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Less is more: the latest trend in plastic surgery in Beverly Hills among celebrities is to do less but at an earlier age. Celebrities can not afford to look “different” and that is the reason why they tend to do smaller, less invasive procedures as earlier as mid or late thirties. One of the favor of celebrities plastic surgery is a newer face lift technique that can be done under local anesthesia. Face lift under local anesthesia has instantly become a hit among celebrities for two reasons: one is because the recuperation time is shorter and there are less risks involved because there is no general anesthesia . Second, and most important for celebrities, there are in control of the degree of rejuvenation. How? Because the face lift is under local anesthesia and the patient is awake, it is possible for celebrities to check on the mirror at the time of the operation how pulled or tight the skin is and decide accordingly. Like celebrities are actively involved in photo shopping their images for the press, similarly they like to get involved in their face lift surgery. Too many times carriers have been ruined by bad or too tight surgery and in this fashion, celebrities feel they have their own destiny in their hands. It is very important that the plastic surgeon is familiar with this time of technique because it is more time consuming and requires experience in dealing very delicately with tissues in order to minimize bruising and swelling which is so vital for celebrities. I use this technique much more often then before and I find it an essential tool to minimize down time and meet celebrity’s expectations. Just a few years ago, it was unthinkable to be able to do an extensive face and neck procedure under local and to this time most of the procedures done under local are minilift where the undermining of the skin is minimal. In my opinion, patients are under the wrong impression that the less you do it the more natural is going to look. Nothing further from truth: if the face lift has an horizontal vector no matter how minimal the face lift is , it is always going to look “pulled”! it is the vertical vector the key of delivering a natural result! A few years ago I could not deliver the same result under local anesthesia, now with the recent development of this technique I can. I would say that I have to thank my celebrities patients that have pushed me into doing the unimaginable but still under safer conditions then before
