Marking the Facelift and Browlift Patient

Doctor Joe Niamtu, III is an internationally recognized, double boarded cosmetic facial surgeon in Richmond, Virginia. He is a teacher, author and surgeon and has won best Cosmetic surgeon 33 times in Virginia. Doctor Niamtu can be reached at [e-mail] and his website is www.lovethatface.com.

[@ecrabbe09]

This was very informative and interesting to watch! You know exactly what to expect! Love how you explain procedures!

[@jniamtuiii]

Glad it was helpful!

[@AshesOfRoses]

Thanks to the patient for allowing you to film this. Very interesting. 🌸🌷

[@jniamtuiii]

:)

[@DrPosunco]

Excellent
Do you have any training videos?

[@jniamtuiii]

Thanks for watching, I have a for purchase training series available for preview or purchase at
www.lovethatface.com/educational-opportunities/online-video-series/education-resource-store/

[@KuriTaheri]

Well, thanks for the nice and vividly explainatory video you've shared here.
Once I saw the final result of your surgery on her face, there I found a certain part, her lobul to seem awkwardly larger than it somehow was expected to look.
Would you mind providing an explanation for that, please?

[@jniamtuiii]

That is just swelling, earlobes can swell a lot right after surgery but return to normal size.

[@ecrabbe09]

What if one eyelid is a lot droopier than the other? I’m assuming that you would make adjustments to make them match as well as possible! Is that correct?

[@jniamtuiii]

Yes, for sure

[@cmdmd]

My man, I do not know who did the "bad incisions" in the examples you provide at 6:14....but, WOW, back to basics for that surgeon.

[@jniamtuiii]

:)

[@amirpakdin7563]

Hi, why you dont go retrotragal?

[@jniamtuiii]

Tragal incisions
There are two popular ways to make the incision in front of the ear. They both work equally well in experienced hands. First of all you are talking about a ½ inch incision at the tragus, not the entire ear. Numerous factors go into the decision whether to put the incision in front of behind the tragus. There are advantages and disadvantages of both.
The decision is dependent on the patient’s anatomy and the size and shape of their tragus. For men putting the incision in front of the tragus prevents bearded skin from being on the tragus which is very difficult to shave. For women with a distinct crease, placing the incision in front of the tragus in the crease makes an almost invisible scar. In addition, the scar can also be lasered in the event it is noticeable. The size of the tragus also matters as a very fine tragus can blunt more easily. Finally, the patient has input in which incision to use.
Going behind the tragus has its own set of problems that many surgeons never show. The tragus is very delicate and has delicate cartilage. With even the most famous surgeons, this cartilage can remodel after surgery and deform the tragus. In this case the tragus is blunt and extremely difficult to fix. You can also see inside the patient’s ear. If any surgeon says they have never had a blunted tragus, then they have not done many facelifts. If you want to see how bad that looks, Google “blunted tragus” and you can see the deformity. Ask any hairdresser because they look at a lot of scars.
So….the true answer is that different surgeons do it differently and there is no “right way” or “wrong way”. The bottom line is how the patients looks after the surgery and each surgeon has their best way. Personally, I do both approaches based on the factors described above. Take a second and look at my facelift scar gallery
www.lovethatface.com/before-and-after-galleries/lower-facial-procedures/facelift-incisions-and-scars-gallery/
You can see hundreds of my scars on very happy patients. Thanks for watching and commenting and I hope this was helpful.

[@gailnightowl0423]

General anesthesia?

[@jniamtuiii]

Yes

[@doctor_romanov]

Nice)

[@jniamtuiii]

Thanks 😋