The aging process is natural and unavoidable. As we age, we begin to see a variety of changes to our eyes, brows, cheeks, jaw lines and neck. Board Certified Facial Plastic Surgeon Dr. Buonassisi places great importance on using a variety of surgical techniques that create natural results and leave patients looking refreshed and reinvigorated. Vancouver face lift surgery is primarily designed to enhance and tighten the lower portions of the face, particularly the cheeks and jaw line. Some people who choose facelift surgery have a neck lift as well to tighten and rejuvenate the neck, eliminating excess tissue and “banding” or wrinkling that often forms as we age.
The long incision facelift is ideal for people who are experiencing age related to changes to the lower part of the face and have pronounced sagging of the neck area. Through the longer incision, more extensive improvement to the neck area can be achieved. This procedure is usually performed in conjunction with a platysmaplasty, which provides an even greater improvement to the neck area. This video explains the long incision facelift and who is a candidate.
The term “long scar” refers to the types of incision used behind and below the ear. Patients who require significant lifting of the neck and don’t need to be able to wear a pony tail after surgery may choose this approach. Others, who rate the importance of being able to wear a ponytail highly may choose a short incision facelift and understand that there may be a tradeoff in terms of how much neck lifting can be achieved. In most cases, incisions are small enough and located in well-concealed areas to make scarring a minor issue. People should notice your youthful facial contour, not your scars.
Facial Plastic Surgeon Dr. Buonassisi places incisions in the natural skin creases in front and behind the ear. They may extend upward into the temporal scalp. “Long scar” refers to the posterior incisions, which stop in the skin behind the ear. These incisions extend backwards into the scalp, allowing for significant neck lifting. The skin of the lower face and neck is elevated away from the underlying muscle and fat. These deep SMAS structures are then suspended upward and slightly backward to a more youthful position. Excess skin is then trimmed and the incisions are meticulously closed to minimize their appearance. Significant reshaping of the aging features of the face and neck can be achieved with this technique.