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The Facelift Has Gotten a Little Work Done

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Dr. Talay, who does not perform endoscopic facelifts but is known for his deep plane expertise, says older endoscopic techniques that tunnel into the bone cause a lot of swelling and are only effective in most people at about 1. It reportedly lasted for a year and a half. But the more novel and “technically challenging” endoscopic deep plane facelift can be “a very good option for selected patients who don’t need a major lift,” he said. To tell. “They’re more than just marketing.”

As this procedure gains popularity, so does the evidence supporting its effectiveness. In 2023, Dr. Cao and Dr. Mani published separate peer-reviewed papers. article Each endoscopic approach will be explained in detail. Dr. Kao is paperan analysis of 600 consecutive ponytail incidents over a 22-year period, will shake up the naysayers who say it doesn’t work or is only for young people.

Dr. Kao offers four different “ponytail” surgeries, each designed to address increasing sagging. His youngest (and most nervous) patients leave the operating room with just four small slits hidden in their hair, while others in their mid-40s, 50s, and 60s have hair behind their ears (or In rare cases, additional incisions may be made before (before). Remove excess skin from the face and neck.

In the least invasive procedure, Dr. Kao can tighten “through an incision in the temple area and down to the corner of the jaw,” a method that “came to me probably six years ago,” he says. For a long time, he could not find a way to do it safely without damaging the facial nerve. Finally, as so often happens, inspiration struck me in the shower.

Dr. Mani’s endoscopic technique mimics the traditional deep plane approach, except for the incisions that are hidden behind the hair at the temple and behind the ear (leaving no scar in front of the ear). Unlike Dr. Kao, who only performs ponytail surgery, Dr. Mani performs endoscopic surgery on 60% to 70% of his patients. Otherwise, we plan to perform a regular deep plane facelift with traditional incisions.

Both doctors say the longevity of the endoscopic lift is comparable to standard deep plane surgery, with virtually the same complication rates and recovery times. Speaking about safety, Dr. Mani said the endoscope actually gives you an advantage by making your nerves look like a giant snake, making it easier to avoid the snake.

However, manipulating the endoscope (which not all surgeons have the skills to do) can prolong an already time-consuming surgery. Dr. Kao’s most complex facelifts can take him 10 to 12 hours, which is twice as long as his standard deep plane facelifts. Some see this as a potential drawback, especially for older patients who will eventually need an incision in front of the ear, but it is exactly what you want to avoid with an endoscopic lift. If such an incision may be necessary to remove excess skin, Dr. Nayak says, patients may be better off with regular deep plane lifts that “get you off the table three hours faster.” That’s what it means.

4. Deep structural neck lift

Lately, every time I open Instagram, lecture Learn about the submandibular gland and the importance of contouring to take your neck lift to the next level. (I follow plastic surgeons the same way the average person follows celebrities.) Inevitably, digastric muscles and subhard fat enter the conversation. (Again, my echo chamber, or feed, may be a little different than yours.)

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