The difference between the traditional facelift and the Band-Aid or Mini Facelift that I do has to do with extent. Some people need more skin removed, typically the patients for the Band-Aid Facelift are a little younger or have already had a facelift. It is not that they are that much difference because the same procedures that are used for or the same techniques that are used for the traditional facelift are used for the Band-Aid Facelift and in both cases we are going for a very natural look. I think we have achieved that in all our patients and patients are very happy with either one that they use. The differences tend to be that you have general anesthesia with the traditional facelift. It is a more extensive procedure so there is more bruising and swelling, but the recovery is just as easy and you will see patients come out just as happy with either procedure and they are very natural looking.
Traditional facelift is pretty standardized. It has been set that way and when I learned the technique in New York and the procedure is about two and a half hours, it is under general anesthesia. The effects are a little more dramatic than you would see with a Band-Aid Facelift but you do not have to make on that, you can adjust them to each patient where they have a little more excess skin under the chin, a little more excess skin along the jawline and this needs to be addressed because you have to do a little bit larger procedure where you go further out on the face. The results can be made to look very natural and I am proud of myself for making people look natural.
Many advantages that you will find with the Band-Aid facelift or Mini Facelift is something that was driven by my patients and that is they did not want to go through the long time of a regular facelift and did not want to go through the long recovery time, the bruising, the excess swelling, the longer incisions, so the Band-Aid Facelift that you kind of overcome those disadvantages. It is a two-hour procedure from the time you walk in to the time you leave. With local anesthesia, you can get some conscious sedation of Valium or something like that if you need it, 90 percent of my patients just go with local anesthesia and the advantage of that is that you leave without the effects of general anesthesia or you can drive yourself home. It is real surgery but it is manageable and the effects are manageable too and that patients look like a little like me 10 years ago and that can be achieved with the Band-Aid Facelift.
When we talk about fillers and Botox, both actually have a very complementary role to a mini facelift or a regular facelift. The patients will come in a lot of times trying to put those procedures off because they are afraid of surgery and rightly so they are nervous about the pain and the expense, but at some point, you will see that there is excess skin on the face and that is basically what the facelift does. It removes excess skin. So, do not think of them, as one versus the other is complementary like the cake and the icing. Even after you have a Mini Facelift or a regular traditional facelift, you are still going to need some Botox® or some Restylane, you just need less of it.
When it comes to aging of the face then the standard technique would be a facelift. The original surgery was developed probably 30 years ago and it is a traditional facelift. You try to make it look very natural and in that reason and in that effort to make that look natural progressed to doing a smaller procedure, which I accomplished through the Band-Aid facelift and you can apply it specifically to younger patients, older patients, primarily the patients somewhere between 45 and 55 who do not really need that removal of excess skin that you would with a traditional facelift and the other areas that you see are somebody has already had a facelift and just needs a little touchup. The advantages are local anesthesia, less recovery time, less bruising, less swelling and the cost is about half of a traditional facelift. Both techniques work great and it is about picking, which is the appropriate procedure for the right patient.
You know plastic surgery is always a very positive experience. The things that I have always seen from patients when they talk about how does this help me and we follow all of our patients in three and six months, just to find out and make sure everybody is happy because we do really believe that if you look better, you can feel better. One of the stories that I would like to relate in a lady who had a breast augmentation. She said, “You know, I used to go by the mirror and it wasn’t really a big problem, it was like taking a penny out of a bank and then I had the breast augmentation and it was like putting a penny back in the bank. One less thing to worry about, it did not change my life. It is not a gigantic thing but it makes me feel better everyday.”