Ancillary procedures make all the difference in facial rejuvenation


When patients say, “I want a facelift,” they usually mean, “I want to look younger and more refreshed.” Southern California cosmetic surgeon Ronald Strahan, M.D., relies increasingly less on facelifts alone to address that request and instead grants his patients’ wish for rejuvenation with a combination of procedures.

“Most women who come in want a neck that looks tight and feels tight, so I perform an aggressive neck operation, and then the position of the brow dictates if I do a small incision forehead lift. Then I evaluate the midface,” says Dr. Strahan, who started his career as a board-certified otolaryngologist.

When evaluating a patient for rejuvenation of the aging face, he examines all of the characteristics and layers of the face. The goal, he says, is to create facial harmony for an age-appropriate appearance. As a result, he relies more on the ancillary procedures of blepharoplasty, rhinoplasty, skin resurfacing and soft tissue expansion (STE) and less on aggressive techniques of facelifting to produce that result.

“I usually ask the patient for a picture of when they were about 30 or 35 years old, which is the age of optimal physical appearance, and this gives me a clear idea of their ideal version of themselves,” Dr. Strahan says.

MIDFACE FINDINGS Today, Dr. Strahan rarely performs a facelift operation alone because of findings from his recent study that suggest patients have a much higher degree of satisfaction with the treatment of the aging face when some additional change to the midface is provided.

In a retrospective study conducted by Dr. Strahan and his colleague, Catherine J. Hwang, M.D., the charts of 430 of his facelift patients who had at least 10 years’ follow-up were reviewed to compare the results of patients having SMAS techniques with the results of patients having deep-plane techniques.

As he expected, forehead and necklift patient satisfaction was well over 90 percent; however, the long-term satisfaction rate with the facelift part of treatment of the aging face was disappointing.

The revision rate two years postoperatively was 13 percent for the SMAS technique group and 8 percent for the deep-plane technique group. At 10 years after surgery, the patient satisfaction rate for both groups had plummeted to 50 percent. Of those who were dissatisfied, 80 percent were unhappy specifically with the midface outcome.

“This shows that the forehead lift is a good operation and the necklift is a good operation, and no matter what technique is employed in the midface, it’s really a mediocre operation,” Dr. Strahan says.

Halle Berry

10 Tips for Using Eye Makeup Safely

If you wear eye cosmetics like mascara, eyeliner, or eye shadow, be careful. That brown mascara might make you... ...

Halle Berry

Giving Your Eyelids a Lift

If the eyes are said to be the windows to the soul, the eyelids are the curtains. The eyelids are critical to vision... ...

Halle Berry

Cosmetic Surgery for Scar Removal

Cosmetic surgery has emerged as a safe and sure method for improving the physical features and enhancing the overall... ...

Halle Berry

Diabetes During Pregnancy: Will I Need a C-Section?

If you have diabetes during pregnancy, you are more likely than other women to have a large baby. When a baby is... ...

Halle Berry

Miscarriage: About Early Pregnancy Loss

Losing a pregnancy is one of the most devastating events a couple can endure. Though you may feel alone, confused... ...

DASH: Designed for Every Body

DASH: Designed for Every Body

Diets are a lot like fashion. Depending on the season (and which celebrity is currently obsessed),...

Dietary Help for Iron-Deficiency Anemia

Dietary Help for Iron-Deficiency Anemia

If you have been diagnosed with iron-deficiency anemia, your doctor has likely advised you to eat...

Simple Swaps! Make Healthy Food Even Healthier

Simple Swaps! Make Healthy Food Even Healthier

Looking for easy ways to boost the nutritional value in your food? ...

Does Advertising affect Eating Disorders?

Advertisements are all around us. What we see impacts us in some or the other way.

How to Stop Online Shopping Addiction

How to Stop Online Shopping Addiction

In the age of electronics, there are many trends that turn into addictions....

Grocery Shopping Tips for College Students

Grocery Shopping Tips for College Students

College life is the most enjoyable part in one’s life but it also inculcates sensibility and ...

Skin Care »

  • Global Hand Washing Day

    Global Hand Washing Day

    The primary practice aim was mobilize people and transform handwashing from being just an abstract idea to an automatic ...
  • Pre School Hand Hygiene

    Pre School Hand Hygiene

    Children are very notorious and they can literally give a deaf ear to their parents when the latter ...
  • Personality Type Diet Plan

    Personality Type Diet Plan

    The Personality Type Diet has been crafted by Robert Kushner. He is a known expert on ...
Easy Way to Stop Smoking
Easy Way to Stop Smoking

Medical practitioners all over the world have been constantly appealing ...

Self Hypnosis Techniques
Self Hypnosis Techniques

A self hypnosis session requires a strong suggestion, proper relaxation and delivering ...

How to Tighten Loose Skin
How to Tighten Loose Skin

Loose skin is a common problem that a lot of women as well . ...

Careers in Speech Pathology
Careers in Speech Pathology

With a rise in speech-related problems in people, speech pathologists are in great demand

8 SureFire Tips on How to Lose Inches Off Your Waist Fast

Want to know how to lose inches fast?

The 2 Types of Knee Braces With Side Stabilizer
The 2 Types of Knee Braces With Side Stabilizer

Do you have a problem with your knees?...

RiRi
Is It Easy To Quit Smoking Forever?

How do I dare to say that it is easy to quit smoking? ...

Kids and Martial Arts Can Be a Great Match
Kids and Martial Arts Can Be a Great Match

All parents want their children to grow up healthy and develop discipline...

Don't miss

Take It Easy: Preventing and Treating Shin Splints

What are shin splints? Typically, shin splints cause pain or tenderness along the shin bone from inflamed muscles,... ...

Fit to a Tee: The Basics of Golf

Think golf is just a slow-paced game for businessmen in plaid pants? Think again – it might be worth taking... ...

9 Ways to Exercise When You Don’t Have Time

You know exercise can help improve your health and lose weight. Yet, 1 in 4 adults doesn’t exercise, according... ...

Diagnosing Skin Rashes on Toddlers

Diagnosing Skin Rashes on Toddlers

Is your toddler visibly uncomfortable with red, oozy bumps on his skin? Have you found him scratching inconsolably?...

Make up Tips for Women

Woman’s face is like a canvas which can project various looks to match different occasions. Some women can classify...
Work out your Back for a fit Body

Work out your Back for a fit Body

New research on fitness basics suggest that working out the back of the body is most important for having a strong...

Skin Care Essentials for Men

Our modern men A metro sexual man is one who takes good care of his appearance by paying attention to the fine...

Information on Age Spots

Age spots or liver spots: Also called as solar lentigines, are flat spots on the skin and can be gray, black or...
Prostatitis: Symptoms and Treatment

Prostatitis: Symptoms and Treatment

The prostate gland is part of a man’s reproductive system. It makes some of the fluid for semen. The prostate...