| Face Lifts
and Facial Rejuvenation
A Plastic Surgeon Among The
Best:
Baltimore Plastic surgeon
Baltimore Cosmetic Surgeon Dr. Samir Shureih
Some of the most popular
cosmetic surgery procedures are performed on the face. The face
can be divided into three aesthetic units:
- Upper Face: forehead, eyebrows and
upper lids
- Middle Face: cheeks, lower lids and
nose
- Lower Face: mouth, chin and neck
These aesthetic units
are studied and analyzed by the plastic surgeon, who will
present a customized plan for rejuvenation. The desired results
can be achieved using state-of-the-art technological
developments combined with the expertise and surgical skills of
the physician.
The Upper Face
The upper face analysis
includes the boney structure, the position of the hairline and wrinkling of the forehead
and frown lines. The position of the eyebrows and the upper eye lid analysis is of extreme importance
in defining the beauty of the eye area.This area is key to the beauty of the face. A downward descent of
the
eyebrow is aesthetically unappealing as it results in an angry,
tired look. However, most important is the effect of the brow’s
over-hooding of the upper eyelid,and differentiating it from excess eye lid skin. Such deformities should be
analyzed and approached on an individual basis, because the
thick, hair bearing of the brow skin. Should be set apart from the thin,
flexible skin of the upper eyelid. If the surgeon does not take
this into consideration, the thick brow skin may be pulled down
to the eyelid skin, resulting in an abnormal appearance.
Treatment
to the muscles of the forehead, brow, eyes, and nose will soften the
wrinkles of a frown, as well as the upper nose and crow’s feet. It is
of the utmost importance for the surgeon to understand the interaction
of those muscles; otherwise, abnormal asymmetry could occur. All
options are discussed. Bortox cosmetic is a possible modality, an upper
face lioft and Blepheroplasy (eye lid lift) are available.
Brow lift, or forehead lift can be approached in several methods.
New
endoscopic techniques, for forehead lift and the upper face leave
a minimal amount of scarring. Endoscopic surgery leaves a few small
scars one-inch or shorter, instead of a scar from ear to ear. However
in some conditions one of the traditional incisions is preferable.High
forehead or high hair line are best dealt with by a trditional incision
for forehead lift. The amount the brow lift is also important;
too much elevation of the brow gives one a perpetually surprised
expression. Reversal of a brow rendered too high is possible, but
requires significant surgery and great expertise. It is very possible
to lower the surprised elevated brow to normal position.
The Middle Face
The middle face analysis and surgical plan is
customized to suit the individua needs for a natural look face lift, Due to aging and the effects
of gravity, cheek fat drops down, resulting in a lower cheek,
hollowness and the accumulation of fat within the region of the
nasolabial fold,. The result is a deeper naso-labial fold and a sad, angry,
aged appearance. Lengthening of the lid-cheek distance is a result of drooping of the mid face and lower lid.
The
bags of the lower eyelids contain pockets of fat. In the past, these
fat pockets would simply be removed. Today's rejuvenation procedures,
however, enable the physician to redistribute this fat to fill hollow
areas of the eye socket, reducing the hollow tear trough and what may
be a sunken eye appearance. Indiscriminate removal of lower lid fat
results in hollow eye look. The operated on look.
The
Plastic Surgeon uses a lower lid incision to reposition the fat and to
fill hollow areas of the lower lid. The muscle is tightened to
correctly position the lower lid. The mid face area is accessed through
an incision in front of the ear and then the skin is elevated all the
way to the naso-labial fold and the corner of the mouth, which reduces
the wrinkles around the mouth. The lower layer is tightened and the
result is a younger, rested, healthier and more natural appearance.
Such procedures are well described in the Plastic Surgery literature,
and is well tested over the years.New gymmicks in face lifts are
advertised such as the Thread lifts, the One Hour face Lift, and the
Life-style Face lifts are Gymmicks to attract patients. They are not
well tested procedures.
The Lower Face
The lower face deals primarily with the jowls,
the neck and the chin. The extent of any deformity in this area
should be appropriately analyzed with a customized plan for
repair.
The Plastic Surgeon should examine the neck for fat
accumulation, whether above or below the muscle. When neck muscles
age, they loosen, separate, and no longer act as a tight sling, as
they do in younger people. The repair plan could include the removal
of excess fat if necessary, but more important is the repair of
muscle in order to restore the tight sling and rejuvenate the entire
neck. A face lift or neck lift can repair these specific defects.
CHOOSE YOUR BOARD CERTIFIED PLASTIC SURGEON CAREFULLY
The increase in popularity of cosmetic surgery,
has brought with it an increase in the number of poor results and
disappointed patients whose surgery was performed by general
physicians un-trained physicians who, unlike plastic surgeons, do not have the training or
expertise to do this field.
There are many types of face lifts with various
names. Beware of the large number of ruthless companies whose
advertisements use catchy names for face lifts and market them, with
disastrous results to an unsuspecting public.
BE CAREFULL OF:
- "THREAD LIFTS" (The company recently withdrew
these lifts as they do not work.)
- "LIFE STYLE LIFTS" (No such procedure exists
or is described in the literature.)
- "THE ONE HOUR FACE LIFT" - That is
practically how long the results last.
These so called face lifts utilize short cuts and
minor approaches to the face because a full face lift is difficult
for non-experts to perform. The results can be disappointing and
even disastrous.
As a board certified Plastic Surgeon, Dr. Shureih
understands the aging process and the myriad of methods used to
repair and reverse aging. He is knowledgeable in all face lifting
procedures and has every tool of new technology at his disposal to
ensure the best results. Dr, Shureih is also very experienced in the
repair of bad cosmetic surgery, resulting from the work of
physicians unqualified and untrained as plastic surgeons
Dr. Shureih a Board Certified Plastic Surgeon practices in Baltimore and
Ellicott City. He has twenty five years of experience in the art
and science of cosmetic surgery and has performed thousands of
procedures. Featured repeatedly as “TOP DOC” by Baltimore
Magazine, Dr. Shureih has also been included in The National
Directory of Top Docs. for several years.
More Information>>
|
