Dr. Oscar M. Ramirez

The length of surgery will depend of the complexity of the facial rejuvenation. Facial rejuvenation is more than a lift. Several components will need to be added to give you a true rejuvenation. Deep Midfacelift, deep neck lift, fat grafting, upper an lower eyelid surgery, facial implants etc add time and complexity to the procedure. Skin-only lift can take 2-3 hours. A more complex procedure can take 5-8 hours. Everything will depend of your evaluation and your aesthetic goals.

Yes and no. That depends on the techniques used. Some surgeries change more than others. Rhinoplasty with changes on the hump, lifting of the tip and narrowing can change dramatically the face. Some facial implants and thinning out a heavy neck can also change the face dramatically. Facial skeletal work can also change the appearance of the face. If you want minor changes, it will also give you minor improvements.

Minor revision can be done after 6 months, however, major revision will require 1-2 years to settle the original procedure. There are issues of scarring and blood supply that we have to deal with.

By state regulations, in Florida, we can remove up to 4000 cc in an outpatient setting. Larger volumes will require additional stages.

Endoscopic face lift is a rejuvenating surgery that is performed through small incisions using the endoscope to assist in the separation of tissues in the deep plane. Trained surgeons in the technique can perform “Endoforehead,” “Endomidface,” and “Endocervicoplasty.” In other words, the whole face and neck. Click on this link and read the article. It will give you a better understanding of the procedure:
https://parjournal.net/article/view/3474

The acute phase of healing takes 1 week. At this stage sutures have already removed ( usually at 4th-5th day -to prevent “rail track” scars). Hardening around suture line takes weeks to months to soften.

This is a controversial topic. Some surgeons argued that brow lift does not last, particularly the ones done endoscopically. My experience is completely the opposite. I have been fortunate to be one of the pioneers of the procedure. I have thought the surgery to thousands of plastic surgeons and performed in over 1200 patients. If you follow the tenants of my original description the surgery is extremely durable. The relapse rate is less that 1%.

At your age this surgery is done under local anesthesia. Blocking pain around the ear is very effective. By comparison it is more comfortable than having tooth extraction.

This is a tricky operation. If not enough release of ligaments around the brow is done the surgery is short lived. Appropriate release makes the surgery more effective and durable. Endoscopic techniques allow minimal incisions and effective access for release.

You will need a CAT scan to deternine size of the defect. Nature has created a strong protection (the skull) for one of the most important organs in our body. Loss of this protection can have severe effects. The symptoms are usually size and location related. These symptoms vary from mild to severe headaches, loss of balance, seizures etc. The need to repair will depend of the degree of symptoms. There are many ways to repair the defect. The ideal material is your own bone. Paucity of bone material may indicate use of foreign material called alloplastics. In my years treating craniofacial trauma, I have seen great results after this type of reconstructive surgery. Any craniofacial surgeon (a subspecialty in plastic surgery) can successfully treat this.