What type of facelift would be appropriate? (Photo)
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Doctor Answers 25
Thank you for your question.
A minifacelift (short preauricular incision and lower anterior SMAS tightening with minimal skin excision) is rarely of too much use other than in early perioral ageing. In you, it has no place and would lead to a disappointing result.
Like all of us, you're ageing, and whilst you have a lovely face, you're seeking honest advice, so that's what we are here to do.
Your pictures demonstrate the following:
1. Fair and sun damaged skin.
2. Lower face and neck ageing with jowls, and neck laxity.
3. Cheek descent with lower lid and lid cheek ageing
4. Substantial upper lid skin excess, resulting in compensated brow ptosis (your eyebrows are held up high by your frontalis, subconsciously, so you can see), and frontalis strain.
5. A high hairline.
6. You might have some botox and filler in I think.
Definitive correction would involve a lower facelift including a platysmaplasty, a concentric malar lift to improve the midface, and upper lid blepharoplasty, which will give you a much more rested upper lid and brow appearance. I'd also recommend great skin care, which I think will make a big difference, and to ask you to consider changing your hairstyle to one with a fringe or which is brought forward. This will add a lot to a youthful appearance.
While this seems a lot - and it is - the surgery can be done as a single procedure - upper lids, malar lift and lower facelift. Not doing it all will unfortunately compromise your result, as I think it wont look harmonious if part done.
There is a significant recovery time. It would be an overnight stay in hospital, probably about 2 weeks before you would go out to say the supermarket, with some sunglasses on, and 3 to 4 weeks till you felt comfortable to resume your social activities. Of course, this is a guide only, and varies from person to person.
While is seems disappointing to recommend a substantial procedure for you, unfortunately there are no short cuts. You're better off to have no surgery than a compromised approach in my opinion. Careful planning of your life might create the necessary recovery time.
All the very best,
With the rest of the types of facelifts that you read about the recovery is pretty similar.
You would be an appropriate candidate for a minimal scar facelift such as a MACS lift however you need to discuss this with your surgeon.
Mini face lift results
A mini facelift would give improvement but could fall short of your expectations .
A more appropriate contemporary facelift would give a better result.
Healing is a separate issue and is dependant on so many factors which you need to explore with your surgeon.
Best advice see an experienced surgeon who performs all types of lifting and facial rejuvenation procedures.
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The recovery time for a minilift and standard facelift are not that different. It depends on who does your surgery.
What type of facelift would be appropriate?
MINI FACE LIFT POTENTIAL
The good news, you don't need a forehead/brow lift!
What type of facelift would be appropriate?
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 sagging chin can create 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.
"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 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.
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.