Facial Sculpting Before & After Case 119

Washington DC facelift candidates may seek alternatives to a traditional facelift, especially if they already have had a facelift or medical conditions that can affect their plastic surgery. A traditional facelift rejuvenates the neck and jawline with incisions placed under the chin and around the ears. Patients who previously had a facelift often consider additional procedures such as fat injections, chin implant, or cheek lift. These additional plastic surgery procedures are often required due to the multifactorial changes to bone, fat, and skin that occur in one's face.

This Washingtonian wanted to improve her neck, cheeks, and lips. Partly from smoking, sun damage, and genetics, she had a significant amount of sagging tissue in the neck and jawline, with excess fat and muscle. However, the cheeks and lips had fat loss. She previously had a facelift with another physician, but her aged appearance had greatly accelerated due to a medical condition affecting the tissue of the neck and face. Many plastic surgeons would not offer such complex facelift patients plastic surgery due to the difficulty of achieving desired improvement in a safe manner. However, the patient was referred to cosmetic surgeon Dr. Chaboki, who specializes in facelift procedures, to review options.

Examination revealed thinning of the lips, flattening of the cheeks, and severe sagging of the neck tissue. She always had a relatively weak chin due to small lower jaw bone. After consultation with Dr. Chaboki, she had realistic expectations of treatment outcomes and recovery of the various options. A mini-lift or S-lift alone would have been inadequate to improve her appearance. She underwent a revision lower facelift, neck liposuction, cheek lift, facial fat injection, lip injection with fat, and silicone chin augmentation. Her recovery was uneventful and she returned to her daily routine quickly, despite the extent of procedure and her medical condition. She now has her desired and natural results, while still appearing herself and not "over pulled". Dr. Chaboki listens to his patients to achieve their personal goals.