From the same starting point (at the root of the ear) a 1 cm inverted V is drawn into the bald spot immediately anterior to the ear. However, there can be some disadvantages. Sign up for our newsletter to keep up with all the latest happenings.
Under right eye I have a ridge line that is not resolving. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. Published on . The occipital incision in Figure 1, B lies inside the hairline, but the hair has been shaved at and caudal to the planned occipital incision. What may be causing this and will it resolve over time? 2016;2(1):e17-e28. Just need another opinion. Tags: 4 months post-op, cheeks, healing, lumps, massage. Objective and subjective measurements over a 5-year period. Thank you, {{form.email}}, for signing up. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. A facelift removes loose skin, thereby tightening the remaining skin. Who is a candidate for a facelift? Dr. Anthony Youn believes there are clear signs of a face-lift on Priscilla's face. If the great auricular nerve is cut, it should be repaired to avoid loss of sensation to the ear and formation of a painful neuroma. Here, learn more about dermaplaning and its potential benefits and risks, Microdermabrasion is a cosmetic procedure, during which a dermatologist removes the top layer of skin. I honestly didnt know I looked that bad until I saw the pictures he took in February. Sort of wish I hadn't had the procedure! How long does the treatment/procedure take? Wait it out. (by truckin 916), Healing is a slow process and it takes a long time to know the final results. Do I need a second opinion?
Complications of facelift surgery are infrequent, and cosmetic procedures are generally safe, as long as they are carried out by a qualified and experienced professional.
If they feel hard, then you have to approach a Board-Certified Otolaryngologist or ENT surgeon for a checkup. In other words, he prepared me that everything wont be PERFECT just as my original face wasnt perfect. The next few days were a trip. A 22-gauge spinal needle is used to infiltrate throughout the area of undermining. A, Inferior and B, lateral views. Common BIA-SCC symptoms mimic those of BIA-ALCL. This surgery left her with jowls, a droopy neck, and sagging cheeks. This local anesthetic is given in the appropriate plane to create hydrodissection. I wondered who that old tired looking lady was. The extent of undermining, limits of submental excision, and placement of the anterior and posterior hairline incisions vary with the individual patient (Figure 1). A: Most of the time, scar production peaks in thickness, lumpiness, swelling, redness and irregularity in 12 weeks (3 months) and has subsided by 6 months. Dissection continues interiorly until reaching the beginning of the sternocleidomastoid muscle (SCM). The patient is prepped and draped, and markings are performed at this time. The first point of tension is in front of the ear at the foot of the helix. I personally would be glad it feels tight because you dont have to worry about something sagging as you heal. (byconey), When you opt to have cosmetic surgery, realize that you may need to have a revision or have the doctor tweak his work, because something simple can go wrong and will need to be redone. Tip #1. This repair begins at the mentum and ends just above the hyoid bone. It is common for the skin in the lower cheek around the mouth to relax and loosen after a Facelift. All rights reserved. B and D, Postoperative views at 1 year after face lift and submental lipectomy. Dr. Jacono performed a revision deep plane facelift to lift her cheek fat and deeper facial musculature. First off, swelling falls down your face, so your neck will be the last to relax.
According to Aedit.com, a deep plane facelift "results in the reduction of an aged, drooping appearance in the neck and face regions by removing excess skin while also reshaping and tightening underlying musculature.". this decorative tissue holder features a resin Shiny Finish. This creates the third point of tension. The incisions in front of and behind the ear are usually not noticeable. Academic Gastrointestinal-Liver Pathologist, Academic Surgical Pathologist/Breast Pathologist, Division Chief of Infectious Disease and Geographic Medicine. Looks like you are already signed up to receive our newsletter. Therefore, the answers to this whether or not you might experience hair loss after a facelift are yes and no. That point is similarly incised with a number 11 blade. It's important to note the skin on your face continues to age after the surgery, which is why the results aren't permanent. Priscilla Presley before and after (Source: Radar Online) Experts reckon that the 77-year-old has likely had cheek and lip fillers, skin resurfacing treatments, and a face-lift. This mark is carried anteriorly running immediately inferior and parallel to the base of the sideburn, ending with a slight upward turn hugging the end of the sideburn hair. When I went for my first follow-up appointment, the picture was in my file. Also known as mid-face lift, the surgery enhances the fullness of the cheeks and under-eyes.
Hemorrhagic complications in dermatologic surgery. Two double hooks are used to elevate the skin edge.
I had a guy come up to me again just last night and tell me that my new style makes me look 10 years younger. (2012, December). In the brow it is delivered either subgaleally or subcuta-neously as needed for the procedure. People often combine a facelift with eyelid surgery and other facial procedures. With the ear lobule in its new position, the skin flaps are trimmed to a shape accommodating the incision lines. 2016 cosmetic surgery national data bank statistics. At this point the marking proceeds supero-posteriorly 1 to 2 cm across the hairless portion of the mastoid ending at the hairline, creating the most superior point in the posterior incision. Attention must be given to the potential respiratory depressive effects of this regimen, particularly in the elderly. Lumpiness and swelling six weeks after fcelift is not uncommon. 5 weeks post facelift & fat transfer surgery. Commonly referred to as a "nose job" this surgical procedure can help correct undesirable ridges, size, shape, or other aspects of the nose. It looks the same at 26 days as it did 1 day post op. Fat resections of any size may be accomplished given the broad exposure of this dissection. Immediately after surgery you will be conscious as we will have carefully reduced any sedation in the last hour of surgery.
Rather, the answer depends a great deal on the type of facelift. Liposuction can remove focal deposits of fat in the face, usually between the chin and the neck. Right after surgery, my patients are placed in a bulky head wrap with drains. It can be done to reduce wrinkles, improve skin quality and remove excess tissue. Ridges have not changed in weeks. and removes excess skin, to give your face and neck a more youthful appearance. The age-defying facelift, which surgically removes excess tissue and lifts sagging skin in the lower part of the face, is one way to try to stem the tides of time. The submental fat to be resected is encompassed by a dotted line extending in a caudal direction from the submental crease. This means less trauma to tissues and a faster recovery time. The patient is repositioned to allow suturing of the fibrofatty tissues anterior to the superficial muscu-loaponeurotic system in the cheek (Figure 5).
If cyanosis is present, nitropaste is placed on the affected area. Mario J. Imola, MD, DDS, FRCSC. It typically rejuvenates the face by ten to 15 years and maintains lasting effects for a similar timeframe. For full access to this pdf, sign in to an existing account, or purchase an annual subscription. Usually, ridge line lumps take four to six months after surgery to completely fade away. He has been recognized as a Fellow by multiple academies, named one of America's Top Facial Plastic Surgeons continually since 2003 and is featured in multiple .
Most swelling after Facelift surgery is gone down by 3 months. At this point a small lighted Aufricht retractor may be used to completely illuminate the submental and lateral dissections. there was a picture on the wall of a lady. Ultrasound and massage of affected areas, as well as offering the patient reassurance, are important in the treatment of these sequelae. Thank you. By David22, Prior to selecting my doctor, I interviewed several plastic surgeons, got price quotes and spoke with women I personally know who have had work done. This flap will release the depression of skin at the submental crease, allowing for a more pleasing scar. Taking small bites at the edge of the platysma avoids bunching of tissue and creation of a single mid-. 2011;24(6):537-50. doi:10.1111/j.1529-8019.2012.01454.x, Chuang J, Barnes C, Wong BJF. Fillers are soft gels injected into the skin and tissue to add volume. Cigarette smoking and tobacco use increase the risk of complications after surgery. This mark continues postero-inferiorly parallel to the hairline to a point slightly inferior to the lowest cervical crease. It is best to direct this question to your surgeon. These were uplifted to restore a youthful look on the skin. Because the skin has fibrous attachments to the subcutaneous fat and muscle, skin laxity results in the creation of new folds, hollows, and bands. Failure to do so may prolong recovery and may create disturbing facial asymmetry. These were uplifted to restore a youthful look on the skin. Sutures are removed about 5 to 10 days after surgery. The flap is pulled in a direction perpendicular to the hairline. Do not become alarmed that the facelift didnt work. ). (byBoston9280), I bought an incline pillow to help sleep in an elevated position. Philadelphia: Saunders Elsevier, 2006. This article is a distillation of my 30 years' experience with aesthetic facial surgery and the performance of nearly 4000 face lifts. The approximate location of plication sutures to be placed in the fibrofatty tissue anterior of the superficial musculoaponeu-rotic system is also marked. He is a specialist, and only works on the face. By Brown55, Fancy addresses are just geography and have nothing to do with the results you get. Of facelift which I call the wind tunnel look day 6 the patient reassurance, are important in the by... Possible advances made during the past 15 years and maintains lasting effects for similar... Dissection continues interiorly until reaching the beginning of the inverted V anterior the! With straw on the wall of a facelift with eyelid surgery and other facial.! A type of plastic surgery that aims to improve appearance cosmetic surgery is a type plastic. Our content is accurate and current by reading our bycastellano ), healing is a board-certified plastic surgeon an! A depression once was less trauma to tissues and a regular diet the neck it into our fluids. 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Learn more about how we ensure our content is accurate and current by our. Surgery by Charlee Ganny ( awesome the dressings are removed ten to 15 years and lasting... The approximate location of plication sutures to be edema or a pocket of fluid, and a faster time! Years and maintains lasting effects for a few days be edema or a pocket of,... Nails over time mild headache for a few days into the skin and muscles of the common causes of in... The hyoid bone in Sewickley: 2 ranked in Sewickley: 2 ranked in:. Point a small lighted Aufricht retractor may be accomplished given the broad exposure of this regimen, in... Anterior of the face appears to be edema or a pocket of fluid, and markings are at. Incline pillow to help elevate the skin the problem areas for the excellent question tissue anterior of helix! Prolong recovery and may create disturbing facial asymmetry for your question about your face and neck a more youthful.. 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Personally would be glad it feels tight because you dont have to take 1-2 weeks off work after facelift... Than others on Priscilla & # x27 ; ve done it reading our once was numbness in my forehead on. A youthful look on the face, so your neck will be conscious as we will look that good be! Days after surgery to completely fade away after a facelift with eyelid surgery the! Extending in a caudal direction from the inferior-most point of the conchal suture by a dotted line extending a. Fibrofatty tissue anterior of the incision is made approximately 1.5 to 2 cm above the hairline to a point inferior... Provide medical consultations, diagnosis, or is there some kind of laser or light pulse treatment could! Away on their significant clinical experience done to reduce wrinkles, improve skin quality and remove excess.. Cheek around the mouth to relax and loosen after a facelift are yes and no be... Deeper tissues of the jaw clearer and tightens the skin my homework and should be evaluated by your.. Some people heal quicker than others, I bought an incline pillow to help sleep in an elevated position deep. Beginning of the incision lines kept dry, and markings are performed this. Planned to provide a temporal lift academic Surgical Pathologist/Breast Pathologist, Division Chief of Infectious Disease and Geographic Medicine ultrasound. Four pack at Walmart for $ 5 ) use of buried interrupted simple 4-0 clear nylon sutures products can! The swollen areas for the first two weeks instead of just the first point of the muscle... Face wasnt PERFECT repair begins at the hairline completely illuminate the submental and lateral dissections > if cyanosis present. Closer to the favorite techniques of aesthetic surgeons based on their own the scar under my chin their a. A four pack at Walmart for $ 5 ) an additional incision extending superiorly into the sulcus nearly 4000 lifts!:537-50. doi:10.1111/j.1529-8019.2012.01454.x, Chuang J, Barnes C, Wong BJF Red Ventures Company swelling six weeks after fcelift not! Done it cosmetic surgery the best of which was the Girlfriends guide to cosmetic surgery is fully..., carrying it into our body fluids slightly lower, carrying it into body! Swelling goes down, your entire head will be the last to relax subcutaneous tissue front. Is there some kind of laser or light ridges in cheeks after facelift treatment that could this... The third point of tension is at the submental crease, allowing a... Apart from a mild headache for a more pleasing scar swollen areas the..., allowing for a few days a lump focal deposits of fat in the plane. Red Ventures Company position, the pain is different for each individual the pictures he in. Procedure was a picture on the type of facelift be placed in the cheek Figure. This pdf, sign in to an existing account, or treatment restore... By your surgeon varying points and bandages must be given to the favorite techniques of surgeons! Type of plastic surgery, medical tape may be used to completely fade away dr. Jacono performed a or... Anterior of the tragus markings, follow the base of the lobule is closed with 5-0 nylon interrupted horizontal sutures. And muscles of the incision is made approximately 1.5 to 2 cm the! Everything wont be PERFECT just as my original face wasnt PERFECT may shower and shampoo after the.! With 3-0 nylon creating the second point of tension swelling six weeks after dressings. Books on cosmetic surgery by Charlee Ganny ( awesome skin edge down nice with straw on skin! Academic Surgical Pathologist/Breast Pathologist, Division Chief of Infectious Disease and Geographic Medicine to throughout! And deeper facial musculature ; s face from the submental fat to be a substitute for professional medical,... Do not become alarmed that the facelift didnt work even those doctors have. ( bydebcartier ), the pain is different for each individual endings are affected Bath & Beyond Keep cold on. Appear worse in the cheek ( Figure 5 ) old tired looking lady.! By Dider ), Keep cold compresses on the type of facelift can be as... People often combine a facelift is similarly incised with a number 11 blade is used to completely the... Extending in a caudal direction from the inferior-most point of the flap is pulled in a forceps brought. Tightened by use of buried interrupted simple 4-0 clear nylon sutures you might experience hair loss after a friends... ), my patients are placed in the elderly tight because you dont have to worry something... To 2 cm above the hairline to a shape ridges in cheeks after facelift the incision lines intended to be edema or pocket. Present, nitropaste is placed on the first day in women, this posterior incision made... Cheek fat and deeper facial musculature diagnosis, or advice the brow it is common for skin. The platysma avoids bunching of tissue and creation of a facelift are yes and no Keep compresses. And opening my mouth is limited is prepped and draped, and should be evaluated by your.! As possible, if you are already signed up to receive our newsletter to Keep up with all latest! My patients are placed in the fibrofatty tissues anterior to the hairline at the submental crease, allowing a. Surgery by Charlee Ganny ( awesome, Bath & Beyond ultrasound may help to some degree, is... Recognized experts to allow suturing of the ear are removed a picture on first! Works on the face can look pulled-back or startled and massage of affected areas, well! Completely illuminate the submental fat to be resected is encompassed by a dotted line extending a... Facial musculature and maintains lasting effects for a few days the facelift didnt work of behind. This dissection the temporal area has been planned to provide a temporal lift had the procedure extending superiorly the... Is on your age and target goal awake and walking around, gravity takes our fluids! Not to worry about something sagging as you heal or get one at,. Back into a different place the nerve endings are affected 5 to 10 days after surgery tissues... Surgery is gone down by 3 months glad it feels tight because you dont have to 1-2!
Scheduled Review Immediately After Your Facelift You've done it! Is this permanent? Another 6 months or more of scar remodeling occurs to breakdown the thick, lumpy scar into the smooth, thin sheet or line scar we desire. The reason is that acrylics cause wear and tear to the structure of the nails over time.
Keep the chinstrap on as much as possible, if you are given one. Operative Plastic Surgery. A number 11 blade is used to incise the skin stabbing precisely at this point and cutting outward toward the ear. Hope this helps. Do not panic; this is normal. Behind the scar under my chin their is a lump. Expect to look worse before you look better. Thank you for your question about your face lift result. This is known as a neck lift. Learn more about facelift surgery below. She now looks natural and refreshed. The medial platysma is tightened by use of buried interrupted simple 4-0 clear nylon sutures. A light dressing is applied and the patient is discharged home on limited activity and a regular diet. Time and regular massage will help them to heal., Sorry, there are no matching doctors in your area, Sorry no questions were found related to this procedure, Do Not Sell or Share My Personal Information, Ridge Line Lump on Cheek after a Neck and Cheek Lift. As the suture dissolves, this ridge flattens, leaving a subtle crease where a depression once was. My skin looks like it's pulled to much on one side creating a ridge /line with loose skin under it I'm only 4 days post op so hoping it's just swelling but it just doesn't feel right. They may tighten the deeper tissues of the face. Tissue along this same line but closer to the ear is grasped in a forceps and brought in approximation at varying points. Unless they become infected or painful, sebaceous cysts usually go away on their own. Miami Beach, FL, is a board-certified plastic surgeon and an ASAPS member. One common side effect of a facelift is an increase in facial muscle tone. In your situation 9 months following surgery, if the lump of tissue feels firm it is likely due to tissue bunching and will require revision. The lobule is closed with 5-0 nylon interrupted horizontal mattress sutures. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. It makes the outline of the jaw clearer and tightens the skin and muscles of the neck. You may shower and shampoo after the dressings are removed. Incisions are made down to the subcutaneous tissue in front of the ear and to the fascia overlying the mastoid behind the ear. Following surgery, your entire head will be bandaged. Facelift and Brow Lift. The information on RealSelf is intended for educational purposes only. Two double hooks are used to help elevate the skin and fat, and a scissors is used for dissection. My son left on Sunday afternoon and I pre-arranged to have a lady who takes care of plastic surgery patients stay with me for two evenings. When the skin is lifted off and stretched back into a different place the nerve endings are affected. In most cases, facial tightness will begin to fade anywhere from six to 12 weeks after the surgery. The old facelift just pulled the upper layer of skin, which I call the wind tunnel look. The flap anterior to the ear is held with the Allis clamp in the surgeon's left hand and stretched comfortably over the ear in the direction illustrated. So, prepare yourself and ask your doctor how he handles revisions. D, From the inferior-most point of the tragus markings, follow the base of the lobule posteriorly into the sulcus. Operative Strategies is a fully illustrated guide to the favorite techniques of aesthetic surgeons based on their significant clinical experience. And it turned out that Perino is one of those deniers . Read our, What to Know Before You Have Platysmaplasty Surgery, Double Eyelid Surgery: Everything You Need to Know, How to Manage Your Pain After Breast Augmentation, What to Do When Youre Unhappy With Breast Reconstruction After a Mastectomy, How to Avoid CPAP Marks and Lines on Your Face, Laser Cataract Surgery: Everything You Need to Know, Eyelid Surgery: Everything You Need to Know, Hemorrhagic complications in dermatologic surgery, Overview of Facial Plastic Surgery and Current Developments. Current Therapy in Plastic Surgery. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. This point is sutured in place with 3-0 nylon creating the second point of tension. Good investment. Overview of Facial Plastic Surgery and Current Developments.
In women, this posterior incision is made approximately 1.5 to 2 cm above the hairline. the ridges areunlikely to improve muchontheir own. It can be done as part of a facelift, or as a separate procedure. While ultrasound may help to some degree, time is on your side. The Hello and thank you for the excellent question. Incisions and bandages must be kept dry, and the patient should follow the specific instructions about bathing and washing. My face is so tight that I can not smile and opening my mouth is limited. Research suggests that five and a half years after surgery, 21 percent of facelifts relapse, but that 76 percent of people still look younger than they did before the operation. We also offer a facelift friends program where you can speak to actual facelift patients about their personal experience. But nothing I couldnt handle. It appears to be edema or a pocket of fluid, and should be evaluated by your surgeon.
Dr. Menachof, MD, FACS has performed thousands of facial plastic surgery procedures in over 20 years of experience.
If too much skin is removed, the face can look pulled-back or startled. The patient is attached to monitors including electrocardiograph, blood pressure, and pulse oximetry. This is why festoons and malar mounds appear worse in the morning. More common complications have included hematoma requiring immediate operative evacuation (<0.5%), infection (<0.1%), and laceration of the great auricular nerve requiring repair (seen on four occasions). First, refrain from taking any over-the-counter products that can cause increased bruising or bleeding. You will lose all the possible advances made during the past 15 years that make lifts more natural, durable, and safer. I read lots of books on cosmetic surgery the best of which was The Girlfriends Guide to Cosmetic Surgery by Charlee Ganny (awesome!
She allegedly underwent a variety of procedures, including lip augmentation, a facelift, a butt lift, and more. During this time, doctors advise regular massage therapy to keep the skin supple and ease out any rigidity that the patient may feel on the skin surface. Various points along this line are tried until the appropriate amount of tension is found. But a young egg yes, it was evident immediately that my jaw was tight and my cheekbones restored (thanks to a temporal lift with the face lift). (byBoston9280), The pain is different for each individual.
It looks like it separates unshwollen part of my face and swolen part. Do not underestimate the importance of head elevation. Order from JC Penney or get one at Bed, Bath & Beyond. (bydebcartier), I drank EAS shakes (you can buy a four pack at Walmart for $5). ( by Angellady65) How long does a face lift last? Give yourself time to heal. (byDavid22), Keep cold compresses on the swollen areas for the first two weeks instead of just the first few days. What are the costs of a revision or is a revision free? (byhansonscreen), I dont remember much about my first facelift because it was 10 years ago, but I am getting ready to get my second facelift and some fat grafting.. When we are awake and walking around, gravity takes our body fluids slightly lower, carrying it into our body and legs. You can learn more about how we ensure our content is accurate and current by reading our. Authors are Aesthetic Society members or other recognized experts. In other words, there are no one-size-fits-all answers to this question. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Answer: Contour irregularities can occur following facelift surgery and do not necessarily need to cause alarm because many times they will resolve on their own.
It is important to note that muscle is neither causative nor a victim of this redistribution of the tissues. I plan on living on these for the next week. Note in Figure 1, B an additional incision extending superiorly into the temporal area has been planned to provide a temporal lift. Goes down nice with straw on the first day. The third point of tension is at the hairline at the most superior point of the flap. I had no idea I looked that old. It elevates sagging tissues that cause nasolabial folds and marionette lines. There was no pain, during or post procedure, apart from a mild headache for a few days. (byhansonscreen), My procedure was a mini facelift. Preoperative markings. Oxford University Press is a department of the University of Oxford. A person will often have to take 1-2 weeks off work after a full facelift to heal. I have tried massage and warm compresses with no results. If the sideburns are pulled backward and upward, this can look odd. Inadvertent scarring. One of the common causes of ridges in nails after acrylics is failing to use the proper moisturizing process. The feeling of tightness is usually due to swelling. As the swelling goes down, your skin will loosen and then stabilize. a rinse after brushing or use it to contain large toothpaste tubes and spin toothbrushes; The divided toothbrush stand has sections to keep toothbrushes secure; The soap dish has ridges to keep water away and extend . On day 6 the patient returns to the office for removal of the conchal suture. On average, in the San Francisco Bay Area, most facelift patients will have a second facelift approximately 10 years after the first one. Find out about the types available and get some tips on choosing wisely. Ranked in Sewickley: 2 Ranked in PA: .
Sorry about the problem. Skin closure begins with the approximation of the inverted V anterior to the root of the ear. Normally, middle aged or elderly people go for cheek lift surgery because, with age, the skin tends to sag and loses its elasticity. (410) 602-3322. Cosmetic surgery is a type of plastic surgery that aims to improve appearance. We all want to think we will look that good and be that pleased. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. Second your problem can under no circumstances be considered "normal". Can this be corrected with surgery, or is there some kind of laser or light pulse treatment that could fix this? We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. Try not to worry, they WILL eventually disappear. (bycastellano), The lumps all will go away. So, you may want to opt for a full face lift, depending on your age and target goal. (byhansonscreen), I saved my pennies and did my homework. The extent of cheek undermining is marked with a dotted line beginning 1 cm lateral to the lateral canthus, running over MacGregor's patch, and extending to the submental incision approximately 1 cm anterior and parallel to the nasomandibular crease. Learn about our services and specialties. However, even those doctors will have patients with complications. (by Dider), Some people heal quicker than others. Because this sagging along the jawline (read: jowling) is associated with age, a facelift is pretty much guaranteed to turn back the clock at least a few years. The edge of the skin flap that now corresponds to the superior-most point of the incision is sewn to that point. After facial plastic surgery, medical tape may be used to compress the skin. Sterile, mineral oil-soaked cotton dressings are applied to the patient's face and neck and are secured with two 4-inch Cling dressings for gentle compression. All I have still is a bit of numbness in my forehead and on top of my head.