How a Facelift Treats "Marionette Lines" and Clarifying Facelift Incision Lengths скачать в хорошем качестве

How a Facelift Treats "Marionette Lines" and Clarifying Facelift Incision Lengths

A 49-year-old woman has marionette lines. She visited two doctors who both have different opinions as to how and where the incisions of a facelift should be done. Dr. Amiya Prasad is a cosmetic oculofacial plastic surgeon, a member of the American Society of Oculofacial Plastic Reconstructive Surgery and is board certified by the American Board of Cosmetic Surgery in full body cosmetic surgery. He does a lot facelifts and has seen over the 20 years of practice in both Manhattan and Long Island an evolution and a lot of variability of the way facelifts are performed. Much of the surgeon’s decision on which is the best approach for the patient is based on physical examination and communication between the patient and the doctor. In the mid-2000s, a lot of short-scar, quick recovery facelifts came into popularity. It was a time when the field of cosmetic surgery expanded exponentially reaching a larger number of people who wanted these procedures and also wanted affordability. Unfortunately, a popular chain of practice that did a lot of facelifts closed their doors recently because they misrepresented the type of surgery they were offering in their centers. They were advertising extensive facelifts and neck lifts that showed beautiful results, but what they actually delivered were limited procedures at high volume with low prices, which was really a formula for ultimate failure. Dr. Prasad learned over that time that even when a surgeon does a very good job, patients want the best results possible. The procedure that is right for the patient is based on what they are willing to tolerate, afford and expect. Dr. Prasad thinks that the doctor who wanted to make the incision further back behind the ear may perceive that this woman wanted a much tighter neck. When he defines face lifting in his practice, it is a procedure that elevates the cheeks, the jawline, the jowls and the upper part of the neck. A face and neck lift is different with an incision at the back of the ear that also involves the lower part of the neck if there’s a lot of laxity. This is usually done in people who are older. Most people believe that a smaller incision meant lesser surgery. Reality is a surgeon can do a lot of surgery with a smaller incision. The limitation of a smaller incision is the amount of mobility that can be achieved and the amount of skin that can be dealt with. Dr. Prasad’s youngest patient for face lifting was 37-years-old and even people who do not have much skin end up having extensive incisions as part of the lifting procedure. This is because the surgeon does not only address the skin, as much of the procedure deals with a layer under the skin called the SMAS or superficial musculo aponeurotic system. He has also seen patients who had extensive long incisions and they still have a lot of neck laxity because the extent of the procedure was not as much as the extent of the incision. Facelift surgery needs a lot of finesse and two surgeons may get similar results but have different incision styles. Dr. Prasad recommends that this woman meet with those doctors and get a better explanation as to what she will anticipate. She must also understand what level of improvement will be satisfactory for her. For most of Dr. Prasad’s patients who are in her age range, usually a facelift is what he ends up doing because patients are satisfied with the improvement of the mesolabial folds, the jawline and the definition of the neck. Most of the time, they don’t have that much extra skin and it doesn’t justify to have a more extensive incision behind the hairline. If a patient has considerable extra skin, then it does justify just going behind the ear a certain amount. She must remember that no matter how many doctors she will ask, she will always get different opinions. She ultimately must find the doctor she’s comfortable with and move forward from there.