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So much of modern plastic surgery is marketing. In fact, there is no instruction manual for name-brand procedures like the “lunchtime lift”, “ponytail lift”, and “vertical restore” facelift. And what is a “mid facelift” anyway? Indeed, Dr. Zelken has been trying for years to come up with a name for his combined FaceTite, facial liposuction, and buccal fat pad reduction procedure. A cute nickname like “the Newport Trifecta Lift”, or the “Orange County Refresh” could go so far, right? But Dr. Zelken values transparency so that patients desires and understanding, and Dr. Zelken’s offerings match appropriately. At the Zelken Institute for Aesthetic Medicine, the most commonly performed procedures in combination are: buccal fat pad reduction, radiofrequency skin tightening, and liposculpture of the lower face and neck. Within these doors, we call it the “buccal fat face tight combo”. In fact, this combination is so prevalent that the surgical team composes a well-orchestrated symphony, of sorts, every time we perform this combination of intertwined procedures. Ultimately, precise timing and well-tuned strategy allows for optimal patient comfort and surgical efficiency. It ensures is that specific areas are fully numbed at the right times and allows patients to overcome psychological hurdles through a stepwise and deliberate sequence of events. ACT I – Preop planning and guidance 1. Mark 2. Sedate 3. Nerve blocks and buccal numbing ACT II – Surgery 1. Prep and monitor setup 2. Numb the beard distribution 3. Buccal fat removal/reduction 4. Radiofrequency skin tightening 5. Facial liposculpture 6. Compression garment fabrication ACT III- Postoperative management 1. 3 days of nonstop compression 2. 6 weeks of intermittent compression 3. Photos The average amount of time this combination of procedures requires is 1 hour 30 minutes. Although challenges may arise, and the procedure may take longer, seldom do cases exceed 2 hours. In fact, many patients ask: “are we already done?” Most patients choose to perform this combination of procedures awake, though we offer the procedure under general anesthesia as well. If you are choosing to do the procedure awake, we offer an oral sedative and narcotic pain medication cocktail. Downtime for this combination is typically 7-10 days to look “normal-ish”, two weeks to look “back to normal”, two months to start looking good; the FINAL result can take 6-12 months or even longer. #plasticsurgery #buccalfatremoval #facetite #beauty #news #contour #facial