BodyLanguage | Issue 11

Our approach to helping patients achieve their goals is always to start with the least invasive procedures which often can be quite effective without resorting to surgery. Good physician-directed skin care, HydraFacials, microneedling, chemical peels, laser treatments, toxins, and fillers all work together to accomplish amazing improvements.

The facelift addresses the sagging aspect of facial aging. Facelifts involve lifting the skin and then tightening the tissue and muscles deep under the skin and repositioning and reshaping those structures to a more youthful appearance. The skin is simply re-draped over the new shape and the extra is cut away. A modern facelift IS NOT pulling the skin back tight to make the face look better. We all know that looks BAD – that stretched, windtunnel- pulled appearance is what we avoid with our techniques at CaloAesthetics. A facelift can involve tightening only the neck (necklift), the neck and jowls/lower face (lower facelift), the entire face and neck (full facelift), or maybe just a less invasive lift in someone with early aging (mini-facelift) which often has shorter scars and quicker recovery. At CaloAesthetics, we refer to our mini- facelift as the CaloLift. The incisions can be only under the chin, only around the ears, or possibly both to optimize the final results. Facial surgery patients recover quickly, with all stitches removed in 5-10 days in most patients, back to work in 1 week (mini-facelift, neck lift, or eyelid surgery) or 2 weeks with a lower or full facelift.

However, surgery may be the best option for some patients. Remember, facial aging is not the only reason someone gets facial surgery. Rhinoplasties (nose-jobs) and otoplasties (ear- pinnings) are great examples of surgeries that improve the appearance from issues that are not age-related. The brow position and the upper and lower eyelids are often the first facial features to show aging. The upper eyelids become hooded and heavy, bags develop in the lower eyelids, and sometimes the brow begins to drop leading to a heavy appearance above the eyebrows. Browlifts are performed as Endoscopic Browlifts with only tiny incisions in the hair-bearing scalp. Upper blepharoplasties (upper eyelid) and lower blepharoplasties (lower lids) address the heavy upper lids and the bags in the lower lids. Laser resurfacing and fat grafting are sometimes performed with eyelid surgery to optimize outcomes! If not performed earlier in one’s life, the brow and lids are treated at the same time as the facelift.

When doing a facelift, patients should expect me to be looking at all the ways to make each patient look their best, and look natural. That will include good skin care, and possible non-surgical laser treatments (like the HALO, Moxi ® or Genius RF/Microneedling) to make the final result outstanding. Fat grafting is often done to restore the volume as well during the facelift, with fillers performed post–surgery to maintain the results over many years. Facelift age? 40's for mini-facelift, 50's for lower or full facelift, but many patients in their 60's and 70's undergo facelifts either as their first one or as a secondary re-lift to maintain that refreshed look. It can be less natural if someone waits and then does everything after significant facial aging. Sometimes the change can be so dramatic it is hard for people not to know something significant happened. For some patients that is perfectly fine. There is no doubt keeping up with the aging process and making small corrections starting earlier allows for a more gradual, natural change that can be a little more “under the radar” and less noticeable to family and friends.

BROWLIFT, UPPER AND LOWER BLEPHAROPLASTY

LOWER FACELIFT, LIPOSUCTION, FAT TRANSFER

NECK LIFT, SUBMENTAL LIPOSUCTION, THERMITYTE

CaloAesthetics Patient

CaloAesthetics Patient

CaloAesthetics Patient

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FACELIFT, NECK LIFT, FAT TRANSFER

CaloAesthetics Patient

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BODY LANGUAGE 13

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