Description:

Early follow-up (2 months) from endoscopic brow lift, upper lid blepharoplasty, lower lid blepharoplasty, and fat grafting. Great combination of procedures for this woman in her early thirties who wants to look more awake and “slow down” the aging process.

The brow lift was what is best described and Turbo Powered Endoscopic Brow Lift. Why turbo powered? First endoscopic brow lifts are performed through small incisions made in the scalp and an endoscope, which is a thin surgical camera, is inserted beneath the skin in order to dissect it down to the brows so that they can be freed and repositioned at a higher location. Most endoscopic brow lifts are done through three such incisions. However the “Turbo Powered” version involves two additional small incisions further off to the side in the scalp part of the temple. When you add these two additional incisions it allows you to dissect further down on the face down to the cheekbones and allows you to reposition and elevate the skin surrounding the lateral portion of the eyelid and Peri orbital region. By doing so you’re able to elevate additional tissues in the temple region and even the upper cheep turning a routine brow lift into what is better described as an upper facelift. This was paired with a very minimal upper lid blepharoplasty to remove any residual excess skin in the upper eyelid to give a really smooth look to the upper eyelids and reduce lateral hooding. It’s important to keep in mind with any upper lid blepharoplasty that there needs to be some residual skin left behind in order to prevent an issue where the eyelids wont close. A transconjunctival lower lid blepharoplasty is where the incision to address the lower eyelids performed on the inside of the lower eyelid. This allows you to liberate and reposition the fat pad in the lower eyelid to drape it over the bone and blend the lid cheek junction. This can help reduce the tear trough and create a smooth transition from the lower eyelid to the upper cheek that mimics the anatomy seen in much younger people. When we look at these photos we must bear in mind that lower eyelid procedures often have a longer recovery time as it relates to swelling. For that reason her lower eyelids do you look somewhat puffy but it is a good demonstration of a reduced tear trough. Fat grafting was performed in the upper cheek to further reduce the tear trough and to further blend the lead cheek junction.

Description:

58-Year-Old, One Year After Facelift, Neck Lift, Fat Grafting, Blepharoplasty, Brow Lift, and Lip Lift

This 58-year-old woman was photographed approximately one year after a comprehensive facial rejuvenation that included a facelift, neck lift, anatomic fat grafting, upper and lower blepharoplasty, endoscopic brow lift, and lip lift.

By combining structural lifting with volume restoration and delicate eyelid and brow refinement, Dr. Weinfeld achieved a harmonious, natural-looking rejuvenation. The results showcase smoother skin, refined jawline definition, and refreshed eye and lip contours—demonstrating how a customized, multi-layered approach can beautifully reverse signs of facial aging.

Description:

This 58-year-old woman underwent upper and lower blepharoplasty combined with an endoscopic brow lift — together representing complete periorbital rejuvenation. The endoscopic brow lift can be thought of as an upper facelift, and is also referred to as an upper ponytail lift. All incisions are hidden within the hair. The technique I use involves five incisions; the two over the temples allow significant elevation of the upper lateral cheek tissue, which can complement a facelift beautifully — and when done alone, can create meaningful changes extending into the midface in select patients. In addition to being a facial aesthetic plastic surgeon, I hold additional training and certification in oculoplastic surgery. She is seen here at four months following her surgery. This procedure was performed by Dr. Adam Bryce Weinfeld, facial aesthetic plastic surgeon in Austin, Texas.

Description:

This 58-year-old woman underwent a deep plane facelift, deep plane neck lift with submandibular gland reduction and reduction of the anterior belly of the digastric, platysmaplasty, endoscopic brow lift, upper and lower blepharoplasty, upper lip lift, and fat grafting to complement her other procedures. She is seen here at four months. The combination of these procedures not only makes her appear between 10 and 15 years younger, but creates the appearance of significant weight loss — even though her weight has not changed between the two photographs. This procedure was performed by Dr. Adam Bryce Weinfeld, facial aesthetic plastic surgeon in Austin, Texas.

Description:

83-Year-Old Male, Two Weeks After a Secondary Facelift and Neck Lift

This 83-year-old male patient was photographed just two weeks after undergoing a secondary facelift and neck lift. More than a decade after his first facelift, he sought Dr. Weinfeld’s expertise to restore youthful definition while correcting the effects of time and prior surgical aging.

The most recent procedure lifted and reshaped the cheeks, reduced jowling, and eliminated excess neck skin, achieving a smoother, more balanced facial contour. In addition to improving overall facial shape, this surgery also provided an opportunity to refine incision placement, resulting in a more anatomic and natural positioning that will yield less noticeable scars as healing progresses.

Description:

This 67 year old woman is seen just two and a half months after a secondary facelift. She had her original facelift performed by another surgeon approximately 10 years prior. A deep plane facelift technique and deep plane neck lift technique were used. When performing a secondary facelift, there are times when a deep plane approach is not possible — if the prior facelift significantly altered the anatomy in a way that would make it dangerous. However, in this patient a deep plane facelift was safely performed, and facilitated significant improvement in facial shaping. Her neck lift included submandibular gland reduction, reduction of the anterior belly of the digastric, and platysmaplasty, all of which contributed to further improvement in her contours. This procedure was performed by Dr. Adam Bryce Weinfeld, facial aesthetic plastic surgeon in Austin, Texas.

Description:

Description:

Technique: Open Revision Rhinoplasty with Costal Cartilage Grafts
Graft Types: Bilateral Spreader, Columellar Strut, Bilateral Alar Rim, Dorsal Onlay
Graft Source: Costal (Rib) Cartilage

Patient Story

This patient is a retired woman currently living in Georgetown, Texas who was referred to Dr. Weinfeld by another Plastic Surgeon in Round Rock for consideration for Revision Rhinoplasty. This patient suffered significant nasal trauma with a severe nasal fracture (broken nose) in her late teen years. This event had a significant negative impact on her breathing and on the appearance of her nose. In here early twenties she underwent a rhinoplasty which she states worsened her nose leaving her with very small nostrils that are difficult to pass air through, a very short nose, and an over rotated tip. She desired a revision rhinoplasty to improve the appearance and function of her nose. This was a very emotional issue for her and in particular she stated that she wanted her nose to have the appearance that it did prior to the injury and the first rhinoplasty. In particular she wanted a slight convexity to the dorsum (i.e. a slight hump) which was consistent with the character of her nose as she remembered it. She underwent the complex revision rhinoplasty using rib cartilage some of which was fashioned into a dorsal onlay graft which was essential in the process of restoring dorsal contour and nasal length. She has been very happy with the transformation in the appearance of her nose and its function. She is now considering having Dr. Weinfeld perform a facelift.

Description:

Buccal fat pad reduction has the powerful ability to reshape the lower cheeks. The procedure removes a small amount of fat from between the cheekbone above and the jaw bone below through two small incisions inside the mouth. The incisions are near where we sometimes accidentally bite our cheeks. There are no external incisions and thus there are no visible scars. Removing precise amount of the buccal fat gives a puckered appearance which can enhance cheek bone fullness, jawline contour, and can even make it look as if a patient has lost weight. The procedure is quick and can be performed awake in the office or asleep as part of other procedures to enhance facial appearance, as was the case with this patient.

Description:

This 55-year-old woman is seen four months after a deep plane facelift and deep plane neck lift. Her neck lift included submandibular gland reduction and reduction of the anterior belly of the digastric — steps that are particularly crucial in thin patients to create appropriate neck contour. She also underwent Aviva laser to facilitate scar management, making her incisions nearly invisible. This patient represents an important and growing category: facelift for patients who have undergone significant weight loss with the assistance of GLP-1 medication. She lost 50 pounds, and that weight loss created significant laxity — particularly in the lower face. The Light-Touch TriMax deep plane facelift technique that I perform is especially well suited for addressing skin excess in these regions.This procedure was performed by Dr. Adam Bryce Weinfeld, facial aesthetic plastic surgeon in Austin, Texas.

Description:

Chin augmentation with porous, polyethylene, implant, and submental liposuction