Call 312-397-9600 or 847-513-6899 for the Staff of Dr. Michael Byun, M.D., S.C.

Facelift in Chicago

Facial enhancement is a delicate art, that, if performed correctly, will leave you rejuvenated rather than the much maligned and stereotyped “tight and unnatural” look. Dr. Byun has received additional experience with facial enhancement and has performed numerous facial surgeries throughout his career. Thus, he is well versed in all the latest techniques necessary to make your face look the best it has ever looked. There are a variety of surgical options you can opt for to keep your face looking young. Best of all, you can return to normal daily activities in days, feeling rejuvenated and revitalized.

FaceLift

When should I consider a facelift/face lift?

It may vary between patients, as there are multiple factors to consider before having facial surgery. Tissue quality and personal aesthetics, in conjunction with age are the main determinants. However, it is you who decide when the reflection in the mirror doesn’t truly represent who you are. Whenever you want to look as young as you feel is the right time for you to consider a facelift.

What is a facelift/face lift?

It is the combination of removal of excess skin and the rearrangement and repair of the tissues and muscles beneath the skin of the face, especially the cheeks, to restore youth and resilience to the contours of the face. It helps to eliminate sagging and wrinkles in the cheek and jaw area.

How is it done?

Facelifts are typically performed using incisions near the hairline to remove excess skin on the face and then manipulating the tissue and muscles beneath the skin. Dr. Byun takes a different approach compared to most surgeons by addressing the “midface,” the cheek area beneath the eyes which can result in folds between the mouth and nose. It is an area that is often ignored in many facelift procedures but is a major area of concern for many facelift patients. Dr. Byun believes that treatment of this area is key to restoring balance and youth to the face.

We have provided a sample copy of an Operative Report. The procedure is subject to change per the patients needs.

PREOPERATIVE DIAGNOSIS:

  • Facial ptosis with redundant skin
  • Brow Ptosis, bilateral

POSTOPERATIVE DIAGNOSIS:

  • Facial ptosis with redundant skin
  • Brow Ptosis, bilateral

OPERATION:

  • Midface lift, with vertical elevation of the descended malar cheek fat pad with the face lift through a pretragal incision.
  • Brow lift, bilateral, endoscopic

ANESTHESIA: General

OPERATIVE PROCEDURE:
After induction of general anesthesia in a supine position, the patient was prepped and draped in the usual sterile fashion. ____ ml of 1 % lidocaine with epinephrine as well as ¼ % of lidocaine with epinephrine were injected to the forehead and face, cheek and jowl areas. The usual four hairline incision were made for the brow lift where the subperiosteal dissection was carried out using the Ramirez dissectors. The supraorbital rim periosteum was released. The supraorbital nerves were identified and preserved using the endoscope. Dissection was carried out to the lateral aspect of the orbital rim down to the cheek over the zygoma area subperiosteally bilaterally. Good hemostasis was confirmed using the endoscope. Once the cheek was mobilized superiorly, and Endotine coapt suture was inserted and pulled superiorly bilaterally. Next, pretragal incision dissection was done, and subcutaneous dissection was carried out down to the jowl area and cheek region where the subcutaneous flap was pulled laterally and anchored using 3.0 Vicryls and 4.0 Vicryls. The skin was closed using 5.0 Fast Absorbing bilaterally. The brow was anchored using 3.0 Vicryls, and a bulky dressing was applied.

Mid Face Lift

You might not be feeling it, but are you looking tired, sad, or upset? Does your facial structure seem to have an emotion of its own? Is your face not representative of the younger person inside? If you answered yes to any of these, we might have a solution for you!

What can I do for these problems?

Luckily, the midface lift, or vertical face lift, can provide an answer to all of the above issues. This lift, studied and developed by Dr. Byun for over twenty years, targets areas in the cheek and jowl that often suffer from drooping, reversing the effects of age on the face.

What techniques separate him from other plastic surgeons?

Dr. Byun utilizes techniques that he researched and developed himself, along with a specialized device called the Endotine Midface implant, a bioabsorbable suture used to connects delicate tissue. Using an incision along the hairline near the forehead, Dr. Byun inserts the suture into the cheek area as it will hold the cheek and malar fat pad in the correct position while the tissues heal and reattach. This procedure provides structure and vigor to the cheek area. Then, a more standard facelift incision is made at the side of the face by the ear. Excess skin is then excised in order to lift jowls along a sagging jaw, which, along with the cheek procedure, gives the face an altogether more youthful appearance.

Dr. Byun’s Midface Lift Technique

Dr. Byun first presented this technique to the National Plastic Surgery Meeting at the American College of Surgeons in Orlando in May 1998. He demonstrated how the aging of the midface involves the interconnected muscles and tissues of the lower eye, the cheek, and the corner of the mouth, and lifting this area meant all of these issues needed to be managed simultaneously. Therefore, Dr. Byun proposed that elevating the malar cheek pad using small incisions would solve all of these problems, reshaping the central face and restoring youth to the cheek.

Facelift Chicago
Mid-Facelift Chicago

We have provided a sample copy of an Operative Report. The procedure is subject to change per the patients needs.

PREOPERATIVE DIAGNOSIS: Facial rhytids

POSTOPERATIVE DIAGNOSIS: Facial rhytids

OPERATION: Midface lift with elevation of the malar fat pad and the elevation of the jowl using Endotine Coapt Suture

ANESTHESIA: General

OPERATIVE PROCEDURE:
After the induction of general anesthesia in a supine position, the patient was prepped and draped in the usual sterile fashion. A total of 50 ml of ¼ % Lidocaine with Epinephrine were injected to the face area where the temporal incision was made. Subperiosteal dissection was carried out in the supraorbital area and lateral orbital rim and the inferior orbital rim area subperiosteally. This was done bilaterally using the Ramirez dissector. Next the coapt, endotine sutures were introduced bilaterally and this was pulled up and anchored to the temporalis fascia with 3.0 Vicryl. This successfully elevated the descended malar fat pad subperiosteally. Next, the retro tragal facelift incision was made from the sideburn area down to the earlobe area where the subcutaneous tissue was dissected and the SMAS flap was elevated there using 3.0 Vicryl to improve the pre-jowl region. This was done using 3.0 Vicryl. Dissection was done also in a similar way on the left side where the subcutaneous tissue as well as the SMAS flap was developed and these were anchored thus superiorly using 3.0 Vicryl. The skin was closed using 4.0 Vicryl and 5.0 Catgut. Good hemostasis was obtained. The skin was closed using 6.0 Prolene.

Facelift Recovery

You will have a bulky bandage over and around your head immediately after surgery. Leave this in place for 48 hours. After the 48 hours follow the instructions about showering and incision care, found on the first page of this packet. Cleanse any uncovered incisions 3-4 times a day using clean gauze soaked in saline water (found at your local pharmacy). Be sure to tilt your head back while shampooing and never forward. Keep bunny wrapped Ace bandage applied at all times for the first 72 hours. Remove this wrap only before showering or cleaning incisions and replace afterwards. After 72 hours you can switch off, two hours on and then two hours off. Dr. Byun will direct you on continued use at your follow-up appointment. Also continue to apply light Bacitracin, if needed, to incisions (located on the front and back of ear) for one week or until you see Dr. Byun. It is advisable to sleep with two or three pillows for at least 10 days. You can sleep on your side, as long as it does not cause pain. The head is to be raised 30 degrees for two to three days. We recommend that you sleep on your back.

Some temporary effects of surgery may be: headaches, tightness in the scalp area, a small lump behind the ear, a lump along hairline, bruising, swelling, blurry eyes, dizziness, clogged ears, shooting nerve sensations and numbness. These are all normal and a part of recovery. The forehead does not usually bruise, but it is possible to get black eyes from this procedure. Three days following surgery you can apply makeup on surgical site to disguise bruising. For the first two weeks, avoid any clothing that pulls over your head. In addition, you cannot wear earrings for one month. If you color perm your hair, be sure to do so BEFORE the surgery. No chemicals should applied for six weeks following surgery.

*In most cases the ace bandage is applied in a “bunny wrap” form, tied around the part of the neck under the jaw line and tied at the top of the head resembling floppy bunny ears. Re-apply this “bunny wrap” as the instructions pertaining to your surgery tell you. Do not tie it too loose or too tight. Pressure should have a gentle firmness in order to be effective.

How much down time is involved?

One week after surgery you will need to return to Dr. Byun to remove any external sutures. The Endotine suture, however, is bioabsorbable, meaning that it dissolves on its own over a six-month period. Don’t be alarmed; it rests under the skin and will not visible to anyone who looks at you. You may experience significant swelling and bruising, particularly in the first 24 to 72 hours following surgery. To conceal bruising, makeup can be applied three days after the conclusion of surgery.

How will I know I won’t have that “wind-tunnel,” tight look?

While other surgeons may pull the skin tight after trimming excess skin in the facelift technique, Dr. Byun instead prefers to work on each individual area of the face separately in order to restore natural contour. The former can sometimes appear too unnatural and overdone, the latter, Dr. Byun’s approach, prioritizes being delicate and making gentle changes in order to reverse the effects of time on your face. His goal is to return vitality to your naturally beautiful appearance.

Our goal is to return vitality to your natural appearance.