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Plastic Surgery Washington DC

Philip S. Schoenfeld, M.D.

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Changes in surgical techniques in the last quarter century

October 17, 2011 by Dr. Schoenfeld

Question:

Twenty-five years ago, when my mother was 50, she had a facelift. She was pleased with the results and she did look younger after the surgery However, while I never would have told her this, I think she did look a bit “pulled” and unnatural too. She also had a lot of post-operative pain and swelling that lasted for several weeks. What kind of changes have there been in surgical techniques over the past quarter century? I’m the age my mother was when she had her facelift. Should I expect better results and an easier recovery if I decide to have a facelift?

Answer:

A full facelift procedure is a relatively invasive procedure. When it is performed correctly, the areas of skin and tissue dissection involved in a facelift can be pretty large. The most current thought is that lifting only the skin in a facelift gives an unnatural appearance to the face and a short lasting facelift result. Newer facelift and neck lift techniques involve lifting all layers of the face and neck, including the deeper muscle and fat layers to provide a more natural and long lasting appearance to the face. The over tightened face from your mothers facelift procedure is no longer a result that you can expect. What we have learned over the years is that a well performed facelift not only involves tightening of the excess skin and soft tissue of the face and neck, but, also adding volume to the face where fat and muscle have gotten thinner over the years. A beautiful face is often times a full face, and not simply a tightened face that you mother got with her facelift. Fat injections to the face have significantly improved the results of facelifts. There is a bit more swelling with the addition of fat injections to the face however, it is not significantly painful and the welling subsides in a couple of weeks.

Posted by Dr. Philip Schoenfeld

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  • I met SEVERAL renowned plastic surgeons across multiples states before choosing the right one to perform my surgeries. After the first few minutes with Dr. Schoenfeld, it became very apparent to me that he was the person I'd entrust with my operations. He is the consummate approach, level of expertise, and experience provided me a tremendous amount of comfort, I knew that my expectations would surely be met. As it turns out, I not only made the right choice, but Dr. Schoenfeld was able to surpass my expectations, everything turned as he said it would and even better than I had hoped, Dr.…

    • 5 stars
  • I went to Dr. Schoendfeld to have a Septoplasty/Rhinoplasty and I couldn't be happier. He called to check up on me multiple times after my surgery to make sure I was doing good and I love the appearance of my new nose. He was able to make it fit my face and make it look as natural as possible while still fixing everything I wanted to be corrected, I am also able to sleep so much better at night since I can breathe out of my nose with ease.

    • 5 stars
  • Dr Schoenfeld is a fantastic doctor. He is respectful and makes an effort to get to know his patients. He is experienced and quite good at what he does. I had seen him for several years for Botox and fillers and was always happy with the results—very natural and never overdone. I had some jowls and neck rings developing, and these were beyond anything that injectables or good skin care could fix. I knew I could trust Dr. Schoenfeld to fix these problems and to deliver an aesthetically pleasing and natural looking result.

    I am a busy person with a career and many other obligations, and I…

    • 5 stars
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