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So You are Thinking About a Facelift

Posted December 05, 2018 in Facelift, Plastic Surgery

So You are Thinking About a Facelift

There are many opinions among Plastic Surgeons as well as patients as to what is the best technique, and what is the result desired with a facelift. The techniques are not the same nor are the results. Facelifts have come a long way over the years. Even the so called experts in the society are scaling back there aggressive ways calling for more natural results.

The facelift incisions have gotten shorter, the skin is pulled less tight, and the tightening occurs under the skin allowing for longer lasting natural results. There are still the “lunchtime, no downtime, mini lifts out there. Buyer beware as little procedures give little results. You spend a lot, and probably could have achieved the same result with injectables, laser treatments or peels at a much lower cost.

I perform a SMAS lift, which entails usually a short scar at the temple so that the sideburn is not pulled up like the old days, goes behind the tragus (bump just in front of the opening of the ear), and up behind the ear into the hair line to be hidden. The fascial layer called the SMAS is lifted and tightened so that the skin does not have to be pulled tight giving that windblown look. Healing takes about 7-10 days normally. I don’t want to turn back the clock to the teenage years, but a natural look that does not look done is the goal.

I do not believe nor do most of the plastic surgeons in the society, in the deep plane procedure. Some do like it , but I believe that the results are better, and with less risk of nerve injury. Many studies have shown similar results with either technique, but the face always looks different to me with the deep plane, like a different person.

So why do so many stars in Hollywood look so unnaturally tight? Maybe the actress is trying to prolong her career, or the surgeon went too tight. There are a lot of good results out there, you just need to do your homework and be careful. Look in the mirror, pull the cheek, jowl and neck skin back to the point that looks good to you. Now pull a little tighter, is that what you really want to look like? I prefer and tell patients that I want them to be able to walk into a restaurant, and look great, natural, so “no one but your hairdresser knows for sure”. Your significant other if with you will be smiling to have someone look so good on their arm, just like you looked 10-15 years earlier.

Call the office for an appointment to find out more. 203-899-0000.

Rick Rosen, MD, FACS

91 East Avenue
Norwalk, CT 06851

Phone: 203.899.0000

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