Posts Tagged ‘face lift’

Cosmetic Surgery in your 20s, 30s, 40s and Beyond

Emory Aesthetic Center helps you determine which cosmetic surgery procedures will give you the best results  in your 20s, 30s, 40s and beyond.Twenty years ago, cosmetic surgery wasn’t generally considered unless you were in your late 40s or had a significant “problem” you wanted to correct. Today, many people — as young as their early 20s — choose to enhance their appearance and maintain their youthful look during every stage of life. We’ve stopped seeing cosmetic surgery as something that happens at a specific point in time, but more as a continuum of care. And being proactive can certainly produce benefits.

With so many aesthetic procedures to choose from, how do you know what’s appropriate at different ages or stages of life?

Cosmetic Surgery In Your 20s & 30s

Face

During your early 20s, you may get treatment for acne. As you progress through your 30s, you might start to think about non-surgical cosmetic treatments — like Botox® — to treat fine lines and fillers to reduce deeper creases.

Breasts

In your younger years, you may choose either breast augmentation or breast reduction, depending on how your breasts developed. Also, if you’re unhappy with the changes in your breasts after pregnancy and nursing, a breast lift can be an option.

Body Contouring

In your 20s and 30s, liposuction or non-invasive body contouring such as Coolsculpting® are the most commonly used techniques. However, after pregnancy or significant weight loss, you may need a more involved procedure.

Cosmetic Surgery in Your 40s and Beyond

Face

In your late 30s or 40s, you might want to address creases and fine lines using non-surgical cosmetic procedures — like fillers and injectables. Often, by your 50s or 60s, you’ve experienced enough aging changes to make cosmetic facial rejuvenation surgery the treatment of choice. Face lifts, neck lifts, eyelid tucks, brow lifts and fat grafts are commonly chosen procedures.

Breasts

Many women notice their breasts begin to droop as they age. If sagging breasts bother you, you might choose a breast lift. If you feel your breasts have gotten too large, you may want a breast reduction.

Body Contouring

Aging, pregnancy and weight fluctuations typically cause your skin to sag. At this stage, you may need a procedure, such as a tummy tuck, to reduce fat and tighten your skin. As you continue to age — or if you’ve lost a significant amount of weight — you may want to consider a body lift .

Emory Aesthetic Center

No matter where you are in life’s journey, there may be cosmetic procedures that will bring you joy and self-confidence. The highly-skilled team at Emory Aesthetic Center can help you decide which procedures, and at what time in your life, will give you the best results to meet your goals.

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Your Age Defying Questions Answered: Secrets to Defying the Aging Process

facial-rejuvenation-emailAging is a part of life. And yes, your appearance will change as you get older. But that doesn’t have to be a bad thing. Aging gracefully is about allowing the best version of yourself to shine through, and there are countless facial rejuvenation tools and treatments to help you do just that.

During our live chat on Tuesday, July 19th, Emory Aesthetic Center plastic surgeon, Dr. Felmont Eaves, answered all of your questions about helping to defy the aging process. Dr. Eaves discussed everything from skin care products to injectable treatments to cosmetic surgical options, such as Botox®, facelifts and eyelid lifts.

Below are just a few questions we were unable to respond to due to the large number of questions we received. For a full listing of questions and answers, please read our chat transcript. It is full of useful tips and answers that may be relevant to you. You may also visit emoryaesthetic.org for a full list of services and treatments offered by the Emory Aesthetic Center.

Question: How do I minimize dark circles beyond getting more sleep?

Dr. Eaves: There are two reasons that we may develop dark circles under the eyes. The first reason is that there is a dark tone to the skin itself. That is a difficult problem to treat, as currently we don’t have a great solution to dark circles. Sometimes bleaching creams containing hydroquinone can help, but that isn’t always successful. And chemical peels typically don’t work in this situation.

The other reason for dark circles, however, is the shadowing caused by bulging fat pads of the lower lids. Either surgery to remove or reposition the lower lid fat, or an injection of filler into the depressed area underneath the prominent fat – can soften or eliminate that shadow.

Question: What’s the best way to help with my lower face sagging without injecting a bunch of fillers?

Dr. Eaves: In the right patient, fillers can be great, but when the face truly begins sagging (not just deep folds by the mouth), then surgery is required to make truly significant changes. With a lower face lift (which typically includes tightening the neck as well) the jowls can be reduced, the cheek contours can be improved, and deeper folds/wrinkles around the mouth can be softened. It can provide dramatic, long lasting results, and recovery is generally relatively quick.

Question: How can you stop sagging eyelids?

Dr. Eaves: Sagging eyelids are generally treated with a blepharoplasty (an eyelid tuck and eyelid lift). Blepharoplasty can be used to treat the upper eyelids, the lower eyelids, or both, and are often combined with other areas of facial rejuvenation, such as a facelift, neck lift, and brow lift. Sometimes a sagging upper eyelid also has a component of malposition, where it isn’t just saggy skin. In those cases the lid can be repositioned while the blepharoplasty is being done.

Can Men Get Plastic Surgery?

guysAt the Emory Aesthetic Center, we have traded in our Cosmopolitan subscription and replaced it with Sports Illustrated. Why? It’s simple. Plastic surgery is no longer just for women.

Today, we are seeing more and more men of all ages requesting plastic surgery for cosmetic reasons. We’ve discovered that men are just as worried about their appearance as women. But it is important to know that men’s needs may be different, as most cosmetic procedures have been designed with women in mind. Factors to consider include skin thickness, beard growth, and body type.

Let’s review the top plastic surgery procedures men are requesting by the numbers.

Face-Lift/Neck-Lift
Results last: 10 to 15 years
Recovery: 7-10 days
Cost: $12-14,000

Eyelid Lift
Results last: 15 to 20 years
Recovery: 7-10 days
Cost: $6-8000 for upper and lower (half of that for just upper)

Body Liposuction
Results last: Depends on maintaining a healthy lifestyle and weight
Recovery: 1-2 days
Cost: minimum $4500-unmlimited based on areas treated

Breast Reduction
Results last: Permanent
Recovery: 2-3 days
Cost: $8-10,000

Rhinoplasty
Results last: Permanent
Recovery: 5-7 days
Cost: $7-9,000

Botox®
Results last: 6 to 9 months
Recovery: 0 days
Cost: $300-600 per treatment

Dermal Fillers
Results last: 1 to 2 years
Recovery: 1-2 days
Cost: $450-800 per syringe

At the Emory Aesthetic Center, our board-certified physicians understand that the delivery of plastic surgery is different for men than women. We will approach your individual goals with personal attention and help you choose the procedure that is right for you.

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About Dr. Anderson

Erica Anderson, MDErica Anderson, MD, is board certified by the American Board of Plastic Surgery and currently holds an appointment as Assistant Professor in the Division of Plastic Surgery at Emory University. Dr. Anderson completed her general surgery residency and plastic surgery residency at the University of Colorado Health Sciences Center and associated hospitals in Denver, CO. She completed a year of advanced training in Aesthetic Surgery at Grotting Plastic Surgery in Birmingham, Alabama.

Dr. Anderson returns to Emory University after being in private practice in Arlington, Virginia. While there, she maintained a busy aesthetic and reconstructive practice and also served as Medical Director for the Wound Healing and Hyperbaric Center at Virginia Hospital Center.

Dr. Anderson’s academic and research interests are largely focused on clinical outcomes with regards to cosmetic surgery. Her areas of clinical interest are diverse including cosmetic surgery of the breast and body as well chest wall reconstruction and wound care.

Dr. Anderson is married with 3 children, Trent, Connor and Fiona, and 2 vizslas, Max and Mimi.

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.

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.

Related Resources

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.