I am considering a full facelift with fat transfer and skin resurfacing (CO2 fractional). Should these procedures be done at the same time if possible? If not, which should be done first and how much time should I wait inbetween procedures?
Answer: Simultaneous Face Lift and Fractional CO2 laser I have performed simultaneous face lift and fractional CO2 laser (face and neck) in hundreds of patients over a 10 year period. I have done this on young and old patients with a variety of medical conditions. I rarely modify the intensity of the laser treatment and I have seen no complications. The face lift and laser treatment can be done separately or together; however, most patients elect to combine the procedures to minimize cost and to economize on healing time. The addition of the laser does not extend the healing time for the face lift procedure. My very best. Good Luck.
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Answer: Simultaneous Face Lift and Fractional CO2 laser I have performed simultaneous face lift and fractional CO2 laser (face and neck) in hundreds of patients over a 10 year period. I have done this on young and old patients with a variety of medical conditions. I rarely modify the intensity of the laser treatment and I have seen no complications. The face lift and laser treatment can be done separately or together; however, most patients elect to combine the procedures to minimize cost and to economize on healing time. The addition of the laser does not extend the healing time for the face lift procedure. My very best. Good Luck.
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Answer: Combining facelift with laser resurfacing It is absolutely possible to have a facelift with fat transfer and laser resurfacing in the same surgical setting. It is a very common practice and better for the patient with regards to comfort of having the laser procedure while under general anesthesia and recovering at the same time as the facelift. Please be sure to consult with a board certified plastic surgery with experience and expertise in facial rejuvenation. Ask to see before and after photos of the surgeon's own patients.
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Answer: Combining facelift with laser resurfacing It is absolutely possible to have a facelift with fat transfer and laser resurfacing in the same surgical setting. It is a very common practice and better for the patient with regards to comfort of having the laser procedure while under general anesthesia and recovering at the same time as the facelift. Please be sure to consult with a board certified plastic surgery with experience and expertise in facial rejuvenation. Ask to see before and after photos of the surgeon's own patients.
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October 8, 2018
Answer: Interesting debate - no right answer! Thanks for the question - which is a source of debate for the professionals as you have seen! My ha’penny worth of opinion reflects a conservative and safe approach. I prefer to lift the face with composite (‘deep plane’) surgery to preserve blood supply to the skin, and ‘get the foundation’ of the face and neck balanced and harmonious first. The facelift balances the aesthetic units of the face from midface to neck. Then 7-14 days later, at time of suture removal my patients will have resurfacing strategies as necessary. My team likes energy transfer to skin by chemical peel - we start the skin health preparation way before the surgery... The reason for this is for optimum comfort for you in recovery, safety to the healing of the layers of the face (rather than a simultaneous challenge from resurfacing above and surgery below), and also for surgeon related reasons! I prefer to concentrate on optimum surgery in the operating room, and then optimum skin health to the 'envelope' in the clinic. So: 1. skin health, 2. facelift to restore the face and neck 3. skin resurfacing over a balanced foundation No right answers here - find a reputable local surgeon you like and get a feel for the philosophy of the team. Good luck! Jonathan Britto, Consultant Plastic & Craniofacial surgeon, London, UK.
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October 8, 2018
Answer: Interesting debate - no right answer! Thanks for the question - which is a source of debate for the professionals as you have seen! My ha’penny worth of opinion reflects a conservative and safe approach. I prefer to lift the face with composite (‘deep plane’) surgery to preserve blood supply to the skin, and ‘get the foundation’ of the face and neck balanced and harmonious first. The facelift balances the aesthetic units of the face from midface to neck. Then 7-14 days later, at time of suture removal my patients will have resurfacing strategies as necessary. My team likes energy transfer to skin by chemical peel - we start the skin health preparation way before the surgery... The reason for this is for optimum comfort for you in recovery, safety to the healing of the layers of the face (rather than a simultaneous challenge from resurfacing above and surgery below), and also for surgeon related reasons! I prefer to concentrate on optimum surgery in the operating room, and then optimum skin health to the 'envelope' in the clinic. So: 1. skin health, 2. facelift to restore the face and neck 3. skin resurfacing over a balanced foundation No right answers here - find a reputable local surgeon you like and get a feel for the philosophy of the team. Good luck! Jonathan Britto, Consultant Plastic & Craniofacial surgeon, London, UK.
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September 21, 2018
Answer: Facelift and Laser resurfacing together This is a great question. I have performed these two procedures in combination hundreds of times over the years. The type of facelift and the power settings on the laser determine the risks to the circulation for healing along with any compromising medical conditions. For example, a person with diabetes or a history of smoking would be treated more conservatively. I do not usually laser directly over the elevated skin flaps except to feather the edges to avoid abrupt demarcation. Fortunately, the skin flaps usually require less treatment anyway. If necessary, they can be done several weeks later. The advantages of doing it together are shared anesthesia time and simultaneous recovery time. In many cases the effects of combining these treatment appear to be synergistic. Best to You, Dr.Stephen Fink Newport Beach
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September 21, 2018
Answer: Facelift and Laser resurfacing together This is a great question. I have performed these two procedures in combination hundreds of times over the years. The type of facelift and the power settings on the laser determine the risks to the circulation for healing along with any compromising medical conditions. For example, a person with diabetes or a history of smoking would be treated more conservatively. I do not usually laser directly over the elevated skin flaps except to feather the edges to avoid abrupt demarcation. Fortunately, the skin flaps usually require less treatment anyway. If necessary, they can be done several weeks later. The advantages of doing it together are shared anesthesia time and simultaneous recovery time. In many cases the effects of combining these treatment appear to be synergistic. Best to You, Dr.Stephen Fink Newport Beach
Helpful 1 person found this helpful
September 17, 2018
Answer: Facelift with Laser Skin Resurfacing Combining Facelift and Skin Resurfacing is done very often in my office. I feel it is safe even with aggressive settings as long as the area immediately in front of the ears is not treated. It is nice to recover from both at the same time, one overall recovery. Remember that recovery from a facelift is relatively easy compared to recovery from skin resurfacing. So, when you combine the two, it is that much more difficult, yet still very doable. Adding skin resurfacing to a facelift can produce our most beautiful results, despite the difficulty of the recovery.
Helpful
September 17, 2018
Answer: Facelift with Laser Skin Resurfacing Combining Facelift and Skin Resurfacing is done very often in my office. I feel it is safe even with aggressive settings as long as the area immediately in front of the ears is not treated. It is nice to recover from both at the same time, one overall recovery. Remember that recovery from a facelift is relatively easy compared to recovery from skin resurfacing. So, when you combine the two, it is that much more difficult, yet still very doable. Adding skin resurfacing to a facelift can produce our most beautiful results, despite the difficulty of the recovery.
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