Archive for the ‘Mini-Facelift’ Category

How long does it take for a mini-facelift to completely heal?

Monday, November 8th, 2010

Question:How long does it take for a mini-facelift to completely heal? Answer:Recovery after a mini-facelift is usually one to two weeks. Recovery time varies between individuals. You will want to limit activity immediately following the procedure as it may increase swelling and delay healing time. Thank you, and I hope this helps answer your question.

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Face numb 3 days after a mini-facelift

Tuesday, July 13th, 2010

Question:I just got a mini-facelift three days ago and now my face is numb. Is this normal even after a few days? Answer:It is still very soon after your surgery and it is not uncommon to be experiencing numbness at this time. At this point it would be best for you to communicate any concerns [...]

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Is there any difference between a mini facelift, a "weekend facelift" and a "ribbon" facelift?

Monday, July 12th, 2010

Question:I have heard a lot of terms for a mini-facelift. I am considering all my options before I make a decision and like everyone facing a decision like this, I want to be informed. Is there any difference between a mini facelift, a “weekend facelift” and a “ribbon” facelift? Answer:Mini-facelifts and “weekend facelifts” essentially refer [...]

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Will I be able to have a weekend facelift on a Friday and be back to work on Monday?

Sunday, July 11th, 2010

Question:I have heard of something called a “weekend facelift,” which is not as invasive as a tradition facelift. I am 40 so I do not need the full facelift. Does a “weekend facelift” mean that I can get the procedure done on a Friday and be back at work on Monday? Answer:The term “weekend facelift” [...]

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Blepharoplasty Table

FAT REPOSITIONING
Figure 1 Frontal of a female patient following traditional transconjunctival removal of lower eyelid herniated orbital fat with resultant tear-trough deformity (nasojugal fold). Figure 2a Frontal of a patient with midface decent and a double-convexity contour deformity (lower eyelid herniated orbital fat convexity followed by the cheek/malar mound convexity).
Figure 2b One year post operative photograph demonstrating improvement in lower eyelid contour following lower eyelid transconjunctival fat repositioning and an endoscopic sub-periosteal midface lift. An endoscopic brow lift and upper blepharoplasty were also performed. Figure 3 Transconjunctival incision at the inferior edge of the tarsus using a Colorado needle – right eye.
Figure 4 A preseptal dissection is performed bluntly keeping the septum intact – right eye.  Figure 5 Sharp dissection between the medial fat pad and the inferior oblique muscle using scissors – right eye.
Figure 6 The medial and central fat pads are grasped with forceps and a “see-saw” movement is made allowing free movement of the fat pads from the inferior oblique muscle – left eye. Figure 7 A retractor is used to retract the lower eyelid and the orbicularis oculi muscle exposing the inferior orbital rim and arcus marginalis – left eye.
Figure 8 A suture and needle is passed through the skin and orbicularis oculi muscle medial to the nasojugal groove and retrieved in the subperiosteal pocket – right eye.  Figure 9 The medial fat pad pedicle is splayed-out prior to placement of suture – left eye.
Figure 10 The central fat pad is repositioned inferolateral to the medial fat pad – left eye.  Figure 11 Fat granuloma of the right lower eyelid following fat repositioning.
RESULTS
Figure 12a Before Figure 12a After
A, Frontal of before (left) and after (right).
Figure 12b Before Figure 12b After
B, Right (oblique), before (left) and after (right). A 55-year-old-woman with dermatochalasis and herniated lower eyelid fat. Before (left) and 1 year post-operatively (right) following lower eyelid transconjunctival fat repositioning, endoscopic brow lift and bilateral upper blepharoplasty. Notice the improvement of the lower eyelid contour and tear-trough deformity.
Figure 13a Before Figure 13a After
A, Frontal of before (left) and after (right).
Figure 13b Before Figure 13b After
B, Left (oblique), before (left) and after (right). A middle-aged woman with brow and midface ptosis, dermatochalasis and herniated lower eyelid fat. Before (left) and 20 months post-operatively (right) following lower eyelid transconjunctival fat repositioning, endoscopic brow and midface lift and bilateral upper blepharoplasty.
Figure 14 Before Figure 14 After
Frontal of before (left) and after (right). A 38-year-old female complaining of “a deep groove under her eyes and heavy upper eyelids.” The before photo on the left reveals minimal herniated lower eyelid fat with a moderate tear-trough deformity. Following lower eyelid transconjunctival fat repositioning and an upper blepharoplasty, the after photo on the right shows improvement of the tear-trough deformity.
Figure 15a Before Figure 15a After
Frontal of before (left) and after (right).
Figure 15b Before Figure 15b After
Right Frontal Close Up, before (left) and after (right). A 35-year-old male complaining of “deep groove below my eyes.” The before photo on the left demonstrates minimal to no visible herniated lower eyelid fat with a moderate tear-trough deformity, especially of the right eye. Following lower eyelid transconjunctival fat repositioning, the hollowness is improved.

Blepharoplasty HTML Table

FAT REPOSITIONING
Figure 1 Frontal of a female patient following traditional transconjunctival removal of lower eyelid herniated orbital fat with resultant tear-trough deformity (nasojugal fold). Figure 2a Frontal of a patient with midface decent and a double-convexity contour deformity (lower eyelid herniated orbital fat convexity followed by the cheek/malar mound convexity).
Figure 2b One year post operative photograph demonstrating improvement in lower eyelid contour following lower eyelid transconjunctival fat repositioning and an endoscopic sub-periosteal midface lift. An endoscopic brow lift and upper blepharoplasty were also performed. Figure 3 Transconjunctival incision at the inferior edge of the tarsus using a Colorado needle – right eye.
Figure 4 A preseptal dissection is performed bluntly keeping the septum intact – right eye.  Figure 5 Sharp dissection between the medial fat pad and the inferior oblique muscle using scissors – right eye.
Figure 6 The medial and central fat pads are grasped with forceps and a “see-saw” movement is made allowing free movement of the fat pads from the inferior oblique muscle – left eye. Figure 7 A retractor is used to retract the lower eyelid and the orbicularis oculi muscle exposing the inferior orbital rim and arcus marginalis – left eye.
Figure 8 A suture and needle is passed through the skin and orbicularis oculi muscle medial to the nasojugal groove and retrieved in the subperiosteal pocket – right eye.  Figure 9 The medial fat pad pedicle is splayed-out prior to placement of suture – left eye.
Figure 10 The central fat pad is repositioned inferolateral to the medial fat pad – left eye.  Figure 11 Fat granuloma of the right lower eyelid following fat repositioning.
RESULTS
Figure 12a Before Figure 12a After
A, Frontal of before (left) and after (right).
Figure 12b Before Figure 12b After
B, Right (oblique), before (left) and after (right). A 55-year-old-woman with dermatochalasis and herniated lower eyelid fat. Before (left) and 1 year post-operatively (right) following lower eyelid transconjunctival fat repositioning, endoscopic brow lift and bilateral upper blepharoplasty. Notice the improvement of the lower eyelid contour and tear-trough deformity.
Figure 13a Before Figure 13a After
A, Frontal of before (left) and after (right).
Figure 13b Before Figure 13b After
B, Left (oblique), before (left) and after (right). A middle-aged woman with brow and midface ptosis, dermatochalasis and herniated lower eyelid fat. Before (left) and 20 months post-operatively (right) following lower eyelid transconjunctival fat repositioning, endoscopic brow and midface lift and bilateral upper blepharoplasty.
Figure 14 Before Figure 14 After
Frontal of before (left) and after (right). A 38-year-old female complaining of “a deep groove under her eyes and heavy upper eyelids.” The before photo on the left reveals minimal herniated lower eyelid fat with a moderate tear-trough deformity. Following lower eyelid transconjunctival fat repositioning and an upper blepharoplasty, the after photo on the right shows improvement of the tear-trough deformity.
Figure 15a Before Figure 15a After
Frontal of before (left) and after (right).
Figure 15b Before Figure 15b After
Right Frontal Close Up, before (left) and after (right). A 35-year-old male complaining of “deep groove below my eyes.” The before photo on the left demonstrates minimal to no visible herniated lower eyelid fat with a moderate tear-trough deformity, especially of the right eye. Following lower eyelid transconjunctival fat repositioning, the hollowness is improved.