{"id":639936,"date":"2020-08-12T13:05:10","date_gmt":"2020-08-12T17:05:10","guid":{"rendered":"https:\/\/hauteliving.com\/hautebeauty\/?p=639936&"},"modified":"2020-08-12T13:05:10","modified_gmt":"2020-08-12T17:05:10","slug":"miami-face-expert-dr-rodriguez-feliz-dishes-on-his-new-facelift-technique","status":"publish","type":"post","link":"https:\/\/hauteliving.com\/hautebeauty\/639936\/miami-face-expert-dr-rodriguez-feliz-dishes-on-his-new-facelift-technique\/","title":{"rendered":"Miami Face Expert Dr. Rodr\u00edguez-Feliz Dishes On His New Facelift Technique"},"content":{"rendered":"

Nationally renowned board-certified plastic surgeon, Dr. Rodr\u00edguez-Feliz<\/a><\/strong> serves local and international clients at his boutique aesthetic practice in Miami, FL. He has published numerous peer-reviewed articles in some of the industry\u2019s top scientific journals, including Plastic and Reconstructive Surgery\u00ae, Annals of Plastic Surgery, Journal of Craniofacial Surgery, and Aesthetic Plastic Surgery. Dr. Rodr\u00edguez-Feliz<\/a><\/strong> and co-authors were honored with the 2015 Best U.S. Paper Award by Plastic and Reconstructive Surgery\u00ae, the premier and most prestigious plastic surgery journal in the world.<\/em><\/p>\n

\"FaceliftPhoto Credit: Shutterstock<\/span><\/h3>\n

HB: What is a verticle facelift?<\/h3>\n

A vertical facelift repositions droopy facial tissues in a vertical vector rather than lateral as older facelift techniques would do. This vertical repositioning results in a lift and improvement not only on the jowls and along the jawline area, but also on the midface (cheeks). Older facelift techniques aim to pull on the SMAS layer (deep facial tissues) in a lateral vector (towards the ear), one of the reasons we tend to see flattening of the cheeks with this technique. In addition, considering the pulling vector is less direct with older facelift techniques, more force is required to see an equivalent change in a particular area (e.g. jowls) putting the patient at risk of showing the dreaded \u201cpulled-look\u201d many still associate with facelifts.<\/p>\n

HB: How does this facelift surgery work?<\/h3>\n

This modern facelift approach requires less skin elevation, reducing the risk of hematoma post-op. I perform this procedure in most patients under local and\/or IV sedation. A mixture of lidocaine, epinephrine, and tranexamic acid is infiltrated under the skin for anesthesia and bleeding control. The incisions are hidden in the contour and creases of the ear. In patients with mild neck laxity, extending the incision behind the ear for 2 cm will address the issue without the need to carry along the incision towards the hairline. Those with more severe neck laxity or significant fat above the platysma, or enlarged submandibular glands, may require the incision behind the ear to be extended to the hairline and in some cases an additional 2-3cm incision under the chin.<\/p>\n

The key aspect of this modern facelift technique is the elevation of a deep plane for mobilization of the SMAS layer and the skin as a whole unit, while releasing the ligaments from the facial bony structures to the soft tissues and skin, resulting in a better vertical mobilization of the facial tissues.<\/p>\n

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A post shared by MIAMI Plastic Surgeon (@joserodriguezfelizmd)<\/a> on