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POSTED UNDER Facelift Reviews

Friends Said "Most Natural" They Had Seen - High SMAS. Dallas, TX

ORIGINAL POST

I had always had what I called a "turtle neck, "...

WORTH IT$23,000
I had always had what I called a "turtle neck, " even when I was young and thin. Decades of being overweight had made the lack of definition worse. My eyes had always been my best feature even though one eyelid was slightly more exposed than the other. Add the effects of gravity not to mention the incentive of a recent divorce -- I was more than ready for a "rejuvenation" by age 58. You can read below about the selection process, but I chose Dr. Fritz Barton even before I understood that not everyone did the kind of facelifts that he does. Barton did not invent the "High SMAS" facelift, but he has done them for a couple of decades and wrote a recent textbook on them. I'm not sure the 2 doctors I decided not to use were even going to do a High SMAS. From a layman's terms -- the "work" is done at a deeper level and then the skin is "re-draped." The skin is not being used to hold up the "work," which often leads to a poor result, especially if later surgeries are done. That description would probably drive a professional up the wall, but I've read as much of Dr. Barton's textbook as I can understand (plus watched the video in the text about a year after my operation!), and that's my take. It is a longer recovery than the "lifestyle" lift and some of the other methods -- but the results last MUCH longer and are much more natural when you're having a lot of work done. I gave myself a birthday party 20 days post-op and felt fine with a little cover-up on my neck. (Ironically, the lipo. place on my neck was the last bruise to fade away, but also the last to appear. Lipo was done to augment the surgery on the neck, due to my age. Younger and/or thinner women can sometimes get away with just lipo on the neck but I'm glad I let the surgeon do everything he wanted to do.) I had the luxury of not having to be at an office, but I would have had no problem after 2 weeks. (Granted, I'm not the type to worry about people knowing I had had "work done.") Not every doctor can or should be doing the High SMAS. There IS increased risk of nerve damage because of how deep the work is done, but Dr. Barton has never had a patient with permanent nerve damage. I think the fact that I had a High SMAS facelift is why friends said it was the most natural they had seen, and that it took off 15 rather than 10 years. One of them, a former broadcast professional who has seen and heard LOTS of plastic surgery stories, said: "You look just like yourself but when I first met you 25 years ago." I had the "total" work done -- can't remember the terms but it was eyelids, forehead, face and neck. I chickened out at the last minute at having a fat implant in my lips because I was concerned about it being too much of a change. Given how much I now trust my doctor, I wish I had gone ahead and done it. So I get Juvaderm injections once a year. My doctor doesn't believe in a lot of the "holistic" stuff before or after -- primarily because he said it's impossible to know what's in some of the preparations and it's possible that they could contribute to well-known common side effects. His one stipulation (other than no smoking) is a low-sodium diet for AT LEAST 3 months post-op, preferably 6. Has to do with water retention stretching out the skin while it is in a transitional state. Can't describe how good I felt by suddenly becoming more cognizant of sodium in processed foods and restaurants; I got off blood pressure medicine and immediately lost 6 pounds, which would have stayed off if I had exerted any self-discipline after the six months were up.

MarkeB's provider

Fritz E. Barton, Jr., MD (retired)

Fritz E. Barton, Jr., MD (retired)

Board Certified Plastic Surgeon

Overall rating
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Answered my questions
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I had a tummy tuck with one of the top plastic surgeons in Dallas in 2003 with good results, but what seemed like every complication known to man -- things like a former drainage hole popping open 5 months later. Although recently suspended for "une scandale," THAT surgeon was head of the medical school's Plastics dept. at the time, and I think many of the issues derived from the fact that he saw his "fellows" (residents in extended training) and his traumatic reconstructions as his legacy, rather than his cosmetics patients. I think most of the issues with that surgery were due to that attitude as well as the fact that it was in a large hospital rather than a surgical center specializing in plastics. (This is the down-side to having surgery done by someone who is so good that he is actually teaching at the regional medical school. Upside is obvious.) So I ended up going with Dr. Fritz Barton, who had also served as head of plastics in the past but who really seems to consider his patients as much his legacy as the residents he has trained. (There are no residents involved in Dr. Barton's private-patient surgeries.) I don't need for my surgeon to be warm and fuzzy, but Barton's whole attitude was SO much more reassuring than what I had previously experienced with his former partner. I interviewed two other highly recommended surgeons, but they were actually the same cost or about 10% higher than Dr. Barton -- and the one who was 10% higher used a nurse anesthetist rather than an anesthesiologist! It's worth noting that all three doctors now operate in surgical centers, but two of them had their own individual "stand-alone" centers. Dr. Barton operates in a stand-alone center that belongs to him and several of his partners. I think it had to have been better-staffed than what you would find in a single doctor's center. (I stayed there on Night 1.) My advice to anyone contemplating plastic surgery is to have it in a well-staffed stand-alone operating center that specializes in plastics -- not in a big hospital where you may be recovering on a floor where the nurses are focused on people with serious problems. If you want the best and one of the surgeons who perfected this procedure (High SMAS) -- don't delay. Everyone assumes Dr. Barton will retire in a few years. And no, I didn't worry about the fact that he was older than the 2 other doctors I interviewed. Dr. Barton's attitude and his reputation for integrity is such that I know he will "hang it up" as soon as he feels he can no longer perform at his best. You can't become any kind of surgeon, much less a brilliant one, without a strong ego. But Barton has no "God complex." He is a believer in the ARTISTIC as well as the technical aspects of "facial rejuvenation." Dallas women know plastic surgeons. Our medical school trains a large number of the ones now found in NY, FL and CA. Next to California -- Dallas has some of the most "image-conscious" women in the U.S. There will be great gnashing of teeth when Dr. Barton retires, and we're only hoping that by that time he can identify other surgeons approaching his proficiency.

Replies (25)

What a great result, and you look so cute! I also learned so much about processed foods after my surgery. I still watch my salt intake, and my hubby has also become much more aware of the salt in processed foods - an unexpected but great result of this process for us.
Beautiful results! Thank you so much for sharing on RealSelf!
Hi, you are beautiful! I also had a face lift about a year ago (not w/yours) and I am very disappointed. Dr. (Dallas TX) was very nice along with/his staff. But this so called "natural" look, was so natural that I look the same! I'm supposed to look at least 10 years younger! :( Too bad I did not take pictures. So whoever wants a face lift please look for one that specializes just on the face. And please say that you don't want a "natural" look.
i agree with you sooo much i wish i would have told my PS i dont want a natural look . im paying alot of money to look YOUNGER not almost the same< > i could do with makeup > i still keep looking in the mirror and pulling my face back tighter and it looks so much better . i had face & neck 2013 then neck revision aug 2014 and my neck is still loose . im going to see a doc in troy mich > doc anthony youn i was told he is very good ?????? i cant get anything done for atleast 9 mths now
Paigea and Maria -- So sorry you were both disappointed with your result. Can I ask what kind of facelifts you had? Paigea -- esp. interested in anything more you can share about your experience and doctor in Dallas since I still get asked for advice. The moderator sent me a private welcome message -- not sure if we can send private messages to each other. I have no medical expertise but some experience, and all I can think of is that if a doctor is doing a facelift on a "higher-up" or "more superficial" layer than the SMAS -- he can't do as much "work" without it looking pulled. Unlike a lot of PS, they may both have erred on the side of too little rather than too much. And Maria -- my surgeon told me upfront that some people -- including himself and me -- were just never made to have tightly sculpted necks. He did the max. he could on my neck, but as you can see -- I'm far from "swan-like."
there is another FL its a plane lift > that one is to me the best for wanting to look different but its tricky because of the nerves in the face and needs a dr that really knows how to do it and its maybe alot more money ?? my neck is looser on one side so i know it can be corrected its getting more time off work and paying again> the contour of my neck is off
Paigea -- P.S. to previous reply: What did you mean by recommending a surgeon who specialized in faces? Are you saying that as opposed to someone who specializes in breasts? Or as opposed to someone whose chief training was in another kind of (non-plastic) surgery or a dermatologist?
At least one that has the same amount of facelift pictures as breast augmentation.......pictures. Have you or anyone heard of Dr. M. Maris, Dallas, TX? I saw videos of him and patients. I want another facelift, but have to save money. Hopefully next summer. So anyone that knows of this Dr. please post it. Thanks
Paigea -- Dr. Maris' partner, Rebecca Euwer (sp?) is my dermatologist. I see her annually for skin checks since I had a skin cancer several years ago. I don't know anything personally about Dr. Maris as either a dermatologist or surgeon, but just be aware that he IS primarily a dermatologist. There are a lot of dermatologists doing cosmetic surgical procedures these days, and I can't speak to their success rate/revision rate compared to doctors who received their original training in plastic surgery and who specialize in that. Just make sure you understand the difference between the types of doctors and the different procedures that they do. Was your original surgeon a dermatologist primarily or a plastic surgeon?
Thanks for the info. I won't see him then. The one that performed the facelift is a certified plastic surgeon. Has been on the Big D Magazine.
Any reason you don't want to reveal his name? Have you signed some sort of non-disclosure? I know someone on this site did, but only after she had taken a "settlement" check of $10,000 after what she described as a botched operation -- result much worse than just not looking any different or different enough.