Dr. Frankel uses this term when several different approaches are employed to create comprehensive rejuvenation. Aging does not affect just one specific part of the face, but all of it; and a well thought out, multi pronged approach is often necessary to deliver a successful outcome.
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The Procedure
Multiple surgical procedures are often combined along with skin treatments and the use of injectable fillers and neuromodulators. There is no one single maneuver, but a combination of modifications all geared towards turning back the clock tastefully and naturally.
Consultation and Planning
Dr. Frankel individualizes every patient’s care. He invests the time to fully understand patient expectations, learn complete history, evaluate the inside and outside of the nose, and take digital images. Dr. Frankel will discuss the cosmetic and functional expectations of your surgery in detail to ensure all your questions are answered.
DR. FRANKEL’S NOTES
“Aging affects all of us in a predictably similar manner. Our facial skeletons remodel and generally become smaller; the volume of our soft tissues diminishes and the elasticity of our skin dissipates. Repetitive use of certain muscles from facial expressions creates wrinkles and imperfections develop from years of sun exposure.
Effective rejuvenation requires consideration for all of these factors so that the result is harmonious. It should not be that a particular operation causes a certain ‘look’. The ideal scenario is for patients to express how they would like to look and then allow me to deliver that to them with whatever methods I feel are going to work best. ”
– Andrew Frankel, M.D.
Before and after
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*Each patient is unique and individual results may vary.
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Preparation & Expectations
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Preparation
Plan to be away from social situations for approximately two and a half weeks after your surgery and schedule accordingly.
You will be required to stop taking certain medications and supplements ten days before your surgery and the office will provide a list of what to avoid. Routine blood work and a medical clearance will be required and this will be arranged by the office as well.
Certain medications and supplements will be prescribed and instructions will be provided. Patients must refrain from eating or drinking eight hours before their scheduled surgery time (usually from midnight the night before the operation).
On the day of the procedure, patients must arrive with clean skin that is free of any skin care products or makeup.
Length of surgery
Highly variable.
Dr. Frankel will give you more detailed information during your consultation.
Recovery time
Recovery is also highly variable as it depends on the types of procedures will be performed.
Regardless, it is unusual for patients to need more than two and a half weeks before they feel comfortable going out socially.
After care
Dr. Frankel requires the majority of his facial rejuvenation patients to be under the care of a nurse the night of the operation and the office will assist in making those arrangements.
Most patients experience more discomfort than pain postoperatively and medications will be provided.
A circumferential head dressing will be removed the morning following the surgery and possibly replaced for another two days.
On the third day following the surgery there will no longer be any dressing and patients may shower and wash their hair.
Patients are encouraged to walk soon after their procedure and should otherwise rest and sleep with their heads elevated until directed otherwise.
Sutures are usually removed eight days after the procedure and at that time Dr. Frankel usually allows patients to begin very light cardiovascular exercise.