When looking at patients who are considering a facelift, Dr. John M. Sarbak starts with the skin. He examines the quality and thickness. Skin can lose its elastic quality over time. Wrinkle formation may be mild or severe. Patients can have brown spots or other pigment irregularities (discolorations). Skin can be thick and sebaceous with large pores (rosacea) or could be thin from medication use, prior surgery or radiation therapy.
Dr. Sarbak then assesses the underlying fatty tissue. Is there too much? Is there too little? Is the tissue that is present in the right place?
Next, he looks for asymmetries (differences between the left and right sides). A certain degree of asymmetry is normal and in some cases desirable. If these differences are large, Dr. Sarbak can usually adjust one or both sides to make them closer to each other.
Dr. Sarbak likes to evaluate the face as a whole. Harmony is extremely important (ie. a young face can look out of place with an old forehead). For Dr. Sarbak, it is critical to blend areas such as the lower eyelid cheek junction and the jawline where it meets the neck to achieve natural youthful transitions in these areas.
Because each patient is unique and there are so many variables involved one facelift technique cannot possibly treat every patient well. Dr. Sarbak routinely performs five different types of facelifts, each designed to address specific situations.
Dr. Sarbak’s favorite part of the face (and perhaps the most often overlooked area) is the lower portion of the lower eyelid where it meets the cheek. Look around the next time you go out to dinner. People (especially those who have had facelifts) still frequently show their age in this area of the central face. Dr. Sarbak tries to reposition the tissue underneath the cheeks and lower eyelids to look more youthful and natural. This technique takes a little bit longer in terms of healing time but can really make a big difference in your overall result.