The face usually portrays the first visible signs of aging. Both gravity and diminished volume result in the facial features of aging. Most patients requesting evaluation for facelift feel that their facial features do not reflect their youthful spirit and energy level. They are looking for ways to refresh and rejuvenate their appearance. There are many different variations of the facelift procedure that smooth the skin of the face and neck, tighten the underlying tissues and muscle, and remove excess skin. Ultimately, the facelift will allow you to turn back the hands of time to better reflect your youthful spirit.
How will Dr. Feinberg evaluate me for a facelift?
During the pre-operative consultation Dr. Feinberg will perform a history and physical examination. During your physical examination, your facial bone structure, underlying skin structure, skin thickness, texture, and elasticity as well as the extent of facial wrinkles and folds will be assessed. This information will be used to formulate a surgical plan and the goals of the procedure will be discussed. Generally, a facelift is a very versatile procedure and Dr. Feinberg will select the surgical technique that he feels will obtain the best outcome for you. At times Dr. Feinberg may recommend injectable fillers to correct lesser degrees of facial aging . In more advanced situations surgery is the best and most effective option.
How is a facelift performed?
The facelift procedure continues to evolve. Over the years, the procedure has changed from simple skin lifting to more effective deep plane lifting techniques. Today, many different techniques exist, with outcomes that are consistently reliable and durable. Dr. Feinberg will individualize the procedure to best correct the aging issues in a very natural appearing way. The facelift procedure usually involves incisions in front of and behind the ear. The incisions may extend into the scalp. Once the incisions are made, various degrees of undermining of the skin are performed, and the deeper layers of the face are ‘lifted’. Muscle tightening as well as liposuction of the neck and jowls may be performed, and excess skin is either removed or repositioned. Your own fatty tissues may be harvested and utilized to restore volume. The results are a reversal of the effects of gravity and tightening of soft tissues of the face to restore a more youthful contour to the face.
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Plastic surgeons usually recommend that patients wait until they are at least 14 or 15, and possibly older for boys, before undergoing rhinoplasty. This is because the nose may not be fully developed at a younger age. If you are a teen, your plastic surgeon will want to be certain that you have thought carefully about surgery and that the desire to change your appearance is based on your own feelings rather than those of your parents or friends.
Assuming you are in good health, there is no upper age limit for having your nose reshaped. Rhinoplasty is sometimes performed in conjunction with a facelift or other surgery to correct aging changes of the nose such as a drooping tip.
Sometimes certain breathing problems related to the internal nasal structures can be corrected at the same time as nose reshaping is performed. Dr. Feinberg will be able to help you determine whether these structures should be modified along with reshaping your nose. At times he may suggest chin augmentation in conjunction with rhinoplasty to optimize the aesthetic outcome.
Your Personal Consultation
During the initial consultation, you may be asked to look in a mirror and point out exactly what you would like to see improved. Photos of noses you like and even those you dislike can help Dr. Feinberg to understand your expectations and determine whether they can realistically be achieved.
Am I a good candidate for rhinoplasty?
Some of the indications that you may be a good candidate for rhinoplasty are:
- your nose appears too large for your face
- there is a bump on the nasal bridge when viewed in profile
- your nose seems too wide when viewed from the front
- the nasal tip droops or plunges
- the tip is thickened or enlarged
- your nostrils are excessively flared
- your nose is off-center or crooked
- previous injury has made your nose asymmetrical
It is important that you have a clear idea of how you would like your nose to look and, at the same time, realize that there are limitations to the procedure. Patients with sufficient physical and emotional maturity who undergo rhinoplasty because they want to enhance their self-image are usually very satisfied with their decision.
Copyright © 2013 ASAPS
To learn more about Face Procedures or to make an appointment, call us at 516-869-6200.