img 1119LT:  Hi, Dr. Keamy. You mentioned that you noticed a trend with patients that feel they need a facelift. What’s going on with that?

JK:  Yes, I increasingly hear this. It concerns me because I think there is a disconnect between the patient’s needs and what a facelift accomplishes.

LT:  Pleases elaborate.

JK:  These patients think of a facelift as a one-stop-shopping solution to their progressive battle with the aging process. Although this is not entirely incorrect, it is an oversimplification of the procedure. Here are the facts about facelifts:

  • True, a facelift can address several concerns such as droopy jowls, poorly defined cheekbones, deeply furrowed forehead, and loose neck skin (I’ll revisit this later) in one procedure.
  • The primary misconception about facelifts is that once it’s completed, there’s no need for fillers. Depending on the patient, this can be the case. A facelift can solve the lion’s share of these issues leaving the patient pretty much good-to-go. Other patients need some filler to soften the look.
  • A facelift is expensive, involves the risks associated with surgery, and requires considerable post-surgery downtime.

LT:  Very Interesting. Let’s move on to the case for fillers.

JK:  Sure, Laura. I love to talk about fillers!

  • Fillers, also known as injectables, are non-invasive and immediately show results.
  • Minor swelling and bruising can occur. If it does, it is short-lived.
  • Fillers don’t require a substantial financial commitment. You can pay as you go, staggering the treatments as needed – lips, cheeks, jawline, laugh lines, and Botox.

There is a case to be made for facelifts. For some patients, fillers cannot deliver the desired results, and a facelift fits the bill. My purpose here is to set the record straight for those that think a facelift is their panacea.

LT:  Before we wrap up, Dr. Keamy, please address the loose neck skin you mentioned earlier.

JK:  Oh, right! Thanks for reminding me! I have three treatment options that address loose neck skin or the fatty area below the chin.

  • truSculpt ID, a body contouring system, dissolves fat and tightens skin. I’ve had excellent results tightening the loose neck skin. I even did it on myself and, I have to tell you, I am very impressed with the outcome!
  • ThermiTight uses radiofrequency energy. The skin is heated to stimulate and re-build your body’s collagen naturally.
  • Kybella is an injectable that melts the fat under the chin, often referred to as a double chin.

LT:  Excellent information, Dr. Keamy.



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