Face / Neck - Facelift denver, co
Facelift / Necklift / Cheeklift / Mini-lift
Purpose- As we age, various changes in our skin and underlying soft tissues occur. The skin loses collagen and its elasticity, and the fat beneath the skin atrophies and disappears. As these processes occur, the face appears more hollowed and the skin begins to sag. The once well-defined facial contours are hidden, making us look older. Additionally, the jowls and neck skin become more prominent and horizontal and vertical bands develop in the neck. A facelift corrects all of these issues. There are many types of facelifts depending on the patient’s age, motivations, skin type, and degree of skin laxity. These range from minimally invasive to more extensive procedures.
Procedure- Strictly speaking, a facelift refers to a tightening of the skin and soft tissues from the cheek bones to the collar bones. Therefore, the cheeks, jowl line, and neck are all improved by this procedure. This procedure can be broken up into either a cheek lift or a neck lift if only one of these areas is in need of surgery. The incision is tailored to the patient but is placed in natural creases in front of and behind the ear to make it unnoticeable. For males and females the incision is slightly different so as to not distort the hair bearing skin of the face in males. In order to address the neck muscles, fat, and skin, a small horizontal incision is placed beneath the chin in a natural crease where it cannot be seen. The skin is elevated off of the underlying soft tissue structures and in most cases, the underlying connective tissue is also elevated to provide for longer-lasting, more natural appearing results. These tissues are then re-draped and the redundant tissue is removed. This is done in a way to restore the natural youthful appearance and avoid a surgical appearance. The best results in a facelift, occur when the patient has a well-defined bony structure and excellent skin quality. Therefore, Dr. Ladner may recommend additional procedures such as facial resurfacing, liposuction, fat augmentation, or chin augmentation to guarantee the best results. The length of the procedure can vary from 2-5 hrs, depending on the exact facelift procedure and additional complementary procedures. It can be performed under conscious sedation or general anesthesia. Together with Dr. Ladner, the appropriate anesthetic plan will be determined.
Recovery- The patient should be able to return to work within 10-14 days. At the end of the procedure, the incisions are wrapped in an occlusive dressing to minimize swelling and promote wound healing. This dressing is removed 1-3 days after the procedure. Some swelling and bruising is expected and normal. After the dressing is removed, you will be instructed on how to clean and care for the wound. Sleeping with your head elevated will minimize the swelling and expedite the recovery. No sutures will need to be removed as they are all resorbable.
Facelift and Necklift Before & After Photos
Before and 6 months after submental liposuction and neck lift
Before and 6 Months After Necklift and Upper Blepharoplasty
Before and 3 Months After Lower Facelift and Revision Rhinoplasty
Before and 4 Months After Necklift
Before and 3 months after Lower Facelift and CO2 LASER Resurfacing
Before and 3 Months After Necklift
Mini-Lift Before & After Photos
Before and 3 Months After Mini-Necklift
Chin / Cheek Augmentation
Purpose- In order to exhibit facial harmony, all of the pieces of the puzzle must fit. Strong cheek bones and an adequately projected chin help to accentuate the qualities of the overlying soft tissue. Furthermore, the profile of the nose must match the profile of the chin to achieve balance. Therefore, chin augmentation may be recommended at the time of a rhinoplasty.
Procedure- Cheek augmentation is achieved through hidden incisions inside the mouth. Synthetic, biocompatible implants that are well tolerated by the body are then placed gently over the bones of the cheek. These are customized for each patient to achieve symmetry and appropriate projection. Chin augmentation is achieved through a small hidden incision below the chin in a natural skin crease. The synthetic implant is customized for each individual patient and is then gently placed over the bone of the chin. The incisions are then meticulously closed. The length of these procedures is generally under 1 hr. These procedures can be performed with local anesthesia, conscious sedation, or general anesthesia. Together with Dr. Ladner the appropriate anesthetic plan will be determined.
Recovery- With chin implants, swelling and pain is usually very minimal. A dressing will be placed over the chin to prevent movement of the implant. Patients can expect to return to work in a couple of days. Cheek implants generally cause more swelling of the face. With cheek implants, you can expect to return to work within a week of surgery. All of the sutures for these procedures dissolve on their own and do not require removal.
Chin Augmentation Before & After Photos
Before and 6 months After Chin Augmentation
Before and 2 months after Mandible Angle Augmentation
Before and 9 months after Chin Augmentation and Revision Rhinoplasty
Before and After Lip Augmentation
Fat Transfer / Liposuction
Purpose- Contouring is performed when there is excessive tissue, usually in the form of fat. Liposuction using standard technique or more current ultrasonic technique is performed to give the face a better-defined structure. On the contrary, certain parts of our face including the temples, cheeks, and lips atrophy with aging giving us a hollowed and aged appearance. In these instances, the hollowed regions can be restored using the patient’s own natural fat. This is a minimally-invasive, excellent long-term solution to restore facial harmony.
Procedure- Depending on which areas of the face or neck are being addressed, small needle-size holes are made to remove or inject fat. Fat can be harvested from the abdomen, thighs, or buttocks depending on patient preference using a pen-size incision. The procedure usually takes 30 min. to 1 hr. These procedures can be performed under local anesthesia or conscious sedation. Together with Dr. Ladner, the appropriate anesthetic plan will be determined.
Recovery- Patients can expect to return to work the same day or within a couple days. If fat transfer/augmentation is performed, a dressing will be placed over these sites to stabilize the positioning of the fat. Some swelling and minimal bruising can occur. Sutures at the fat harvest sites will be removed within 7 days.
Facial Paralysis Correction
Purpose- There are multiple causes for partial or complete facial paralysis. Injury to the facial nerve from surgery, trauma, or medical conditions can leave the patient with both functional as well as cosmetic defects. The treatment plan is individualized based on the location, timing, and extent of injury.
Procedure- Dr. Ladner offers the full array of procedures to improve the paralyzed face. These include procedures to correct facial asymmetry as well as to restore function of the eye and mouth. Of utmost concern is protection of the eye. This can be achieved through one or two simple procedures. The first is placement of a weight within the upper eyelid to allow eye closure. The second procedure shortens and tightens the lower eyelid to allow for proper tear drainage. Correction of eyebrow, cheek, and mouth asymmetry can be addressed at the same time or using a delayed procedure. Suspension of the facial soft tissues is done using either the patient’s own muscle or tendon in the face or by using a synthetic material. This allows for elevation of the paralyzed tissues to restore symmetry. Small, hidden incisions are usually placed behind the hairline of the temple and at the corner of the mouth. Depending on the procedure(s) performed, the length of the surgery varies between 1 hr to 3 hrs. They can be performed under conscious sedation or general anesthesia. Together with Dr. Ladner, the appropriate anesthetic plan will be determined.
Recovery- Depending on the specific surgery performed, most patients are able to return to normal activity within a few days. Usually, no dressing is required and wounds are cleaned using the specific instructions provided. Sutures are removed within a week of surgery at the time of your follow-up.