“Customized Facelifts to help you be the best you in the new year”!
As one of the world’s most well known facelift specialists, I have changed and refined my facelift techniques over the years to continuously meet the demands of Hollywood’s most famous faces. I insist completely upon natural results that leave no evidence of ever having surgery. My patients have come to know and demand my natural results. Through years of refining my techniques, I have now perfected the premiere facelift method. This premiere facelift technique gives the absolute best results with minimal healing and no visible scars. I am extremely proud of the evolution of my facelift and am excited to share this information with the world.
While speaking at many symposiums, I am often asked to describe how I developed this premiere facelift technique that has become the Best Facelift for 2015. When I first started my career, I knew I wanted to be the best. I spent over two years studying with and learning from the top facelift surgeons in the world at that time. I learned from the ‘best of the best’ and saw a variety of different techniques, with varying results. I was able to pick and choose methods from over fifty different surgeons to create what I felt was the ultimate facelift procedure. Very early on, my results were widely talked about and my reputation as a facelift ace grew very quickly. It was not long before I was asked to be the facelift specialist on E!’s hit reality series DR 90210, where I was featured for seven seasons.
As I started my career, I learned very early the power of the deep- plane facelift. This is the facelift that involves only minimal skin dissection but quite extensive muscle dissection. This facelift procedure requires a high level of mastery and few surgeons in the world are trained to perform it. I have been performing the deep-plane facelift since the beginning of my career. I discovered that by separating the face into different regions, and addressing those regions individually, facial rejuvenation results became more natural. The old ‘wind-blown’ and over-pulled appearance came from surgeons that were trying to address too much with one big pull. I realized that typical facelift techniques, which also pulled the cheek and lateral eyelid region looked very unnatural. Therefore, I focused my facelift to address only the jaw line and neck, creating the most natural results. I then began to use different techniques to rejuvenate the cheeks as well as other parts of the face at the time of a full facial rejuvenation.
I discovered that fat grafting was the most popular technique amongst the most sophisticated facial surgeons. I quickly sought out the best surgeons in the business to acquire and perfect these fat grafting techniques. I began to use these techniques to augment the cheek and correct the nasolabial folds as well as other creases and hollows at the same time as the facelift. This allowed me to keep my facelift focused on the jawline and neck while also correcting the other regions using fat. This gave very natural and beautiful results.
After several years of doing this procedure, I began to notice the unpredictable nature of fat grafting. Therefore, I often found myself re-injecting fat into the middle third of the face. Based on this discovery, I decided to become more aggressive with my muscle tightening to enhance the cheek component of my facelifts. This technique is known as the “High SMAS” or the high superficial muscular aponeurotic system facelift. This procedure requires a very extensive undermining of the facial muscles as well as severing several ligaments known as the zygomatic cutaneous ligaments. While this technique does focus on the lower jaw line and neck, it elevates the cheek more than the deep plane facelift. However, I found that this technique increased the patient’s overall swelling, their mid face results were short lived, and most importantly, it did not give the mid face the natural aesthetic appearance for which I am known.
I started to consider a more powerful correction to the middle third of the face and spent time in a cadaver lab testing out a new mid facelift, otherwise known as a cheek lift technique. Once I felt like I had the technique perfected, I discussed this option with many patients. Many people opted for the cheek lift option instead of fat grafting because of the increased longevity and better predictability of the results. Thus, I began doing cheek lifts with most of my facelifts. The cheek lift is done through an incision in the temple region as well as an incision inside the mouth. The cheek lift actually lifts the mid face and cheek region vertically as well as projects the cheek slightly away from the face. This is quite a powerful technique, which still allows me to focus my facelift on the neck and jaw line, thereby maintaining completely natural results. Cheek lift patients would be swollen for a longer period of time then those who had fat grafting, but once the swelling resolved the results were more significant and more powerful. I was very pleased with the cheek lift technique and I still use it today from time to time, however as years passed I noticed that the cheek lift results also lost their power after approximately 4-5 years. Even after 4-5 years my patients still feel like their cheeks were in a better position and more rejuvenated then prior to the surgery, however the results certainly were not as powerful 5 years down the road as they were 1 or 2 years afterwards. I realized that the cheek region is quite heavy tissue and is on a very slippery and vertical plane, and therefore no matter what you do to elevate the cheek, gravity will ultimately win on that slippery vertical plane. It was for that reason that I decided to use cheek implants to rejuvenate the cheek at the same time as facelifts.
I learned cheek implant techniques from the best in the field when I first started practice. I had a lot of experience and excellent results with the cheek implant procedure, however I had never done a cheek implant at the same time as a facelift up until this stage of my career. I decided that if the mid face was worth correcting and rejuvenating then it was worth doing it in a permanent way. Cheek implants allow for a permanent correction to this region. Historically many surgeons have not had good success with cheek implants because it requires a high level of skill and aesthetic judgement to get it right. However, there are several principles that if adhered to while doing surgery make cheek implants extremely predictable and extremely safe. Choosing an implant takes a lot of skill and experience and I liken it to picking out sneakers. Just the way there are many different sneaker companies, there are many facial implant companies. Based on my experience, I found the company that I know to be the best. Using the sneaker analogy, once you choose the company that you like, then there are many different styles of sneaker. For example, if you chose Nike as the company that you like best, then there are many different types of shoes such as running, walking, etc. This is the same with facial implants, there are many different styles that all have different shapes and give different appearances. It is from experience and aesthetic judgment that I know which style to use for which person. Then just like with a running shoe, once you pick the style that you like, you need to pick the size that fits you. Facial implants are the same. The experienced facial surgeon knows that there is no way to know for sure which implant will fit the best, until it is placed into position. Therefore at the time of surgery, it is necessary to have many different sizes and shapes of implant. Once the dissection is performed intra operatively, the practice implants are placed, and it becomes clear which implant is most appropriate based on the way the body accepts it. Once the appropriate implant is chosen, I will then customize it to perfectly fit the patient’s anatomy. This might mean shaving a little bit off the top or taking a little bit off the bottom. I may need to make it a little skinnier , a little shorter, or more or less angled. The options are infinite. Every single person will require some degree of customization of the implant. Once the implant has been customized it is then secured into position in such a way that it will never move. Historically patients who have had implants in the past would complain that the implants would move and fall out of position, but this will never happen when done correctly. The implant result is completely permanent. It is also 100% reversible in the very rare circumstance that somebody does not like their implant. I have never had to remove a cheek implant on a facial rejuvenation patient. They have a high success rate and a high degree of satisfaction when done correctly. I now consider cheek implants as my gold standard for mid face renewal as part of my full facial rejuvenation.
Other components of my 2015 facelift are minimally invasive techniques that allow for has become smaller and smaller. The standard incision has typically ran from the front of the ear around the bottom of the ear and extended back into the hairline behind the ear. As I have evaluated numerous results over a long period of time, I’ve come to realize that this aspect of the incision is unnecessary. I have limited my facelift incision so it now stops in the crease halfway up the back of the ear. We have also developed a minimally invasive neck tightening technique, which allows me to tighten the neck without having to elevate the skin off the underlying musculature. Therefore the standard neck lift maneuver, that is done as part of many facelifts, can be avoided without sacrificing results. This significantly reduces the amount of surgery that needs to be done and therefore minimizes healing and risk. The minimally invasive neck lift allows me to weave a series of sutures beneath the skin to support the neck musculature. This leaves no visible scars and requires very little dissection. Not only does the neck heal faster in this minimal invasive neck lift procedure than in the standard facelift/neck lift maneuver where the neck is opened, but doing this minimally invasive procedure as part of the facelift, allows for a smaller facelift dissection on the side of the face as well. Because we are not elevating the skin below the jawline, the elevation of the skin in front of the ears is less. This further increases the healing and minimizes the risk of any irregularities or problems. This technique is the perfect combination of power and subtlety for rejuvenation of a face. This technique is ideal for men and women who wish to have a subtle but powerful correction to the jowl as well as the lax and sagging skin under the chin. Because these incisions and scars are so limited, this is ideal for the Hollywood actors, actresses and models that can’t afford to have even one small scar that is visible. This combination of facelifting, cheek lifting, and neck lifting is what I call the Best Facelift for 2015, and is often combined with other procedures to rejuvenate the entire face. This full facial rejuvenation can include procedures such as brow lifts, upper or lower blepharoplasty to rejuvenate the eyelids, chin implants, customized jaw angle implants, rhinoplasties, lip lifts and others. I’m extremely proud of this facelift technique and the results that it delivers. This is the facelift technique that I will choose for the most discerning and demanding faces of Hollywood as well as the rest of the world. I will still perform variations of the older techniques when necessary. However, this is the Best Facelift for 2015 which is the gold standard of facelifts everywhere.