RICHARD ELLENBOGEN, M.D.
THE ADDITION OF STEM CELLS AND VOLUME BY FAT INJECTION PUDGE IS YOUTH
Facelift has undergone an evolution over the past years. The study of anatomy and cadaver has improved the techniques performed and verified certain parts of the surgery, which are necessary to create the long-lasting difference. A successful facelift is judged by its artistic simulation of a younger face in all aspects. As variation of techniques evolve and elimination of the done look, different areas was addressed. For years the success of a facelift was judged by the jaw line. The jaw line was conquered almost 40 years ago. However, these good jaw lines did not match the face and neck areas, which took until the last 10 years to correct. The laxity of the neck was improved and finally defeated by skin tightening all the way down to the collar bone. The muscles of the neck tightened in the midline, also behind the ears, gave youthful necks that were unavailable by previous techniques. In fact, doctors had to back off from over skeletonizing the neck and making it too masculine. One of the important changes is the vertical direction of the facelift. In this operation, instead of pulling directly back as the structures of the neck and face are pulled upward with an incision in the sideburn which reverses the direction they fell. This change obliterated the wide forehead look of facelifts and the Joan Rivers pulled mouth and nostril widening.
Newer techniques to tighten the SMAS or inner muscular coverings that sagged were improved. These varied ways of elevating the inner layer by tightening and stitching have been shown to improve the longevity, as well as the results. Exactly how it is to be tightened varies from doctor to doctor and country to country, but just about any tightening procedure seems to work.
However, the greatest advance in facelifts and perhaps in plastic surgery itself is an offshoot of liposuction. The fat from liposuction is purified and injected to replace the fat which is lost in the aging process or fat pockets in the face which have fallen. With thousands of cases worldwide, newer preparation and injection techniques of the fat, the fat can be counted on to survive in the face, lips, eyes, as well as in body procedures. Without replacing fat in faces, faces just look pulled, since that is all that is done. In fact, in many faces, a facelift can be avoided and simply fat injected to fill out the deflated balloon and restore youthful contour.
Another unique advantage of fat grafting is the stem cells are released. Stem cells placed next to mature cells repair the tissue and help to regenerate new youthful tissue. Fat grafting patients have commented on how their skin looks healthier, pores smaller, and wrinkles actually disappearing. The overall affect on the skin is a visual rejuvenation combined with a facial and neck tightening, and an overall look of healthier skin and a youthful face is achieved. In short “pudge is youth”. Of great importance, in my opinion, is the proper placement of the fat in the areas that have lost fat and not to overdo it. A facelift with fat grafting can better be called facial reshaping the temples, as well as the hollow upper eyelids should also be addressed and fat replaced. Lips and the folds and wrinkles in the face can be filled with small parcels of properly prepared fat.
I started fat grafting and was the first to present it in the American literature and at a plastic surgical convention. I also was the first to use it in conjunction with a facelift and publish it in the Aesthetic Plastic Surgeon Journal. As a trained portrait artist, I can actually create faces now that look 10 years younger but, more importantly, realistic looking, fast healing, and an almost pain-free procedure without bandages. My statistics show excellent longevity of the fat and the facial procedure with a negligible re-do rate over the years.
In conclusion, the facelift has improved to a level that it is at today with improvements coming almost yearly in the naturalness, longevity, and overall appearance. This basically relates the state of the facelift as of today 2016.
Dr. Richard Ellenbogen is a Beverly Hills plastic surgeon with more than 30 years of experience performing facelift procedures. He will design a customized treatment plan that will address your unique signs of aging in order to achieve beautiful, natural looking results that help you look and feel your very best.
This page will provide a basic overview of Dr. Ellenbogen’s innovative facelift procedure, but the best way to find out if you are an ideal facelift candidate is to speak with him in person. Please call 310-276-3183 today to schedule a consultation with our Beverly Hills facelift surgeon .
“The Ellenbogen Lift”
Ellenbogen Lift -The Volumetric Facelift
The volumetric facelift (its more familiar name "the Ellenbogen Lift") we believe Is the most advanced and most natural of all facelift procedures practiced today. It gives Dr. Ellenbogen great pleasure to see many of his patients 10 or more years later still showing their youthful look. The procedure although when introduced was considered the state of the art like all technology it has undergone upgrades over the years since it was published in the Journal of Aesthetic Plastic Surgery. Doctor Ellenbogen has been able to observe his patients over the years and improve his technique to make it last longer and look more natural.
Dr. Ellenbogen was among the first to add a patients own fat to a facelift. This makes definite sense since aging is basically is a loosening of the skin and muscles and loss of fat. Hence the name" volumetric facelift”. This is a very precise and exacting part of the surgery. Too much fat gives a too fat face with too little an inadequate result. Many surgeons today don't use fat in their facelift procedures because of its difficulty and achieve a distinctly less natural long lasting result.
The internal musculature of the face and neck as well as the skin also loosens with aging. Dr. Ellenbogen was among the first to realize that these muscles need to be tightened as well. He published his techniques in Plastic and Reconstructive surgery and this article is considered by most plastic surgeons as one of the most important facelift articles ever published.
Doctors from around the world including France, Brazil, China, Korea, South Africa, Italy England and many other countries came to Beverly Hills to observe these revolutionary techniques which gave longer lasting more natural results. They started calling it the "Ellenbogen Lift."
Many advances and visual improvements are made each year. Less incision, the elimination of wrinkles low down by the collar bone, restoring deep hollow eyes, and more distinct jawlines and shorter recovery, less bandage time and less discomfort.
Very few plastic surgeons are both experts on the muscles and fat pockets of the aging face. You combine that scientific expertise with a trained portrait artist and you have a perfect marriage.
The Ellenbogen Lift is the most natural, fastest healing, and least painful facelift operation available today. It takes into consideration that the aging process impacts your face in a variety of ways, including:
- Increased skin laxity
- Loss of fat
- A shifting and descent of fat in the face and the neck
The Ellenbogen Lift can help you restore a youthful looking face, a distinct jaw line, and a properly contoured youthful neck. It offers several important benefits compared to a traditional facelift, including:
- A shorter incision
- Bandages are removed after the first day of recovery
- Minimal post-operative eating and activity restriction
This revolutionary facelift technique delivers consistently exceptional results. Many patients have commented that after their Ellenbogen Lift, people regularly compliment them on their appearance and ask if they have lost weight. Dr. Ellenbogen often recommends a neck lift in conjunction with the Ellenbogen Lift for enhanced results.
Experienced Beverly Hills Facelift Surgeon
Over the past three decades, Dr. Ellenbogen has chosen to make facial plastic surgery a primary focus of his practice, and he has pioneered several procedures commonly used today. He is regarded by many plastic surgeons as the “father of facial fat grafting .” As a result, Dr. Ellenbogen knows exactly where to place the fat to recreate the shape of a youthful face.
Dr. Ellenbogen has performed this surgery thousands of times, and this experience enables him to place the fat in a way that ensures it will last. In fact, many other prominent plastic surgeons consider the Ellenbogen Lift to be state-of-the-art in facial rejuvenation, and Oprah has called him “Hollywood’s answer to aging.”
The Ellenbogen Lift procedure won the award at the International College of Clinical Plastic Surgeons as well as the Aesthetic Association award for Best Facial Plastic Surgery. See for yourself the dramatic results than can be achieved when you undergo this revolutionary facelift procedure.
Please contact Beverly Hills Body today to schedule your facelift consultation. Dr. Richard Ellenbogen serves patients in Beverly Hills, Los Angeles, and Hollywood, California.