Updated Concepts in Facelifts
There has been a traditional stigma associated with facelifts. Patients rightly have a natural aversion to a tight, pulled or unusual looking facelift result. “We have all seen some very unnatural looking results in even some of the most famous celebrities, said Yadro Ducic, M.D., FACS.
“The goal of facelift surgery should be to reverse some of the signs of aging,” he continued. “When there is sagging of jowls, flattening of cheeks and neck laxity, that all can be helped by this surgery. Our goal is to improve but not erase these signs of aging. When we try to erase them is when we are left with a very ‘done’ look.” The goal of plastic surgery should be to look fresher, more youthful, better rested. Some laxity is not only fine, it is desirable.
Dr. Ducic explained the various types of facelifting techniques available.
“The basic distinction has to do with the extent of dissection and the depth of dissection. In general terms, the more extensive and deeper the dissection, the more natural, longer-lasting the results. These more extensive dissection techniques are also associated with more down time,” So called “mini-lifts” involve simple skin repositioning in a limited fashion. This is useful in patients that have only small amounts of sagging and are thin. Downtime is minimal; results are generally not as long lasting. Deep plane facelifts are generally recommended for patients with more significant signs of aging. “Here, recovery may take two to three weeks,” he said. The results tent to be much more natural and long-lasting.
Adjunctive techniques should always be considered in facelift patients. Fat grafting in the central face, liposuction of the neck and lip lift/augmentation procedures are often complementary to standard facelift techniques and can have dramatic effects when combined.
Dr. Ducic has authored articles on facelifting and mid face lifting techniques and would welcome the opportunity to help you evaluate which technique is best suited for you.
Dr. Yadro Ducic is the medical director of the Center for Aesthetic Surgery in Colleyville, Texas. He is certified in both Facial Plastic Surgery and in Otolaryngology-Head and Neck Surgery. Book a consultation today.