Question 1

What is the Deep Plane Facelift technique?

Accepted Answer

The Deep Plane facelift is an advanced technique that involves going under the muscle and releasing all the ligaments tethering the muscle to deeper structures. Most of the work is done under the muscle, which results in a far faster recovery because less skin is separated from the underlying muscle. Dr. Karimi appreciates this technique for its ability to lift the mid-face and cheeks, support the lower eyelid, and ensure everything lifts together beautifully, avoiding a disjointed appearance, while also providing significant improvement to the neck.

Question 2

What is SKINVIVE™ by JUVÉDERM® and what are its benefits?

Accepted Answer

SKINVIVE™ by JUVÉDERM® is the first and only FDA-approved hyaluronic acid (HA) microdroplet injectable in the US, offered at Dr. Karimi's practice. It's designed to improve skin smoothness of the cheeks and provide a lasting glow for up to 6 months with optimal treatment. Unlike most HA fillers, it's not for volumizing or contouring, but rather hydrates the skin and triggers fibroblasts to produce more collagen, offering more than just a temporary fix. It's safe for all skin types and ideal for anyone looking to upgrade dull skin for a more radiant complexion. Injections are performed using a very small needle, with patients reporting little to no discomfort.

Question 3

What are 'pixie ears' and how can they be corrected?

Accepted Answer

A 'pixie ear' is a deformity where the ear is pulled down on the face, typically occurring after face and neck lifts due to excessive tension. This can be distressing for patients as it can be a tell-tale sign of plastic surgery. Dr. Karimi offers in-office correction for pixie ears, regardless of their cause. The procedure involves releasing the ear from underlying tissues, supporting them with deep technical work, and reshaping the ear lobule with carefully designed incisions, performed under local anesthesia. While the scar is initially quite visible, it fades to be nearly imperceptible over time.

Question 4

What are the instructions and benefits of nose taping after rhinoplasty?

Accepted Answer

Nose taping is an essential aftercare step following rhinoplasty, typically recommended every night for six weeks, starting one week post-procedure after the nasal cast is removed. It helps decrease swelling fluctuations, provides support, minimizes swelling, and maintains the new shape of the nose during healing. Dr. Karimi also recommends taping on airplanes or in high-elevation environments for up to one year after surgery to prevent swelling. Getting the technique right is vital for maximizing benefits. The process involves cutting six pieces of tape (measurements don't have to be exact), applying the first three overlapping pieces from the bridge down until only the nasal tip is visible, wrapping the next piece around the tip with gentle pressure, and using the last piece as reinforcement.

Question 5

What are the different types of neck lifts Dr. Karimi performs?

Accepted Answer

Dr. Karimi offers customized neck lift procedures tailored to individual needs and aesthetic goals. For younger patients with just some fullness under the chin, a Deep Neck Lift involves an incision under the chin to sculpt tissues including fat, muscle, and sometimes glands. If extra skin is anticipated, a Micro Neck Lift uses an incision under the chin and limited incisions behind the ears to pull back excess skin. For more comprehensive rejuvenation, Lower Face and Neck Lifts, including the Deep Plane technique, utilize traditional incisions hidden artistically around the ears to bring up the mid-face, lower third, and neck. The Deep Plane technique, performed by only a few surgeons, involves going under the muscle and releasing tethering ligaments, resulting in a far faster recovery due to less skin separation from underlying muscle.

Question 6

My mom had a traditional facelift and it looked pulled. Does deep plane avoid that?

Accepted Answer

The Deep Plane facelift is an advanced technique that involves going under the muscle and releasing all the ligaments tethering the muscle to deeper structures. Most of the work is done under the muscle, which results in a far faster recovery because less skin is separated from the underlying muscle. Dr. Karimi appreciates this technique for its ability to lift the mid-face and cheeks, support the lower eyelid, and ensure everything lifts together beautifully, avoiding a disjointed appearance, while also providing significant improvement to the neck.

Question 7

Does taping help with swelling or just shape?

Accepted Answer

Nose taping is an essential aftercare step following rhinoplasty, typically recommended every night for six weeks, starting one week post-procedure after the nasal cast is removed. It helps decrease swelling fluctuations, provides support, minimizes swelling, and maintains the new shape of the nose during healing. Dr. Karimi also recommends taping on airplanes or in high-elevation environments for up to one year after surgery to prevent swelling. Getting the technique right is vital for maximizing benefits. The process involves cutting six pieces of tape (measurements don't have to be exact), applying the first three overlapping pieces from the bridge down until only the nasal tip is visible, wrapping the next piece around the tip with gentle pressure, and using the last piece as reinforcement.

Question 8

I have pixie ears! I never knew there was a name for it. Can this be fixed without a full facelift?

Accepted Answer

A 'pixie ear' is a deformity where the ear is pulled down on the face, typically occurring after face and neck lifts due to excessive tension. This can be distressing for patients as it can be a tell-tale sign of plastic surgery. Dr. Karimi offers in-office correction for pixie ears, regardless of their cause. The procedure involves releasing the ear from underlying tissues, supporting them with deep technical work, and reshaping the ear lobule with carefully designed incisions, performed under local anesthesia. While the scar is initially quite visible, it fades to be nearly imperceptible over time.

Question 9

Is this a common complication of facelifts?

Accepted Answer

A 'pixie ear' is a deformity where the ear is pulled down on the face, typically occurring after face and neck lifts due to excessive tension. This can be distressing for patients as it can be a tell-tale sign of plastic surgery. Dr. Karimi offers in-office correction for pixie ears, regardless of their cause. The procedure involves releasing the ear from underlying tissues, supporting them with deep technical work, and reshaping the ear lobule with carefully designed incisions, performed under local anesthesia. While the scar is initially quite visible, it fades to be nearly imperceptible over time.

Question 10

I'm worried about the 'turkey neck' look. Does this prevent it?

Accepted Answer

Dr. Karimi offers customized neck lift procedures tailored to individual needs and aesthetic goals. For younger patients with just some fullness under the chin, a Deep Neck Lift involves an incision under the chin to sculpt tissues including fat, muscle, and sometimes glands. If extra skin is anticipated, a Micro Neck Lift uses an incision under the chin and limited incisions behind the ears to pull back excess skin. For more comprehensive rejuvenation, Lower Face and Neck Lifts, including the Deep Plane technique, utilize traditional incisions hidden artistically around the ears to bring up the mid-face, lower third, and neck. The Deep Plane technique, performed by only a few surgeons, involves going under the muscle and releasing tethering ligaments, resulting in a far faster recovery due to less skin separation from underlying muscle.

Question 11

What's the ideal age for a neck lift?

Accepted Answer

Dr. Karimi offers customized neck lift procedures tailored to individual needs and aesthetic goals. For younger patients with just some fullness under the chin, a Deep Neck Lift involves an incision under the chin to sculpt tissues including fat, muscle, and sometimes glands. If extra skin is anticipated, a Micro Neck Lift uses an incision under the chin and limited incisions behind the ears to pull back excess skin. For more comprehensive rejuvenation, Lower Face and Neck Lifts, including the Deep Plane technique, utilize traditional incisions hidden artistically around the ears to bring up the mid-face, lower third, and neck. The Deep Plane technique, performed by only a few surgeons, involves going under the muscle and releasing tethering ligaments, resulting in a far faster recovery due to less skin separation from underlying muscle.

Question 12

What does Dr. Karimi say about their approach?

Accepted Answer

My approach and techniques are always tailored to each patient’s anatomy and aesthetic goals.

Question 13

What does Dr. Karimi say about recovery?

Accepted Answer

We also recommend nose taping on airplanes or other environments of high elevation that may induce swelling, for up to one year after surgery.

Dr. Kian Karimi, MD, FACS

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