Speaking at the Art of Facial Surgery workshop prior to the 2011 annual scientific meeting of the American Academy of Cosmetic Surgery, Dr. Foglietti described his trademarked "Foglietti Natural Vector Facelift Technique" as a better alternative to standard facelift techniques.
In his procedure, the incisions are completely hidden behind the hairline or in natural facial creases. Patients experience minimal to no pain and minimal bruising, and they can shower and wash the hair after 48 hours and return to work in 10 to 14 days. Most importantly, the aesthetic outcome is superior to that of standard facelift techniques that pull the tissues up and back, redirecting the facial lines in unnatural directions and causing patients to look different, but not better, Dr. Foglietti says."Although there has been interest in minimally invasive facelift procedures that involve short operative times, short incisions and just a few days of downtime, achieving a natural appearance is the patient's main goal," says Dr. Foglietti, clinical professor, department of plastic surgery, Ohio University College of Osteopathic Medicine, and director, plastic surgery residency, South Pointe Hospital, Cleveland Clinic Health System, Cleveland. "My technique produces a very natural result using incisions that are as long as necessary, and the postoperative morbidity and downtime are minimal compared with standard facelift techniques."
In preoperative counseling, Dr. Foglietti demonstrates results to patients by placing them in a supine reclining position and asking them to look in a handheld mirror with the chin up. While the majority of patients agree that what they see is what they are seeking, Dr. Foglietti also points out how the nasolabial folds and marionette lines will be diminished — but not eliminated. If the patient desires, those issues are addressed at a later procedure, usually using a hyaluronic acid filler or autologous fat.