'Mini-Face-Lift' Is in Realm of Cosmetic Surgery

Face-lifting using "mini-face-lift" techniques is well within the purview of the dermatologic doctor, Dr. N. Fred Eaglstein stated at the annual meeting of the Florida Culture of Dermatologic Surgeons.

" It's an all-natural progression for dermatologic cosmetic surgeons to move into this area," claimed Dr. Eaglstein, clinical director of a dermatology and laser group practice in Orange Park, Fla

. The skills needed for mini-face-lifts are utilized commonly by dermatologic specialists for procedures such as improvement flaps, and also with the increasing variety of aesthetic treatments being done, it makes good sense for mini-face-lifts to be the following step, he stated.

After attempting various face-lifting strategies -- consisting of string contouring and infrared and radiofrequency treatments -- without much success, he located that the QuickLift technique, which was first described by Dr. Dominic A. Brandy (Cosmet. Dermatol. 2004; 17:251 -- 60), given exceptional long-lasting results. He has actually utilized this approach in greater than 30 people over the past year.

" With this strategy, we are obtaining truly long-lasting, effective outcomes that clients truly would love to have," stated Dr. Eaglstein, who reported no economic passion in the QuickLift or relevant treatments.

The technique stays above the degree of the superficial musculoaponeurotic system (SMAS) as well as typically entails plication.

Because this is a sort of treatment that dermatologic cosmetic surgeons do at all times -- as well as a sort of treatment with much less threat of morbidity than standard new looks have -- it assists in preventing problems with insurance companies that state they cover new looks just by plastic surgeons, he noted.

The mini-face-lift actually is a great deal like a large improvement flap, and also it would be a really easy procedure if it weren't for the ears, he stated.

Because of the ears, the procedure is a lot more tiresome, involving expansion of the excision from the temporal hairline to the preauricular area, back behind the earlobe right into the mastoid fascia and also into the mastoid location of the scalp. Unlike conventional face-lifts, however, it doesn't involve reducing the SMAS as well as undermining and eliminating a section of it.

The technique eventually allows for tightening up of the SMAS with using 2 secured purse-string sutures that cause the SMAS to bunch up and produce crevices that will form fibrosis and also offer the enduring firm result, Dr. Eaglstein explained.

The treatment is performed making use of tumescent neighborhood anesthesia and moderate dental sedation. Cuts at the hairline ought to be beveled to enable the hair to regrow from follicles beneath, thus concealing the scar. New look scissors are a specifically beneficial device for the considerable threatening utilized in developing the flap, he said.

Adhering to the treatment, a pressure clothing is applied with a garment for 1 day. Clients can anticipate swelling, bruising, and ecchymosis for the first day, and also a reasonable amount of discomfort for regarding a week, but many people recover properly within a couple of weeks.

Difficulties encountered with QuickLift resemble those seen with any huge flap. If an increasing hematoma happens, it will be needed to go back in and open the flap to drain the hematoma, he stated.

Infection is unusual but can occur, as can necrosis of the flap. The avoidance of extreme stress on the flap can decrease the threat of necrosis; the majority of the tension ought to be on the underlying connective tissue. Seroma as well as nerve injury can also happen, however they are rare, Dr. Eaglstein claimed.

Due to the fact that the QuickLift strategy is a procedure for tightening the neck as well as jowls rather than the midface area, it is generally used along with various other cosmetic procedures -- such as liposuction surgery of the chin, cheek, and jowls -- for a synergistic result.

Submental put and also platysmal plication, an extended neck lift (with weakening all the way down to the main part of the neck to pull that location back), and also lateral brow lift are to name a few procedures that can additionally be done with the QuickLift, he kept in mind.

Adjuvant procedures can likewise consist of Botox or filler shot, fat transfer for the midface, blepharoplasty, as well as temple lift. Chemical peeling or laser resurfacing executed 4 -- 6 weeks after the QuickLift can help in reducing the appearance of the marks as well as offer an added cosmetic benefit.

A number of training courses -- consisting of weekend programs and also university-based cadaveric programs -- along with posts and publications are readily available for those interested in finding out QuickLift and also other mini-face-lift methods, stated Dr. Eaglstein, who reported having no disputes of passion.

A patient is shown before and after undergoing cosmetic surgery with the "resilient, efficient" QuickLift strategy. Images courtesy Dr. N. Fred Eaglstein