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About Facelift

by Ramtin Kassir, M.D., F.A.C.S.

Want to look as young as you feel? Are you looking for a natural looking facial rejuvenation?

Facelift Surgery is designed to reverse the visible signs of facial aging, including the formation of jowls, which obscure the jaw line, the occurrence of a double chin and the appearance of vertical bands of the skin and muscle in the front of the neck. Dr. Kassir is a leading expert in facelifts in NJ. Patients travel from national and international destinations for Dr. Kassir's facelifts. Click here to see examples of patients who have had facelifts by Dr. Kassir and their stories.

What is a facelift?

Facelift surgery, also known as rhytidectomy, is a plastic surgery procedure performed to improve the neck laxity, jowls, and the midface. As a person ages, the midface begins to go downhill, producing the smile lines" or "laugh lines. The lower face then begins to show jowling, near the chin and the neck muscles sag, producing banding and redundancy. These three areas can be improved with the facelift procedure. The facelift does not improve the skin texture or quality.

Modern facelift techniques involve resuspending the deep connective tissues of the face and allow the face and neck skin to be elevated and produce a natural rejuvenation. These techniques avoid the "plastic" or stretched appearance so common with facelift surgeries in the past. The surgery is typically performed without the need for general anesthesia and a 1 to 3 week recovery period is usually necessary after the procedure.

What can Facelift Surgery do?

Facelifts, technically known as rhytidectomies, rejuvenate the mid- to lower face and neck. Facelifts are most effective for NJ patients who want to correct:

  • Midface sagging
  • Deep creases under the eyes
  • Deep creases between the nose and mouth
  • Jowls due to loss of muscle tone
  • Sagging areas of fat
  • Loose skin and fat under the chin and jaw

Are you a good Facelift surgery candidate?

The best candidates for facelift surgery are:

  • Wish to improve one or more of the signs of aging indicated above
  • Are men or women whose faces have begun to sag, but whose skin still has some elasticity
  • Are generally healthy
  • Are considering a facelift for personal reasons to improve their image and appearance

Recovery from Facelift Surgery

The most important thing to remember after a facelift is patience. The body takes time to heal, and your face will look worse before it looks better. Your face may feel tender and tight after the surgery, and there will be discomfort, swelling, and bruising. Dr. Kassir can prescribe painkillers to alleviate the pain, and antibiotics to fend off infection.You should be up and about in a few days, and be sure to walk around 3 to 4 times a day to increase circulation, and prevent blood clots. The bruising and swelling will subside and you should be fine in about 2 weeks. Full recovery however may take 1 to 4 months. Do not bend over or lift heavy objects until Dr. Kassir gives the all clear. Also stay away from saunas, steamrooms, alcohol, aspirin, and ibuprofen. If Incisions were made in the mouth consult Dr. Kassir on what to eat until your recovery is completed. Sleep with your head elevated for example on a pillow, and as still as possible. If you experience any extreme pain, excessive redness, or elevated temperature contact Dr. Kassir immediately.

After your rhytidectomy facelift surgery, Dr. Kassir will wrap the incisions in light bandages. On the next day your hair can be carefully washed and a week later the sutures will be removed.

At first, you may experience swelling, numbness, bruising, and a feeling of tightness or tension in the face and neck. Recovery will be noticed usually within 3-6 weeks, and sensation typically returns to normal within a few months. Scars become less red, raised, lumpy or itchy in time.

Many NJ facelift surgery patients return to work by the second week and some resume normal activities by day five.

What are the different types of Surgical Facelifts?

The SMAS (Superficial Musculoaponeurotic System) Facelift is the traditional facelift which pulls up the SMAS layer and is effective for those with jowls and skin laxity. Dr. Kassir's SMAS facelift works to lift and tighten the lower face and neck muscles as well as the skin to produce a more defined jawline and rejuvinated lower face

The Deep Plane Facelift is a modification of the traditonal facelift that works more effictively on the midface areas such as nasolabial folds. During surgery, Dr. Kassir lifts the fat pads and muscles of the cheeks to restore volume and youth in the midface region.

The Endscopic Facelift is a minimally invasive technique using small cameras to guide insturments and allows for lifting the midface and brow.  It is most effective for patients seeking to make moderate corrections of a downturned mouth, sagging cheeks, hollowing under eyes, or a drooping forehead. Incisions are only about one inch long and are typically made above the hairline and/or behind the ear, resulting in hidden sutures, a quick recovery time, and almost scarless incision sites.

The Midface Lift is a procudure to specifically targert the areas of aging in the midface; the areas between the cheekbones.Dr. Kassir's midface lift is performed endoscopically to reposition the malar fat pads in the cheek area to restore volume in the midface. 

The Mini Facelift is related to the traditional facelift but involves smaller incisions behind the ear and focuses on adjusting the skin.  The best candidates for a Mini Facelift are patients who are just starting to show signs of aging and seek to tighten their skin, reduce sagging, and reduce nasolabial through a minimally invasive procedure.

The Tissue-glue Facelift is a technique that uses fibrin, a safe biological agent, to close inscision as opposed to sutures.

More Facelift Information

One of the most common procedures in plastic surgery is the facelift. According to the American Society of Plastic Surgery 124,000 facelifts were perfomed in New Jersey in 2012, and in New York facelifts were up 42 percent from 2000 to 2011. Our skin is constantly changing, and the older we become the more our skin cells break down, and divide slower. The dermis, or lower layer of the skin, begins to grow thinner as well. The dermis is comprise of different types of tissue, including elastin and collagen. While the elastin provides elasticity for the skin, the collagen keeps the skin taut. Over time these proteins begin to break down, and results in the loss of elasticity in the skin and deeper tissue. The skin begins to sag as well as the muscle and tissue composition under the skin change, and leads to wrinkles. Although a facelift can lead to younger looking face with a better jawline, neck and midface, it cannot completely erase the signs of age, or fix all problems such as sagging eyelids, eyebrows, or skin discoloration. These problems can be fixed with other procedures for example, an eyelift, browlift, or chemical peel. The procedure of a facelift takes time for recovery, and has minimal risks.

Since every patient is different, the procedure will be different for everyone as well. Dr. Kassir will examine the skin, and explain the procedure to you. Smokers will be asked to stop smoking for a week or two before the surgery, and a few weeks after as well. Smoking is not advised since it inhibits blood flow to the skin, and can interfere with the healing process. Patients are also asked to avoid aspirin or other medications that increase bleeding.

The facelift surgery can be performed in Dr. Kassir's office or accredited surgical center. The patient is usually given a local anesthetic or sedative for the facelift procedure. An incision is made around the temple along the hairline, and goes down to the earlobe. An additional incision is made underneath the chin to tighten the skin of the neck. The skin is then separated from the muscle and fat, and the fat may be trimmed or sucked out via liposuction. Dr. Kassir then takes the SMAS (Superficial Musculoaponeurotic System) and repositions it at a higher, more youthful level. Tightening and reposition the SMAS in this manner gives the jawline a sleeker look, and firms the neck. The skin is then pulled back over the area of the incision and the excess skin is removed with a laser or knife. The incision is then closed with stitches, sultures, or tissue glue.The stitches are placed within the hairline so they are hidden. The surgery takes about 2 to 4 hours depending on the extent of muscle and tissue work. There are other methods to achieve a younger looking face, that require less time for recovery, such as the K-lift™ or liquid facelift with restylane, perlane, belotero, radiesse, juvederm, scultpra, artefill, or fat.

Many other types of facial lifts are favorable including the mini-lift due to its short recovery time, the S-lift and the K-lift™ which focuses on the lower part of the face (neck and chin), mid-facelift which includes small incisions in the hairline, above the ear, and inside the mouth, and the Tissue-glue facelift which uses tissue glue to seal the incisions made. Some non-surgical techniques are also available with lower costs and fewer risks. Thermage or thermacool uses radio frequency to activate the body's natural collagen, and causes the skin to tighten and contract. This technique is best used for slight wrinkles, and the results can last from six months to two years. Ultherapy uses sound waves to achieve facial and neck tightening. Another alternative is the ThreadLift or FeatherLift, which involves inserting a needle with a surgical thread (or a non-absorbable sulture) into the skin. The thread is then pulled tight, and the muscle and tissue tightens with it. This technique leaves no scars, and the thread remains in the body. Some risks of facelifts include infection, scarring, reaction to anesthesia, hematoma, damage to facial nerves, necrosis, and alopecia at the incision site. These risks are minimal, and the procedure results in a younger looking you

What Does a Facelift Cost?

The average cost of a rhytidectomy (facelift) can range from $7,000 to $25,000, depending on what's being done and the problems being addressed. The cost of revision and corrective facelifts are higher. This encompasses the anesthesia, the fee for the facility, and the remainder is the surgeon's fee. Having more than one procedure at the same time, such as a browlift or eyelid surgery, may also be cost saving since the cost for the anesthesia and facility are being paid.

Are Facelifts Safe? 

Facelift surgery or rhytidectomy is a safe procedure if performed by experienced surgeons. Dr. Kassir performs many facelift surgeries per week and also corrects “botch” jobs.  That's why it's so important to pick your surgeon carefully and be an informed consumer. Be sure to direct any questions towards Dr. Kassir. It is normal to feel anxious or nervous about your new look. Afterwards you will have some swelling and bruising, and in a few weeks you will enjoy a rejuvenated look! Be patient. If you experience shortness of breath, chest pains, or unusual heart beats, seek medical attention immediately. Should any of these complications occur, you may require hospitalization and additional treatment. The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee. Be sure to follow Dr. Kassir's instructions on how to take care of yourself after surgery.

Do you Need a Facelift?

Signs of an aging face:

1. Wrinkly skin: Over time your skin's natural collagen and elastin begin to breakdown, which causes wrinkles, lines, folds, and a sagging look. A facelift can help with the sagging skin, but problems such as lines and wrinkles can be better addressed with injectable fillers, and good skin care.

2. Sunken eyes: As fat under the eyes starts to descend, your face develpoes a more sunken look. This looks like a loss of volume around the cheeks, and can be fixed most efficiently with a blepharoplasty, small amounts of fat grafts, or injectable fillers as a non-surgical option. Your blepharoplasty can be performed at the same time as your facelift.

3. A saggy jawline: When the jawbone loses density over time, there is less of a structure for the skin to hang on to, therefore the skin begins to sag. To correct this, the loose skin must be excised and the remaining skin must be tightened by a facelift.

4. Bone changes: With time then density of the bones in the face begin to reabsorb. This makes the eyes appear sunken, the jawline becomes less defned, and the cheeks appear flatter. A facelift can help with these changes.

5. Loss of volume: As your face begins to lose fat, the skin begins to droop. The more fat that is lost, the more pronounced folds and lines are. Fat can be taken from a different areas and added during your facelift to add more volume. Fillers can also be injected either before or after your surgery to gve your face more volume.

What to know before you have facelift surgery:

1. Your facelift expectations need to be realistic: A facelift is designed to make your face look refreshed, younger, and fix any laxity. A facelift can't always eliminate every wrinkle and line, and doesnt mean you will look 20 years old again. Dr. Kassir explains that the goal is to create a younger version of yourself that gives you a "rested" and "natural" look. Dr. Kassir fequently reverses and undo's the "windblown", "pulled", and "Hollywood" look.

2. You will have scars after a facelift: Although techniques have improved throughout the years, a facelift still leaves scars. Dr. Kassir makes incisions along the sidburn and ear so they are hidden by the hair, and inside the ear canal. With most patients, scars improve over time and blend in.

3. There is some downtime after a facelift: It may take 10 days to a couple of weeks until you are ready to resume daily activities, and a few months until all of the swelling goes down. With most patients bruising is slight, and pain is minimal. Most patients report that although they barely have pain, there is a bit of tightness involved that will go away the more you heal.

4. Know what can and cannot be fixed with a facelift: A facelift is meant to restore a youthful shape to your face, but it will not improve the look of brown spots, fine lines, or the position or shape of your eyelids and eyebrows.

You should pick facelift surgery if:

1. You want long-term results: Unlike other age-reversing treatments like lasers and injectables (which don't address lack skin), the results of a facelift are very long-lasting.

2. There is loose skin: Loose skin  at the jawline and on the neck creates the look of a double chin or a "turkey waddle". Microliposuction can eliminate unwanted fatty areas, but loose extra skin needs to be excised.

3. There are lines and folds: Over time facial expressions cause the skin to crease and fold which causes lines. Although fillers can help eliminate these lines and folds, lax skin needs to be addressed with surgery.

4. You imagine how you would look with a facelift : If you pull your skin back and see how it would look tighter, a facelift is the only was to get long lasting, elevated results.

Are you a candidate for a facelift?

If your face is oval, you may benefit from a facelift. Hollowing in the temples and cheeks is common because of extra fat in the cheeks, which dissapates over time. Fillers and/or fat fill out hollowing; a mid-facelift helps with sagging.

If your face is round, you may benefit from a facelift. The cheeks and lower face may sag. A lower facelift, which targets the lower part of the face, is the best option. The cheeks can be resculpted by injecting fat and/or fillers.

If your face is rectangular or square, you may benefit from a facelift. loose skin and sagging jowls on the lower part of the face tend to be the biggest problems. A traditional facelift is likely the most effective solution as it addresses jowling and lax sking.

If your face is heart-shaped, you may benefit from a facelift. The forehead and upper eyes are most affected. Since the cheekbones are higer than square faces with flat cheekbones, hearts-shaped faces tend to ages slower.

Facelift: Questions & Answers

Is there a risk of having nylon sutures post-facelift?

Nylon sutures which are left in post-procedure are generally not toxic and do little internal harm. The problem is that they tend to work themselves out of the skin, meaning that they must be removed when they are near the skin.

Why do I have ringing in my ears post-facelift?

Ringing in the ears could be attributed to residual blood from the surgery resting on the eardrum, but further consultation with an ENT may be necessary.

Fillers haven't helped me. Do I need a facelift?

Just because the use of fillers was unsuccessful does not automatically mean that a patient requires a facelift. Flat cheekbones can corrected with fat injections and other areas can easily be corrected with microliposuction.

Can a patient on bloodthinners have a facelift?

Patients looking to have a secondary facelift should first obtain medical and cardiac clearance and also make sure to discuss the consumption of bloodthinners (and when it should be stopped) with their surgeon.

How are PSP facelifts categorized?

PSP Facelifts are considered regular facelifts because the procedure involves the tightening of the platysma and SMAS muscle and tissue layers.

Are revision facelifts common?

Generally, in the hands of an experienced facial surgeon, the need for revision is relatively low (about 1 to 6 percent), but the risk for revision increases if the patient is overweight, has a generally heavy neck, smokes, etc. Talk with your surgeon to best understand the options which you have.

When can I expect swelling to go away post-midface lift?

It does take some time for the swelling to settle down after a mid facelift and fat injections. Look for about three months before you start healing. By then, the swelling will have probably subsided greatly.

How can I address early jowling?

Patients who are in their early forties should not look for a particularly invasive procedure. Personal recommendations for correcting early signs of jowling would be procedures like the S-Lift or mini jowl lift which address the SMAS layer but not drastically.

What is the relationship between weight loss and a facelift?

Patients, when having a facelift procedure done, should attempt to keep their weight stable, meaning that any substantial weight loss/dieting should be done prior to surgery. However, patients who lose weight after a facelift will generally have the same benefits, as do patients who use standard fillers like Juvederm or Restylane.

What is the MTHFR gene mutation?

This gene mutation which is noted for creating an increased risk of blood clots and other vascular complications may present problems during surgery. It is important for patients with this condition to be cleared by the hematologist prior to undergoing surgery in order to avoid hematomas.

What is the FaceTite procedure?

The Face Tite procedure involves radiofrequency treatments for the tightening of facial skin and is a procedure which has only recently become available. These types of treatments are useful in tightening surface skin as opposed to making any significant changes in the deeper tissues, but are noted for their minimal downtime and short procedure time.

Why are my facelift results so tight?

Patients are expected to feel a great deal of tightness post-op and swelling combined with blood clots are perfectly normal (they also exacerbate the tightness as well). It is probably best, if patients are worried about tightness, to wait for time to improve these conditions.

How can men cover facelift scars?

The main areas for men to hide facelift scars would be in front of the ear and behind the ear. Sideburns could be especially helpful in hiding more prominent scars and the hairline should help with the less conspicuous ones. Makeup can also be used to hide the redness of the incisions after about one week.

How can I address anxiety prior to surgery?

Again, it is very normal to have anxiety for surgery. Ask the doctor, if necessary, for Xanax, ativan, and certain other medications which he could recommend (be careful which medications are taken though) and which can be taken the night before surgery.

How do I combat excess fat after a maxillofacial surgery?

Patients who have excess fat above and below the platysma post-maxillofacial surgery could have many of their problems with a neck lift combined with a platysmaplasty designed to remove this fat and sew the platysmal muscle next to the hyoid bone.

Can microcurrents address facial drooping?

Again, like many other methods of so-called “treatment”, I remain rather dubious of microcurrents. Granted, they give you some improvement, but major facial drooping can only be corrected with facelift surgery.

What should I do about persistent drainage?

In general, drainage should not last more than a day or two after surgery. If drainage is persistent, it is probably best to notify your surgeon immediately to examine for hematomas.

Can Midface Lifts be Done Endoscopically?

Generally, midface lifts are NOT done endoscopically and are usually quite open. Open technique allows for easier removal of skin and the strengthening of the underlying SMAS layer. There are procedures which conduct midface lifts endoscopically, but they are not as effective as open technique.

Should I massage after a facelift?

Sometimes, scars are best left alone in order for the healing process to increase in speed, particularly weeks out from a procedure. Consult with your physician about the best possible options.

Can I have the look of a Facelift without having surgery?

Using injectable fillers such as restylane, perlane, and radiesse can help to enhance the look of your face, however nothing is as effective and long lasting as facelift. Using fillers does not come without risks, such as infection, and in the end repeated injections over the years add up in terms of cost.

Can loose skin be corrected non-surgically?

Unfortunately, skin laxity cannot be addressed by a non-surgical method, but only through a facelift.

Can spacer grafts be performed during a midface lift?

For facelift patients who happen to have severe lower eyelid retraction, it is often necessary to perform a spacer graft procedure in concurrence with the facelift surgery.

Does swelling require drainage?

Swelling for up to a month after surgery is extremely common and is probably the worst stage of swelling post-op. Patients at this stage should definitely be patient about swelling and should follow-up with their surgeon if there are any potential concerns.

Is there any merit to the Face Bra or Face Lift Compression Garment?

There are many so-called “miracle” products on the market right now which claim to be able to substitute for facelifts and other surgical procedures. However, again, I would remain wary of these devices and would stick with traditional methods that have been proven to work.

What are good post-op procedures following facial fat grafting?

Patients who have underwent facial fat grafting should keep their head elevated for 2-3 weeks post-op and should generally avoid movement and pressure around the area affected.

Is red scarring normal post-facelift?

It is normal to have raised scars in and around the tragus area, but it is probably best to consult with the surgeon in order to avoid any possible infection especially since red scars are more common around the earlobe and behind the ear. Cortisone shots can be used in addition to treat scarring.

I have strange aches and pain years post-op. Is this permanent?

Generally, patients who are still dealing with nerve problems years after their surgery must accept the fact that such feelings are most likely permanent. Again, though, if deemed absolutely necessary, a consultation can be done with a neurologist.

Why is my skin loosening 3 years post-facelift?

After 3 years, many patients do experience recurring skin laxity following a facelift. Again, the extent of the loosening depends on many factors including sun exposure, smoking, genetics, etc.

Are drains always used post-facelift?

Drains in general are often put in place to aid with bruising, but are not always used and not always required by surgeons.

How do I deal with residual fat pockets after a lower facelift?

A fat pocket left over from surgery can easily be removed with direct skin excision or even through direct removal.

Why do I have beads under my skin post-facelift?

Patients experiencing the sensations of beads under the skin are probably dealing with minor blood clots or sutures. The former problem can be dealt with by massage, but the latter should be taken care of by the surgeon.

Can I use cooling or support devices post-facelift?

I would advise patients who have a support device to wear it continuously for up to 10 days post-op in order to control swelling. A cooling device can also be used in the first 48 hours after surgery to also control swelling.

When will numbness in my ears fade?

Numbness around the ears is definitely a normal symptom, with sensation returning around 4-6 weeks after surgery. If sensation does not return after 6-12 weeks, damage could have been done to the greater auricular nerve.

Why do I have recurrent swelling which comes and goes post-facelift?

Swelling which arrives and then disappears 18 months after a facelift is not indicative of a typical hematoma, but is more likely the result of a parotid leak. I would recommend a full exam with the surgeon followed by the application of Botox and antisialagogues to the area.

When will post-facelift malar bags heal?

Generally, the development of malar bags under the skin is somewhat common and can be easily alleviated by massaging the cheeks in a circular motion while elevating them upwards. It will take time for these injuries to heal, usually about 8 weeks.

Can a facelift correct droopy eyes?

Droopy eyes are caused by sagging eyelids, not by facial skin laxity. Skin laxity is treated using facelift that tighten the skin and muscles underneath; sagging eyes are treated with eyelid surgery or browlift to adjust the anatomy.

Can I have a neck lift following a platysmaplasty?

Patients looking to have a revision neck lift following a platysmaplasty may have lost significant elasticity in the first procedure, but can still have the neck lift done in a relatively short period of time.

What is the burning sensation I feel post-facelift?

Burning sensations typically follow numbness in the cheek area as nerve endings attempt to regenerate. Usually, these sensations go away with time, but anti-inflammatory medications, taken with the surgeon’s approval, may help.

Where can I start looking for good plastic surgeons?

A good place to start in finding plastic surgeons is on the website for the American Society for Aesthetic Plastic Surgery where readers can do a search (surgery.com).

How long has the Endotine procedure been around?

This procedure has been around for a decade and is somewhat recent in terms of facial rejuvenation surgery. For this reason, it has not been proven to work as effectively as a facelift procedure and is continuously hounded by many doctors as a “fad”.

Why are my stitches popping post-facelift?

For patients who have problems with stitches popping post-surgery, it is probably to see the surgeon in order to determine if they were necessary in the first place. It depends on how wide the existing scar is and whether the patient is comfortable with that.

How effective is an endoscopic lift?

Endscopic facelifts are a minimally invasive procedure and the results generally show this. It has a very limited effect on the neck and jowl region, but allows patients to have a lower risk of potential nerve damage and is very effective in dealing with minor facial deformities such as cheek sagging. It cannot, however, be used to perform neck lifts or major operations which would normally require a facelift procedure.

When can I use Radiesse?

Quite often, fillers rather than facelifts are the ideal procedure for solving certain facial problems. Fillers like Radiesse or fat grafting can be used to fill depression, while facelifts can be used in concurrence to treat jowl formation.

Are drains needed post-facelift?

Generally, surgeons will need to include drains after performing a major facelift as a way of speeding up healing by preventing fluid accumulation. Drains are usually left in for a day post-op and are carefully removed by the surgeon.

Is a revision necessary if my earlobes are elongated and scarred?

A revision facelift is not often necessary in these conditions as less invasive procedures like skin redraping or local tissue rearrangement can be done far more easily.

What can I do about swelling and pulling around my earlobes post-facelift?

Patients should remember that swelling following facelift surgery is extremely common, but should also take care not to touch the areas around the earlobes too greatly because results may be altered tremendously. If pulled earlobes are a major concern, patients should talk with their surgeon immediately.

Why has my face thinned post-facelift?

Generally, fat grafting is done during a facelift causing the face to appear thinner. Also, because the muscles and skin are being tightened, the cheeks often have to be reshaped causing thinning of the face.

What can I do about fullness in the chin and neck post-facelift?

For patients several months post-op who are still seeing fullness and lumpiness in the neck and chin, it is probably safe to assume that most of this is composed of residual swelling and inflammation as well as limited platysmal banding. At this point, the only methods of treatment are massage and dilute steroid injections.

Is the Serdev Suture Lift worth it?

The Serdev Suture style has been acknowledged for having minimal invasiveness to the face, lack of scars, and a quick recovery time. However, Dr. Serdev has been known for using unique sutures and instruments which are not widely available in the United States such as specially designed needles and sutures. Before patients fly over to Bulgaria, however, they must recognize that the procedure is a very short-term solution as the sutures dissolve over a short number of years, but that the procedure is good for people who do not want an invasive procedure.

Can I have marionette folds excised?

Marionette lines are typically caused by loss of facial volume and skin laxity, both of which must be addressed through fat grafting or facelifts before the marionette lines are excised.

What is the treatment for saggy eyes?

The treatment for saggy eyes can generally consist of a combination of browlift combined with blepharoplasty, fat/filler injections, fat grafting, and possibly ultherapy. Keeping a good skin care regimen is also quite useful.

Why should I have a facelift as opposed to less invasive procedures?

If patients are truly serious about long-term results, the facelift is probably the best option. Granted, some facelifts are more small-scale and less invasive than others, meaning less downtime and longevity, but, in general, facelift techniques which repair facial contours and rearrange muscles in the face are more long-lasting and provide for more satisfying results.

Can a facelift be done after Metacrill?

This is a question which probably requires special examination by a plastic surgeon. Find an experienced surgeon with the credentials for this job and do not let price be the sole guide of your choices.

How can I deal with a frozen eyebrow post-facelift?

Unfortunately, any nerve damage sustained over 18 months or longer is likely to be permanent. The best solution would be to have Botox placed on the other side to even out the distortions.

Can acne scarring be fixed during a facelift?

Generally, a facelift can be used to treat acne scarring in and around the cheeks and is usually best combined with fat augmentation in these areas. Yet, it is important to remember that a facelift is not geared SPECIFICALLY towards the treatment of surface features like scarring and should not be expected to fully resolve these issues.

What is the minimum amount of experience necessary for a proper facelift?

It is important for patients to seek out an adequate surgeon with plenty of experience in facial surgery and check out his/her before-and-after work. If I had to put it into numbers, which can be misleading (by the way), I would recommend a surgeon who is accustomed to doing around 1-2 facelifts a week for about 10+ years.

How is swelling post-facelift?

Usually, swelling after facelifts are at their worst for about 2 to 3 weeks post-procedure and gradually dissipate through the period of a year. It is unusual to have great swelling after a year, something which might be helped with lymphatic massage.

Why am I still tight years post-facelift?

After a post-op period of several years, it is unusual for patients to be experiencing tightness. The probable cause of this tightness is most likely a permanent suture which may need to be removed.

Can laser treatment help with jowling?

Jowls, composed of lax tissues beneath the skin, can only truly be lifted with a facelift (preferably an SMAS Lift) not laser treatment (which, at most, can only tighten the skin to a small degree).

When should I have a facelift?

Again, as I have told my patients several times, it is the physical state of the patient’s face, rather than the age of the patient, which determines the timing of a facelift. If the patient has problems with jowling, marionette lines, deepening nasolabial folds, and excess neck skin (all issues related to skin laxity), a facelift may be the best option.

Is blinking difficult after a facelift?

It shouldn’t be. Patients having trouble with the eyelids or lips following surgery may have sustained temporary damage to the facial nerve. It is important that, for the time being, the patient makes a sustained effort to keep the eye lubricated and consult with a specialized neurologist in order to pinpoint the extent of possible nerve damage.

How long does Lifestyle Lift last?

For many of these branded techniques, it is difficult to estimate their longevity. After all, the Lifestyle Lift is not a particular type of facelift. Generally, results will last a very small amount of time: as little as one week or so before fading.

What can younger patients do about droopy faces?

Generally, without pictures, it is difficult to prescribe treatment to patients. Younger patients who have “droopy” faces can probably benefit with fillers or voluminizers, but consultation with the surgeon is probably the best option.

Did my bilateral swelling post- op come from the facelift?

Patients when trying to diagnose glandular swelling post-op must try to make sure that it is not in fact swelling from the facelift procedure itself. During a facelift, it is unlikely for the parotid gland to be disturbed in any way.

Should I get liquid lift or midface lift in my 40s?

Personally, I would recommend that patients in their 40s stick with their nonsurgicals simply because the signs of aging necessary for a facelift are usually not there at this point. Liquid lift is probably the best option right now.

When can facelift sutures be removed?

Generally, sutures are removed very gradually, with some removed after one week in front of and behind the ears and others located behind and above the ears removed after two weeks.

How long does MACS facelift swelling last?

As long as patients are not suffering from a hematoma (consulting with surgeons is especially important), major swelling should not last longer than around a week. After this point, it gradually dissipates.

Is bilateral numbness post-facelift normal?

Depending on where the initial incision was made, it is normal to experience numbness in the skin and to also have flaky, dry skin as well. Numbness around the ears is, to conclude, perfectly normal. However, numbness WITHIN the ear is a problem and usually indicates nerve damage which can be risky during any anticipated neck lift option.

Why do I have uneven cheeks after my facelift?

Uneven checks may be the result of the procedure itself or from the effectiveness of the fat grafting. Please consult your surgeon. If your uneven cheeks become apparent shortly after surgery it is likely due to postoperative swelling or scarring. If the uneven cheeks begin later down the road it is likely due to failed fat grafting, which would require additional fat transfers.

What distinguishes a mini facelift vs a modified facelift?

With all the names out there for various facelifts, it is difficult to understand what is what at some points. A minifacelift generally will remove excessive skin and pull the remaining skin to the side for a more youthful look, whereas a modified facelift may orient itself towards the neck more for greater and more long-lasting results.

How long is lumpiness, etc. following a facelift?

Healing after a surgery, especially after 2 to 3 weeks, is always tough and numbness and swelling are to be expected. Usually, however, after this nightmare period is over, nerves gradually begin to recover and feeling begins to return to the face soon after. Lumpiness could be from minor blood collections which are again very normal and can be massaged if the patient is particularly anxious. As I have stated many times before, time is the greatest healer when it comes to plastic surgery procedures.

Why do I still have pulsing in my ears post-facelift?

Patients dealing with pain the ear after a long period of time may have injured the greater auricular nerve, causing it to form a neuroma (overgrowth of nerve endings). The best thing to do for patients is to consult with a neurologist.

How can I address rippling post-facelift?

It is unusual for patients to demonstrate ripples, especially months after a facelift. This may be caused by residual swelling, but more importantly, may be the result of underlying scar tissue. If the problem continues for about half a year, it is probably best to consult with the surgeon. Until then, patients are encouraged to massage the area.

What is the Swelling and Numbness after a facelift like?

Swelling and numbness are normal and expected post-procedure but they vary with the type of facelift procedure. Numbness may last for up to 1 year and will steadily dissipates month by month. Swelling may be extensive for the first three days but will steadily begins to disappear over a several week period. Some Tingling sensations are normal for up to 6 months. In the case of excessive swelling some oral steroids may help reduce swelling. Dr. Kassir avoids using drains or heavy bandages meaning that most patients tend to have minimal swelling,

What is an endoscopic facelift?

A technique that is far less mainstream than traditional or minor surgical facelifts, an endoscopic lift is a minor facelift in which a small endoscope is inserted through the hairline through three or more small incisions that are less than one inch long. These cameras then transmit small video images to a larger TV screen, thus guiding the surgeon through the repositioning of surface tissues. This particular operation is usually done on an outpatient basis using local anesthesia or intravenous sedation.

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Disclaimer: This site only provides information about cosmetic surgery and this information is not meant to be taken as medical advice. For more information about plastic surgery, contact Dr. Kassir.