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Facelift Sydney / Necklift & Brow Temporal Lift by Dr Tavakoli
Ageing is unavoidable; unfortunately the outward signs usually appear while you still feel young and have productive years ahead. The appearance of an aging face can interfere with a happy, full life in these valuable years. The outward manifestations of aging need not be accepted as a matter of course. Facial rejuvenating procedures are highly rewarding and satisfying procedures for appropriate patients.
Non Surgical Liquid Face Lift
Facial ageing reflects the cumulative effects of decreased tissue elasticity, gravity, bone reabsorption, and the loss of subcutaneous fat and hyaluronic acid. Subcutaneous fat plays an important role by providing volume and support to our face. Volume decrease creates areas of flatness and hollows, giving an aged and tired look. A liquid face lift involves improvement of every area of the face. Combining treatments of dermal fillers and anti wrinkle injections, the end result is a significantly more youthful and refreshed appearance.The objective of the treatment is to replace or enhance facial volume and restore the youthful contours of the face. Our aim is to help clients make educated decisions about non-surgical liquid facial rejuvenation. Treatments can be performed quickly and efficiently, requiring very little down-time enabling clients to return to work and daily activities almost immediately after treatment. Areas of the face that can be rejuvenated:
Upper face:
- Temple hollowing
- Brow enhancement
- Crows feet
- Frown lines
Mid face:
- Tear troughs
- Cheek enhancement
- Nasolabial folds
Lower face:
- Smile lines
- Lips
- Corners of the mouth
- Chin
- Jowls
Face Lift / Neck Lift
The Full face and Neck Lift is designed to produce a maximum benefit in the appearance of the face by removing major wrinkles and sagging of the skin. It is impossible to remove every wrinkle regardless of the treatment, and too much surgery would result in a pulled or plastic look. Fine wrinkles, particularly those about the mouth, may require additional treatment, such as laser, dermabrasion, chemical peeling or fat injection. The face lift operation should give an improved appearance for several years. Skin aging will continue after the operations, but this process of aging neither speeds up or slows down because of the procedure. A face lift can be done in combination with removal of fat from beneath the chin (submental liposuction) and/or rearrangement of the platysma muscle of the neck to give a more youthful chin line called Platysmaplasty.
Case Study: 51 year old female. Before and After, Full Face and Neck Lift, Blepharoplasty and Rhinoplasty. Fat grafting to mid and lower face.
Brow Lift & Temporal Lift
Indications: For brow lift center around correcting three problems
It is no secret with the arrival of Anti-Wrinkle Injections in the treatment of the forehead region, the number of patients needing the procedure known medically as an endoscopic brow lift or foreheadplasty and shortened commonly to brow lift surgery has dropped.
However, there are still a few good indications for proceeding with a brow lift, centered around correcting three problems
- Lateral fullness of the upper eyelid and lower brow; common complaint from patients: looking tired. It’s caused by gravitational descent of the forehead and brow skin over the orbital bony rim.
- Frown lines are caused by contraction of the corrugator muscles between the eyebrows over the bridge or root of the nose.
- Transverse forehead wrinkles are caused by muscle activity in raising or lowering the eyebrows themselves.
Elevation of the lateral forehead [brow lift] will diminish crow’s feet but will not eliminate them; the cause of crow’s feet is squinting and wrinkling of the skin which the brow lift itself will not address.
The usual age range for brow lift candidates starts in the early-to-mid-40s; however subtle endoscopic techniques have been performed on patients in their late 30′s.
Goals: Subtly elevating the brow
The goal of any facelift surgery is to avoid an “operated” look. The endoscopic brow lift approach can be performed alone or in conjunction with face-lifting procedures. During this process, multiple small incisions are made on the scalp, and the muscles are partially removed with forceps while being viewed through an endoscope. This approach minimizes the size of incisions and maximizes the preservation of sensation, though a loss of sensation from the brow lift is still possible when using the endoscopic procedure.
The brow suspension is carried out by securing the deep fascia layer, which surrounds the muscle. This layer is typically anchored to a small resorbable bone device secured in the skull above the lateral eyebrow, behind the scalp. This technique produces excellent results for younger patients who need only a subtle elevation and have minimal vertical or horizontal forehead lines.
The open approach, on the other hand, typically involves extending the facelift incisions to connect over the scalp. This can cause concern for some patients, as it often results in more predictable numbness lasting approximately one year after the brow lift surgery. This numbness usually occurs in a small strip of skin posterior (or behind) the incision, covering an area roughly 1-2 inches wide. While this numbness is a disadvantage of the open brow lift technique, it provides a consistent and predictable improvement in forehead and frown lines.
Recovery
Pain
Pain is typically not a significant problem in brow lifts. While there’s some discomfort and tightness from ear to ear across the top of their head and across the brow, it’s usually not a significant problem in brow lifts. Drains are usually not needed in the brow area when doing a brow lift or even when used in combination with brow and face-lift. Maximum swelling occurs 48-72 hours post-surgery and begins to subside on the fourth or fifth post-operative day.
Bruising
Interestingly bruising on a brow lift appears in the most dependent areas. As a result, any bleeding resulting from a brow lift usually collects below the eyelids and bruises the lower lids…even if the lower lids are not operated upon. Bruising’s usually maximized on the third to fifth day and resolves over 2-3 weeks.
Driving
You can resume driving when you can drive to the level you were able to pre-operatively…and this is your call. You’ve got to be able to brake and respond quickly, as well as quickly and easily turn to eliminate your blind spot. When these conditions are met you may resume driving… typically the second or third week into recovery from brow lift surgery.
Social return
Most patients feel very comfortable in returning to work (physically, anyway) a few days after an isolated brow lift. But socially is a different matter… and you might have to keep your dance card clear for 2-3 weeks.
Return to work
The average patient can return to work within 10 days, with the help of a little make-up. There may be some and some (mild) residual bruising. If bruising is minimal, the return to work after having a brow lift can be even earlier.
You may also be interested in Fat Graft for Facial Contouring.
Facelift / Necklift / Browlift
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