Understanding What a Facelift Is

I would have to say that one of the biggest misconceptions on the part of patients in plastic surgery is in understanding what a facelift is. On a near daily basis, I explain to potential patients, much to their surprise, that what they envision a facelift to be it is not. Most patients have the perception that a facelift involves the entire face, from the scalp down to the neck. And they envision weeks of horrid facial swelling and bruises. These images are further fostered by what they have seen on the internet and on TV.

In reality, however, this is not what a facelift is. A facelift is a rather poorly named surgical procedure. More accurately, it should be called a neck or neck-jowl lift for this is what it actually does. A facelift affects only the lower third of the face and does nothing for the upper and middle thirds of the face. It helps re-create a sharper neck angle and gets rid of those saggy jowls. When a facelift is done in isolation, there is no bruising or swelling around the eyes or the rest of the face! Many times, however, patients wants a more complete facial improvement and then simultaneous procedures involving the eyes, nose, or mouth may be done with a facelift, the effect of which is to more closely mimic the images that patients originally imagined a facelift to be.

When I do a facelift only, patients do have a head dressing and surgical drains for the first night after surgery. However, these are removed the next day and replaced with a small chin strap that they wear for the rest of the week. Patients may shower and wash their hair the next day. Short of bending over or strenuous exercise there are no specific activity restrictions. Recovery is really of a social nature, rather than that of a physical one. There is virtually no pain and only some mild tenderness around the ears. You really will look pretty from a facelift only procedure in seven to ten days.

Undergoing a facelift should not be viewed, therefore, as a scary or arduous undertaking. Most patients will tell you that it was a lot easier than they had imagined. Many times patients will want a more complete amount of facial improvement and surgery on the eyes (blepharoplasty) would be the most plastic surgery procedure done with a facelift. This is because most patients feel that the eyes and neck are their top two facial aging concerns they want improved.

Dr Barry Eppley is a board-certified plastic surgeon in private practice in Indianapolis, Indiana at Clarian Health Systems. (http://www.eppleyplasticsurgery.com) He writes a daily blog on plastic surgery, spa therapies, and medical skin care at http://www.exploreplasticsurgery.com

Fuller Lips - How Lip Enhancement Works

Aaaahhhhh, fuller, younger looking, pouty lips. Full lips are definitely a sign of "youth" but what happens to our lips when we begin to mature? Lips become thinner, less attractive and pretty soon, one just might give up wearing lipstick because the top lip virtually disappears, especially when smiling. When this shrinking act is apparent in the mirror, usually vertical lines begin to invade the lips making a mature women look positively ancient.

Women aren't the only ones who want softer, fuller lips. Men whose lips are thin and hard may portray a steely attitude in the boardroom; however, men with fuller lips look more attractive, boyish and younger.

Lips are soft tissue and as a man or woman begins to mature, volume dissipates which means tissue shrinks.

There are many modalities for revitalizing soft tissue in lips; the old standby - bovine collagen, Zyderm and Zyplast has competition. Restylane, CosmoDerm and ComoPlast (human {cadaver} collagen), Radiance, Artecoll and others have entered the market of "fillers". These new fillers do not require skin testing for allergic reactions and they are all injected. The procedure time varies from 3-10 minutes and some patients relate that these types of injections can be painful. These services can be relatively expensive because they're not permanent fixes and these injections must be repeated every few months to maintain lip fullness. The most common side effect, as with any injection, is redness, bruising and swelling at the injection site that typically last less than three weeks.

A more permanent lip procedure that is widely used is Gortex. Strips of Gortex (threads of foam-like material) are inserted into the lips; the lips do become somewhat larger after the procedure is completed but some users complain that their lips feel hard, not soft and supple. Some of these implants cannot be removed if a problem arises because the lip tissue grows into and around the implant. Possible complications include infection, migration or extrusion of the implants and lip asymmetry is a concern.

Another somewhat permanent solution is fat injections; a patient's own fat is removed from usually the tummy or buttocks, washed and then re-injected into the lips. While this is probably a fairly safe modality, the fat tends to reabsorb rather quickly, deflating the lips.

Recently over the counter glosses, lipsticks, and other types of topical preparations have been introduced promising fuller, poutier lips with more definition and volume. Many cosmetic companies have jumped on this bandwagon promising the users that their special ingredients will produce full, luscious lips after a few weeks of use. In fact, there have been over 200 new products introduced to the marketplace in the last two years ranging in price from $6.99 to almost $40. Instead of traffic stopping lips, some of these topical products have produced burns, mouth sores and empty pockets.

Some cosmetic companies do use natural components in their formulas but some of the formulas may be misleading. No product can deliver the look of a collagen injection in a topical. How these products work is through the use of an irritating ingredient such as niacin, cinnamon, caffeine or peppermint; these ingredients may cause some temporary swelling via dilation of the blood vessels along with mild inflammation, giving the illusion of fullness. Some preparations require the user to rub the lips briskly for several minutes and this friction results in some degree of temporary swelling.

Many women and men want fuller lips because poutier lips make them feel sexier and more alluring. Consumers are willing to spend a lot of money to have "the look"; but not everyone agrees that the topicals deliver what they have promised. Dr. Sam Most, Chief of Facial Plastic and Reconstructive Surgery at the University of Washington in Seattle asked seven women to use a certain topical whose website says their product increases actual lip volume and contour an average of 40.7 percent; Dr. Most said, "In subjects who used the product as directed over a long term there was no visible change in the lips."

Is there an actual difference in using topical applications that promise full, pouty lips or is lipstick and a liner enough? Maybe Yoki Ono, a saleswoman at a Madison Avenue designer boutique, quoted in the NY Times, has the answer: "You might as well get some extra-spicy Buffalo wings and eat them."

Or better yet, save yourself a bundle of cash and brush your lips with a baby's toothbrush and petroleum jelly for about a minute, your lips will be fuller and soft - guaranteed!

Cynthia is widely recognized as an expert in all natural facial fitness with over thirty years experience in health & beauty related fields. She has appeared on The View, Fit TV, HGTV and other popular shows. This author, speaker and television personality is leading the crusade to keep men and women looking vibrantly younger through natural techniques without spending their children's inheritance.

Cynthia Rowland
http://www.rejenuve.com/LLSL.htm