The topic of “Face lift” includes a tremendous amount and variety of information, which can lead to some confusion as to which is the “right” or “best” technique for any specific surgical candidate. The loud and clear message, emphasized by virtually all of the experts in Dr. Fodor’s book “Be Your Best”, is that an individualized approach, custom tailored to each patient, is the key to optimizing the results of a face lift. There are indeed a multitude of techniques to choose from, and often there is more than one way to obtain a very satisfactory result. For this reason, it is to the patient’s benefit to approach his or her face lift consultation with an open mind. Rather than insisting on a particular technique that he or she may have read or heard about, it is often wisest to take into consideration the level of comfort and experience that the surgeon has with that or another technique. The ultimate result will often be best with a technique more familiar to the aesthetic surgeon rather than one suggested by the patient.
Face Lift Surgery Techniques
The personal preference of top Beverly Hills plastic surgeon, Dr. Peter Fodor, except for patients who require significant rejuvenation of the neck, is an endoscopic approach. This can provide excellent rejuvenation of the forehead and midface and, to a lesser degree, the lower face and neck via a transmitted pull. The incisions are one-half to one-and-a-half inches in length and placed only behind the hairline. The pull is more vertical than with some other approaches, recovery is rapid, and results appear very natural. Without getting too technical, the approach that Dr. Fodor favors is supraperiosteal (above the periosteum) as opposed to subperiosteal, which is one approach mentioned in this chapter in “Be Your Best”. Based on a patient’s individual needs, Dr. Fodor combines this technique liberally with the use of cheek and chin implants, soft tissue fillers for voume restoration, and Botox.
Getting Your Desired Face Lift Results
Dr. Fodor often likes to use specially designed barbed sutures for the purpose of fixating the surgically undermined tissues in their elevated position during the healing process. However, the method of fixation chosen – whether barb sutures, Endotine, tissue glue or other – is far less important to the quality of the ultimate result than many other factors. Specifically, preoperative facial analysis; choice of the appropriate procedure for each candidate, including consideration of extent of tissue undermining and vectors of pull; skillful execution of the surgery; and the surgeon’s overall aesthetic sense are critical elements in the entire process of facial rejuvenation surgery. Perhaps even more than for other aesthetic procedures, patients are well served by seeking consultation with more than one qualified face lift surgeon. This can help clarify, for each individual, the various options available to them and also lead to selection of a surgeon who shares their general aesthetic goals and concepts. The likelihood of attaining the desired results is greatly enhanced by this kind of “homework.”