Well, I was just turning 65
And starting to look like I was 65, but I didn't want to look like that because I don't feel 65
I'm very active
Socially physically and just wanted to look the way I feel I am having a lower face
Lift with some fat transfer and some laser
resurfacing
you know I don't expect to look like I'm 25 but
Just to get rid of the wrinkles. This is a gal that looks good to start she
She takes good care of herself. She doesn't smoke she exercises eats right
She wear sunscreen she has all the things that she needs to do to do her part, but frankly you know
There's not a whole lot you can do about this short of surgery
You know we all come in nervous for any procedure, and they're so great to just
It's like being a friend almost making sure that you're comfortable addressing any issue that you may have
I mean you're trusting him with
Your face for me and stirred my face
I can hide everything else, but can't hide the face
But you know there's such a rapport that you build up with him. This is a good birthday present
Alright your tuner as I said, I'm just you I just love him absolutely love him
So what we did for Vicki was really addressed the three aspects of aging which are volume loss
skin changes and the effects of gravity
Once the patient gets into the operating room they get prepped for the procedure in
Vicki's case I begin by harvesting some fat from her tummy
I make a little small nicanor belly button and that allows me to Introduce a liposuction Cannula to harvest a few
Syringes full of fat, so when we harvest the fat you can see that the quality of the fat is really pretty good
But will eventually centrifuge it to get all the oils and water away, so when we transplant it's just pure fat that comes
Comes out and it uses the graft itself. I then turn my attention to the head and neck
With Vicki what I began by doing was making a small incision under the neck and I can show you that here right there
That allows me to tighten the neck muscles
And then turn my attention to face lift where the soft tissues are then
Elevated and read raped the excess skin is removed the deeper tissues are suspended because those are really that
the Workhorse of the Lift
So we're looking at here this white stuff
That's the smash which is a very tight connective tissue layer as you can see when you pull on it
It doesn't really give a lot
Under that you might be able to see this little white wispy thing that's when a facial nerve that's one of the things that
Activates the muscles in the face once that's done the fat is reinjected and Vicki I focused on the mid-face
the zygomatic arches and a little bit down here
to fill in where she is she felt she was a little gaunt and
I completed by doing the laser resurfacing procedure in her case. I used a carbon dioxide laser
that creates a [little] more of an a
Meaningful dramatic resultant say an erbium style laser the beauty of today's lasers are very programmable
So you know depending on the patient's needs or wants you can titrate the laser to give the results of patients what they're looking for
My neck there's absolutely no wrinkles in my neck whatsoever
Obviously, I have volume back here I
mean there's a few tiny wrinkles, but
most of them were gone yeah
And you told me that I would still have a few so if this is it which is mainly a little bit around my mouth
Um and I have a little bit around my eyes when I smile, but I'm 65 years old
So I'm supposed to have that and I'm fine with that and really you know in my opinion a very natural looking
Rejuvenated appearance, which is really the goal for most of my patients
You know it's really funny because I didn't tell anyone
except my hairdresser, but
[people] will look at me, and they'll say oh your hair is so cute, or oh have you lost weight
You know did you have plastic surgery is sort of asking a woman who might be a little chubby are you pregnant so I think?
There's questions that people are not real comfortable acid. I can't quite figure out
What's different? I've not had one person say did you have a facelift or what did you actually?
So it's kind of funny to watch the reactions
So this is healing up
Just great people want natural-looking outcomes where they're not immediately gonna say oh
You had a facelift or you had a boob job
so there's this delicate line between
Delivering just enough result and not too much, and I think in Vicki's case
we did a really nice job of delivering to her an outcome that she could be comfortable with
Both in terms of her level of rejuvenation, but just one that's not overdone, and then you do this one here looks great
Too it worked really. Well I was awesome. There's no place else. I'd go
Highly highly recommend him I wouldn't go anywhere else. I'm totally happy
