Incision Lines for Vertical Restore™ Facelift by Double Board-certified Facial Plastic Surgeon, Dr. Amir Karam, San Diego, CA.
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Dr. Karam invented the Vertical Restore, an advanced technique for the common face and neck lift. In this video, he explains where the incisions go, why they are placed with precision around the hairline, and what to expect from this innovative procedure. Some before and after photos are included. For more before and after photos, please visit our website: [ Ссылка ]
Transcript:
- A lot of people ask, where are the incisions for the Vertical Restore™. I think it's a great question, obviously everyone wants to know if it's gonna affect their hairline, or if it's gonna affect the way they wear their hair. And the answer is, it really shouldn't affect anything with respect to how you like to wear your hair. You know, women like to wear their hair in a ponytail, no problem, we're conscious of this when we create an incision design that hides it as well as the fact that there's no tension on the skin. And the actual incision line heals so fine that with a little bit of healing time the rest of the incision is, basically, imperceptible. Because the Vertical Restore and the Vertical Prevent address the lateral brow, the midface, the jawline, and the neck, we're gonna start our incision up in the top of the hairline, right in here. And I give it about a centimeter to two centimeters of space, depending on how much movement I believe the lateral brow segment's gonna do, so that this patch of hair will still be in front of the incision. So we make the incision up here and it's usually a moving line, it's a zig-zag type of an incision because the eyes have a hard time finding that type of movement as opposed to a straight line. Then when we come down to the level of the temporal tuft, we want the incision to be at the hairline. And the reason we want it to be just at the hairline, just behind it a little bit, is because we don't want this temporal hair tuft to shift. One of the tell-tale signs of facelifts is that this hair ends up going from here to here and that's because when the skin gets removed, all that hair gets removed. So we want there to be a nice, natural temporal tuft, and as a result, we need to convert this incision to a hairline incision. And the way it's done is it bevels the hair follicle so you get some hair that actually grows through the scar and hides it even further. And then once we get down to this area, the ear, we're gonna use the natural shadows and contours of the ear to further hide it. So we go into that little groove right there, and then we come behind the ear there, and then as we come down to the bottom of the tragus, we'll make a cut across here so that this unit and this unit become completely isolated. And whenever you have movement in the line, lines are hard to follow, visually. So then once we've done that part there, we're gonna come, basically, here, and go behind the ear, and from there, we're gonna put the incision in the natural ear socket. So it's way deep in here. I'm sorry, I'm going to turn your head a little bit. So it's deep in here, right in the natural crease so you can't see it, and then we're gonna bring it up to a certain level, and then from there, we're gonna convert it to behind the hairline incision right here. And what this is gonna do, is going to allow the incision to hide within this hairline here, but also allow us to be able to remove skin going in this direction, because the Vertical Restore vector is upward and the neck skin is gonna be removed in this horizontal fashion right here. And the length of this incision is dependent on how much laxity there is in the skin. Some people who are younger and they don't need a whole lot, the incision might end right here. Older patients, it might go down a little bit further. Basically, the incision under the neck will be right in the natural crease underneath the chin, hiding really well so when the head is down, you can't see the incision. Okay, so that's the extent of our Vertical Restore, Vertical Prevent incisions. The quality of incisions heal really well, they hide the natural contours, can't see them. This gives you an idea of the natural direction and vectors of lift that we perform as part of our procedure. Everything going upward.
Incision Lines for Vertical Restore™ Facelift by Double Board-certified Facial Plastic Surgeon, Dr. Amir Karam, San Diego, CA. Visit us online at [ Ссылка ] or call 858-259-3223.
