Dr. Little’s Philosophies
Unnaturalness after Facial Rejuvenation
A lack of naturalness, or even frank unnaturalness, can follow well-meaning attempts at facial rejuvenation. There’s no denying it: such unnaturalness can be witnessed regularly on late night talk shows, in magazine articles, and even when out and about in one’s own hometown or city. It is difficult–almost painful–to behold, and even Dr. Little must resist the urge to look away when he first encounters it.
Unnaturalness Not a Part of Expert Surgery
Such regular sightings have understandably given way to a conviction on the part of some that facelift must therefore incur some unavoidable aspect of unnaturalness. But such is not the case; during the office consultation Dr. Little can share case after case wherein a patient with a decidedly unnatural appearance (that was brought on by aging alone…not by surgery of any kind) was made to appear entirely natural (not to mention more vital, healthy, and attractive) by well-planned facial rejuvenation. The individual that boasts she can “always spot a facelift” spots the bad ones, of course. But the very acquaintance with whom she may be sharing this insight, especially if appearing healthy and fit for her age, may well be one of the multitude of natural facelift patients who regularly escape her detection. Yes, Dr. Little does see patients that have been made unnatural by surgery…but they are far less common than patients who complain that their surgery did not accomplish enough, that they have been left with jowls and bitterness folds. Expert structural fat grafting, by the way, is often a key ingredient in restoring naturalness to such patients, bringing relief that may not have otherwise been possible in an earlier time. Of course…as a skilled facelift expert, Dr. Little especially avoids unnaturalness in his results.
Full Cheeks and Lips a Matter of Personal Taste
He occasionally observes, however, that during the consultation process certain of his patients react negatively (if nonverbally) to particular post-operative results–typically those presenting fuller cheeks or lips. When reviewing the early photos of these disapproving patients, it invariably turns out that they themselves had neither full cheeks nor lips when growing up. Any such result for them would then, indeed, be “unnatural.” But there is very little chance that Dr. Little would have made such a recommendation in the first place (he adds fat to the face, itself, in only a minority of his patients–typically those who had it in their early photos or those who have always envied it). Instead, he needs only to reassure such patients with a lean facial history that his subcutaneous XJ lift, in and of itself, cannot produce either full cheeks or full lips in one who never had them (although certain other facelifts, in fact, can); instead, such volumetric changes (which are often requested by other patients with different histories and different tastes) must be planned as deliberate additions to the basic procedure. Such thinner patients, therefore, remain at no risk for unwanted change.
Illustration: Leonardo da Vinci, “Five Grotesque Heads,” ca. 1490, Royal Library, Windsor