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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 NYC and 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 and NYC 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 and NYC 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 Facelift is the traditional facelift which pulls up the SMAS layer and is effective for those with jowls and skin laxity.

The Deep Plane Facelift is a modification of the traditonal facelift that works more effictively on the midface areas such as nasolabial folds.

The Endscopic Facelift is a minimally invasive technique using small cameras to guide insturments and allows for lifting the midface and brow.

The Midface Lift is a procudure to specifically targert the areas of aging in the midface; the areas between the cheekbones.

The Mini Faceliift is related to the traditional facelift but involves smaller incisions behind the ear and focuses on adjusting the skin.

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

What differentiates plastic surgeons from otolaryngologists?

Generally, plastic surgeons are trained in general surgery followed by more in-depth training of actual plastic surgery whereas ENT training starts with general surgery and is followed to be ENT training (which includes facial and neck reconstructive surgery). Again, it is best to find the reputation of the doctor in terms of facial surgery and examine before and after photos to evaluate their work.

Can sagging be addressed via a lower facelift?

Especially for patients who have had jaw reduction surgery, poorly attached skin can be a problem especially as the plastyma muscle and the submental fat pad under the chin are moved down. To correct this, a procedure will be needed to reduce submental fat pads near the platysma (liposuction, etc.) and tighten the platysma muscle.

Can I do a facelift under an oculoplastic surgeon?

Especially for larger procedures like a SMAS or deep plane facelift, it is probably best advised that the patient exclusively sees a board certified plastic surgeon. Many oculoplastic surgeons are very skilled in procedures around the eyes, however, so they remain an option for these areas.

Can I get a facelift in my teens?

Patients in their teens should not be considering a facelift, period. Consulting with a surgeon as to your options and even with your primary care doctor may be the best option.

What is your opinion on SMAS vs MACS vs Short Scar Lifts?

All three of these procedures are considered true facelifts. The only variance between them, however, is the scale on which they are performed and the areas they specifically address. A mini-face lift, more frequently used for younger patients, consists of a small incision made behind the ear and only adjusts the skin, leaving the underlying muscular structures intact. This procedure is more frequently used for younger patients and is generally less invasive. In an attempt to avoid the windswept look (AKA the windtunnel face) which is a potential side effect of normal facelift, the MACS lift relies on the vertical lifting of the skin, creating a more natural, less apparent look. Surgeons often describe it as a variation of a normal “short-scar” or “S” Lift because of this. The operation of the MACS lift involves the creation of a small incision within the hairline in front of the ear. The traditional facelift, however, is more extensive and involves an incision near the hairline which extends behind the ear. During this procedure, excess skin is cut and the remaining skin is pulled and sutured. This surgery is more frequently used for those with excessive neck fat and it corrects skin laxity in the lower face.

Does an acupuncture lift work?

Like many other non-traditional procedures, it is doubtful whether the acupuncture face lift actually does its job in terms of promoting a more youthful appearance. I would advocate avoiding new-fangled therapies and sticking with tradition.

How long does a stem cell lift last?

There haven’t been enough studies about stem cell lifts to definitively prove they provide results as good and long lasting as a standard Fat Transfer/graft. For now we would recommend standard Fat Transfer/Grafting because Stem Cell lifts are still unpredictable.

Is 40 Too Young for a Facelift?

To answer the question, No. There are different types of lifts and if under 40 you don’t need to have one of the major operation that is typically reserved for patients over the age of 60. These advanced procedures have deep incisions into the muscular structure of the face in order to adjust the outward look of the face. Even though you may be too young for a “Full” facelift, you may be ideal for a mid-facelift. This facelift is best suited for those who have lost definition in the eye area and whose cheeks are beginning to sag. This procedure works on the deeper layers in the middle of the face and places them over the cheekbones to create a fuller look in that area. The total effects are expected to last about 5 to 6 years.

When should I get a browlift and when should I get a blepharoplasty?

Patients dealing with excess skin on the upper lid could probably just have a blepharoplasty done while a browlift can be performed for a droopy brow at the same time. Botox can also be used if the problem lies in the forehead itself.

Can I have a rhinoplasty post-facelift?

If the patient is particularly ambitious, rhinoplasties can technically be done after 30 days of healing. However, to ensure the best results, it is probably best to wait for any residual swelling to go down which could take as long as 6-9 months.

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.

What are my facial rejuvenation options as a 65 year old woman?

Generally, at the age of 65, jowling and significant fat deposits in the neck are the main problems and they can be corrected with a lower facelift under local anesthesia. Nasolabial folds can also be a problem and can be helped with the use of fat grafting and fillers. Be sure to consult with individual plastic surgeons about the best options, but these are generally the main ideas I would bring forth.

How do Ultrasound Facelifts compare to Fraxel Re:Pair Laser treatments?

Ultrasound Facelifts and Fraxel Re:Pair Laser cannot give the same result as true surgical Facelift, but they can give good results for the right people. Ultrasound Facelifts deliver energy into the skin to stimulate collagen to tighten and lift areas such as the brow, neck, and chin. Fraxel Re:Pair Laser can rejuvenate the skin surface to address fine lines. Neither Ultrasound Facelifts nor Fraxel Re:Pair Laser address volume loss or reposition the underlying muscle layers that structure the face.

What are my options for the midface lift?

Like many facial surgeries, the midface lift varies from surgeon to surgeon in terms of technique. Some surgeons prescribe endoscopic lift marked by the use of a camera used to lift tissue, whereas others may prescribe thread-lifting with the use of small barbed sutures. However, others will recommend a lower eyelid incision which, though carrying the risk of possible temporary ptosis, yields longer lasting results.

Is secondhand smoke a concern prior to surgery?

Patients exposed to secondhand smoke should probably not worry about how it will affect their surgery. Again, it is mostly the nicotine within the cigarette itself which constricts blood vessels, so secondhand smoke shouldn’t be a problem.

Should I look for an MD or DO in my facelift surgeon?

Again, it does not truly matter what sort of degree the doctor has. If he is adequately trained and has a good reputation combined with the experience which you are looking for, the surgery should go smoothly regardless.

Do laser treatments cause neck issues?

Laser treatments, unfortunately, tend to aggravate neck folding and are often better substituted with a complete revision neck lift consisting of redraping the skin, a platysmaplasty through an incision under the chin and other steps. Consulting with a plastic surgeon may be the best way to find other options as well.

How can I prepare for the swelling after a Facelift?

You can expect that majority of the swelling will resolve in 2 to 3 weeks, and the remainder will slowly resolve over a 3 to 4 month period. To try to lessen the amount of swelling you should avoid salty food before and after the surgery, and sleep with your head elevated to help the fluid drain. These measures may have some minimal effect on the swelling, but giving the body time is the best method.

Are Stem Cell Facelifts the new Trend or just another Fad?

Stem Cell Facelift take fat stem cells from the thigh, buttocks, and other lower body areas and transplant them into the face. The idea is that these stem cells will grow and fill in what has been lost with age. Some patients have noticed significant improvements, however so far research has not shown it to be better than other fat augmentation procedures This technique is new and it is probably best to proceed with caution.

How can I avoid facelift mishaps?

The most important part of considering a facelift is deciding whether it is even necessary. Many patients who are younger often look at facelifts as the only option for facial structure issues and often skip over more effective solutions like fillers, etc. Again, consulting with your surgeon as to your particular facial problems is the best way to avoid looking “freakish” or unnatural following surgery.

Can I have a facelift at an outpatient center?

Generally, if outpatient surgery centers are located adjacent to a hospital, patients will want to look at the credentials of the outpatient center alone. Unless the outpatient center is hospital-owned, they are usually on their own, so having one that is AAAHC certified is probably the best option.

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 is a Liquid Facelift?

This is nonsurgical procedure where large amounts of injectable fillers such as (restylane, perlane, radiesse) are used to fill in sagging areas of the face. It is comparable to fat injections in the sense that it not nearly as long lasting as more traditional facelifts

How is tumescent fluid used during a facelift?

Tumescent fluid is a combination of local numbing medicine (lidocaine,etc.) coupled with adrenaline (epinephrine) used in order to constrict blood vessels and reduce bleeding. Generally, it is not used as the sole source of anesthesia but is used in conjunction with sedation or other forms of local anesthesia.

How much bandaging will be used after my facelift?

Bandages aren’t typically used after a facelift, but instead the head is wrapped over the ears and under the chin. The wrap is used for 1 or 2 days.

What is the Laser Facelift?

Lasers are generally used for the elevation and tightening of the skin rather than the actual facelift procedure itself (which consists of repositioning the SMAS layer of the skin). This is a very new procedure which offers the benefits of less bleeding, less bruising, less swelling, and quick recovery.

Can a facelift correct asymmetrical eyes?

Asymmetry in the eyes can generally be corrected not by a plastic surgeon, but by a maxillofacial surgeon who is more specialized in these issues.

What non surgical options can are available for jowling?

Energy devices such as ultrasound (Ultherapy) and radiofrequency (RF) can improve jowling. Injectable fillers can also camouflage jowling by creating a straighter jawline.

Why am I still swollen and lumpy 2-3 weeks post-facelift?

For many patients, the two to three week mark indicates the worst effects of the surgery. At this point, patients can expect to be quite swollen and have lumps which probably indicate minor blood collections that will heal over time. Massaging these lumps can help, but overall, time is the best cure.

What is the cost of a ribbon lift?

Again, over the years, the ribbon facelift has gone down in popularity simply based on the overwhelmingly high cost to benefit ratio. I personally would not recommend this procedure, but, if dead set on this particular technique, average costs hover $3500 to $5,000.

What is your opinion on endotine periorbital lifts?

Endotine, for me, does not have a useful role in facial rejuvenation. It is a foreign body and creates unnecessary scarring and inflammation. The best option would be to consult with a plastic surgeon trained in problems of facial aesthetic surgery.

What can I do about cheek asymmetry post-facelift?

Patients, after a midface lift, should generally not look to adjust the height of the cheek as it could distort the lower face as well. Cheek asymmetry, however, can be fixed by soft tissue fillers (Juvederm, Restylane, etc.) and fat transfer. Consulting with your plastic surgeon remains the best option.

Can a facelift and liposuction be done concurrently?

Though it may appear to be a good and cost-effective idea to have both procedures done at the same time it is probably best for patients to avoid doing so, simply because of the risk of infection and thrombosis. However, again, it all depends on the health of the patient and their ability to recuperate after these procedures.

What is this oozing behind my ears post-facelift?

Often, patients will find that oozing behind the ears can happen followed by the movement of thread through the skin. These threads are prolene sutures which can easily be removed at the surgeon’s office.

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.

Can I do a blepharoplasty at the same time as a Mini Facelift?

Yes, you can have a Mini Facelift done concurrently with a blepharoplasty. Having a Mini Facelift done with a blepharoplasty means total recovery time will be less, and you will only have to undergo anesthesia once.

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.

Can a facelift and cheek implants be done at age 20?

At 20 years old, it is difficult to imagine that a patient would be an ideal candidate for a facelift and cheek implants. However, they could be easily eligible for nonsurgical options like fillers or skin care treatments and even lifestyle changes like exercise and dietary restrictions. Consulting with plastic surgeons and dermatologists will probably be the best, most conservative approach.

Is bruising and discoloration normal within the first week post-facelift?

Hardness, swelling, and bruising are all extremely normal responses of the body to incision post-surgery. Patients, however, should monitor these sites over a period of weeks to check for possible hematomas.

What can I do about a disproportionately fat face?

Generally, patients who are too young for a facelift but demand facial contouring can achieve what they need through consultations with their plastic surgeons. Unless carefully examined, it is difficult to recommend specific treatments, but some include fat removal, tissue lifting and redraping, etc. Either way, consultation is probably the best option for these patients.

I have a weak smile years post-facelift. What's wrong?

This may not be the answer which you wish to hear, but, after five years post-op, I see very little changing in terms of facial structure. It is possible that, although rare, you may have had minor nerve damage, but, again, it is best to consult with a facial nerve expert to be absolutely sure.

Can I correct a drooping lower face without touching the jaw or chin?

For patients with a good chin and neck area, facelifts are generally not necessary and symptoms can usually be resolved with the use of fillers or even a mini jowl and neck lift. If necessary, a mid-face lift can also be performed in conjunction with a cheek augmentation.

How much will facial feminization surgery cost?

The surgery of achieving a balanced, feminine face usually involves a facelift, forehead/brow lift, and lip augmentation using Restylane and other features. Again, like other procedures, the cost is highly variable but usually lingers at around $50,000.

What are the basics of facelift surgery?

An incision is made along the hairline, that extends around and behind the earlobe. Skin and muscle are pulled towards the incision, trimmed appropriately, and are sutured/clipped/glued closed. The various /procedures can take from 2 to 5 hours, with a minimum recovery of 2-3 weeks.

Can I do a revision Lifestyle Lift?

Lifestyle Lift, being a branded facelift, is probably not the best option for patients wishing to undergo revision surgery. It puts patients at a higher risk of being dissatisfied and requiring more procedures short-term, and is far less advanced than many surgeries of today.

What do I do about fat dissipation post-facelift?

Patients who undergo skin depression and hollow cheeks may need to undergo facial surgery if said symptoms last for several weeks or months. However, such conditions can also be alleviated by fat or filler injections or the release of a possible suture. Discuss options with your surgeon.

Can I get a facelift for malar bags and sagging skin?

Generally, younger patients are discouraged from pursuing a full-on, invasive facelift surgery. Many patients who have malar bags are discouraged to get facelifts and should instead opt for small cheek implants to enhance the fullness of these areas and give structure (thus fixing the problem of the sagging skin).

Will swelling stretch the skin appreciably?

Generally, swelling within the first few weeks of surgery, though seeming like a lot, will not stretch the skin to any appreciable degree. The results of the facelift will largely remain intact.

Can I change my hair style post-facelift?

Patients who wish to wear a certain hair style after surgery should discuss this with their surgeon before the surgery in order to ensure that the scars made from the incisions are as inconspicuous as possible.

Why do I have pins and needles sensations on my feet?

Tingling and numbness post-op is fairly common after surgery as nerve endings are attempting to regenerate themselves. This should continue for about a year until the conditions subside.

Should I revise my cheeks several months post-facelift?

Patients must be careful in deciding to undergo revision surgery, especially because the healing process is not yet finished after several months post-surgery. Consulting board-certified surgeons is probably the best option in addressing patient concerns.

How can I address jowling without scarring?

Generally, jowling is best corrected with a full facelift. However, the scars, depending on the skill of the surgeon to make them inconspicuous, are usually not as noticeable as patients may believe and can be hidden by the earlobe and hairline.

What are the risks of Deep Plane Facelifts?

Deep Plane Facelifts have an increased risk of damaging motor and sensory nerves, a risk which is very rare for a well trained and experienced surgeon. Other risk for Deep Plane Facelifts include hematoms and infections.

My drain got clogged several days post-facelift. Is this an issue?

Drains are mainly used as a way of reducing the risk of hematomas post-op, but these devices are often clogged by the fluid which they try to drain, making them almost unneeded after a day or two post-op. Generally, this will not be an issue.

What arrangement need to be made If I am from out of state?

Arrangement will have to be made for you to stay in a hotel and have transportation to come into the office for a post op visit. This will require at least a one week stay, for your to get through the most intensive part of the recovery phase..

Is there an advantage to stem cell facelifts?

The problem with the stem cell facelift is that it is not really a facelift in the true sense, but rather a modified method of fat grafting. Studies have shown that it really does not do more for the patient than simple fat transfer which can last for several years.

How can pixie ears be corrected post-facelift?

Generally, pixie ears can be easily corrected by elevating the remaining lobe and closing off the scar area.

When does muscle weakness recover post-facelift?

Generally, muscle weakness, if temporary, takes within 3-6 months to fully recover.

How should I sleep post-facelift?

Post-facelift, patients are recommended to sleep with the head elevated and perfectly straight (not on their side where they could put pressure on various parts of the face).

Does a deep plane facelift have a longer downtime than a SMAS facelift?

Generally, because of the deeper invasiveness of the deep plane lift, the deep plane lift has a slightly greater recovery time (about a week longer than that of the SMAS Lift). However, each surgeon has different policies concerning surgery and recovery time, so it is best to consult with your doctor if you have specific questions.

Does losing weight help before having a Facelift?

On the contrary, losing weight may make things worse. People desire a facelift because of increase skin laxity and loss of facial volume. Losing weight means volume loss in the face, that may need to be replaced during a Facelift with Fat Transfers. However, if you are at an unhealthy weight losing weight may be a priority.

Why will my plastic surgeon not answer my questions?

This is unusual. The point of plastic surgery is, ultimately, patient satisfaction. However, if the patient has questions, it is his/her duty as the receiver of medical care to address them with the plastic surgeon without embarrassment. It is our job as doctors to provide for every need, within reason, for the patient during surgery.

Why am I panicking about my looks post-facelift?

The key saying with post-facelift patients is that “You look worse before you look better”. Patients will often find themselves questioning when the swelling and bruising will end and will usually look for immediate gratification post-surgery. The important part post-procedure is simply patience.

Can I get Botox done post-facelift?

Botox can usually be done concurrently with facelifts as long as they do not include the brow or forehead area. However, if said areas are affected, it is best to wait 2-4 weeks after browlift surgery to consider Botox.

What does a MACS facelift cost?

In general, facelift cost vary depending on location, surgeon’s skill, facility and anesthesia fees, etc. Generally speaking, the cost hovers around 15,000 to 18,000 dollars.

My lower Face is droopy after a Facelift?

Contact your surgeon immediately. It is not common for the Facial nerve to be damaged during the modern facelift, but if it is cut it needs to be addressed surgically as quickly as possible. The more likely scenario that causes a droopy face is that the nerve is stretched or swelling around it is pinching it, which may necessitate steroids to calm the area down.

Am I ready for a facelift in my 40s?

Generally, younger patients should look for more skin-tightening procedures rather than facial contouring ones. I would recommend Ulthera therapy or having minor procedures like fillers or even a blepharoplasty as a way to reduce a tired look.

Are there any issues to expect post-facelift?

With sutures being used to tighten muscles in and around the face, it is normal to experience tightness especially where the incision was made. Itchiness should also be expected for a bout a year and swelling should be anticipated for up to 6 months post-op.

What is the best treatment for drooping mouth corners?

For patients dealing with drooping mouths (specifically at the corners of the mouth), probably the best procedure would be to use fillers like Restylane and Juvederm Ultra. For greater marionettes lines, however, fillers would not work well and a full facelift would probably the best option.

Should I be thinking about a Facelift at age 32?

At age 32 you are more likely dealing with a loss of volume in the face as opposed to those over 40 who are dealing with increased skin laxity. To correct purely volume loss, and to give a more youthful appearance you should consider using injectable fillers or fat grafts; for example to the cheeks.

Can eyebags be caused by fat injections?

No.Fat injections should generally be added along the tear trough, which is the deep grove along the bone of the lower eyelid.

How soon after a facelift can I engage in oral sex?

Strenuous physical activity or any activity that may raise your blood pressure, such as oral sex, should be a avoided for 2-4 weeks after a Facelift. A raised blood pressure, such as during oral sex may worsen swelling.

Are facelifts easier for women as opposed to men?

Generally, though male patients constitute only about 10% of cosmetic surgery patients, doctors trained to handle female patients should be equally trained to handle male patients as well. The dissections and anatomy of the faces may be different, but, as long as these are attended to with skill, most of the surgeries remain relatively the same.

What can I expect in my facelift results?

The purpose of a facelift is to reverse a patient’s biological clock by elevating and repositioning muscles and tissues in their face. Sagging skin should be greatly resolved due to trimming and repositioning and general volume deficiencies can be fixed with fat injections or fillers. In general, the patient should not expect overwhelming changes in their facial structure.

Why do I have a depression of the zygomatic arch post-facelift?

A depression in the zygomatic arch could be attributed to the atrophy of the temporalis muscle. In this situation, fillers, fat grafting, or even Sculptra treatment could all help.

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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.

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