Combining Cosmetic Procedures by Dr Lanzer

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Malvern VIC 3144
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Case Study

Face Lift Before And After Photos (12)

Before Face Lift Before Photo

Pre cosmetic Surgery procedure

After Face Lift After Photo

This patient had a combination of procedures including a Mini Face Lift, Neck Liposuction, Lip filler and fat transfer to her cheeks.

Other case studies



Combination of Treatments

This photograph is an example of a patient who has had a combination of treatments. Dr. Lanzer’s approach to facial rejuvenation often involves multiple different treatments. His experience has been that rather than performing one major procedure such as a deep plane face lift or a brow lift, it is often better to perform multiple less invasive procedures. In this way, the patient gets an overall rejuvenation with a result that appears more natural. Patients then are often able to keep the fact that they have had cosmetic surgery a secret and they look younger and more refreshed but not necessarily pulled or different.

A common combination would be combining laxity of the skin which is seeing the drooping of the cheeks and skin textural changes. This may involve a mini face lift also known as a short scar lift or a S-lift. The incision is kept tight and closed around the ear grooves. The skin and muscles are lifted, elevated, and removed. The excessive skin is removed.  Once the skin is firmer and tighter and the patient has a better jaw line and a more youthful shape to the face, then Dr. Lanzer will address the skin texture. The ultimate best treatment that he finds for skin texture improvement is the contour erbium laser resurfacing. He has been using this laser for many years and finds that it safely vaporises the outer sun-damaged layers away. A new refreshed, tight, clean skin re-grows. It is ideal for fair skinned patients with fine lines as one would see from sun damage or excessive movement. Smoking lines also do extremely well.

Dr. Lanzer can perform the laser resurfacing at the same time as the mini face lift but would generally treat the outer cheeks more lightly. There are more gentle approaches to skin texture treatments which include dermal fractionated lasers. Fractionated treatments aim at producing multiple fine rejuvenating holes into the dermis which then tighten and heal. Fractionated treatments can be performed with CO2 lasers, erbium laser or the more recent radio frequency lasers. With the latter, there is a combination of ablation to remove some of the outer skin as well as penetration to get down into the deep collagen and elastin layers.

Other combination treatments that could be considered are the non-surgical approaches. Many patients develop wrinkles and lines around their face because of excessive facial movement. The longstanding muscle relaxing injections, which are known as cosmetic injections, relax the muscles on the face and therefore reduce wrinkling. They are ideal once the skin surface has been improved in order to prevent wrinkling returning to the same degree. They can be used around the eyes, across the forehead, in between the eyes and the glabellar area. Occasionally they are used around the mouth and chin as well. Another area that is very valuable is fillers. Fillers are a space occupying product that mainly contains water and hyaluronic acid. They elevate the dermal layer to give it a more youthful and cleaner appearance and a more curvature shape to the face. A mini face lift may be combined with a volume improvement of the cheeks or some refining of the shape of the lip. Fillers can be done at the same time as surgery or any time at a later point. All injections of fillers are performed either by a doctor in Dr. Lanzer’s centers or a nurse under his supervision. Dr. Lanzer offers facial cosmetic injections in all his centers throughout Victoria and on Pitt Street in Sydney.

Other areas that can be combined and are often performed together is laser eyelid rejuvenation. The eyes are a critical part of the face when one considers the aging process. Many patients complain that they appear tired. This is often due to fat in the lower lids that creates a curvy dark shadow or heaviness of the upper lids which obscures the skin of the upper lid. Dr. Lanzer has been using the CO2 laser since 1994. The laser works well for Dr. Lanzer in that it closes blood vessels whilst it is sealing and rejuvenating. Dr. Lanzer’s approach to the lower eyelid is not to cut the lower lid but rather to roll the lid forward and do a laser incision on the inside layer of the lower lid. This avoids having to use skin sutures on the outer surface.

Another combination that is often performed is liposculpture of the neck. Dr. Lanzer performs this in nearly all of his mini face lifts or skin suture face lifting. The liposculpture removes the unwanted fat, but more importantly causes a skin tightening and retraction so that the skin re-drapes along the lower edge of the chin and jaw line. Changing the shape of the face in this area has a very significant anti-aging effect. It has been Dr. Lanzer’s experience that it lasts for a long time.

Other areas where combination treatments are relevant include the tummy tuck. Dr. Lanzer combines a liposculpture using the tumescent technique with excision and cutting away of unwanted skin. By combining two separate procedures, it appears that there are less risks and that the advantages of each procedure can be applied together. Dr. Lanzer does the cosmetic surgery of the tummy tuck as an outpatient. Patients are not routinely admitted to the hospital.

Other areas where Dr. Lanzer does combination treatments are for acne and acne scarring. Acne can be treated with antibiotics for the inflammatory component. Creams and peels are invaluable to help improve the pores, blocked comedones and follicles and scars.

Combining treatments in general is a good approach as one often finds that there are different processes happening at the same time. The doctor, by addressing each component will get the best and maximum result.

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DR. LANZER IN THE MEDIA

Dr Lanzer has found that the best and most natural results can be obtained by combining multiple procedures. Each procedure is directed at a particular issue and thereby produces the best overall result. Dr Lanzer has found that combining a number of focused procedures he can obtain an excellent natural result.

ABOUT DR. LANZER

Dr Lanzer has over 30 years of Cosmetic Surgery experience and is regarded as one of the leading Cosmetic Surgeons in Australia. Dr Lanzer is skilled in Liposuction, Breast Augmentation and many other Cosmetic Surgery procedures.

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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."

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