Is it possible to teach an old doctor new tricks? Maybe, but you’d have to throw a large bone to get it. Even doctors might fall into a rut pattern after years of practice with a particular technique. It’s human nature to resist change, and in most cases, this isn’t always a bad thing. After all, you probably dry off in the same way every day after a shower. You’ve probably been using the same cereal-to-milk ratio for a long time.
When it comes to plastic surgery and facelift operations, however, patients should look for a doctor who has plenty of experience, but not too much, if you catch my drift. Every year, the procedures for doing a facelift evolve and improve. Here are some key differences between Old School and New School:
High and Tight (Old School)
Plastic surgeons used to make incisions around the ear and simply pull the skin upwards and as tight as they could before redrapping and reattaching it. Although this was efficient at smoothing wrinkles, the effects were short-lived, and patients frequently developed the dreaded “wind tunnel” appearance.
SMAS Changes at the New School
During a cosmetic surgery facelift, surgeons generally always combine skin tightening with SMAS modification. The SMAS (superficial musculo-aponeurotic system) is a thin, strong layer that lies between the skin and the muscle. It’s what I call the Saran Wrap of the Face. The SMAS must be loosened up and modified separately from the skin during a facelift.
SMAS techniques are used by skilled plastic surgeons to get the most natural and long-lasting results, and the optimal technique is determined by the patient’s anatomy. The SMAS can be cut, raised, and stitched to a stronger region like the bone behind the ear or over the cheek. Other times, the SMAS is merely strengthened with sutures rather than being severed. Regardless of how it’s done, correctly modifying the SMAS results in significantly more natural-looking, long-lasting facelifts.
Wrinkle Rejuvenation (Old School)
The vertical movement of the face was the focus of earlier facelift procedures. Pull everything north to get rid of creases and sagging. Skin firmness and volume loss, two of the most telling signs of aging, received little attention.
Total Rejuvenation at a New School
Many older doctors are unaware of the more recent trend of combining a facelift with facial liposuction and/or fat grafting. A skillful surgeon can mold the face into a more youthful profile by eliminating excess fat around the jowls and neck area with liposuction (typically in combination with a neck lift).
Furthermore, replacing decreased volume in the cheeks, nasolabial folds, marionette lines, and temples using fat extracted from another part of the patient’s body is a relatively novel treatment that produces excellent results. Juvederm and other hyaluronic acid-based fillers are ideal for patients looking for a non-surgical, temporary solution to volume loss. Fat transfer, on the other hand, will provide permanent effects for facelift patients.
Single Approach (Old School)
Patients who had a facelift in the past were not given many options for facial rejuvenation before or after surgery. This is owing to the fact that there were few other options. There weren’t many goods and therapies available to postpone a standard facelift, and there weren’t many options for keeping a facelift. You used Oil of Olay and Ponds until your face had sunk to a certain degree, then you had a facelift, and then you went back to your simple Oil of Olay and Ponds routine.
A Multifaceted Approach to the New School
Every day, new products and therapies are introduced to the marketplace. If a doctor does not stay up, he will swiftly fall behind in the multi-billion dollar industry of aesthetic operations. Botox and dermal fillers, as well as lasers and ultrasound, are all familiar to and used by younger plastic surgeons. Patients can ease into their 40s and 50s with youthful and vigorous features by applying these therapies well before the necessity for a facelift arises.