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A 40-year old considering a facelift? Years ago, this was unheard of. Now, with the ever-growing importance of image in our society and the greater acceptance of cosmetic surgery, facial rejuvenation procedures have become more common in younger crowds. The evolution of facelift techniques and supplementary procedures, along with new statistical data, have made facelifts more desirable and less drastic.

In general, most people younger than 40 are not early facelift candidates, but the age bracket for those undergoing facial rejuvenation procedures has shifted. Then, most candidates were about 55 years and older, and now they commonly range between 40 and 45 years old. According to a featured article on Dr. Calabria’s website, a facelift can now be used as a preventative measure to maintain a more youthful appearance for a longer period of time.

A facelift, or “rhytidectomy,” is intended to noticeably improve the visible signs of aging of the face and neck. These signs can range from loose skin and excess fatty deposits under the chin to deep creases that run from the nose to the corner of the mouth or below the lower eyelids. Previously, the typical facelift sculpted and redistributed facial fat and tissue, pulling the skin in a high lateral direction from incisions in the hairline at the temples and down around the ears. This often created the unnatural “windswept” appearance. Now, a vertical facelift can be performed through two discreet incisions in strategically-placed positions. This type of limited-incision facelift method entails the use of shorter incisions at the temples, around the ears, and possibly within the lower eyelids or under the upper lip.
According to a study in the official medical journal of the American Society of Plastic Surgeons (ASPS), patients under 50 who had a facelift have better long-term results than older patients. The younger patients had more consistent and higher satisfaction rates with both their short-term and long-term results. Certainly not all 40-year olds are good candidates for facelifts, but if you are interested in this procedure it is best to discuss it sooner rather than later. Dr. Calabria does not perform this procedure on those younger than 35 years old.
Some facelift patients also opt for a brow lift (forehead lift) and eyelid surgery to be performed in conjunction with a facelift in order to eliminate a sagging or deeply furrowed brow and/or to refresh aging eyes.

To schedule a consultation with our board certified surgeon, Dr. Calabria, please call (310) 777-0069.

When considering which facelift procedure will benefit you most, it is best to consult with a qualified surgeon and discuss your aesthetic goals. Dr. Calabria will help determine which method will meet your desired results – traditional facelift, mini facelift, or mid-face lift.

The Traditional Facelift

Traditional facelift surgery, or “rhytidectomy,” is intended to improve areas of the jawline and neck. Incisions are usually made within the natural creases in the hairline at the temples and in front, within, and behind the ear. Various degrees of alterations can be made within the layers of the face. In some cases, the deeper layers are adjusted by tightening the sagging muscles of the lower face and neck. Facial fat and tissue can be sculpted and redistributed, depending on the patient’s individual needs, and excess facial and neck skin can then be removed or repositioned. The traditional facelift will help to correct the dramatic signs of aging, restoring a more youthful contour to the face.

Mini Facelift

The mini facelift addresses the same areas as a traditional facelift but to a limited degree. This procedure typically involves shorter incisions at the temples, around the ears, and possibly within the lower eyelids or under the upper lip to produce minimal scarring. A mini facelift usually provides overall skin tightening to the neck and lower third of the face. During this procedure, the skin is gently lifted from the underlying tissue and pulled taut. The results of a mini facelift typically last shorter than a traditional facelift because the underlying structures are not usually addressed. Rather, the mini facelift is usually best for patients with very early signs of aging, and desire a quick and discreet procedure to correct minimal laxity in their lower face around the jaw. Most mini facelift patients are younger than traditional facelift patients or have had a previous facelift that needs minimal maintenance.

Mid-Face Lift

The mid-face lift (“cheek lift)” is designed to correct signs of aging in the nasolabial folds, below the lower eyelid, and in the cheeks. It does not target the jawline or neck. Incisions for the mid-face lift are often made at the temple and inside the mouth, as well as in front of the ear. Descending cheek skin, muscles, and tissues are then vertically adjusted toward the eyes for a more lateral projection of the cheeks. This procedure may be combined with fat grafting to restore fullness and provide more youthful cheek contours.

This facelift is often performed on younger people because it does not address aging in the jowls and neck that older patients usually possess. This procedure is more beneficial for patients whose signs of aging is limited to the mid-face region.

As Dr. Calabria mentioned, “Every face is different and a cookie cutter approach is deemed to fail.” Therefore, to schedule a consultation with Dr. Calabria to learn which method will meet your desired facial rejuvenation results, please call (310) 777-0069. During your visit with Dr. Calabria, you will be able to learn more about the details of each facelift method, including recovery, anesthesia, and potential risks and complications.

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Cellulite is a dimple-like texture of the skin that often appears on the thighs, hips, and buttocks. Clumps of fat in these areas push against the skin, causing the dimpled appearance most people commonly call “cottage cheese.” Although a small amount of men have cellulite, this unwanted problem is prevalent in women (at least 90 percent are affected by it).

Causes of Cellulite

The skin is scattered with fibrous cords that connect from the top of the skin to the muscle underneath, and these cords pull the skin down in various places. Lumpy fat deposits push against the skin in between these cords and create the clumpy, bulging effect of cellulite. The dermis layer gives skin its thickness, and if this layer is thin, clumps of fat can become more apparent through it. The way that fat and muscle are distributed in women differs from their distribution in men, causing cellulite to be more common in women. Genetic predispositions, hormonal changes, and weight gain can all contribute to the appearance of cellulite.

Treatments

There are multiple approaches to improving the appearance cellulite, but there is no guaranteed, permanent treatment. Many may look to liposuction as a possible cure, but the American Academy of Dermatology (AAD) has concluded that it does not eliminate cellulite. It can actually worsen the appearance of cellulite because it may create more depressions in the skin. Here are possible treatment options that have helped alleviate cellulite concerns:

Lose Body Fat

Exercise and diet can reduce the amount of body fat you have, which may variably help decrease the appearance of cellulite. Although losing weight isn’t guaranteed to eliminate cellulite, many women who diet and exercise to lose weight notice at least a minor decrease in the appearance of their cellulite. Regardless of your body mass index, or BMI (the measure of body fat based on your weight and height), cellulite can still affect you, and gaining weight can significantly increase the presence of cellulite in problem areas.

Compression Garments

The compression effects of binders and wraps, such as Spanx® and ACE™ bandages, may temporarily diminish the appearance of cellulite, but these are not effective treatments for guaranteed or permanent reduction of cellulite. Skineez™ Skincarewear is impregnated with vitamin E, caffeine, retinol, and shea butter, and is recommended to be worn at least a month for five days a week at eight hours a day. It advertises smoother skin and smaller thigh circumference, but the advantages of vitamins and caffeine are not proven to have an effect on cellulite.

Minimally Invasive Treatments

Thermage®: This radiofrequency treatment is a non-invasive procedure designed to help tighten and contour the skin, and can help temporarily reduce the appearance of cellulite in a single procedure. Thermage stimulates the body’s natural renewal of collagen and does not require surgery or injections.

Cellulaze™:This is the first FDA-approved, minimally-invasive treatment designed specifically for treating cellulite, with results after a single treatment. Cellulaze requires local anesthesia and is accomplished by inserting a laser under the patient’s skin through small incisions. This laser heats up to melt clumps of fat and then breaks up the fibrous cords that connect the top of the skin to the muscles underneath. New collagen growth for better skin elasticity and thickness is achieved as the laser heats the skin.

If you would like to visit Dr. Calabria for a consultation regarding your cellulite concerns, please call (310) 777-0069.