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This section talks about many of the individual procedures available to patients, that specifically target problem areas of the face and neck. They include traditional procedures such as neck lifts, and more advanced procedures such as liposculpting, where liposuction is actually used to selectively remove fat cells and provide more youthful contours.
Below is a detailed description of many of the advanced targeted facial rejuvenation options available at Denver Cosmetic Surgery:
A neck lift is usually performed in combination with a facelift, but it is also an option as a standalone procedure for many patients. It is not uncommon for issues related to the neck to appear prior to other changes in the face. For example, loose skin may develop as a result of weight changes unrelated to aging.
With a recovery time similar to a mini-lift (about 5 to 7 days), it addresses issues such as sagging skin, muscle banding (â€śturkey neckâ€ť), and heavy and/or full necks. It is performed through limited incisions behind the ear and under the chin within the natural skin crease. It is also performed under local anesthetic with some oral sedation to alleviate any anxiety.
Liposculpting, when performed with a Smartlipo machine, allows for selective removal of fat and additional tightening of the skin. This is accomplished by utilizing laser technology to disrupt fat cells under the skin, while preserving other vital structures that are normally damaged during conventional liposuction. It also results in minimal bleeding and quicker recovery.
Liposculpting is most commonly performed to the neck, but it also can be extended to the jowls and face. In some patients, it can be used to tighten facial tissue, alleviating the need for facelift surgery. It can occasionally substitute for a traditional neck lift. Patients who in the past were not candidates for conventional liposuction now may be great candidates for liposculpting. The procedure is performed under local anesthesia with the option of oral sedation.
A forehead lift is also referred to as a brow lift and can be performed in many ways. Over time, the brows descend and droop to crowd the upper eyelid. Ideally, a female brow should be slightly above the bony rim of the upper eye, and a male brow should be at the level of the bony rim. A brow lift allows for repositioning of the brow to that more youthful location.
Dr. Khoury performs the surgery endoscopically through minimal incisions behind the hairline. His technique allows for natural positioning of the brows and also for removal of forehead wrinkles and softening of frown lines. This minimally invasive approach allows for less discomfort, quicker recovery, and a fresher look.
A temporal brow lift is a minimally invasive procedure used to lift the outer brows. It is a great option for patients who overall still have good brow positioning but have dropped at the outer edges. The benefits include a shorter recovery, less swelling and occasionally, the ability to improve crowâ€™s feet around the eyes.
Laser resurfacing is a fantastic method to rejuvenate aging skin. Dr. Khoury uses both carbon dioxide (CO2) and Erbium lasers in his office, depending on the needs of the patient. After the outer layer of the skin is targeted by the laser, the deeper, healthier skin layer provides the basis for a new skin surface. The new skin will feel tighter with fewer wrinkles and will have better tone and texture. Patients may select laser resurfacing as a standalone procedure to improve their skin, or as a complement to other facial procedures.
Fat may be used as a filler to augment many areas of the face. Fat has several advantages over traditional synthetic fillers because it is the patientâ€™s own tissue, and it will last longer. Several sessions may be necessary because a certain percentage of the transferred fat is reabsorbed by the body. Once the desired goal is achieved, there is no need for repeat injections. Fat is usually harvested from the abdominal area and is used to augment the cheeks, lips, facial creases, and depressions in the temple area and jaw line.
A frownplasty is a quick and minimally invasive procedure that addresses deep frown lines between the brows. A special suture is used to release the deep crease from the underlying tissue. It is followed by augmenting the depression with some fat or other filler. In some patients, this alleviates the need for BotoxÂ® injections. In others it will enhance the results of Botox injections.
Both procedures augment the contours of the face and are typically performed under local anesthetic. Chin implants are used to increase the projection of a â€śweak chin,â€ť mostly noticeable from the side view. Depending on the patient, chin implants can also improve the angulation of the neck. The incision is placed in the natural crease under the chin. Once healed, patients perceive it as their normal anatomy.
Cheek implants are used to augment flat and droopy cheeks, restoring youthful fullness to the midface.
A midface lift is not a facelift in the traditional sense of the term. It is a procedure that elevates the cheeks to a more youthful position. It is performed through incisions in the lower eyelid and can be performed in conjunction with lower eyelid surgery. A midface lift not only restores volume to the midface, but also softens the nasolabial crease. There are also minimally invasive alternatives that elevate the cheeks through minimal incisions behind the hairline at the temple.
Successful facial plastic surgery is a result of good rapport between patient and surgeon. If you are interested in learning more about all your facial rejuvination options, schedule a complimentary consultation personally with Dr. Khoury. Heâ€™ll address all your concerns, and educate you on all the options available to you.