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Face Lift Laser Resurfacing Case #3
The photograph above shows an upper lip that has undergone face lift rejuvenation using laser resurfacing. Laser resurfacing is the process of vaporising the outer layers of the skin, in particular the epidermis and outer dermis so that a new layer of skin re-grows that is smooth, fresh and clean. There are many different forms of facelift surgery. It can be done with non-surgical means such as Ulthera, surgical Face Lift Laser Resurfacing such as the mini-face lift, stem cell fat transfer face lift, or laser resurfacing.
HOW MUCH OF A FACELIFT OCCURS WITH LASER RESURFACING?
The laser resurfacing primarily works on the skin texture by making the skin smoother and tighter but because the skin tightens and becomes more rejuvenated there is also a tightening and face lift effect on the face, particularly seen on the cheeks and jaw line.
WHAT ARE THE METHODS TO FACE LIFT THE LIP REGION?
There are many approaches for lip rejuvenation. When assessing an aged lip, one needs to decide if the primary problem is the skin texture, in which case laser resurfacing would be the primary approach or if there has been a loss of volume. Often there is a loss of volume along the lip vermilion border which leads to a flat lip where the normal pouched curved appearance of the upper lip is seen. This creates a sadness and aging appearance of the lip. The most common way to rejuvenation and face lift the lip area is with a dermal filler. There are many dermal fillers available which usually last between 6 and 18 months. They are performed under simple injections and since most injections now come with local anesthetic, there tends not to be much pain and no need for a separate local anesthetic injection.
CAN LIP FILLERS BE COMBINED WITH LASER RESURFACING?
Yes. These 2 procedures can be performed together. The laser is working on the external outer skin whilst the filler is working deep in the dermis down to the fat to re-create the shape of the upper lip.
CAN LASER RESURFACING BE PERFORMED AT THE SAME TIME AS MINI FACE LIFT SURGERY?
Yes. Dr. Lanzer will often combine the 2 procedures. One does need to be careful about performing a deep laser resurfacing on the areas of the face that have actually been elevated with the face lift. This is because there may be a compromise of the blood supply to the skin that is being elevated. This skin that is being elevated is called a skin flap. Since the skin is no longer connected to the blood supply from below it is dependent on blood supply from the top. The laser resurfacing in theory could compromise this area. Fortunately, when performing mini facelift surgery, only about 5 cm of skin is actually elevated and made into a flap in front of the ears. In most cases, the vast majority of this 5 cm is actually removed when the skin is pulled towards the ear and the excess skin removed. As a result, laser resurfacing can be performed safely on most of the face and possibly just a little lighter in front of the ears.
THERE ARE MANY DIFFERENT TYPES OF LASER RESURFACING DEVICES. WHICH ONE PRODUCES THE MOST FACE LIFT LASER RESURFACING Resurfacing EFFECT?
Generally speaking, lasers that create more heat would cause more contraction, tightening and elevation. The CO2 lasers create the most heat and therefore may give more Face Lift Laser Resurfacing effect together with the resurfacing laser effect. Unfortunately, heat also increases the risk of scarring which is the main downside risk of laser resurfacing. Dr. Lanzer prefers to use the contour erbium laser. Most of the effect is performed with an erbium laser which creates almost no heat and this type of skin resurfacing has been very safe in his hands. The contour erbium laser also has the option of adding separate heat in a controlled fashion. The exact microns that the head penetrates can be determined with the laser.
WHAT IS THE ADVANTAGE OF USING FRACTIONATED LASER WITH LASER RESURFACING?
Fractionated laser means that the laser resurfacing is performed in small dots rather than on the entire skin surface. The advantage of the fractionated mode is that there is less risk of scarring and complications. it is particularly useful in olive skin people where this is no risk of post treatment pigmentation. A fractionated treatment will have less of a deep dermal effect which would mean there would be less Face Lift Laser Resurfacing effect.
HOW LONG DOES LASER RESURFACING LAST COMPARED TO FACE LIFT SURGERY?
Generally, Dr. Lanzer finds that laser resurfacing lasts for many years if not a lifetime. It is important to continue sun protection afterwards. The factors that can cause wrinkles to come back include: smoking, sun exposure or excessive facial movement. Some patients tend to purse their lips or smile very deeply. This can cause lines to recur because the skin is being creased on a constant basis. Face lift surgery lasts many years. However, there is a big variation between patients as to how long it lasts. It is not uncommon to hear of patients who have had even deep Face Lift Laser Resurfacing surgery but require a maintenance or repeat Face Lift Laser Resurfacing surgery. Sometimes the second face lift can be a mini face lift rather than a full deep face lift.
DO ALL PATIENTS WHO HAVE LASER RESURFACING OR FACE LIFT SURGERY HAVE THE ABILITY TO SEE A BEFORE AND AFTER PHOTO?
Yes. Laser resurfacing and face lift surgery are both dramatic procedures. In both cases there will be a very distinct improvement from the before to the after photographs. Most patients enjoy looking back at their photos as we all tend to forget how we look before surgery. The results are quite outstanding in most cases and patients enjoy looking at them.
WILL DR. LANZER ALLOW ME TO KEEP OR RECEIVE THE BEFORE PHOTOGRAPHS OF THE RESURFACING AND FACE LIFT?
Yes. Dr. Lanzer makes all photographs available and can email them to you or print them out for you at any time.
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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.