J. Kevin Duplechain, MD, FACS Facial Cosmetic Surgery and Skincare
(337) 326-5158
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Facelift

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Why Dr. Duplechain for
Your Facelift

  • More than 1,000 facelifts performed
  • One of a limited number of surgeons offering a true deep plane, high SMAS facelift
  • Incorporates lower eyelid suspension and fat grafting for more complete results
  • Uses laser resurfacing to "shrink wrap" and smooth the overlying skin
  • Teaches his innovative facial surgery techniques to peers

Benefits

Dr. Duplechain's facelift patients enjoy many benefits and advantages. As a facelift specialist, he has dedicated himself to developing improved facelift techniques for more complete, longer-lasting, and more natural looking results.

He performs a true deep plane facelift, which many surgeons do not offer due to the complexity of the procedure. Additionally, he has developed an endoscopic eyelid suspension technique which improves the appearance of the lower eyelid and upper cheek for comprehensive, seamless results.

Many surgeons perform an S-Lift or a mini-facelift, which produces limited and typically shorter-lived results. With Dr. Duplechain's approach, patients can expect:

  • More youthful facial contours: Dr. Duplechain's technique restores youthful contours to the face from the lower eyelid/upper cheek, through the midface, to the neck and jaw. He often incorporates fat grafting to re-create the youthful shape of the face.
  • Restoration of the upper cheek and lower eyelid: Dr. Duplechain developed and teaches an endoscopic eyelid suspension technique which addresses under-eye hollows, bags, and drooping lower lids.
  • Fewer lines and wrinkles: Facelift surgery is specifically intended to improve the lower two-thirds of the face. The surgery can dramatically smooth and soften wrinkles around the nose and mouth, including nasolabial folds and lip lines. Additionally, he often performs laser resurfacing, which creates a "shrink wrap" effect, smoothing and firming the skin.
  • Improved definition of the jawline: Loose, sagging skin along the jawline can cause a square or bottom-heavy facial appearance with no clear definition of the neck and jaw. Dr. Duplechain tightens underlying muscles and removes excess skin during facelift surgery, which streamlines the jawline and chin and creates a more youthful appearance.
  • Correction of laxity in the neck and jowls: The thin skin of the neck is particularly susceptible to aging and sun damage and often becomes loose or "crepey" as time passes. Dr. Duplechain tightens and smooths the neck skin and muscles for complete facial rejuvenation.

Learn why men and women come from all over Louisiana, including Alexandria, Baton Rouge, New Orleans, and Lake Charles for facelift surgery with Dr. Duplechain. Request your consultation today.


BeforeAfter

BeforeAfter

Dr. Duplechain's Facelift Results*

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*Keep in mind that each patient is unique and your results may vary.

Dr. Duplechain Explains Your Facelift Procedure

Planning Your Procedure

When I perform facelift surgery, I begin with a consultation in order to understand and learn about the patient's cosmetic desires. I ask patients to bring in pictures of themselves from 10 and 20 years in the past, as well as a picture of them at about 20 years of age. This allows me to see the aging process as it occurred and allows me to create a plan that will either restore or improve on their once-youthful look.

Facelift surgery is often a difficult decision for many patients, and I will often meet with them on 2 or sometimes 3 occasions to ensure their needs will be met in the operating room. During the consult, I will review the 3 key components of the aging face.

Sagging and Laxity

First, of course, is the laxity that developed as an effect of gravity and aging. This is addressed by surgical techniques that elevate the tissues, remove or reposition fat, tighten the underlying facial and neck muscles, and remove and redrape the skin. This is described in more detail below.

Volume Loss

The second key component of aging is the volume loss that many patients develop. This may be due to a genetic factor, a dietary factor, or even a desire by the patient to be thin. I often restore volume with fat injections and platelet rich plasma (PRP) simultaneously during a facelift procedure to enhance the natural shape of the face, creating a more oval rather than square look. Pre-adipocytes, harvested from another part of the body, will over time create new fat cells that provide lasting volume and also help rejuvenate the skin. By using a patient's own fat and enhancing it with his or her own growth factors, a significant improvement can be achieved with fat grafting.

Skin Resurfacing

Finally, no facelift is complete until the skin has at least been considered. I perform CO2 laser resurfacing on most of my patients who are undergoing facelift surgery. The "shrink wrap" effect of the laser creates a smooth, flawless complexion that completes the rejuvenation of the aging face. Combined with an oxygen-rich cream to enhance the effects of the laser procedure, the skin may take on a completely rejuvenated appearance. If the patient is also concerned by aging and sagging of the upper face, I may recommend a brow lift or forehead lift to refresh the brow and create a complete improvement. This procedure can be performed in conjunction with a facelift.

Your Surgery

When performing facelift surgery, I use the deep-plane technique, also referred to as the sub-SMAS technique, which stands for superficial musculo-aponeurotic system. This technique of facelift surgery places less tension on the skin, which results in a more natural appearance compared to other facelift methods. The droopy muscles, however, are placed under significant tension with permanent suture to provide a strong and lasting result.

I believe the deep plane procedure is the most suitable procedure for most patients. It can be modified to include or exclude the neck when necessary, but its usefulness is most apparent in tightening the lower face without giving a stretched or "operated on" look. Even in patients who desire a 'mini lift," the principles of muscle tightening are still important, and should not be compromised.

During your procedure, I begin by creating an incision in the hairline and elevating the skin. From there, I remove excess fat that may be present in the jowls, chin, and neck, then tighten the underlying facial and neck muscles. Lastly, I remove excess skin and redrape the remaining skin, resulting in a smoother appearance.

Once this is complete, fat injections and laser resurfacing are performed to polish and refine the contours of the face. Most patients are able to be discharged, but some choose to stay in our overnight facility where a dedicated nurse attends to their every need. This type of complete facelift is one of the most popular procedures performed in our office. This type of procedure is typically performed under general anesthesia under the direct care of a board-certified anesthesiologist.

Recovery & Results

Dr. Duplechain recommends taking about 2 weeks off work after your facelift surgery. Although the recuperation process usually isn't overly painful, it does take some time for bruising and swelling to diminish enough for most people to feel comfortable in public. If your employer permits, you may choose to work from home while you recuperate.

Because a facelift incision is generally made along the hairline, it will likely be virtually unnoticeable once healing is complete. After your surgery, it will typically take between 10 and 14 days until you are ready to be out socially, but some bruising or swelling may persist for slightly longer. By this time, you'll notice a significant improvement to the structure of your face, but it may take up to 6 months for your results to fully develop. Keep in mind that your individual experience may vary.

Dr. Duplechain and his staff of nurses and aestheticians will help plan and provide a skin care regimen that will allow the best possible results for your skin during and after the healing process. In the long term, you can enjoy your rejuvenated face for many years by practicing good skincare habits and protecting your face from the sun.

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J. Kevin Duplechain, MD, FACS