Revision Facelift
Revision Facelift Before & After
Adult Content: Patients have given permission. The following patients of Artiste Plastic Surgery are representative only and do not guarantee that you will have the same result.
WHy is DR. ZOUMARAS' TECHNIQUE different?
Dr Jack Zoumaras is the 2017 and 2019 peer reviewed Vogue Face Surgeon and his practice is only Face. He has been trained by world leaders from San Francisco, New York and Paris. Training with the best to become a true Facelift leader and experienced Plastic Surgeon. He is current chairman of the Australian Society of Plastic Surgeons NSW Chapter and a specialist Plastic surgeon. He is one of few plastic surgeons (factual) to offer a High SMAS Facelift and Deep Plane Facelift and presents on the international stage on facelifts regularly. He is peer reviewed, an author on facelifts, holds a fellowship program to train junior plastic surgeons and an educator.
The inspiration for Dr. Jack Zoumaras is to be the best facelift surgeon he can be. This means constant self reflection and critique and higher learning. This ensures that every aspect of the technique from the injection of the local anaesthetic, background classical music, positioning of the patient, careful planning of the incision ensures a consistebt outcome for all patients. A Facelift is not meant to be a fast operation, it is an operation that takes time (minimum 3-4 hours and up to 6-7 hours) when executed attention to detail.
The use of micro fat grafting with 24K is our secret in Facelifts. Fat grafting will not only augment facial volume it provides a stem cell matrix to the skin. This nourishes the skin and has your skin looking firmer with fewer blemishes. It ensures your facelift is not just anti-ageing but healthy for the skin.
Meticulous placement of the incision behind the tragus of the ear, along the hairline in the temple, behind the ear and along the posterior hair line ensures an minimally visible scar.
Further attention by placing the incision along the hair follicles at a bevelled 45 degree angle ensures hair will grow around camouflaging the incision. The picture is an “After” photo of the incision line at 12 months.
A lip lift will augment the upper lip, shorten the distance from the lip to nose and of course lift the lip. It involves removing skin and lifting the SMAS of the lip from just beneath the nose with the incision at the base of the nose.
A chemical peel is included with your facelift for skin blemishes and fine lines. A peel is done on areas not lifted such as the lower eyelid, nose and forehead.
Dermabrasion is used around the mouth for vertical rhytids/deep wrinkles.
The combination of a chemical peel and dermabraison ensures full skin treatment.
THE ANATOMY OF AGEING
To understand how best to lift the face, one must have a deep and thorough understanding of Facial Anatomy, and the anatomy of facial ageing. This ensures that your facelift result will not be “plastic”, but natural (anatomically lifted) and not obvious (surgical). World-Trained Facelift Surgeon, Dr Jack Zoumaras, is a peer reviewed Plastic Surgeon, and knows how to respect your anatomy and facial unique appearance.
Facial Anatomy
- Layer 1 is Skin which is thickest around the cheek and nose, and thinnest on the eyelids and temple.
- Layer 2 is Fat which is prominent around the cheeks and negligible in the eyelids (the fatty “bags” that we see under the eyelids comes from a deeper layer (deeper even than Layer 5).
- Layer 3 is the Superficial Musculoaponeurotic System (SMAS), a muscle layer that allows us to be humans, it is responsible for allowing us to talk, smile, whistle, sing, open and close our eyes, and for all facial animations.
- Layer 4 is a space that contains Ligaments, Facial nerves and Vessels. The ligament holds the upper three layers and rests on Layer 5. The ligament is at its thickest in Layer 4 and branches into the dermis of the skin, akin to fine branches of a tree.
- Layer 5 is bone where the ligament holding up the facial anatomy resides on (Cheek and Jaw bones). In the cheek and neck there is no bone and it is deep fascia that is representative of layer 5.
The Ageing Face
An Ageing face causes skin laxity(1), loss of facial volume (2), loss of muscle tone and descent of muscle (3), attenuation of the ligament (4) which compounds the ageing change in the top three layers. The structure of the face (5) also loses thickness. These changes cause lower eyelid hollowing, deep naso-labial folds, marionette lines (vertical lines adjacent to the mouth) and jowling.
A Deep Plane Facelift Lift lifts layers 1-4 in a single flap. This deep plane lift occurs from the lower eye/malar to the angel of the jaw. This results on lifting of the Mid face, naso labial fold and jowl.
PROCEdURE SNAPSHOT
3-4 hr procedure
1 night in hospital
2 weeks unsociable
Qualified facelift plastic surgeon:
- World-trained Dr Jack Zoumaras
- Qualified Anaesthetist, Accredited hospital
Results: Firmer skin, lifted jowls, lifted neck.
Investment in yourself
Facelift surgery risks include bleeding, nerve weakness, scarring and more
You will feel:
You will not look fake
Model featured in photography