facelift

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How Long Does It Take To Recover From A Facelift

Woman beautiful face healthy skin care natural beauty As we age, our defined facial features and structures begin to thin and can start to droop or sag. The natural loss of collagen, combined with effects from sun exposure and even genetic traits, cause our skin to lose its elasticity and obscure the shapes and angles of our jawline and cheekbones.

Thankfully, facelift procedures have become a proven and safe way to restore a youthful look to your face and perhaps bring back confidence from a toned and defined face structure. Dr. Salzman specializes in performing the fusion facelift that addresses all facets of facial aging in one procedure.

In this procedure, Dr. Salzman will reshape the face around the cheeks, eyebrows, eyes, and chin to create a fuller and more youthful look. The excess skin is removed, and the quality of the remaining skin is improved. This helps to create a more even tone and color to blend in with the rest of your body.

Despite the “all-in-one” procedure, recovery from the fusion facelift is no longer than standard procedures conducted elsewhere. For the first week after your surgery, you should limit sun exposure and harsh cleansers for the first few weeks. For patients that did not have laser resurfacing, a little cover-up makeup should be all that is needed.

After the first few weeks, the scars will begin to fade and should be nearly invisible 6 weeks after the surgery. During the fusion facelift, Dr. Salzman keeps incisions as small as necessary and strategically locates them to be hidden once everything has healed.

If you want to hear more about the fusion facelift or want to get a start on achieving your overall aesthetic goals, contact Dr. Marc Salzman and Salzman Cosmetic Surgery and Spa in Louisville, KY at 502-425-5200 or visit www.itbecomesyou.com to schedule a consultation today. Dr. Salzman and his team of expert aestheticians will work with you to develop a treatment plan that provides the longest-lasting results, using safe and easy treatment methods that fit into your schedule.

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Why Have Facelifts Become So Popular?

plastic surgeon touching face of attractive woman with marked face It wasn’t very long ago that we were spending the majority of our time in our own homes, away from our colleagues, friends, and families. During the early months of the COVID-19 pandemic, there was a lot of uncertainty about many things. Our cosmetic goals all but disappeared. In the aesthetic field, we wondered if they might be gone for an extended period of time. Interestingly, people’s interest in plastic surgery, particularly facial procedures, returned sooner than we had imagined. That interest is still going strong, and we now have a better understanding as to why. We’ll discuss the factors that are driving facial rejuvenation here.

Time Out of the Office

Plastic surgery can be a gratifying choice, but it is one that requires some time. A poll of plastic surgery patients once revealed that time off work was the primary challenge they faced, even more prominent than financing their desired procedure. We’ll be honest, it does take some time to recover from certain procedures. A facelift patient may not be ready to go back to the office for a full two weeks. This isn’t necessarily because they are swollen and in pain the entire time but because they don’t want to go back to work until all of their bruising has resolved. Now that so many people are working from home, facelift surgery is more accessible. After a few days off, it may feel relatively easy to take that Zoom meeting or work for a few hours and then nap and rest for optimal recovery.

The Zoom Effect

We mentioned how Zoom might shorten the overall time-off requirement a person may need to recover from plastic surgery like a facelift. Well, those Zoom meetings are also a significant reason why so many people are seeking facial rejuvenation of all kinds. Facelifts, in particular, became popular when people started seeing themselves on camera for the first time. The downside of virtual, video meetings is that it is impossible not to look at yourself. Another downside is that, depending on your computer situation, you may be looking at your worst angles. Before you convince yourself that you need a facelift, make sure that your video cameras, phone or otherwise, are positioned higher so that your chin is pointing forward, not down. If after taking this step, you’re still troubled by loose, sagging tissue on the lower face and creases around your nose and mouth, you may be right to consider a facelift.

Facial rejuvenation isn’t the only plastic surgery that is popular these days. Nor does facial rejuvenation need to involve surgery. To learn more about your options for building your best self, contact our Louisville office at 502-425-5200.

Expanded Knowledge has Led to the Evolved Facelift. Here’s What You Should Know!

iStock 691068988 Here’s an interesting tidbit of information you may not have known, doctors have been performing facelift surgeries longer than heart surgery has been around. Surgical techniques to revive an aging face began in the early 1900s. Since that time, fortunately, the field of plastic surgery has transformed in the most powerful and exciting ways. Here, we take a moment to review the history of the facelift to demonstrate why there is no time like this in history to feel confident choosing this procedure. 

The First Era of Facelift Surgery

The early years of facelift surgery spanned decades, nearly seven of them! The first facelift procedure was performed on a Polish aristocrat, and it involved a simplistic technique. The surgeon would make an incision above each ear and pull the skin back. The skin would be sutured into place and excess skin would be trimmed. This initial technique achieved modest results. Patients’ skin looked tighter and they had fewer wrinkles. However, because the facelift only pulled back the skin, patients also looked windblown. 

The First Steps in a New Direction

In the 1960s, anatomical research revealed that, beneath the facial skin, was what doctors named the superficial musculoaponeurotic system, or SMAS. The SMAS is composed of layers 

of fat and muscle, both of which contribute to the structure of the face, and both of which change over time. With this discovery came new steps in surgical facial rejuvenation. At that time, surgeons went beneath the skin to also tighten and trim the fat along the jawline and chin. In the 1970s, the entire SMAS, muscle and fat, was addressed with repositioning and trimming.

The Modern Facelift

From the 1980s onward, the field of aesthetic medicine has been in a constant state of evolution. Not only have surgeons developed their own techniques to address the finer aspects of facial aging, but they have also gained innovative new ways to rejuvenate aging faces. Facial rejuvenation is no longer solely handled by a facelift. Surgeons also perform brow lifts, eyelid rejuvenation, neck lifts, cheek augmentation, chin augmentation, and more. Even more exciting is the opportunity to rejuvenate without surgery or with a combination of surgical and nonsurgical treatments. 

Dr. Marc Salzman has established a friendly, professional office in Louisville in which patients can explore a comprehensive menu of services. Facial rejuvenation is a personal endeavor, so each of our patients receives personal care from an experienced, attentive staff. Contact us today at 502-425-5200 to schedule your consultation!

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Making Your Facelift Even Better

istock 925256690 1 300x300 1 For many years, facelift surgery has been a common way to correct the signs of aging. While new and sophisticated technologies have been developed in the past couple of decades, we still receive a large number of inquiries about surgical facial rejuvenation. A leading plastic surgeon serving patients in Louisville and environs, Dr. Salzman performs several facelift techniques. Each case is developed around unique needs and, often, patients consider the various ways they can enhance the outcome of their procedure. It doesn’t always take additional surgical procedures to make the most of a facelift. Here, we discuss a few conservative treatments that can take a facelift and make it even better. 

Dermal Fillers

You may be wondering why you would want dermal fillers after getting a facelift. The procedure itself repositions tissue across the cheek area. Isn’t that enough? It might be enough for the cheeks, yes. A facelift also lifts the tissue that has begun to sag at the jawline. The repositioning also smooths the creases the form around the nose and mouth, though it may not eliminate them completely. That’s where dermal fillers come in. Some people get dermal fillers after their facelift to restore soft plumpness to lips that have deflated with age. Some have the tiny lines around the mouth corrected with fillers. Some get fillers to fill in areas that have become hollow, such as the temples or under the eyes. The best part is that treatment is quick and requires no downtime. 

CoolSculpting

As advantageous as a facelift can be for the sides of the jaw, this procedure may not eliminate submental fullness to the degree that a patient desires. Submental fullness is known as a double chin. This common problem can be corrected with liposuction but, if you’d prefer not to add a second surgical procedure to your facelift, CoolSculpting is a great option. You may need 2 or more sessions to eradicate the fat cells that are causing the double chin. However, like liposuction, CoolSculpting gets rid of the unwanted fat for good. 

There are several ways to enhance the effects of even the best facelift. To explore your options for beautiful facial rejuvenation, call our Louisville office at 502-425-5200.

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It May Be Time for a Facelift If . . .

adobestock 200369609 1 Facial aging is a fact of life that every adult knows they will face. We’ve got several strategies to make this process easier these days, so no one has to rush into the prospect of a facelift. Understandably, most people prefer to take their time and utilize the easier methods of reducing wrinkles before they turn to surgery. What often happens, though, is that a person gets stuck in what is called “analysis paralysis;” they stay in a place where they continually question “is now the right time for a facelift?” Some people do this for years before they visit a plastic surgeon. Here, we discuss two critical signs that you may be ready to consult a plastic surgeon about surgical facial rejuvenation.

“Where did I go?”

When you look in the mirror, you want to see yourself. For the most part, you always will. However, what many people say once they finally reach our office for their facelift consultation is “I just don’t feel like I look like Me anymore.” Lines and wrinkles are only part of the aging puzzle. What may be worse than a few creases is the way that the face changes shape. The face should have dimension. The cheeks curve nicely. The jawline is angled. The face has an overall Y shape. As skin, fat, muscle, and bone all degrade over time, that Y turns into an inverted V. The width is now at the bottom of the face, and tissue sags from the jawline. The cheeks no longer have their nice curve. When these changes take place, it’s not surprising that you might wonder where your unique appearance has gone.

Too Much Upkeep

When the visible signs of aging are limited to the skin and very superficial tissue, it is easy to rejuvenate the face using injectables. When that point is reached where the fat pads have become depleted, the muscle has weakened, and the skin has lost its firmness and elasticity, achieving beautiful, natural-looking results gets trickier. In the same way that natural aging can make you not look like you, so can injectables when overcorrection occurs.

A facelift is a minimally-invasive procedure that restores the natural contours of the face by addressing all of the layers of tissue that have lost resiliency. If you believe you may be ready to explore surgical facial rejuvenation, contact us at 502-425-5200. We’re happy to schedule a consultation for you in our Louisville office.

Why You Should Still Get Fillers after a Facelift

Facial aging has been a frustrating problem faced by the many generations that came before us. It has taken centuries for us to develop proven strategies that get lasting results. For a time, the most effective strategies involved surgery. In recent history, several nonsurgical techniques for cosmetic correction have been developed. These include a sea of injectable products, such as Botox and dermal fillers. When these convenient approaches became available, many people were led to believe that they held their own against surgical lifts. They might, but they won’t replace them forever. Interestingly, we find that the best results often come from a combination of facelift surgery and dermal fillers. This is why.

The Effects of Aging

When we age, we make less collagen than we did when we were young. This is a well-known and often-mentioned fact. More than that, though, the collagen strands that exist in the dermis also degrade. They break down as a result of chemical changes, hormones, sun exposure, and even stress. There’s even more. Studies show that, as we get older, our bone structure changes. The cheekbones degrade and the orbital sockets around the eyes widen. These changes to the very foundation of the face have a profound effect on appearance. They also need to be a guiding factor in how we address cosmetic aging.

What a Facelift Does

A surgical facelift is a technique in which the muscle and connective tissue in the deeper plane of the face, usually the mid-face, are repositioned. Through small incisions at the very outer edges of the face, tiny instruments are inserted to lift this plane of tissue and secure it higher on the cheekbones. After underlying tissue is secured, excess skin is trimmed and incisions are closed. One might think that this process can resolve all of the issues on the mid and lower face. It doesn’t, at least not for everyone.

Fillers Pick Up Where the Facelift Leaves Off

The purpose of dermal fillers is to enhance the volume of the dermis. Enhancing volume means that the contours of the face are improved. Fine lines and creases, those that may not be eliminated by a facelift, can be smoothed quickly with soft dermal fillers. The cheeks can be accentuated so they “pop” and are easier to contour with (or without!) makeup. After a facelift, dermal fillers can be the cherry-on-top that refines the face in subtle yet important ways.

Dr. Salzman has happily served the Louisville area for the past several years. Facelifts are one of his specialties, and each is personalized to the patient’s unique needs. Learn more about the valuable combination of facelift and fillers at 502-425-5200.

The Truth About Common Facelift Myths

Although the facelift is one of the oldest plastic surgery procedures, there are still some common myths and tropes about it and the patients that pursue it. The truth is that the facelift is one of the most effective facial rejuvenation methods available. Here are some common misconceptions to dispel as you consider your options.

You need to be over a certain age to get one

The truth about this statement is that there is no limit on who can get a facelift when it comes to age. In fact, trends are showing that many patients are pursuing facelifts at younger and younger ages, hence the popularity of the mini facelift. Because everyone ages at different rates and because of different causes, there’s no hard and fast rule about being over a certain age. As a general rule, patients that are beginning to show signs of aging can benefit from facelift techniques.

It freezes your face in place

Although there are some notorious examples of facelifts gone wrong, plastic surgery techniques are constantly evolving. The facelift and the aging process are much better understood than they were a few decades ago, and you may even know someone who has secretly had a facelift. Most board-certified facial plastic surgeons now practice techniques that produce subtle, natural results that reflect a younger version of yourself. For this reason, you should always screen your plastic surgeon’s credentials and prior results to see whether they can achieve the natural results you want.

Non-surgical treatments are just as good

Non-surgical treatments can be a great option for some patients, but in most cases, it can’t beat the deep rejuvenation that accompanies a facelift. One of the most important steps of a facelift is tissue repositioning and muscle tightening, which can restructure the contours of the face. Although some non-surgical treatments can be effective at smoothing wrinkles, they can’t accomplish the long-term results of a surgical facelift. In some cases, a facelift can remove a decade or two from the facial profile. However, many patients still benefit from a combination approach to facial rejuvenation.

The facelift can be one of your best options when it comes to rewinding signs of aging and refreshing your look. To see what facelift options are available to you, schedule a consultation with Dr. Salzman by calling or filling out our online form.

What an Eyelid Lift Can Do for You

The eyes can be one of the first places that aging begins to show. It can come in the form of wrinkles, but it can also manifest in sagging skin and fat as the face begins to lose volume. If your face normally appears angry, sad, or tired, it can sometimes be corrected with rejuvenation around the eyes. This surgical procedure can offer you the following benefits and effectively remove a few years from your facial contour.

Correct Hooded Eyes

Heavy upper eyelids can often be corrected with an eyelid lift or a forehead lift, depending on what’s causing it. An eyelid lift can be most effective on eyes that are naturally hooded or are the result of excess skin below the brow that has lost volume. This lift can create more eyelid space and give the appearance of a wider, younger eyelid crease. Many older women often struggle to wear eye makeup because it can quickly rub off during the constant contact with sagging skin.

Remove Fatty Bags

The lower eyelids and undereye area can be prone to sagging as well during the aging process. The fat and volume that naturally exist under the eye can sink over time, creating bags that are fatty and give the appearance of constant tiredness. This procedure can remove the accumulated fat and restore the undereye to a higher, more awake position.

Widen the Eyes

As aging and gravity take their toll, the eyes can appear heavy, tired, and closed. The overall effect of an eyelid lift is to restore the appearance to one that is alert, awake, and youthful. The effect can be drastic within the rest of the face, especially when coupled with a facelift or other facial procedure to smooth wrinkles and restore volume.

To discuss your eyelid lift and other facial rejuvenation options, contact our office and schedule a consultation with Dr. Salzman.

Moms, It’s Time for Your Makeover

Spring is the time of year for flowers, rain showers, and celebrating what makes mommies great. the Moms make a lot of sacrifices, but feeling great in their body shouldn’t be one of them. Many women experience pregnancy and childbirth but feel resigned to the toll that it can take on their body. A mommy makeover is a set of procedures that can restore and rejuvenate the body to its pre-pregnancy state. Here are some of the things that can be included in your customized treatment.

Breasts

The breasts play an important part in pregnancy and nursing, but they can, unfortunately, change permanently in shape, size, and position during the process. Many women find their breasts have grown to an uncomfortable size or become stretched out and saggy. A mommy makeover can include a breast procedure to lift, reduce, or augment the breasts to restore them to their natural shape. It can sometimes even be performed with a combination of two techniques, like a reduction and lift. Dr. Salzman can help you plan your treatment techniques to ensure you get the breasts you want.

Tummy

Perhaps the most affected area during pregnancy and childbirth is the stomach, which can be left with excess skin or pockets of fat due to the way the female body stores fat during pregnancy. Diet and exercise sometimes aren’t enough, so a tummy tuck can restore a slim, contoured abdomen. Many women also struggle with loss of muscle tone in the abdomen, which can be corrected by tightening and suturing the abdominal muscles, which is commonly practiced during the procedure. These can become stretched and ineffective during childbirth and are unable to be restored through exercise.

Details

Although the breasts and stomach are the two most commonly treated areas, many women opt for additional procedures to add the finishing touches to their new body. Whether it’s additional liposuction, fat transfer, vaginal rejuvenation, facial procedures, or non-surgical rejuvenation techniques, it can be a great way to feel like a new, better you.

To begin your mommy makeover journey and discuss any questions you may have, contact our office and schedule a consultation with Dr. Salzman.

Introducing Vivace!

The Holy Grail it seems in plastic surgery, at least over the last 15 years or so, is skin tightening without surgery. We know that a modern facelift can restore a youthful shape of the face as well as tighten the overlying skin of the face and neck. Because a facelift necessitates making of incisions, some type of anesthesia, as well as the perceived downtime away from work or family, there are a multitude of patients who would opt for a noninvasive or minimally invasive modality to accomplish the same goals. While we do have neurotoxins such as Botox, Dysport and Xeomin, which can paralyze underlying muscles rendering the overlying crease less deep, as well as a plethora of different fillers, either made from hyaluronic acid or other substances, to make the face more youthful, none of these entities will tighten the overlying skin or improve upon fine lines for texture.

For the last 20 years or so we have had ablative lasers using wavelengths of carbon dioxide or Erbium, whether in a fractional or a full field coverage of the face that can produce skin tightening, these lasers need to deliver their energy to the deeper portion of the skin called the dermis and do not have the ability to spare the outer part of the skin called the epidermis. Therefore, when doing ablative laser resurfacing, when the outside layer of skin is removed, some downtime is necessary for healing and, until the outside skin has grown back, make up cannot be used during this healing process. This forced patients scheduling these more aggressive procedures during periods of time in which they could accept these downsides in order to obtain a result of skin tightening, correction of texture and fine lines, as well as the improvement in brownish discolorations.

Some of the newer technology, have used radiofrequency (RF) as a method of tightening skin. These radiofrequency waves, commonly used in telecommunications, have also been used in surgery for over 75 years, mostly in surgical or dermatological applications for both removal of superficial skin blemishes or cutting, and coagulation of blood vessels during surgery. RF works by rapidly stimulating the oscillation of molecules causing internal friction and thereby heat. The heat produced by RF is thought to ‘injure’ the deeper part of the skin causing an inflammatory response by the patient producing new collagen and elastin. Both of these entities, when increased, produce a more elastic and tightened skin appearance.

The first wave of RF devices applied the heat from the outside-in with some type of method of cooling to allow the heat to preferentially be absorbed in the dermis. Because of the human intolerance of outside-in heat of temperatures in excess of 43°C, there was some limitation in how much tightening one could get in a single session. Multiple weekly or biweekly treatments are necessary to produce the desired effect.

The next advancement in the application of RF was to place the heat under the skin using a long insulated needle. Here, using local anesthesia, higher temperatures at the bottom of the skin could be reached and still tolerable by the patient. The technique is called ThermaTyte and we have had this for several years now. It’s very effective for skin laxity around the belly button as well as neck. It does have some downtime, as a fair amount of dilute numbing medicine needs to be placed beneath the skin to make it tolerable.

The latest advancement in the application of RF for the tightening of skin utilizes the placement of this energy through the skin using tiny, hair size needles, known as microneedling. Microneedling involves, either with a roller or piston type stamping method, the insertion of an array of needles into the skin. No skin is removed and the hole simply closes within hours. While open, topical application of serums, that would otherwise not be absorbed, can be placed over the skin allowing them to gain entry to the deeper layers. The improvement in the quality of skin texture is limited only to the length of the linear hole that is made into the skin. Radiofrequency heat energy can be added to the end of the needle so microscopic injuries in the deeper portion of the skin can be made. We can control not only how much energy, but also how long the energy is applied, as well as the exact depth of its placement using a computerized screen. This new device is called Vivace.

 

Vivace uses an array of 36, 1/3000th of an inch wide, goldplated needles attached to a computerized mechanism that when placed on the skin can pierce the skin and deliver the radiofrequency energy in a fraction of a second. The technique does require the topical application of a numbing cream for about 45 minutes prior to the procedure. Because not all of the skin can be treated in one session, a series of treatments is necessary to produce the desired result. Multiple treatment depths can be done in the same session. We are commonly treating skin laxity of the face, stretch marks of the abdomen and legs, active acne as well as acne scarring using this new exciting technology.

So far, we have found this technique to be extremely useful in producing nice results in all the patients. Because the energy bypasses the outside layer of the skin, any skin color or amount of skin tan is amendable to this treatment regimen. After the procedure, we have seen that the skin is merely red or pink for a few hours. Makeup can easily be applied the following day. Some patients have found that there is a gritty feeling texture to their skin but is usually not visible under makeup. We recommend a series of at least four treatments at 4 to 6 week intervals. It seems we finally have a method to treat all patients in all seasons with issues of acne scars, stretch marks, skin laxity of different areas of the body.

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