HOW DO YOU DECIDE HOW TO COMBINE PROCEDURES?
The art of a cosmetic surgery is to work out which procedures are the most appropriate and how to combine the different options. It is really not dissimilar to a good chef who uses different components from different things to get the ultimate best result. In this situation, we have got 3 issues. The first issue is that the skin on the lower part of the face was drooping down and that is why we have chosen a mini face lift. The second issue is that she has wrinkling of the skin which was treated with the laser erbium resurfacing. The final issue is that she has depression and lack of volume around the mouth. This has been treated with fillers.
WOULD THIS LADY HAVE ANY OTHER OPTIONS?
Yes, this lady is going to have a look at dental work to try and build up the structure of her mouth as well.
CAN ALL THE DIFFERENT PROCEDURES BE PERFORMED AT THE SAME TIME?
Yes, these procedures were all performed in the one setting which saves on down time and theatre costs. One does need to be careful with combining certain procedures. For instance, a breast lift together with a breast implant sometimes can be difficult when performed together and sometimes it is better to separate them. We now combine liposculpture together with tummy tucks as the liposuction removes the fat which is then followed by excision of the skin. Using the tumescent technique these work well together.
Laser resurfacing only works on the skin’s surface and therefore can be combined with treatments that pull the skin. One would perhaps avoid a deep laser resurfacing just over the skin where the skin has been actually elevated.
Lower lid blepharoplasty to remove the fat bags is often combined with laser resurfacing to tighten the skin in this area as well.
WHAT MAKES A PERSON LOOK OLD?
There are a number of things that make people look old. This slide is a good example of the 3 changes that tend to make people look older. One is that their skin is actually drooping and therefore it sags off the structural bony tissue and does not have the youthful tightness. The second is the skin texture changes which may initially be pigmented, blotchy, blood vessels or spots. In this situation, the texture is actual deep wrinkles. The final change is that of loss of volume which can be treated with simple fillers or the patient’s own fat.
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Surgical Warning: Every form of surgery has a possibility of a complication and these are given to you in detail by Dr Lanzer. It is a good idea to understand your surgical procedure well, and to obtain further advice from another Specialist Cosmetic surgeon such as a Dermatologist like Dr Lanzer.
All photographs represent one person's experience, and results may vary for each patient. All photographs are of actual patients of Dr Lanzer. The visible change in these photographs has occurred as a result of the procedure/s undertaken.
Some before and after photos shown are not exact, in that they vary in light, contrast, clothing, background, distance from camera, hairstyle and make-up.