Facelifts – A Primer

Facelift or rhytidectomy in Denver, Colorado is a procedure designed to reposition tissues in the face into a more youthful position.  Facial aging affects several structures: the skin, the muscles of the face, the fat volume of the face, and the bone volume of the face.  Once upon a time, it was thought that all you had to do to get a tight face was pull the skin tight.  Times have certainly changed!

In modern facelifting or rhytidectomy, the skilled surgeon analyzes all the aging structures of the face to determine what treatment each layer may need to effectively turn back the hands of time.  For instance, the skin may have been ravaged by sun exposure, smoking, weight loss, or time.  It may not be as elastic as it once was.  The extra skin will need to be removed.  The skin may need to be further tightened and toned using fractional laser resurfacing.

The underlying muscle can get loose especially in the neck (platysma) and this may need to be tightened to remove the old “turkey neck.” There may be excess fat in the neck and jowls that would benefit from liposuction to help shape the lower face and neck.  Finally aging can cause bone loss in the facial skeleton, the results possibly being a small chin, sunken cheeks, or weak jawline.  Facial implants or revolumization with fat or injectible filler would restore the proper volume relationships.

Facelifts or rhytidectomy are surgical procedures which means they leave scars and have some downtime associated with them.  Younger patients may only need a small scar in front of the ear to tighten both skin and muscle.  Older patients or those with poor skin quality may need scars that are both in front of and behind the ear to redrape the excess skin.  These scars are placed in easily camouflaged areas to allow for minimal show.

General anesthesia used to be the only option for patients, but now patients in Denver can get their facelift or rhytidectomy in the doctor’s office using just oral sedation and local anesthetic.  This allows for faster and safer anesthetic recovery. Cost savings are enormous also.

If you are interested in facelift or rhytidectomy in Denver, Colorado please call (303) 708-8234 to schedule your complementary consultation. Or, visit us on the web at http://www.drmanishshah.com for more information.

Restore lost volume with Radiesse!

When it comes to adding volume to a face that looks like it is deflated, there is a great option for many people.  An injectible filler known as Radiesse (Radiance in Europe) is available to those who want to recontour their faces.  Radiesse is FDA-approved to fill in the nasolabial folds, those deep lines that travel from the nostril to the corner of the mouth.  Other off-label uses include augmenting the chin and jawline, lifting the cheeks, filling in the hollows around the eyes, and correcting/camouflaging small irregularities on the nose.  Radiesse is made from calcium hydroxyl apatite, a mineral that is found in our tooth enamel.  It is very biocompatible.  Many patients will get between 12-18 months duration before the product is gone from under the skin.  Unlike many of the other fillers available, Radiesse leaves behind standing volume that future injections can build upon. Most people need their first injection followed by a booster injection at three months.

If you are interested in more information about Radiesse and how it could help revolumize your face, please contact us at (303) 708-8234 to arrange a consultation in our Denver, Colorado office.  Or, for more information, visit us on the web at http://www.drmanishshah.com.

Breast Augmentation/Enlargement – Saline vs. Silicone!

For patients in Denver, Colorado breast augmentation or enlargement is a very personal decision.  With our athletic population making the decision on the type of breast implant to choose can be difficult.  Here are some thoughts about the two available implant types and their pros and cons so that you can make an intelligent choice.

Saline breast implants have a silicone rubber shell that is quite sturdy.  Most patients can expect between ten and fifteen years of duration before implant rupture or breakage becomes more likely.  Saline implants are filled with salt water that has the same makeup as the salt water in our bodies.  Saline implants are adjustable and can be used in situations where a woman’s breasts are slightly different sizes. Because of the implant shell design rippling at the edge of the implant is possible.  It can sometimes be felt and even seen. Saline implants have to be overfilled by 10-20% to decrease this rippling and decrease the risk of capsular contracture (scar formation around the implant.)  These implants are great in women who already have thicker breast tissue or are afraid of silicone implants.  I recommend placement under the muscle for these implants.  When a saline implant ruptures it looks like a deflated ball on your chest.

Silicone breast implants tend to look and feel more realistic.  They have the same durable silicone rubber shell. Duration is similar to saline implants.  They come in set sizes so it is harder to compensate for slight differences in breast size.  The inside of the implant is filled with a gel material that is thick and more cohesive like a gummy bear or gel toothpaste.  Rippling is not a common problem with silicone implants because of the way they are manufactured.  The FDA is requiring that all women who have silicone gel implants placed after December 2006 have an MRI of the breast at 3,5,7, and 9 years after implantation to check for leaks.  When a silicone implant leaks it is frankly more difficult to tell.  I typically recommend that silicone gel implants be placed under the pectoralis muscle.  This implant however is my implant of choice in women who need the implant placed above the muscle (eg. body builders, fitness competitors, martial artists, gym rats, etc.)

I hope this helps those seeking answers to the question “saline vs. silicone?”

If you have any questions or would like to obtain a free consultation for breast enlargement in Denver, Colorado give us a call at (303) 708-8234.  Or, visit us on the web at http://www.drmanishshah.com.