Hi P F, You're welcome. You are right that safety, and final results are of utmost importance , but facelifts done with local anesthesia instead of general anesthesia has made it more accessible to working people. In the past, facelifts required a lot of time off work, or people who could afford prolonged downtime.
Hi Teresa Pittmann, Sorry to hear about your problem. As I don't know details of your surgery, or if you have other factors contributing to the pain, I recommend you discuss this with your surgeon who knows your anatomy, general health, and details of your surgery. I hope this helps you.
Thanks for the video. My question is on recovery time. I had a facelift few years ago. Surgeon assured me it was an "SMAS" facelift . Lot of excess skin was removed. Had it under general anesthesia (surgeon told me it was pretty long procedure. IIRC, he said ~2 hours) and was released from the hospital the next morning. My recovery time was very short. Was out walking and driving within 2 days. No problems. Bit swelling around cheeks but nobody really noticed. Wore a face bandage for about 1-2 days I think. IIRC, about 8 stitches behind each ear which were removed about a week later... Does this short recovery suggest that I did not have a "full strength" facelift? In other words, a true full strength SMAS facelift should result in longer recovery time.
Hi Raul Tennis, It's difficult to say without the details of your surgery. You could have had a SMAS facelift involves the tightening of the facial muscles. Generally, there is less skin removal and tightening with a man as compared to a woman because of the male hairline affecting how far back the incisions can be placed. Without your medical records, I can't tell you definitively. If you want to improve results further, you can look into addressing bone volume loss due to aging, which can be treated with deep placement of filler. Facelifts don't address volume loss, but it's as significant factor as tissue descent. You can refer to these videos about the effects of this treatment: ruclips.net/video/6LLdOkPpUzA/видео.html ruclips.net/video/t0_Gtq67x4Y/видео.html
I had a facelift 15 months ago, and since then, my left eyebrow has been immobile. It has a little movement at the end of the brow, and that’s all. I have lost my facial expression, and I feel so worried that it will stay that way. I started physical therapy and electrotherapy. I have used Proserin and Nuclo injections, but none of these have helped. What can I do? I do not want to have botox in the right side
Hi @user-yi7cj9dz1l, Sorry to hear about your problem. You should continue following up with your surgeon, and our other doctors. Nerve damage is a risk in facelift surgery, and this is the likely cause of your problem. Nerve damage often resolves with time, so waiting as your doctors described is also part of the course of action. I hope this helps you.
Hi Am trak, Toronto is one of the closest cities to us, and you will have an easier time seeing us than the international patients we have every day in our practice who come from around the world. Our offices are located in the USA in Manhattan, New York City which you can call at (212) 265-8877, Garden City, Long Island at (516) 742-4636, or Vienna, Virginia at (703) 356-1446. You can also reach us through www.prasadcosmeticsurgery.com, www.nyhairloss.com, or www.trichostem.com by filling out a contact form, and we will get back to you. You can likely get to us through...Amtrak :) I hope to hear from you soon.
Hi Heena Desai, A mini facelift is for relatively younger patients in their 50s when skin and tissue laxity are significant, but not yet too extensive. You can refer to these videos on the different facelift procedures appropriate for different age groups, and the factors that affect the longevity of facelift results: ruclips.net/video/RWDNY36QQls/видео.html ruclips.net/video/ZNQ3B9c_hjE/видео.html
Hi@@heenadesai9812, A physical examination is needed to determine if you are a facelift and chin augmentation candidate, but chin augmentation can be done at the same time as a facelift. I hope this clarifies things for you.
Hi Laurie Parker, You can contact our offices or websites for our current schedule. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Hi angela M, Sorry to hear about your problem. I suggest you follow up with your surgeon as they know details of your surgery, and can examine your ear to diagnose possible issues. I hope this helps you.
Hi doc * I had surgery last week today is 10 day but my sides still numb and swelling on my eyes is it normal or need steroids and plz do let me know how much time to recover more. Thx
Hi Rkhan Khan, You are still very early in your recovery period to worry. I suggest you be more patient with your healing, and follow up with the your performing surgeon if there are any concerns, as they know the details of your surgery and your anatomy which I am unaware of. I hope this helps you.
Hello dr, I am planni g my surgery in the end of this month I will be travelling to do face and neck and eyelid surgeries..... My question is can I fly back home 5 days post op if the flight is around 4 to 5 hours?
Hi Bint Batuta, I wouldn't recommend only 5 days of recovery time since you are doing some pretty extensive surgery, and sutures usually require removal after a week, so that alone would prevent you from flying back home so soon. I suggest you discuss your initial recovery plan with your surgeon so you have a better idea of when to return home. I hope this helps you.
Hello Dr.! Question! Can the platysma muscles swell after a corset platysmaplasty? Two weeks after my surgery, it seems I don't have the dramatic angle I thought and was wondering if this was normal. Also, swelling under the chin by the incision, do steroid injections calm this down? What is the rate of a platysmaplasty failing or needed a revision? Thank you!! Love your videos!!!!
Hi StarSpun Enterprises, The platysma muscles can swell after surgery as it's part of the healing process, and the swelling can still be present after two weeks, which is all within normal range of surgical recovery. The same post-surgical swelling can happen in the incision area, and two weeks is too soon after surgery to be overly concerned. As for the rate of a platysmaplasty needing revision, there is no number that covers all procedures, but it really depends on the doctor performing it, and techniques used. I can't give you an exact recommendation without seeing you in consultation, but you can bring any concerns to your performing surgeon as they know details of your surgery and your anatomy. I hope this helps you, and thank you for watching!
Iv got air pockets above my cheeks that are still there . I’m on week 9 . Is this normal. There’s probably fluid in there . They have been there from day one of lower facelift. ?
Hi @fionadavis9526, Trapped air doesn't occur during facelift recovery, but fluid is a possibility, and is normal during recovery. I suggest you follow up with your surgeon for an examination. I would have to perform a physical examination, as well as review the medical records of your surgery before giving you a proper second opinion. I hope this helps you.
@@AmiyaPrasadMD I saw my surgeon at 6 weeks. He said he was not going to touch anything for 6 months. So February. Hope they don’t last that long . Thanks for responding.
Hi@@fionadavis9526, I do agree that any revision procedure should wait for at least 6 months, but your surgeon can still evaluate how you are healing, and if there are any issues with your recovery. I hope this helps you.
Hi M E London! A home light/thermal device isn't likely to help with your facelift recovery. I suggest you continue following your surgeon's aftercare device. The symptoms you describe sound like they are normal for facelift recovery. I hope this clarifies things for you.
I am researching the benefits of a general vs local and must admit I am scared of being awake but feeling complete numbness of the mouth, eg not being able to swallow, or feel my tongue, when using sedation and local for a SMAS/necklift. Has any patient ever experienced this frightening phenomena?
Hi Judi LeBlanc, The purpose of sedation is to put you in a twilight straits of consciousness so you are relaxed and not anxious. This type of reaction is rare to non-existent with the LITE sedation I use in my practice. Sedation and local can be adjusted at the time of your procedure, and you can discuss any worries with your doctor in consultation prior to any procedure. I hope this clarifies things for you.
Excellent informative video. What is advance wound healing? What should I use if I'm allergic to neosporin and bacitracin? Your technic sounds like what I might be looking for? Do you mind advising? Im in California schedule for procedure on Tuesday. 😊 thank you so much for any advice.
Hi Tina Soriano, I've been using the advanced wound healing material extracellular matrix by the company ACell on facelift incisions for more than a decade. You need to talk to your surgeon about your allergy ahead of your procedure, as antibiotic ointment will be needed on incisions for at least a couple of days after surgery, even if they do use extracellular matrix like I do. I hope this helps you.
Thank you.. is there another option? He's telling me vaseline or aquaphor. I'm very allergic. I put bacitracin on my ear on Monday morning just to make sure because he did earlobe repair surgery a few months ago and I used neosporin it had a very bad reaction. It's still very itchy today even with taking benadryl. Thanks again. Obviously im very concerned about my results and recovery if I must have antibiotic ointment and I can't.
Hi@@TinaSoriano, Vaseline or Aquaphor are used after antibiotic ointment, in my patients usually 3 days after surgery, to prevent an allergic reaction or contact dermatitis from prolonged use of antibiotic ointment. You need to discuss options with your surgeon as I can't do skin testing myself. Your surgeon knows your skin, and can even change your scheduled surgery if further allergic testing is needed. I hope this helps you.
Hi Anna Aylmer, Since warfrain is a blood thinner, it could cause excessive bleeding during a facelift, which makes the procedure unsafe. You would have to be off the drug for considerable amount of time if you were to consider having a facelift. I hope this clarifies things for you.
Hi@@annaaylmer1691, Yes, you would still need to stop using it. I perform facelifts with local anesthesia, so my advice to you was based on that. Using local anesthesia does not reduce bleeding during a facelift. I hope this clarifies things for you.
Hi @anja0412, That's great to hear, but the majority of the people do. Even without side effects, the breathing apparatus used with general anesthesia so you can breathe does cover the face, affecting what the surgeon can do in facelift surgery. I hope this clarifies things for you.
Hi @kamankat, Length of recovery greatly depends on how the surgery was done, such as type of anesthesia, expedited healing on incisions, etc. While close to final results can be seen in 6 months with maybe just a little post-op swelling, full surgical recovery takes a full year. A little temporary swelling can actually make facelift results look even better as it appears as added volume, especially since facelifts alone without filler or facial implants don't treat age-related facial volume loss. I hope this clarifies things for you.
Hi@@kamankat, I usually perform facelifts using local anesthesia for greater patient comfort, and faster healing. With the effects of general anesthesia so taxing on the body, it does prolong surgical healing. I hope this clarifies things further for you.
After a long thinking done, I have just decided to stay away from facial or neck surgery, I will never solve an aesthetic issue on my body while creating another one like visible scars for a long time.
Hi Advanced healing of facelift, and neck lift incisions can leave no visible scar, with the right approach. You can refer to this video about it - ruclips.net/video/tRBCYXlbQ6o/видео.html I will be debuting a video shortly about how neck lifting can be done without long incisions, or open surgery by early tomorrow. You can watch out for it if you want to see how it's done.
Hi Mihaela Wachsman, Without a physical exam to confirm if it's the right procedure, it is possible. However, take note that fat transfer is a surgical procedure, and since 30-70% of transferred fat can be absorbed by the body, at least two procedures may be needed. Also note that harvesting fat is also a surgical procedure, as well as the actual transfer. You can consider cosmetic facial fillers like Juvederm and Restylane, which can be done in minutes without surgery, and are more predictable since they are safely metabolized over 1-2 years. I hope this clarifies things for you.
My right eye gone to little bit right I think because of gaming I'm gamer so is there any way to fix it Thanks MY EYES drive.google.com/folderview?id=1wIV3L9cOW_IyJVxFDZUuVOYD4X43PKjN
Hi Gamer, It looks like normal eyelid asymmetry from your photos, and not likely due to gaming. If you are worried about it, an exam checking eyelid muscle function will confirm it, but I don't think there is any urgent issue from your pictures alone. I hope this helps you.
Recovery time is important, but much less in importance than the final results and, obviously, the lack of complications. Thanks for this video.
Hi P F,
You're welcome. You are right that safety, and final results are of utmost importance , but facelifts done with local anesthesia instead of general anesthesia has made it more accessible to working people. In the past, facelifts required a lot of time off work, or people who could afford prolonged downtime.
I had a face lift 4 weeks ago & still in horrible pain , now depressed! When does this pain stop?
Hi Teresa Pittmann,
Sorry to hear about your problem. As I don't know details of your surgery, or if you have other factors contributing to the pain, I recommend you discuss this with your surgeon who knows your anatomy, general health, and details of your surgery. I hope this helps you.
what is the best age for facelifts ? assuming you are already aging well and doing good skin care and avoiding sun
Hi zibtihaj,
You can refer to this video that answers your question in detail - ruclips.net/video/RWDNY36QQls/видео.html
Thanks for the video. My question is on recovery time. I had a facelift few years ago. Surgeon assured me it was an "SMAS" facelift . Lot of excess skin was removed. Had it under general anesthesia (surgeon told me it was pretty long procedure. IIRC, he said ~2 hours) and was released from the hospital the next morning. My recovery time was very short. Was out walking and driving within 2 days. No problems. Bit swelling around cheeks but nobody really noticed. Wore a face bandage for about 1-2 days I think. IIRC, about 8 stitches behind each ear which were removed about a week later... Does this short recovery suggest that I did not have a "full strength" facelift? In other words, a true full strength SMAS facelift should result in longer recovery time.
Hi Raul Tennis,
It's difficult to say without the details of your surgery. You could have had a SMAS facelift involves the tightening of the facial muscles. Generally, there is less skin removal and tightening with a man as compared to a woman because of the male hairline affecting how far back the incisions can be placed. Without your medical records, I can't tell you definitively.
If you want to improve results further, you can look into addressing bone volume loss due to aging, which can be treated with deep placement of filler. Facelifts don't address volume loss, but it's as significant factor as tissue descent. You can refer to these videos about the effects of this treatment:
ruclips.net/video/6LLdOkPpUzA/видео.html
ruclips.net/video/t0_Gtq67x4Y/видео.html
I had a facelift 15 months ago, and since then, my left eyebrow has been immobile. It has a little movement at the end of the brow, and that’s all. I have lost my facial expression, and I feel so worried that it will stay that way. I started physical therapy and electrotherapy. I have used Proserin and Nuclo injections, but none of these have helped. What can I do? I do not want to have botox in the right side
Hi @user-yi7cj9dz1l,
Sorry to hear about your problem. You should continue following up with your surgeon, and our other doctors. Nerve damage is a risk in facelift surgery, and this is the likely cause of your problem. Nerve damage often resolves with time, so waiting as your doctors described is also part of the course of action. I hope this helps you.
Hi dr.where is our office ? I wished you had one in toronto canada too
Hi Am trak,
Toronto is one of the closest cities to us, and you will have an easier time seeing us than the international patients we have every day in our practice who come from around the world. Our offices are located in the USA in Manhattan, New York City which you can call at (212) 265-8877, Garden City, Long Island at (516) 742-4636, or Vienna, Virginia at (703) 356-1446. You can also reach us through www.prasadcosmeticsurgery.com, www.nyhairloss.com, or www.trichostem.com by filling out a contact form, and we will get back to you. You can likely get to us through...Amtrak :) I hope to hear from you soon.
I agree.... Wish he was in Toronto!
Are advice minifacelift? How many years it's last.is it ok if I go minifacelift with chin augmentation
Hi Heena Desai,
A mini facelift is for relatively younger patients in their 50s when skin and tissue laxity are significant, but not yet too extensive. You can refer to these videos on the different facelift procedures appropriate for different age groups, and the factors that affect the longevity of facelift results:
ruclips.net/video/RWDNY36QQls/видео.html
ruclips.net/video/ZNQ3B9c_hjE/видео.html
@@AmiyaPrasadMD yes doctor I am around 45...just I I wanted to ask with facelift chin augmentation is possible
Hi@@heenadesai9812,
A physical examination is needed to determine if you are a facelift and chin augmentation candidate, but chin augmentation can be done at the same time as a facelift. I hope this clarifies things for you.
On average how long does it take to get an appointment for the actual surgery ?
Hi Laurie Parker,
You can contact our offices or websites for our current schedule. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
I just had a deep plane cheek lift 5 days ago and I’m struggling my earlobe red swollen and I can’t hear out of my ear what kind I do
Hi angela M,
Sorry to hear about your problem. I suggest you follow up with your surgeon as they know details of your surgery, and can examine your ear to diagnose possible issues. I hope this helps you.
Hi doc * I had surgery last week today is 10 day but my sides still numb and swelling on my eyes is it normal or need steroids and plz do let me know how much time to recover more. Thx
Hi Rkhan Khan,
You are still very early in your recovery period to worry. I suggest you be more patient with your healing, and follow up with the your performing surgeon if there are any concerns, as they know the details of your surgery and your anatomy which I am unaware of. I hope this helps you.
Hello dr, I am planni g my surgery in the end of this month
I will be travelling to do face and neck and eyelid surgeries..... My question is can I fly back home 5 days post op if the flight is around 4 to 5 hours?
Hi Bint Batuta,
I wouldn't recommend only 5 days of recovery time since you are doing some pretty extensive surgery, and sutures usually require removal after a week, so that alone would prevent you from flying back home so soon. I suggest you discuss your initial recovery plan with your surgeon so you have a better idea of when to return home. I hope this helps you.
Hello Dr.! Question! Can the platysma muscles swell after a corset platysmaplasty? Two weeks after my surgery, it seems I don't have the dramatic angle I thought and was wondering if this was normal. Also, swelling under the chin by the incision, do steroid injections calm this down? What is the rate of a platysmaplasty failing or needed a revision? Thank you!! Love your videos!!!!
Hi StarSpun Enterprises,
The platysma muscles can swell after surgery as it's part of the healing process, and the swelling can still be present after two weeks, which is all within normal range of surgical recovery. The same post-surgical swelling can happen in the incision area, and two weeks is too soon after surgery to be overly concerned. As for the rate of a platysmaplasty needing revision, there is no number that covers all procedures, but it really depends on the doctor performing it, and techniques used. I can't give you an exact recommendation without seeing you in consultation, but you can bring any concerns to your performing surgeon as they know details of your surgery and your anatomy. I hope this helps you, and thank you for watching!
Iv got air pockets above my cheeks that are still there . I’m on week 9 . Is this normal. There’s probably fluid in there . They have been there from day one of lower facelift. ?
Hi @fionadavis9526,
Trapped air doesn't occur during facelift recovery, but fluid is a possibility, and is normal during recovery. I suggest you follow up with your surgeon for an examination. I would have to perform a physical examination, as well as review the medical records of your surgery before giving you a proper second opinion. I hope this helps you.
@@AmiyaPrasadMD I saw my surgeon at 6 weeks. He said he was not going to touch anything for 6 months. So February. Hope they don’t last that long . Thanks for responding.
Hi@@fionadavis9526,
I do agree that any revision procedure should wait for at least 6 months, but your surgeon can still evaluate how you are healing, and if there are any issues with your recovery. I hope this helps you.
Does the Lightstim home device FDA approved ( Red & Infrared lights therapy) help to heal from swollen, numbness and some lumps post deplane facelift?
Hi M E London!
A home light/thermal device isn't likely to help with your facelift recovery. I suggest you continue following your surgeon's aftercare device. The symptoms you describe sound like they are normal for facelift recovery. I hope this clarifies things for you.
I am researching the benefits of a general vs local and must admit I am scared of being awake but feeling complete numbness of the mouth, eg not being able to swallow, or feel my tongue, when using sedation and local for a SMAS/necklift. Has any patient ever experienced this frightening phenomena?
Hi Judi LeBlanc,
The purpose of sedation is to put you in a twilight straits of consciousness so you are relaxed and not anxious. This type of reaction is rare to non-existent with the LITE sedation I use in my practice. Sedation and local can be adjusted at the time of your procedure, and you can discuss any worries with your doctor in consultation prior to any procedure. I hope this clarifies things for you.
Excellent informative video. What is advance wound healing? What should I use if I'm allergic to neosporin and bacitracin? Your technic sounds like what I might be looking for? Do you mind advising? Im in California schedule for procedure on Tuesday. 😊 thank you so much for any advice.
Hi Tina Soriano,
I've been using the advanced wound healing material extracellular matrix by the company ACell on facelift incisions for more than a decade. You need to talk to your surgeon about your allergy ahead of your procedure, as antibiotic ointment will be needed on incisions for at least a couple of days after surgery, even if they do use extracellular matrix like I do. I hope this helps you.
Thank you.. is there another option? He's telling me vaseline or aquaphor. I'm very allergic. I put bacitracin on my ear on Monday morning just to make sure because he did earlobe repair surgery a few months ago and I used neosporin it had a very bad reaction. It's still very itchy today even with taking benadryl. Thanks again. Obviously im very concerned about my results and recovery if I must have antibiotic ointment and I can't.
Hi@@TinaSoriano,
Vaseline or Aquaphor are used after antibiotic ointment, in my patients usually 3 days after surgery, to prevent an allergic reaction or contact dermatitis from prolonged use of antibiotic ointment. You need to discuss options with your surgeon as I can't do skin testing myself. Your surgeon knows your skin, and can even change your scheduled surgery if further allergic testing is needed. I hope this helps you.
@@AmiyaPrasadMD Thank you very much. Best to you.
You're welcome,@@TinaSoriano! Best of luck with your procedure!
Can you have a facelift when on warfrain?
Hi Anna Aylmer,
Since warfrain is a blood thinner, it could cause excessive bleeding during a facelift, which makes the procedure unsafe. You would have to be off the drug for considerable amount of time if you were to consider having a facelift. I hope this clarifies things for you.
It's done under local anesthesia last about 3 hours the surgery do I still have to stop warfrain thank you for your input doctor
Hi@@annaaylmer1691,
Yes, you would still need to stop using it. I perform facelifts with local anesthesia, so my advice to you was based on that. Using local anesthesia does not reduce bleeding during a facelift. I hope this clarifies things for you.
Thank you would just like to know if you have done anyone on warfrain and do you think its safe Thank you for your help 😊
You're welcome,@@annaaylmer1691!
I had no side effects whatsoever after general anaesthesia.
Hi @anja0412,
That's great to hear, but the majority of the people do. Even without side effects, the breathing apparatus used with general anesthesia so you can breathe does cover the face, affecting what the surgeon can do in facelift surgery. I hope this clarifies things for you.
My friend just had deep plane and two months later she still has puffy face. It takes six months to final result!
Hi @kamankat,
Length of recovery greatly depends on how the surgery was done, such as type of anesthesia, expedited healing on incisions, etc. While close to final results can be seen in 6 months with maybe just a little post-op swelling, full surgical recovery takes a full year. A little temporary swelling can actually make facelift results look even better as it appears as added volume, especially since facelifts alone without filler or facial implants don't treat age-related facial volume loss. I hope this clarifies things for you.
Yes you are right , 7 months later and she still has some puffiness, I believe she had a deep plane facelift with general anesthesia
Hi@@kamankat,
I usually perform facelifts using local anesthesia for greater patient comfort, and faster healing. With the effects of general anesthesia so taxing on the body, it does prolong surgical healing. I hope this clarifies things further for you.
Hello doc... can u plzzzz explain about the treadlift n post care..
Hi Savvy N,
Sorry, I don't perform or recommend threadlifts, so I can't do a video for their aftercare. Thank you for your understanding.
After a long thinking done, I have just decided to stay away from facial or neck surgery, I will never solve an aesthetic issue on my body while creating another one like visible scars for a long time.
Hi
Advanced healing of facelift, and neck lift incisions can leave no visible scar, with the right approach. You can refer to this video about it - ruclips.net/video/tRBCYXlbQ6o/видео.html
I will be debuting a video shortly about how neck lifting can be done without long incisions, or open surgery by early tomorrow. You can watch out for it if you want to see how it's done.
Would a woman after 60 can have her own fat as face fillers?
Hi Mihaela Wachsman,
Without a physical exam to confirm if it's the right procedure, it is possible. However, take note that fat transfer is a surgical procedure, and since 30-70% of transferred fat can be absorbed by the body, at least two procedures may be needed. Also note that harvesting fat is also a surgical procedure, as well as the actual transfer. You can consider cosmetic facial fillers like Juvederm and Restylane, which can be done in minutes without surgery, and are more predictable since they are safely metabolized over 1-2 years. I hope this clarifies things for you.
@@AmiyaPrasadMD thank you so much for your prompt response, I really appreciate it, and will then reconsider the fat filler.
You're welcome,@@MihaelaWachsman!
My right eye gone to little bit right I think because of gaming I'm gamer so is there any way to fix it
Thanks
MY EYES
drive.google.com/folderview?id=1wIV3L9cOW_IyJVxFDZUuVOYD4X43PKjN
Hi Gamer,
It looks like normal eyelid asymmetry from your photos, and not likely due to gaming. If you are worried about it, an exam checking eyelid muscle function will confirm it, but I don't think there is any urgent issue from your pictures alone. I hope this helps you.
Amiya Prasad, M.D. yes it helps thank you :)
You're welcome, Gamer!