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Case of the Month – June, 2018

This mini-facelift case illustrates the (many) limitations of a “thread-lift” or 2-hour (or less) “Lunchtime/Weekend Facelift.” Indeed, this 64 year-old woman had undergone one of these procedures six years prior (reportedly via a company that is now out-of-business) in an attempt to perform an “isolated lift” of her neck areas, and was left with a significant amount of hanging, excess skin, especially in her anterior neck area (ironically). She also had other signs of progressive aging, despite having had her upper and lower eyelids lifted at that time. This included deep vertical creases of her brow at rest, even though she had received 64 units of Botox in her brow area 8 weeks prior.

I recommended to her that she undergo a more proper facelift via (excising) her existing periauricular (around-the-ear) incisions, with tightening of her deeper SMAS (denser tissue on top of the facial musculature) and platysma (superficial neck muscle) layers as well, with anti-gravity-vector redraping and excision of excess skin. No open neck incision was planned. She underwent this “mini-facelift” as an approximately 3 hour procedure, in conjunction with repeat upper eyelid lifting, and Juvederm soft-tissue filler to her brow areas for her static rhytids (wrinkles).

She is shown here at approximately one month post-op (but didn’t want her eyes featured), with excellent early healing and resolving edema/swelling, but most important, a much improved neck contour which should last for many years. This is one reason why we tell people that although a proper facelift of this sort may cost a bit (but not much) more than short-cut procedures, (which may at least half as much but deliver only 20-30% of the potential results, if you’re fortunate – or create new problems altogether), it’s worth it to have your facelift and neck rejuvenation done properly the first time. (And even though patients continue to age, it’s safe to repeat these procedures, usually 10+ years later).

If you have similar problems of progressive lower facial or neck-area aging (or secondary problems from an improperly performed prior facelift), please contact us today at 303-278-2600 or request an appointment online here for your complimentary consultation. Thank you for reading and keep an eye out for future “Case of the Month” postings, featuring all of our surgeons on rotation.

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