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Neck Lift

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Neck Lift

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@drarielrad

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$🫶🏻I love this natural refresh for my patient who wanted to look softer and more youthful but wasn’t quite ready for a full facelift. She was concerned that her eyes looked dull and tired, that she lost significant facial volume. She was also disappointed by the results from a prior open rhinoplasty done elsewhere, which left her with a saddle nose and polly beak deformities. 👃 ••• Her goal was to soften her facial features with subtle volume, brighten her eyes and restore a natural appearance to her nose. I treated her with revision rhinoplasty, facial fat grafting, endoscopic brow lift and upper blepharoplasty. Since her brows were already arched, my strategy was a more of a lateral elongation and slight lift with addition of volume throughout forehead, temples, under eyes, upper eye sockets, midface and lips. The volume you see here is permanent and there’s a beautiful glow to her skin owing to a rejuvenating effect of fat that we often attribute to stem cells (though stem cells were not fractionated and specifically injected). 🎯 For her nose I did a closed revision and corrected the “inverted V” deformity with cartilage grafts which I harvested from behind her ears. Ear cartilage is a soft, supple tissue that is perfect for revision rhinoplasty when the septum is not available due to prior septoplasty as it was not for her. I corrected the supra tip “polly beak” by reduction and then tip grafting which takes advantage of building on a stable foundation rather than reconstructing the whole cartilage framework which can destabilize the underlying structure. ••• Overall her eyes are brighter, warm and inviting and now take the focus of attention away from her nose. She told me afterwards that initially she was nervous to have a big change, but now she’s so inspired by her natural results that she wants the full facelift. Good news is that it’s perfectly fine to have another procedure and aim to restore her face to look decades younger! 💯 • • • #faceops #faceoptimization #facialrejuvenation #blepharoplasty #endoscopicbrowlift #rhinoplasty #closedrhinoplasty #nosejob #beforeandafter #aesthetics #sherberandrad$

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🎯 My patient is looking incredible 10 months after deep plane lower face and neck lift with deep neck sculpting (gland reduction), buccal fat removal and chin augmentation. Before we met, he had 2 prior submental liposuction procedures done elsewhere, with no meaningful improvement despite his $8K investment.💰
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When we consulted he had a very bottom heavy face and it was clear to me why the liposuction didn’t work — he is a slender guy with very little subcutaneous fat, the only layer that liposuction thins. The real problem was bulging deep tissues: saliva glands, subplatysmal fat and strap muscles which liposuction does not change. These tissue structures were larger than his mandibular (jaw bone) frame and so bulged especially when his chin was pointed down. 💯% correction required “deep neck sculpting”, a meticulous technique to reduce the deep tissues so that they fit inside the jawbone. Believe it or not *no* skin was removed and I worked through hidden incisions behind his ears and under his chin. Also his bulging lower cheeks were perfect for buccal fat reduction to sculpt his lower face. His chin was already well projected and so I used a pre-jowl implant to smooth the contour from chin to mid-mandible.
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Gland reduction is technically complex due to large blood vessels running through and behind the glands and the hypoglossal nerves which control tongue movement are nearby. In experienced hands it is a safe procedure and crucial to achieve optimal results. Results effectively last forever because these tissue don’t grow back. Now his confidence is higher than ever and has permeated other ares of his life.💪 What do you think about his results? Comment below!👇
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#faceops #faceoptimization #facialrejuvenation #deepplanefacelift #deepplanenecklift
#deepnecksculpting #beforeandafter #aesthetics #sherberandrad

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🫶🏻I really enjoyed getting to know and providing care for this lovely young lady from Florida. She was concerned for a crooked deviation of her nose which compromised her breathing, 👃 as well as hollowing under her eyes which made her look tired and distracted attention away from her beautiful eyes.👁️
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When we met in consultation, she had a dorsal hump on her bridge and a crooked nasal curvature to her left. When I tested her airflow I determined that she had a septal deviation and collapse of her internal air passage on one side. Our single staged plan entailed closed rhinoplasty for hump reduction, narrowing and gentle tip lift, and opening her airways for better breathing. For her under eye hollows, I first determined that she had “positive vector” orbital rims, meaning that her socket bone structure is well projected, so her tear trough hollows could be addressed by gentle fat grafting throughout the soft tissues. Patients with positive vector eyesocket structure can get excellent results with fat grafting because the volume required to fill hollows is much less than that for negative vector anatomy, and as you can tell her eyes look so much more refreshed.
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Think of the air passages through our noses as parallel oval-shaped tubes — the top of the tube, closest to the bridge, is called the “internal nasal valve” and when it’s pinched airflow is severely reduced and manifests as difficulty breathing. The treatment for this is a technique called “spreader grafts”. “Graft” refers to a piece of tissue from another area, in this case a thin piece of cartilage from the septum, and “spreader” refers to placing it in the internal nasal valve to “spread” it open. By splinting open the pinched top of the tube, airflow is restored.
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Her beautiful eyes are the focus, now that her nose blends with the background of her face, and her eyes look rested and refreshed. 💯🙌
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#faceops #faceoptimization #fatgrafting #closedrhinoplasty #rhinoplasty #beforeandafter #sherberandrad

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FaceOps IG Live! Key takeaways 🔑:
• safety first: to maintain the highest levels of safety, highest level of expertise in surgery and anesthesia and nursing care
• the best results are customized: your face I uniquely 1 in 4,000,000,000 on the planet so our surgeries also need to be customized to each face
• my surgeries are customized and fine tuned to your anatomy & goals — this requires deep discussion - I spend time with you!
• aesthetic optimization is all about millimeter changes throughout the face that synergize and harmonize
• diagnose the problem: deficient bone structure can never be compensated by soft tissue procedures alone
• synergy occurs when the aesthetic result of one procedure makes other areas of the face look more attractive — for example, orbital rim implants enhance both the eyes and the midface
• I use synergistic “proportion effects” to enhance eyes and lips: for example, a rhinoplasty that narrows the nose on front view, or canthoplasty that lengthens the palpebral fissure (ie the eye opening) can make the eyes look slightly farther apart, often a positive aesthetic effect. Similarly a forehead reduction hairline lowering and deep plane face and neck lift can make the eyes look larger.
• the best surgeons in the world are the most meticulous, visionary and technically competent
• how long do procedures last? It depends on quality of tissues, quality of the facelift and the maintenance that you do with neuromodulators, laser (Clear+Brilliant is the most effective; stay away from CO2), skincare with high quality sunscreen (check out “truck driver facial aging”)
• stay away from Renuvion and Morpheus8 which are inexpensive devices that have no feedback control mechanism and can’t modulate the amount of energy delivered to tissues — this can result I get atrophy and microscopic scarring that causes a leathery texture without appreciable skin tightening
• Thermage FLX is the gold standard non-surgical skin tightening device that reliably delivers the right amount of thermal energy to tissues by virtue of its feedback control mechanism.
• no non-surgical treatment can never deliver results like well executed surgery
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1101 15th St NW #100, Washington, DC 20005 | 202.517.7299 | contact@sherberandrad.com

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