Cosmetic facial surgery is described in many terms and can be quite confusing for patients. Years ago, facelifts included forehead lifts/browlifts, upper and lower eyelids, face and neck lift. A ‘mini’ facelift or lower facelift was commonly used to describe doing the face and the neck only. Other terms have been trademarked to describe surgical procedures for marketing purposes. The most important advice is to clearly communicate with the doctor what bothers you and what you would like changed. Secondly, it is imperative to listen to the doctor since he/she may be raising issues not previously discussed. Remember, you don’t know what you don’t know. Then, it is important to understand what is and is not going to be accomplished from the surgery. Realistic expectations are tantamount for a successful surgery.
Dr. Dabbah takes pride and great strides in providing his patients with a natural youthful face. If a patient asks for facial surgery that will result in a wind-tunnel look or an extremely tight face with unnatural creases, Dr. Dabbah will refuse to do the surgery. Dr. Dabbah wants his patients to look rejuvenated, not unrecognizable. He employs multiple approaches to achieve this goal. He will analyze the patient’s facial features and discuss all the concerns. He will then devise a surgical plan to address the issues discussed.
When deciding on the best cosmetic procedures or surgery, the quickest or least expensive option is more often than not, the worst decision. You should be looking for the best option. Listen well to the pros and cons of each cosmetic procedure or surgery. It may take a little longer to accomplish or cost a bit more but, if done expertly, you will not be disappointed in the short run and the results will be worth it years from now.
Dr. Dabbah performs all of his procedures and surgery himself with no assistant surgeon. He attends to his patients at each postoperative visit and considers the surgery “finished” when he discharges the patient.
Cosmetic Facial Surgery (Rhytidectomy)
A facelift is not a facelift is not a facelift. It depends on who you ask and how that surgeon defines and performs the surgery. No two surgeons are going to perform a facelift exactly alike.
Cosmetic facelift surgery is designed to improve the jowls of the jawline, remove loose skin and, more importantly, restore volume. As we age, our skin ages resulting in thinner, less elastic tissue. Deeper ligaments stretch, fat and tissue drop and we lose volume. Loss of volume occurs during aging. It’s important to restore that volume. Fat and tissue can be repositioned, underlying tissues can be tightened and excess skin can be removed without causing an unnatural look. And Dr. Dabbah’s perspective and approach to a male and female facelift differs. But, in either case, facelift surgery cannot improve the quality or texture of the skin. Other procedures such as lasers, peels and quality skin care are an absolute must to improve the skin quality.
Following facelift surgery, options such as Botox and filler injections will help treat frown lines, crow’s feet and deeper lines that are not addressed with the facelift.
A necklift is a cosmetic surgical procedure that improves the contour of the neck by removing excess skin, removal of fat and tightening of underlying muscles. It can sometimes be performed alone but is commonly combined with a facelift. I have had patients call it a chinlift.
As we age, we lose skin elasticity and develop hanging skin in the neck area. Usually this skin needs to be removed, however in younger patients, we can sometimes perform lesser invasive procedures to improve the neck. Some patients may be candidates for liposuction alone. Most need liposuction combined with a platysmaplasty. A platysmaplasty is a procedure to tighten the platysma muscle, the muscle in the neck responsible for the vertical bands. We continue to age and performing a platysmaplasty lengthens the longevity of the necklift.
If you have excellent skin tone and elasticity but are unhappy with fat in the neck region, you may be a candidate for an injectable alternative. The FDA recently approved deoxycholic acid, Kybella, which dissolves fat. It’s a procedure that is done in the office by injecting Kybella into the areas of fat. Contact us to find out more about this exciting nonsurgical option.
Liposuction and Platysmoplasty
Patients who come in with minimal hanging skin but complaining of an aging neck can sometimes get away with contouring of the fat and tightening of the neck muscles. The only incision is under the chin and we rely on the skin retraction to give the contour.
Cosmetic Eyelid Surgery (Blepharoplasty)
Cosmetic eyelid surgery, also known as a blepharoplasty, is helpful for those who feel that their eyes are heavy or make them look tired. It may be hanging skin of the upper lids or more involved such as fatty pockets of the lower lids. More advanced procedures today involve preservation of the fat surrounding the eyes. Rather than removing the fat and creating a hollow appearance, fat is placed back where it belongs and the overlying muscles are repositioned and tightened. This allows for a youthful appearance and maintains volume in this area. As in all facial surgery, skin quality is extremely important and peels or lasers may be necessary to get rid of wrinkles or lines. Dr. Dabbah does not change the shape of your eyes and, though it should not need to be said, ascertains that your eyes can and do close. Many doctors and surgeons opt to inject fillers or fat into the lower orbital area. This can be problematic and lead to asymmetry and a flattened look. As in all facial cosmetic procedures, Dr. Dabbah’s intent is to help make you look like you, but better and more youthful.