A facelift is a surgical procedure designed to remove the major folds and wrinkles that form on our faces with age. Gravity, sun damage, smoking, living in a dry climate, and a variety of factors contribute to the aging process of our faces. Facelift techniques vary from patient to patient to give each person a procedure tailored to produce the best possible surgical result.
A facelift will:
A facelift can also reduce excess skin around the neck and jawline.
A person’s age is best guessed by the appearance of their face. If you feel that your face does not reflect how young you feel inside, you may be a candidate for a facelift.
Click here to schedule a consultation with one of our surgeons, or call our office to talk to an expert about facelift options.
During your consultation, Dr. Nichter or Dr. Horowitz will evaluate your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure. Based on this evaluation, our surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. Dr. Horowitz or Dr. Nichter will make sure you have a full understanding of what results to expect.
There is not just one facelift procedure, but a whole range of facelift procedures. These different techniques have been developed over the years, involving different incisions and lifting the skin to varying degrees. A facelift may also involve the tightening of certain muscles and tissues, or liposuction of areas such as the jowls or chin.
It is important to choose a highly skilled and experienced surgeon to match your goals and skin type with the appropriate surgical techniques.
It is important to understand that facelifts are meant to remove major folds and wrinkles, notfine wrinkles. A facelift which removed every line and fold would be too aggressive and would result in an unnatural result. The goal of our surgeons is to make your facelift look as natural as possible.
Fine lines and wrinkles are better addressed by skin treatments such as chemical peels or microdermabrasion, which we also offer at our office. Many of our facelift patients enhance their surgical result with these nonsurgical procedures.
Dr. Horowitz or Dr. Nichter may recommend other procedures to go along with your facelift, such as blepharoplasty or a midface (cheek) lift, for an optimal result.
Incisions vary depending upon whether the patient is male or female, the hairstyles, hairline, age, previous surgery, and other factors. Generally, the incision starts in the temple, in front or within the hairline. It continues in front of the ear, sometimes partially hidden within the ear. It then goes under the earlobe, behind the ear fold, and ends within the hairline or at the hairline behind the ear. The newer, shorter scar techniques, which do not include scars in or by the hairline, can be used for most patients. Frequently another small and hidden incision is made under the chin in a natural skin fold. This allows fat removal and tightening of the platysma muscle in the neck if required.
Surgery Location: Facelifts and ancillary procedures are usually performed as outpatients in a surgery center. A one night stay in post-operative care facility may be advisable in some cases. Local anesthetic combined with intravenous sedation is usually used. This will allow the patient to sleep through most of the procedure. General anesthesia is available upon request but usually is not necessary.
You will be provided with complete information about what to do before your facelift surgery, and our staff will check up on you and make sure you are ready for your procedure. If you are a smoker, you will be asked to stop smoking well ahead of the surgery date. You will also be asked not to take certain medications which increase the risk of bleeding. Your facelift will almost certainly be performed on an outpatient basis, be sure you have someone to drive you home.
Recovery time from a facelift varies from person to person, but patients can generally expect to be presentable within three weeks from surgery. Patients should expect swelling, bruising, and discoloration of the skin during this phase of recovery (swelling normally goes down after 48 hours; most bruising will go away within two weeks). The marks from a facelift are noticeable at first, but are easily hidden with a bit of “camouflage” make-up which our experts can teach you to do.
The scars from a facelift mature within six to twelve months from the surgery date. It is during this time that the rejuvenating effects of the facelift will become apparent and the real result will be seen.
Complications from a facelift are quite rare, but even the safest surgery carries a small degree of risk. ***
Price is always a concern when deciding whether or not to have a cosmetic procedure. Patients’ needs and goals vary, so there is no fixed price for a facelift. These are the contributing factors to the cost of a facelift:
For more information on facelifts or to schedule a consultation, please call our office at (949) 203 3812.