This section of the forum is dedicated to discussions on various surgical techniques for facial rejuvenation, including fat transfer/fat grafting, browlift, blepharoplasty (cosmetic eyelid surgery), facelift, etc. Also, this category includes questions on hand rejuvenation via fat grafting. (Of note, Dr. Lam does not perform body rejuvenation except for hand fat grafting)
for people over 40, liposuction without a facelift is dangerous. too much risk of skin loosening and bands showing up, i.e, a worsening of the result, afterward. if someone is very heavy in the neck with a lot of padding, then i can lipocontour them through selective surgical reduction of fat with direct visualization of the fat with the idea that i must leave fat on muscle so that the bands don't show up, then hope and pray that they do not. if they do, you have bought yourself a facelift or some restylane to try to put fat back in there. o/w Accent XL which i have in my laser center can offer radiofrequency tightening but it is not a facelift per se. hope that helps.
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