If you are a bit overweight should you lose weight


I say yes, but before not after the trip to the operating room. I prefer to see the patient at their ideal weight for two important reasons:

Obesity is a health risk and complicates the anesthetic. The anesthesiologist''s job is tough enough without the stress of attending to someone who is overweight.

While we can successfully sculpt excess superficial fat from beneath the skin of the jaw and neckline, we have no access to deeper layers of fatty tissue. Weight loss will shrink that deep fat and increase the success of the facelift.

I advise patients to pursue a slow, constant weight-loss program, ideally under medical supervision, and then return in six months for a reevaluation.

As you probably guessed, weight loss after surgery makes no sense. The good tightening achieved can be seriously compromised because the fatty tissue under the freshly redraped and tightened skin will shrink. The skin then relaxes and the benefits of the surgery are lost.

Patients'' greatest fear is this windblown, over-tightened, strange, unnatural facelift. It does not have to be that way. Such an appearance is never the result of patient request; rather, it is the hallmark of an amateur cosmetic surgeon. It does not satisfy the patient''s wish to look better, rather than different. Scan the doctor''s album closely; look for improvement that looks proper and natural, not strange, artificial or abnormal. When you see lots of results that would satisfy you, you''re viewing work by a serious cosmetic surgeon with good judgment.

Allison Hatfield states in her Fort Worth article "He''s So Vain," that a face lift is trickier for men than for women. "In general, male facial skin has a richer blood supply than female facial skin. Men bleed more during facial surgery and have a greater chance of hematoma, a temporary pooling of blood under the skin during or after surgery. Scarring may be more difficult for men to hide, as most do not wear make-up or style their hair towards their faces as women do. Men with thinning hair may require a bit more surgical artistry to hide scars, especially in the temple area.

"His face is pulled so tight, that when he smiles, his arms go up"!

-Hal Jay, WBAP radio, Dallas, Texas, describing a prominent Dallas citizen''s recent (overdone) cosmetic surgery

When a guy has a face lift, his hair and beard may play a role in its outcome. Hair-bearing skin of the upper neck may be pulled behind the ears, meaning some guys will end up having to shave behind their ears or suffer through electrolysis."

Specific Questions to Ask if You Are Considering a Face and Neck Lift:

What the mirror cannot demonstrate is your profile: that poor definition between jaw and neck, the sagging and blending together. A high quality face and necklift restores the lost angulation between the jawline and the neck by evacuation of the fatty jowls, and trimming and tightening the lax, vertical platysma neck muscle.

These procedures form an internal corset. Repositioning those vertical bands, in the front of the neck, will recreate a more satisfactory angle between the chin and neck. The redundant skin is redraped and the excess is removed, not from the "front" but from the "back," through the hidden incision behind the ear and in the hairline. Removing major amounts of excess skin from the front of the face or neck is out of the question because it would require a long, visible incision.

Surgical face and neck lifting should not be employed to remove wrinkles or age spots. These imperfections are corrected via a chemical or laser process described later. Surgically pulling or stretching wrinkled facial skin will be no more successful than attempting to "iron" a wrinkled shirt by stretching the fabric.

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This article was sent to us by: Anthony R. Pears at 09112010

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