In 2001, a 78 year old patient, who had a primary facelift in 1991, underwent her secondary facelift by me (see photos).
Her surgery went well with no particular complications. In 2005, at age 82, she returned for minor surgery, unrelated to her facelift. It was at this visit that I noticed a tic on her right cheek.
A second clinical example:
70 y.o. Asian lady 2 years post left-sided Bell’s palsy, seeking surgical and non-surgical remedies to improve her appearance.
- Significantly more pronounced facial asymmetry
- Massive synkinesis of the cervical branch of the facial synchronized with smiling and blinking.
This patient’s video is more useful to any surgeon who is planning to improve her facial appearance and movement than all of her still photographs.
Traditionally, in plastic surgery, the evaluation of objective outcomes has been relegated to the before and after surgery patient pictures. But these handful of hand-picked patient photographs (either by accident, or by design) can never describe the entire ‘living patient’, neither before nor after surgery. This deficiency has created unintended misunderstanding and mystery both about plastic surgery in general, and the plastic surgeon in particular. Worst of all, it allows the ill-prepared surgeons and other imposters to wreak havoc to the unwary patients and the general public. Today, this deficiency can and should be remedied by adding before after surgery videos to supplement the patient records.