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“Deep plane” has come to be more of a marketing term than an accurate descriptor of what facelift technique is all about. The SMAS layer is always tightened by facelift surgeons and mobilizing it by any technique means going under it, hence entering a “deep plane”. The trademark “deep plane lift” means lifting the skin and SMAS together as a unit and releasing all of the ligaments in the face to completely mobilize it. As this case illustrates, not everyone needs that. Moreover, not separating the skin and SMAS can cause bunching in front of the ear that requires a sideburn and temple scar to remedy the issue. Pure SMAS techniques separate skin and SMAS so that each can be moved in different directions to avoid skin bunching. Moreover, SMAS techniques offer a range of options from those that release “all” of the ligaments, just like the classic deep plane, to those that tighten the SMAS only where needed to just correct jowls, like this case. SMAS techniques can therefore be tailored to individual anatomy whereas classic deep plane lifts apply the same solution to every patient. All of that said, surgeons have their own preferences and all of these techniques can produce great results.
#face #lift
Upper eyelids are very straightforward. Lower eyelids, in contrast, are highly variable and often require a combination of procedures. These include fat removal, fat repositioning to soften circles (both done from an incision behind the eyelid), skin removal (outside incision), chemical peel for fine lines, and sometimes tightening the eyelid itself when droopy. In any event surgery takes about 2 hours and recovery is largely complete by 2 weeks. Discomfort is minimal.
#eyes #lift #fat #skin
Pleased to be included in the annual Newsweek national rankings of best plastic surgeons. True validation that one can be an expert in more than one specialized area! I have always believed that the technical aspects of different procedures are subordinate to a well developed aesthetic vision.
#plasticsurgery #aestheticsurgery #newyorkcity
Not mentioned is that the hip-to-hip scar is a trade-off for the procedure benefits. While prominent early on these scars keep improving. By 5 years they are often barely perceptible. Abdominoplasty is a big procedure for sure but has a high satisfaction rate. Revisions and “touch-ups” are rarely indicated.
#abdomen #skin #muscle
