I'm 35 and have snap in dentures. I am waiting to get my teeth that do not come out before I do any facial surgery. Losing my teeth has really changed my lower face shape. I really am learning a lot from your channel...for example i never knew that pyriform implants existed. I would love to have you as my surgeon when I do get work done, but I'm in N.Y. Either way, great work!
I'd really like discussion on solving deep forehead wrinkles & double chin in considering a facelift. I also would love your walkthrough on Michael Jackson's surgeries.
What time did in a decade is nearly impossible to undo with a single procedure. That kind of change will always has some kind of hidden cost. Let’s hope that research in microRNA will be exploited for tissue regeneration and restoration in the future.
And it seems like you are also mixing a deep plane facelift with a SMAS. These two usually have many in common. But usually surgeons don’t advertise their SMAS by using the word deep plane, which can be confusing.
I lump the 2 together as SMAS manipulation. I usually perform a deep plane facelift but do not feel it is an inherently superior operation to SMASectomy or SMAS plication.
I'm 44, always had a full face. Recently, it seems all my mid face volume are down to my jowls. I can see this (full, not only sagging skin) bulge in my jaw line.
I would be happy to evaluate- if jowls and fullness are your primary concerns you may be a candidate for facial liposculpture and radiofrequency tightening
I am so annoyed by physicians creating more and more complicated and dangerous (potential nerve damage, lengthy recovery, pain and swelling, use of general vs. local anesthesia for extended periods of time, blood loss, etc.) procedures to give themselves a better, more interesting, and far more lucrative practice vs. helping clients really determine what best meets their needs, budget, issues, and age. I am 78, do not have a life expectancy beyond 5-10 years max, and, even if so, am less worried about any procedure not lasting longer than 10 years (which is the time frame given me even for the most extensive, expensive SMAS procedures). Physicians may make fun of patients holding back their sagging skin and asking why it can't be removed, but such procedures were commonplace, even for media stars (i.e. Madonna), until recently. Furthermore, in my mind's eye, the dreaded "swept back" look of earlier procedures is not nearly as noticeable or offensive as claimed by the purveyors of the more expensive, dangerous SMAS procedures. For those of us who are older, unable to undergo gen. anesthesia, and who do not expect results lasting longer than 5 years, and on a limited budget, the earlier - removal of excess skin only - procedures should be an option. I have yet to find a facial surgeon in my area of FL willing to do a skin only facelift ... infuriating.
I happen to agree with all of this, but keep in mind a skin only facelift may be ineffective. Giving physicians the benefit of the doubt, we strive to achieve whats best for our patients, even if it means turning away business. After all facelifts are risky and elective, and
it seems like some surgeons like you have a very different definition of what a mini facelift is. Usually, a mini facelift is simply a SMAS without a neck lift, which some just don’t need.
@@jonathanzelkenmdI don’t agree with you. I’m 26 and had Korean V-line surgery and subsequently developed lower face sagging due to shaved bone. But my neck remains completely tight and juvenile. In many cases like mine, a neck lift is simply not even feasible as there is no excessive skin to tighten and lift.
I'm 35 and have snap in dentures. I am waiting to get my teeth that do not come out before I do any facial surgery. Losing my teeth has really changed my lower face shape. I really am learning a lot from your channel...for example i never knew that pyriform implants existed. I would love to have you as my surgeon when I do get work done, but I'm in N.Y. Either way, great work!
Thanks so much
Phenomenal video. Thank you so much for the continued education, Dr. Zelken. I so look fwd to when I can visit you for a consult.
Thank you Elisa
I'd really like discussion on solving deep forehead wrinkles & double chin in considering a facelift. I also would love your walkthrough on Michael Jackson's surgeries.
Well said Dr. Zelken
Thanks!
Thank you Dr.!
My pleasure :)
What time did in a decade is nearly impossible to undo with a single procedure. That kind of change will always has some kind of hidden cost. Let’s hope that research in microRNA will be exploited for tissue regeneration and restoration in the future.
And it seems like you are also mixing a deep plane facelift with a SMAS. These two usually have many in common. But usually surgeons don’t advertise their SMAS by using the word deep plane, which can be confusing.
I lump the 2 together as SMAS manipulation. I usually perform a deep plane facelift but do not feel it is an inherently superior operation to SMASectomy or SMAS plication.
I'm 44, always had a full face. Recently, it seems all my mid face volume are down to my jowls. I can see this (full, not only sagging skin) bulge in my jaw line.
I would be happy to evaluate- if jowls and fullness are your primary concerns you may be a candidate for facial liposculpture and radiofrequency tightening
I am so annoyed by physicians creating more and more complicated and dangerous (potential nerve damage, lengthy recovery, pain and swelling, use of general vs. local anesthesia for extended periods of time, blood loss, etc.) procedures to give themselves a better, more interesting, and far more lucrative practice vs. helping clients really determine what best meets their needs, budget, issues, and age. I am 78, do not have a life expectancy beyond 5-10 years max, and, even if so, am less worried about any procedure not lasting longer than 10 years (which is the time frame given me even for the most extensive, expensive SMAS procedures). Physicians may make fun of patients holding back their sagging skin and asking why it can't be removed, but such procedures were commonplace, even for media stars (i.e. Madonna), until recently. Furthermore, in my mind's eye, the dreaded "swept back" look of earlier procedures is not nearly as noticeable or offensive as claimed by the purveyors of the more expensive, dangerous SMAS procedures. For those of us who are older, unable to undergo gen. anesthesia, and who do not expect results lasting longer than 5 years, and on a limited budget, the earlier - removal of excess skin only - procedures should be an option. I have yet to find a facial surgeon in my area of FL willing to do a skin only facelift ... infuriating.
I happen to agree with all of this, but keep in mind a skin only facelift may be ineffective. Giving physicians the benefit of the doubt, we strive to achieve whats best for our patients, even if it means turning away business. After all facelifts are risky and elective, and
We aim to make the benefits outweigh said risks
it seems like some surgeons like you have a very different definition of what a mini facelift is. Usually, a mini facelift is simply a SMAS without a neck lift, which some just don’t need.
You may be correct. Its so difficult to put names to procedures.
I think the necklift is most important component of any facelift.
@@jonathanzelkenmdI don’t agree with you. I’m 26 and had Korean V-line surgery and subsequently developed lower face sagging due to shaved bone. But my neck remains completely tight and juvenile. In many cases like mine, a neck lift is simply not even feasible as there is no excessive skin to tighten and lift.
@@victoriawang847 fair enough- it sounds like your situation may be a little different.
P R O M O S M 😇