I am 58 years old and my wife had a facelift 3 years ago
Posted March 10, 2010 8:57 AM in Facelift

Question:
I am 58 years old and my wife had a facelift 3 years ago.  She looks great, and now I am thinking of having the surgery.  How does the male facelift surgery differ from those performed on females?

Answer:
One issue to consider is the design of the incision.  Your wife had a post-tragal incision, meaning the incision was hidden within the natural contours of the ear.  In a male, if this same incision is used, it may result in repositioning of your beard very close to the cartilage of the ear.  If this occurs, laser hair reduction procedures may be of interest to you.  However, if you have a skin crease in front of the ear, then this crease may be an excellent place for the incision; this will result in a well hidden, pre-tragal incision, and your beard will remain in a natural position.  The other issue to consider is fact that men may have a higher incidence of blood collecting beneath the skin; this is referred to as a hematoma.  Therefore, it is important for us to make certain that we minimize potential risks for hematoms, such as high blood pressure, use of aspirin and ibuprofen, prior to surgery.  As well, I place drains to evaluate fluid collections beneath the skin for all male patients undergoing facelift surgery.


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I understand that for a facelift there will be stitches placed after the surgery to hold the skin in place
Posted March 02, 2010 3:41 PM in Facelift

Question:
I understand that for a facelift there will be stitches placed after the surgery to hold the skin in place. Do these stitches need to be removed by the doctor? How soon after my surgery will I go back for an appointment?

Answer:
I see all my patients the following day after a facelift. I usually place drains to evacuate any fluid collection that may tend to collect underneath the skin; I remove these drains on the 2nd or 3rd day after surgery. Although the majority of the skin sutures I use in facelift surgery are dissolvable, I do remove the sutures one week after surgery.


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Choosing between Botox and a Facelift
Posted February 23, 2010 2:34 PM in Facelift

Question:
What is the difference between getting Botox and having a facelift? Which one is better for wrinkles and sagging in the facial skin?

Answer:
Botox minimizes the appearance of lines formed from muscle activity, such as frown lines, forehead creases, and crow's feet. Botox is performed in the office. It takes approximately 4-7 days to show effect and lasts approximately 4-6 months. A facelift is a surgical procedure that repositions skin and soft tissue into a more youthful orientation. A facelift repositions jowls, refines the neckline, and provides a more youthful contour to the jawline.


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Plastic surgery consultation details
Posted February 22, 2010 10:33 AM in Facelift

Question:
What happens during a facelift consultation? Is there a chance my doctor will tell me not to have the surgery?

Answer:
The first part of the consultation includes a skin care analysis and introduction to our practice. Then, I meet with you and discuss your desires. I examine the areas of concern. I review my findings with you and make recommendations. Sometimes, patients think they would benefit from a facelift. While a facelift procedure is an excellent one that can produce fabulous results in the right patient, I determine with you whether it is your best option. Some patients might not be in good overall health to undergo a facelift procedure. Others may benefit from less invasive procedures, such as skin tightening with a laser device (such as Sciton's SkinTyte) or alternate facial plastic surgical procedures, such as a submentoplasty.


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