IN CHESTERFIELD, MO
Dr. Maack has combined the best features of various types of facial lifts and added his own innovative techniques to create the premier facial rejuvenation procedure - The Synergi Lift.
This procedure combines a quicker recovery comparable to some of the "mini lifts", but produces the long lasting results and natural appearance of the more traditional lifts.
One of his locally innovative techniques uses "platelet rich plasma" (PRP) which is a concentration of your own platelets (obtained from you during surgery), to greatly speed recovery and to decrease bruising, bleeding and swelling. This natural product, from you, is sprayed into the surgical site and eliminates the need in most cases for dressings or drains after surgery. This innovative platelet plasma, perfected by Dr. Maack for facelifts, is unique to the St. Louis area.
Other progressive techniques of the Synergi Lift involve a "short flap" which means less risk and recovery, but always tightens the muscular layer resulting in dramatic, but natural changes which are long lasting with minimal scaring. Incisions are hidden in the hair inside of the ear and behind the ear to make them more difficult to find.
A small incision under the chin is used to suction any excess fullness and then to tighten the neck muscles followed by the PRP solution to give a more sculpted neck with quicker healing.
Dr. Maack feels that presurgical treatments contribute to a quicker and better healing result. To accomplish this he will provide presurgical natural supplements (Bromelain and Arnica) which have been shown to speed recovery with less bruising and swelling. His staff will then arrange a complementary "presurgical facial" at the adjacent Synergi MedSpa which will speed recovery in addition to being a wonderful experience.
The Synergi Lift is performed in the safety, comfort and convenience of the fully accredited, adjacent Chesterfield Surgery Center with Board Certified anesthesia personnel while you are asleep or sedated. Most patients find the recommended overnight care with the nursing staff and awesome experience.
During a preprocedure consultation, Dr. Maack will personally discuss with you in detail all aspects, recovery, risks, alternatives and benefits of the Synergi Lift. He will show you "before and after" photos of other patients and answer all of your questions in the comfortable setting at the Synergi Facial Surgery complex. His staff will show you the convenient "private back entrance" available for you post op visit.
Come in to Synergi Facial Surgery and learn more about the Synergi Lift by talking with Dr. Maack.
Aging of the face is inevitable. As the years go by, the skin begins to loosen on the face and neck. Crow's feet appear at the corners of the eyes. Fine forehead lines become creases and then, gradually, deeper folds. The jawline softens into jowls, and beneath the chin, another chin or vertical folds appear at the front of the neck. Heredity, personal habits, the pull of gravity, and sun exposure contribute to the aging of the face. As the aging population grows, it is obvious why rhytidectomy has become the third most desired facial plastic surgical procedure.
If you ever wondered how a rhytidectomy, or facelift, as it is commonly called, could improve your looks or self-confidence, you need to know how a facelift is performed and what you can expect from this procedure. This pamphlet can address many of your concerns and provide you the information you need to begin considering facelift surgery.
Successful facial plastic surgery is a result of good rapport between patient and surgeon. Trust, based on realistic expectations and exacting medical expertise, develops in the consulting stages before surgery is performed. Your surgeon can answer specific questions about your specific needs.
Is A Facelift For You?
As with all facial plastic surgery, good health and realistic expectations are prerequisites. Understanding the limitations of rhytidectomy is crucial and psychological stability is vital. There is no ideal in a facelift. Rather, the goal is to improve the overall facial appearance. Skin type, ethnic background, degree of skin elasticity, individual healing, basic bone structure, as well as a realistic attitude are factors that should be discussed prior to surgery. This procedure is sometimes performed on patients in their thirties, and successful surgery has been performed on patients in their eighties. A facelift cannot stop aging, nor can it turn back the clock. What it can do is help your face look its best and give you a look of health and a more youthful appearance. A side benefit is that many patients experience increased self-confidence.
Before deciding on a facelift, you should discuss with your facial surgeon whether the overall effect will be more successful if additional changes are made in the chin and neck areas through other facial surgery. Many patients decide to have facial liposuction to remove excess fatty deposits in conjunction with a facelift. If several flaws need correction, more than one procedure may be necessary for the best overall result.
Making The Decision For A Facelift
Your choice of a qualified facial surgeon is of paramount importance. During the preliminary consultation, the surgeon will examine the structure of your face, skin texture, color, and elasticity. Photographs will be taken so the surgeon can study your face. Individual risks will also be examined, especially those related to medical situations such as high blood pressure, a tendency to scar, smoking, and any deficiency in blood clotting. The surgeon will take a thorough medical history, as well as assess the patient's mental and emotional attitudes toward the surgery. Because a realistic attitude is crucial to the success of the surgery, the surgical procedure, and realistic expectations will be discussed.
After the decision to proceed with a rhytidectomy is made jointly by you and your surgeon, the surgeon will describe the technique indicated, the type of anesthesia, the surgical facility, any additional surgery, the pros and cons including possible complications, and costs of the procedure.
Understanding The Surgery
The surgeon begins the incision in the area of the temple hair, just above and in front of the ear, and then continues around the lobe, circling the ear before returning to the point of origin in the scalp. The skin is raised outward before the surgeon repositions and tightens the underlying muscle and connective tissue. Some fat may be removed, as well as excess skin. For men, the incision is aligned to accommodate the natural beard lines. In all cases, the incision is placed where it will fall in a natural crease of the skin for camouflage.
After trimming the excess skin, the surgeon closes the incisions with fine sutures and/or metal clips, which permit surgery without shaving hair from the incision site. Depending on the extent of the surgery, the process can take from two to four hours. When the procedure is performed with a combination of mild sedatives, local anesthesia, and mild intravenous anesthesia, the patient will experience little discomfort. Some surgeons prefer to use general anesthesia for facelifts. Following the surgery, the surgeon will apply a dressing to protect the entire area where the incisions have been made.
What To Expect After The Surgery
Even though most patients experience very little pain after surgery, the surgeon will still prescribe medication. Some degree of swelling and bruising is unavoidable, and your surgeon may instruct you to use cold compresses to keep swelling to a minimum. If a dressing has been applied, it will be removed within one to two days. The surgeon will also instruct you to keep your head elevated when lying down, to avoid as much activity as possible, and to report any undue discomfort. Though there are few risks in facelift surgery and thousands are performed every year, some risk exists in any surgery.
In some cases, a drainage tube may have been inserted during surgery. This will be removed on the first or second day after surgery. All sutures and staples are usually removed within five to 10 days following surgery. Surgeons generally recommend that patients avoid vigorous activity. Patients should prearrange for post-surgery support from family and friends.
Recovery usually takes two to three weeks, though many patients go back to work in two weeks. Scars are usually not noticeable after enough time has passed for them to mature. In any case, they are easily disguised in natural skin creases, by the hair, or, in persistent cases, by makeup until total healing has occurred. Bear in mind that the aging process continues after surgery and that some relaxation of tissues will occur over the first few weeks.
Facial plastic surgery makes it possible to correct many facial flaws and signs of premature aging that can undermine self-confidence. By changing how you look, cosmetic surgery can help change how you feel about yourself.
Insurance does not generally cover surgery that is done purely for cosmetic reasons. Surgery to correct or improve genetic deformity or traumatic injury may be reimbursable in whole or in part. It is the patient's responsibility to check with the insurance carrier for information on the degree of coverage.
Anterior Neck Lift
The anterior neck lift is a specialized procedure developed for that patient who has concerns about loose neck skin and bands but is not as concerned about the face and/or cheeks and jowls. This procedure targets the extra skin that hangs down in the middle of the neck and is often associated with fullness or banding of the neck skin.
This procedure is excellent to tighten and improve this loose neck skin and since it is directed at this area the results are quite dramatic and long lasting. The procedure removes the skin and any fatty tissue and then the muscle bands are tightened resulting in a much tighter and sculpted neck. It does not give significant change to the cheeks or jowl area.
This is a much quicker procedure with less recovery and cost than the full face/necklift and can be performed with mild sedation as an outpatient. It does leave a permanent vertical neck scar but this tends to fade nicely. The Anterior Neck Lift has become very popular with many of our patients especially men looking for this anterior neck improvement.
Mini Face Lift
This procedure sometimes called a "pre auricular tightening procedure" is a limited procedure for that patient looking for some cheek tightening but minimal downtime. This procedure is done while awake with some local lidocaine numbing to the area in front of the ears on the cheeks. The incisions are in front of the ears and in the hair and heal very quickly. This "mini-lift" tightens the cheek/face areas with little change to the neck.
This procedure is for that specific patient who is looking for a limited cheek improvement with a small procedure which has less recovery, less cost, no sedation and back to normal activity very quickly.