Facelift, necklift, liplift and lower blepharoplasty - shall I do it at the same time or separately? (Photo)
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Doctor Answers 40
Facelift, Neck Lift, Lip Lift, and Lower Bleph?
Push back from friends and acquaintances is not unusual. People are very casual about projecting their fears, uncertainties, and anxieties onto others. They may also have similar concerns about their appearance, yet for many reasons may not be able to consider having this surgery, so they are uncomfortable when you tell them that you are going ahead with it. Just make sure that you choose a surgeon who is certified by the Canadian equivalent of the American Board of Plastic Surgery and can demonstrate significant experience in all areas of facial rejuvenation. When your friends see the benefits they may change their attitude.
Possible to Have Them Concurrently, With Doctor Approval
Facelift, necklift, liplift and lower blepharoplasty - shall I do it at the same time or separately?
Performing the surgeries you mentioned can be performed separately or all at once. The decision can be based on the amount of downtime you have, what you're willing to go through, cost, and overall your aesthetic goals.
If the proper medical history review/clearance, physical exam, and studies (labs, EKG) are performed, and the surgeries are scheduled in an accredited surgery center (with the pre-operative instructions followed), doing all the procedures is generally safe to perform during the same time.
I hope this helps.
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Multiple Procedures at the Same Time or Separately
While each area from the brow to the neck can be targeted as a distinct area, it is the smooth and seamless blend from one area to the next that helps define a youthful appearance. In my opinion, addressing all the areas you mentioned at the same time results in a more unified look. As an additional benefit, a combination procedure only requires one recovery. The face/neck procedures will be the most involved in terms of recovery; adding the lower lids and lip lift likely won't add any noticeable time or complexity.
Various risk factors that can increase complications during long surgeries include patient body temperature, blood loss, body fluid shifts and positioning. While six hours is a long time to be under anesthesia, management of these risk factors is often more straightforward with procedures focused on the head and neck. A thorough health evaluation and the appropriate pre-operative clearance required by your surgeon will further identify your personal fitness and ability to tolerate a longer surgery.
It sounds like you have some great friends who really care about you and it will be that support system along with regular physician follow-up that helps you get through the recovery process. Remember, the day of surgery is only part of the process in achieving your desired look. Choose a surgeon who will work closely with you and be personally available to you before, during and long after the day of surgery.
You can get all the facial surgeries you mention at the same time without going under general anesthesia
I can certainly give you some guidance on this matter. To give you a little about my background — I am a Board-certified cosmetic surgeon and a Fellowship-trained oculofacial plastic and reconstructive surgeon, practicing in Manhattan and Long Island for over 20 years. All of the procedures you mentioned make up big parts of my practice, and I certainly have a lot of experience and opinions about the safety and relative risk of these procedures. Please keep in mind these are based on my own personal preference, and are not meant to disparage the methods of other doctors who prefer to do things differently.
In addition to the opinions of your friends, if you visit 5 to 10 more doctors, you will certainly get a plethora of opinions and perspectives on what you need and what you should do, and the question of whether or not this is the right time to do the procedures will always be at the forefront of your mind. The key, however, is what your desired outcome is, and whether the approaches recommended by these doctors can achieve that desired outcome.
With regard to the length of time you will be under for, and this is really a question that you need to ask your surgeon. Before doing surgery, my time estimation always includes time of preparation, the time of the surgery, and the time of recovery. I do have to mention that I don’t use general anesthesia in my practice, with the exception of rhinoplasty surgeries, for which there is an issue with the airway that really does require general anesthesia. Otherwise, I routinely use local anesthesia with LITE™ sedation for all the surgeries you mentioned.
The reasons why I prefer not to use general anesthesia are for safety and ease of recovery. From my experience, local anesthesia with LITE™ sedation is considerably safer than general anesthesia because patients are able to avoid many of the medical stressors associated with general anesthesia, both during and after the procedure. After a facelift, for example, my patients are routinely able to walk out of the office after their procedure, their faces wrapped, smiling and feeling good. This is in sharp contrast to how facelifts were done in the early to mid-90s. Back then, patients were placed under general anesthesia, then usually kept overnight at a hospital or surgery center, and we would place large wraps and drains after the procedure. Certainly, local anesthesia with LITE™ sedation makes it easier on both the patient and the doctor.
In terms of doing the procedures all at once, I don’t think that’s a problem. In our practice, it is not unusual to do a brow lift, upper and lower eyelid blepharoplasty, facelift, and neck lift all at the same time. It’s not so much about the number of procedures, but more about the time it takes to perform them. When working with local anesthesia and LITE™ sedation, I try to keep surgical time under four hours — that’s usually where I draw the line. It’s also not so much about the names of the procedures, because certainly there are different types of facelifts and eyelid surgeries, plus additional procedures like ptosis surgery, canthoplasty, lateral tarsal strip, and laser treatments; however, when you are dealing with a specialist type of approach to any issue, the range of time can vary.
It is difficult to give a more concrete recommendation without a physical exam. Usually, when I examine patients to determine if they are a good candidate for a facelift, I’ll lift up the skin in order to show them what can be done. In some cases, we’ll offer to do their eyelids and then do a procedure like structural volumizing in order to improve volume and definition in the cheeks and jawline in a way that is comparable to a facelift. There are certainly quite a number of options, and I think you should visit more doctors and learn more about these options to get a balanced and fully-informed perspective. If you already have a chosen doctor in mind, and if you trust them and feel comfortable with them, then this is certainly a discussion you need to have with that doctor.
Sometimes, patients will tell me that they only want to have one procedure done this year, and that’s perfectly fine. Because I don’t work with general anesthesia, I won’t feel pressured to tell the patient to have everything done together because they’re going under general anesthesia. In my practice, I could do eyelid surgery now and then a facelift later on, or I could do injectables. There really is a lot of flexibility in my approach and I think this wonderfully complements the reality of today’s modern lifestyle where people just don’t have enough time for prolonged post-surgery recovery periods. Sometimes, many people have pressing deadlines such as weddings, graduations, and birthdays, all of which need to be factored in when considering a cosmetic procedure.
Meet with experienced specialists so you can compare opinions and see if there is some consistency. I think it is important to choose a surgeon who not only treats their concern with technical and medical prowess, but also treats their concern with a sense of artistry and aesthetic awareness, which is what I strive to do in my practice. Aside from treating a patient’s main medical concern, we also offer skin products, skin rejuvenation treatments, in advanced cosmetic surgical procedures so that our patients are not limited in terms of solutions. As such, we are able to customize our approach in a way that will best serve the needs of the patient.
I hope that was helpful and I wish you the best of luck!
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Facelift, lower eyelids and lip lift at the same time
It really depends on the individual
Undergoing a Facelift, Neck lift, Lip lift, and Blepharoplasty in One Session
Combining Procedures for Facelift
Facelift, necklift, liplift and lower blepharoplasty - shall I do it at the same time or separately?
A well-done facelift will impact the mouth hopefully elevating the corner of the mouth. My preference would be wait to do the lip lift at a second procedure once you have been able to evaluate the effect of your facelift on your mouth.
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