Facelift FAQsWhat is a facelift?
A facelift is a cosmetic surgery procedure performed at our Beverly Hills practice that helps patients look younger. A facelift targets the major signs of aging in the lower face and upper neck area, specifically repairing the looseness of the skin and tissue.Am I a candidate?
The ideal candidate for a facelift will be old enough to want to eliminate the signs of aging through their lower face and neck, yet young enough that they retain enough skin elasticity to ensure a positive recovery and results. Candidates for facelift surgery should be in good health both mentally and physically, and maintain realistic expectations about the results of their procedure.Will a facelift get rid of all my wrinkles?
A facelift targets the lower face and upper neck. Deep wrinkles can be minimized in those areas, although they may not disappear completely. For wrinkles in the upper face, between the brows and around the eyes, additional procedures will be needed.Can I combine a facelift with other procedures?
Yes, a facelift is often combined with additional surgeries for more comprehensive results. For example, an eye lift (or eyelid surgery) can create a more alert appearance around the eyes, while a brow lift will lift and smooth the forehead area. Minimally invasive procedures like BOTOX® Cosmetic and injectable fillers can also be very complementary with a facelift.How do I choose the right surgeon for my facelift?
A board-certified plastic surgeon has extensive training in cosmetic and reconstructive surgery to deliver the best possible results. You should also choose a surgeon you feel comfortable with, and one whose before and after photos make you feel confident in their work. Some patients chose a surgeon based on the results and recommendations of friends and family who have undergone a facelift with good results.Will my results look natural?
Natural results should be the goal of every fac e lift procedure. After healing, most facelift patients look more rested and refreshed, not "done" or tight. The goal is not to look like a teenager again, but simply to ensure that you can continue aging a bit more gracefully.What should I expect during the procedure?
Dr. Sayah prefers to take an endoscopic approach toward facelift surgery to minimize scarring and promote patient comfort. A light general anesthetic is used to make sure you’re comfortable, plus a local anesthetic. Initial incisions are made near the ear for traditional surgery, or behind the hairline in endoscopic surgery. Liposuction may be used to remove any excess fat deposits, and the muscles in the lower face will be tightened and stitched in place. The remaining skin is redraped over the newly supported framework of the lower face, and any excess is removed. Dr. Sayah completes the surgery using specially layered stitches to ensure lasting results with minimal scarring.What should I expect during recovery?
Some swelling and discomfort are normal immediately after surgery, but cold packs and keeping your head and neck elevated should help alleviate this. The bandages can be removed by the second day following your surgery, and sutures will be removed a few days later. You should expect to take it easy for a week or two, and then return to normal light activities.When will I see results?
You should notice a difference in your appearance almost immediately, although the final results will be disguised at first by some bruising and swelling. Most of the signs of recovery should be resolved after a few weeks, with subtle improvements continuing for several weeks after that.Is there anything else I should know?
You should know that a facelift is a permanent procedure that will take several years from your appearance. However, nothing can completely stop the aging process, so you can still expect to see some changes in your face in the years following your facelift. Some patients choose to have a second facelift several years after the first. Minimally invasive treatments are another excellent way to keep the signs of aging at bay for longer.*
Eyelid FAQsWhat is eyelid surgery?
Blepharoplasty, or eyelid surgery (sometimes called an eye lift), is performed at our Beverly Hills practice for primarily cosmetic reasons, but may also help correct vision obstruction due to droopy eyelids. This surgery targets the eye area to remove puffiness and correct tired-looking lids.Am I a candidate?
The ideal candidate for an eye lift will notice that upper eyelids have fallen past the lash line, lower lids show white below the iris, or puffy bags below the eye. Candidates for an eye lift should be in good health both mentally and physically, and maintain realistic expectations about the results of their surgery.Will eyelid surgery get rid of my crow’s feet?
Eyelid surgery actually focuses on rejuvenating the structure of the eyelids rather than addressing the winkles at the corner of the eye. Additional procedures are included often along with eyelid surgery to specifically address crow’s feet and other fine lines and wrinkles.How do I choose the right surgeon for my eye lift?
A board certified plastic surgeon who has extensive training in both cosmetic and reconstructive surgery will deliver the best possible results. You should also choose a surgeon you feel comfortable with, and one whose before and after photos make you feel confident in their work. Some patients choose a surgeon based on recommendations from friends and family who have undergone an eye lift with good results.Will my results look natural?
The goal of every eyelid surgery is to deliver natural results that leave patients looking younger and more refreshed, not “done.” Choosing a board certified plastic surgeon with extensive experience performing eyelid surgery will go a long way toward ensuring a great outcome.What should I expect during the procedure?
Dr. Sayah prefers to use either light sedation or general anesthesia for eyelid surgery. A long-lasting local anesthetic is used as well to ensure that patients feel comfortable throughout the surgery and into early recovery. The specific surgical technique varies depending on which areas need to be addressed, and the level of correction that’s needed.What should I expect during recovery?
During upper eyelid surgery, Dr. Sayah makes an initial incision hidden within the natural crease of the inner corner of the eye. Through this incision, he removes extra fat and fatty tissue, as well as tightening lax muscles to correct the position of the eyelid.
For a lower blepharoplasty, Dr. Sayah places the incision just below the lower lash line to remove the excess skin and fat responsible for creating puffy bags below the eye. In some cases, the lower eye membrane may be tightened to push fat back in rather than removing the fat entirely.
Dr. Sayah completes the surgery using very fine stitches to ensure lasting results with minimal scarring.
Some swelling and discomfort are normal immediately after surgery, but applying cold packs should help alleviate both. You should keep your head and neck elevated after you first arrive back home, and avoid any vision-intense activities like reading or watching TV. Instead, rest your eyes as much as possible and drink plenty of liquids. Wearing contact lenses should be avoided for the first week or more after surgery. Most bruising or swelling should dissipate within the first week, and the incisions will fade after a few weeks.When will I see results?
You should notice a difference in your appearance almost immediately, although some bruising and swelling may initially disguise your improvements. After a few months, you should have a good idea of your final results, although many patients continue seeing improvements even after this time.
Rhinosplasty FAQsHow do I select a surgeon to perform my nose surgery?
Selecting a qualified surgeon with whom you can develop excellent rapport is the most important decision you will make after choosing to have rhinoplasty. Surgeons trained in plastic and reconstructive surgery and board certified by the American Board of Plastic Surgery are the most completely trained specialists performing nose surgery. They not only perform cosmetic nasal surgery, but they routinely reconstruct nasal deformities resulting from cancer, trauma, or infections. Dr. David Sayah completed his training in general surgery followed by his specialty in plastic and reconstructive surgery. He is a Diplomate of the American Board of Plastic Surgery and an Ambassador of the American Society of Plastic Surgeons. With excellent staff, we are confident you will find the care you receive at our office unmatched.How do I decide what nose shape best matches my face?
During your consult, Dr. Sayah will review your areas of concern and offer suggestions on improving your nose to your specifications. He recommends reviewing photos of models to select your favorite nose features and learn about other nose possibilities. With these photos in mind, your personal images can be morphed on a computer screen under your guidance to show you an approximation of what you will look like with your future new nose.How do I make sure that nose surgery will look natural?
Excellent communication and rapport between patient and surgeon are of utmost importance in achieving the natural nose you desire. You are encouraged to return to our office as many times as necessary until you feel you have decided on the nose you envision for yourself. Remember that small changes throughout the nose lead to effective but natural results.How long until I see final results?
Once your splint is removed at one week after surgery, most people will not be able to detect that you’ve had nose surgery. At 8 weeks after surgery, your close friends will not see any further signs of a rhinoplasty, though you still feel swollen. At 6 months after surgery, you will not feel any more swelling, but the minimal residual swelling continues to decrease slowly over the next six months. The swelling at your nasal tip will be the last detail on your nose to settle. Your final result will show itself only at one year after surgery which is far longer than other surgeries.Will nose surgery improve my breathing?
Aesthetic nose surgery alone does not change breathing. Internal nose surgery on the nasal septum (septoplasty) and turbinates (turbinectomy) opens the breathing passage. During your consultation, Dr. Sayah thoroughly examines your nose including the internal components of your nose to diagnose any abnormalities such as septal deviation of enlargement of your turbinates. He will then suggest appropriate treatment options for your breathing problem.Does my health insurance pay for nose surgery?
Health insurance companies typically do not cover aesthetic nose surgery. They do, however, cover nasal surgery for breathing difficulties and reconstructive nasal surgery.How old do I have to be to have rhinoplasty?
The nose continues to develop until mid-teens with most of the development occurring in the first 14 years of life. However, patients have to be mature enough to want nose surgery for the “right reasons,” have realistic expectations, and understand facts associated with the procedure. For that reason, Dr. Sayah typically does not perform rhinoplasty on anyone younger than 16 years old. Nose surgery for developmental problems or breathing difficulty can be performed at younger ages based on severity of the problem.Is there a maximum age for rhinoplasty?
There is no age limit to rhinoplasty. As long as you are in good overall health and obtain a health clearance from your primary care physician, you can have nose surgery.What type of anesthesia is recommended for nose surgery?
Dr. Sayah prefers mild sedation along with local anesthesia for nose surgery. With this type of anesthesia, you will not feel, hear, or remember any part of your surgical procedure. Minor to moderate complexity rhinoplasty procedures can be performed using local anesthesia alone if you prefer. More complex nose surgery is safer with mild sedation.Will I have bruising or black eyes after my rhinoplasty?
Dr. Sayah uses special techniques to minimize any bruising after nose surgery. Mild bruising and black eyes typically occur after more complex nose surgeries which involve fracture of the nasal bones. The risk for bruising can be minimized by avoiding aspirin, non-steroidal anti-inflammatories such as Ibuprofen (Advil, Motrin), or herbal supplements which can thin your blood prior to surgery. Please adhere to your pre and post-operative instructions to minimize the chance of bruising.Can I wear glasses after rhinoplasty?
Glasses are the perfect disguise while the splint is on your nose. After your splint is removed one week after surgery, you may not wear your glasses until 6 to 8 weeks after surgery.When can I return to work after nose surgery?
Most patients return to work one week after surgery as long as they are able to avoid heavy lifting or the head down position. Those wishing to resume an active lifestyle or work life need to wait until 2 to 4 weeks after surgery. Essentially it is important to avoid the possibility of trauma to your new nose while minimizing the chance of increased swelling. Dr. Sayah will guide you through the recovery process during your regular follow-up visits.I'm disappointed with my prior rhinoplasty. What can be done?
Dr. Sayah specializes in revision nose surgery. Based on the type of problem, you must wait 6 months to one year after your last surgery prior to undertaking revision rhinoplasty. Options for correcting your nose surgery results include revising the structural components of your nose by refining the existing components of your nose, adding cartilage grafts to improve contour and breathing difficulties, or revising scars at the nose. You are encouraged to schedule a consultation with Dr. Sayah if you have any concerns with your prior rhinoplasty.How Is ethnic rhinoplasty different from standard rhinoplasty?
Ethnic rhinoplasty can be divided in 2 categories: ethnic patients who want a less ethnic nose, or ethnic patients who want refinement in the appearance of their noses while maintaining their ethnicity. Any standard nose surgery must give consideration to your ethnicity and your desire to maintain or minimize your ethnic appearance. Dr. Sayah will discuss minimal changes in your nose to achieve natural results and maintaining balance with your other features.
Brow Lift FAQsWhat is a brow lift?
A brow lift (sometimes called a forehead lift) helps resolve the appearance of aging in the forehead and upper brow, including minimizing deep lines and creases as well as lifting a fallen brow line. During surgery, the skin and muscles of the brow are repositioned for a smoother, younger look.Am I a candidate?
The best candidates for a brow lift notice a lower set to their brows that overshadows their eyes, or have distinct furrows in their forehead and/or between the eyes. It’s also important to be in good health mentally and physically, and to maintain realistic expectations about your procedure.Can’t BOTOX® and injectable fillers keep my brow looking younger?
While minimally invasive treatments like BOTOX® and injectable fillers can definitely help keep minor signs of aging at bay for several months at a time, these treatments are only temporary and don’t affect the underlying structure of the forehead musculature. Only surgery can address the more visible signs of aging that develop as the result of changes in support structure of the face.Can I combine a brow lift with additional procedures?
It’s very common to combine a brow lift with additional procedures, and this typically offers even more comprehensive results. For example, including eyelid surgery with a brow lift helps rejuvenate the entire eye and brow area. Many surgeons will also incorporate BOTOX® or injectable fillers as a finishing touch to a brow lift. It’s important to discuss your appearance goals with Dr. Sayah so he can develop the treatment plan that will work best for you.What should I expect during my procedure?
Dr. Sayah prefers to perform the majority of brow lifts endoscopically, beginning with small, hidden incisions in the hairline. Starting with the deepest layer of the scalp, Dr. Sayah gradually works toward the surface while releasing muscles to allow the brow better upward mobility and improved elevation. The endoscopic approach offers a faster recovery time for patients with less discomfort and swelling.What should I expect during recovery?
Most patients feel sore at first, and may notice some initial swelling; both of these can be helped with cold packs. It’s important to keep the head elevated immediately after your surgery, which further helps keep swelling down. Over-the-counter medication is often sufficient for helping patients feel more comfortable, although Dr. Sayah can recommend something stronger if needed. The majority of patients are able to return to work within a few weeks.When will I see results?
You should notice a difference in your appearance almost immediately, although your final results will be initially disguised by the initial post-operative swelling. As your brow heals and settles, you should see an improvement in the position of your brow, as well as notice that deep lines and wrinkles appear less pronounced.
Neck Lift FAQsWhat is a neck lift?
A neck lift resolves the major signs of aging or in the upper neck and jaw area, as well as loose skin or muscle laxity following weight loss. During the procedure, the underlying muscles are tightened and any excess skin and tissue are removed for a firmer, smoother look.Am I a candidate?
The best neck lift candidates will have visibly loose skin in the neck and jaw, and want to restore more definition to the area. It’s also important to be in good health mentally and physically, and to maintain realistic expectations about your procedure.Can’t liposuction help slim down my neck?
Liposuction can definitely remove excess fat deposits in the neck, but lipo alone can’t address loose or excess skin and tissue.Can I combine a neck lift with additional procedures?
It’s very common to combine a neck lift with additional procedures, which often delivers more comprehensive results. For example, including liposuction with a neck lift can offer a level of fine-tuning for a more comprehensive result, while performing a neck lift and facelift at the same time can dramatically rejuvenate the entire lower face. Some patients may include a chin implant with neck lift surgery as well. It’s important to discuss your appearance goals with Dr. Sayah so he can develop the treatment plan that will work best for you.What should I expect during my procedure?
During your surgery, Dr. Sayah will make small incisions that wrap behind the ear, which are placed to be as inconspicuous as possible after healing. The affected muscles will be lifted and sutured in place, while soft tissue is repositioned and redistributed. Any excess skin and tissue are removed during surgery, sometimes via liposuction. Finally, the skin is redraped over the newly tightened framework for a slimmer, younger look.What should I expect during recovery?
Most patients feel sore at first, and may notice some initial bruising and swelling. Discomfort can be alleviated by wearing a special compression garment, or by applying cold packs. Over-the-counter medication is often sufficient for helping patients feel more comfortable, although Dr. Sayah can recommend something stronger if needed. The majority of patients are able to return to work within a week or two.When will I see results?
You should notice a difference in your appearance almost immediately, although your final results will be initially disguised by some bruising and swelling. As your neck heals to its new contours, your final profile will be revealed.