San Francisco Plastic Surgery Dr James Romano

126 Post Street, Suite 618, San Francisco, CA 94108 | 415.981.3911 

San Francisco Plastic Surgeon

About Dr Romano

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Before & After Images

Breast Surgery

Body Surgery

Facial Surgery

Brow Lift

Brow Lift Reversal

Buccal Fat Pad Excision

Canthoplasty

Cheek Implants

Cheek Bone Reduction-Malarplasty

Chin Implants

Corrugator Muscle Excision

Dermabrasion

Ear Reduction-Otoplasty

Eyelift-Blepharoplasty

Facelift-Minimal Incision

Facelift-Rhitidectomy

Facelift-Vertical

The Weekend Facelift

Facial Fat Grafting

Facial Wasting-Lipoatrophy

Lip Enhancement

Lip Lift

Lip Reduction

Lip Rejuvenation

Liposuction of the Face and Neck

Nasal Surgery-Ethnic Rhinoplasty

Nasal Surgery-Revision Rhinoplasty

Nasal Surgery-Rhinoplasty

Nasolabial Lines-Laugh Lines

Temporal Tuck

Male Plastic Surgery

Anti Aging

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Out of Town Patients

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Facelift-Rhitidectomy

THE PREOPERATIVE FEATURES

  • Focusing on a drooping, loose, sagging or older looking face.
  • Loose hanging skin especially in the jowls and neck and along the jaw line.
  • Double chin, turkey neck, wrinkles and creepiness.
  • Excess fatty accumulation in the cheeks, jowls, and neck.
  • Prominent, deep laugh lines.
  • Sunken cheek pads.

THE PROCEDURE

  • Local or general anesthesia can be used and it takes about three to four hours.
  • A thin incision that extends from within the hairline above the ear, continuing in front and inside the ear, around the earlobe, in the crease, and into the back of the hairline. No hair is shaved.
  • Excess skin is removed and the face is lifted and tightened.
  • Deeper inside surgery on the SMAS ligament and platysma muscle which are also lifted for important extra internal support that makes the result last longer.
  • Excess fat removed.
  • Small drains are in place for one day and are removed painlessly.
  • A bulky dressing is in place only for one day.
  • This can be combined with the eyelift, brow lift, or other procedures.

THE RECOVERY

  • You can go home after several hours.
  • You can shower on the second day after surgery.
  • Minimal pain that is mostly gone by the second or third day and easily controlled by medications.
  • Swelling which is mild to moderate and peaks at two to three days then disappears rapidly over the next three weeks.
  • Minimal bruising which is most at two days then disappears rapidly by three to seven days.
  • Able to apply make-up in three to four days and comfortably appear in public at that time.
  • Resume many activities within the first week, and most by at least three weeks.
  • Stitches removed first at four days and the rest at ten days.
  • Able to return to work in 7-10 days.

THE RESULT

  • Very natural, rested, younger appearance.
  • Lasts the rest of your life and always looks better than if you didn't do it.
  • Beautiful and graceful, not a "wind-tunnel" look.
  • Natural and presentable appearance in the first week that just gets better over the next six to nine months.

For before and after images of this procedure click here

 

Please call or contact the office for any further information or to schedule an appointment.

Copyright 2007 James J. Romano, M.D., 126 Post Street, Suite 618, San Francisco, CA 94108, 415 . 981 . 3911
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