Q&A Facelift Surgery Hero Layout 1.Qxd

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Facelift Surgery How longwillIbeintheoperating room? How isafaceliftdone? What kindofanesthesiawillbeused? How many timescanIhave afaceliftdone? Am Iagoodcandidateforfacelift? will enhancetheresult? What additionalprocedures canIconsiderthat neck lift,mid-facelift,andforehead lift? What isthedifference between afacelift, What otherchoices doIhave? Should Istopsmoking? technique thatIsaw ontelevision? What canyou tellmeaboutthisnew television, isitsafetohave facelift? I have heard aboutsomany badthingson Will itlooktight? Will Iloseany hair? What are therisksoffaceliftsurgery? Will there bescarsaftersurgery? Will Iever beexactly thesameonbothsides? What canIdoaboutmy sagging,agingface? How much will itcost? What isfaceliftsurgery? you feelbetteraboutyourself. cosmetic surgeryisbeneficialandhow itcanmake how experience. Ihopethesehelpyou understand of questionsfrommy 25years ofcosmeticsurgery questions abouteach surgery. Ihave compiledthislist Surgery Center, Ltd.Patients frequentlyaskthesame choose tohave surgeryattheBashioumCosmetic I want you tobeasinformedpossiblebeforeyou 445 LakeStreet,Suite 210, Wayzata, MN55391 ©2008 BashioumCosmetic SurgeryCenter, LTD. All RightsReserved. Page 1of3 5.4.90www.nipntuck.com 877.647.6882 952.449.4900 suggested quotesincludeprofessionalfees,anesthesia better still,comeinforapersonalconsultation.My Please callmy officeforanaccurate pricequoteor How much willitcost? gery togive a moreyouthful, refreshedappearance. neck” duetoagingandsundamage,choose faceliftsur- ple withprominentfaciallines,“jowls”, and“turkey and/or tightenedtorejuvenate facialappearance. Peo- mini-lift, lunch timelift,smallincisionfaceliftandfacial nipntuck, necklift, mid-facelift,facialrejuvenation, Facelift surgery(AKArhytidectomy, rhytidoplasty, face What isfaceliftsurgery? fat andmusclearesurgicallyremoved, repositioned, freshening, facialplasticsurgery)reducesand neck saggingwhile smoothingwrinkles.Facial skin, and fees. Also, faceliftsurgeryrequiresometimeoff prices, makesurethatyou considerallthesecosts work forasaferecovery. laboratory costs,orpathologyfees.Ifyou compare fees, operating roomcosts,equipmentfees,home The combinationofagingandsundamageleadtofacial and neck sagging.Facelift surgeryrejuvenates the face nursing care,beforecareandaftercare. They do What canIdoaboutmy sagging,agingface? by removing extra skin,repositioningfacialfatwhile not includehospitalizationcosts,prescriptions, tightening theunderlyingfacialmuscles. Will there bescarsaftersurgery? preoperative historyandphysical examination, adjust tosomefacialasymmetryafteryour surgery. Will Iever beexactly thesameonbothsides? It isnormalforthefacenottobesameonboth sides. Surgerycanreducethesedifferencesbut not eliminatethem.Itwillbenecessaryforyou to Scars arepartofallsurgery. Itisimportantto understand where faceliftscars willbeplaced. The currentshortincisionfaceliftscarextends Q&A continued Q&A

Will there be scars after surgery? (continued) What can you tell me about this new technique that I from below the sideburn to the front of the ear beneath saw on television? the earlobe onto the back surface of the ear up to the top Everyone in America wants the latest in medical care. of the ear where it ends near the hairline. The portion Unfortunately, this is not always the best medical care. At of the scar in front of the ear can be easily hidden times media presentations will leave out critical information by makeup and/or hair style. about potential complications, quality of result, and FDA regulation. I am open minded when it comes to new What are the risks of facelift surgery? technology but I would rather not expose my patients to try There are risks with any surgery. Infection, excessive out the newest techniques until they have been proven to bleeding, abnormal scarring, poor healing, slow healing, be effective and safe. Recent advances in facelifts include Facelift Surgery Facelift skin loss, changes in skin sensation, muscle or nerve in- endoscopic facelift, thread lifts and facial muscle tightening. jury, although uncommon, can occur. Fortunately, most It is questionable if these new techniques add anything to problems that result from such complications traditional facelift techniques. are correctable with additional surgery. Some temporary numbness of the cheeks Should I stop smoking? and neck is expected. Permanent numbness For general health reasons, I recommend that all my of the earlobe is possible. Nerve and/of muscle patients stop smoking. It is clear that smoking in- injuries can occur although they are usually creases your risk for developing all sorts of temporary. They manifest themselves as weakness cancers. Breathing problems like emphysema and of facial movement. There is also a risk of skin circulatory problems including heart attacks are also loss particularly if you are a smoker. You must linked to smoking. Smoking can increase the risk of understand your risk of complications completely coughing after your surgery that may lead to unwanted before you choose to have a facelift. bleeding. Finally, the chemicals releases from burning tobacco also reduce blood flow that can result in skin Will I lose any hair? loss during the healing period. Both of these problems It is rare to loose hair with short incision facelift surgery. can ruin the results of your facelift and lead to revision surgery. It is always best to stop smoking. Will it look tight? You should not look like you just got off of a rocket What other choices do I have? sled after a facelift! The result should look natural. There are other choices when it comes to facelift. You should look refreshed and rested. I expect your These include skin resurfacing, Restylane injections, friends to ask if you have changed your hairstyle, Botox injections, fat graft injections, facial im- makeup style or just returned from vacation. That being plants, direct excision if face wrinkles, acceptance said, there will be an element of tight appearance for a of the changes with aging, and adjustments in few weeks after surgery. makeup or hairstyle. Always understand all your options before having a facelift. I have heard about so many bad things on television, is it safe to have facelift? What is the difference between a facelift, neck lift, There are always risks to having a facelift. Serious mid-facelift, and forehead lift? problems are usually related to excess activity Generally a facelift refers to surgery that refreshes after surgery, poorly controlled hypertension the appearance of the neck and face up to the and/or smoking. Most poor results can be level of the cheekbones. In my opinion, improved with additional surgery. I believe continued facelifts can be done safely with a high degree of patient satisfaction.

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What is the difference between... (continued) How many times can I have a facelift done? neck lift and mid-facelift are part of a facelift. It is When a facelift is done, extra skin is removed stretching difficult to separate them as one benefits the other. Finally, the remaining tissue and tightening the face. Redoing a forehead lift corrects problems with the forehead the surgery may overly stretch this remaining skin giving from the cheekbones to the forehead. an unnatural look. For these reasons, I recommend that a facelift only be done two or three times. What additional procedures can I consider that will enhance the result? What kind of anesthesia will be used? Surgeries can be combined to yield dramatic and Facelift surgery in my office is completed either under local complimentary results. For safety reasons, I recommend anesthesia with sedation or general anesthesia. Patients are Facelift Surgery Facelift the length of surgery be limited to six hours. Except for comfortable during the surgery and usually remember lit- liposuction, I suggest no more than one area of the body be tle or nothing of the experience. You have the choice. treated at the same time. Facelift is frequently combined with other facial rejuvenation How is a facelift done? surgery (upper eyelid surgery, lower eyelid Facelift can be separated into four parts. First, a plan is surgery, forehead lift, and skin resurfacing), outlined on the patient’s face. Second, the incision is facial liposuction, buccal fat pad excision, facial placed in front of the ear, behind the ear, and beneath implants, and nose surgery. the chin so that the subsequent scars will be inconspicuous and easily covered with make up Am I a good candidate for a facelift? or hairstyle. The face skin and muscle are released This is a question that can only be answered after a around the ear. Next, muscle is tightened, fat is consultation. Facelift surgery is suggested to removed form the neck and extra skin is removed and patients with sagging of the neck skin, jowls, repaired with absorbable stitches and glue. Finally, a and prominent lines near the corner of the light facial garment and neck collar are placed. mouth. I feel strongly that facelift should not be done if high blood pressure (hypertension) is not well How long will I be in the operating room? controlled or if you are smoking. There are other things The length of time it takes to complete facelift is to consider including psychiatric conditions, life stress, about two to three hours. You will spend about five medical illness, obesity, and motivation. You should to six hours in my office. Other surgery sometimes be a healthy nonsmoker, within twenty pounds of is combined with facelift increasing the time to your ideal weight, not going through major life stress complete the operation(s). For safety reasons, (i.e. grieving a death, changing jobs, divorcing), and I limit the maximum time for surgery on each motivated by internal desires to look better. patient to six hours on a given day.

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