by dr. lam » Fri Jul 04, 2008 6:54 am
interestingly, i can get results that are 100000 x better than someone with a knife. simply put, a knife can make things worse in most cases. i just can't get most of my surgical colleagues to understand my work because surgeons want to lift the crap out of everything. the only thing that i lift today is the neck and jawline. i no longer perform browlifts. i rarely perform lower eyelids (don't worry most don't need it. they simply think they do, i.e., i use fat grafting to correct the problem and rarely need to take out fat, which i do without a skin incision anyway) and occasionally upper eyelids (again don't worry. most people even do not understand it until they sit down with me and we review old photos with them. with your prior browlift and blepharoplasty performed, you definitely do not need another one. in fact, i need to reverse your previous surgery.)
in answer to your questions:
1. the recovery is less in terms of discomfort and bruising but you could possibly look as distorted and swollen the first week or sometimes even more (depending on how good a surgeon is with a standard face and browlift). the reason for just as much if not more swelling is that i am adding volume and you are having swelling on top of that. in other words, more plus more looks like a lot. traditional surgery is highly subtractive then you add swelling so it may not look as bad at times. when the swelling goes down you look over cut and skeletonized though. that being said, since this procedure is a small one when it comes to time, the shorter operative time and less invasive nature leads to less swelling than some of the traditional operative methods.
2. in answer to it being less invasive, absolutely. since there are no knives, sutures, bandages, and even needles (except just the entry sites for the cannula), it is very much less invasive. simply put, there is no cutting. because of that, many people fly out after a day or so. with a facelift done at the same time, you need to be here a week.
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery