The Lifestyle Lift™ vs. The Howard Lift by Paul S. Howard, MD

Facelift Alabama

Plastic Surgeon Birmingham Alabama

The Lifestyle Lift™ (or LSL) continues to generate publicity, both good and bad, in the beauty business universe.  Ongoing lawsuits in the State of Florida brought by attorney general Pam Bondi as well as dueling articles in plastic surgery practice magazines explaining and dismissing the litigious nature of the LSL Company keep the spotlight on this controversial marketing company.  It is not known, the malpractice history of the LSL doctors, yet their history of suing and being sued regarding their trademarked name and aggressive marketing practices is well documented in public forums.  Let me be absolutely clear, LSL is not a facelift nor any kind or combination of surgical procedures.  Once again, the LSL is not a facelift.  The precise nature of the company is a little vague but we do know that it is a marketing juggernaut flooding the TV waves, radio and more recently the internet with a multi-million ($15 million or so) dollar ad campaign featuring the once popular Debbie Boone, daughter of teen idol Pat Boone of white-buckskin-shoe fame.

When one analyzes this expansive company it is easy to understand why there is a cottage industry of cases (patients) searching for plastic surgeons to re-do or correct the surgeries done under the auspices of this marketing company.  The LSL brand is metastasizing to every possible market as researched through their massive call bank in Troy, Michigan.  The major problem they are experiencing is the fact that they have grown rapidly, have roughly 90 doctors on the payroll nationwide, and it appears they are having one helluva time controlling the quality of their product.  Roughly 20% of their surgeons are actually board certified plastic surgeons.  As with any statistical analysis, there is a bell curve describing the quality of their surgeons.  It’s just the numbers are so large that the one’s with poor results number in the thousands every year.

The LSL marketing machine touts 3-4 facelifts a day (per doctor) and a procedure that only takes an hour to do.  When you consider that many of their surgeons are youthful, an hour facelift is improbable.  It seems that time is made-up by handling the incisions with haste.

Dr. Paul S. Howard

Regardless, Forrest Gump said it best, “Life’s like a box of chocolates, you never know what you’re gonna’ get.”  You can say same about the LSL.

In our efforts to separate what we do from LSL, we make a point of offering only one facelift per day performed entirely by a myself, a real board certified plastic surgeon with no consultationists, no fellows or residents involved with the personalized patient care.

As far as the facelift procedure itself, our Howard Lift has many commonalities with the LSL except it was developed from patient requests and follow-up over many years and not to satisfy a preconceived marketing plan.  Also, the Howard Lift is only the base procedure taking care of the cheeks and jawline.  Each patient receives a complete evaluation including the neck, eyelids, brow, and nose as needed.  A complete skin care evaluation with appropriate skin care including chemical peels and CO₂ laser resurfacing as indicated.  All of this is included at a cost comparable to the LSL except you know your board certified plastic surgeon and his entire staff prior to the day of surgery.  Follow-up is provided exclusively by myself and my staff so there are no covering physicians or strangers involved in your surgical care or follow-up.

For an in-depth explanation of our philosophy of practice and opinions on the surgical issues of the day, log-on to our web site www.thehowardlift.com and access our photo galleries and informative Faceliftology™ Blog.  The number one reason for unhappiness with a plastic surgical result is a lack of information and not being fully informed about your surgeon and his

Dr. Paul S. Howard is Board Certified by the American Board of Plastic Surgery.  To schedule a consultation with Dr. Howard to discuss your cosmetic surgery goals, please call 205-871-3361

*Faceliftology is a registered trademark, registered by Dr. Paul S. Howard, Plastic Surgeon Birmingham, Alabama.

*The LifeStyle Lift is a registered trademark, registered by Lifestyle Lift Holding, Inc. Michigan.

Who is a Candidate for the One Week Facelift? by Paul S. Howard, MD

It is axiomatic that all facelifts are different and certainly one cannot recover from all facelifts in a single week.  What I wish to describe is the optimal situation from both the patient’s point-of-view and the surgical perspective.  Choosing the right patient with application of the correct facelift procedure under optimal anesthetic conditions will usually yield the quickest facelift recovery: one week from my perspective.

Who is the best candidate for the facelift procedure?  Ideally, the best candidates for facelift are women between 40 and 60, healthy, non-smokers, with the proper motivation and support.  More specifically our ideal patient is active and actually benefits from a return to normal activity in a week.  As with any surgical procedure, the difficulty and extent of deformity provided by the patient is important.  In the perfect world described here, our female patient has moderate aging of the cheeks with early marionette lines, somewhat deepened nasolabial folds and the presence of the “bubble” of cheek fat tissue obscuring the jawline.  Once these conditions exist, there is no amount of injecting or fillers that can camouflage or “lift” tissues to redefine the jawline.  Some skin elasticity remains as opposed to our older patients with “leather” skin, and a multitude of deep wrinkles indicated a total loss of elasticity.  Weathered skin is usually due to extensive sun exposure without sun-block, as well as environment toxins and smoking.  These older patients with skin elasticity problems are still candidates for facial rejuvenation, but the operations are more extensive and cannot be recovered in one week.  Minor aging of the neck can also be treated simultaneously and does not prolong our one week recovery.

We try to address as many skin quality problems as possible pre-operatively.  We prescribe the nightly use of a Retin-A, hydroquinone, steroid solution as well as a cleansing facial treatment pre-operatively if possible.  We frequently recommend lower blepharoplasty with our midface lift and thus recommend an eye exam prior to blepharoplasty in most cases.  Previous surgery for cataracts or glaucoma is noted as the post-operative incidence of swelling in the form of a chemosis is more likely in these patients and may take more than a week to resolve with prescription eye drops.

Optimal anesthetic conditions include the use of local anesthesia with sedation rather than general anesthesia.  The control of blood pressure within a narrow range of the pre-operative value is necessary to minimize swelling and bruising that is expected when emergence from general anesthesia is necessary.  Aspirin and NSAIDS are stopped 2 weeks pre-operatively, and Bromelein and Arnica are recommended peri-operatively.  The liberal use of ice on and around the eyes with constant head elevation, regional blocks for peri-orbital anesthesia, and minimal injections directly in the ultra-thin eyelid skin reduce the chances for injection bruising in the lids.

The most important discussion to lessen edema, bruising, and to expedite recovery within one week is the choice of the mid-facelift and the details of its performance.  Lapsing into technical jargon, our lift is a short-incision mini-lift with a multi-vector, progressive tension SMAS plication.  The combination of techniques results in an aggressive lift with a minimal of undermined skin resulting in minimal “dead space” to accumulate blood or fluid.  For this small area of undermined skin, we have further developed a system of “micro-drains” utilizing vacutainer tubes as the collection/suction mechanism.  These 21 gauge drains are effective for removing any possible fluid collections and are removed at 24 hours post-operatively.  These small drains are incorporated into 24 hour post-op compression dressing, and in most cases the patients don’t know they exist.  The light compression dressing is augmented with “rest-on foam” on the neck and adjacent to the peri-auricular incisions.  This foam is also removed at 24 hours and is replaced by an ace bandage to compress the dependent portion of the neck and to protect the ears, especially at night.  The neck compression is important to achieve our goal of one week to “street-ability.”

Incision care is of the utmost importance to achieve our goals.  Gentle cleansing using peroxide once a day with careful application of Aquafor, especially around and behind the ear where it is difficult to see and for the dissolvable lower eye-lid stitches.  If the lower led sutures are allowed to dry, they will become brittle and will not dissolve on schedule at about 5 days.  The nylon sutures about the ear and in the submental neck are removed at 5 days except for a few “key” sutures in areas of tension.  These key sutures are removed on day 7.

Lastly, a word or two on the general aspects of healing.  It should go without saying that a calm, smoke-free, supportive environment is important to have the mindset to heal uneventfully.  We request careful attention to the instructions provided to prepare for facelift surgery and the comfort to call at any time if any uncertainty arises.  All of the medications are provided for a reason and should be taken exactly as prescribed.  We will go over all of your medications in detail with you so there are no mis-understandings regarding when to resume them.  Controlled activity beginning post-operatively day one is important.  There will be three office visits during the first week and of course these are very important.  It is probably equally important for your mental recovery to parallel your physical recovery.  Although we aim for your physical facelift recovery to be well along at one week so that you can be in public, your recovery will continue for many weeks and months to total normality.  We use serial photography to allow you to follow your recovery visually, which in most cases, helps your physical recovery and state-of-mind as well.  You will receive copies of all photos as well as the constant reminder of your pre-op condition with a set of your before photos as well.

We believe that we are all “goal oriented” people and that goals for life as well as for recovery from surgery are important.  Our goal for you is a one week recovery and we will provide you all of the tools necessary to achieve this goal.

Read more about Alabama facelift surgeon Dr. Paul Howard plastic surgeon and view facelift before and after photos.

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