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Dr. Gal Aharonov Facial Plastic Surgery Blog

Facial Plastic Surgery Blog by Dr. Gal Aharonov

Archive for May, 2012

I am interested in the hairline lowering surgery. My forehead seems to be getting larger with age as my hairline recedes. Will hairline lowering surgery help me?

Friday, May 18th, 2012

Hairline lowering surgery is great for patients with a large forehead that is unchanged. Anyone who is actively losing hair is NOT a good candidate for hairline lowering surgery. If your hairline is thinning or receding, you should look into possible medical causes for this. Sometimes hormonal or environmental factors can contribute to hair loss. to learn more about harline lowering surgery, also known as forehead reduction surgery please visit our Hairline Lowering Surgery/ Forehead Reduction Surgery page.

How do you decide if someone needs a facelift? What exactly is the difference between a facelift and a necklift?

Thursday, May 17th, 2012

The word "facelift" has been used generically to describe a number of procedures that have the goal of improving the appearance of the face. The term "liquid facelift" has been used to describe improving the appearance of the face via fillers or sometimes fat. Same goes for the term "non surgical facelift." SOmetimes the term facelift has been used to describe an overall facial rejuvenation which might include a classic rhytidectomy (technical word for a facelift) as well as a browlift, eyelid surgery, and neck tightening (platysmal plication). A "mini facelift" is not a technical procedure but a coined term that could describe any number of procedures from a non aggressive rhytidectomy to a neck tightening procedure. Needless to say, there is no uniformity in the terminology used for these procedures. What one surgeon might call a facelift, another might call a necklift, and another might call a mini-facelift.

The lack of uniformity in the terminology can lead to confusion when patients try to compare apples to apples and know what different surgeon's plans might be for them.

In my practice a facelift is a rhytidectomy that treats the jowls and neckline. It can sometimes be combined with a platysmal plication (further neck tightening, called a necklift by some) which is done via a small incision under the chin. A facelift doesn not help the brows or eyes--that's a separate procedure. A facelift does not raise the cheeks significantly--that's a cheeklift or midface lift.

Some surgeons call a facelift a necklift, maybe because it sounds more benign and less threatening, or maybe because they want to make sure the patient does not think it will "lift" the entire face--it only treats the jowls and sagging neck. A patient is a good candidate for a facelift if they have significant jowling and sagging of the neck while still having good skin elasticity.

In regards to eyelid filler in the upper eyelids, when it goes away is it lumpy or does it go away uniformly?

Thursday, May 17th, 2012

Upper eyelid filler lasts longer than almost anywhere else on the face or body. Routinely I have patients for whom it has lasted for over 3-4 years. When it slowly dissipates it usually does so uniformly. This makes upper eyelid filler a really great value for improving one's appearance. You must remember that there will continue to be aging changes taking place over those few years as well, so to maintain the aesthetic result you might want to top off your upper eyelid filler treatment every so often.