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.

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

Description:

This 49-year-old woman is seen five months after a deep plane facelift, deep plane neck lift with submandibular gland reduction and reduction of the anterior belly of the digastric, endoscopic brow lift, upper and lower blepharoplasty, lip lift, and fat grafting. Together these procedures represent comprehensive facial rejuvenation. This patient is a compelling demonstration that a comprehensive approach to facial rejuvenation produces extremely natural results without looking overdone. The meaningful improvements created throughout the face work together synergistically to create a youthful, energetic appearance without distortion. She also represents an important point: performing a facelift at a younger age can have significant benefits. Performed by Adam Bryce Weinfeld, M.D., facial aesthetic plastic surgeon in Austin, Texas.

Description:

65-Year-Old, One Year After High SMAS Facelift, Deep Plane Neck Lift, Fat Grafting, and Blepharoplasty

This 65-year-old patient was photographed approximately one year after undergoing a high SMAS facelift, deep plane neck lift, fat grafting, and upper and lower eyelid blepharoplasty. The results demonstrate how combining advanced facial rejuvenation techniques can restore youthful balance, volume, and definition with natural-looking results.

The high SMAS facelift shares similarities with the deep plane facelift—both involve repositioning deeper facial tissues to achieve long-lasting improvement in facial contour. However, the high SMAS technique differs in the extent of skin elevation and repositioning, making it particularly effective for certain facial structures and aging patterns.

In an aesthetic landscape where many surgeons perform only one type of facelift, Dr. Weinfeld offers both high SMAS and deep plane approaches, tailoring each to the patient’s unique anatomy. His comprehensive understanding of facial layers ensures results that look refined, natural, and harmoniously proportioned.