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First time facelifts in patients well over 65 can achieve excellent results. However, they are more challenging because the skin is much thinner and less elastic. Also, facial fat content is typically depleted making it difficult to create elegant contours. These cases require much more finesse than the results in 45 year olds commonly touted on social media! 

#facelift #smas #faceliftbeforeandafter

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Sam & Meg present a primer on eyelid surgery .  They covered it all except to say that discomfort is typically minimal and the results commonly last twenty years before a touch up may be indicated. 

#eyes #surgery #lift

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This patient is shown three years after her surgery.  Long term results are the best measure of a successful outcome. This case highlights the subtle but critical contribution that a small chin implant makes to the final result.  It evens the facial plane from top to bottom and by itself makes the nose appear less prominent. An extra small size is most commonly used in women and it is a “one and done” procedure. Rhinoplasty is complex and time consuming. Every imperfection is visible “on the table” and the procedure cannot conclude until all is perfect, regardless of the time necessary. 

#nose #surgery #chin

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