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Realself Top 100 Castle Connolly Top Doc 2015

Facial Rejuvenation: The LiteLift™: Our Experience With A Vertical, Short Scar Facelift Over 4 Years

Published on February 9, 2015 by

Presenting Author:   Horowitz MD FACS, Jed, Pacific Center Plastic Surgery, University California Irvine (UCI)

 

Title: THE LITE LIFT: OUR EXPERIENCE WITH A VERTICAL, SHORT SCAR FACELIFT OVER 4 YEARS

Abstract

Background:

Numerous modifications of facelifts have been developed in recent years. Our patients request a natural result, quick healing, less scars, and often local anesthesia. In recent years, many none-core subspecialties have provided the option of surgery in the office with the use of local creating public awareness that a more simplified variation of the procedure was available. To meet our patients’ needs in a safe and reliable manner, we set up systems and techniques to offer an alternative to more traditional methods.

Objectives:

The authors describe their Lite Lift method to achieve these goals using local anesthesia, a limited incision, and cranial suspension and vertical technique.

Method:

The basic procedure requires less than 2 hours as described. The incision generally begins in the temple hairline and ends behind the earlobe.  The SMAS layer is plicated in one larger purse string incorporating the posterior platysma or one narrow loop is in a Labe suture.  The second layer plicates obliquely from malar to mandible further lifting and smoothing.

The retrospective analysis includes over 420 cases between 2009 and 2013. Over three years our volume has increased from approximately 25 case per year per surgeon to more than 125. The cases utilized this technique with some variations. Additional procedures were performed in 35% of the cases. 75% of our patients chose local anesthesia.  Complication rates were low: 2 hematomas , minor; one transient facial palsy, 5 minor skin sloughs at the hairline, 10 revisions (3 mojor,7 minor).

Conclusions:

The Lite Lift facelift is the method most requested by our patients with local anesthesia. The method is a simpler, reliable facelift that enables patients to return to social activity within the week.

 

— Dr. Jed Horowitz, MD, FACS