Other case studies
- Face Makeover Before & After Photos
- Face Makeover Before & After Photos (1)
- Facelift Makeover Before & After Photos (2)
- Face Makeover Before & After Photos (4)
- Face Makeover Before & After Photos (5)
- Face Makeover Procedure Before And After Photos (6)
- Face Makeover Before & After Photos (7)
- Face Makeover Before & After Photos (8)
- Face Makeover Before & After Photos (9)
- Face Makeover Before & After Photos (10)
- Face Makeover Before And After Photos (12)
- Face Makeover Before & After Photos (13)
This is a classic case of a fair patient who has aged significantly. She is only in her low 50’s, but had skin textural changes and drooping that would often be seen in a patient in their 70’s or 80’s. It is often hard to understand why some patients develop this type of severe ageing. It could be related to sun exposure , but genetics is probably the main underlying cause. Initially, this lady had a skin suture lift hoping to get away with a less invasive procedure. However, the lift was not as dramatic enough as she would like. She went on to have a stage II mini face lift where the skin was actually surgically removed.
One can see that the main areas that were causing aging were the lines around the mouth. Deep wrinkles such as these, often happen from smoking, facial movement, and sun exposure. Erbium laser resurfacing uses a highly sophisticated light that is attracted to the water deep in the skin. In this way, the outer layers are vaporised away and the skin becomes smoother and tighter. This lady does have a tendency to purse her lips and therefore wrinkles can slightly recur. One of the ways to prevent this is by using muscle relaxant injections. One needs to be very careful and use tiny dots of it so that there is no weakness of the facial muscle movement which would stop her from being able to suck with a straw.
Facial fillers can also enhance the wrinkles of the lip by giving the lip more volume and definition and stretching out the lines. All patients who have laser resurfacing need to go on an antiviral tablet if they have ever had a history of cold sores as this prevents the cold sores from breaking out. The second feature that stands out in these photographs is the very heavy jowls. The jowls occur for 2 reasons, either from excessive fat and/or the excessive skin that is drooping from the cheeks down. By doing a combination of liposculpture of the jowls and a lifting procedure, one can develop a real tight and sharp appearance around the neck and jaw line as in this case. Extra care is required when performing liposculpture in the jowls as there is one of the branches of the facial nerve that is present in this area. To date, Dr. Lanzer has never seen a pivotal injury of this nerve, but it is a risk. One will also note that this patient is quite fair.
This tends to be the most ideal patient to do laser resurfacing on. Another photograph to look at in this patient is the pre-operative photograph of this lady’s neck. That shows very severe wrinkling of the skin underneath the neckline. By doing the combined liposculpture for the fat and tightening of the skin with the mini tuck we would be able to make this very smooth and tight. Sometimes patients do not notice the wrinkles as it is under the jaw line. It is definite cause of aging and concern. Have a close look at this lady’s eyelids and you’ll notice that she has more fat on the top inner corners.
Some patients do collect fat in this area which can make the skin look older. We removed a little bit of skin but a lot more of the fat to make the skin smooth. The laser resurfacing has had a dramatic effect around the wrinkles of her eye lids. She has gone on to have muscle relaxant injections on her forehead to relax the muscle in this area in order to prevent a recurrence. In summary, this lady has had a face makeover which is a combination of procedures. At one point, she also had some fat injected into the cheeks. Fat and stem cells are combined to improve volume in the area.
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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."