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Which is Better: A Mid-Facelift or a Standard Facelift?

Which is Better: A Mid-Facelift or a Standard Facelift?
By Dr. Juris Bunkis

Q: I have heard about the new mid-facelifts. How do these
differ from a standard facelift, and which procedure is better?

A: Mid-facelifts are relatively new but some surgeons have been
performing them for 10–15 years. Both types of facelift
procedures are designed to turn back the hands of time, but each
addresses different aspects of the aging process. A standard
facelift is still the ideal procedure to tighten a loose neck
and to help with jowls.

While the mid-facelift is indeed a relatively new procedure, it
address an age-old problem: the drooping and hollowing of the
cheek areas below the lower eyelids, which create a so-called
“tear trough” deformity. The mid-facelift can be done as an
isolated procedure to freshen a face in the late 30s or 40s that
is showing early signs of aging. It can also be combined with a
traditional facelift in an older person, or as an isolated
procedure in an older patient who has had a traditional facelift
but the mid-face was not addressed.

The traditional facelift is wonderful for dealing with jowls
and the neckline. It was designed to pull the skin and
superficial muscles backwards to minimize the jowl and to
tighten the neck areas, but this procedure does not address the
elongated lower eyelid and the hollowness in the mid-face
region. As a matter of fact, the tension required to pull the
cheek tissues backward actually flattens the mid-face region,
further exacerbating the unnatural look! In some instances of
minor neck laxity, the neck may be tightened by inserting a
variety of threads beneath the surface and restoring neck
laxity. Such minimal-incision thread procedures will not give
the patient an optimal result if significant laxity is present
with significant skin excess. ©

The new mid-face or cheek lift procedures specifically address
this central facial hollowness and work to restore a
curvilinear, youthful facial appearance. One of the beauties of
a mid-facelift is that it can be done through short incisions
hidden behind the hair line and through a tiny stab wound in the
fold between the cheek and the upper lip (just large enough to
let us insert a few very long needles) which heals without a
visible scar.

Through these access incisions, the surgeon can elevate the
tissues that have drifted downward back into a more youthful
position, using suspension sutures. The aging face can thus be
sculpted tension-free to recreate the soft and graceful curves
of youth. The mid-facelift will not alter your jowls or neck
laxity, so if these are an issue, a traditional face and neck
lift will also have to be performed to achieve optimal
rejuvenation.

The midface lift, along with micro-fat grafting of the tear
troughs, are most frequently performed as adjuncts to a
traditional lift. Some patients, usually those who are younger
with aging limited to the mid-face region, or those who have
already had a traditional facelift, will benefit from a
mid-face/cheek lift as a sole procedure. Others may best be
served with a mid-face lift combined with a traditional lift or
other associated procedures in order to achieve the optimal
result!

Facial rejuvenation is at the top of the list of the most
common aesthetic surgical procedures. Most people feel
physically and mentally vigorous and energetic long after their
appearance has begun to deteriorate due to aging. A face, neck,
brow or mid-facelift procedure is designed to provide you with a
rejuvenated appearance. The degree of improvement achieved
depends on the severity of the initial deformity, the age of the
patient, tissue elasticity and the recommended procedure.

It is important to seek a surgeon who is well-versed in all of
the options, so that a customized plan can be developed for your
concerns.

About the Author: Dr. Bunkis MD, FACS of Orange County Plastic
Surgery is a Harvard-trained, Board Certified Plastic Surgeon
with 30 yrs of surgical expertise. Call 949-888-9700, email
questions to [email protected] or visit http://www.ocps.com for more
info. Serving Irvine, Newport Beach, Mission Viejo, Laguna
Beach, and OC.

Source: http://www.isnare.com

Permanent Link:
http://www.isnare.com/?aid=553195&ca=Wellness%2C+Fitness+and+Diet

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