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ANDREW A. JACONO, MD, FACS Now Offering Vectra 3D ImagingTechnology To Simulate Surgical Results 440 Northern BoulevardGreat Neck, New York 11021(516) 773-4646www.newyorkfacialplasticsurgery.com to benefit the Nassau CountyCoalition Against Domestic Violence 990 Fifth AvenueNew York, New York 10021(212) 570-2500 ANDREW A. JACONO, MD, FACS GIFT CERTIFICATES AVAILABLE* FREE VISIA DIGITAL COMPUTER SKIN CARE ANALYSIS *Good AdviceThe aging process, if you haven’t noticed, has a wear-and-tear effect onour skin and our bodies. As we enter our forties and early fifties the jaw lineand neck begin to loosen, creating jowls, neck laxity, vertical bands in theneck, and that much dreaded “turkey neck.” In recent years we havebecome intolerant of these consequences, and more of us are seeking torewind the clock and revitalize our physical being.There were over 100,000 facelifts performed in 2009 according to theAmerican Society of Plastic Surgeons, but the techniques used vary widely. There are corporatesponsored face lifts that are advertised on television claiming no downtime, trademarked lifts,mini lifts, S-lifts, MACS lifts, and deep plane lifts. This is all very confusing,and most of us do not understand the vital differences. How do you decidewhat procedure gives the best results, with minimal scarring and downtime,and the longest lasting results? This is the most commonly askedquestion by my patients.Short-incision “mini” face lifts, often the ones advertised on television,utilize an abbreviated incision to lift the skin. While the incision is small(hidden inside the ear) leaving minimal scarring, post-operative bleedingand bruising is a trademark of these procedures. They typically tighten only the skin and donot lift and tighten the muscles. As a result, they can leave patients with a windswept,“pulled” appearance, and the results last only three to five years, as the underlying facial musclesare not tightened. The facial muscles are the structure of the face, the beams that hold upthe face lift if you will; and if not treated the lifted face will fall earlier than desired.Compared to “mini” face lifts, a deep plane face lift yields more effective, longer lastingresults with my patient population. It is a procedure that lifts the skin and muscle as one unit,as well as lifting the mid-face and cheek area. On the downside, deep plane face lifts requirea very large incision, resulting in more noticeable scarring which makes hiding your procedurevirtually impossible.The most state-of-the-art face lift is a recently developed hybrid technique, that I call theThe Future Lift: A New Hybrid Facelift Techniqueby Andrew A. Jacono, M.D., FACSThe most state-of-the-artface lift is a recentlydeveloped hybrid technique,that I call the Future Lift.advertisementFuture Lift, which fuses the optimal features of older-generation, short-incision “mini” facelifts with deep plane face lifts. Hybrid face lifts yield superior, natural looking results with minimalscarring and a shorter recovery (7-10 days). In addition, this lift restores volume to thecheekbones and smoothes nasolabial folds, resulting in a youthful, beautiful, heart- shapedface and authentic result that does not appear tight or “overdone.” For years, my patientshave had to choose between better results or less scarring. With hybrid face lifts, they get thebest of both worlds.The Future Lift uses a short incision, while lifting the facial tissue and muscles simultaneouslyso patients get the superior results of a deep plane face lift, combined with the minimal scarringof a “mini lift.” It is not only an option that delivers best-in-classresults, but a procedure that offers longer-lasting results as well. The standardlifetime of a “mini lift” is between three to five years, but with newerhybrid face lifts results typically last 12 to 15 years.Just like a “mini face lift,” The Future Lift can be performed under localanesthesia in about an hour and a half. General anesthesia is not necessary,making this a safe procedure as well. Given the level of difficulty inperforming this procedure, as a more detailed understanding of the anatomyis required, I encourage any patient considering this procedure to seek a physician who specializesin facial plastic surgery and possesses the level of expertise required to perform a hybridface lift. As a committed facial plastic surgeon, I assure that all of my patients have a clearunderstanding of the different types of procedures. Any patient considering a face lift shouldbe aware of all of their options.To learn more about this innovative procedure, please call our New York or Great Neck offices at212-570-2500 or 516-773-4646, or you may visit us at www.NewYorkFacialPlasticSurgery.com.Dr. Andrew Jacono is a Dual Board Certified Facial Plastic and Reconstructive Surgeon. He isSection Head of the Facial Plastic and Reconstructive Surgery at North Shore University Hospitaland an Assistant Professor of Facial Plastic Surgery at New York Eye and Ear Infirmary, andAlbert Einstein College of Medicine.To advertise: 516-505-0555 x1 or ads@liwomanonline.com LONG ISLAND WOMAN • April 2011 • 15

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