What did you do, change your hairstyle?
This is a question commonly asked of patients who have undergone a facelift with Dr. Isaacs.
You may have heard of gimmicky or catchy names to facelifts. There are different ways of performing a facelift, but the concepts and goals remain the same. Dr. Isaacs prepares a customized plan for everyone, because not every patient gets the same procedure.
Dr. Isaacs is a Course Instructor for the Face Lifting Course at the Annual Academy Meeting. He is also the Course Director of the Facial Fat Grafting Didactic and Cadaver hands-on teaching Skills Transfer Course at the meeting.
Dr. Isaacs also teaches the Face / Neck Lift Cadaver courses for the UCLA Oculofacial Plastic Surgery domestic and international fellows.
A facelift, or rhytidectomy, is a procedure performed to address the aging face and neck. A combination of manipulating deeper tissues, tightening muscles, removing fat, repositioning and removing skin, and releasing and repositioning deeper tissues can be performed.
The aging face can consist of jowls, an undefined jawline, areas of deflation, hollow and descent, a saggy or drooping appearance, and a loose, undefined, blunt, or rounded appearing neck. There is often loss of the cervicomental angle, or the break point between the horizontal region under the jaw and the vertical plane of the neck.
Facial characteristics vary between patients, so a customized approach is necessary. You may see one specific type of facelift that a surgeon may offer, but not every patient should get the same procedure.
One aspect of planning a facelift procedure is to evaluate the facial anatomy of the patient as it was during youth and to compare it to today. During your consultation, Dr. Isaacs may want to review old photos. This can help plan a procedure that will be most effective for an optimal outcome and avoid one that would bear limitations or not be suited for you.
Although skin is generally excised during a facelift, it is usually not the removal of this “excess” skin that is the main contributor to rejuvenation and a lasting result. This can in fact result in an “overdone” appearance or give a short-lived result.
Rather, restoring youthful facial contours is the goal of surgery. In fact, this may involve adding tissue in some patients. Manipulating the appropriate tissues in the appropriate vector is what contributes to a great result. The superficial muscular aponeurotic system (SMAS) is one of the tissues that has traditionally been manipulated during facelift surgery. Dr. Isaacs utilizes techniques to manipulate not only the SMAS but other components of the face during a facelift to give a more lasting, natural result with excellent support.
Dr. Isaacs’ patients enjoy a natural result. Patients say that their friends and family often ask if they’ve changed their hairstyle and can’t tell that they’ve had a facelift. Nevertheless, most patients don’t mind others knowing they’ve undergone a facelift and in fact feel that telling others is empowering.
This is a procedure for patients that need excess skin removal. Excess skin can result in a loose, aging neck. Excess skin is removed to provide a tighter and smoother appearance.
This procedure is typically performed with an incision under the chin and another incision around the ear. This procedure is performed on the neck muscle, the plastysma, in order to give more neckline definition, address noticeable vertical neckbands, and give more definition to the jawline.
Male necklifts may involve making an incision in front of the neck only. The plastysma muscle can then be tightened. Dr. Isaacs performs a modified male necklift that results in an improved scar when compared to the traditional anterior incision.