Don’t let pesky lines and wrinkles keep you from loving the way you look. Experienced Orange County plastic surgeon Nirav Savalia offers a range of treatments (both surgical and non-surgical) to help you attain the smooth, youthful-looking skin you desire. Read on as he explains some of the available options.
Last month, Newport Beach plastic surgeon Dr. Nirav Savalia blogged about the eyes’ typical responses to the aging process. The surgeon also explained what he can do to reverse age-related changes in the eyes. This month, Dr. Savalia explores another area that changes over time: the lower face and neck. If you are embarrassed by a saggy neck, double chin or what is affectionately known as “turkey wattle,” this post is for you. Continue reading “How to Achieve a Youthful, Elegant Looking Neck” »
Facelifts can be excellent procedures for men and women alike who are interested in improving their appearance by treating facial signs of aging. However, when it comes to performing facelifts on men as compared to women, I find that there are four important differences I recommend my male patients take into account when planning their facelift.
1. Avoiding Overly Feminized Appearance
While both men and women may want a youthful appearance, women enjoy softer contours with a focus on alteration of the hairline. By contrast, men usually can benefit from more careful contouring around the jawline, neck and lower face to maintain a masculine appearance.
2. Incision Placement
Because men have heavier facial hair than women, incisions placement must be carefully planned in the male facelift. In my experience, a retrotragal (behind the ear) incision can create the best results in male patients. This may involve removing hair follicles in areas of the skin that end up too close to the inside of the ear to prevent shaving difficulties.
3. More Vascular Skin Means Careful Post-Operative Care
Since men have more vascular skin than women, they can be more susceptible to conditions like high blood pressure, putting them at risk for postoperative hemotomas. To minimize this risk, I may recommend that my male patients use post-surgical drains and keep their compression dressings on for longer than female patients.
A facelift restores a more youthful appearance to the face by lifting, tightening, and toning the facial skin and underlying muscles. While the procedure has been common among aging men and women for decades, it carries a certain stigma of being only for particularly elderly patients. There are three main reasons why facelifts aren’t just for “old” people.
1. Everyone Ages at a Different Rate
There are ways to decrease your chance of premature aging with proper skin care, but other factors are outside our control. Genetics play a significant role in how quickly our skin ages, for example, and not everyone has the option of avoiding environmental damages due to where they live or their profession.
Men and women who age at a fast rate can be excellent candidates for cosmetic surgery, even if their chronological age makes them think they’re too young for a facelift.
2. A Facelift Can Help You Put Your Best Face Forward
Coming into older age can feel intimidating for men and women who want to continue to appear young, healthy, and relevant to the professional or dating scene. Many of my patients choose to undergo facelifts even in their 40s or 50s so that they can come into their more mature years with a positive outlook.
3. Customizable Options Allow Facelifts to Address a Range of Concerns
Men and women hoping to look their best right now have a range of facial rejuvenation options to meet their appearance needs, both surgical and nonsurgical. Like many procedures aimed at minimizing signs of aging, facelifts are customized for each individual. In my practice, I take care to create subtle, natural looking facelift results that address the needs of moderate as well as advanced signs of aging.
Men and women experiencing moderate to advanced signs of aging may be interested in the rejuvenating effects of a facelift. In my practice, I take a customized approach to facial rejuvenation, addressing not only the facial skin, but also the underlying network of muscle and connective tissue through the face and neck.
When treating signs of facial aging, I find that combining eyelid surgery with a facelift can often produce superior results to those of a facelift alone. By understanding the rejuvenating process in a comprehensive way, my patients often find that a combined facelift and eyelid surgery best meets their cosmetic goals.
1. Eyelid Surgery Restores a Naturally Refreshed Look to the Upper Face
A facelift alone does not necessarily alter the appearance of the upper face. Droopy skin typically corrected in a facelift is concentrated in the lower face and neck. However, that does not mean the upper face doesn’t age. By treating signs of age in both the upper and lower face, patients can achieve a more natural looking youthful appearance.
2. Addresses Multiple Aspects of Facial Aging
A traditional facelift primarily focuses on smoothing out facial wrinkles and lifting sagging skin. Eyelid surgery, on the other hand, can correct other aspects of facial aging, such as the tired or sunken appearance created by excess eyelid skin and puffy bags under the eyes.
3. Takes Facelift Results Even Further
While a facelift can provide a significant improvement in facial aging, eyelid surgery can take the results a step further. My patients often find that treating signs of aging around the eyes can have a dramatic effect on their overall appearance, giving them a refreshed, alert and naturally younger look.
If you’re experiencing signs of aging, you have several surgical and nonsurgical options for looking younger, but which one is right for you? While facelifts remain one of the most commonly known ways to look younger, a wide range of noninvasive facial rejuvenation treatments can also provide men and women with excellent results. Is there one choice that’s better?
Facial Rejuvenation without Surgery
Facial rejuvenation comes in many forms:
Regularly scheduled facials and chemicals peels can help maintain a healthy glow and may be enough for many patients.
BOTOX® Cosmetic is becoming increasingly common among relatively young men and women for preventing fine lines and wrinkles, and erases existing fine lines in my older patients.
Injectable fillers can fill deep wrinkles as well as restoring lost fullness in the lips, cheeks, brow and chin.
Is It Time for a Facelift?
For men and women who notice more significantly drooping skin around the cheeks, chin, jowls and neck, as well as a loss of volume in the cheeks, a facelift offers a more comprehensive solution. By gently lifting and tightening your facial tissue before smoothing the skin over improved contours, a facelift can take years off of your face for long-term benefits.
Ultimately, the choice between facial rejuvenation or a facelift relies on your personal appearance concerns and issues you’d like addressed. An experienced facial rejuvenation surgeon can develop a customized treatment plan that focuses on nonsurgical treatments, facial cosmetic surgery or a combination of both for the best results.
Many of my patients think that looking younger is an either-or proposition: either you can benefit from nonsurgical procedures, or you need a facelift. I actually endorse a more comprehensive and inclusive approach whenever it makes sense. Not only can many nonsurgical treatments delay the need for a facelift, but there are some that may even help improve your facelift results.
A Proactive Approach
Facelifts are most commonly performed for patients who are 55 or older to correct some of the more advanced signs of aging through the lower face and jaw area, like prominent jowls, “turkey neck” or loose skin. As anyone over the age of 30 knows, the aging process doesn’t wait on hold until your retirement years.
The growing trend in cosmetic surgery is to try nonsurgical treatments before a facelift to target specific problem areas. For example, BOTOX® can help with crow’s feet. When used at the earliest signs of aging, these procedures and other skin rejuvenation treatments can even offer some preventative benefits.
Enhancing Your Facelift
There aren’t any rules that say you can’t use BOTOX® or fillers after your facelift, and doing so can help ensure that you’ll retain your youthful new look a little bit longer.
The best results for a facelift depend on finding a surgeon who embraces a conservative philosophy toward rejuvenation procedures, and can offer you guidance on the approach that will work best for your unique needs.
Noticing that your reflection in the mirror is starting to look older than you feel can definitely be unsettling. For my patients who are concerned about early signs of aging but are not ready to commit to a facelift, I recommend a few alternatives they can try for great results.
1. BOTOX® and Injectable Fillers
BOTOX® was the most popular nonsurgical cosmetic procedure performed in the United States last year, according to the 2013 plastic surgery statistics from the American Society of Plastic Surgeons. BOTOX® can smooth away dynamic wrinkles and work preventatively to keep skin looking younger, while dermal fillers like JUVÉDERM® can restore lost volume to minimize deeper lines like the nasolabial folds.
2. Fat Transfer
As a natural alternative to synthetic fillers, I can add volume to the midface for a more youthful look or diminish wrinkles using fat cells taken from your own body. This microfat grafting offers organic, lasting results for facial rejuvenation.
3. Eyelid Surgery
Eyelid surgery is a wonderful solution for helping men and women look younger without a facelift. The delicate skin around the eyes makes this area particularly susceptible to showing signs of premature aging. With eyelid surgery, I can lift droopy lids and remove bags below the eyes for a well-rested, more alert appearance.