As our skin ages, it loses elasticity and collagen fibers in the dermal layer which can lead to wrinkles. A face lift can move and tighten tissue but does very little for eliminating wrinkles. Chemical and laser peels are the most effective way to remove wrinkles.
A face lift, or technically a lower face-neck lift, is a complex procedure with more variations than almost any other operation in cosmetic surgery. All face lifts have a common goal of repositioning sagging jowls, removing excess fat in the face and neck, and tightening loose skin. We pride ourselves in producing natural results that age gracefully.
Occasionally a face lift is combined with a chin implant to produce better facial balance to produce a more youthful, tight chin. It is surprisingly common to see an excessively done face lift that ends up with a "startled" and "overstretched" or a "windblown" look. If you want this La Jolla look, you are best going to a La Jolla surgeon.
Chemical peels, laser peels and dermabrasions are variations of the same theme. By improving the skin texture, chemical peels and laser peels can produce some of the most dramatic results of any cosmetic surgery. Each technique has its proponents, and the popularity of each seems to wax and wane over time, depending upon the then-current coverage in the mass media. What physicians have learned is that the final result is determined by controlling the depth of the skin injury.
In my office, we use a scientifically based approach offering superficial chemical peels for the earliest evidence of skin damage, medium-depth laser or chemical peels for moderate skin damage, and heavy-duty laser or chemical peels for severe wrinkles and skin damage.
We very often blend two techniques in special circumstances, and it is possible to do segmental work, for example, the area around the eyes or mouth. For many reasons, which I will gladly explain during your consultation, optimal results usually require full facial treatment.
No other procedure in the cosmetic surgeon's repertoire requires more judgment and experience than skin resurfacing, and no other procedure can produce such dramatic results. I and my dedicated team have 28 years of experience to help you in the recovery process. Recovery time is immediate for superficial peels (the so-called "lunchtime" peel), five to eight days for medium peels, and ten to fourteen days for heavy peels.
The recovery time is slightly shorter with the laser but the results are a bit inferior to a chemical peel in terms of wrinkle improvement. Although there is significant swelling for the first two or three days, pain is seldom experienced after the first night with modern recovery techniques.
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