Face & Neck

Face Lift

As people age, the effects of gravity, exposure to the sun and the stresses of daily life can be seen in their faces. Deep creases form between the nose and mouth; the jawline grows slack and jowly; folds and fat deposits appear around the neck. A facelift (technically known as rhytidectomy) can’t stop this aging process.

Dr. Lacerna can help set back the clock, improving the most visible signs of aging by removing excess fat, tightening underlying muscles and redraping the skin of your face and neck. A facelift can be done alone, or in conjunction with other procedures such as a forehead lift, eyelid surgery, nose reshaping or dermal fillers.

Who are the Best Candidates for a Facelift?

The best candidate for a facelift is a man or woman whose face and neck have begun to sag, but whose skin still has some elasticity and whose bone structure is strong and well-defined. Most patients are in their forties to sixties, but facelifts can be done successfully on people in their seventies or eighties as well. A facelift can make you look younger and fresher, and it may enhance your self-confidence in the process. But it can’t give you a totally different look, nor can it restore the health and vitality of your youth. Before you decide to have surgery, think carefully about your expectations and discuss them with Dr. Lacerna.

Preparing for Your Surgery

Dr. Lacerna will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking and taking or avoiding certain vitamins and medications. Carefully following these instructions will help your surgery go more smoothly. If you smoke, it’s especially important to stop at least a week or two before and after surgery; smoking inhibits blood flow to the skin, and can interfere with the healing of your incision areas. If your hair is very short, you might want to let it grow out before surgery, so that it’s long enough to hide the scars while they heal. You should arrange for someone to drive you home after your surgery, and to help you out for a day or two if needed.

Planning Your Surgery

Facelifts are very individualized procedures. In your initial consultation, the surgeon will evaluate your face, including the skin and underlying bone, and discuss your goals for the surgery. Dr. Lacerna will check for medical conditions that could cause problems during or after surgery, such as uncontrolled high blood pressure, blood clotting problems or the tendency to form excessive scars. Be sure to let Dr. Lacerna know if you smoke or are taking any drugs or medications, especially aspirin or other drugs that affect clotting.

If you decide to have a facelift, Dr. Lacerna will explain the techniques and anesthesia she will use, the type of facility where the surgery will be performed and the risks and costs involved. Don’t hesitate to ask Dr. Lacerna any questions you may have, especially those regarding your expectations and concerns about the results.

The Procedure

A facelift usually takes several hours-or somewhat longer if you’re having more than one procedure done. For extensive procedures, some surgeons may schedule two separate sessions. The exact placement of incisions and the sequence of events depends on your facial structure and Dr. Lacerna’s technique.

In general, the surgeon separates the skin from the fat and muscle below. Fat may be trimmed or suctioned from around the neck and chin to improve the contour. Dr. Lacerna then tightens the underlying muscle and membrane, pulls the skin back and removes the excess. Stitches secure the layers of tissue and close the incisions; metal clips may be used on the scalp.

Getting back to normal and your new look

You should be up and about in a day or two, but plan on taking it easy for the first week after surgery. Be especially gentle with your face and hair, since your skin will be both tender and numb, and may not respond normally at first. Dr. Lacerna will give more specific guidelines for gradually resuming your normal activities. She is likely to include these suggestions: Avoid strenuous activity, including sex and heavy housework, for at least two weeks (walking and mild stretching are fine); avoid alcohol, steam baths and saunas for several months. Above all, get plenty of rest and allow your body to spend its energy on healing.

Most patients are back at work about ten days to two weeks after surgery.

Schedule a Consultation Today

Dr. Lacerna is an experienced facial plastic surgeon who has helped many patients turn back the clock on aging with facelift surgery. If you are bothered by signs of aging on the face and would like to learn more about facial rejuvenation surgery, contact Dr. Lacerna today at (941) 954-4500. You can also send an email to info@LAPlasticSurgeryandDermotology.com.

Vampire Facelift®

A Plastic Surgery is offering a new Vampire Facelift® procedure. This new procedure, created by Eclipse Aesthetics, utilizes a revolutionary approach to obtain remarkable face lift results. This unique process is like no other. To learn more, please continue reading below.

Creating a Beautiful & Natural Shape

In the first part of the Vampire Facelift® procedure, the physician uses an Hyaluronic Acid (HA) filler (like Restylane or Juvéderm) in a very specific way to sculpt a younger appearing face--while still keeping the shape natural.
Providers of the Vampire Facelift® procedure take into account the mathematics of beauty as defined by much research (starting with the notebooks of Leonardo da Vinci) to avoid creating an unnatural shape, at all costs. These ideas about the HA fillers are not commonly known, even among the best cosmetic surgeons, and constitute part of the intellectual property protected by the trademarked name Vampire Facelift®.

After creating a younger, natural shape, the physician then uses the woman’s own blood (hence the name Vampire) to harvest growth factors that would normally be used for healing damaged tissue.

Isolating & Injecting the Magic in Your Blood

First, Dr. Lacerna will draw about two teaspoons of blood.

Then, using a centrifuge, she isolates platelets from that blood (platelet-rich plasma or PRP). All within about 10 minutes there in the office, she uses the centrifuge to isolate platelet, and then she “activates” those platelets to cause the release of at least 8 growth factors that would normally be used to heal injured tissue.

These growth factors, when injected back into the body (the face) in a particular way, will activate multipotent stem cells already in the skin (tricking them into “thinking” there’s been an injury). These multipotent stem cells then grow new collagen, new blood vessels and new fatty tissue trying to “repair” the skin that was never injured. The end result is younger-appearing skin, and the effects of the procedure keep improving for two to three months and last nine months to two years!

Are You a Good Fit for This Procedure?

The Vampire Facelift® procedure is not for everyone.  Some patients would do better with surgery, laser therapy, Botox®, or simply a Plasma Rich Platelet (PRP) treatment or another type of filler. Dr. Lacerna can discuss with you if this innovative procedure, or an alternative, would be best to help you achieve your goals.

Schedule a Consultation Today

Dr. Lacerna is a renowned plastic surgeon who is committed to offering patients the very latest, safest and most effective treatments. She is pleased to offer Vampire Facelift® as a non-surgical facial rejuvenation option. In addition, she is a leading provider of facelift, eyelid surgery and forehead lift to help patients look as young as they feel. If you would like to learn more about Vampire Facelift® or any of the other available procedures, contact Dr. Lacerna today. Call (941) 954-4500 for your consultation. You can also send an email to info@LAPlasticSurgeryandDermatology.com.

Forehead Lift

A forehead lift or browlift is a procedure that restores a more youthful, refreshed look to the area above the eyes. The procedure corrects drooping brows and improves the horizontal lines and furrows that can make a person appear angry, sad or tired.

What is a Forehead Lift?

In a forehead lift, the muscles and tissues that cause the furrowing or drooping are removed or altered to smooth the forehead, raise the eyebrows and minimize frown lines. Dr. Lacerna may use the conventional surgical method, in which the incision is hidden just behind the hairline; or it may be performed with the use of an endoscope, a viewing instrument that allows the procedure to be performed with minimal incisions. Both techniques yield similar results – smoother forehead skin and a more animated appearance. If you’re considering a forehead lift, this page will provide a basic understanding of the procedure – when it can help, how it’s performed and what results you can expect. But it won’t answer all of your questions, since a lot depends on your individual circumstances. Be sure to ask Dr. Lacerna if there is anything you don’t understand about the procedure.

The Best Candidates for a Forehead Lift?

A forehead lift is most commonly performed in the 40-60 age range to minimize the visible effects of aging. However, it can also help people of any age who have developed furrows or frown lines due to stress or muscle activity. Individuals with inherited conditions, such as a low, heavy brow or furrowed lines above the nose, can achieve a more alert and refreshed look with this procedure.

Forehead lifts are often performed in conjunction with a facelift to provide a smoother overall look to the face. Eyelid surgery (blepharoplasty) may also be performed at the same time as a forehead lift, especially if a patient has significant skin overhang in the upper eyelids. Sometimes, patients who believe they need upper-eyelid surgery find that a forehead lift better meets their surgical goals. In addition, some patients choose to receive dermal filler injections to complement the results of their forehead lift.

Preparing for Your Surgery

Dr. Lacerna will give you specific instructions to prepare for the procedure, including guidelines on eating and drinking, smoking and taking and avoiding certain vitamins and medications. Carefully following these instructions will help your surgery and your recovery proceed more smoothly. If your hair is very short, you may wish to let it grow out before surgery, so that it’s long enough to hide the scars while they heal. You should arrange for someone to drive you home after your surgery, and to help you out for a day or two.

Planning Your Surgery

For a better understanding of how a forehead lift might change your appearance, look into a mirror and place the palms of your hands at the outer edges of your eyes, above your eyebrows. Gently draw the skin up to raise the brow and the forehead area. That is approximately what a forehead lift would do for you.

During your consultation, Dr. Lacerna will discuss your goals for the surgery and ask you about certain medical conditions that could cause problems during or after the procedure, such as uncontrolled high blood pressure, blood-clotting problems or the tendency to develop large scars. Be sure to tell Dr. Lacerna if you have had a previous facial surgery, if you smoke or if you take any drugs or medications – including aspirin or other drugs that affect clotting.

The Surgery Itself

Dr. Lacerna will help you decide which surgical approach will best achieve your cosmetic goals: the classic or open method, or the endoscopic forehead lift. Make sure you understand the technique that Dr. Lacerna recommends and why she feels it is best for you.

After the Surgery

The immediate post-operative experience for a patient who has had a classic forehead lift may differ significantly from a patient who had the procedure performed endoscopically. Classic forehead lift patients may experience some numbness and temporary discomfort around the incision, which can be controlled with prescription medication. Patients who are prone to headaches may be treated with an additional longer-acting local anesthesia during surgery as a preventive measure.

Your New Look

Most patients are pleased with the results of a forehead lift, no matter which surgical method was used. Often, patients don’t realize how much their sagging forehead contributed to the signs of aging until they see how much younger and better rested they appear after the lift. Although a forehead lift does not stop the clock, it can minimize the appearance of aging for years. As time passes, you may want to repeat the procedure.

Schedule a Consultation Today

Forehead lifts are a popular facial cosmetic surgery procedure that can help men and women achieve a youthful, refreshed look. If you are concerned with signs of aging on the face, you owe it to yourself to consult with an experienced facial plastic surgeon. Call (941) 954-4500 for your consultation. You can also send an email to info@LAPlasticSurgeryandDermatology.com.

Neck Lift Surgery

The neck lift procedure can improve the appearance of neck muscles, fat or skin on the neck. You may consider a neck lift if you’ve lost weight but still have extra flesh on your neck. Another reason to consider a neck lift is if your genes cause you to have a neck that appears lined or wrinkled and doesn't match the tone of your face or the rest of your body. Or, you may have weakened neck muscle that creates a wattle (folds of neck flesh) that you find unsightly.

If you’re considering a neck lift, a basic understanding of the procedure and how it’s performed and what results you can expect is important. Be sure to ask Dr. Lacerna if there is anything you don’t understand about the procedure.

The Best Candidates for a Neck Lift

A neck lift is often performed for men or women in middle age or older, or for men or women of any age who have lost weight or who are genetically inclined to have an overly plump neck. It is best to have realistic goals for what you may look like after a neck lift procedure and how it may affect your self-confidence.
Dr. Lacerna may choose one or more procedures to achieve the desired results of your neck lift. Cervicoplasty is the procedure used to remove excess skin. Platysmaplasty removes or alters neck muscles. Liposuction might be used, to remove excess fat, and Dr. Lacerna may also combine a neck lift with a face lift.

Preparing for Your Neck Lift Surgery

Dr. Lacerna will give you specific instructions to prepare for the procedure, including guidelines on eating and drinking, smoking and taking and avoiding certain vitamins and medications. Carefully following these instructions will help your surgery and your recovery proceed more smoothly. Whether your neck lift is done in an outpatient facility or in the hospital, you should arrange for someone to drive you home after your surgery, and to help you out for a day or two.

Planning Your Surgery

During your consultation, Dr. Lacerna will discuss your goals for the surgery and ask you about certain medical conditions that could cause problems during or after the procedure, such as uncontrolled high blood pressure, blood-clotting problems or the tendency to develop large scars. Be sure to tell Dr. Lacerna if you have had a previous facial surgery, if you smoke or if you take any drugs or medications – including aspirin or other drugs that affect clotting.

If you decide to proceed with a neck lift, Dr. Lacerna will explain the surgical technique, the recommended type of anesthesia, the type of facility where the surgery will be performed and the risks and the costs involved. Don’t hesitate to ask Dr. Lacerna any questions you may have, especially those regarding your expectations and concerns about the results of surgery.

The Surgery Itself

Dr. Lacerna will help you decide which surgical approach will best achieve your cosmetic goals. Make sure you understand the technique that Dr. Lacerna recommends and why she feels it is best for you. To address weakened or loose neck muscles, Dr. Lacerna may make incisions under your chin or behind your ears to reach the muscles and tighten them. To remove excess fat, she may make a small incision and use a liposuction technique.

After the Surgery

Neck lift patients may experience some temporary discomfort around the incision, which can be controlled with prescription medication. Incision site pain is usually minimal, but can be controlled with medication, if necessary. The tissue glue or stitches used to close the incisions are usually removed within a week.

Your New Look

Most patients are pleased with the results of a neck lift, no matter which surgical methods are used to achieve the desired results. Often, patients don’t realize how much their sagging or fleshy neck contributed to the signs of aging until they see how much younger and better rested they appear after the lift.

Schedule a Consultation Today

Dr. Melinda Lacerna is a leading provider of facial plastic surgery in Sarasota / Bradenton. She is pleased to offer neck lifts for men and women who wish to turn back the clock on aging. If you would like to learn more about neck lift surgery, contact Dr. Lacerna today. Call 941-954-4500 for your consultation. You can also send an email to info@LAPlasticSurgeryandDermatology.com.

Eyelid Surgery

Eyelid surgery (technically called blepharoplasty) is a procedure to remove fat – usually along with excess skin and muscle from the upper and lower eyelids. Eyelid surgery can correct drooping upper lids and puffy bags below your eyes – features that make you look older and more tired than you feel, and may even interfere with your vision.

However, it won’t remove crow’s feet or other wrinkles, eliminate dark circles under your eyes or lift sagging eyebrows. While it can add an upper eyelid crease to Asian eyes, it will not erase evidence of your ethnic or racial heritage. Blepharoplasty can be done alone, or in conjunction with other facial surgery procedures such as a facelift or browlift. Some patients also opt for injectable treatments such as Botox.

The Best Candidates for Eyelid Surgery?

Blepharoplasty can enhance your appearance and your self-confidence, but it won’t necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with Dr. Lacerna. The best candidates for eyelid surgery are men and women who are physically healthy, psychologically stable and realistic in their expectations. Most are 35 or older, but if droopy, baggy eyelids run in your family, you may decide to have eyelid surgery at a younger age.

Planning for Your Surgery

The initial consultation with Dr. Lacerna is very important. She will need your complete medical history, so check your own records ahead of time and be ready to provide this information. Be sure to inform Dr. Lacerna if you have any allergies, if you’re taking any vitamins, medications (prescription or over-the-counter) or other drugs, and if you smoke. In this consultation, your surgeon or a nurse will test your vision and assess your tear production. You should also provide any relevant information from your ophthalmologist or the record of your most recent eye exam. If you wear glasses or contact lenses, be sure to bring them along.

Preparing for Your Surgery

Dr. Lacerna will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking and taking or avoiding certain vitamins and medications. Carefully following these instructions will help your surgery go more smoothly. While you’re making preparations, be sure to arrange for someone to drive you home after your surgery, and to help you out for a few days if needed.

The Surgery Itself

Blepharoplasty usually takes one to three hours, depending on the extent of the surgery. If you’re having all four eyelids done, the surgeon will probably work on the upper lids first, then the lower ones. In a typical procedure, the surgeon makes incisions following the natural lines of your eyelids; in the creases of your upper lids, and just below the lashes in the lower lids. The incisions may extend into the crow’s feet or laugh lines at the outer corners of your eyes. Working through these incisions, the surgeon separates the skin from underlying fatty tissue and muscle, removes excess fat and often trims sagging skin and muscle. The incisions are then closed with very fine sutures.

After the Surgery

After surgery, Dr. Lacerna will probably lubricate your eyes with ointment and may apply a bandage. Your eyelids may feel tight and sore as the anesthesia wears off, but you can control any discomfort with the pain medication prescribed by your Dr. Lacerna. If you feel any severe pain, call your surgeon immediately.

Your New Look

Healing is a gradual process, and your scars may remain slightly pink for six months or more after surgery. Eventually, though, they’ll fade to a thin, nearly invisible white line. On the other hand, the positive results of your eyelid surgery-the more alert and youthful look-will last for years. For many people, these results are permanent.

Schedule a Consultation Today

If you are unhappy with the appearance of undereye bags, puffy eyelids and wrinkles, you may be a candidate for eyelid surgery. Dr. Melinda Lacerna is a renowned facial plastic surgeon who is highly experienced in the blepharoplasty procedure. To learn more, or to schedule a consultation, contact Dr. Lacerna today. Call (941) 954-4500 in Bradenton for your consultation. You can also send an email to info@LAPlasticSurgeryandDermatology.com.

Nose

Rhinoplasty reshapes the nose and is one of the most common of all plastic surgery procedures. This surgery can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils or change the angle between your nose and your upper lip. It may also correct a birth defect or injury, or help relieve some breathing problems.

If you’re considering a nose surgery, a basic understanding of the procedure and how it’s performed, and what results you can expect, is important. Be sure to ask Dr. Lacerna if there is anything you don’t understand about the procedure.

The Best Candidates for Nose Surgery

Rhinoplasty can enhance your appearance and your self-confidence, but it won’t necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with Dr. Lacerna. The best candidates for rhinoplasty are people who are looking for improvement, not perfection, in the way they look. If you’re physically healthy, psychologically stable and realistic in your expectations, you may be a good candidate.

Planning for Your Surgery

In your initial consultation, Dr. Lacerna will ask what you’d like your nose to look like, evaluate the structure of your nose and face and discuss the possibilities with you. She will also explain the factors that can influence the procedure and the results. These factors include the structure of your nasal bones and cartilage, the shape of your face, the thickness of your skin, your age and your expectations. She may also recommend other procedures to complement the results of rhinoplasty, such as Juvéderm, Restylane or other dermal fillers.

Preparing for Your Surgery

Dr. Lacerna will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking and taking or avoiding certain vitamins and medications. Carefully following these instructions will help your surgery go more smoothly. While you’re making preparations, be sure to arrange for someone to drive you home after your surgery, and to help you out for a few days if needed.

The Rhinoplasty Surgery

Rhinoplasty usually takes an hour or two, though complicated procedures may take longer. During surgery the skin of the nose is separated from its supporting framework of bone and cartilage, which is then sculpted to the desired shape. The nature of the sculpting will depend on your particular issue and Dr. Lacerna’s preferred technique. Finally, the skin is redraped over the new framework.

After the Surgery

After surgery, Dr. Lacerna will probably lubricate your eyes with ointment and may apply a bandage. Your eyelids may feel tight and sore as the anesthesia wears off, but you can control any discomfort with the pain medication prescribed by your Dr. Lacerna. If you feel any severe pain, call your surgeon immediately.

Your New Look

In the days following surgery, when your face is bruised and swollen, it’s easy to forget that you will be looking better. In fact, many patients feel depressed for a while after plastic surgery-it’s quite normal and understandable. Rest assured that this stage will pass. Day by day, your nose will begin to look better and your spirits will improve. Within a week or two, you’ll no longer look as if you’ve just had surgery.

Schedule a Consultation Today

Rhinoplasty is one of the most popular plastic surgery procedures performed each year. Dr. Melinda Lacerna has performed hundreds of nose surgeries and is pleased to help patients enhance their appearance and self-confidence through this procedure. If you would like to learn more about this procedure, or other facial plastic surgery procedures available such as Vampire Facelift, eyelid surgery or necklift contact Dr. Lacerna today. Call (941) 954-4500 for your consultation. You can also send an email to info@LAPlasticSurgeryandDermatology.com.