Improve the visible signs of aging on the face and neck: A facelift, or rhytidectomy, is a surgical procedure that includes endoscopic, minimally-invasive, or short incision techniques depending on the patient’s needs. Most patients are reassured to learn that a facelift will not change their basic appearance, but will simply restore them to a younger version of themselves that will continue to age naturally over time.
Before and After Photos
Besides facial descent and volume loss, many people are concerned with sagging and loose skin around the neck. In most instances, we use a combination of tightening of the neck muscles and removal of excess neck skin as well as liposuction, which removes unwanted fatty deposits. This sculpts the neck and gives it a nicely contoured and young appearance. All incisions are carefully designed to keep them well hidden and imperceptible.
Other procedures commonly performed with a face and neck lift are the brow or forehead lift, which elevates the heaviness and sagging as well as the deep furrows of the brow and forehead; eyelid surgery to rejuvenate aging eyes; and procedures that address facial skin tone, texture, and pore size; such as laser facials and laser to eliminate facial blood vessels and brown spots.
In many instances, the use of Sculptra or other means of volume restoration such as fat transfer will further extend the longevity of a facelift even when performed several years after the initial facelift.
Fat transfer is often used in conjunction with mid facelift both in endoscopic or traditional techniques. The fat grafting improves the volume loss caused by aging that a simple repositioning of the cheek tissues will not address.
Endoscopic Mid Facelift
Raise your cheeks and mid-face for a more youthful look: In youth we have a shorter distance between the lower eyelash line and the mid-cheek. With time and gravity the mid-cheek descends, hence often a mid-face vertical lift procedure – usually done in the subperiosteal plane (deep plane) repositions the cheek and mid-face. This improves both the mid-facial descent as well as the lower eyelid hollows.
If the lower eyelid skin laxity needs to be addressed at the time of a mid-facelift, then an eyelash incision is made to correct both the position of the mid-face as well as the excess lower eyelid. This incision heals without visible scars.
In patients where the lower eyelid does not need to be surgically addressed, an endoscopic approach alone is used to reposition the cheek and mid-face. The incisions are hidden within the temporal hairline and a counter incision is made inside the mouth to assist in easy repositioning of the mid cheek and face.
The unique advantage of this approach is that the incisions are tiny and hidden in the hair line and there is minimal numbness or bruising if at all. In general, the recovery is faster in an endoscopic mid-facelift than in the traditional face and neck lift. However, the swelling at the mid-cheeks persists somewhat longer than in the traditional approach.