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BackTable / ENT / Podcast / Episode #127

In-Office Facelifts

with Dr. Demetri Arnaoutakis

In this episode of BackTable ENT, Dr. Demetri Arnaoutakis, a facial plastic surgeon, and host Dr. Gopi Shah discuss planning and execution of in-office facelifts.

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In-Office Facelifts with Dr. Demetri Arnaoutakis on the BackTable ENT Podcast)
Ep 127 In-Office Facelifts with Dr. Demetri Arnaoutakis
00:00 / 01:04

BackTable, LLC (Producer). (2023, September 5). Ep. 127 – In-Office Facelifts [Audio podcast]. Retrieved from

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Podcast Contributors

Dr. Demetri Arnaoutakis discusses In-Office Facelifts on the BackTable 127 Podcast

Dr. Demetri Arnaoutakis

Dr. Demetri Arnaoutakis is a facial plastic surgeon in Tampa Bay, Florida and Beverly Hills, California.

Dr. Gopi Shah discusses In-Office Facelifts on the BackTable 127 Podcast

Dr. Gopi Shah

Dr. Gopi Shah is a practicing ENT at UT Southwestern Medical Center in Dallas, TX.

Show Notes

First, Demetri and Gopi begin with discussion of the clinic intake visit. During a first visit, Demetri takes time to understand each patient’s goals and priorities as they relate to their appearances. Using this knowledge, he walks each patient through all possible treatment choices, then helps the patient decide the best path forward. He takes a detailed procedural/surgical history and performs a top-down examination of the patient’s face.

Then, Demetri describes different surgical and non-surgical options to improve facial aesthetics. He divides these options into non-invasive (micro-needling, fillers, Botox), minimally invasive (radiofrequency-assisted lipolysis), and surgical (facelift). Demetri explains multiple approaches to facelift, noting that he tends to prefer a deep-plane approach that mobilizes the superficial musculoaponeurotic system (SMAS). Demetri then shares pearls from his practice about optimal incision sites, the importance of acquiring the right instruments, and the addition of tranexamic acid to tumescent anesthesia to reduce risk of hematoma.

Finally, Demetri outlines his post-operative management. In addition to standard post-operative protocols, his patients undergo hyperbaric oxygen treatment to increase oxygen delivery to tissues and lymphatic massage to aid lymph drainage. The episode wraps up with Demetri’s advice to listeners wanting to improve their cosmetic surgical skills.


Dr. Arnaoutakis’ website:

Disclaimer: The Materials available on are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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