This patient's main concern was regarding the lower portion of her face and neck. Initially, we discussed performing a mini-facelift in order to keep the procedure more minimally invasive. I explained to her that the mini-facelift would tighten the jowls; however, it would not address the neck muscle bands (platysmal bands) and only a platysmaplasty would address them ["plast"-ic surgery of the platysmal muscles] in other words a "necklift". If the mini-facelift was performed, her neck profile w...

Facelift Incision Tutorial (Part 2): Post-Tragal Incision (Incision in behind the ear cartilage). Why do it? What are the advantages? Disadvantages? When is it better to do it this way? When is a Pre-tragal incision (incision in front of the ear cartilage) better? The most important and only advantage I know of is that there is no obvious incision placed in front of the ear. The disadvantage is that if the patient's anatomy is unfavorable, it can cause blunting for flattening of the ear cartil...

Facelift Incision Tutorial (Part 1): Pre-Tragal Incision (Incision in front of the ear). Why do it? What are the advantages? Disadvantages? When is it better to do it this way? When is a Post-tragal incision (incision behind the ear cartilage) better? In my experience most of my patients have a wrinkles in front of their ear cartilage, and by placing the incision along the curves in front of the ear, this results in an ideal incision which is virtually imperceptible (unless you are looking for...

This very nice lady, is a riding instructor for special needs children. She flew in from Puerto Rico, by referral from one of my facelift patients from New Jersey. She had lost a significant amount of weight through diet and exercise in the past years. Due to the weight loss, she felt that she had developed more facial wrinkles now that her face was thinner. One the things that she was proud of through the weight loss was than she had lost her double chin. She was staying in town for approx...

This patient's main concern was regarding the lower portion of her face and neck. She felt that she was losing her chin, and had some sagging of the jawline (jowls). She also had concerns regarding her upper eyelids. She felt that she had excess upper eyelid skin that was hanging and touching her eyelashs. On further examination, she had assymetry of her upper eyelids and eyebrow. She also had hollowing of her left upper eyelid which she did not have on the right side. She had a upper blep...