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Liner Notes
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Body
& Soul
Facial Plastic Surgery and Its Effects on the
Voice with Babak Azizzadeh, MD
Dr. Azizzadeh is a Board Certified, Harvard trained Facial Plastic Surgeon,
specializing exclusively in facial plastic surgery. As a clinical faculty of the UCLA
School of Medicine, Dr. Azizzadeh is actively involved in teaching facial plastic surgery
to residents and medical students. In addition to his busy surgical practice, Dr.
Azizzadeh has also been actively involved in several humanitarian causes such as the
Medical Missions for Children (MMFC) and the R.O.S.E. Fund (Regaining One’s
Self-esteem), a national non-profit organization committed to ending violence against
women and children by assisting survivors in regaining their self-esteem. He has operated
on many famous faces. Dr. Azizzadeh's website is http://www.facialplastics.info/
FACE LIFTS & NECK LIFTS AND THE VOCALIST
MBADC: So then gradually the appearance would change.
BA: Yes. Gradually to prevent the aging process, avoiding significant changes in
the facial appearance, which no professional artist really wants to have. They want to
maintain their youth, they want to maintain their function as well, and doing minor
procedures over an extended period of time gives them that. Also it limits their down
time, so instead of having some major operation that limits them from going out for three
weeks, they could have a smaller operation [so], they’re back on their feet, out and
about in one week or less…For the professional singer, there are other things to
think about in facelifts and necklift procedures and etcetra which would affect their
voice.
There’s very little press on this, but in the very classic facelift procedure for
example; one of the maneuvers is to really tighten the muscle called the platysma. This
really gives a great neck contour. But for a professional singer, this can really cause
tightening and a strangulation of their voice, and sensation of strangulation that will
functionally prevent them from relaxing their neck and throat muscles. Because it’s
like wearing your shirt collar that’s a little tight.
MBADC: Is that right though the center of the neck?
BA: You know the banding that older women and older men have? That’s the
platysma muscle. And in a classic facelift—a necklift procedure, that muscle is
dissected out and tightened with sutures…Probably the most important aspect of
facelifts is to avoid over-tightening that muscle, or maybe avoid it altogether. [Also] a
lot of patients have liposuction of their neck fat, and that also should be done
judiciously, because that could alter their entire neck and facial resonance.
MBADC: So if they have a neck issue let’s say, and it bothers them, is there
something they can do instead, or can they proceed but with extreme caution?
BA: There are definitely alternatives to over-tightening the platysma muscle, and
again, the platysma muscle must be really judiciously addressed in the facelift procedure
or the necklift procedure. But there are alternatives, which would involve more of
recontouring the skin rather than the muscle.
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