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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.



Before After

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.

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