A steady stream of alleged patient complaints and negative reports about one version of the “mini facelift” seems only matched by the continued growth of the company that offers the controversial procedure.

Indeed, it’s the combination of these two factors that prompted reporter Tom Wilemon to cover the Lifestyle Lift in the online version of The Tennessean this month. In “Bargain face lifts ignite debate,” Wilemon noted that that Lifestyle Lift “is poised to become the McDonald’s of the cosmetic surgery business.”

How can this be happening? First and foremost, Lifestyle Lift (the company) is capitalizing on the demand for what amounts to a “holy grail” of cosmetic surgery: a way to rejuvenate the face without the downtime, cost and anesthesia of a traditional facelift. Judging by the number of Botox treatments in 2009—more than 2.5 million, and popular injectables like Restylane—more than 1.3 million, the market for less-invasive facial procedures is huge. In its decade of operation, Lifestyle Lift itself reports more than 100,000 clients.

Second, there’s a remarkable lack of regulation in the cosmetic surgery industry. There’s nothing to prevent anyone with a medical degree from performing cosmetic procedures. This means that the backgrounds of doctors who work in the dozens of Lifestyle Lift centers across the country vary widely. Some are fully trained and credentialed in the field of plastic surgery as recommended by the American Board of Medical Specialties; others are ear, nose and throat physicians who have undergone Lifestyle Lift training. And, although the centers also offer what they term “neck firming” and “eye firming” procedures, if what you really need is something else altogether, you may not be advised accordingly.

What are the problems reported by patients? Some complaints start even before surgery. Patients report being aggressively “sold” on the Lifestyle Lift by employees who are not medically trained. Many patients say they were dismayed by the procedure itself, citing multiple painful shots, distressing sounds and smells and difficulty in bearing the tugging and snipping of skin.

The many who are unhappy with their results say, at best, that the post-surgical difference was minimal. At worst, patients end up with disfiguring scars, pain and numbness persisting long after surgery, lumpy skin and even deformed eyes and ears. Most of these men and women also complain that the Lifestyle Lift staff failed to address their post-surgical concerns in a satisfactory way.

On the popular patient review website, RealSelf.com, less than half the nearly 300 men and women writing about their Lifestyle Lift experience say the procedure was worthwhile. (It’s interesting to note that RealSelf was sued for trademark infringement by Lifestyle Lift—a case that was settled privately.)

Many board certified plastic surgeons express a variety of concerns about the Lifestyle Lift. Dr. Bruce Shack, quoted in the article in The Tennessean, mentioned two issues: the “after” photos used for marketing purposes are not representative of most patients’ results, and the potential for complications resulting from the office procedure (as opposed surgery in an accredited surgical center) is higher.

Some of the plastic surgeons who respond to questions on RealSelf are disturbed by the lack of transparency about the Lifestyle Lift technique, noting that it’s difficult to judge the effectiveness of a procedure when no information is available. One who IS familiar with the technique says that the approach can create undue tension on surface tissues, causing the incisions to stretch and result in the wide, unsightly scars many patients are left with.

Tom Wilemon’s article in The Tennessean quotes the president of the Lifestyle Lift saying that more facilities will soon be opening. That means even more men and women will be exposed to the company’s aggressive marketing practices. Examples run the gamut from the questionable—patients compensated for their before and after photos, to the illegal—employees posting fake positive reviews, for which Lifestyle Lift was sued by the State of New York in 2009.

So, what will the future hold for the Lifestyle Lift and patients who choose the procedure?

The RealSelf board certified plastic surgeon who so clearly explains the technique (read more by following the link below), puts his concern this way:

“I am not worried about the patients who reach this website. They are informed consumers and intelligent enough to do their research and make smart choices. I am worried about patients who never reach this website because they saw an ad, a low price and never looked back.”

References:

http://www.tennessean.com/article/20101219/NEWS01/12190344/2066/NEWS03

http://www.surgery.org/sites/default/files/2009stats.pdf

http://www.abms.org/Who_We_Help/Consumers/About_Physician_Specialties/plastic.aspx

http://www.realself.com/question/technique-marketing-campaign