Dr. Jhonny Salomon graduated Magna Cum Laude with a Bachelor of Arts in Medical Science, along with a Doctorate from the School of Medicine from Boston University. He is the author of numerous articles in prestigious Scientific Journals and has presented his research in many Plastic Surgery Forums. Dr. Salomon provides an excellent spectrum of services that begin with a highly experienced, detail-oriented staff specializing in serving patients from South Florida, New York, and abroad for over a decade. As an experienced Board Certified Plastic Surgeon, Dr. Salomon has implemented certain processes to minimize patients' risks and recoveries while offering the best possible care. Dr. Salomon is the author of many articles in prestigious Scientific Journals and has presented his research in many Plastic Surgery Forums.
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Realistically, a procedure is not capable of stopping the aging process, but it is able to reverse as much of the aging that has already occurred. With the help of Haute Beauty expert Dr. Jhonny Salomon, you can seek impressive results. If you are ready to remove years of aging and skin damage, a face and neck lift with fat grafting and Co2 resurfacing is a great option. Here Haute Beauty sat down with Dr. Salomon to review the three procedures that are bound to make you look as good on the outside as you feel on the inside.
Haute Beauty: Explain how a facelift with fat grafting and Co2 Resurfacing works?
Dr. Jhonny Salomon: The aging process is always a combination of three things: laxity, volume loss, and skin changes.
Each person has different degrees of these three factors and some people have more of one than the other but there is almost always a combination of the three. With the three aging factors comes, face and neck lift, fat grafting and CO2 laser resurfacing, the three treatments that each serve a different purpose.
Face & Neck lift: The way I do it, in particular, is by tightening the deep tissues inside the muscle and the fatty tissue. I do this to treat long-term laxity. Whether that be in the jowls, nasolabial folds, the weakness in the cheeks, the aging in the neck – a face and neck lift can treat it all.
Fat grafting: It is a permanent replacement of volume. With this procedure, I am very careful as to how much fat I place. In the past, we used to try to overcorrect the laxity and not fill the volume loss, which resulted in unnatural looking outcomes. The less volume lost, the less amount of fat I have to use and vice versa.
I am extremely specific where I inject the fat. For most people it is in the nasolabial folds and the jaw lines, sometimes it is the lips, the chin – it depends on the patient.
Co2 Resurfacing: This treats changes in the skin. It works on your open pores, fine lines, wrinkles, uneven skin tone and discoloration. Sometimes I tell patients it is like a house, when you finish building, you need an amazing garden in front to top it off. The garden is the Co2, it is the finishing touch that will make your skin glow and project the facelift results.
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HB: What does the downtime look like?
JS: It’s the same. If I do a face and neck, I try to get my patients back to work in seven to ten days. If you add fat grafting to the equation that does not add any time to that recovery process and if I do the Co2 laser, the redness, and the peeling and all that lasts about five days so that is even less than the facelift.
HB: How do you promote a fast-track recovery?
JS: A lot of the fast-track recovery is preparing the patient properly. Prior to surgery, it is important that a patient eats super healthy, stays hydrated and if they are a smoker, they quit a month before. The pre-op instructions help promote a fast-track recovery. On my end as the surgeon, when I perform the surgery in great detail, minimal bruising appears. After 24 hours a patient will see a bit of swelling or bruising. When this is the case, our experienced massage therapist will perform a lymphatic drainage massage that will help remove the excess fluid and help the bruising.
In addition to this, I use Arnica after a facelift. For Co2 resurfacing, the laser resurfacing part, we have a regiment where every two hours we use a combination of emollients that help the flaking on your skin. After five days or so patients’ skin is back to its normal beauty. My goal is to get my patients back to work in about a week.
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HB: What would happen if they did not proceed with this post-op recovery?
JS: 99% of my patients will do it. If I have a non-compliant patient, I really try to encourage them to use the emollients because their risk of scars and delaying healing is present. If they decide to pass on the lymphatic drainage massage, the recovery will be a few days prolonged but will not have an effect on the final result. The combination of elevation and icing with these tricks will help a patient get back on their feet quickly.
HB: Is there anything else you would like to cover regarding recovery?
JS: For quite some time, I have focused on the three parts of the aging process (laxity, volume loss, and skin changes) and it has worked very well for my patients. And I would emphasize that there are three ways to attack them, and if you try to overcompensate one for another you may create a problem. It may not end in a disaster, but the results will not be as natural.
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