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)
Dear Dr. Lam, I had a lower face lift and a browlift 12 years ago. My neck is beginning to sag but I don't think I could go through another full neck lift. Is there any type of less invasive neck lift?
i have tried every type of lift out there practically speaking in trying to get the best results with the least recovery. i think that working only in the neck itself does not do a good enough job. You need some lateral (side) lifting to achieve the desired results. Fortunately, all of my lifts require a relatively small access incision that goes just around the ear without extending into the temples where hair loss is most apparent. in fact, no hair is ever removed or translocated in my procedures. i believe that the long access incisions are never necessary anyway but a nothing lift will result in a dissatisfied patient. what i try to achieve is a great lift through tiny incisions without the long recovery of a traditional long-incision lift. my recoveries are not bad but you will look slightly pulled and there can be some bunching even up to 2 weeks post. if you need just some soft tissue tightening of jowls and neck, the Accent XL has worked tremendously well in my practice. I even use it in post-facelift patients in whom I want even more tightening. It is an office-based radiofrequency procedure that has almost no recovery but you need to do it I believe 5 to 6 times.
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