Facelift

From Face to Breast to Body: Understanding Aesthetic Surgery

Understanding Aesthetic SurgeryThere is a deep and rich science related to the understanding of the origins, importance, and impact of physical appearance on our lives. Research tells us that as human beings our appearance not only plays a role in how we view ourselves, but it also plays a role in our interaction with the world. Therefore, it is not surprising that in addition to grooming, makeup, and exercise, cosmetic procedures and surgeries have become a popular option to millions of women and men every year.

Although we don’t consciously think of beauty in this way, science teaches us that there are four primary ways in which we care about our appearance. They are youthfulness, symmetry, gender, and normal development. If we think in these terms, it becomes easy to understand that aesthetic surgery of the face, breasts, or body is similar and follows similar patterns.

For instance, as we age our skin and soft tissues loose tone and elasticity. In the face we see it with loose skin, the development of wrinkles, and by tissue drooping. These same kinds of changes can also lead to drooping of the breasts, abdominal skin, and bottom. The most common way to reverse these changes is to “lift” loose tissues. “Lifting” can actually mean pulling up an area, but it can also mean tightening the area by removing some of the loose skin and tissue, so that what is left is pulled tighter. Lifting is a common technique that is used in the face (think brow lift, eyelid lift, or neck lift), breasts (breast lift), and body (think body lifts – tummy tucks, thigh lifts, buttock lifts). Pulled tighter, the lifted area looks more youthful to us.

Youthfulness also correlates with a more fit, athletic appearance, so it is not surprising that fatty deposits bother us, whether it is under the chin, in the “bra roll” area adjacent to the breasts, or on our tummies or thighs. When we can’t fix these areas in the gym, perhaps we can help them with a surgical procedure to remove the unwanted bulge. In a similar way, fat in the right places and the right amounts is a sign of youthful vigor. A full face, full breasts (in a female), and full buttocks are all healthy and are considered to be of youthful, if not too full. With aging and changes in weight, these areas can look either too full or too deflated, so taking away tissue (e.g. liposuction) or adding tissue (e.g. fat grafts) can be used to create more desirable proportions, regardless of the part of the body.

Symmetry is also very important to our concept of attractiveness. Most of us are aware that we may have one foot or hand that is bigger than the other, but other areas such as the face, breast, or body can also demonstrate asymmetry. If one side of our face is smaller than the other, we might seek to correct this with fillers to create more balance. Or if one brow is lower than the other, we might try to correct this with Botox® injections or a brow® lift. Breast asymmetry can be particularly concerning to women, and fortunately this can often be addressed when performing a breast cosmetic procedure. If a patient is interested in increasing the size of the breasts with breast augmentation, size asymmetry can be corrected by putting a larger implant on the side that was initially smaller. If a patient wants breast reduction or to reduce her breast size, the larger side can be reduced more. If the asymmetry is in the form of one breast lower than the other, the lower breast can be lifted more. In the same way, if one thigh is bigger than the other, more liposuction can be done on the larger side. At the extremes, very significant differences in breast size, position, or contour can relate to problems with normal development, so correction in these situations can be particularly rewarding to patients.

Gender is a further key aspect of how we assess our appearances. Men want to look and appear as attractive men, and women want to look and appear as attractive women. Gender differences naturally occur in all areas of our bodies. For instance, in the face men naturally have heavier and lower brows, while women naturally have finer, more delicate and higher brows. Women often address the brows by selective plucking to shape and refine, and a brow lift can restore normal brow height. These characteristics, however, also help guide us as surgeons to what we may want to avoid. In a man who wants to lift his brows to reverse the drooping of aging, we need to be careful not to elevate the brows too much as this creates an overly feminized appearance. In men, the development of a feminizing appearance to the breasts is particularly unsettling, and at the same time is quite common, especially with aging. This development – known as gynecomastia – can be successfully treated by liposuction in most cases. Your surgeon must remain aware of gender differences when contouring your body as well. Too straight of a waist in a female tends to look a bit masculine, while to much “curve” looks feminine on a man.

As you can see, aesthetics of the face, breast, and body follow many of the same patterns, and a lot of the same strategies are used from area to area. Let the Emory Aesthetic Center help you think through your particular concerns and develop a plan that is tailored specifically to your desires and needs.

About Dr. Eaves

Felmont Eaves, MDDr. Eaves recently returned to Atlanta, Georgia, to head the Emory Aesthetic Center as Medical Director, having previously completed his plastic surgery residency as well as a fellowship in endoscopic and minimally invasive plastic surgery at Emory University, The Emory Clinic, and associated hospitals. Before joining the Emory Aesthetic Center, Dr. Eaves was a partner in Charlotte Plastic Surgery for more than fifteen years and served as group president from 2010-2012.

His professional and institutional committee memberships and offices include an impressive list of national, international and local plastic surgery organizations, societies, boards, task forces, advisory councils, coalitions and foundations, including having served as President of the American Society for Aesthetic Plastic Surgery (ASAPS) from 2010-2011 and Trustee (2011-Present).

Dr. Eaves’ primary areas of academic inquiry have been in minimally-invasive and endoscopic aesthetic surgery, patient safety, system and process improvement in plastic surgery, evidence-based medicine applied to plastic surgery and recontouring surgery after massive weight loss. He has received several patents for new medical devices he developed, and has made major clinical service contributions to his field. Dr. Eaves has published more than 100 articles, book chapters and book reviews on plastic surgery in peer reviewed publications, as well as manuals, videos, computer programs and other teaching aids and has coauthored the first textbook on the topic of endoscopic plastic surgery.

New Year Refresh: Solutions to Remove Years of Aging

Remove Years of AgingAh . . . the New Year is already upon us, and while we take time to reflect on the year that just flew by, many of us are also looking at our reflection in the mirror. Perhaps that reflection is looking a little tired . . . worn . . . older than the energy you feel inside. Now is a great time to think about what you can do to refresh and rejuvenate that reflection, and get ready for your best year. More than ever before, there are many options to help you achieve this goal.

When you want your face to glow, you can’t ignore great skin care. It is that ongoing skin care that creates a base for everything else you might do for your face. Skin care means really protecting your skin from the sun with the right kind of sun block. It means using the right kind of moisturizers to keep the skin well hydrated. It may mean using targeted cosmeceuticals like retinoids, fruit acids, and other treatments to address fine lines, pigment irregularity, or texture changes. Getting on the right skin care regimen doesn’t have to be complex and it doesn’t have to be difficult – in fact it should only take a few minutes a day – but getting on the right regimen does take expertise. Working together with our licensed aestheticians of the Emory Aesthetic Center Spa, we can help you find the right mix of products tailored for your skin type.

In addition to the base of skin care, there are exciting technologies that you can use to make significant changes in your skin appearance. Lasers, IPL (intense pulsed light), and other energy based devices can tighten skin, fade dark spots, and treat those pesky broken veins. Facial peels can also be used to the same end, but depending on your specific needs, may need to be done in a series – peels are usually milder with minimal down time but may require a building up effect over multiple treatments. Or perhaps you might be a good candidate for a surgical peel or laser that may complete the treatment in a single stage. One newer technology that we’re very excited about is micro-needling, a process that combines tiny needles to stimulate collagen formation and the penetration of growth factors to rejuvenate the skin. Micro-needling takes only a few minutes and you’ll be able to put on makeup and be out the next day.

In addition to great skin care, injectables are highly effective treatments to smooth out wrinkles, grooves, or depressions. These minimally-invasive treatments come in two main forms – those that weaken the muscles that help prevent wrinkles, and those that fill in deeper wrinkles or plump up areas of the face. The “toxins,” such at Botox®, reduce the activity of the muscles of expression. They are used primarily to treat wrinkles of the forehead, between the eyebrows, and the “crow’s feet,” which are the wrinkles from squinting that occur at the corner of the eyes. There are several types of fillers which can be chosen depending on the individual needs and areas to be treated. Typical uses of fillers are to fill out the cheeks, soften the look of bags under the eyes, or to fill in the grooves near the nose and corner of the mouth. While Botox® may take a few days to develop effect, many of the fillers demonstrate an immediate effect. Both types of injections are done during an office visit and you can resume normal activities immediately.

As wonderful as skin care and minimally-invasive treatments are, there are some aesthetic goals that only surgery can produce. Need to get rid of those jowls? Is the skin under the chin loose and saggy? Is the skin of the eyelids loose and droopy, or is the brow low? In these kinds of situations, surgery comes to the rescue. A face lift or neck lift, a brow lift, or a blepharoplasty can provide long-lasting and dramatic results, and the recovery time may be a less than you think.

Depending on your age, skin type, genetics, sun exposure, and other factors, there are many potential treatment options to help you achieve the changes you want. To get the very best results, it is important to come up with a comprehensive game plan that is tailored specifically for you and your individual needs. The game plan may include minimally-invasive treatments like Botox® or fillers, it may include surgery, or it may just require routine skin care and products. The Emory Aesthetic Center can help you pull all these pieces together to create a strategy just for you. Come in for your complimentary consultation.

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About Dr. Eaves

Felmont Eaves, MDDr. Eaves recently returned to Atlanta, Georgia, to head the Emory Aesthetic Center as Medical Director, having previously completed his plastic surgery residency as well as a fellowship in endoscopic and minimally invasive plastic surgery at Emory University, The Emory Clinic, and associated hospitals. Before joining the Emory Aesthetic Center, Dr. Eaves was a partner in Charlotte Plastic Surgery for more than fifteen years and served as group president from 2010-2012.

His professional and institutional committee memberships and offices include an impressive list of national, international and local plastic surgery organizations, societies, boards, task forces, advisory councils, coalitions and foundations, including having served as President of the American Society for Aesthetic Plastic Surgery (ASAPS) from 2010-2011 and Trustee (2011-Present).

Dr. Eaves’ primary areas of academic inquiry have been in minimally-invasive and endoscopic aesthetic surgery, patient safety, system and process improvement in plastic surgery, evidence-based medicine applied to plastic surgery and recontouring surgery after massive weight loss. He has received several patents for new medical devices he developed, and has made major clinical service contributions to his field. Dr. Eaves has published more than 100 articles, book chapters and book reviews on plastic surgery in peer reviewed publications, as well as manuals, videos, computer programs and other teaching aids and has coauthored the first textbook on the topic of endoscopic plastic surgery.

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Holiday Glow – Getting Your Skin Ready for the Holidays

Emory Aesthetic Center Winter GlowYou bought the dress, the new shoes and the jewelry. You secured a babysitter. You have an appointment for your hair. But have you thought about your face? Is your skin ready for the holidays?

The Emory Aesthetic Center Spa can help get your skin ready for the holiday season. The question is how much time do you have before that special event? Let’s discuss the options available to get your skin glowing.

For the Planner – You have everything scheduled weeks in advance.

Since the amount of time required for recovery is not an issue for you, you are a candidate for the most effective non-surgical treatments we have available. This means you will have the most significant change to your skin for your upcoming event.

  • Fractional laser resurfacing can be performed to improve fine lines and wrinkles and the overall texture of your skin. The treatment requires premedication and topical numbing cream. The treatment takes about 45minutes to perform. We ask that you have someone available to drive you home. After the procedure you are very red and swollen and this can last for 3-5days. Your skin will be flaky and rough for up to a week after the treatment. Do this well in advance of a special event. The results can be amazing.
  • Micro-needling is the latest innovation for our Spa, and is similar to fractional laser resurfacing. The difference is that micro-needling is done with small needles as opposed to the laser. It helps with fine lines and improving pore size. Topical numbing cream is used. After the treatment your skin is red, lasting for 1-2 days. The redness however can be easily covered with makeup. Depending on how aggressive your treatment is, some bruising may be evident for up to a week. This is another great option for getting your skin to glow.
  • Medium depth chemical peels are another great way to get your holiday glow. The peel is well tolerated. Minimal discomfort is noted. Immediately after the peel the skin will be red. The peeling process typically begins 3 days after the treatment and can last 4-5 days. Your skin peels in sheets as if you have had sunburn. Beautiful skin is uncovered.
  • Intense pulsed laser (IPL) is another option if you have recovery time. IPL uses laser energy to remove dark spots, irregular pigmentation, and broken blood vessels. It is easily tolerated with minimal discomfort. Your skin will be very red the day of treatment. Brown spots and vessels will appear much darker for up to one week. A great option if spots are an issue.

For the Procrastinator – You tend to do things last minute. You just found a dress and the party is in 2 days, but there is still time to improve your skin.

• A microdermabrasion treatment can be performed to reveal brighter skin. Fine crystals speed exfoliation and the superficial and dull layer of skin is removed. Your skin will be slightly pink after the treatment but will resolve in a few hours. Your new glow is evident the following day.

• We offer a variety of facials that will leave you slightly red after the treatment, although it will resolve in a few hours or the following day. They are a wonderful combination of stress reduction and skin improvement.

• A HydraFacial™ is a multi-step treatment that hydrates the skin and results in glowing skin at the completion of the procedure. No down time required.

No matter how much time you have, the licensed aestheticians at the Emory Aesthetic Center Spa can create an individualized care plan that works for you. We offer all of these treatments and can help you accomplish the goal of glowing skin for the holidays. Take the first step to getting your holiday glow and make an appointment. Visit our website to see our current Specials running through the month of December.

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Takeaways from Dr. Nahai’s “Facial Rejuvenation” Live Chat

facial rejuvenationThank you to everyone who joined us for the Facial Rejuvenation live chat hosted by Emory Aesthetic Center surgeon, Dr. Foad Nahai. Dr. Nahai discussed both surgical and nonsurgical solutions to help rejuvenate the face, including dermal fillers, Botox®, eyelid lifts and face lifts.

We were thrilled with the number of people who registered and were able to participate in the chat. The response was so great that we had a few questions we were not able to answer so we will answer them below for your reference. You can also check out the chat transcript for a full list of questions and answers:

Is their a technique such as skin tightening that can decrease hollowness around the eyes and decrease the appearance of dark circles?

Foad Nahai, MDDr. Nahai: Sometimes, shadows resulting from contour irregularities, or hollowness, around the eyes can accentuate the dark circles. Fillers may be a solution in these situations. Also, skin care including retinols, skin bleaches, as well as surgical intervention, such as an eyelid lift, may help to improve this.

Is there a difference in the outcome or a reason to use microdermabrasion versus use of a laser on the face?

Foad Nahai, MDDr. Nahai: There is a very significant difference between the two. Microdermabrasion is a lighter therapy and is used for more superficial purposes. Laser resurfacing, however, can range from light and superficial, to heavy and deep. Both are effective for minor skin changes but only lasers can be used for more significant or deeper problems.

How can I get rid of under the eye wrinkles and is there something that can be done to whiten eye sclera?

Foad Nahai, MDDr. Nahai: There are several options for improving eye wrinkles that include creams, facial peels and surgical skin removal or lifting. After examining your skin, a specialist will be able to recommend the best treatment for you. There are eye drops available which can help to improve “blood shot” eyes, but there is not a procedure to whiten the sclera.

I fell a couple years ago, and my forehead hit a curb right above my eye. Of course I had a huge black eye as a result. It has been 2 years and I still have darkness around that eye – a shadow in the same shape as the black eye. Can anything be done to lighten this?

Foad Nahai, MDDr. Nahai: Dark circles under the eyes represent one of the most challenging areas for improvement. The eyelid skin is extremely thin, with minimal if any fat between the skin and muscle. However, there are non- surgical options, such as retinols and skin bleaches, and surgical options that can help provide some improvement.

Question: Is there anything you recommend for the treatment of rosacea?

Foad Nahai, MDDr. Nahai: A variety of topical agents are available to treat rosacea. After an evaluation of your condition by a dermatologist, he/she should be able to advise you on the best treatment options for you.

 

If you missed this informative chat with Dr. Nahai, be sure to check out the full list of questions and answers on the chat transcript. Be sure to visit the Emory Aesthetic Center website for more information on therapies and solutions to keep you looking your best.

Non-Surgical vs. Surgical Facial Rejuvenation: Which is Right for Me?

Facial Rejuvenation OptionsOver the past several years there has been an explosion of options to help your face look better and younger. Fillers, toxins (e.g. Botox®), stem cells, facelifts, fat grafts, skin tightening, and the list goes on and on. With so many options, how can you know what is right for you? Is surgery better, or will non-surgical treatments help you achieve your goals? Do the treatments even work? As you consider your options, understanding a few general principals can help simplify the decision.

First, it’s important to understand that surgery and non-surgical procedures sometimes do different things, but sometimes they do the same thing in different ways. For instance, deepening of the nasolabial folds (the creases from the side of the nose toward the corners of the mouth) can be softened by dermal fillers such as hyaluronic acid (e.g. Juviderm®, Restylane®). This type of injection is performed during an office visit and only takes a few minutes. Surgery, however, can also diminish the folds. Fat grafts can be utilized to soften the folds much like fillers, and often the most dramatic improvement to the folds is when a face lift is combined with fat grafting.

Second, while non-surgical or minimally-invasive treatments are easy to undergo and recover from, they are typically temporary and will need to be repeated to maintain the effect. Neurotoxins (e.g. Botox®, Dysport®, Xeomin®) do a great job of softening wrinkles between the brows, in the forehead, and by the side of the eyes, e.g. ‘crow’s feet’. These injections take only a few minutes to complete, but they typically last about 3 or 4 months and then need to be repeated to maintain the effect. On the other hand, surgical procedures tend to be more long lasting and may never need to be repeated. A brow lift can treat the wrinkles between the eyebrows extremely well, and this improvement is generally permanent.

Third, there are some aging changes that simply can’t be adequately corrected by non-surgical treatments, at least at this point in time. If you have developed significant jowling, only surgery can reliably address this issue. If the brow position is quite low or there is a significant amount of loose skin of the upper eyelids, only eyelid and brow surgery can reliably reposition the brow or eliminate the loose skin of the upper lid. If there is significant skin laxity in the neck, minimally-invasive treatments will not fully correct the looseness, and a neck lift will be required for full correction.

It is also very important to understand that often non-surgical and surgical treatments represent a continuum of effectiveness. Office chemical peels, mechanical treatments, or facial lasers can do a great job if the degree of skin changes and wrinkling is relatively limited. More aggressive lasers or surgical chemical peels, however, can produce more dramatic results when the skin has more established aging. Very often, minimally-invasive treatments are a great option for less severe changes, while surgical treatments are the best for more severe changes. If you are older and have more advanced aging concerns, surgery is more than likely the answer for you, but if you are in your thirties or forties, very often the non-invasive treatments such as fillers, Botox®, and good skin care is the best strategy.

Finally, and most importantly, marketing and hype doesn’t mean that something works. As much as we are always hoping for great, new options, some of the marketed treatments have little or no proven effect. For example, although the potential of stem cells to treat many conditions – including facial aging – is significant, at this time there are not sufficient studies to show that the currently marketed treatments are either safe or effective. Also, just because a treatment is approved by the FDA doesn’t mean that it is better than the older, simpler, or less expensive procedures. The old adage is upheld: If it seems too good to be true, it probably is.

As you work to figure out your best combination of options, remember that the doctors at the Emory Aesthetic Center are trained in both non-surgical and facial surgical solutions to address your aging concerns, and can help you figure out what strategy is best for you. In addition, we can help you develop a long-term, integrated plan to keep your face looking its best, incorporating good skin care along with non-invasive and surgical treatments when the time is right.

Join us for a live chat on Facial Rejuvenation –Surgical and Nonsurgical Solutions on Tuesday, November 11th at Noon to hear more about this topic. Dr. Foad Nahai, cosmetic surgeon, will be available to answer all of your questions. To register for the live chat, click here.

About Dr. Eaves

Felmont Eaves, MDDr. Eaves recently returned to Atlanta, Georgia, to head the Emory Aesthetic Center as Medical Director, having previously completed his plastic surgery residency as well as a fellowship in endoscopic and minimally invasive plastic surgery at Emory University, The Emory Clinic, and associated hospitals. Before joining the Emory Aesthetic Center, Dr. Eaves was a partner in Charlotte Plastic Surgery for more than fifteen years and served as group president from 2010-2012.

His professional and institutional committee memberships and offices include an impressive list of national, international and local plastic surgery organizations, societies, boards, task forces, advisory councils, coalitions and foundations, including having served as President of the American Society for Aesthetic Plastic Surgery (ASAPS) from 2010-2011 and Trustee (2011-Present).

Dr. Eaves’ primary areas of academic inquiry have been in minimally-invasive and endoscopic aesthetic surgery, patient safety, system and process improvement in plastic surgery, evidence-based medicine applied to plastic surgery and recontouring surgery after massive weight loss. He has received several patents for new medical devices he developed, and has made major clinical service contributions to his field. Dr. Eaves has published more than 100 articles, book chapters and book reviews on plastic surgery in peer reviewed publications, as well as manuals, videos, computer programs and other teaching aids and has coauthored the first textbook on the topic of endoscopic plastic surgery.

What is A “Liquid Facelift”?

liquid-faceliftA “Liquid Facelift “is the non-surgical rejuvenation of the face through injections. These injectables include Botox© (sometimes referred to as “neuromodulators”) which relax the muscles, and fillers which restore volume. The “Liquid Facelift” should not to be confused with the mini or short scar facelift which are surgical procedures.

As our faces age we lose volume, develop lines and lose skin elasticity. Our facial muscles enable us to smile, frown and express our feelings, but over time, these muscles contract, leading to lines or wrinkles on the forehead (frown lines), eyes (crow’s feet) and around the mouth. Loss of facial volume with decreased skin elasticity leads to the development of folds, jowls and the appearance of a sagging face.

Botox©, and similar muscle relaxants such as Dysport©, Xeomin©, help to soften or eliminate the lines on the forehead, around the eyes, elevate and reshape the brow and the area around the mouth. The face appears less wrinkled, more relaxed and rested. The result of muscle relaxants last between four and six months.

Fillers replace lost volume by filling hollowed areas of the face and reducing skin laxity. The effect makes the face appear to be “lifted”. There are a variety of fillers, varying in composition, thickness, longevity and cost. Some are suited for deep injections, others for more superficial placement. Each has its role in facial volume replacement, and it is not unusual to inject two different types of fillers into the same face – deep placement with one type of filler and more superficial with another. Fillers can also be used to soften deep lines and wrinkles in conjunction with muscle relaxants.

Not everyone is a candidate for a “Liquid Facelift”. It is best reserved for patients with early stages of facial aging – those that when relaxing the muscles and adding volume will lead to a “lift”. For those in the later stages of aging with excess and inelastic skin, a surgical facelift may be better served where the excess skin is removed and the deeper tissues are rearranged. A cosmetic surgeon will be able to evaluate your face and make recommendations based on your individual need.

“Liquid Facelift” Frequently Asked Questions

How is the procedure performed? It is an office procedures which may take up to an hour depending on the number and extent of the injections. Some physicians may wish to stage the procedures and spread them over two sessions. A topical anesthetic (numbing cream) is typically applied prior to injection. Some fillers contain local anesthetics. Following the injections ice may be applied to minimize bruising. There is little, if any, down time associated with the procedure, although there is always the possibility of bruising.

Is this an expensive procedure? Costs will vary depending on the amount and type of materials injected. Typically one or two sessions are much less expensive than a surgical facelift. However, the cost of injectables does add up and over a number of months or years may surpass the cost of a surgical facelift.

How long do the results last? These treatments are not permanent nor do they last as long as a surgical facelift. In general, the relaxants last four to six months and the fillers last anywhere from two to four years. Some fillers last longer than others.

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What is a Mini-Face Lift & How is it Different from a Traditional Face Lift?

Mini Face LiftIt seems that every cosmetic surgery practice out there is marketing a different trendy name for a mini face lift. Many patients are finding it difficult to understand the difference between a mini-face lift and a traditional one. They want to know what it all means, what procedure would be best for them, and whether or not they would be a candidate for these “new” procedures. We’re here to help answer some of these questions.

Despite what some may lead you to believe, “mini-lifts”, in some shape or another, have been around for decades. For some patients they are an excellent option, particularly those with minimal to no excess skin in the neck and very mild to early jowling. The “mini” part of a mini-face lift refers to the scar, which is shorter than the scar for the standard or traditional face lift. The shorter scar is possible because there is less need to access deeper tissue, and less rearranging of those tissues is needed. Typically, though not always the case, candidates for mini-lifts tend to be younger, in their late 30s to mid 40s with good skin texture, normal skin elasticity and minimal skin excess , especially in the neck.

In a standard or traditional facelift the incisions are longer to allow access to better reposition the jawline and to deal with neck laxity. What is important to understand here is that these incisions are no more visible than those of a mini-lift because they are hidden in the crease behind the ear and in the hair where they are not readily noticeable. Traditional face lifts allow for more definition in the jawline, as well as the ability to greatly improve the neckline and under the chin in patients with excess skin in these areas. Typically, candidates for more traditional face lifts are older and in their late 40s, early 50s and above. They typically have less skin elasticity and more laxity especially in the lower face and neck.

Despite claims to the contrary, the recovery time between the two procedures may not be significantly different. Recovery depends more on the patient, levels and extent of dissection and even type of anesthesia used rather than the length of the scar. Most patients feel well even the next day, though activity is usually restricted to light walking to avoid complications. Within a week to 10 days, all sutures are out and significant swelling and bruising have begun or mostly resolved.

It certainly makes sense that adding the term “mini” to a procedure would make it significantly more appealing to a patient than “traditional”. We would caution the prospective patient to make sure they understand fully what their concerns are and ensure their prospective plastic or facial plastic surgeon communicates how their recommendation will address those concerns. Each patient’s facial structure is unique; therefore, applying a trademarked procedure is unfortunately a “cookie-cutter” method of dealing with a very patient-specific set of needs. The best, and most lasting results are often encountered when the procedure is chosen based on patient characteristics rather than marketing. Happy lifting!

Facelifts, Mid-Facelifts & Mini-Facelifts? Understanding Your Facelift Options

Facelift OptionsAs we celebrate a new year and new beginnings, we may find ourselves thinking about enhancing facial features we thought were lost to past years. This can be achieved through the right facial rejuvenation surgery. A well-done facelift can take years off your face, leaving you looking and feeling brighter, fresher, and more attractive.

At the Emory Aesthetic Center, we understand that no one solution is the answer for all – every patient has different goals and needs. There are many different types of facelifts to give you the look you want. Perhaps you’re still in your early 40s, and a more limited procedure may be just what you need. If you’re in your mid 50s and you see a sagging, heavy neck when you look in the mirror, a full facelift may be the answer. Facelifts can also be combined with other procedures such as eyelifts, brow lifts, lasers, or chemical peels. Newer techniques often combine volume restoration with fat grafts or injectibles to create a softer, more natural and younger look. At the Emory Aesthetic Center, we take great pleasure in partnering with you to customize your procedure in order to fulfill your individual needs.

Although there are many variations, at the Emory Aesthetic Center we offer the following facelift options, and will work with you to achieve optimal results:

  • A traditional, or full facelift is designed to restore a more youthful appearance to the neck and jowl region by removing major wrinkles and sagging skin. If there is excess fat in the neck or chin region, this can be addressed simultaneously with liposuction or direct excision. A face lift can improve a tired facial appearance by smoothing the skin and reestablishing defined contours along the neck and jawline. There are several different full face lift techniques which your surgeon can use, varying the incision location and depth of dissection to tailor the procedure to your needs. It is often performed in combination with other procedures, including a brow lift and eyelid surgery, to create an overall harmonious, youthful result.
  • A limited, small incision, or “mini-facelift” is what it sounds like: a less extensive version of the traditional facelift. A mini-facelift may involve shorter incisions or less dissection, but also it is dictated by the amount of laxity or jowling present.
  • A mid-facelift procedure can be used, either alone or combined with other procedures, to correct hollowing beneath the lower eyelids and deep nasolabial folds, or “parentheses”, that run from the base of the nose to the outer corners of the mouth. It creates a more youthful appearance by smoothing the transition between the lower eyelids and upper cheek region. If improvement in the neck or jowl region is also desired, a midface lift can be combined with a more standard facelift.

Our focus is to help you look as young as you feel, and to make you look naturally more beautiful. We enhance your natural beauty, taking years off your face so that you’re noticeably refreshed and more attractive. What we don’t do is make you look unnaturally “lifted” or stretched—something you see all too often in facelifts.

If you’re thinking about facial rejuvenation, let our team of board certified cosmetic surgeons help you realize your vision of you. Our surgeons will meet with you one-on-one to answer your questions and ensure you are confidently ready to take the next step.