Dr George Marcells is undisputedly considered a leader in the field of Rhinoplasty and is often consulted by other top plastic surgeons looking to tap into his expertise. President of the AAFPS, he presents regularly at Facial Plastic Surgery conferences both in Australia and overseas, and was recently one of the key players at the Australasian Academy of Facial Plastic Surgery’s (AAFPS) The Triennial Masters’ Symposium, focusing on Blepharoplasty and Upper Facial Rejuvenation held in Sydney in September.
We were lucky enough to be able to ask Dr Marcells a few questions.
You are the leader in the Deep Plane Facelift. Can you give us a brief description of what that is?
The deep plane facelift is a highly anatomical lift that places an emphasis on structure to give long lasting, natural results. My aim is to re-contour the neck, jawline and mid-face into a natural, more youthful position. This deep fixation takes the tension off the skin so as not to get a pulled appearance.
While the Deep Plane Facelift is heralded as a much more successful and natural looking facelift, are there any candidates for the procedure you would not recommend for this kind of lift? Are there any side effects to this procedure?
This sort of lift suits patients of all ages – from patients in their early 40’s showing signs of early jowl formation, loose neck skin, and droopy mid-face… up to the more mature woman in her 50s or 60s who are showing more advanced signs of ageing. It is suitable also for both men and women.
The Deep Plane Facelift is an excellent first choice lift for those who are showing even minor signs of aging as the results are subtle, significant and long lasting.
The normal post surgery protocols apply however I’ve noticed that people do tend to recover faster following the Deep Plane Facelift as there is less disturbance of the lymphatics.
In your opinion, is there an ideal age to undergo the petrichial brow lift? How long do you expect a petrichial brow lift to last?
The pretrichial brow lift is specifically designed for people with droopy eyebrows, hooded upper eyelid skin and a high hairline. Traditional brow-lifts (including endoscopic) raise the hair lines even higher, making the forehead longer. The pretrichial incision (at the hairline) avoids this complication. If performed well, hairs grow back through the incision and there is healing with near invisibility.
Results are very long lasting – in fact, as redundant tissue is removed, it is quite likely that most patients only need to have this procedure once.
You have spoken previously of the modern ways used today to ensure a rhinoplasty lasts longer than it has in the past. Can you touch briefly on the methods you use to ensure a long lasting rhinoplasty? How does this differ to how they are done in the past?
I prefer the open structure approach to rhinoplasty that emphasizes reinforcement of the cartilage and bony skeleton of the nose. This enables me to be more predictable about the shape of the nose.
If attention is not paid to the structure of the nose, the nose can bend out of shape thus giving an unsatisfactory appearance and breathing problems.
I have set up a nose lab at my clinic, About Face, where we perform extensive nasal airway measurements to help identify areas of the nose that need reinforcement. From testing hundreds of patients we have quantitative and qualitative results that confirm the superiority of open structure rhinoplasty.
Surgeons today, as well as in the past also perform rhinoplasty with other methods. Failing to address the function and form may seem a quicker and less expensive option, however these other approaches come with their own complications and less assurance of long lasting satisfaction.
What is your favorite part of your job?
I like to do work that provide results for the patients and where the positive outcome is predictable. Happy patients make me happy too!