I would release the suprahyoid fascia if that were needed, and I might possibly also do a low release of the anterior digastrics above the hyoid if that was needed, depending on what I found in surgery. Notice how small the scar is in length and it is in the submental crease. Arch Otolaryngol Head Neck Surg. Rejuvenate with Facelift Surgery in Farmington & Hartford, CT. Swelling under chin after neck lift. Facial aging can be very noticeable and many of our patients feel frustrated by the age-related changes that develop over time. Failure to do so may prolong recovery and may create disturbing facial asymmetry. She is ecstatic with the results.
She had two previous face lifts; the most recent surgery was 4 years ago. Dr. Pitman: Would you approach her neck anteriorly, as well as laterally? 10) or SMASectomy for patients that need tissue debulking (ie wide, heavy faces; Fig. Dr. Complications Of Facial Surgery Before and After 03 | Thomas Funcik MD. Pitman: Thanks to all the panel members for their analyses and comments. Notice the remarkable difference in the neck contour. She does have prominent jowls and a significant prejowl depression.
68 year old female before and 2 months after mini lateral neck lift (2 small 1 cm incisions). Xeroform gauze and bacitracin are placed over the incisions followed by gauze then a kerlix head wrap and stockinette head dressing. We will advise you of complementary procedures that could help you reach your goals and whether they should be combined or done separately. Dr. Pitman: Dr. LaFerriere, what would be your approach to treating this patient? 1 While many similarities exist with the approach to the female patient, the male patient requires special considerations (Figs. Dr. Aston: I would not. It will reduce your recovery time. How to Take Care of Your Face After a Facelift. As you age, you could experience sagging skin and the appearance of lines on the neck, making you look older than you are. It is important to avoid lifting heavy items (including children and pets) for the first few weeks. The previous facelift resulted in issues with the skin (puckering, creasing, etc.
The tranexamic acid-soaked gauze is removed, and the skin flaps are then conservatively trimmed and inset with minimal tension. Notice this view from underneath to fully show the scar. Excess skin is then removed at the incisions behind the patient's ears, a technique that ensures no bunching or puckering of the skin. The surgical dressings are changed the first postoperative day, and the neck drain is removed. The Pros and Cons of the Different Types of Neck Lifts. Berner RE, Morain WD, Noe JM. There is a real or apparent midline submental hollow between the chin and the hyoid. The previous facelift resulted in issues with the mouth, ears, or hairline.
I undermine the skin along and above the jawline, and release the mandibular ligaments, and then I look directly through the submental incision and remove the glob of excess jowl fat with the extended micro-tip electrocautery so there's no bleeding. The bandages are usually removed one day after surgery. Thorne CH, Steinbrech DS. Nevertheless, I think you can make her significantly better. Beer GM, Goldscheider E, Weber A, et al. Accessed October 14, 2018. Puckering under chin after neck lift procedure. Image Source / Getty Images After Your Procedure Here's what to expect after a facelift. Patient was very happy with her mini or short scar neck lift results and her scar placement. Second Photo: AFTER FACELIFT BY ANOTHER SURGEON, PATIENT WAS LEFT WITH CONSPICUOUS STAIRSTEP SCARRING, PUCKERING IN THE CROWS FEET AREA AND UNDER THE EAR LOBE. 1055/s-0036-1572360 Additional Reading American Society of Plastic Surgeons.
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