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Facelift in 3D

Article-Facelift in 3D

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  • Although plastic, facial plastic and oculoplastic surgeons may approach the aging face differently, all three specialties combine surgical and nonsurgical techniques for optimal results

Dr. Sykes
ASPEN, COLO. — To operate or not to operate? Plastic surgeons, facial plastic surgeons and oculoplastic surgeons might answer this question somewhat differently, presenters at the Summer 2007 Cosmetic Boot Camp say. But one trend is clear — all three specialities combine surgical and nonsurgical techniques for optimal results.

PUMP UP THE VOLUME In contemporary facial plastic surgery, "We no longer look at facial aging as just a sagging phenomenon," but a combination of sagging and deflation, says Jonathan M. Sykes, M.D., F.A.C.S., professor and director of facial plastic surgery, University of California, Davis Medical Center. Therefore, he says facial rejuvenation requires both lifting and volumizing procedures — sometimes more of one than the other, but almost always in tandem. In one case, Dr. Sykes' clinical photos of the vertical half of a mother's face juxtaposed next to that of her daughter showed that the mother's face "didn't sag as much as we thought, and, in fact, we couldn't lift it enough to get rid of all the aging below it. That wouldn't look natural," Dr. Sykes says. Similarly, he tells Cosmetic Surgery Times , "It's important not to over-lift" to the point where facial structures sit higher than they did in the patient's youth. "The goal is a balanced face with balanced features," he says. In the upper face, Dr. Sykes says brow ptosis is a common problem that facial plastic surgeons typically treat with endoscopic brow lifts, again recognizing that even young patients' brows don't sit as high as some patients want theirs to, and that lifting alone may not be enough.

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