Top Facelift Clinic, Legendary Facelift Review (From 50s to 20s)

 

Top Facelift Clinic, Legendary Facelift Review (From 50s to 20s)

Hello! I am Dr. Kim Yongwoo, a board-certified plastic surgeon and the director of Returning Plastic Surgery.

The patient we are reviewing today is an international patient.

For international patients, we typically conduct a video consultation first. They then visit the clinic the day before surgery for examinations and an in-person consultation, and the surgery proceeds the following day. The patient is in her 40s, but she looked older than her peers and desired a full-face rejuvenation.

Surgical Plan

Surgical Sequence

When performing multiple surgeries, the priority is always the Upper Blepharoplasty (Eyelid Surgery). This is because we must perform it under light sedation (conscious sedation) before deep anesthesia kicks in. We need the patient to be conscious enough to open their eyes so we can check for symmetry.

After the upper blepharoplasty, we induced general anesthesia and proceeded in this order: Lower Blepharoplasty → Forehead Lift → Autologous Rib Rhinoplasty → Facelift.

Many large hospitals still split the work among different specialists when there are many procedures involved.

  • Example of Combined Surgery: Dr. A for Eyes/Forehead, Dr. B for Nose, Dr. C for Facelift.

As mentioned in previous posts, while this "Combined Surgery" approach has the advantage of having specialized surgeons for each area, it can cause delays between procedures, lengthening the total surgery time. More importantly, it can be difficult to create a harmonious face.

Rather than having different surgeons for eyes, nose, and lifting operate with their own separate aesthetic senses, having one surgeon operate with a holistic view of the overall harmony allows us to get closer to the image the patient desires.

Of course, this requires the surgeon to have the capability to perform all these surgeries proficiently.

When multiple surgeons collaborate by field, issues can arise regarding surgical delays and overall facial harmony.

Surgical Results Review

1. Eye Surgery - Upper & Lower Blepharoplasty (Correction of Sunken Eyes)

To correct the sunken eyes, I performed Upper Blepharoplasty with Ptosis Correction and Orbital Fat Repositioning.

For the Lower Blepharoplasty, after releasing the tear trough ligament, I repositioned the lower orbital fat and removed some excess fat. I also performed a mid-face lift and removed excess skin to restore elasticity under the eyes.

By performing upper blepharoplasty with ptosis correction and repositioning upper eye fat into the hollow areas, the sunken eyes were corrected, and the exposure of the pupils increased.

텍스트, 인간의 얼굴, 스크린샷, 피부이(가) 표시된 사진 AI 생성 콘텐츠는 정확하지 않을 수 있습니다.

2. Forehead Lift (+ Temple Lifting)

I performed endoscopic dissection via a scalp incision and used the Bone Tunneling method for thread fixation. Specifically, at the patient's request to lift her drooping eye tails, I performed a Superficial Temporal Fascia (STF) Lifting through a dual dissection at the temple incision. This created a line that extends refreshingly outward from the corners of the eyes.

텍스트, 음식이(가) 표시된 사진 AI 생성 콘텐츠는 정확하지 않을 수 있습니다.

의료, 의료 장비이(가) 표시된 사진 AI 생성 콘텐츠는 정확하지 않을 수 있습니다.

Along with the general SMAS lifting, we proceeded with temple lifting via Superficial Temporal Fascia (STF) lifting.

인간의 얼굴, 텍스트, 피부, 스크린샷이(가) 표시된 사진 AI 생성 콘텐츠는 정확하지 않을 수 있습니다.

The lateral hooding (sagging outer corners) was removed, creating a cool, extended line.

3. Rhinoplasty (Autologous Rib Cartilage)

+ Osteotomy, Alar Reduction

I used autologous rib cartilage to raise the nasal tip via a septal extension graft. To improve the bulbous nose, I removed some cartilage and tissue. For a sharper impression from the front view, I performed osteotomy and alar reduction.

As I have emphasized many times, the nose ages too, so it must be considered in anti-aging surgeries.

피부, 사람이(가) 표시된 사진 AI 생성 콘텐츠는 정확하지 않을 수 있습니다.

The key is to firmly lift the drooping nasal tip caused by aging using a septal extension graft made of autologous rib cartilage.

4. Skin Procedure (Rejuran Healer)

피부, 클로즈업, 인간의 얼굴, 이마이(가) 표시된 사진 AI 생성 콘텐츠는 정확하지 않을 수 있습니다.

The patient had dry skin with large pores. I injected 2cc of Rejuran focused on the "Butterfly Zone" (the front cheeks beside the nose). Skin boosters like Rejuran are a procedure I highly recommend during a facelift. While you can do it during recovery, the biggest drawback of skin boosters is pain, so I recommend getting it while under anesthesia.

5. Face & Neck Lift

The patient had prominent cheekbones, sunken cheeks, and a collapsed jawline. To prevent "Cheekbone Protrusion" (Mantis-like look), I performed liposuction on the cheekbones and buccal fat repositioning to fill the hollows under the cheekbones. I restored the jawline through a vertical vector SMAS lift on the lower face. As introduced in my last post, one must strive to create a smooth contour during a facelift.

인간의 얼굴, 사람, 스크린샷, 눈썹이(가) 표시된 사진 AI 생성 콘텐츠는 정확하지 않을 수 있습니다.

  • [Unedited Medical Photo] Improvement of nasolabial folds, marionette lines, and Indian bands.

인간의 얼굴, 사람, 스크린샷, 피부이(가) 표시된 사진 AI 생성 콘텐츠는 정확하지 않을 수 있습니다.

  • [Unedited Medical Photo] Improvement of lateral cheekbone contour through buccal fat repositioning and lateral cheekbone liposuction.

사람, 스크린샷, 피부, 인간의 얼굴이(가) 표시된 사진 AI 생성 콘텐츠는 정확하지 않을 수 있습니다.

  • [Unedited Medical Photo] Sharp jawline, submental angle, and ideal E-line.

The patient received treatment for 2 weeks and then returned to her country. Although she had undergone many surgeries, she left with only mild swelling and yellow bruising. The results were beyond expectations.

A face that looked like it was in its 50s before surgery transformed dramatically enough to look like it was in its 20s. Despite having multiple surgeries, she was able to depart without any wound issues or complications.

Through the Face & Neck Lift, deep wrinkles like nasolabial folds, marionette lines, and Indian bands were smoothed out, and a sharp jawline and submental angle were created. The rhinoplasty established an ideal E-line. Additionally, the dry skin was hydrated with Rejuran injections.

In full-face plastic surgery, considering the overall harmony is crucial, so it is advantageous to have one dedicated surgeon perform the surgery.

Also, in anti-aging surgery, it is hard to be fully satisfied by fixing just one or two bothersome areas; true satisfaction comes when the entire face becomes younger together.

This has been Dr. Kim Yongwoo, board-certified plastic surgeon. Thank you.

 

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