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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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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The Weekend Facelift

THE PREOPERATIVE FEATURES

  • There are very specific features that make this procedure work well and become ideal. There are many doctors utilizing this procedure for patients that need much more.
  • Focusing on only very mild to moderate drooping, loose, sagging or older look just above and below the jawline and in the middle part of the neck. There should be minimal sagging or excess skin at the laugh lines or in the middle or upper part of the face or cheeks.
  • There should not be too much loose skin, relaxation or wrinkles in the neck.
  • The key to success in this procedure is the presence of good skin elasticity, localized excess fat, and not too much excess skin and all this localized to the lower middle face and neck.
  • It is best if you already have a relatively youthful appearance to the neck with excess fat but good skin elasticity and rare wrinkles.
  • This surgery is especially good for patients with loose hanging skin and folds ONLY in the neck, and mostly in the front of the neck.

THE PROCEDURE

  • Local or a very light general anesthesia can be used and it takes only one to two hours.
  • The weekend facelift is quite different than the standard facelift or even minimal incision facelift and uses ONLY an incision under the chin.
  • Liposuction is performed to contour the jowls and neck and remove the fat in these regions.
  • Next the excess skin is reduced and molded by performing INTERNAL CO2 laser treatment. This results in contracting and shrinking the skin which is almost immediate.
  • Following this the neck muscles (usually responsible for the "turkey neck" look) are tightened with stitches.
  • The outcome is dramatic. In addition, the surgery disturbs less tissue, is less risky, heals quicker, has less swelling, and provides a quicker return to work. It can be safely and predictably repeated later in life for "touch-ups" and does not interfere with the option to have a standard or full facelift, a minimal incision facelift, or midface lift performed at a later date.
  • No drains necessary.
  • A light dressing is in place only for one day.
  • This can be combined with the eyelift, forehead lift, neck liposuction, or other procedures.

THE RECOVERY

  • You can go home after several hours.
  • You can shower on the next day.
  • Usually almost no pain, or occasionally minimal pain that is mostly gone by the second or third day and easily controlled by medications.
  • Swelling which is very mild.
  • Minimal if any bruising.
  • Able to apply make-up in two to three 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 at four days.
  • Able to return to work in 2-4 days.

THE RESULT

  • Quick and comfortable recovery.
  • Very natural, rested, younger appearance with smooth skin and a smooth contour.
  • 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.
  • Does not interfere with future or repeat "tuck-up" procedures later in life.
  • May prevent or delay the need for a full facelift if done early enough.
  • Natural and presentable appearance in the first week that just gets better over time.

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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