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Face Procedures

F Facelift Plastic Surgery

Cosmetic Facial Plastic Surgery Procedures

Cosmetic Surgery Procedure: Facelift

With modern advances in medicine, health and technology, the average lifespan has increased far beyond prior comprehension. As it is commonly said today 40 has become the new 30, and evidently the trend has carried on throughout middle age. Many people today feel their physical appearance on the outside does not necessary reflect the youth and vibrancy felt on the inside. Loose and saggy skin is displayed as a most obvious sign of aging.

Fortunately with the help of modern cosmetic surgery procedures, such imperfections can be removed. With the option of cosmetic surgery becoming more and more popular, people have begun to realize that facial surgery is indeed a viable option for them.

It is apparent that through developments in science that exposure to sunlight, daily stresses and the constant pull of gravity, can have serious effects on the facial aging within all individuals.

Consequently, as skin ages, creases between the nose and mouth begin to form as the jaw line begins to slack, giving way to fat deposits around the face.

Facelift (Rhytidectomy)

Men and women who are considering facial rejuvenation through a facelift, or rhytidectomy, procedure have many more options available today than ever before. Advances in technology and surgical technique are allowing surgeons to employ less-invasive methods of tightening excess facial tissue to achieve a longer-lasting, more youthful appearance for their patients.

Those who are looking to treat aging of the lower face, which includes removal of sagging cheeks or jowls and loose skin or “wattles” underneath the chin, are the best candidates for the traditional facelift procedure. Patients who choose facelift may range in age from their 40s to 60s and up, depending on the degree of sagging and wrinkling as well as overall health. Since the needs of patients seeking facelift surgery in their 40s are vastly different than those encountered in their 60s, different surgical and non-surgical options will be offered depending on each individual’s situation and goals.

In a traditional facelift, incisions are made at the temple, around and then behind the ear and into the hairline. The skin is then lifted for access to the underlying muscles and connective tissue which are tightened and secured with sutures. The result is a smoother, more refined jawline and neck, giving the patient an overall refreshed, more youthful look. Traditional facelifting is generally recommended for women in their fifties and older.

As with any surgical procedure, there are certain risks associated with facelift. Bleeding, scarring, infection, numbness, unsatisfactory results, and other outcomes requiring revision procedures are all possibilities. It is also important to note that fine lines and deep wrinkles cannot be completely removed and skin pigmentation problems cannot be corrected through facelift. A browlift, cheek lift and/or eyelid lift may be necessary to address sagging in the upper face and skin resurfacing treatments may be needed for pigmentation and texture problems. Thorough consultation with a highly qualified, board-certified surgeon to discuss these risks and limitations will help ensure that you understand them completely and have realistic expectations regarding results.

Recovery from a traditional facelift takes about three weeks during which swelling and bruising will dissipate, though incisions may take up to six months to heal. For the first few weeks, patients should refrain from any activity that would stress or put pressure on the treated areas in order to give the tissues time to heal in their new positions. Your surgeon will provide important instructions on caring for the incisions, and will prescribe medications to help with any discomfort and to prevent infection.



SMAS and Deep Plane Facelift Techniques

These techniques both involve lifting the deeper muscles and tissues of the face called the SMAS layer which may provide a smoother, longer-lasting rejuvenation than traditional facelift techniques. The ideal candidate for the SMAS Facelift will need tightening and re-supporting of the lower face only. It is important to note that this technique does not eliminate a deep nasolabial fold.

However, the Deep Plane Facelift addresses both the lower face and the mid-face or cheek areas. With this procedure, the fat pad of the cheek can be repositioned higher to create a more pleasingly contoured and youthful-looking mid-face.

These surgeries can be performed using either general anesthesia or IV sedation with local anesthesia and generally require one to three weeks of recovery time with much the same aftercare as with traditional facelifts. It is important to rest and allow your body time to heal and guard against stress or pressure on the affected areas of your face.

The option of IV sedation with local anesthesia, if appropriate, may lessen the risks and recovery time for some patients. Consultation with your surgeon will determine which of these procedures is best for your individual situation and will produce the most pleasing results.

Patient 2
Facelift with Neck Liposuction

MACS-lift: A Gentler Option for Facelifting

More and more younger women are taking advantage of a lower-cost, less-invasive alternative to the traditional facelift. The MACS-lift (minimal-access cranial suspension facelift) or short-scar facelift, which is growing in popularity in the U.S., is an easier-tolerated procedure for first-time facial rejuvenation patients who are starting to see sagging in the mid-face area, jawline and neck. Performed under local anesthesia with sedation or intravenous general anesthesia, the procedure involves using short incisions around the ears which are well-hidden within the natural creases. The incision starts in the hairline just above the ears and runs along the front and ends behind the ear. Using special sutures, the middle tissues and muscles are lifted vertically, instead of horizontally as in the traditional facelift, which provides a more subtle, natural-looking result.

Because the MACS-lift can often be done under local anesthesia and uses smaller incisions, there is less risk and less-noticeable scarring than in traditional facelifts. The surgery also does not take as long to perform and has a shorter recovery time — usually only two to three weeks. This benefit of less downtime with minimal scarring is very attractive to younger professionals with busy lifestyles.

Patient 4
Deep Plane Facelift with Chin Implant

Neck Lift

For some patients, a neck lift may be the best procedure to remove excess skin (wattle) and fat and to tighten lax muscles in the neck which are the result of the natural aging process or a genetic tendency. This surgery may be performed in addition to facelift or may be the only tightening needed for a younger, smoother looking neck.

The neck lift involves incisions behind the ears and under the chin to remove portions of the neck muscles and/or tighten them with suspension sutures which hold the repositioned tissues in proper place to create a natural, more youthful neckline.

The surgery takes about two to three hours and may be performed using general anesthesia or local anesthesia with IV sedation and recovery is similar to that of facelift. You will probably need to wear a compression bandage for a while to hold tissues in place and decrease swelling and bruising. You should plan on taking a least a week to recover.

Patient 1
Deep Plane Facelift 1 month post-op

One Plus One Plus One Equals Ten

For the greatest effect, many of our patients are also combining these facelift and neck lift procedures with UltraPulse® laser resurfacing to improve skin smoothness, texture and tone. Patients with crepey neck skin often are treated with the Ultrapulse CO2 laser to improve the neck skin quality after a neck lift procedure is done.

Patient 3
Deep Plane Facelift 1 month post-op

Facial fillers are frequently added to enhance the volume of the cheeks and fill in deep facial folds. These procedures are a natural complement to facelift surgery and can correct the loss of facial fullness resulting from the aging process. The use of fillers in conjunction with facelift surgery can help you achieve a natural rejuvenation and avoid an over-operated appearance which is a tell-tale sign of bad cosmetic facial surgery.

Chin and cheek implants also are often performed in conjunction with facelift surgery to obtain the best results. In aging patients with small chins or flat cheeks, facial implants combined with facelift surgery will substantially enhance the overall cosmetic facial plastic surgery result.

Liposuction can be used to effectively remove localized fat in conjunction with neck lift procedures. We find the combination therapy the most effective way to achieve total facial rejuvenation.

Patient 5
Neck Lift and Chin implant to improve the lower face and neck

Contact our office now at 866-293-0616 to schedule a consultation to see how facelift, neck lift or combination therapy might be the answer to your aging concerns and lead to a more youthful-looking, confident you.

Additional Articles

Facelift Additional Articles

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We appreciate your inquiry and look forward to helping you with your cosmetic needs. In order to best help you, we require all cosmetic patients to come in for a consultation. All Surgical & Non-surgical Consultations have a fee of $100 that will be deducted from the cost of your procedure or treatment. To schedule an appointment, you can complete the form below or call our office at 866-293-0616. We look forward to hearing from you!

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