Aging of the face is inevitable and as we get older, it becomes more difficult to retain the youthful, healthy glow. Age, sun exposure, gravity and genetics all contribute to the aging face. The skin begins to appear drier and thinner. Collagen, the protein that binds the skin together, begins to break down and, with time, the skin of the face and neck loosen. Fine lines around the eyes and mouth become wrinkles, and gradually deeper folds develop. The jaw line softens into jowls and, beneath the chin, excess skin starts to sag and produce the appearance of an extra chin or a “turkey neck”.
While you can’t stop the aging process, you can “Turn Back the Hands of Time”. Rhytidectomy, or a facelift as it is commonly called, has become the third most desired cosmetic surgical procedure. A facelift cannot stop the aging process, but it can restore a more youthful appearance and help you look your best.
Doctor Louis DeJoseph is Board Certified by the American Board of Facial Plastic and Reconstructive Surgery, and by the American Board of Otolaryngology/Head and Neck Surgery. Our doctors are world-renowned as a leaders and teachers in their field of facial plastic surgery and reconstructive surgery. Dr. DeJoseph stays on the cutting-edge of the latest advances in facial plastic surgery and are innovators in the field and frequent lectureres.
There is no ideal in a facelift. Skin type, ethnic background, degree of skin elasticity, individual healing and basic bone structure are factors that are considered during the consultation. We offer several different facelift procedures:
- The Traditional Full Facelift
- The “QT Lift™“, which was featured on Fox 5 News as the best low-down time alternative to the traditional full facelift
- The Mid-Facelift
Before we discuss these facelift options, it is valuable to understand how important the consultation can be in deciding which procedure is ideal for your needs and goals.
Doctor DeJoseph spends at least an hour with each new patient during consultation to review not only the procedure but the patient’s goals and desires as well. “Video Imaging” is one of the most helpful, communicative tools as it allows the patient to try on the facelift. As we discuss how the procedure is performed, you actually see your own image restored to a youthful appearance. It allows you to try on the facelift and it gives you the opportunity to address any other areas of concern.
“You never go from the consultation to the operating room,” states Dr. DeJoseph. “After deciding to schedule the facelift, we bring the patient back in for a pre-operative appointment. This gives us an opportunity to re-evaluate their medical history and review individual risks, especially medical conditions such as high blood pressure, a tendency to scar, smoking, and any deficiency in blood clotting. We think of the preoperative appointment as a teaching experience for both us and the patient. The ‘video imager’ is, once again, a useful tool for the patient as we review the photographs and discuss expectations, concerns and recovery time.”
“Successful facial plastic surgery is a result of good rapport between patient and surgeon. Trust based on realistic expectations and exacting medical expertise develops in the consulting stages before surgery is performed,” says Dr. DeJoseph.
Safety is a priority at Premier Image. Our outpatient surgery center is fully licensed and triple AAA accredited. The surgery center is owned and operated by Northside Hospital for exclusive use by Premier Image Cosmetic and Laser Surgery. We pride ourselves in using only board certified doctors of anesthesia and a qualified medical staff selected not only for their expertise and credentials, but for their caring attitudes.
A traditional facelift was our only option years ago, but with all the new advancements in medicine and technology, face-lifting procedures have become more individualized and now allow patients more options for facial rejuvenation. Here we will discuss the traditional full facelift. However, a consultation with one of Premier’s Board Certified Facial Plastic Surgeons is paramount in deciding if a full facelift is optimal for you.
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As featured on FOX 5 & 11 Alive News
For individuals with a heavy neck or excessive sagging of the face, neck and jowls the traditional full facelift may be necessary for optimal results. Commonly, the traditional full facelift incorporates some liposuction of the neck and under the chin as well as a platysmaplasty or necklift.
The Endoscopic Mid-Facelift, or Cheek Lift, procedure is an ideal option for those needing more fullness in the cheek as it lifts sagging cheeks, smoothes out nasal furrows, lifts the mid-face area, and pulls up the corners of your lips. A Mid-Facelift creates more fullness in the cheek providing a more youthful appearance.
A “browlift” or forehead lift is used to correct a drooping brow line (eyebrow area) reducing the horizontal lines and furrows (worry lines) that often make a person appear angry, sad or tired. The procedure creates a refreshed, youthful appearance to the forehead area above the eyes.
Eyelid surgery (blepharoplasty) is designed to remove excess skin and fat from the upper and lower eyelids. The procedure can correct drooping upper lids that tend to sag with time and the puffy bags below the eyes. Blepharoplasty can be done as a single procedure, or in conjunction with other facial surgery such as a facelift or a browlift.
Surgery to reshape the nose, (rhinoplasty) is among the most common plastic surgery procedures. This procedure can reduce or increase the size of the nose, remove an unwanted hump, change the shape of the tip or the bridge, narrow the width of the nostrils, or change the angle between the nose and the upper lip. The procedure restores an improved balance between the nose and other facial features. We take great care to achieve a natural result and to avoid the “surgical” look.
Chin enhancement procedures using implants take just thirty minutes to an hour to complete on average. They are commonly performed with local anesthesia and sedation, though general anesthesia may also be an option. Incisions may be located on the inside of the lower lip or on the skin just beneath the chin. An implant of the appropriate size and shape is then inserted through the incision and placed over the jawbone.
When you think about the harmonious appearance of someone’s face you realize that the face is not a one dimensional structure. When you think about lifting the face, it involves moving it in one direction. Then we talk about adding volume too which is another dimension and often times we use this with cheek implants or chin implants. Implantation to the skeletal frame of the face. This gives the second dimension to the face meaning the rounding of the cheeks or the rounding of the face adding structure to the lower area of the face.
Your neck can be one of the first places to show aging. The pull of gravity can cause the skin to sag and fall. Sometimes fat deposits form along with the hanging skin creating a double or even triple chin. Often this is referred to as the turkey gobbler or turkey neck. The board certified facial plastic surgeon Dr. Louis M. DeJoseph can determine if neck lift surgery is right for you during the consultation.
Liposuction is most often thought of as being a procedure that is performed all over the body. It’s not often looked upon as being performed on the facial area. Facial Liposuction can be a very important part of the facial surgery when performing a facelift or a QT Lift™. Facial liposuction can also be performed as an isolated procedure.
Very often we’ll see a younger patient, usually 45 years or younger, with a full neck or one who has developed jowls and desires to have a more youthful thinner neckline. Because their skin is so elastic, those younger patients can benefit dramatically with just performing facial liposuction in those areas only. This is generally a very short procedure with short recovery even as compared to a QT Lift™.
The lips are one of the most beautiful features of the human face. They provide expression to the face, they are an essential portion of the face and augmenting them or changing the appearance of them can have an incredible effect on the face.
Lip augmentation sometimes gets a bad rap. We’ve all been to the supermarket or the mall and see people walking around who obviously had their lips overfilled. This tends to scare a lot of people. The reality of it is this does not have to be the case. The lips can be injected in many different ways.
Otoplasty, commonly referred to as ear pinning, corrects the size or placement of an individual’s ears. Otoplasty is generally performed on children ages of 4-14, as the ears finish growing by 4, and otoplasty can prevent adolescent ridicule, but the procedure is also performed on adults. Good otoplasty makes the ears more proportional to the size and shape of the head and face.