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• Facial Rejuvenation

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Facial Rejuvenation

Face and neck lifting are usually part of the same procedure, but are tailored to the patient’s need; each person will need some combination, with more or less tightening in either the lower face or neck. The patient coming for consultation typically has already spent time in front of the mirror at home, using the fingers to tighten the skin and observe the results.

This procedure is a major undertaking, with incisions in front of and behind the ears, so that the skin can be elevated down to the corners of the mouth. We usually remodel the superficial layers of the facial musculature at the same time, much like making up a bed. This produces a more complete and longer-lasting facelift, in our experience. We are also addressing the midface on more patients now, either through the lower eyelid incision used for blepharoplasty (eyelid-lift) or using that incision solely for the purpose of lifting the midface. This additional work increases the facelift benefits to the folds alongside the nose and upper lip.

Another area we are addressing more commonly now is the forehead. In the past, when we had to make a long incision across the top of the head from ear to ear, this required more time in surgery and for recovery, We now use an endoscope, a device like general surgeons use to remove the gall bladder, so that minimal incisions can be made. Usually this consists of three vertical scars, each about ½ inch in length, located just at the hairline of the forehead. This allows us to remove a portion of the frown muscles if needed, and reposition sagging eyebrows to a more youthful location.

 

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