Hi! I’m Fran!
I am interested in getting a face and neck lift.
Can you ploease explain what lipografting of the Mid and Upper face means?
Also what does eCO2 Periorbital mean?
Lipografting refers to removing fat from one area and placing it in another. I do not perform lipografting, instead we use other dermal fillers such as JuveDerm XC. The eCO2 refers to the use of a laser to resurface the skin and periorbital is “near the eyes.” The necklift works very nicely as well with a full face CO2 laser.
To answer your questions, Lipografting is Fat Grafting, and eCO2 periorbital is a type of laser to the area around the eyes, in fact, the lower eyelids.
Fat grafting is becoming more and more popular, as we understand more about aging changes, which, in general, deplete the fat over time. Fat grafting takes fat from elsewhere on your body, which is obtained by liposuction, and places it in various parts of the face. So this procedure may be done with a face/necklift.
There are some real problems with CO2 laser treatments and the recuperation is quite slow.
Whatever you do, and this has been said before, we all agree that you are best served by a board-certified plastic surgeon.
Best of luck to you!
Karen Singer, MD
When a facelift is done in the usual way using the standard SMAS technique, the face is flattened because the technique itself removes fat from the face. Therefore, to combat this, many surgeons are adding fat grafts. This makes no sense to me. I, therefore, use a modification of the MACS Facelift that preserves the fat in the proper place. CO2 laser resurfacing of the lower eyelids is another way of reducing the wrinkling of them, but can only improve a small amount of laxity. Make sure whomever you see is well credentialed and does the procedure in a certified facility facility.
For many years, face lifting consisted of removing any excess fat and then pulling the skin tight. That resulted in thin, almost gaunt faces with ultra-tight skin — and definitely not rejuvenated or youthful!
Today, we recognize that youthful faces are faces that are full but not fat. Towards that end, I have adopted techniques which can tighten skin only enough to remove some lines but not so much that it is overly tight, tighten the muscle layers underneath to provide support, remove fat where it is in excess (eg under the chin or jawline) and most important, perform fat grafting to fill in areas of fat atrophy and provide a fuller, rounder and more youthful appearance.
CO2 laser resurfacing of the lower eyelids has now been eclipsed by far more acceptable treatments.
There has been a sea change in approaches to facial rejuvenation. Be sure to visit several plastic surgeons before deciding on someone to operate on you.
Elliot Jacobs, MD, FACS
New York City
Lipografting means injection of fat into the face.
eCO2 is laser treatment of the lower lids.
They can be done with a face and neck lift, or separately.
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