Coming soon: Laurence Kirwan ‘s algorithm for face-lifting, a step wise guide to procedures for facial rejuvenation
See also: Short scar facelift by Laurence Kirwan
Definition: Rejuvenation of the lower face from the temples to the lower neck. Age: From 30 years old and up.
Dr Kirwan’s surgical technique: The extra skin is removed. Fat is suctioned from the jowls and under the chin. The muscles in the face and neck are tightened. The cheek fat is elevated to a youthful level recreating the cheek highlights. The incisions are placed inside and behind the ear so that you can wear your hair back. The sideburn is left in its youthful position.
Dr Laurence Kirwan’s philosophy: Think of cosmetic surgery as maintenance surgery. Stay fresh and young looking with regular procedures. Waiting until you are 65 and going in for the “works” expecting to come out looking natural is unrealistic. But if you already had a facelift at 45 or 50, then you will look good after a second facelift at 65. Those who ignore this advice may need a mini- facelift 18 months after surgery to tighten the skin again.
Surgical time and recovery fot Dr Laurence Kirwan’s face lift: Surgery takes about 2-3 hours. Stitches are out after 9 days. The patient can go back to work at 10-14 days.
Dr Laurence Kirwan’s related procedures: The most frequent related procedures are blepharoplasty and browlift. A chin implant corrects a receding chin. Alloderm lip implants restore a thin aging lip and a nasal tip-plasty will elevate the end of the nose to a youthful level and reduce a bulbous tip.
Adjuncts to facial rejuvenation: advices from Prof. Laurence Kirwan.
Facial aging involves loss of cheek and chin projection due to descent of the fat pads over the cheek and chin regions. In addition, in the chin area, the sagging of skin in the neck and often a pre-existing obtuse angle between the neck and jaw line, contribute to the loss of definition. Using implants in facial rejuvenation can help. For the last 15 years Laurence Kirwan has used solid silicone implants. They are stable and imperceptible when placed immediately next to the bone. They can also be easily removed or replaced. Cheek implants can augment the effects of a facelift and can be used either to elevate the cheek bones alone using a standard malar implant, or they can be used to augment the cheeks as well as filling in any hollowness in the dimple area. An extended implant is used in this case. Occasionally only the dimple area is treated using a “submalar implant”. Dr. Kirwan thinks chin implants are especially helpful in the case of facelift patients with loss of neck definition or a flat contour to the front of the chin. One of the signs of ageing is an enlargement of the nasal tip cartilages and a drop of the tip giving a hooked appearance. As the tip descends, the bridge of the nose appears more pronounced. Dr. Laurence Kirwan considers minor refinements of the nose can make a big difference. The tip cartilages can be reduced and the tip is elevated. The bridge of the nose is shaved without breaking the nasal bones. The effect is subtle but overall a definite boost to the facial improvement. These procedures can be performed at the same time as face-lift.
1) Cheek Implants by Laurence Kirwan
Can be performed at the same time as a facelift or as a separate procedure. An incision is made inside the mouth just above the incisor tooth. A pocket is made along the bone and over the cheek area. An implant is placed in the pocket and sometimes secured with a stitch that comes through the skin or an internal stitch. The incision is closed with absorbable stitches. After surgery the swelling increase for 2-3 days and then recedes. Most swelling is gone after 7-10 days but the appearance will continue to change for up to 12 months as the tissue reshapes around the implant.
2) Chin Implants by Dr. Laurence Kirwan
Usually performed at the same time as a facelift or as a separate procedure. A small incision is made under the chin. A pocket is made along the bone. An implant is placed in the pocket and secured with an internal stitch. The incision is closed with stitches which are removed 5 days later. After surgery the swelling increase for 2-3 days and then recedes. Most swelling is gone after 7-10 days but the appearance will continue to change for up to 12 months as the tissue reshapes around the implant.
Nasal rejuvenation surgery by Prof. Kirwan
Usually performed at the same time as a facelift or as a separate procedure. Incisions are made inside the nose and the tip cartilages are visualised and reduced so as to give a more defined tip. Sometimes an “open” approach is used which means that an additional incision is made in the skin between the nostrils on the under-surface of the nose. This allows more control of the final shape of the nasal tip.
The nostrils can be narrowed by excising a wedge of the nostril rim in the crease at the side of the nose leaving a scar which is usually barely visible. The cartilage and bone of the bridge of the nose is shaved either through the internal incisions alone or through the open approach. The incision is closed with stitches which are removed 5 days later. A simple tape dressing is applied and left in place for 2-5 days. After surgery the swelling increase for 2-3 days and then recedes.
Most swelling is gone after 14 days but the appearance will continue to change for at least 12 months. Nasal tips in particular will remain swollen for several months and may take 6-12 months to see the optimal result. More information for Professor Laurence Kirwan’s facial Plastic surgery procedures.
Laurence Kirwan, MD, FRCS, a Board Certified Plastic Surgeon, specializes in Aesthetic-Reconstructive Plastic Surgery of the face, breast and body.
Professor Kirwan was born in Liverpool and graduated from the Victoria University of Manchester. He is a Fellow of the Royal College of Surgeons of England. He also trained in General Surgery at Columbia Presbyterian Medical Center in New York. Dr. Laurence Kirwan training in Plastic Surgery was undertaken in Kansas City Missouri and in Hand Surgery at the University of Colorado. He has a Plastic Surgery practice in Park Avenue, New York and Norwalk, Connecticut in the United States (USA) and in Harley Street London, England, UK (United Kingdom). He is certified by the American Board of Plastic Surgery (ASPS). Prof. Laurence Kirwan has been in private practice in the United States in Connecticut and New York since 1987. He has practiced in the United Kingdom since 1998. He is a Clinical Instructor for the Aesthetic Surgery Fellowship at New York Eye & Ear Infirmary where he is a Member of the Section of Plastic Surgery. In 1996 Laurence Kirwan was appointed a Professor of Aesthetic Plastic Surgery (University of Belgrade) at the International School of Aesthetic Plastic Surgery.
Dr Kirwan has been named one of the Best Plastic Surgeons in the Tatler Guide to Cosmetic Surgery in 2004, 2007,2008, 2009, 2010 and 2011. His patient, Ulrika Jonsson, a UK media celebrity and author, was featured on the cover of Hello Magazine after her breast reduction surgery by Prof. Kirwan, in 2009. The London Evening Standard has nominated him as one the 1000 Most Influential Londoners in 2008, 2009 and 2010. He is listed inDebrett’s ‘People of Today’ and was also named as one of the Top 20 Plastic Surgeons, Worldwide in the January 2006 issue of Russian Vogue.
Prof. Laurence Kirwan has published extensively in journals and books related to Plastic Surgery and Hand Surgery and taught Instructional Courses and participated in Expert Panels at National and International Scientific Meetings such as the American Society for Aesthetic Plastic Surgery and the American Society of Plastic Surgeons.
Laurence Kirwan has written several books, including Cutting Edge,:(Artnik, 2004) ISBN 1-903906-22-9 and been featured in several others such as Plastic Surgery: The Worlds’ Top Surgeons and Clinics (Beyond Black Publications, 2007) and The Goddess Guide by Gisele Scanlon (Harper Collins, 2007).
Professor Laurence Kirwan’s philosophy is never to do so much that the patient looks unnatural and never to do too little so that improvement is only in the eye of the beholder. His constant goal is to improve the aesthetics and quite simply create ageless beauty, whether it be a harmony of form or a recreation of youthful features.