Milled Face

The facelift understanding of the various procedures

Author: Dr. Brooke R. Seckel

If you are considering a facelift or facial rejuvenation procedure, it is important to understand what a facelift can and can not not made and the many variations on the technique of cosmetic surgery that is intended to correct individual variations in facial aging appears in different faces. The rejuvenation of her face is unique and facelift or facial should be customized to create a pleasing result on his face.

Excellent youth and beauty results can be achieved safely with modern facelift techniques:

The most important to you is the skill and experience of your doctor. Honest evaluation by an expert in the face and a clear procedure is best for you is essential. I wrote a book, save face and in Chapter 10, you will find a guide to How to choose a plastic surgeon, questions to ask, and warnings about possible situations I think you should avoid.

What can a facelift

• The restoration of the cheek of youth

· Line Smooth jaw close

• A soft youthful neck

· Some lateral brow lift

· Disposal chin

Correction · skin around the mouth

Marionette lines · improve lines and nasal labial

What a facelift can not reach

· Elimination of wrinkles

· Eyelid Rejuvenation

· Removal crow's feet

· Pockets of elimination

· Elimination of the chapels of the eyelids

Different types of face lift procedures

There are many names to describe cosmetic surgery can be very confusing for you the patient. Terms such as weekend mini lift elevator, elevator S, lifting without surgery, thread lift, lifestyle lift are often used and it is difficult for you that the patient knows what these terms mean. Then I to try to describe the variations in the procedure for lifting the hope of shedding light on this question for you.

The standard face lift

The standard face lift involves an incision around the ear and undermining attachments in bulk or the release of the most expensive facial skin. Once the skin is free to move back is pressed to a younger and more normal position in the face and removes excess skin around the ear area and closes the incision. This relatively simple operation can produce excellent results and has "taken the test time. Elements of the standard facelift is used in almost all elevation changes are listed below. The main difference is that the underlying "non-muscle aponeaurotic" tissues are always tight.

A common variation of cosmetic surgery is standard SMAS plication that is closer to deep layers with a point that in reality the split or eliminate some of the deeper layer of tissue. The standard face lift "cation SMAS" facelift is the most common, I do. Published document reports on the superiority and effectiveness of this technoique.

SMAS facelift

The SMAS facelift is dissected, and hardening of the deeper layer of tissue called the SMAS in addition to the standard dissection of the skin cosmetic surgery. This is done to provide additional side tightening and perhaps give a more lasting. Studies have cast doubt on whether the lifting of the SMAS provides a higher result, but most now face lifts day include some modifications to the SMAS.

The SMAS is synonymous with "superficial muscular aponeurotic system" and describes a firm fibrous tissue under the skin of the face which joins the facial skin to underlying muscles of the face. When this tissue is squeezed into a face tightening facelift more is achieved.

The traditional SMAS facelift is dissected and below the elevation of the SMAS layer, the party split of the surplus and suturing the SMAS layer to squeeze.

I get the same effect of "duplication" of the SMAS layer which means that not dissect under the bed, but to bend the layer itself with sutures to tighten the SMAS.

I do not dissect deep to the SMAS, because the facial nerves run below the SMAS and I fear that the invasion of the facial nerve. In my experience, healing provides the same results and is safer

Scope SMAS facelift

The range of elevation of the SMAS dissection more extensive SMAS layer in an attempt to get tougher over the skin of the face, especially around the mouth down. In my experience, I can obtain this patch, to weaken the skin and just doubling the SMAS.

I avoid extended SMAS face lift because I think the facial nerves are more exposed to injury this technique

The deep plane face lift

The deep plane facelift includes a more extensive dissection of the SMAS layer and some of the muscles occuli facial orbicularis. Proponents argue that a more effective correction of laxity and lower cheek and midface correction, especially around of the mouth. In the longer term results are presented and the technique is supposed to be safer for people who have smoked in the past.

Good results are obtained by the originator of this procedure, Dr. Sam Hamra and Texas. Others have increased the incidence of nerve damage. My own experience is that although excellent results are possible, some patients find undesirable change in the appearance of your mouth.

Some studies showed that the technique described above provides results SMAS tion top cosmetic.

Subperiosteal facelift

Cosmetic surgery involves subperiosteal undermining in the deepest layer of the face side of the bone. This technique is designed to enhance and strengthen the general lax soft tissues in the face. The theory holds that undermines the space next to the bones, deep to the nerves, also helps prevent nerve damage. However, the nerves may be damaged by deep dissection blind. The subperiosteal lift is a major operation and after my experience offers no advantage over the standard facelift with SMAS appeasement

The Lateral Brow Lift

The lateral brow lift is a modification of the face wash to treat lax and sagging of the upper third of the face, forehead and cheek foreign top. An incision is made in or on the hairline on the side of the forehead skin is undermined, tight, and the excess removed.

This technique can be effective if part or lateral potion of the brow and cheek above are lax. However, caution must be taken to prevent movement of the hair root and damage to the frontal branch of facial nerve, which, if they can cause injuries to the front to disappear.

Forehead Lift

The brow lift is a procedure rarely since the advent of Botox. The proper use of Botox can set more lenient against contraction caused by the muscles to frown and stretching corrected standard facial laxity of the forehead lateral brow more outside.

A forehead lift requires an incision inside or in line deployment across the width of the front. The results can be excellent if you are willing to accept the scar. One problem however is that for a frown muscles lasting result should be eliminated and this can cause permanent depression or contour deformity in the center of the face to frown. In the past the muscles gesture could be neutralized by an upper blepharoplasty incision eyelid, but again, Botox has made the operation unnecessary for most people that seek to correct the laxity of the middle of the front.

The face of the median or cheek Lift

A facelift or cheek lift half is designed to strengthen the cheeks and lips to help improve nasal fold lines. This is a modification of the lift involves an incision in the crease in the front of the upper ear stretch even in the hairline.

The lift of the cheek or mid-term cosmetic surgery is effective in people who have lax cheek and nose, lip lines, but have no laxity along the jawline and neck.

The elevator of the cheek or mid face lift is very popular among younger patients who have facial laxity principles in midface. SAG Cheek is often the first facial aging changes occur, and younger patients choose to have cheek lift or midface lift sagging facial before extending the neck and jaw occur.

The Neck Lift

The lifting of the neck is designed to bolster the sagging of the neck below the jaw and chin. The neck lift is a good option for younger patients who have only the loose skin under the chin and jaw.

In some cases, neck lift can be done through a small incision under the chin, which is well hidden. This procedure is also platysmaplasty called platysmaplasty or corset. In some cases, more relaxing the neck of a large incision behind the ear is also required.

The short scar face Lift

The Short Scar Face Lift describes a facelift done through an incision that runs just in front of the ear in the fold of skin. The incision behind the ear and above the ear at the root of the hair is prevented.

Some authors are very impressive results show an improvement in face and neck laxity of this technique. This procedure is effective for younger patients suffering from mid-face and neck less extensive front lax and loose. The incision is cosmetically less advantageous and should require less downtime and recovery.

The Mini Lift

A facelift or mini mini lift means many things to many people. Most times the mini lift term is used by patients who want cosmetic surgery but does not want call a facelift!

For me, a face lift procedure mini is smaller than the standard facelift and is useful in patients with early facial laxity in the cheek and jaw that extended neck laxity.

Normally I use a short scar or a scar on the top of the ear along the upper groove in the hairline.

The mini-lift or mini face lift is a less extensive and works well for younger patients and elderly patients with minimal laxity front.

Lifestyle Lift

I include the lifestyle lift here because many people ask me this. I only know what I read. Any training I have never done or seen a lifestyle adjournment. I have seen patients who claim to have had a lifestyle lift. As announced on lifestyle lifting is done without general anesthesia or intravenous sedation and the claim that the recovery is less a traditional face lift.

Non-Surgical Facelift

When most people use the term non-surgical face lift speak louder skin with different machines New skin tightening. Some abuse the term applied to large infusions of soft tissue filler

Technology last adjustment skin using radiofrequency energy or infrared energy to heat the deeper layers of the skin due to contraction and more strict, but first cools the skin before power is applied to prevent injury and ablation of superficial skin thermal energy. Thus, the skin becomes taut, but the surface is not removed, then lift nonablative skin. There is no downtime after non-ablative skin tightening, unlike the laser older CO2 resurfacing skin tightening.

Several new skin tightening machines are available. The LuxIR by Palomar and Cutera Titan using infrared energy for hardening of the skin. The Aluma by Lumenis and use energy infrared Thermage for skin tightening. Reasserted by Syneron uses a combination of light with radiofrequency energy to tighten the skin.

All machines achieve similar results when used correctly. In Overall, there is less discomfort with infrared skin tightening machines. Complications were minimal, although some serious complications occurred Thermage skin adjustment from the beginning.

In my practice I found that non-ablative skin tightening is more useful for younger patients who have changes severe aging and Sun mischief important people in their 30s and 40s who want to fix or adjust the principles of loose skin along the jaw line or area of the throat, neck and cheeks. LuxIR I use these large areas. By stretching the skin around the eyelids using the Aluma with a smaller head and a processing device suction will pull the delicate periocular skin in the treatment chamber of hardened skin.

The field of non-stretch ablative skin is in its infancy and, indeed, be more efficient in the coming years. Companies improve their products frequently. For now however, people that benefit most from the tight skin machines today are the guys that still have healthy skin thickness with early changes of aging.

The term non-surgical face lift skin tightening describe nonablative is an overestimation of the technology available for skin tightening in today. At best, a result of 30% is possible compared with a traditional facelift.

Results Oriented facelift

A facelift can create a truly beautiful and refreshing look to your face:

Important elements of a face lift results are beautiful:

* A smooth, firm neck and jaw
* Elevation is entirely in the cheek
* A look earlobe normal
* Hidden Scars
* The appearance of a normal "unoperated"
* Search "Like You" only younger

Surgery Aesthetics is one of the most beautiful of surgery I do. After 25 years in practice, usually achieve your desired outcome and is a joy for me share their joy and enthusiasm for her new look cooler.

The lifting of the face requires experience and skills and is a complex process that requires both artistic and a clear and common understanding of the images the last look you hope to achieve.

Your inquiry

When we met, I speak with you and ask you to explain the specific objectives of facial rejuvenation is expected to achieve. I will check and tell my findings and describe the areas where I think improvements can be made. I want to show the look on his face I think that cosmetic surgery you create in your face.

Therefore, we recommend the procedure I think it's best for you. I will discuss the procedure, recovery, and expectations and answer their questions. Face photos taken. We give you an estimate or quote the cost of the procedure. Financing plans available.

The cosmetic surgery procedure

I make several types of face lifts designed to meet your specific needs of your unique face.

Students complete facelift and businesses around the face and neck, including the side of the forehead, cheeks, jaw and neck. A neck lift only tightens the neck and lower jaw. A mid-face lift or lift the cheek clenches cheeks and nose labial folds. An upper face lift or forehead lift lifts the forehead and upper outer surface.

One side is a mini less extensive lift face lift, fillers, which is suitable for people who have minimal facial laxity and less need for adjustment of the face or Tuck. The mini lift is usually be appropriate for young people in their 30s and 40s, or those lucky people in their 50s and older who have very some relaxation of the face.

A good result adjustment for tightening facial skin and deeper tissues of the face of SAG with age. I deny the deep layers of the face, the SMAS face lift, which tightens the deeper muscles, such as the lining of the face. This is necessary to obtain a good result last. Axis Elevators that are advertised as being simple, fast and without time of inactivity usually removing the skin and often last just a few months. A well done SMAS should increase in recent years.

Vectors facelift

A very important concept in the side to lift the vector. The vector is the direction of thrust needed to lift my face to look younger and more attractive. The appropriate vehicle lift is suitable for your face and cosmetic surgery should enhance your face along the appropriate vehicle if it is the result desired.

When you see someone who has had a facelift and looks surprised, or seems too tight, unnatural, or like a weasel ", usually means that your surgeon will not face squeeze along the appropriate vector.

I always look at the face, determine the best vehicle in the most natural for the face and draw the vectors in the face before you mark my lines for my lift procedure face. This helps ensure a natural facelift.

Scars

Nobody wants the scars on his face and everyone is concerned about the cosmetic surgery scars.

They are usually scars cosmetic surgery is not visible to those around you. 75% of cosmetic surgery scar behind the ear or in the hairline, and people do not see unless you watch close to you and us to them. If your hairdresser knows, but he / she is probably the only person other than your partner.

The scar is 25% in a prominent place is also hidden. This scar is placed in the dual against your ear. Usually not visible and is easily covered by makeup.

Your ears

In my opinion, the worst sign of a bad face lift by an inexperienced surgeon is the ear "Spock" or "elf ear" deformity ". This happens when the ear lobe merges with the cheek and fired at the place where it seems that the ear is attached to the angle of the jaw.

I have developed a specific technique for creating a normal ear lobe after a facelift check my photos will not see Spock ear.

Pre OP

The preoperative visit is when we sit down and clearly define their goals lift. We talk about what you hope to achieve and what I believe I can achieve with your washing face. I'll try to give an honest view of what to expect results.

It will also be a history and physical examination to ensure they are healthy and have no medication allergies or contraindications to surgery. An ECG (electrocardiogram) can do if you have a history of heart problems or have reached a certain age. Will also be given a prescription for medication postoperatively. Will also be asked to read and sign surgical consent forms that describe the risks, potential complications, limitations and expectations of the facelift surgery.

Operation

With full face and neck at the SMAS usually takes me about 90 minutes to 2 hours. If I am the eyelid rejuvenation or blepharoplasty 4 covers the same transaction, as is often the case, the operation may take 3 hours. Mini lifts, cheek and neck lifts usually have only one hour.

You are asleep during surgery. I have lots of experience anesthesiologists excellent care of you. Safety is our first concern. We use modern techniques and anesthesia very safe and take precautions to avoid nausea after surgery.

After surgery, you go to the recovery room where a nurse will care for and make sure it is comfortable.

Some patients prefer the comfort of a night in hospital. In this case, I will review the next morning, remove two drains behind the ear, remove the bandage and not a shower and comb his hair, and then dump you. When you go home you put a small head scarf and a pair of sunglasses often hides the fact who underwent surgery.

For those of you who want to go home the same day after surgery, you will spend approximately 2 hours in the recovery room with a nurse taking care of you. Once you feel comfortable, able to drink and eat soft foods such as crackers or cookies, and able to go to the bathroom will be free. The nurse will accompany you in a wheelchair to his car.

We need someone to bring you the surgery center and take her home and that someone stay with you the first night after surgery.

Post-Op What to Expect

My patients do not always complain of pain after surgery aesthetics. Your face and neck are tense, which means I've done my job properly. After a few days, the feeling of tension as a handkerchief disappear Disposable relax. If you had a blepharoplasty for eyelid rejuvenation, has bags of ice in your eyes to reduce swelling and bruising.

I put a bandage around his face that stands out the next day and that from May to shower and wash your hair the first day after surgery. They usually have a drain little behind each ear, who is retiring after the first day of surgery.

Bruises on the face is unusual bruising usually occurs when in the neck and chest and is usually minimal and easily covered makeup.

Usually after 1 to 2 weeks, you will feel comfortable being seen in public and return to most normal activities. I ask you to wait 3 weeks before heavy lifting or work out aggressive.

I have taken a charge based herb called Arnica Montana before and after surgery to reduce bruising. I cover also excellent mineral make-up to cover wounds visible.

Consultation with Dr Seckel

I can tell a lot about cosmetic surgery and how it would work for you if I see you in person. Call 978-844-3116 or contact me contact me by email drseckel@saveyourface.com. If you want to email me your photos I can mail you my thoughts on how I think a facelift to work for you. For more information on cosmetic surgery read my blogs cosmetic surgery.

I hope to meet you.

About the author:

Dr. R. Brooke Seckel is nationally and internationally authority on plastic surgery and treatment of facial aging. It performs all types of cosmetic facial plastic surgery and breast cancer, but their individual interest is resident in the area of non-invasive, non surgical to correct and prevent facial aging.
Dr. Seckel was founder and director Lahey Center for Cosmetic Surgery and Lexington, Massachusetts. It was also the founder and first chairman of the Department of Plastic Surgery Lahey Clinic in Burlington, Massachusetts, a large hospital in several specialty practice group in the Boston area. Lahey Clinic At Lahey Clinic he founded Residency Program in Plastic Surgery, Plastic Surgery and Research Laboratory where he conducted research in basic sciences in the regeneration of nerve tissue regeneration of the spinal cord and the interactions laser.
He is certified by the American Board of Plastic Surgery, the American Board of Neurology and the American Board of Emergency Medicine. He is a member of the American Society for Aesthetic Plastic Surgery, the American Society of Plastic Surgeons, the Latin Association of Plastic Surgeons is an assistant professor of surgery at Harvard Medical School, and was recently chosen as one of "Best Doctors in America" Best Doctors ® Inc. Boston Magazine also has recognized Dr. Brooke Seckel as one of the "Best Doctors in Boston" in 2006.
Dr. Seckel has published over 100 scientific papers in the field plastic surgery and authored the first book on cosmetic laser surgery in 1995 entitled "Cosmetic Laser Surgery. He also published, Facial danger zones, a book devoted to teaching surgeons how to perform facial surgery safely without damaging the facial nerve.
More recently, Dr. Seckel published Save Your Face - The Revolutionary 6-step non-surgical rejuvenation of the face negotiation, in language easy to understand the causes and prevention of facial aging, and non-revolutionary surgical methods for facial rejuvenation.
Dr Seckel maintains an active practice of plastic surgery in the Boston area. He is a member of staff of the Lahey Clinic and Emerson Hospital and maintains an office at Emerson Hospital in Concord, Massachusetts. He lives in Concord and father of two children. In his spare time he likes sailing on Cape Cod, woodworking, building furniture, restoring his old home and running with your pastor German, Griffin.

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