Facelift and Necklift before and after, frontal
Facelift and Necklift before and after, lateral right
The second patient presents with more advanced problems of facial aging. She has heavier tissues, which will not reposition easily. There are deep nasolabial folds, and heavy jowls with distortion of the jawline. The cervical mental angle is obtuse with a blunted chin and no defined jaw neckline. She is not a candidate for a mini lift. A Facelift with dissection in the deep plane allows lifting of the heavy cheek and jowls without pulling or distortion. Extensive lifting of the neck skin as well as release, repositioning and tightening of the deep neck muscles with a pre jowl implant to the chin creates a defined jaw neck line. Although this remains an outpatient procedure it is not an office procedure. General anesthesia performed in an accredited surgicenter is required. Initial recovery is two weeks for return to work and normal activity. Swelling can be prolonged and the result will continue to improve over 3-6 months. Seen at 3 months this patient's result is dramatic even with some as yet unresolved neck edema. The patient has not found this a problem given the marked improvement she has already achieved.
- Michael L. Schwartz, M.D.
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