Factors for Having a Facelift at an Older Age

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More on facelifts: prasadcosmeticsurgery.com/fac...
For more on facial fillers and Structural Volumizing, please go to: prasadcosmeticsurgery.com/y-l...
For more about Dr. Prasad's background and training, please go to:
prasadcosmeticsurgery.com/dr-...
New York facial cosmetic surgeon Amiya Prasad, M.D. talks about the role age plays in facelifting procedures, and which factors determine the best outcome for a facelift in older patients:
0:20 - Introduction
0:45 - Factors to consider when an older person wants a facelift
1:16 - Dr. Prasad details his background training in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience as a facial rejuvenation specialist
1:38 - Past solutions for sagging skin and jowls, and “best” facelift surgery options
2:28 - Long-term benefit and complications are constant challenges in facelift surgery
2:41 - Characteristics of an ideal facelift procedure
3:08 - The core limitation of any facelift procedure is bone volume loss
3:18 - The foundational pillars of facial anatomy and how they can affect facelift results
3:38 - Why Dr. Prasad advocated the placement of facial implants during facelift surgery
4:11 - Other variables that affect facelifting procedures: skin quality, fat layer, and the SMAS
4:28 - How the quality of the tissues of the SMAS affects facelift results.
4:56 - Various concerns of patients seeking a facelift procedure
5:21 - Dr. Prasad explains how he assesses his patients for a facelift
5:40 - How Dr. Prasad tackles facial aging, and his recommendations.
6:03 - The benefit of using blunt cannulas in volume placement
6:17 - How Dr. Prasad’s method of Structural Volumizing is different from a “liquid facelift”
6:36 - When facelift surgery is appropriate
7:07 - How a facelift is not the definitive final step in facial rejuvenation treatment
7:35 - How Structural Volumizing yields better results than thread lifts or thermal treatments
7:55 - Dr. Prasad evaluates age as a variable for physical health, bone structure and tissue quality
8:26 - The importance of explaining how all aspects of the face can affect treatment results
8:57 - How people tend to focus more on areas they don’t like
9:36 - Where age factors into in facelift surgery
9:44 - Factors to help determine the best approach to facial rejuvenation
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Опубликовано:

9 май 2019

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Комментарии : 74

@sandylewis8897 4 года назад

As a nurse educator, I would like to compliment your eloquence and great ability to provide medical explanations to non-medical audiences. Excellent!

@AmiyaPrasadMD 4 года назад

Thank you for your kind words, Sandy Lewis! And thanks for watching!

@gloriawelles5534 2 года назад

I have watched tons of plastic/cosmetic surgery videos and yours is the first that didn’t focus on a glammed up, finished product. I appreciated learning about your method and priorities. No over promising.

@AmiyaPrasadMD 2 года назад

Thank you so much for your kind words, and appreciation, Gloria Welles. I do make these videos so people are better informed, and make better decisions about cosmetic procedures.

@starmaze3250 3 года назад

Thank you for your straight forward, educational explanation of what to consider to do this procedure. Well done 👍

@AmiyaPrasadMD 3 года назад

You're welcome, Phyllis Albrecht! And thank you for your kind words!

@maureenfloralpark9510 5 лет назад

Love all your videos and if I ciuld afford it I would choose you to be my surgeon. My gf was a patient of yours and she looks amazing. She speaks so highly of you ❤

@AmiyaPrasadMD 5 лет назад

Thank you for your kind words, Maureen floralpark!

@debrabarnhardt1103 Год назад

You may never see this, but thank you for actually addressing bone loss! Most doctors avoid the issue because it is, to be frank, difficult for both the physician and the patient.

@AmiyaPrasadMD Год назад

Hi Debra Barnhardt, I did see it! With the right knowledge, and technique, treating bone loss can actually be very easy on the patient, and doesn't require surgery if concurrent tissue laxity is not yet significant. I've made several videos about age-related volume loss, for your reference: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-yAkSKa5lgcE.html ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-RWDNY36QQls.html ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-YCwf5d9y1X0.html ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-sR3_FoNC87I.html ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-tSeEau2xDUs.html

@talatalishah6935 5 лет назад

In fact a very comprehensive, detailed guidance.

@AmiyaPrasadMD 5 лет назад

Thank you, Talat Alishah! Glad the video helped you!

@cameliap1146 2 года назад

What a wonderful articulation and good flow ! No rush. Nicely explained. Everything is clear. Thank you doctor !

@AmiyaPrasadMD 2 года назад

Thank you so much for your kind words, Camelia P! Very much appreciated. And thank you for watching! :)

@Deanriley 5 лет назад

Well done. Gathering information in preparation for attending to my senior face/neck.

@AmiyaPrasadMD 5 лет назад

Thank you, Dean Riley! Glad the video helped your upcoming plan for facial rejuvenation!

@judithoconnor6442 2 года назад

Thank you for this. I’m 81 and thinking of facial surgery. This was very informative.

@AmiyaPrasadMD 2 года назад

You're welcome, Judith O'Connor! I'm really glad the video helped you. Thanks for watching!

@bgueberdenteich5206 2 года назад

Dr. Prasad , please move to Sacramento, I am dying to be your customer . Your calmness inspires confidence . Wonderful presentation , thank you !

@AmiyaPrasadMD 2 года назад

Thank you so much for your kind words, BG Ueberdenteich! And thanks for watching! You could spend some time in New York while coming to see us :)

@vanessashaw6912 3 года назад

Thank you for explaining in details when and why of fillers versus a full face lift. I have an appointment tomorrow and fell more empowered to ask questions and decide what will work better for me.

@AmiyaPrasadMD 3 года назад

You're welcome, Vanessa Shaw! I make these videos so people can be better informed about cosmetic procedures, so they can make better decisions about them. Facelift or filler is often not an either or proposition, especially if you are already older, where both may treat different factors of facial aging. However, for people in their 40s and 50s, volume loss does occur before significant skin and tissue laxity. You can refer to these videos about it: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-RWDNY36QQls.html ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-sR3_FoNC87I.html ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-3HaaaQbRwvE.html

@vanessashaw6912 3 года назад

@@AmiyaPrasadMD Thank you for responding. In that case I believe I am more in the market for a full facelift. I'll watch your link as well.

@AmiyaPrasadMD 3 года назад

You're welcome,@@vanessashaw6912

@sae9381 3 года назад

Very informative! Thank you!

@AmiyaPrasadMD 3 года назад

You're welcome, Stacey P! I'm glad you found the video informative!

@sampuatisamuel9785 2 года назад

Wow. I have never heard of any of these procedures before. Very informative

@AmiyaPrasadMD 2 года назад

I'm glad the video was informative for you, Sam Puati Samuel. Thanks for watching!

@micheleparadis2808 3 года назад

Very helpful, thank you

@AmiyaPrasadMD 3 года назад

You're welcome, Michèle Paradis! I'm glad you found the video helpful.

@elaineworsfold3755 5 лет назад

Not relevant I know but your speech is beautifully modulated and reassuring a great benefit for a dr and video maker regards elaine Lincolnshire uk

@AmiyaPrasadMD 5 лет назад

Thank you for your kind words, Elaine worsfold! Glad you like the videos!

@rafaelgomez1989 3 года назад

Very informative....thank you Dr 👏👌👍 !!!@

@AmiyaPrasadMD 3 года назад

You're welcome, Rafael Gomez! I'm glad you found the video informative!

@lisaaustin4561 Год назад

I wish you had an office in Southern CA! 😊

@AmiyaPrasadMD Год назад

Thank you, Lisa Austin. Unfortunately, I only practice on the East Coast.

@grace3842 4 года назад

Thank you Doctor

@AmiyaPrasadMD 4 года назад

You're welcome, Grace! Glad you found the video helpful!

@MARIPILIPM 2 года назад

Honest and precise 👍🏻

@AmiyaPrasadMD 2 года назад

Thank you for appreciation, MARIPILI P. M! And thanks for watching!

@masturashamoon9236 Год назад

Very impressive info.

@AmiyaPrasadMD Год назад

I'm glad you found the video helpful, Mastura Shamoon. Thanks for watching!

@msmith675 3 года назад

wish you were in los Angeles this is good information

@AmiyaPrasadMD 3 года назад

You're welcome, M Smith! I'm glad you found the video helpful!

@missunique65 4 года назад

my FL did not address the nasal labial folds and the loose skin around my mouth - very disappointed. what complementary procedures do you recommend. I lost a lot of volume in my face due diet and age. my buccal fat pads are very prominent as they are the only place I have fat! My skin is very thin and fragile according to the doctor who performed the FL. I assume I should avoid any lasers but I do need skin tightening as well as volume. thanks!.

@AmiyaPrasadMD 4 года назад

Hi tectonicblond, Nasolabial folds, and mesolabial folds are more of a result of facial volume loss due to aging, rather than facial skin and soft tissue laxity from aging. While a physical examination is needed to determine the right combination of complementary procedures for you, you can refer to this recent video on how volume enhancement and other procedures can enhance and improve the results of a surgical facelift - ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-sR3_FoNC87I.html

@jubbacari3205 2 года назад

Well said And honestly

@AmiyaPrasadMD 2 года назад

Thank you for the appreciation, Jubba Cari! And thanks for watching!

@afsheenbilal7517 5 лет назад

Very intelligent and logical description 👏👏👏. Thank you for sharing clinical pearls. Just a question, how do you asses bone loss, especially if it present with sagging skin too? Dr Afsheen Bilal Asst Professor Of Dermatology, Islamabad

@AmiyaPrasadMD 5 лет назад

Hi Dr. Bilal, Just a few millimeters of bone loss can translate into a considerable loss of facial volume. It does go down to experience and knowledge of facial anatomy from procedures like facelifts to assess bone loss. I hope this helps you.

@DrAdnan 5 лет назад

I worry about hypertrophic or keloid scarring :/

@lisaaustin4561 Год назад

What do you think of fat transfer to address the bone loss? It’s difficult to find a good injector wish you’d open a branch office in CA

@AmiyaPrasadMD Год назад

Hi Lisa Austin, Grafted fat cannot be placed at the bone level like filler can because grafted fat needs to take to a new blood supply to remain viable. Filler can be placed at the bone level since it doesn't require a blood supply, with the overlying muscle layer preventing it from migrating. You can refer to this video about it - ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-kpkIuOXkloI.html

@graceperiod5352 2 года назад

What is the cost of SMAS ful facelift in ur practice. Such as forehead lift, upper and lower 👀. Lids mid face to jaw line and neck Thanks

@AmiyaPrasadMD 2 года назад

Hi grace period, We don’t have set costs for surgery as each patient has different needs, and some surgeries are more extensive than others. You can contact our offices or our websites for a price range. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.

@donaglosser4272 2 года назад

I would appreciate if you showed a couple pictures of older women that got a facelift. I’m 72 and would love to see how they turned out. Thank you

@AmiyaPrasadMD 2 года назад

Hi Dona Glosser, The video features several patients in your age, and some even a little older. I hope this clarifies things for you.

@laurenchristenson1997 Год назад

I just had a lower facelift and neck lift. It fell after six months. I’m 70 the doctor said it didn’t work because of my age. Is a revision the only fix? Thank you.

@AmiyaPrasadMD Год назад

Hi Lauren Christenson, Sorry to hear about your problem. I would need to perform a physical examination of your face and neck to determine the best approach for your situation. Often we can improve facelift results with non-surgical volume enhancement, but I would need examine your facial tissue to determine if additional surgery is needed. I hope this helps you.

@safaarafat5999 5 лет назад

Please come to the Bangladesh. I mite you. Please please please

@AmiyaPrasadMD 5 лет назад

Thank you, Safa Arafat!

@safaarafat5999 5 лет назад

I like you MD Amiya Prasad..

@AmiyaPrasadMD 5 лет назад

Thank you for the kind words, Safa Arafat!

@kcsunnyone 2 года назад

Can you give average costs of each? Would love (and need to do something) but cost is a real factor for single working mothers; the lowest end of the pay scale, and especially by a New York practitioner. These procedures aren’t covered by health insurance which is outrageously expensive in itself.

@AmiyaPrasadMD 2 года назад

Hi CapeKell, Sorry to hear about your situation. Surgical facelifts should be seen as an investment in yourself, and I don't recommend shopping for price as there will always be compromises by the surgeon who offers them for a lower price, such as making up the difference by seeing more patients, and spending less time on the procedure. Having a lower cost procedure now has a higher tendency for a more expensive revision soon after. That being said, we don’t have set costs for surgery as each patient has different needs, and some surgeries are more extensive than others. You can contact our offices or our websites for a price range. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.

@helenahakkaart7386 Год назад

Did the 87 year old patience recover well.? After 75 is it dangerous. How long do you have the bennefit

@AmiyaPrasadMD Год назад

Hi Helena Hakkaart, Yes, she did recover well as she was healthy for age. There are individual health, and age factors that are considered before determining if someone is a good candidate for facelift surgery. The age of when you have facelift surgery is an important factor for the longevity of benefits. You can refer to this video about it - ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-ZNQ3B9c_hjE.html

@dammar117 Год назад

Wouldn't structural volumizing make the face wider? Also, it has to be repeated every two years?

@AmiyaPrasadMD Год назад

Hi dam mar, The point of Structural Volumizing is to give the face more volume, projection, and definition, but still looking natural. The time in between treatments does depend on the individual patient, and how long their rate of metabolization of the filler is as it is possible in some people to last more than two years. I hope this clarifies things for you.

@JenniferBlack-hs8md Год назад

I am 37 and considering a lower facelift because i have jowls and marionette lines . I have no bottom teeth at the bank and ive lost bone structure around this area i think thats why it looks saggy. Makes sense that bone structure comes into play . I have tried filler but very little improvements. I now think a facelift wouldn't work especially when my bone structure in my jawline isnt great

@AmiyaPrasadMD Год назад

Hi @JenniferBlack-hs8md, 37 is generally too young for a surgical facelift. Jowls, marionette lines, and the appearance of sagging at your age can be improved with volume enhancement. You can can refer to these videos about it: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-B1IBbQH3HAQ.html ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-rCjuUAofEFU.html ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-bMBm37wFwNE.html ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-o5WRIwrVeVI.html

@zibtihaj3213 2 года назад

So facelifts could be good but they don’t address bone loss … and fillers at the bone level might have to be addded ? Is that it

@AmiyaPrasadMD 2 года назад

Hi zibtihaj, 4:11 - Other variables that affect facelifting procedures: skin quality, fat layer, and the SMAS 4:28 - How the quality of the tissues of the SMAS affects facelift results. 4:56 - Various concerns of patients seeking a facelift procedure 5:21 - Dr. Prasad explains how he assesses his patients for a facelift 5:40 - How Dr. Prasad tackles facial aging, and his recommendations. 6:03 - The benefit of using blunt cannulas in volume placement 6:17 - How Dr. Prasad’s method of Structural Volumizing is different from a “liquid facelift” 6:36 - When facelift surgery is appropriate 7:07 - How a facelift is not the definitive final step in facial rejuvenation treatment 7:35 - How Structural Volumizing yields better results than thread lifts or thermal treatments 7:55 - Dr. Prasad evaluates age as a variable for physical health, bone structure and tissue quality 8:26 - The importance of explaining how all aspects of the face can affect treatment results 8:57 - How people tend to focus more on areas they don’t like 9:36 - Where age factors into in facelift surgery 9:44 - Factors to help determine the best approach to facial rejuvenation

@zibtihaj3213 2 года назад

Mmmh very nice I will look more into this video