Friday, March 30, 2012

Face Lift Surgery-How to prepare

Before complete face lift.
Two weeks after surgery
Six weeks after surgery
1 year after full face lift.

Face lift surgery is a very important decision in one's life. If you prepare well your experience will be much better. Once you have chosen a plastic surgeon who is board certified, you have seen before and after photos and be very comfortable with the office; you are on your way. This blog will focus on some of the fine points in the recovery process.
Thoughtful preparations prior to face lift surgery for the San Francisco Bay Area patient can lead to reduced discomfort and promotes faster, successful healing. Many patients ask what they can do to get ready for surgery, and surprisingly there is much that can be done.
Planning ahead one should decide if they plan to lose weight in the near future. Being at one’s goal prior to surgery will allow the surgeon to tighten any resulting loose skin. It is not necessary to lose weight prior to surgery if one is stable and satisfied with their weight.
If a patient smokes, it will be necessary to quit 2 to 4 weeks prior to surgery and not resume for 2 to 4 weeks after. A nicotine patch is not an acceptable alternative as nicotine constricts the flow of oxygen to treatment areas greatly impeding the healing process. It is hopeful that a patient that has quit smoking for 1 to 2 months for their surgery will be able to quit for good.
If you color your hair you should do it just prior to surgery or you will need to wait at least a month afterward.
Being at optimal health is best for going into surgery. If you don’t already have a healthy diet this is a good time to consider making smart changes. Lots of fruits and vegetables and lean protein are recommended. After surgery be sure to eat lean protein which assists in healing and avoid sodium as it increases swelling. Prepare frozen meals in advance that are healthy and easy to fix. Plan on soft foods for the first couple of days, again foods that are high in protein and low in sodium. Drink lots of water. Avoid alcohol. There are excellent vitamin products and homeopathic remedies that help with bruising and healing, Dr. Delgado’s patients will be advised of these prior to surgery.
Plan where you will recuperate. If you have a recliner chair, they are the most comfortable for elevating the feet, knees and head. Some Marin County patients have gotten a chair at a garage sale and then donated it after recovery. If you do not have a recliner, be sure to have lots of pillows available to prop up your head and knees. If possible have a speaker phone by your bed and a remote control for the T.V.
Decide what you will be wearing for the first few days, pick items that open in front and do not have to be pulled over your head. Same for what you wear the day of surgery. Wear slip on shoes. You must have someone pick you up as you will not be able to drive as long as you are on pain medication. Plan to have someone stay with you for the first 24 hours or even a couple of days if possible.
Have ice packs or a couple of bags of frozen peas for the first few days. Be sure to get plenty of rest and plan on not doing any housework, heavy lifting or exercise, avoid hot showers, hot tubs and saunas for 2 to 3 weeks or until you get clearance from Dr. Delgado. Brush hair gently and do not tug at the hairline.
The cost of a face lift can vary greatly as each surgery is individual to the patient’s needs. To obtain an accurate personal quote, see Dr. Delgado in consultation. View Dr. Delgado’s vast collection of face lifts before and after in the photo section of this site.
You may choose to meet with Dr. Delgado’s esthetician prior to surgery for camouflage makeup tips to hide bruising and to get on a good skin care regimen.
Dr. Delgado’s cosmetic face lift surgery patients will receive a preoperative surgery packet of information at their visit prior to surgery that will describe the prescriptions that will be given. Be sure to fill prescriptions in advance and write down the time they are taken, it is easy to forget. The packet will have an extensive list of medications and herbs that must be avoided 2 weeks before and two weeks after surgery as they can cause bleeding issues.
In order to go into surgery as relaxed as possible, it is important to address any questions or concerns with Dr. Delgado and Dr. Gaynor the anesthesiologist. Their goal is to keep you comfortable and have your surgery experience be positive.

Monday, January 23, 2012

Neck Lift - San Francisco Bay Area

Neck lift
The purpose of a neck lift is to reverse the toll that time, gravity and sun exposure have taken on the vulnerable skin of the neck. This is one of the primary areas to reflect the signs of aging. A neck lift does not stop the aging process, but it can significantly turn back the clock.  This is achieved by the removal of excess fat, tightening the underlying structures, trimming excess skin, and re-draping the skin of the neck.  A neck lift can be done in conjunction with eyelid surgery, a brow lift, or other facial procedures. Often if the neck has significant laxity a lower face lift my be indicated. This is because the face and neck blend together.

A neck lift is most commonly performed in men and women between their mid 40’s and late 50’s.  Genetic predisposition toward facial imbalance, such as a small jaw (chin) or a short neck, may encourage a person to seek out surgical correction even earlier than this.  Sometimes a chin implant will help the facial balance significantly if the chin is weak.

 The change people often first notice in their necks is the loss of skin elasticity, as evidenced by a new slackness of the skin. The skin under the chin loosens and sags with fat deposits, and the platysma muscle bands in the neck, formerly invisible and confined beneath firmer skin, become obvious as they flex behind a softer, looser wall.  The sleek contours of the neck disappear, giving way to loose bands of skin that may even form a fold as they reach the base of the neck.  Eventually, this slackness of the skin can extend into the upper chest as well.   The jaw line loses its definition as the collagen in the cheeks decreases, allowing the skin to slip lower and lower below the jawbone, forming a small pouch or jowl on each side of the jaw.  Some people are genetically prone to a turkey neck appearance, well before the aging process has set in, and in spite of maintaining an otherwise trim and fit physique.    

Before Neck Lift
After Neck  Lift

Some people may first be bothered by the appearance of fat under the chin that is unrelated to any weight gain, making them appear heavier than they actually are.   Others are more distressed by the aged appearance of platysma bands, formed by the platysma muscles that run from the chin down to the upper chest.  These are evidenced by thin vertical bands or cords that lend a distinctive time-worn look to the front of the neck.  Any one of these signs of aging in the neck is enough to prompt many people to seek out the correction that can be achieved with a neck lift.  A simple test to determine whether a neck lift would be helpful is to pull the neck skin posteriorly towards the ears and see if this demonstrates the improvement you seek. 

Tuesday, December 13, 2011


For those individuals that are considering having a facelift procedure performed, taking the time to find the best Marin county plastic surgeon for the job is essential. There are hundreds of cosmetic surgeons that can perform the procedure, but as a candidate for this procedure, one must truly take the time to do their research, find the top rated San Francisco Bay area surgeons, and make sure that they choose the best surgeon for the job. With such a major surgical procedure, prior to choosing a surgeon, it is wise to take the time to research, get referrals, and ask local professionals about which surgeons are truly the best in the area.
For starters, when considering a facelift, the individual considering the procedure has to research. Using online sites, contacting the directory of plastic surgeons, and requesting information from as many San Francisco Bay area cosmetic surgery offices around, will ensure the right office is chosen. By doing online reviews, you will be able to find before and after photos, client testimonials, and the certifications and degree that the surgeons have. This will also allow the researcher to find information as to how many years the cosmetic surgeon has been in practice, and how many facelift procedures they have performed. The more sites that are visited, and the more surgeons that you research, the more information you will have, in order to help you choose the right one for the procedure.
Another means of finding the right surgeon is to ask for referrals. You can ask a local hospital, your doctor, or others you know who may have had a facelift procedure performed. There are also online referral sites, which will give key information on the best plastic surgeon in the Marin County area. Referrals and word of mouth advertising is probably the strongest indication of how great a plastic surgeon is. The more individuals refer a surgeon to you, the higher the likelihood that they are truly the best. On the other hand, those surgeons that constantly get negative reviews and referrals, are likely to be the ones you should avoid.
Lastly, going in for a consultation, meeting the plastic surgeon, and getting a feel for the offices must be done. After getting the referrals and reviews, the individual considering the facelift procedure should make a short list of three to five surgeons, and go in for a consultation. This will allow them to get information on the procedure, meet the surgeon and his or her staff, and get a feel for the offices. Here you will also get information on pricing, recovery, and what to expect. After going to consultations, taking the time to choose the best surgeon, and the one that you felt most comfortable with, is the final task.
By taking the time to go through these steps, you can feel confident in the decision you ultimately make, and you can feel confident that you are choosing the best San Francisco Bay area plastic surgeon for the procedure.   He has offices in San Francisco at Union Square and Marin County in Novato.
Before and after Facelift

Monday, October 10, 2011

Facelift San Francisco Bay Area

Welcome to Facelift San Francisco Bay Area

This facelift blog site will discuss many aspects of facelift surgery.  The blog will explore the various types of face from the most extensive facelift procedures to the less invasive techniques.  The blog will show before and after photos and videos of the facelift experience. 

A facelift is a big step in a person's life. The choices that you make will last a life time.  The blog will discuss how to select a plastic surgeon and the issue that are critical in the selection process.

Miguel Delgado,MD,FACS is the plastic surgeon writing this blog.  He has performed hundreds of facelift procedures and related procedures. He is Certified by the American Board of Plastic Surgery and a memeber of the American Society of Plastic Surgery.  Dr. Delgado's vast credetials can be view on his website.