Category: Dr. David Santos
Patrons1 in Henderson, NV asks:
I had a face lift and a neck lift a month ago. As a result, I now have what appears to be a small rope around 1/2 of my neck. Additional my right side of my face is far more doopy than my left, ( which is good). I go back to the Dr. in 10 days for my 6 week evaluation. Is this something that he should fix?
It has been approximately five weeks since the procedure and generally at this time healing issues, bumps and lumps and “ropey” appearance problems have resolved. However in a small percentage of individuals this can be a persistent manifestation. Bumps and lumps and ropey appearance can last longer than five weeks, even into the three month mark. Generally, according to the appearance of the picture, there is no evidence of infection and this is simply an area that is going to take longer to heal. The reasons this happens is sometimes unexplainable, sometimes related to the way bandages are placed or it can occur with slow accumulation of fluid and/or blood into the tissues underneath the skin. Ongoing observation is still the mainstay of treatment. Massage can be beneficial I believe and sometimes ultrasound treatment to the area can help accelerate the wound healing process.
Sharla DeCelle in Las Vegas, NV asks:
I had a facelift approximately 4 years ago and have started to get the deep fowls around my mouth. I’m 60 years old and want to look vibrant for my age but do not want a another facelift. Are there other alternatives that will help the wrinkles and jowls?
Several options for nonsurgical facial rejuvenation:
If your areas of concern are the “deep frowns” around your mouth; so often the nasolabial folds and marionette lines around the mouth contribute to the sagging and contribute to the aged appearance. Without doing “surgery”, injections into these areas, particularly with fat transfer or other materials can provide good resolution/good improvement, without undergoing a repeat facelift. Specifically for wrinkles on the other hand; wrinkles are nicely treated with expert fractionated laser treatment. If you are concerned about the sagging jowl; in some instances laser lipolysis can provide some tightening in this area although this has to be done with great expertise and care.
Nonetheless there are options to help rejuvenate the face that don’t entail or require facelift surgery. But there is not a single procedure that will provide resolution for the areas you are concerned about, but a combination of these treatments can remedy the problem.
A good candidate is someone who is motivated
Overall I think a good candidate for Lifestyle Lift is an individual who is motivated; motivated simply to make a positive difference in their appearance. Through the ravages of time, simply as we get older things change; we don’t look as good and refreshed and youthful as we did in our 20s and early 30s. Lifestyle Lift specifically addresses the major concerns, which is the lower part of the face, the jowls, the laugh lines, the marionette lines, the sagging, the fullness, the aging appearance issues. The best patient for a Lifestyle Lift is the individual who is motivated to look better. There tends to be an assortment of ages, all the way from late 30s to early 80s and each individual has unique anatomy and specific concerns. Nonetheless, addressing the major areas of aging in the lower part of the face provides significant improvement in one’s overall sense of youthfulness and looking better.
Article from The American Society for Aesthetic Plastic Surgery
If you’re a woman of a certain age, a glance at your exposed chest may show that you need more than a pushup bra. Women in their fifties begin to show wear in exposed areas. According to the June 2011 issue of More magazine, “Your skin below the chin needs TLC.”
Nora Ephron, author of “I Feel Bad About My Neck” is not alone. Necks are frequently left unprotected with moisturizer and sunscreen. But, if you’re starting to look jowly, there’s a surprising and effective treatment for loose skin under the jawline. A plastic surgeon or dermatologist can skillfully inject Botox into the vertical muscles under your jaw, relaxing them so that they loosen their downward pull on the skin. Cost is $250 and up.
You may also have loose neck skin, sadly but aptly referred to as “turkey neck.” Tighten up before Thanksgiving with Thermage, a skin tightening treatment that uses radio-frequency energy to heat the skin’s deepest layers and stimulate collagenproduction. Cost is about $1,200. You can also boost Thermage effects with Fraxel, a resurfacing laser. If your knees are also sagging, the same skin tighteners used on the neck are also used to lift and tighten this hard-to-fix area.
Your chest, which is so evident in today’s scooped out styles, may be striated with lines and discolored with mottling. Mottling can be treated with glycolic peel laced with retinoic acid for about $100 to $200 a session. Pigment-targeting lasers will take care of your brown spots in about 3 sessions at $350 each. A hyaluronic acidfiller, such as Restylane, could even be used to plump up the lines in your chest for about $500 a treatment.
To prevent further damage, slather your chest with sunscreen, especially in the frequently-exposed clavicle area.
Celebrity Plastic Surgery: Lynne Curtin from the Real Housewives
“I’m from Alabama. I got rhinoplasty performed in Flordia 2 & half months ago. My nose is still very swollen. My doc told me I can come back to Flordia & get steroid injections or I can go to a local doc. He advise me that he feels that he’s a better doc than my local doc. But Florida is 14 hours away & I really don’t want to travel that far for shots. But this is my face & money isn’t an option. But I was thinking how hard could it be to perform shots. do u think the local doc could do the job?”
More men are getting plastic surgery. http://www.dailybreeze.com/lifeandculture/ci_18089067
— Dr. Santos (@RealPlastSurg) May 23, 2011
“Hi I am 20 years old, when I smile or laugh my mouth opens very wide so it seems that my smiel goes from ear to ear! is there anyway to fix it so when I’m laughing, my mouth won’t open as much?”
This is a significantly delicate and tricky proposed concern. Overall there is not a recommended surgical procedure. However, based on your anatomy there is a possibility that some expertly placed small degree of Botox can diminish some of the widening of the smile. However, nonetheless this has to be done, performed and assessed by a physician who does a significant amount of Botox treatments. Overall, I think that it is important to get a good opinion from a physician as to whether anything, if at all, should be done. Try to trust the opinion of the physician that you consult with and if you have a trustworthy physician and a physician who is well recommended and if this physician says don’t have any procedures done then importantly you should listen to this recommendation.
Rebric in Albertville, Al asks:
“I will be taking one hydrocodone/apap 7.5/500mg tablet and one diazepam 10 mg 1/2 hour prior to the surgery and given a local numbing injection. Do you know from your experience if this a comfortable option compared to general sedation? Plus have you performed this surgery without the protective eye lens cover?”