BOARD CERTIFIED BY THE AMERICAN BOARD OF FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY
BOARD CERTIFIED BY THE AMERICAN BOARD OF OTOLARYNGOLOGY - HEAD AND NECK SURGERY
FELLOW OF THE AMERICAN COLLEGE OF SURGEONS
"HARPER'S BAZAAR"
Maximum Invasion, Maximum Results
As reality would have it, maximally-invasive techniques Deep Plane or Superficial Musculoaponeurotic System (SMAS) facelifts are most effective and permanent. We may hope that a laser or another minimally-invasive procedure will be enough to tighten a drooping face, more often than not, anything less than a formal, well executed surgery will not yield excellent results, explains Dr. Jason B. Diamond, a rising star on the Los Angeles plastic surgery scene.
Diamond bottomlines the min versus max debate with the revelation that doctors tend to recommend those procedures that reflect their skill level. The truth is, not every doctor is able to perform the more advanced facelifts, he says. The more comfortable a surgeon becomes with more invasive procedures, the less they typically perform the minimally-invasive ones. (This is) because they know the results are not as long lasting or as effective. While no downtime facelift alternatives (fillers for lines, laser facials, etc.) have been all the rage in the media over the past few years, many doctors offering them are not surgeons at all. In fact, anyone with an M.D. can legally advertise herself as a ?cosmetic surgeon even though they have not been formally trained in surgery. An anonymous board certified plastic surgeon shares her encounters with many patients who had been sold less optimal treatments elsewhere. She explains, (These patients) clearly need invasive surgery to achieve their desired end result but have been sold non-surgical treatments by other cosmetic surgeons who do not perform the appropriate surgeries.
Advocating non-surgical procedures also comes back to a simple case of patient demand for something that won't send their friends into a gossip frenzy. Dr. Diamond says many have an aversion to the Patients pull the skin along the neck and jaw line with their hands to demonstrate the result they want, but insist they do not want a facelift, though a facelift is clearly the best way and often the only way to achieve that particular result. So the influx of doctors on the cosmetic surgery scene may be simply responding to market demands for alternatives to the infamous facelift.
Go Deep
Dr. Jason Diamond specializes in a specific kind of SMAS facelift referred to as Deep Plane, which is reportedly the only way to really get rid of the sagging that forms between the nose and mouth and below the cheeks. Deep Plane lifts are a type of SMAS facelift that, according to Dr. Sinha, are a little more tricky because one has to avoid some important nerves controlling facial expression in this area. When properly performed, the results are worth the difficulty lasting rejuvenation without risking a perpetual look of surprise.