Dr. Teitelbaum’s fabulous aesthetics and outstanding surgical technique maximizes the results each patient can achieve from a facelift.
Rather than simply lift and pull each patient as much as possible, Dr. Teitelbaum’s philosophy is to focus on what patients need to achieve their individual beauty.
A facelift adds youth. But further, Dr. Teitelbaum believes a facelift makes a person look healthier, sexier, and more energetic. A facelift improves appearance not only due to the physical changes made, but because the buoyed spirit expresses itself through the face.
For example, some people become very wrinkled with age, yet their wrinkles convey happiness and energy. Others develop lines that can inaccurately convey negativity, making their faces look sad, angry, mean, or melancholic. A facelift can allow the patient to convey through their face the happiness and joy they are really feeling by removing the lines that belie their emotion.
The best surgical technique for a facelift has been debated at every plastic surgery meeting for decades. Nevertheless, no one can tell what “type” of a facelift a particular patient underwent by looking at photographs of a patient after the procedure.
Getting ready to teach advanced facelift techniques in this cadaver lab at the Dallas Plastic Surgery Symposium.
Dr. Teitelbaum is proficient at all of the major facelift techniques. Instead of operating as if “one size fits all,” he selects his method based on what best sculpts an individual patient’s face.
The more aggressive procedures have a greater risk of injury to nerves that can result in temporary or even long term loss of muscle function; recovery can take longer; there can be more swelling; and there can be more pain. Dr. Teitelbaum will use these techniques when they offer a patient particular benefit.
Regardless of method, what is most noticed about a facelift is what parts of the face are lifted, how much they are moved, and whether the scars are placed inconspicuously so that the ear and the hairline look natural. Dr. Teitelbaum excels at all of these aspects of a facelift and offers his patients a gorgeous and long lasting improvement without the telltale signs of surgery.
Dr. Teitelbaum strives to make his patients' faces look gorgeous, young, happy, and free from overly pulled and tight areas, distortion, and disfigurement. This sometimes means not pulling as tight as possible and not attempting to flatten every last line. This is a reasonable tradeoff that many facelift patients choose.
His celebrity facelift patients do not want to be called out in the press for having had surgery. In contrast, some of his patients are comfortable with a more aggressive approach. Dr. Teitelbaum understands the nuances that create these subtle but very real differences in goals and outcome.
Many people notice a bad facelift but they do not know what exactly is catching their eye.
Dr. Teitelbaum has studied these issues and is very attentive to avoiding every one of them:
While no one considering any operation wants to hear about so many negative possibilities, these are the issues that concern nearly every person considering a facelift. However, Dr. Teitelbaum is acutely aware of, and abhors, these results and therefore provides his patients with very natural and gorgeous results.
A mini facelift is not a specific operation. Each surgeon who uses this term does so with something else in mind. It may mean a reduced length of scar (though plastic surgeons today can do very extensive work on the inside through very small scars). Some patients are not emotionally ready to accept the thought of having a "full facelift" and may prefer undergoing something called a "mini facelift" for emotional rather than rational reasons. Dr. Teitelbaum has seen countless patients who "just had a little mini tuck a few years ago" and yet had the scars of a full-fledged facelift. For some patients, the notion of a mini-facelift suggests a more mild and natural appearance.
Similarly, there is no clear distinction between a "facelift," "lower facelift," and "necklift." Each surgeon means something else with each of these terms. What matters is not what the procedure is called, but what is going to be done.
Dr. Teitelbaum believes in doing as much—and not more—than will benefit a patient. He does not see a "full facelift" and a "mini facelift" as two distinct entities to choose between. Rather, there is a full spectrum of opportunities. The location and length of incisions, extent of dissection, and the tightening of muscles on the inside should be done according to what will most benefit that patient.
Dr. Teitelbaum’s facelift patients get all the improvement suitable for them but with no more and no less scar, risk, cost, and recovery than necessary to meet that goal.
A facelift makes improvements from the cheek down; it treats neither the upper and lower eyelid nor the forehead.
Loose, droopy, or baggy eyelids can make someone look tired or old despite the rest of the face. When we cry, don’t sleep well, or eat salty food, the eyes can look puffy and unattractive. Excess upper eyelid skin can interfere with vision, make the person appear stressed or tired, and interfere with the ability to apply mascara.
Sometimes a browlift is of benefit with a facelift and in these cases the eyelids also need to be considered. Sometimes all three are done at once, and at other times it is better to do either just the browlift or blepharoplasty in concert with the facelift.
There are no rules. It is only important that each patient discusses and considers these important issues. Dr. Teitelbaum excels at addressing the eyes and face harmoniously.
The facelift treats more or less from the top of the ear down to the neck. But it does not improve the eyes, brow, or forehead. A low brow or a brow without a beautiful arch prevents the eyes from looking as beautiful as they are meant to be. An arch can make someone more feminine and comely. For these reasons, a browlift is commonly combined with a facelift.
Some patients do not need anything done along with a facelift. But many others need either their eyes, brows, or even both lifted at the same time.
Brow lift patients may have low and horizontal eyebrows, often laying within the eye socket. The low positioned brow creates the illusion of excess skin in the upper eyelids (though there may be some there as well), and people will reflexively raise their eyebrows when their eyebrows are low. This can give horizontal lines to the forehead.
A browlift repositions the eyebrows into a higher and more arched position. Since there is less crowding of the brow on to the eye, there is less of a need to raise the brows and therefore a reduction in the horizontal forehead lines. And while an upper eyelid lift reduces the upper eyelid skin, it is a browlift that lifts excess upper eyelid skin that is to the side of the eye socket.
Though the facelift itself is considered by the public as being the culprit for the "deer staring into headlights" look, that is the result of an overly done browlift. However, this negative result is entirely avoidable and should not be a cause for apprehension. Dr. Teitelbaum has performed many browlifts simultaneously with a facelift and understands how to coordinate the two in order to create a graceful and balanced appearance.
Though a few patients have facelifts in their forties, most wait until their fifties or even later. Sometimes women in their thirties will get facelifts, but their skin is so naturally tight that to do a facelift at that age will often but not always result in some facial distortion.
A man or woman is ready for a facelift when there is both frustration and sufficient room for improvement that makes the procedure worthwhile. A recent study demonstrated that facelifts last longer in patients who receive them at an earlier age. Notwithstanding that, a patient should never get a facelift before the benefits are enough to offset the expense and recovery.
Being told that “you are ready” for a facelift can be difficult and unnerving for many women. As a result, they may forgo the procedure for years when they could have otherwise benefited. Others have noticed subtle changes over the years and are eager to have the opportunity to improve their countenance.
The adage that “you can always tell when someone has had a facelift” is simply not true; overdone or poorly done facelifts have telltale signs, but in practiced hands they are also entirely avoidable. We encounter men and women everyday who have had facelifts and simply look wonderful; their facelift is undetectable.
Dr. Teitelbaum has the experience and sensitivity to help a patient decide whether they are ready for a facelift or whether they should wait. He frequently declines to do facelifts because, as surgeon and as artist, he essentially puts his name to every patient he operates on. It’s in neither the patient’s nor his best interest to simply perform any operation—least of all a facelift—on someone who is not going to have a gorgeous and worthwhile improvement.