September 5, 2011

What should I expect with my facelift surgery?

Facelift surgery is the most powerful of facial cosmetic surgeries you can undergo.  Although we say it in practically every blog entry, in this instance it is more true than ever; choose a doctor who is experienced, up-to-date on the latest techniques, and skilled at performing facelifts.  The procedure for facelift has changed significantly in recent years.  What is clear is that there is not added benefit for the higher risk, deep plane facelift.

When it comes to choosing the best facelift for you, there is no right answer as to which method is the most effective, natural looking, or successful.  A customized treatment plan, established by you and your doctor and based on your features and desires will significantly influence the outcome of your procedure.   A facelift will always be a procedure of intelligent choices.

Where is surgery commonly performed and what type of anesthesia?

Typically facelift surgery is an outpatient procedure, but overnight stays may be recommended after deep sedation or general anesthesia.  For certain individuals, your doctor can perform your facelift in the office, while you are awake and under local anesthesia.  But for most, general anesthesia or deep sedation is the best choice.  For cases requiring deep sedation and general anesthesia, Dr. Steinsapir performs surgery at the UCLA Ronald Reagan Medical Center and usually recommends an overnight stay at the surgery center.

Recovery and physical restrictions

A facelift takes approximately four hours. Usually there is minimal discomfort afterward; managed with either over-the-counter or prescription pain medications.  You may experience moderate swelling around the eyelids and other areas of the face, but this is normal and is not cause for concern.  Most find taking 7-10 days off from work about right.   This time frame can depend on the precise nature of you work.

Common complications after surgery

Facelift surgeries performed by a skilled and experienced surgeon rarely have complications.  The deep plane facelift mobilizes the tissue under the facial muscles and can injure these motor nerves causing facial weakness. The incidence is small but not zero.  The risk amounts to only a very small percentage of individuals who receive this treatment experiencing this complication, but there is just no reason to risk this nerve damage when other methods of facelifts are available.  In fact, there is essentially no cosmetic benefit to the deep plane facelift compared to other lifting methods. Other complications can include significant bruising and very rarely infection.

The time frame before full recovery

Recovery periods for facelift procedures vary greatly depending on the type of facelift surgery your physician and you decide on.  Typically however, you can expect to return to work after 6 to 10 days.  After 2-3 weeks, others are unlikely to detect that you just had surgery.  Facelifts are not considered fully healed until about 6 months after.  Once you have recovered fully, the results of surgery are very long term.

About Dr. Steinsapir

Dr. Steinsapir is on active staff at the UCLA Hospital and Medical Center at the David Geffen School of Medicine as an associate clinical professor of Ophthalmology in the Division of Orbital and Ophthalmic Plastic Surgery. UCLA is consistently rated the best hospital in the West and ranked at the top with a handful of medical centers in the United States. Many surgeries are performed on an outpatient basis at the Surgery Center at the UCLA Medical Center.  Dr. Steinsapir addresses a broad array of oculofacial reconstructive concerns.  Contact us today to schedule a personal consultation with Dr. Steinsapir.

February 21, 2010

I am thinking about getting neck liposuction.

Neck liposuction can be a great sculpting tool for those who hold excess fat in their necks that doesn’t go away with dieting and exercise.  Liposuction is a powerful sculpting procedure for those who seek firming of the lower face and neck.  Liposuction in these areas is an easy, powerful alternative to facelift, and it compliments the facelift for those who opt for both.  While excess weight does show up in the face, if you have already dieted and still cannot resolve this problem area then you may be a great candidate for neck liposuction.

Neck Liposuction Before and After Photo

Neck Liposuction Before and After Photo

In general, liposuction targets stubborn problem areas that persist in spite of a healthy lifestyle.  Any liposuction, including face and neck liposuction, will not change your weight.  Rather, the contour of your body will improve through sculpting.  Because we so often show even small fluctuations of weight in our faces, your friends will assume that you’ve lost weight after your neck and lower face liposuction procedure.  The benefits are double: neck liposuction will improve the aesthetic appeal of your face, and the improved contour will suggest a slimmer new you even though your weight hasn’t changed.  More important you will look younger because fullness of the lower half of the face is associated with aging.  Improving the contour can easily make one look 10 years younger.

Who needs neck liposuction?

The best candidates for lower face and neck liposuction are those who:

1.    Are looking for a younger, fresher look without undergoing a face lift..
2.    Have stable weight with sufficient fullness in the lower face and neck.
3.    Have minimal or no neck cords.

The lower face and neck responds very well to liposuction.  This includes the  area under the chin. Because our brains are programmed for facial recognition, even small changes in and around the face make a large difference in how people perceive you.  When you remove excess fat from the lower face and neck, your friends will probably think immediately think that you have lost weight.  In addition, you will look younger because this procedure creates better visual separation between the lower face and neck that is associated with youth.

Liposuction skin tightening
is a common benefit in this area as well. Skin with proper tension is a feature of a youthful face.  The liposuction procedure appears to stimulate contraction of skin effectively preventing skin sag after the liposuction procedure.

Is neck liposuction safe?


Neck liposuction complications
are unusual, especially when performed under local anesthesia.   Yes this procedure can be performed in an office procedure room with you awake and alert.  That is how comfortable the procedure is.  There is often no bruising associated with the procedure.  Many find that they can have the procedure on a Thursday and return to work on Monday and no one is aware that they had surgery.

The safest kind of liposuction, called tumescent liposuction, is performed under local anesthesia using very small cannulas to remove the fat.  In a review of 66,570 cases of tumescent liposuction, there were no serious health issues.  These impressive results indicate tumescent liposuction safety.  This procedure takes your cosmetic surgeon more time to perform, as it requires meticulous attention and the gentlest hand, resulting in detail-oriented contour improvement.  Recovery is swift;  recovery from, tumescent liposuction recovery time is only a few days.  It is worth repeating that you can receive the procedure Thursday morning and return to work Monday without anyone noticing a change.  At first neck liposuction swelling will replace the removed fat.  As this swelling decreases, your improved contour will become evident and people will assume you have lost weight.  The gradual yet definite change you see here makes tumescent neck liposuction a fantastic option for those who don’t want anyone to guess that they’ve had work done.

Choosing a Liposuction Doctor

The face is a dynamic and sensitive part of the body that requires the hand of an artistic doctor as much as a skilled one.  Research doctors and find one who makes sense to you and takes the time to determine the best individualized treatment program for your needs.  Be suspicious of doctors who prefer to perform liposuction under general anesthesia.  Unless you have unusual circumstances that require general anesthesia is better in your unique case, local anesthesia is the way to go.  Don’t just have general anesthesia because your surgeon likes to flirt with the nursing staff during surgery and he or she doesn’t want you to be aware of this banter. Avoiding general anesthesia means far fewer drugs for your system to deal with.  It just make sense that this is much safer than all the drugs and invasive procedures needed for general anesthesia and medical studies support this conclusion.

Dr. Steinsapir
only performs tumescent liposuction because of its superior results and fast, comfortable recovery time.  If you have questions about how lower face and neck liposuction can help you, or whether you are a good candidate please call us today for a no-risk consultation.