Q. One of my friends just told me she's having facial liposuction. Is that possible? She also said they are going to take some fat pads out of her face to make her face more narrow. What is your opinion of this?
A. Liposuction is a good tool when used properly. I am not a big fan of facial liposuction above the jaw. Fat is a good supporting structure in the face and as we age, that loss causes our faces to go south! When fat is removed, the skin becomes saggy and droops. In addition, removing the fat pad of the mid-face causes aging to accelerate later in life. While removing that fat pad in cheeky men and women may sound like a good idea, long-term results will make patients look older.
Liposuction of the jaw and neck are tremendous tools that facial plastic and plastic surgeons have to improve a patient's appearance. The surgery may be performed using local anesthesia and local anesthesia with sedation. The procedure takes approximately one hour.
There are three small incisions that are made, two behind the ear and one just below the chin. If a patient has some excess skin, the skin may be removed through a bigger incision underneath the chin. The incisions are very well camouflaged and are generally not seen. After the procedure the patient will have a bandage for approximate two days that wraps around the face. The patient is asked to wear a support bandage for approximately two weeks, only at night, to help the skin retract. This procedure can be done in young adults as well as older people. Your physician will determine if you have enough elasticity for your skin to retract. In addition, you will continue to improve for six to eight months after the surgery. This is a relatively safe procedure when done with the proper physician.
Dr. Carlos Wolf is a partner in Miami Plastic Surgery and is board certified. Email your questions to him at Cwolf@miamiplasticsurgery.com.