For sufferers wanting to realize a youthful, natural-looking facial rejuvenation, Miami plastic surgeon George M. Varkarakis, MD says one should method growing older in a three-dimensional manner. “Getting older doesn’t solely happen as a consequence of lack of the assist of the mushy tissues of the bone, but in addition as a consequence of fats and bone loss. I tackle these issues by not solely repositioning the tissue and muscle, but in addition by restoring quantity utilizing my particular fats grafting technique.”
Dr. Varkarakis accomplished a fellowship in craniofacial surgical procedure on the Craniofacial Middle in Dallas, TX, the place he honed his abilities in facial surgical procedure. Amongst his specialised strategies, he counts performing surgical procedure utilizing native sedation and his distinctive manner of getting ready fats as two main components in attaining lovely, elegant outcomes that improve every affected person with out making them look unnatural or too pulled.
What are the important thing methods you tackle facial growing older when performing your facelifts?
Dr. Varkarakis: There are two issues occurring with facial growing older: one is the lack of quantity and the second is the lack of the assist of the mushy tissue from the bone. The way in which we handle that is by repositioning the mushy tissues with sutures including fats to fill the void and to handle the muse. It’s vital to handle the bone construction as effectively. For instance, the mandible, when you might have a small jawline, then augmenting that with a fats graft goes to enhance the end result as a result of I’ll do the plication or the suturing of the SMAS layer over that augmented jawline.
How does performing your facelifts with native anesthesia assist you to obtain a extra natural-looking end result?
Dr. Varkarakis: Whereas I’m working, the affected person is smiling, so I can see the pure motion of the face and reposition with a superb predictability of the result. I can see how the facelift and necklift are wanting and make changes in the course of the surgical procedure. Once I’m repositioning the SMAS and the platysma, it’s completed with a affected person within the sitting place so I can see precisely how the ultimate consequence goes to look; they’ll animate their options and I can get an identical view from one facet to the opposite and tighten and alter the midface or the neck primarily based on what the affected person wants.
How does your fats grafting approach helps create long-lasting, youthful outcomes?
Dr. Varkarakis: My experience in fats grafting for the face stands out, not solely due to my approach for injections, but in addition due to the best way I’m harvesting and I’m processing the fats. This particular manner of liposuction is vital for its long-term survival. First, I harvest extra fats from one other space of the affected person’s physique, purify it, after which inject it into areas such because the jawline, cheeks or chin for essentially the most refreshed and naturally youthful consequence.
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