Printed by Claytor Noone Plastic Surgical procedure
Not each affected person who walks in asking a couple of facelift wants one. For sufferers with early facial descent, gentle jowling, and good pores and skin elasticity, the endoscopic midface raise usually delivers precisely what they’re on the lookout for: a repositioning of descended tissue by way of incisions hidden within the hairline, with restoration measured in days quite than weeks.
That is the process behind the “ponytail facelift™” identify, and when it’s matched to the precise affected person, it holds up properly.
Dr. R. Brannon Claytor is a board-certified plastic surgeon based mostly in Bryn Mawr, PA, with over 20 years of expertise in facial rejuvenation. He provides sufferers choices just like the endoscopic midface raise, alongside procedures just like the endoscopic forehead raise and deep aircraft facelift, and approaches every session with one query: which method matches this affected person’s anatomy and targets?
Under are the solutions to questions you might have about this “ponytail facelift” process.
What’s an endoscopic midface raise?
The endoscopic midface raise is a minimally invasive process that addresses facial descent within the midface and cheek space by way of small incisions hidden inside the hairline. A tiny digital camera guides the devices, permitting exact repositioning of descended tissues with out the longer incisions required by conventional facelift surgical procedure.
By means of those self same incisions, Dr. Claytor may also entry and launch the retaining ligaments that tether the descended tissue in place, which permits for extra full repositioning of the midface. The incisions keep up within the hairline, with at most a small one tucked behind the ear, so sufferers can pull their hair again fully with out something seen.
Who is an effective candidate?
The perfect candidates have quantity descent, however with out important free pores and skin, and are on the lookout for a minimally- invasive answer. Particularly, sufferers are likely to do properly with this surgical procedure if they’ve some malar descent, some jowling, and a few free neck pores and skin that may be pleated and hidden behind the ear.
Sufferers with a major quantity of free pores and skin will want an incisional operation like a deep aircraft facelift, which makes use of incisions to permit extra pores and skin to be eliminated. Dr. Claytor sits down with every affected person within the session to have a dialog about targets, look at the pores and skin, and make that dedication.
How does the endoscopic midface raise differ from a deep aircraft facelift?
With the endoscopic midface raise, Dr. Claytor makes a small incision on the scalp, behind the hairline, and sends tiny cameras and devices by way of the temples to the cheek space to raise tissues. He can also use endotines to raise the tissues and promote collagen manufacturing for sure sufferers. Incisions are hidden within the hairline, with no seen scarring.
With the deep aircraft method, Dr. Claytor makes incisions alongside the hairline on the sideburn, in entrance of and behind the ear, and beneath the chin to realize direct surgical entry to the muscular tissues and ligaments. He then dissects beneath the muscular tissues, releases retaining ligaments, and removes extra pores and skin within the neck, cheek, and jowl area. Incisions are positioned alongside the contours of the hairline and ears and steadily disappear as they heal.
For a affected person with minimal facial descent, which generally entails some nasolabial fold fullness, some jowling, some looseness within the midface, the endoscopic method is usually the precise alternative. For a affected person with a major quantity of free pores and skin, a full deep aircraft facelift is the higher choice. Each your wishes and your anatomy issue into the choice about whether or not to go for a deep aircraft facelift or an endoscopic midface raise.
What are endotines, and the way are they used?
Endotines are an absorbable polymer that dissolves over roughly six months. As soon as deployed into the midface, the small barbs seize the descended malar mound (the gentle tissue pad of the cheek) and raise it into place. They aren’t plastic and never everlasting.
Dr. Claytor usually makes use of each endotines and sutures collectively within the midface raise: the endotines do the lifting and grabbing, whereas everlasting sutures maintain the tissue in place for lasting help.
The place are the incisions, and can they be seen?
The first incision is made on the scalp, within the hairline, and it’s fully hid. There can also be a small incision behind the ear, however the space beneath the sideburn and in entrance of the ear is left untouched. For sufferers who’re specific about sporting their hair up, i.e. in a “ponytail,” that is a bonus over the normal method to a facelift.
Can an endoscopic midface raise deal with neck considerations?
No, and that is price understanding clearly earlier than selecting this method. The endoscopic midface raise addresses malar (cheek) descent, some jowls, and considerations within the periocular area and the higher third of the face.
Addressing the neck immediately requires a separate incision. Sufferers with neck considerations alongside midface descent could also be higher served by a extra complete method, which Dr. Claytor evaluates in the course of the session.
What’s the restoration timeline?
Plan for the primary week as true restoration time. After that, most sufferers are snug being out in public. For a major occasion or essential event, sufferers are typically prepared by about one month.
Restoration is notably shorter than what a full facelift requires, which makes this method sensible for sufferers who can not take prolonged time away from work or their routine.
How lengthy do outcomes final?
The endoscopic midface raise delivers roughly a 10-year end result. The growing old course of continues, however sufferers can count on a sturdy enchancment quite than one they are going to be revisiting in a 12 months or two.
Can an endoscopic midface raise be mixed with different procedures?
Sure, and Dr. Claytor often approaches it this fashion. The endoscopic midface raise shares incisions within the hairline with the endoscopic forehead raise, making the 2 procedures a pure pairing for sufferers whose forehead and midface have descended collectively, which is a typical sample.
He additionally combines it with higher or decrease blepharoplasty when eyelid considerations are a part of the image, since lifting the midface and refreshing the decrease eyelid space collectively produces a extra cohesive end result than both process achieves by itself.
For sufferers who want extra complete rejuvenation, the endoscopic midface raise might be carried out as a part of a broader surgical plan that features a deep aircraft facelift. Combining procedures means one restoration interval and a end result that addresses the face as an entire quite than in remoted components.
How do I do know which process is true for me?
Dr. Claytor evaluates every affected person individually within the session, and makes suggestions based mostly in your anatomy and targets. Some sufferers are simple candidates for the endoscopic method; others have extra descent or pores and skin laxity than this method is constructed for, and a deep aircraft facelift will serve them higher. The objective is at all times to match the method to the affected person, and never the opposite approach round.
To schedule a session at our Bryn Mawr workplace, name (610) 527-4833 or contact us on-line.
