A facelift procedure, or rhytidectomy, addresses the changes in our facial soft tissues as we age. While facelifts work well in helping you obtain a more rested and youthful facial contour, additional procedures, such as browlifts or eyelid surgery, may be necessary to correct forehead wrinkling, eyebrow droop or eyelid hooding.
Bryant A. Toth MD, FACS enjoys a worldwide reputation as an outstanding facial aesthetic surgeon. He strongly believes that the face following surgery should look natural and that “one should not have to grow into their overdone face”. In order to do this Dr. Toth does a type of an operation that allows for all of the lifting to be done by a vertical lift of the deep tissue through a high SMAS technique. With the facial tissues lifted by the deep SMAS layer the skin can be then naturally be redraped over the face without tension lines or unnecessary pull. It allows for tightening of the skin and bands of the neck, elimination of the facial jowls that occur with age, softens the nasolabial fold, and places the cheek or malar fat pads back to its normal, youthful position over the cheek bones. Dr. Toth has written extensively on this subject and has lectured on his technique throughout the world and has performed live facial surgery using his High SMAS technique in Brazil, Italy, Denmark and Russia.
The facelift skin incisions are designed to be hidden from view. The operative care will be detailed at your consultation, along with the customised plan for your individual requirements. Dr Toth’s artistic technical skills and eye for detail will ensure we get as close to your goal as possible. While a facelift will not turn back time, it will help you maintain a youthful appearance. We avoid the pulled-back effect, and you will look like a fresher, younger and more energetic version of yourself.
Lipofilling of the Face
The aging process of the face results in atrophy of the facial skin, sagging of the facial tissues, as well as loss of facial volume. Dr. Toth strongly believes in restoring volume to the face at the same time as it is lifted in patients where there is significant facial atrophy. This is done by harvesting fat from the patient at the beginning of the procedure using a suction syringe similar to what is used in liposuction, but less traumatic.
This fat is then spun down in a centerfuge allowing the fat globules to separate from the supernatant fluid and the oil which is removed. The fat is then transferred into small, delicate syringes and placed into the face where volume has been lost. This normally is in the malar or cheek area, the area below the malar bones, into the temples, and into the nasolabial folds and lip areas. Early results reveal that lipofilling not only adds volume to the face which is permanent, but it also improved the overall quality of the skin. At this point we are not sure of the mechanism of action, but there appears to be a stem cell like effect resulting in rejuvenation of the quality of the overlying skin.