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Treatments | Facelift-Rhytidectomy
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Treatment Summary:
60 Minutes Facelift |
Consultation:
30 minutes |
Procedure:
less than 60 minutes |
Healing:
10 to 14 days |
Pain:
Some discomfort |
Number of Procedures:
3 to 5 treatments |
Duration of results:
6 months |
Cost:
$6000-$25000, depending on the extent of the procedure. |
Before Treatment:
Read More. |
After Treatment:
Read More. |
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60 Minutes Facelift General Questions:
- What is a 60 Minutes Facelift?
- How does the 60 Minutes Facelift work?
- Who is a good candidate for a 60 Minutes Facelift?
- What are the effects of a 60 Minutes Facelift?
- How about safety & side effects of Facelift?
- How long is recovery time for a 60 Minutes Facelift?
- Pre-60 Minutes Facelift Instructions
- Post-60 Minutes Facelift Instructions
- Testimonial from 60 Minutes Facelift Patient
- How painful is the 60 Minutes Facelift?
- How much does the 60 Minutes Facelift cost?
- What are the alternatives to the 60 Minutes Facelift?
60 Minutes Facelift Unique Questions:
- Facelift Articles and Information
What is a 60 Minutes Facelift?
The 60 Minutes Facelift is the treatment pioneered By Dr. Ourian that uses laser treatment rather than surgery and takes less than an hour.
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How does the 60 Minutes Facelift work?
The 60 Minutes Facelift improves sagging facial skin, jowls, and loose neck skin by removing excess fat, tightening muscles, and redraping skin.
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After 60 Minutes Facelift |
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Who is a good candidate for a 60 Minutes Facelift?
The best candidates for facelifts are men and women who are physically healthy, psychologically stable, and realistic in their expectations. Most are 40 or older, but if droopy, baggy eyelids run in your family, you may decide to have this procedure at a younger age.
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What are the effects of a 60 Minutes Facelift?
A facelift can enhance your appearance and your self-confidence, but it will not necessarily change your looks to match your ideal or cause other people to treat you differently. You can expect a more youthful look.
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How about safety & side effects of Facelift?
When performed by a qualified surgeon, complications are infrequent and usually minor. Bruising and swelling lasts an average of two weeks, but may continue for a month or more. Remember, the human body is asymmetrical and, even after surgery, both, sides of the body may look different. Consider the pros and cons with your doctor and decide if this is the appropriate surgery for you. You can reduce your risks by closely following your surgeon's instructions both before and after surgery.
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How long is recovery time for a 60 Minutes Facelift?
Back to work: 10 to 14 days. More strenuous activity: 2 weeks or more. Bruising: 2 to 3 weeks. Must limit exposure to sun for several months.
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Pre-60 Minutes Facelift Instructions
Your surgeon will give you specific instructions on how to prepare for laser surgery, including guidelines on eating and drinking, smoking, and taking or avoiding vitamins, iron tablets and certain medications. If you develop a cold or an infection of any kind, especially a skin infection, your surgery may have to be postponed. Also, while you are making preparations, be sure to arrange for someone to drive you home after the procedure and, if needed, to help you at home for a day or two. Special accommodations are available for patients who are coming from out of town.
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Post-60 Minutes Facelift Instructions
Your surgeon will instruct you to keep your head elevated for several days and to use cold compresses to reduce swelling and bruising. You will be shown how to clean your eyes and hair. It is normal to feel a bit anxious or depressed in the days or weeks following surgery. However, this feeling will subside as you begin to look and feel better.
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Testimonial from 60 Minutes Facelift Patient
“I first learned about my doctor by reading his name in Town & Country magazine as one of the ‘Top Plastic Surgeons.’ I interviewed many doctors, but no one had better qualifications and skills. I trusted my face with my surgeon and I´m glad I did. Six months later I saw some of may friends from high school. They couldn´t stop talking about how great I looked. They asked what my secret was. I told them it was living well.”
Laura G. 54 Y.O. New York City NY
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How painful is a 60 Minutes Facelift?
Local or general anesthesia with sedation. Postoperative discomfort can be well managed with oral medications.
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How much does the 60 Minutes Facelift cost?
$6000-$25,000, depending on the extent of the procedure. Combining different procedures may reduce the overall cost of the laser surgery. All fees are subject to change without prior notice.
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What are the alternatives to the 60 Minutes Facelift?
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60 Minutes Facelift Articles and Information
Facelift / Necklift
Facelift and Necklift are carried out as a single procedure, elevating the skin and soft tissues of the face and neck, and returning them to their original location, thus restoring a "rested" or more youthful appearance.
Face Lift / Neck Lift is often combined with Browlift and Lid Lift (Blepharoplasty) Surgery. (see related links below) Facial and neck muscle layers are also elevated and tightened by this technique, thus restoring sharper contours to the neck and jawline as well as restoring shape to the cheeks, and highlighting the cheekbones.
This surgery is generally performed in our Office Surgical Suite. Recovery time is usually 10 to 14 days before swelling and possible bruising resolve, although I have seen patients look quite good in makeup at only one week.
Although Facelift and Necklift will restore the major facial contours, especially the jawline, finer wrinkles of the skin will persist, but can be addressed by CO2 Laser Skin Resurfacing. Representative before and after patient photos are shown below.
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Surface - Repair Treatments
Managing healthy skin
From early on, we learn that having a smooth, clear complexion is an attribute of physical attractiveness. However, as we age, maintaining that healthy glow becomes more difficult.
The face is the most exposed part of the body, vulnerable to the harsh rays of the sun. The face is also subject to acne, rashes, allergic reactions, and injuries that may leave permanent scars.
This brochure will give you a basic understanding of commonly used treatments for managing skin-when they can help, what they involve, and what results you can expect. It can't answer all of your questions, since a lot depends on your individual circumstances.
Ask your doctor anything you don't understand about the treatment you're considering.
A number of non-surgical "refinishing" treatments are available for individuals who want to eliminate or soften imperfections on their facial skin and achieve a clearer, fresher look. These treatments include glycolic acids (sometimes called "fruity acids"), which are natural fruit substances blended into facial preparations and are used to eliminate rough or dried surface skin, and Retin-A®, a vitamin A-enriched cream that changes the cellular metabolism of the skin's surface and is used to combat fine facial wrinkles and blotches from sun damage.
Each of these treatments can be used alone, or are frequently prescribed in conjunction with an aesthetic surgery procedure, such as a facelift or a chemical peel.
WHAT TO EXPECT FROM SKIN-SURFACE TREATMENTS
"Surface-repair" treatments can enhance your appearance and give your skin a smoother, fresher look, but they won't remove deep scars and flaws or prevent aging. These treatments should not be thought of as mini-facelifts. Generally speaking, Retin-A® and glycolic acid treatments offer less dramatic results than surgical approaches like dermaplaning, dermabrasion, or chemical peel.
Before you decide to have a skin-rejuvenating treatment of any type, think carefully about your expectations and discuss them with your plastic surgeon.
PLANNING FOR TREATMENT
Whether you're planning a surgical or nonsurgical skin treatment, it's important that you find a doctor who has training and experience with a variety of skin-management techniques. You'll want a doctor who can give you the best possible single treatment or treatment combination. Look elsewhere if your doctor tells you that he or she has perfected a single technique that promises unbelievable results. The choice is yours, but be certain your doctor is qualified to prescribe such treatments. After all, these treatments involve the most visible part of your body - your face.
In your initial consultation, be open in discussing your treatment goals with your doctor and don't hesitate to ask any questions or express any concerns you may have. Your surgeon should be equally open with you and explain the factors that could influence your choice of treatment options such as age, skin condition, and previous plastic surgeries.
The surgeon will ask about your medical history and conduct a routine examination. If you're having a surgical procedure in conjunction with your skin treatment, your doctor should explain the process in detail, including the risks and benefits, the recovery period, and the costs. Insurance usually doesn't cover aesthetic procedures.
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WHERE YOUR TREATMENT WILL BE PERFORMED
It is unlikely that you'll have to spend time in the hospital for your skin treatment unless the treatment is performed in conjunction with a facelift or some other more complex procedure. Your initial application of Retin-A® or glycolic acid will probably be performed in a doctor's office or an outpatient facility.
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THE TREATMENTS
Retin-A®
Best candidates. In general, Retin-A® is most effective in older patients who have some fine facial wrinkles, or blotchy pigmented areas caused by sun damage. However, Retin-A® is often prescribed to younger, active individuals who want to combat the aging effects of sun exposure. Patients who are planning to have a chemical peel treatment are often instructed by their doctors to use Retin-A® as a preparation treatment; Retin-A® thins the skin's outer layer, allowing the acid solution used in a peel treatment to penetrate more deeply and evenly. Retin-A® is not recommended for pregnant women or nursing mothers, because its effects on the fetus and nursing infant are still being studied.
Reactions/side-effects. Although no serious medical problems have been associated with Retin-A®, it's possible that its use could result in temporary skin irritation and redness. If this happens, your doctor may recommend a milder formulation.
As late as 1993, Retin-A® had not received approval for use as an anti-aging treatment from the Food and Drug Administration (FDA). It has received FDA approval as an acne treatment, and doctors have been safely using it for this purpose for more than two decades. However, the full scope of Retin-A®'s effects and potential benefits continues to investigated.
Beginning treatment. Your initial application of Retin-A® will include a lesson on how to continue your skin-care routine at home. After your face has been washed thoroughly, a small amount of Retin-A®, in either cream or gel form, is rubbed over your face and nose. It's likely that a very gentle formula will be used at the beginning - especially if you are younger or have a fair complexion. You may be switched to a stronger formula after your skin becomes accustomed to treatment.
Only a very small amount of Retin-A® - a pea-sized dab - is needed to cover the entire face. You will be instructed to apply Retin-A® every night before you go to bed. Because Retin-A® is drying to the skin, your doctor may also recommend that you apply a moisturizer once or twice a day. This routine is usually continued for about eight months to a year, after which you'll be switched to a less-frequent schedule of maintenance, with Retin-A® applications only two or three times per week. At periodic follow-up visits, your doctor may adjust the strength of your prescription or its frequency of use. To maintain the benefits of Retin-A®, its use must be continued for a lifetime.
After treatment. It's normal to experience some redness, irritation, itching, stinging, or skin dryness once you begin to use Retin-A®. However, you can expect these symptoms to gradually disappear as the skin becomes acclimated to the treatment.
Caring for your new skin. Because Retin-A® thins out the skin's outer layer, you will need to consistently use a sun-block to protect yourself from ultraviolet light, and you may have to discontinue using certain products or cosmetics on your face.
Though the degree of change varies from person to person, with continued use of Retin-A®, you will begin to see subtle improvements in the texture and tone of your skin. Retin-A® users notice a rosy glow during the beginning months of use, followed by the disappearance of fine lines and the shrinking of large pores. After about six months, many Retin-A® users report that wrinkles are barely visible and that age spots have faded.
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Glycolic acid treatments
Best candidates. Glycolic or "fruity acid" treatments can offer smoother skin to people of all ages. This type of treatment seems to work best on patients who have rough, sun-damaged skin. Glycolic acids are sometimes formulated with bleaching chemicals to correct areas of uneven pigmentation.
Reactions/side-effects. It's important to remember that side-effects may occur even with non-surgical treatments. No serious medical problems have been associated with glycolic acids, but their use may cause temporary skin irritation and redness. Switching to a milder formula may remedy the problem.
Beginning treatment. Your initial application of glycolic acid cream will include a lesson on how to continue your skin-care routine at home. The way in which glycolic acid is applied to the face depends upon what form it's in.
Two common forms are cream or facial wash. Both forms contain about 12 percent glycolic acid, which helps slough away dry, sun-damaged skin on the face's surface. Each also contains a special moisturizer and, if needed, a bleaching agent. In most cases, the acid is applied to the face twice daily, either by smoothing on the cream or using the facial wash. Your doctor may adjust the strength of the acid formulation or the frequency of its use after evaluating your skin's condition in follow-up visits.
After treatment. It's normal to experience some redness, irritation, itching, stinging, or skin dryness once you begin to use glycolic acid. However, you can expect these symptoms to gradually disappear as the skin adjusts to the treatment.
Caring for your new skin. Because glycolic acid thins the skin's outer layer, you will need to consistently use a sun-block to protect yourself from ultraviolet light, and you may have to discontinue using certain products or cosmetics on you face.
Though the degree of change varies from person to person, with continued use of glycolic acid preparations, you will begin to see subtle improvements in the texture and tone of your skin. In most cases, glycolic acid users notice an overall freshness and smoothness. After a while, pigmented blotches fade or disappear as the bleaching effect begins to work. The time necessary for visible results depends on the degree of pigmentation and individual circumstances. Some patients see results in as little as six weeks.
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YOUR NEW ROUTINE
Most people find that maintaining their new look is easier than expected. Using the cream or facial wash will become a natural part of your morning or evening routine - and the difference you'll see will be worth the extra effort.
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Facial liposuction
Facial liposuction removes excess fatty tissue in the face and can help tighten skin in treated areas. Facial liposuction can be used on its own or in conjunction with other plastic surgery treatments. Potential facial liposuction patients usually wish to eliminate problems such as double chins or saggy jowls, while some facial liposuction candidates are attempting to alter the overall fullness of their faces.
The surgeon performing the facial liposuction uses a special tube (cannula) inserted in an inconspicuous location on the face or neck. Facial liposuction procedures, like other liposuction procedures, use suction to remove fat from under the skin. Most facial liposuction procedures remove relatively small amounts of fat compared to other procedures, but facial liposuction can produce noticeable results with very little fat loss. The fat loss associated with facial liposuction is permanent-the body does not produce many new fat cells, so patients receiving a facial liposuction are very unlikely to regain the weight in treated areas.
The entire facial liposuction procedure usually takes under an hour, but the recovery can take longer for facial liposuction patients than for individuals who receive other liposuction treatments, due to the location of treatment. Facial liposuction patients have found that it takes a few weeks to recover fully from a facial liposuction, during which time diet may be restricted to reduce the risk of infection.
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Facial Plastic Surgery
Facial plastic surgery includes some of the most popular plastic surgery procedures performed. Among the many facial plastic surgery procedures are face-lifts, rhinoplasty, lip/chin implants, and chin liposuction. While there are many other facial plastic surgery options, these are the most common.
Many people who choose to have a facial plastic surgery operation do so to create a younger or more refined appearance. Many of the facial plastic surgery options, such as rhinoplasty or chin implants are designed to create a more pleasing profile.
Facial plastic surgery is also often performed for reconstructive purposes following an accident, and some facial plastic surgery corrects birth defects, such as cleft palate.
In short, the reasons an individual may choose facial plastic surgery are wide-ranging and address a number of different issues, although the common purpose of all facial plastic surgery is to improve form and function and to positively impact the life of the patient.
Facial plastic surgery can fix a number of aesthetic issues and anomalies, but candidates should have reasonable facial plastic surgery goals and their expectations should be realistically discussed with the physician who will perform facial plastic surgery.
Patients should also understand the time needed for a full recovery from facial plastic surgery, and the possible risks involved.
The recovery process that follows a facial plastic surgery procedure requires cooperation between the patient and the physician, and a good candidate for facial plastic surgery will understand their role in the recovery process and be willing to follow doctor´s orders.
Facial plastic surgery candidates should spend time learning as much as possible, acquainting themselves with the facial plastic surgery procedure in which they are interested. A physician specializing in facial plastic surgery.
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Face Lift
Face lifts are designed to reduce the slackness in the tissues of the face; a face lift tightens or excises muscle, fat and skin, producing a more youthful, rested appearance. Generally speaking, face lift procedures only address the two-thirds of the face, although a surgery can combine both face lift and eyelid surgery or browlift.
For individuals interested in reducing sagging in the facial area, face lifts may be the best way to address the problem. For many patients, the key issues corrected by face lift surgery include sagging jowls, loose neck skin, and fat accumulation under the chin (double chin). Face lifts work in essentially the same manner, although there are some variations in face lift techniques, depending upon the specific individual facial constructions, and the intended outcome of the face lift surgery.
Individuals investigating the ways in which a face lift could help them should meet with a plastic surgeon who specializes in face lifts. During the consultation, the surgeon and patient will determine reasonable expectations for face lift results, depending upon the facial bone structure, and specific problems to be addressed by the face lift procedure. Many surgeons will use photographs of the individual from an earlier period to guide face lift surgery and create a more youthful-looking face. A good plastic surgeon can help decide if face lift surgery is a good choice for the prospective patient, and will explain all of the face lift benefits and risks.
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Facelift (Rhytidectomy) Basics
There are several factors that can lead to the drooping or sagging of the skin around the face. Gravity, aging, sun exposure, and smoking: all of these can damage the skin, making it cling less tightly to the neck and face. A facelift can help tighten the skin by allowing facial tissue to be tightened and skin to be pulled smooth and tight across the face and neck.
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How It's Done
In most instances facelifts are performed under local anesthesia with a sedative, which leaves the patient awake yet relaxed and oblivious to pain, although some surgeons prefer general anesthesia. From there the surgeon makes a long incision that usually begins above the hairline at the sides of the forehead, extends down bellow the ear and circles around to the back of the hairline. If tightening of the skin around the neck is desired, an incision is also made at the chin.
The skin is then lifted from the face, and the exposed muscle and tissue is tightened. If pockets of fat need to be removed some liposuction may be used. The skin is then stretched back across the face and the excess is cut away. Stitches or metal clips are used to hold the skin together at the site of the incision. Surgery usually lasts several hours and is performed as an outpatient operation in a surgical suite, although some may be performed in a hospital with a stay of a day or two.
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Technology
There are many different techniques and particulars involved with facelift surgery. The patient's individual need and the doctor's preferred technique are the two main factors that will determine exactly how the procedure will be performed, the exact incision sites, and whether or not liposuction will be necessary. All of this should be discussed with your surgeon prior to surgery. New technology has brought about the appearance of less invasive types of facial rejuvenation including FeatherLift and the so-called "weekend facelift," but for patients seeking permanent results, the traditional surgery is the only option.
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Recovery / Post Op
After surgery your face will be covered with bandages that are removed about 1 or 2 days afterwards, and stitches are removed within a week to 10 days. Pain is usually minimal and medication is prescribed to help. Swelling, bruising, and some numbness should be expected (this will disappear with time), and you will be instructed to keep your head elevated and use cold compresses to help alleviate these problems.
Smoking within the first month could cause some of the skin along the incision to die and can interfere with the healing process. With a normal recovery you can expect to be back to your daily routine, excluding strenuous exercise, within 2 weeks or less.
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Complications
As with any major surgery there are risks involved. Infection, adverse reaction to anesthesia, and blood clots are always possibilities for any operation. In addition, patients should be aware that hair loss, nerve damage, skin damage, tissue loss, and excessive scarring are all possible (though rare) risks associated with facelifts.
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Am I A Candidate?
Candidates for surgery usually experience a slight loss in skin elasticity, along with sagging skin around the neck and face. Patients that smoke are at greater risk of surgical complications, and in some instances, patients that have undergone cosmetic injections such as Botox, Restylane, Radiance, or others may not be ideal or may have to wait for the effects to wear off before considering surgery.
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