History of Facial Rejuvenation

A facelift, or rhytidectomy, is a facial rejuvenation surgery performed by a licensed cosmetic surgeon in order to restore a youthful appearance to your facial features.

The facelift procedure as a cosmetic facial rejuvenation surgery turned exactly 100 years old in 2016. The very first face lift operation was performed by a German physician named Erich Lexer in 1916.

According to Dr. Rajiv Grover, the president of the British Association of Aesthetic Plastic Surgeons, Lexer performed the first ever facelift by, “Lifting the [sagging] skin from the underlying fat, drawing it back, re-draping it and then removing the excess.”

Many other surgeons throughout the world began to perform the procedure after Lexer, but with no major innovations or improvements on the surgical technique until the 1960s and 1970s.

The first 70 years of facelifts in cosmetic surgery are now referred to as the Cutaneous Period of rhytidectomy (facelift) surgery. During this time facelifts were performed at the most surface level of the skin by lifting the skin from the face, pulling it taut, and cutting away the excess loose skin.

Surgeons became experts at performing plastic surgery during World War II in order to reconstruct the faces of injured war veterans, and these skilled plastic surgeons began turning their talents toward cosmetic facial rejuvenation in the 1950s and 1960s.

In the 1970s facial rejuvenation entered the SMAS period, which is short for Superficial Muscular Aponuerotic System— the stronger, deeper layer under the surface of the skin. Improvements in the safety and effectiveness of anesthesia and more precise surgical techniques allowed plastic surgeons to achieve more dramatic, natural looking, and longer lasting results by augmenting this muscle layer under the skin.

The first major innovation in facial rejuvenation surgery since its inception, the SMAS technique became the standard for facelifts throughout the 1970s. It allowed cosmetic surgeons to take a more extensive, radical approach to facial rejuvenation, enhancing more of the face and even the neck as well.

By the 1980s facial rejuvenation had entered the Deep Plane Period as plastic surgeons could skillfully and safely cut deeper into the face, down to the subperiosteal layer over the bone. Dr. Paul Tessier, the surgeon who had coined the term Superficial Musculoaponeurotic System, pioneered this deep plane facial rejuvenation technique.

In 1979 Tessier demonstrated that cutting to the subperiosteum above and to the sides of the orbital rim of bone around the eyes created a better looking result for the eyebrows than facelifts performed at the SMAS layer. This innovative approach could create a far more attractive and youthful appearance for cosmetic surgery patients.

From 1991 to the present, the history of facial rejuvenation has entered into what cosmetic surgeons call the Volumetric Period of rhytidectomy surgery. This period was characterized, in the early 1990s by a reconceptualization of the aims and means of facial rejuvenation surgery.

Plastic surgeons, starting in the 1990s, began to take more care reduce the appearance of scars from facial plastic surgery, and also began to focus on restoring the subcutaneous volume of fatty tissue under the skin that is naturally lost as we begin to age. Another major innovation in the volumetric approach to facial rejuvenation was the introduction of facial implants to contour the face.

The rapid advancement during this time of computer processing power and 3-D imaging techniques, along with computer aided drafting for perfectly fabricating custom facial implants, allowed this innovation to reach a very high standard of perfection in creating an ideal, natural looking result for patients seeking facial rejuvenation.

Dr. William J. Binder was an early innovator in the field of custom facial implants for cosmetic rejuvenation. When the technique first appeared, Dr. Binder saw the potential for aesthetic results for patients through the use of facial implants, but with a keen eye for facial anatomy, he noticed the results did not look completely natural; they were “non-anatomic” as he would say.

Dr. Binder did not believe facial implants could achieve the high standards of perfection he aims to achieve for his patients without applying the precision and power of high-resolution 3-D imaging, powerful digital rendering and imaging, and digital computer-aided drafting to fabricate ideal custom facial implants for patients seeking facial reconstruction or rejuvenation.

By innovating a system capable of fabricating custom-designed facial implants to a high degree of precision, Dr. Binder was able to pioneer a technique that allows the reconstruction of most facial contour defects with a higher degree of accuracy and better results than were ever before possible.

His efforts have helped to bring modern plastic surgery into the 21st Century.

 

About Dr. William J. Binder

Dr. William J. Binder is a facial plastic surgery specialist with over three decades of experience with facial plastic surgery.

For almost three decades, his individualized philosophy and approach to facial plastic surgery has led him to pioneer new techniques for face lift procedures and earned him international acclaim for his results.

If you want your face lift performed by one of the world’s leading facial plastic surgeons, contact Dr. Binder’s office today to schedule an initial consultation.

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How Much Does Facial Plastic Surgery Cost?

For something as important and personal as the appearance of one’s face – arguably the most memorable and distinct feature that each one of us has – there are many people who would like to improve some aspect of their facial appearance, knowing they would like the way their face looks better if they could improve or enhance one or more of its features.

Many others are happy with their facial structure and features, but would like to rejuvenate their facial appearance to look more like they did when they were a little younger.

For some, the desire stems from an insecurity about their looks that a facial cosmetic procedure can correct, giving them a valuable boost of confidence and self esteem. For others, the motivation is simply a desire to look their best.

Whatever the reasons for seeking plastic surgery, one relevant factor in a patient’s decision to undergo a facial plastic surgery procedure is the cost involved, and in the beginning stages of researching the pros and cons of plastic surgery, potential patients want to get an idea of the price of a facial plastic surgery procedure.

You may have found that it’s difficult to get an accurate assessment of the cost without an in-person examination of your face and medical history by a cosmetic surgeon, and an in-depth consultation about your specific goals and desired outcomes for undergoing facial plastic surgery.

Because your face is as unique as your fingerprint, and because the facial enhancements sought vary by patient, cosmetic surgery to alter facial features is an individualized plan and operation for every patient based on their face and their aesthetic desires.

No two facelifts are the same, each rhinoplasty will be different for each patient, and each eyelid or ear lobe procedure is unique. Facial surgery to correct a medical problem (such as rhinoplasty to improve breathing) may be covered by some insurance policies.

There are also multiple procedures to achieve the same result, and multiple surgical methods for performing the same procedure:

  • Each with their own pros and cons,
  • Each more or less invasive and prone to complications for a given patient,
  • Each with different requirements for anesthesia,
  • Each with their own typical recovery times,
  • And each with varying limits on the extent of the results that can be achieved.

All of these different factors and the surgical plan you and your doctor choose will determine how much a facial plastic surgery operation will cost for each different patient.

In helping patients to come to a decision about their plastic surgery, a modern, professional cosmetic surgeon will help the patient assess how each separate aesthetic feature of their face contributes to their overall facial appearance. The surgeon will also help determine what enhancements to the brows and eyelids, nose, cheeks or mid-face, lower face and chin, neck and/or the composition of the facial skin, fat, and muscle will achieve the most aesthetic overall result in line with the patient’s goals.

Subsequently, the cosmetic surgeon and patient will develop an individualized surgical plan that addresses the patient’s concerns and desires. Therefore the price of the operation will depend on what each person needs and the amount of time it will take the surgeon to perform the operation.

For something that will affect your life as much as facial plastic surgery, it is important to take your time researching plastic surgeons, reviewing their credentials and experience, reading over their websites, viewing before and after photos, and calling to ask any questions you have after researching online.

When it comes to facial surgery, the most important consideration is safety and the quality of the results you will achieve. USA Today personal finance correspondent Regina Lewis has sound advice to offer regarding the costs of cosmetic surgery. “Don’t cut quality corners,” she said. “Regardless of the procedure you’re interested in, always look for a top board-certified surgeon. Certification standards can vary.” Lewis outlined the following questions to consider when choosing a surgeon:

  • What is the doctor board-certified in?
  • Is the doctor licensed? Are there any state disciplinary actions?
  • How often has the doctor performed the surgery you are considering?
  • Is the facility where the surgery taking place accredited?

Lewis concluded, “Just because you’re getting a nip and tuck, you never want to cut corners on quality.”

Be wary of plastic surgeons who advertise discounts on their fees. “Bargain” and “surgery” are two words that do not look good together. Discounting the value of any specialized, professional service, especially surgery, shows very poor judgement in marketing and calls into question the quality of the face-altering surgery you may receive.

When consulting with your prospective plastic surgeon about the cost of your operation, pay attention to whether your surgeon is carefully listening to you, make sure they truly understand the aesthetic results you hope to achieve and gauge your sense of how available and attentive they will be to you after the operation has been completed. Don’t hesitate to look elsewhere if you have any concern that an operation with them might cost you more than their fee.

 

About Dr. William J. Binder

Dr. William J. Binder is a facial plastic surgery specialist with over three decades of experience with facial plastic surgery.

For almost three decades, his individualized philosophy and approach to facial plastic surgery has led him to pioneer new techniques for facial surgery procedures and earned him international acclaim for his results.

If you want your facial plastic surgery performed by one of the world’s leading cosmetic surgeons, contact Dr. Binder’s office today to schedule an initial consultation.

How 3-D Imaging is Innovating Modern Medicine

3D-Imaging-Plastic-Surgery3-D imaging via medical diagnostic tools such as MRIs and CT scanning is completely revolutionizing modern medicine.

As these medical devices become increasingly more precise at an accelerating rate, they are providing doctors with more finely-detailed, high resolution 3-D imaging of their patients with each passing year.

At the same time as the rapid increase in the sensitivity and resolution of these modern imaging devices, the processing power of digital computation has continued its exponential growth in price-performance year over year, allowing physicians to render and analyze the data from 3-D imaging all the more effectively.

 

Innovations in 3-D Imaging Resolution

By contrast to the incremental improvements of medical techniques over the centuries, and even to radiography during the decades of the 20th century, in recent years the improvements to medical imaging are coming fast and making a difference by orders of magnitude.

A little over a year ago researchers at MIT announced they had developed an algorithm that exploits light polarization to boost the depth resolution of conventional 3-D imaging technology by 1,000 times.

Researchers say the technique is so promising that it could bring this technology to your pocket: “The technique could lead to high-quality 3-D cameras built into cellphones, and perhaps to the ability to snap a photo of an object and then use a 3-D printer to produce a replica.”

 

3-D Image Processing Speed

A high resolution imaging device has little useful application without the processing speed to match it. Processing power is essential to creating the images and manipulating the data in quality diagnostic scans made by imaging devices.

And it’s not only the rapid pace of improvement in the brute force of computer processing power that’s been essential to 3-D imaging innovation in recent years. It’s the implementation of software solutions that can use that power to effectively reconstruct volumetric data.

There’s also the configuration of hardware processing power in a way that’s effective and efficient for the kind of computation involved in 3-D imaging, such as the incorporation of GPUs (graphical processing units) like those used by gaming software to create better images faster than CPUs can.

 

Machine Learning and Modern 3-D Imaging

One innovator in the field, Mountain View, Calif.-based EchoPixel is helping surgeons take the guesswork out of surgical planning by allowing them to create a 3-D image from patient-imaging data and manipulate it in a virtual environment— to remove tumors, dissect tissues, or measure blood vessels. The technology is allowing physicians to get a more accurate view of their patients’ anatomy.

Furthermore, with the application of machine learning, the software records the clinician’s interactions with the 3-D imaging data, so other doctors can learn from the same steps and methodology. The software is compatible for use on different hardware devices, including wearable tech such as Google Glass, so it can be used in an operating room.

 

How 3-D Imaging is Saving Lives

An ounce of prevention: Along with life-saving advancements to surgery prep for critical surgeries that doctors perform on vital tissues and organs, 3-D imaging is saving lives in the critical field of medical diagnostics.

The use of modern computer 3-D images made from a composite of multiple 2-D radiographic images using tracers and contact dyes has allowed doctors to view a comprehensive image of a patient’s body and observe minor anomalies that would have otherwise gone undetected, providing vital early warning signs of potential health problems.

 

And Making Lives Better

With today’s level of sophistication in computer 3-D imaging technology, its use in medical practice has also found an ever-expanding role to play in helping doctors improve the quality and results of facial plastic and reconstructive surgery.

For patients seeking facial implants to improve the proportions or enhance the contours of their face, the computer era has made it possible for facial implants to be perfectly tailored to a patient’s face.

Custom implants made using 3-D imaging and computer-aided drafting look smoother, rounder, and anatomical, and allow facial reconstructive surgeons to correctly perceive the interaction of all facial features to create a balanced, well-proportioned face.

Dr. Binder was an early innovator in this field, noticing at first that facial implants of the time were not quite right, or as he would say: “non-anatomic.”

 

Pioneering Facial Contouring and 3-D Imaging

Before bringing the possibilities of high-resolution 3-D scanning, efficient digital rendering and imaging, and computer-aided drafting to fruition in facial reconstruction techniques, Dr. Binder did not see facial implants achieving the desired results he was striving to attain.

By innovating a system capable of fabricating custom-designed facial implants to a high degree of precision, Dr. Binder was able to pioneer a technique that allows the reconstruction of most facial contour defects with a higher degree of accuracy and better results than were ever before possible.

Are You a Good Candidate for a Brow Lift?

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What is Brow Lift Surgery?

A brow lift, also known as a forehead lift addresses the following:

• Reduces the wrinkle lines that develop horizontally across the forehead, as well as those that occur on the bridge of the nose, between the eyes.
• Improves frown lines, the vertical creases that develop between the eyebrows.
• Raises sagging brows that are hooding the upper eyelids.
• Places the eyebrows in an alert and youthful position.
• Fighting signs of aging

Complementing cosmetic procedures to a brow lift include upper and lower eyelid tucks, face-lifting, and skin resurfacing techniques.

What is the Cost of a Brow Lift?

The average cost of a brow lift is $3,201, although costs can vary widely. The average fee does not include anesthesia, operating room facilities or other related expenses. A surgeon’s fee will be based on his or her experience, the type of procedure used, and the geographic office location.

Most health insurance does not cover brow lift surgery or its complications, but many plastic surgeons offer patient financing plans. Brow lift costs may include:

• Anesthesia fees
• Hospital or surgical facility cost
• Medical tests
• Post-surgery garments
• Prescriptions for medication
• Surgeon’s fee

To choose a board-certified plastic surgeon in your area, remember that the surgeon’s experience and your comfort with him or her are just as important as the final cost of the surgery.

Is Brow Lift Right for Me?

As we age, the body changes in various ways. Unfortunately, the face is the most obvious and usually among the very first signs of aging. As the skin loses its volume and elasticity, it begins to sag and droop, creating those wrinkles and fine lines on our forehead. To address this aging skin, many patients have turned to brow lift surgery.

While this procedure sounds enticing, knowing if you are a good candidate for the procedure is first. You may be a candidate for a brow lift if you:

• Are physically healthy
• Don’t smoke
• Have a positive outlook and realistic goals
.
Other factors to consider include age and recovery. When it comes to brow lift, age does matter. Individuals who are in their 40s and 50s are most likely to see significant changes after a brow lift, since this is the time when brow lines, forehead creases and sagging eyelids begin to appear.

Post-procedure recovery is also important to know as you decide on your procedure. After the surgery, you will be given specific instructions that may include:

• How to care for the surgical site and drains.
• Medications to apply or take orally to aid healing and reduce the potential for infection.
• Specific concerns to look for at the surgical site or in your general health.
• When to follow up with your plastic surgeon.

In the weeks after your procedure, you should keep you head elevated and refrain from vigorous physical activity. Do not use ice or heat on the operated area. The initial wound will take 10 to 14 days to heal. Sutures or clips will be removed when it is appropriate. You should be ready to work and resume normal activity after two weeks. Swelling and incision lines may take several weeks before completely refined and faded.

Following your physician’s instructions is vital to the success of your surgery. Your doctor will give you specific instructions on to care for yourself.

Dr. Binder’s surgery center in Beverly Hills is often considered the best option for solutions regarding facial cosmetic surgery. Our office is dedicated to establishing proper communication with prospective patients. Contact us today to   schedule a consultation for your neck lift surgery in our Beverly Hills office.

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Face and Neck Lifts: An Overview

As we age the face and neck begin to sag and crease, giving the neck, cheeks, and under eyes a droopy appearance; creating the illusion of a double chin, causing the neck muscles to band, and wrinkling under the eyes and from the corners of the mouth to the nose.

This happens to all of us, but the rate and age at which it happens varies from person to person based on genetics, gravity, environment, and stress, but rejuvenation procedures like facelifts and neck lifts can help to reverse this process.

There are many misconceptions about facelifts and neck lifts that cause people to be wary of them, the most common of which is that patients who undergo facelifts and neck lifts end up with a tight, “stretched,” and unnatural looking appearance. It is true that while, on occasion, old facelift and neck lift techniques could give these kind of results, this was rare.

Now, with new more effective techniques, artificial looking results are virtually unheard of, especially when the procedure is conducted by a highly skilled plastic surgeon.

About Facelift and Neck Lift Surgeries

Facelift surgery is used to correct signs of aging in the lower portion of the face; in the areas roughly level with the nose and mouth. In order to do so, a plastic surgeon begins incisions at the temple and continues down in front in the ear, below it, and then back behind the ear. The skin is then gently moved to tighten up sags and wrinkles. Excess skin and fat may be removed to create a smoother, more youthful final result. Incisions are closed with fine sutures or metal clips, allowing the surgeon to avoid shaving the incision site.

Neck lift surgery uses a similar process to tighten up sagging and correct muscle banding in the neck. Incisions for neck lifts begin similarly to those used for facelifts, going from the temple down in front of the ear, then curling below and behind the ear. For some neck lift procedures, these incisions may be all that’s needed and the skin can be repositioned. For others, additional incisions may be made below the jawline for further repositioning of the skin. Like with facelift surgery, excess skin and fat may also be removed. Incisions are closed with sutures.

Both procedures are performed under a combination of sedatives, general or mild intravenous anesthesia (“twilight sleep”), and local anesthesia. Incisions for both procedures are placed in natural contours of the face so that they are almost invisible once healed.

Which Lift is Right for Me?

Though facelifts and neck lifts can be performed individually if patients are happy with the appearance of their lower face or neck, but not the other, they can also be performed together. In fact, having both performed often gives better results. This is especially true if the procedures are conducted simultaneously as it allows the surgeon to take a more holistic approach and create a more unified appearance.

Many patients interested in facelift and neck lift surgeries claim that their physical appearance does not match their mental age. Good candidates for either a facelift or neck lift are unhappy with the aging appearance of the area in question, have no health issues that could impede healing or cause complications during surgery, do not smoke, and have optimistic and realistic expectations for what their surgery can achieve. While these procedures can reverse signs of aging, they do not stop the aging process altogether. Patients will continue to develop symptoms of aging.

Additional Procedures

Because facelifts don’t modify the entire face, other procedures are often performed in conjunction with face and neck lifts in order to tighten up the brow and eye areas, in addition to giving more dramatic and comprehensive results in general.

If the upper area of the face only needs minimal improvement, dermal fillers and skin resurfacing treatments like chemical peels and microdermabrasion can be used to correct minor wrinkles, scarring, under eye bags and dark circles, and discoloration. However, the effects of these treatments is temporary and they can’t rival the results of surgical treatments, though they can prolong the need for them. Non-surgical procedures can also serve as alternatives for patients whose health does not allow them to undergo surgery.

Additional surgeries can also be performed in conjunction with facelifts and neck lifts. For more significant revision of the upper part of the face, patients may want to consider blepharoplasty (eyelid surgery), brow and forehead lifts, or a combination of these. Surgeries can also be used to enhance the results of facelifts and neck lifts. Facial liposuction and fat grafting can be used, especially on the neck, to remove fatty deposits and bags and relocate the fat to areas that have become sunken over time, such as the cheeks and under the eyes.

Facial implants and rhinoplasty can be used to provide additional augmentation to create a more pleasant appearance in general, rather than just correcting aging, or as reconstructive procedures following illness or an accident.

The Right Plastic Surgeon for Your Face or Neck Lift

Dr. William J. Binder is a double board certified facial and reconstructive plastic surgery specialist and one of the world’s leading plastic surgeons. His surgery is located in Beverly Hills. If you want your lift procedure performed by one of the best, don’t wait. Contact Dr. Binder’s office today to schedule your consultation so that you can start looking as young as you feel.

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What is a Multi-Level Facelift?

Life goes on. It’s a common saying that’s often overused in times of strife or when accepting something outside of our control. However trite it may sound, it’s true when concerning the aging process, we can’t control it. However, that doesn’t mean it’s completely out of our hands. Or rather, in the hands of someone like Dr. Binder.

Years and years of research and procedures have led to tremendous strides in technology along with higher quality results in the facial rejuvenation and cosmetic surgery industry. The multi-level approach to facial surgery is one that provides a personalized procedure to those with specific desires for particular areas of the face.

Facelift Surgery

As we all know, aging is a completely natural and inevitable process. The loss of both superficial and deeper adipose fat tissue is what causes the undesirable sagging of skin, development of deep wrinkles, and thinning of the lips. These results of the aging process can be accelerated by factors such as over-exposure to the sun or drug/alcohol use.

Considering aging is so universal, it’s no wonder some people might be inclined to restore some of the elasticity and youthfulness to their face. This is the primary goal of a facelift procedure. Drooping jowls or eyebrows, bags under the eyes, wrinkles, or a sagging neck are all common areas patients have successfully improved with facelift surgery.

Where old facelift procedures would “pull” the skin tight around the face in an effort to forcibly smooth out wrinkles, this grew ineffective and often resulted in an artificially sleek looking face. This is because of the now-outdated focus on only surface level skin. With newer technology and practices, contemporary facelifts focus on deeper tissues in the face and aim to achieve a longer-lasting and more natural result.

The Multi-Level Approach

The multi-level approach to a face-lifting surgery is a relatively recent approach to the cosmetic surgery industry. No single patient is the same and no single patient should be treated as such. That’s why Dr. Binder and his team adopted this highly-personalized method of surgery. Where one patient may desire a full-scale face and neck lift, another may only require a neck liposuction, double chin correction, or eyelid fat removal. This customizable technique of administering treatment is an ideal way to effectively deliver individualized results for everybody.

The different facelift procedures are:

  • Vertical Midface Lift – Lifts the deep fat tissues, primarily of the jowls, and aims to prevent the unnatural “mask-like” look.
  • Under the Chin Neck Lift – The Bidirectional Neck Lift takes muscle from underneath the chin and repositions it upward, creating a better contoured muscular sling. Results are long-lasting.
  • Submental Neck Lift – Reinforces the platysmal muscle that is responsible for bands over the front of the neck.
  • Neck Lipo – This procedure is aimed at younger patients with an excess of fat around the neck and a substantial amount of skin elasticity.
  • Subperiosteal Midface Lift – Designed for younger patients who desire elevated cheeks. Produces nearly-invisible scars just above the hairline.

When considering such a permanent change with a procedure such as a facelift, it is critical that your treatment and care are personalized specifically for your needs and your needs alone. Along with the state of the art advancements in the plastic surgery space, a multi-level approach ensures you achieve not only facial rejuvenation, but the facial rejuvenation that is right for you.

Find out more about Dr. Binder’s cutting-edge procedures and quality care by contacting us today.

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Choosing the Right Facelift for You

You’ve recently been thinking about getting a facelift, but you aren’t sure what type of facelift or what facelift technique would work best for you. Before receiving any type of surgery, it is important to consider all of the available options. Here’s a quick look at the different types of facelifts and facelift techniques that you have to choose from.

Types of Facelifts

  • Traditional full facelift—a full or traditional facelift will address your entire face, including your neck and eyebrows. A full facelift may be performed with a neck lift, for more comprehensive results. This type of facelift can address sagging skin in your cheeks, chin, and jaw; reduce creases between your mouth and nose; reduce deep wrinkles under your eyes; and reduce displaced fat deposits. Because it targets a larger area, the treatment requires a longer incision (usually running along the temple, around the ear, and down to the neck. Full facelifts can address more dramatic signs of aging, therefore making them popular among patients in their 50’s and 60’s.
  • Mini facelift—a mini facelift primarily addresses the middle of the face, and is typically recommended for younger patients and for patients who desire only moderate change. This procedure requires smaller incisions (usually made just below the earlobes) as it addresses a smaller portion of the face. This type of facelift is also referred to as a weekend facelift due to its much shorter recovery time.
  • Mid-face lift—a mid-face lift works to restore a smooth, youthful look to the lower eyelids and cheeks, getting rid of that tired and haggard look. During this procedure, your doctor will create incisions similar to a traditional facelift, only deeper. This will allow for your doctor to lift the muscles that are normally untouched during a traditional facelift. Since this procedure only addresses some of the signs of aging, it is more suitable for patients in their 30s and 40s. Dr. Binder commonly performs what is known as a mid-face lift, which you can learn more about here.
  • Thread facelift—during this type of facelift, special threads are use to discreetly hold repositioned skin and facial tissue in place after surgery. This treatment tends to be most suitable for patients in their 30’s and 40’s who want to make minor adjustments to their appearance. How noticeable the results are depends from patient to patient, and it was one type of facelift surgery not utilized that often by Dr. Binder. You can find out more as to why here.

Facelift Techniques

The different types of facelifts can be performed using several different surgical tools and incision patterns. Each technique has its advantages and disadvantages, and will work differently for each person. The different facelift techniques include:

  • Endoscopic facelift—this technique can be used on all types of facelifts, and uses an endoscope (a microscopic camera attached to a small, handheld wand) to obtain a clear view of the underlying facial structure. This technique is usually best for patients who want to address drooping muscles and misplaced fat, but don’t have a large amount of excess skin. The same method can be used to achieve an endoscopic forehead lift.
  • Cutaneous facelift—this is the oldest facelift technique for addressing only sagging and excess skin. This technique carries a reduced risk of nerve damage and other complications, but the results don’t last as long, and may not look as natural.
  • Slift—this technique is most suitable for treating the jaw and lower face, as it doesn’t offer as dramatic of a result as traditional facelift techniques.
  • Deep plane lift—this technique is especially effective in treating the mid face, including deep nasolabial folds. However, this technique does involve more risks, especially to the facial nerves.
  • Subperiosteal facelift—this technique goes even deeper than the deep plane lift in order to address sagging in the mid face by targeting tissues just over the facial bone.

Make an Appointment

Before choosing which type of facelift and technique will work best for you, you should consult with a qualified doctor. Book a consultation with Dr. Binder today, so that he can answer any questions or concerns that you might have about getting a facelift.

woman-face-and-neck-lift

Face and Neck Lifts: An Overview

As we age, the face and neck begin to sag and crease, giving the neck, cheeks, and under eyes a droopy appearance; creating the illusion of a double chin, causing the neck muscles to band, and wrinkling under the eyes and from the corners of the mouth to the nose. This happens to all of us, but the rate and age at which it happens varies from person to person based on genetics, gravity, environment, and stress. Rejuvenation procedures like facelifts and neck lifts can help to reverse this process.

There are many misconceptions about facelifts and neck lifts that cause people to be wary of them, the most common of which is that patients who undergo facelifts and neck lifts end up with a tight, “stretched,” and unnatural looking appearance. It is true that on occasion, old facelift and neck lift techniques could give these kinds of results, but these results were extremely rare. Now, with new more effective techniques, artificial looking results are virtually unheard of, especially when the procedure is conducted by a highly skilled plastic surgeon.

About Facelift and Neck Lift Surgeries

Facelift surgery is used to correct signs of aging in the lower portion of the face, in the areas roughly level with the nose and mouth. In order to do so, a plastic surgeon begins incisions at the temple and continues down in front in the ear, below it, and then back behind the ear. The skin is then gently moved to tighten up sags and wrinkles. Excess skin and fat may be removed to create a smoother, more youthful final result. Incisions are closed with fine sutures or metal clips, allowing the surgeon to avoid shaving the incision site.

Neck lift surgery uses a similar process to tighten up sagging and correct muscle banding in the neck. Incisions for neck lifts begin similarly to those used for facelifts, going from the temple down in front of the ear, then curling below and behind the ear. For some neck lift procedures, these incisions may be all that’s needed and the skin can be repositioned. For others, additional incisions may be made below the jaw-line for further repositioning of the skin. Like with facelift surgery, excess skin and fat may also be removed. Incisions are closed with sutures.

Both procedures are performed under a combination of sedatives, general or mild intravenous anesthesia (“twilight sleep”), and local anesthesia. Incisions for both procedures are placed in natural contours of the face so that they are almost invisible.

Which Lift is Right for Me?

Though facelifts and neck lifts can be performed individually if patients are happy with the appearance of their lower face or neck, they can also be performed together. In fact, having both performed gives better results. This is especially true if the procedures are conducted simultaneously as it allows the surgeon to take a more holistic approach and create a more unified appearance.

Many patients interested in facelift and neck lift surgeries claim that their physical appearance does not match their mental age. Good candidates for either a facelift or neck lift are unhappy with the aging appearance of the area in question, have no health issues that could impede healing or cause complications during surgery, do not smoke (or can abstain from smoking for an agreed period of time), and have optimistic and realistic expectations for what their surgery can achieve. While these procedures can reverse signs of aging, they do not stop the aging process altogether. Patients will continue to develop symptoms of aging.

Additional Procedures

Because facelifts don’t modify the entire face, other procedures are often performed in conjunction with face and neck lifts in order to tighten up the brow and eye areas, in addition to giving more dramatic and comprehensive results in general.

If the upper area of the face only needs minimal improvement, dermal fillers and skin resurfacing treatments like chemical peels and microdermabrasion can be used to correct minor wrinkles, scarring, under eye bags and dark circles, and discoloration. However, the effects of these treatments are temporary and they can’t rival the results of surgical treatments, though they can prolong the need for them. Non-surgical procedures can also serve as alternatives for patients whose health does not allow them to undergo surgery.

Additional surgeries can also be performed in conjunction with facelifts and neck lifts. For more significant revision of the upper part of the face, patients may want to consider blepharoplasty (eyelid surgery), brow and forehead lifts, or a combination of these. Surgeries can also be used to enhance the results of facelifts and neck lifts. Facial liposuction and fat grafting can be used, especially on the neck, to remove fatty deposits and bags. Facial implants and rhinoplasty can be used to provide additional augmentation to create a more pleasant appearance in general, or as reconstructive procedures following illness or an accident.

The Right Plastic Surgeon for Your Face or Neck Lift

Dr. William J. Binder is a double board certified facial and reconstructive plastic surgery specialist and one of the world’s leading plastic surgeons, with an office in Beverly Hills. If you want your lift procedure performed by one of the best, contact Dr. Binder’s office today to schedule your consultation.

Misconceptions about Face Lifts

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5 of the Most Common Misconceptions About Face Lifts

Face lifts are one of the most common plastic surgery procedures, especially among older patients. In fact, 125,711 patients received face lift surgeries in 2015. This procedure lifts and shapes the face by removing excess skin, and may also involve the tightening or removal of the tissues under the skin, like fat and muscles. Like with any procedure this common, there are a lot of widespread misconceptions about face lifts. Here are five of the most common misconceptions about face lifts and why they aren’t true.

1. Face Lift Results Don’t Look Natural

While in the past face lifts could occasionally give a stretched or unnatural looking appearance, the vast majority did not. These unnatural looking results are even less common now with the use of new techniques and technology, such as lasers, endoscopy, and liposuction. The risk of poor results is even further minimized when the face lift procedure is performed by a skilled plastic surgeon. A good plastic surgeon will tailor the procedure to your facial structure and aesthetic goals to give you the best, most natural looking results possible.

2. Face Lifts Reshape the Whole Face

Face lifts only shape the lower third of the face, around the chin and mouth. For this reason, face lifts are often combined with other lift procedures like forehead lifts, brow lifts, eye lifts, and neck lifts. These procedures can be performed at the same time or over time in different surgeries, but most patients choose to undergo a single surgery to minimize recovery time and achieve more significant results at once. Face lifts can also be performed alongside other, more dramatic plastic surgeries like chin or cheek augmentations to give a more significant improvement in appearance.

3. Dermal Fillers Give the Same Results as a Face Lift

Yes, both injectable dermal fillers and face lifts can be used to remove patients’ wrinkles, but dermal fillers can’t compete with the results of more comprehensive lift surgeries. For one, the results of dermal fillers are temporary, only lasting, depending on the variety of filler, from a few months to a year. The results of dermal fillers aren’t as thorough as a face lift either, as fillers aren’t able to remove excess skin and other tissues. However, though injectable dermal fillers can’t replace face lifts, they can put off the need for a face lift for a few years.

4. Face Lift Results Last Forever

As much as we may wish our new, youthful look after our face lift procedure was permanent, the procedure can’t stop aging. For this reason, some patients who get a face lift at a younger age may choose to undergo a second procedure later on. While this second procedure is still invasive, it requires less modification than the first procedure. This second procedure also can’t replicate the results of the first, but each can shed 10 or more years off the appearance of your face.

Of course, a second surgery isn’t necessary, either. 68.5 percent of face lift patients rated their current results after their first procedure as good or exceeding expectations, even at an average follow up period of 12.6 years. The results of your first procedure can also be extended by proper skin care including moisturizing and sun protective ingredients, lifestyle factors like a proper diet and exercise regimens, and limiting alcohol consumption and smoking.

5. All Plastic Surgeons are the Same

Face lifts are invasive surgical procedures that require a skilled and experienced surgeon to get the best possible results. A passionate and well-trained surgeon is able to give far better results than a novice doctor. Dr. William J. Binder is a double board certified facial plastic surgeon who has decades of experience satisfying plastic surgery patients in the Los Angeles area.

At the same time, Dr. Binder has also conducted research and given informational lectures to plastic surgeons around the world. If you want a face lift performed by one of the world’s leading facial plastic surgeons, contact our office today to schedule your consultation.