I’m Asian and want to have a face lift. Do I need to find a good doctor experienced in working on Asians or is someone who’s good in general ok? Annie

Hi Annie – it should be equally fine to have a board certified cosmetic surgeon with general experience (i.e., not specialized in a particular ethnic group) or one with patients belonging to a specific ethnic group.  It boils down to your personal preference, whomever you will feel more comfortable with.  However there is a growing Asian social consciousness (the Look East movement), that has encouraged cosmetic surgeons to develop techniques to preserve ethnic characteristics and retain their Asian identity.  This has resulted in more subtle changes (i.e., noses are not as pointy and less fat is being removed near lower eyelids).  growing appreciation for diversity and higher social awareness and the Asians’ preference to maintain their ethnic identify by not losing important facial features that exhibit racial character.  In effect, the typical Asian patient who undergoes eyelid surgery does so while wanting a wider, fuller eye that looks natural in an Asian face, while keeping an almond shape.

 

My cheeks and eyebrows don’t look the same? What can I have done to fix this?

Hi, thanks for your question. To make your eyebrows match, you can try what is called a liquid lift.  There are several pluses for choosing this procedure:  it isn’t an invasive procedure, so it won’t require extensive recovery time. Liquid lifts are done using Botox which relaxes the muscles that pull the eyebrow down. If you want something more permanent, think about having an endoscopic brow lift.  Not only will it reposition your eyebrows, it will also minimize wrinkles.  As for the uneven cheeks, ask about fat grafting procedures that transfer fat from areas of excess fat (ex. outer thighs), and processes and injects the same into your cheek area.  This safe, long-lasting, well-tolerated procedure produces natural-looking results. Every year, a large number of people undergo successful fat grafting and are pleased with the results.  If some facial areas look sunken and you want more long lasting corrective results, and that you’d also like to improve your body shape, minimize scars.  At the end of the day, d take the time to meet with a board certified facial plastic surgeon.  Good luck.

My midface lift 6 days after surgery looks like a disaster. What went wrong? Angelo

Hi Angelo, sorry that you didn’t get the results you were looking for.  There are several possibilities on why the midface lift didn’t deliver.  It could be that not enough excess fat and skin were removed, making the area appear bulky.  If this was the case, it would be best to see your doctor.  Your doctor may recommend fillers to even out the skin.  But it is really too soon to be planning additional work since you just had your surgery barely a week ago.  Try your best to be patient about all this.  What is important to remember is that the results of midface lifts are intended to be subtle.  If you want more pronounced results, you can have additional surgery done to get an even more refreshed look.

When will the swelling subside after a face lift? Also had upper eyelid surgery and lip injections.

Patients’ recovery times differ, but in general, noticeable swelling will go down within 10 to 14 days. My patients often return to work in two weeks. To be sure you’ll be at your best for special occasions, schedule surgery a month before the event.  If no special occasion but you just want to look good, just be sure to follow post-op care instructions which   include:  keeping the head elevated and immobile to minimize swelling; NOT to blow-dry hair and wearing earrings; avoid vigorous exercise for up to two weeks after surgery.  And to avoid alcohol, saunas and steam rooms for at least several months.

How long does it take to have facelift done?

Since there are several types of facelift, the duration of any such surgery will vary according to the complexity of the procedure.  From the traditional full facelift to the mid facelift, to the Mini facelift, the lower facelift, the Thread facelift, the procedure may take from 1 hour to up to 8 hours.  Accordingly, patients’ recovery times differ, but in general, noticeable swelling will go down within 10 to 14 days. Most patients often return to work in two weeks, but best to wait a full month after surgery to be at your best.  Keep in mind that skin type and age influence facelift results which realistically speaking can rejuvenate the face with a fresher appearance, and is not a permanent solution to aging.  The positive results of a facelift only become apparent after several weeks.  You should expect that things will be worse before they become better. It is best to discuss your questions and concerns with a qualified cosmetic or plastic surgeon to set realistic expectations.