The deep layer facelift has revolutionized face lift surgery. This technique involves repositioning the jowls and cheeks back to their original positions. The fullness of the face is restored and very little skin is excised. This deep layered facelift enables the plastic surgeon to improve the patient’s appearance in a way that is not possible with the standard skin excision face lift.

With the standard skin excision technique the skin is pulled backward towards the ears, often resulting in an unnatural wind swept appearance. With the deep layered technique, the deep tissues are pulled in an upward direction. The skin falls into place naturally and is closed without any tension. A more natural youthful appearance results.

In order to correct the upper lids and brow an endoscopic lift is done. Dr. Becker has developed his own technique for this procedure which he has presented at plastic surgery meetings and is published in the Aesthetic Surgery Journal.

The facelift procedure may be performed in the doctor's office or in an outpatient surgical facility. Premedication is generally recommended to relax the patient. The procedure is usually performed under local anesthesia with sedation. The incision is placed in the natural crease of the facial skin and begins inside the hairline, in the temple area above and forward of the ear. It continues in front of the ear around the earlobe and behind the ear. The skin is lifted outward and the surgeon tightens and repositions the underlying muscles and tissues. Excess skin and fat may also be removed. A facelift can take between two to four hours depending on the extent of the procedure.

The Mid Face Lift is ideally suited to the younger patient who wants to avoid visible scarring.

An incision is made in the temporal hair line.  A device called the endotine is used to elevate the checks and jowls, resulting in a fuller more youthful appearance.   For more information www.coaptsystems.com.

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For patients whose main problem is excessive skin or sagging of the neck, a neck lift can be performed.  This procedure may consist of:

• Liposuction of the neck
• Liposuction and suspensions of the neck muscles

• Formal neck lift which is essentially a lower Face Lift

There are several procedures that are considered lunch hour face lifts. These include thread lift, mini face lift, neck lift, fat injections, Radiesse injections and laser treatments.

With the hectic lifestyles most people live today, it is difficult to take time out of our work and social schedules for surgery, especially if the recovery is going to be 2-3 weeks.

With this in mind, Dr. Becker has developed the hydrostatic face lift. This procedure takes less than one hour to perform. The patient wears a neck band and is able to return home shortly thereafter.

Tiny incisions are made behind the ear and under the chin being virtually invisible. For further elevation of the lower face, an incision is made in the hairline above the ear. Once again this incision is not seen.

The procedure is performed in our certified surgical center under local anesthesia. The skin of the neck and lower face is elevated off the underlying tissues using hydrostatic pressure i.e. injection of saline fluid to lift the tissues. The tissues are then further freed using special elevators, developed by Dr. Becker.

We have developed a rejuvenation process which is based on the concept of utilizing whatever is necessary to accomplish an optimal result.  This may include:

    - A brow lift
    - Eyelid surgery
    - Nasal refinement
    - Cheek enhancement
    - Deep layer face lift
    - Smas face lift
    - Neck lift
    - Skin peeling and laser treatments
    - Injectables- micro fat injection, botox, sculptra, restylane, radesse.
    - Post operative skin care maintenance.

These procedures are performed over a six month period.  The procedures are packaged in a comprehensive one time fee which will enable the surgeon and the patient to freely utilize any of these during this period to obtain the desired result.

Wrinkles and frown lines in the brow and forehead area are often some of the earliest signs of aging. A brow lift (forehead lift) can smooth out the wrinkles and correct drooping brows and heavy lids to provide a younger, friendlier appearance. A brow lift can be performed alone or with other facial rejuvenation procedures such as a facelift, eyelid surgery, or laser skin resurfacing.

A brow lift is usually performed as an outpatient procedure under local anesthesia with sedation. The procedure may take 1 to 2 hours to perform.

Endoscopic or minimal-scar brow lift is performed using a tiny fiberoptic lens inserted through half-inch incisions placed in the hairline. The lens is attached to a camera, which is connected to a television monitor, allowing for visualization of the surgery. Additional half-inch incisions are made for the insertion of tiny scalpels, scissors and retractors. Your surgeon performs the procedure while viewing the television monitor and manipulating the tiny instruments externally.

An endoscopic brow lift is particularly useful with younger patients where the removal of excess skin is not required. With an endoscopic brow lift, loss of sensation or hair at the incision site is minimized. Since an endoscopic brow lift can significantly reduce the frown lines between the eyes, it is often performed in conjunction with upper eyelid surgery to achieve optimal results.

• Smaller incisions
• Minimal scarring
• Less bleeding
• Less hair loss
• Minimal numbness
• Quicker recovery

Dr. Becker has developed an enhanced technique on brow lifting and published an article on a technique for tightening the skin with a special cannula that he developed.

1. Preliminary Results of Double Fixation in Endoscopic Forehead Lift.  Hilton Becker M.D. - Aesthetic Surgery Journal July 2006.