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.”
Usually the first consultation, the patient comes in, they have already talked to the staff for a good length of time and have found out most of the information, so when they come in they are pretty well informed about the procedure they want. Main thing to get across in the first consultation is about the expectations of the patient. We can match up our expectations about what I can achieve and what they really want and we are going to have a happy patient before and after surgery.
The philosophy here in our practice has always been from the very beginning is that we can make people look and feel better. Women are very sensitive into the way they look and some people take advantage of it. But what you will find out, men are slowly coming around in it, is that it really matters how you look and as to how you feel when you tie those two together, so if you take out in the mind and you are very sensitive to that and then you do a very good job with the plastic surgery and you have patients who are not only happy before surgery but incredibly happy after surgery.
The thing always set us apart from other practices is that here in Atlanta you do have to be friendly, you have to be straightforward, you have to be honest, but you also have to have the credentials that go with it. In terms of putting in time and effort into education that could not be questioned that was the ability part. The other part is the affability and the being available and I think the patients see us as being very available and very friendly in taking care of all their problems in a very timely manner. They have also told me time and time again that they love the staff because they are a big help, incredible help, and always make me look good because my job is to make the patient look good and feel better.
The focus of our practice here in Atlanta, Georgia is cosmetic plastic surgery, which is specifically aesthetic surgery. Those are areas that help people look and feel better. With the face, there would be a facelift and eyelid surgery, otoplasty, which would be pinning of the ears or nose surgery, which is a rhinoplasty. In terms of the breast, it would be breast reduction, breast lifts, and breast augmentations. In terms of body, it would be liposuction and abdominoplasty, which is a tummy tuck, pretty much any surgery which helps you look and feel better. Also BOTOX® and the fillers, everything which sort of polishes off and gives that finished look.
When I first started it, plastic surgery needs a lot of patience. So, the patients would ask me why did you go into plastic surgery and I really could not come up with a good answer, it took me a while to kind of pinpoint what it was and it was a delight helping people but I would also like seeing the results of my work. I became Board Certified in General Surgery and Board Certified in Plastic surgery and then I went to New York and did an extra year of just cosmetic plastic surgery with the best plastic surgeons for cosmetic surgery in the United States if not in the world. How hard I am willing to work. How much I am willing to put into taking care of the patients and establishing relationship with them and to make them feel comfortable because I did my work on the front end and then if I would continue to do that hard work after that then the patients would see that all that time that I have put into it was worth because they would see it in the final result.