I have a saggy jawline and my upper eyelids are baggy, is there one surgery that will fix all the droopy areas?
The "old" facelift used to attempt to fix all droopiness at once. The result was a very pulled, "operated-on" look. Newer procedures are geared to addressing individual areas of the face. Each area and problem should be addressed independently to achieve the most natural and refreshed look;
UPPER FACE (usually treated with an endoscopic browlift and/or upper eyelid lift)
MID-FACE/LOWER EYELID (endoscopic or standard midface/lower eyelift)
LOWER FACE/JAWLINE/NECK (facelift, "tuck-up" or neck lift)
WRINKLES AROUND MOUTH/LIPS (injectables and implants)
Individuals "tweaks" can be discussed, such as facial resurfacing, Threadlifting and other minimally invasive procedures that help in achieving the desired look.
Is it better to have everything done at once or have several procedures spaced out?
That depends on your goals and desires. In general, the cost is less to combine the procedures and you only undergo one recovery period, instead of several. On the downside, it may take a bit longer to heal (longer anesthetic, multiple procedures).
What is the expected recovery time? When can I go back to work?
Depending on the type of procedure, recovery is generally 7-10 days. Most patients can resume work after 1 to 2 weeks. Regular physical exercise may be slowly resumed after 7-10 days. Makeup can be used to help camouflage the areas that are bruised after one week. Social activities can be resumed after 3 to 4 weeks.
How much pain can I expect?
Again, it depends on the procedure. Most patients have a headache after an endoscopic browlift. Some discomfort and dryness after eyelid surgery is expected, and the swelling of the eyelids may impair visual fields for a day or two. A facelift is uncomfortable for the first 24 to 48 hours, after which most patients are surprised by the lack of pain. Pain will be controlled with narcotics until it is manageable with Tylenol. Pain is a unique sensation, and no two people will perceive it the same.
Will scars result?
A scar is always a sequela of having surgery. However, scars can be placed so they are well camouflaged and very difficult to see. Any scar will be red during the healing period (generally 6-12 months) and after that are generally imperceptible.
How long will surgery last?
Changes made to the tissues are permanent. However, your face will continue to age. Many patients will need a touch up after about 10 years, depending on genetics and the care they provide to their skin and body.
What is the best age to get a facelift?
There is no perfect age. The younger the patient, the better the results last and the less dissection is needed. In general, younger patients heal faster, better and have better results.
Can a facelift be done on a man?
Absolutely. The incision is often contoured differently for a man, but the ability to tighten the jaw line and the skin under the chin are no different. In fact, this is one of the fastest growing populations seeking cosmetic refinements!
What is the best procedure to tighten the jaw line?
Best- the tried and true facelift for the most dramatic tightening of the jaw line and elimination of jowling and sagging skin. Chin implants may add even further improvements.
Good- other procedures, such as a midface lift or threadlift may improve the jowl somewhat. An injectable filler or implant in the depression just in front of the jowl may give added benefit to straightening the jaw line.
Will non-surgical options work for me?
There are many non-surgical options on the market, such as injectable fillers, Botox, non surgical fat removal and laser skin tightening. In general, nothing but a facelift accomplishes a facelift. Most non- surgical options are excellent adjuncts for, but not replacements of, surgical procedures.
If a procedure like an eyelift does not cause much discomfort, why is the down-time a week?
All surgeries will cause bruising and swelling and result in an incision that needs care. Facial resurfacing (deeper chemical peel, dermabrasion or deeper laser treatments like CO2) will cause damage to the outer layer of skin, making the underlying skin raw. Wound care is essential for the first week, and lifting after any surgery or procedure is restricted to 5 pounds for the first week. Vision can be blurred from ointment, pain may require narcotics, fatigue and nausea may result from medicines…and the body heals faster if it is taken care of. Certain things can help promote faster healing- protein loading before surgery, eating fresh pineapple after surgery, taking Arnica Montana (supplied to each patient) before and after surgery, stopping smoking, staying well hydrated and enjoying a healthy lifestyle will all speed healing.
What does Board Certification mean?
Board Certification is a several day process of written and oral examinations that ensures your physician is qualified to be performing procedures. Many physicians performing cosmetic procedures and even surgeries are trained and board certified in Internal Medicine, Dermatology or other non-surgical specialties. Be sure to ask WHICH board has certified them! Board certification in plastic surgery (ABPS) means a surgeon has completed an approved plastic surgery training (although the experience in each training program will vary) and has passed examinations. These are the ONLY surgeons who should be performing body liposuction, tummy tucks, breast augmentation, and body procedures.
Plastic surgery is becoming more subspecialized, and facial cosmetic surgery is increasingly being referred to FACIAL plastic surgeons who have more experience in this area. Someone who specializes in everything specializes in nothing- if a surgeon advertises subspecialty focus in facial plastics, breast and body plastics and hand plastics there is no true subspecialty focus. For FACIAL plastic surgery, look for surgeons board certified through the American Board of Facial Plastic and Reconstructive Surgery. The ABFPRS is the only plastic surgery sub-specialty board that is ABMS equivalent and recognized in every US state. Board certification in FACIAL plastic surgery usually comes through completion of a fellowship that specializes in ONLY facial plastic and reconstructive surgery. Applicants can only be surgeons- head and neck (ENT) or plastic surgeons. Additionally, applicants MUST have a minimum number of facial plastic surgeries to become certified, as well as pass the oral and written examination. It is an arduous process that ensures that the surgeons operating on such a delicate area have the most experience possible. Again, the biggest difference with the ABFPRS is that facial plastics EXPERIENCE is a REQUIREMENT for certification, meaning your face will not be in the hands of the "occasional" facial cosmetic surgeon who largely focuses on breasts and tummy tucks.
Dr. Winslow scored the highest in the nation on this subspecialty exam, and currently serves as an examiner.
What makes Dr. Winslow different from other plastic surgeons?
What can esthetics do for me?
Facials, peel, microdermabrasion, massage, lymphatic drainage, makeup, skin care…. How much do you spend every year on skin care products, only to be frustrated that they don't deliver? How many products sit unused in your drawer? Esthetics and good skin care can turn back the clock on the skin and maintain what you have. Our esthetics director can direct you to physician-grade products that you won't waste money on, as well as help you with mineral based cosmetics, eyelash extensions, relaxing facials and massage, or just pampering! You can call for a free consultation at 814-1104.