.
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October 16, 2022
Answer: Facelift techniques for addressing fat in the face There are many different locations of fat within the face. Some a re deeper than others. There a many different facelift techniques. Some address different fat pads better than others. It is important to choose a facelift surgeon who is experienced in many techniques to get the best result. One size does not fit all - so to speak. Good luck.
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