A little primer on endoscopic face lifts, its after effects, and how to treat those

August 2013

A little primer on endoscopic face lifts, its after effects, and how to treat those
by Ingrid Marsten, C.L.T. – SPECIALIZING IN POST-COSMETIC SURGERY

Endoscopic facelift are often called “scar-less facelift” because, rather than using longer incisions in the skin of the face and neck, they involves only a few one-inch-long incisions in the skin. These incisions are usually made in the skin above the hairline or behind the ears, allowing them to remain virtually out of sight. Nonetheless, it is surgery! Just because you don’t have the outside scars (and don’t have the whole face “pulled”) doesn’t mean all is always easy and painless.

In the lower face/neck lift, the plastic surgeon removes excess skin on the neck through a small incision behind the ear and the back of the scalp. Sometimes, there might be an additional incision in front of the ear, but mostly, plastic surgeons try to avoid cutting minimize the cutting there when doing and endoscopic face lift. Besides doing some lipo on the neck/chin, the physician might actually use fat transfers to the area of the cheeks to compensate for the natural loss of fat, which is responsible for the “drooping jowl effect”. Yes, you might have to donate some of the belly fat 😉

An additional (horizontal) incision under the chin may be required, as well as neck liposuction. This horizontal scar is important to the tightening of the tissues under the chin, however, it also creates a “physical barrier”, and makes it more difficult to drain the cellular debris and swelling from this area to the lymph nodes under the chin. Often, the scar becomes hardened and this occasionally can cause discomfort (I call it the “Boa constrictor” effect).

It is important to know that massaging this scar needs to be done in an extremely gentle manner. The scar needs to soften a bit; rubbing it too firmly can cause inflammation and further damage to the tissues, which might require a trip back to the surgeon.

I have done numerous successful lymphatic treatments on lower face/neck lifts, and it almost always helps tremendously with softening the scars and alleviating the discomfort. Unlike pain pills, lymphatic treatments work on the cause of the problem – not by masking it, but by helping the body to heal faster.

Activating the lymph nodes in the chin and re-routing the fluids can help heal much faster. I usually start this work about 2 weeks after the surgery; HOWEVER, even older scars can be softened through this exclusive lymphatic treatment.

About the author:
Ingrid Marsten, C.L.T., C.M.T., studied medical massage therapy in Germany, and has worked in the medical field in Europe, as well as the United States for over 20 years. She is currently working in a prestigious cosmetic surgery office in Santa Monica, California, as well as in private practice. For more information, please feel free to contact her through her website

http://ingridmarsten.abmp.com/
https://www.facebook.com/healingaftercosmeticsurgery

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Heal Faster After Cosmetic Surgery through Manual Lymph Drainage

Reduce Swelling and Speed up Your Healing through Exclusive Lymph Treatment

Lymph Treatment (Manual Lymph Drainage) provides non-invasive and natural pain relief after an eye or brow lift surgery, rhinoplasty, vertical or lower facelifts, liposuction or tummy tucks, as well as breast reduction or implant surgery.

After any surgery there is excess fluid and cellular debris in the tissues. If these substances are left to stagnate in the tissues too long, the cycle of inflammation and pain begins. In our bodies, the Lymphatic System is responsible for reabsorbing those excess fluids and cellular debris.

The goal of Manual Lymph Drainage is to reroute the lymph fluid around areas that are blocked after surgery, and gently move the excess fluids and cellular debris into areas with healthy lymph vessels where the lymph fluid can drain easier.

The faster excess fluids and cellular debris are removed from the surgical area, the faster you heal.

Less Pain, Less Swelling, Less Bruising, Less Scar Tissue, Faster Recuperation

Many massage therapists claim to be able to perform lymphatic massage after having taken a short “Weekend Seminar”. Though they may be well trained in more common massage modalities like Swedish or Deep Tissue massage, their lack of knowledge of MLD, cosmetic surgery procedures, and experience in working with post-surgery patients can actually cause severe problems with your surgery outcome.

So it is imperative you check their credentials in Manual Lymph Drainage; you wouldn’t want them to pull internal stitches or cause more inflammation and swelling, which would equal more pain, much slower recuperation, more scar tissue, and maybe even a trip back to your surgeon.

So, where do you find a qualified practitioner who not only has been extensively trained in the medical massage modality of Manual Lymph Drainage (at least 100 hours, as this includes advanced classes), but also has experience with pre-and post-surgical procedures, as well as knowledge of the newest procedures in the field of cosmetic surgery?

There are not very many massage therapists who are actually Certified Lymphedema Therapists (though of course, there are some…yours truly included); mostly you will find Physical Therapists and nurses, however, not all PTs are certified in MLD. Good places to check for qualified therapists are the MLD schools. I have included links to their list of graduates at the bottom of this blog. Call them up, and ask specific questions about their experience with cosmetic surgery.

A reputable therapist will be able to give you detailed information, maybe have some references (though many patients prefer not to be named, and the HIPPA confidentiality laws are binding).

Another source of information and referral could be your plastic surgeon’s office. They may have a certified MLD therapist on staff or have a referral list.

Remember: “The best outcome of any cosmetic or plastic surgery lies in the hands of your physician, the condition of your skin and tissues before surgery, as well as the care and maintenance you give your body afterward.”

http://www.klosetraining.com/TherapistDirectory.asp

http://www.vodderschool.com/find_a_therapist

http://www.nortonschool.com/therapistreferrals_form.html

http://acols.com/FindaTherapist.aspx

http://www.lymphnet.org/resourceGuide/findTreatment.htm

About the author:

Ingrid Marsten, C.L.T., C.M.T., studied medical massage therapy in Germany, and has worked in the medical field in Europe, as well as the United States for over 20 years. She is currently working in a prestigious cosmetic surgery office in Santa Monica, California, as well as in private practice. For more information, please feel free to contact her through her website http://ingridmarsten.abmp.com/cosmetic-surgery-and-manual-lymph-drainage