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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

Do I need to wait to do a facelift following thermage and filler treatments?

Generally speaking, thermage and filler treatments work very well with facelift and skin resurfacing procedures. As long as the patient waits for the Sculptra injection site to be become soft, a facelift will simply enhance the look which fillers, etc. gave the patient.

Is drooping of the eyelid after a facelift normal?

Ptosis of the eye is usually related to complications with the facial nerve after surgery. Generally, this heals strongly without long term issues, but the patient should take care to keep the eye moist and possibly tape it.

How effective are “Facelift Creams”?

The concept of Facelift cream is that it attracts water into the tissues of the face to add volume and thus fill in wrinkles. and creases. This is similar to using injectable fillers, except the effectiveness is variable and much less predictable. Anyone looking for a long lasting and significant change should consider injectable fillers and if necessary a standard Facelift.

What is the cost of a facelift in South Florida?

Again, like many surgical procedures, the costs of facelift vary depending on the surgeon’s skill and training, location of the procedure (urban areas have higher overhead costs), and other factors. It is important to research which procedures are the best for you, but generally expect to spend between $5,000 and around $15,000, depending on the invasiveness and effectiveness of the procedure.

Is it weird to have skin breakouts post-facelift?

Skin breaking out may be part of the healing process, but proper skin care may be in order. Check with a dermatologist to find your options.

What procedures should I consider as a 20 year old?

Generally, patients with excess fat in the lower face at 20 years should not consider a facelift automatically, but should look into other options like buccal fat pad removal which can be done under local anesthesia and for which the results are visible in one month.

What can I do about asymmetrical post-facelift sagging?

Post-op, many patients will find that sagging can be asymmetrical. However, this is not due to the skin laxity which required the facelift, but more so because of fat/volume loss in the cheeks. This can easily be corrected with fat grafting or fillers.

What certifications should you look for in a facelift surgeon?

When doing a plastic surgery, it is probably for the best that the surgeon be certified by the American Board of Plastic Surgery. Even for mini-lifts, which are not considered as invasive as facelifts, a great deal of experience and training is needed for good patient satisfaction.

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 distinguishes board-certified surgeons from licensed surgeons?

Licensed surgeons are simply those with an MD degree, whereas board-certified plastic surgeons have been specifically trained in plastic surgery and have passed rigorous exams by the American Board of Plastic Surgery. These are the surgeons who many people rely on for true results and who have the greatest patient satisfaction in plastic surgery.

Are there any procedures with minimal scarring?

The amount of scarring which a patient will undergo depends on the genetics of the individual, the surgeon’s placement of incisions and his/her skill, and the tension placed on the skin. There is no definite procedure which provides the least scarring, yet smaller, less invasive procedures (in accordance with popular belief) often have less scarring than other more invasive ones (deep plane, SMAS, etc.).

How can I prepare for facelift surgery?

As soon as the date is set for surgery, it is important for patients to arrange for a ride home from surgery and also to clear their schedule for up to 2 weeks post-op. Smokers should quit several weeks before and continue not to smoke for several weeks after surgery and, unless approved by the doctor, any medications and herbal medicines should be avoided.

Can upper eyelid and facelift surgery be done under oral sedation?

Oral sedation works with good local anesthesia of the area being operated on. IV sedation does increase the risk slightly but will improve your overall comfort during the procedure.

When do people usually start having facelifts?

For most people, the first facelift usually occurs between the ages of forty and fifty because of the loss of facial volume from age-related fat loss and by the development of lax skin again due to age. Again, however, it is the physical state of the patient, as opposed to his/her age which actually determine the need for surgery, so consulting with surgeons is probably the best first step in deciding.

Can loose skin be corrected non-surgically?

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

How can I address my red suture lines post-facelift?

Usualy, if the scars are thin and flat, but have a red, rather fleshy color, they are still maturing and will continue to mature for up to 90 days. People in the short-term recovery phase of the surgery should be patient and allow the scars to heal naturally. However, if the red lines become raised or thick, they could be hypertrophic scars and one should see their surgeon if this occurs.

What are some non-invasive alternatives to facelifts for younger patients?

At your age, it is probably inadvisable to look at surgery as the first line of treatment especially because skin laxity is usually not a great problem in the late 30s and early 40s. Other non-invasive options exist such as neuromodulators, fillers, laser-based procedures, and soft tissue tighteners.

What should I do if my cheek implant shifted post-facelift?

Generally, it is important for doctors after a cheek implant to fix it in place with a screw which may require surgical incision. A simpler method of treatment could be to inject fat into the area to hold up the implant in place.

Can I get a facelift at a residency program?

Granted, experience may not be top-notch at many residency programs. However, one must remember that even the greatest surgeons started off as residents and fellows and that many of these young doctors-in-training are more capable than people give them credit for. Even so, I would make sure that the surgery is monitored.

When should I use Sculptra as opposed to hyaluronic acid fillers?

Sculptra is generally used as a deeper volumizer primarily used within the cheeks and the temples and may require multiple treatment sessions for the desired effect. Acid fillers are probably better for under eye filling, as are fat transfer options.

What is the Silhouette Soft?

This treatment procedure seems like another variant of the long abandoned threadlift and is probably not worth the time or the effort (not to mention the cost) of going through with surgery. If patients are serious about creating facial changes, it probably cannot be done with procedures that seem “to good to be true”.

Opinions on Threadlift vs facelift?

The consensus on threadlifts for most plastic surgeons is that the results look fantastic, but only last a week or two. Therefore, it is generally not worth the money to have it substitute a solid, long-lasting facelift.

Do I need a revision facelift if I see asymmetry post-op?

Generally, what patients see as asymmetry is usually not, meaning that full examination of a patient is needed to determine if treatment is needed (usually by a Board Certified Plastic Surgeon). Waiting 9 to 12 months before considering surgery is probably best. In the meantime, I would consider volume replacement with fillers or fat grafting.

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.

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.

Can a blepharoplasty and brow lift alter the hairline?

The extent of hairline alteration during surgery honestly depends with the surgeon. Generally, incisions made in front of the hairline will not change it, but those made within the scalp (performed in conjunction with skin removal) may cause the recession of the hairline slightly.

Why do I have irregularities in my face post-facelift?

Irregular depressions in the skin post-op may be the result of the swelling. However, if after 6 months, these depressions still remain, fat injections can be made into the hollows and steroids can be injected into the lumps and bumps to help smooth out the facial structure.

Will minor skeletal defects be noticeable post-facelift as opposed to before?

In general, minor defects in the bone structure which were not noticeable prior to the facelift should not be noticeable in the post-facelift results. Facelifts tend not to improve or worsen facial asymmetry.

When can I have dental work done post-facelift?

I personally recommend patients to avoid dental work for the first month or so after a facelift. However, even at seven weeks or so, patients should inform their dentists about their surgery and advise caution.

Are slanty eyes post-facelift a permanent problem?

As tissues and sutures gradually relax, slanty eyes following a facelift usually tend to resolve themselves quickly. However, if they do not resolve themselves after 6 months, see your doctor quickly.

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.

Does drinking liquid collagen help with facelifts?

Though collagen does help with addressing skin elasticity and does form an essential part of the skin’s framework, it would probably be digested by enzymes in the stomach and would not help greatly with wrinkles.

Does the FeatherLift work?

A featherlift was a procedure used several years ago which worked similar to a thread lift. Barbed sutures were inserted under the skin to lift it up as a whole. The only problem was that, as tissue is tightened, it expands, thus defeating the purpose of the procedure in general.

Can I have a facelift in spite of a thyroid cyst?

Patients who have thyroid issues should probably consider talking to their doctors (ENT/head and neck surgeon) about this first about having a biopsy, since these lesions can be cancerous. However, consulting with a surgeon and further evaluation after this would be needed to determine if a facelift is safe.

Can I do anything about cheek discoloration post-facelift?

Bruising is generally very common for the first two weeks following surgery, but some patients may develop hemosiderin staining which is similar to bruising and may last for about a year. Again, for bruising, time is often the best factor for healing, but makeup can be worn for camouflage purposes.

What is the Refresher Lift?

When it comes to plastic surgery, the most important thing to remember is that it must be specific for the patient’s needs. I would suggest researching the technique and deciding whether it is best for you. From the information which is available, it seems as if it has a shorter incision and preserves the hairline, but I would remain wary of these brand-name lifts.

Why do I have raised scarring in front of my ear?

Raised red scars after facelifts should probably be treated with steroid injections, but the surgeon should be careful with these in order to avoid skin vessel changes and the death of surface skin tissue. Laser treatments could also be an option.

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.

What is this hot lump on my face post-facelift?

Generally, patients dealing with major lumps post-surgery are dealing with hematomas where cells break up, releasing salts and drawing fluid to create more swelling. Needle aspiration of the area is usually required to test for infection.

Will the MACS facelift impact my eyes?

Generally speaking , this should do very little in the eye area besides removing excess skin, so it should not be a concern to patients.

Should I avoid Arnica cream if I have allergies?

Patients who have experienced allergies to arnica cream should probably avoid it altogether during surgery, as its effects are controversial and extremely limited.

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.

Should lupus and fibromyalgia impact my facelift results?

Especially with adverse conditions like lupus and fibromyalgia, it would be wise to discuss specific instructions and concerns with your surgeon. The disease should be maintained and under control before the surgery is performed.

What is the maximum number of facelifts I can undergo?

Technically a patient can undergo as many facelifts as they want until they are happy, however at some point one more facelift will throw off the natural contours of the face, making it a “bad” facelift. This point differs based on genetics and age.

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.

What can I do about a protruding suture post-facelift?

It is common for sutures to protrude after facelift, but it is important for them to be removed as soon as possible. Depending on the type of suture, it may be necessary to make incisions in order to remove the suture and avoid the possibility of infection.

Should I get a facelift if I show premature aging from being out in the sun a lot?

People who are out in the sun a great deal often find themselves dealing with premature signs of aging. However, facelifts are often not necessary and can easily be replaced with eyelid lifts and modified facelifts. Consult with your plastic surgeon about your options.

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.

Should I be concerned about nerve damage after doing multiple facelifts?

To be honest, any experienced and capable surgeon should not be afraid of doing nerve damage, etc. simply because of their knowledge in the field. However, the problem with you may be that fat grafting or augmentation is needed to plump various areas without the use of a facelift.

What should I expect from a facelift?

Surgeons often have a problem with patients and facelifts in that the patients often expect too much from their surgery. Again, the object of a facelift is not to change the face entirely, but to create a younger, more natural looking version of the patient. So, it is best for patients to consult with their doctor in order to create the best possible results.

Thoughts on Midface lift vs implants?

Facelifts are generally the option for patients who, rather than dealing with a lack of actual structure in the face (due to fat loss, etc.), are dealing with greater problems in skin laxity. This often presents itself in the form of saggy jowls as well. Patients, however, who are simply losing fat in the face due to age can be easily “cured” with the use of fillers and fat grafting.

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.

Why do I look windswept a week post-facelift?

Though patients worry about having an obvious, windswept look after surgery, seven days is WAY too early to call the results of the procedure. Again, it is probably better for patients experiencing anxieties around this time to wait until results begin to improve.

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.

How long do PSP Facelift and MACS facelifts last?

The effects of these surgeries can last up to 10 years. As with any facelift the results don’t last indefinitely because skin continues to sag, and muscle continues to get weaker. Exactly how much sagging occurs depends upon your genetics and facial structure.

Are there any good pre-facelift procedures I could do?

Before a facelift, some of the best options could be to use Retin-A before and after surgery. Examples include using Obagi.

How does a Lazerlift procedure work?

The Lazerlift procedure is marked by its use of a Cynosure laser-tipped cannula which is used to undermine facial tissue and achieve skin tightening. The results of this are not nearly as invasive or effective as a facelift, but nerve damage may still be a risk.

Can a lower facelift address sagging chins?

What is generally found with a lower facelift is that it addresses the lower two thirds of the face, causing the jawline to become sharper and the angle of the jaw to become more acute. Sagging chins, on the other hand, are more caused by a lack of projection (AKA loose skin and fat), or, in other words, the absence of structure. The best method of treatment, in this case, is to do a chin implant since the problem is not skin laxity.

Can I get surgery abroad?

America is not the only country with top-dollar plastic surgeons. However, if patients are going overseas for surgery, they should definitely do their homework on their surgeons, making sure that they are achieving the best results they can for their ideal price. Patients should also plan to stay in the country for an extended period of time in case any problems may arise (since this could be a problem, I would not advise having surgery overseas).

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.

Is it normal to have scars/wounds on my temple post-facelift?

Temple wounds are somewhat uncommon following a facial procedure. The best option at this point would probably be to wait it out and see how the wounds scar/develop and, as always, consult with the surgeon.

How does a Thread facelift compare to a Traditional Facelift?

The Thread Facelift may at best get somewhat inferior results to the Traditional Facelift, however these results typically only last a few weeks. If a patient wants more long lasting results, a more Traditional facelift is required.

What is the Recovery like after a facelift?

The healing time varies for each patient, but typically you will be able to resume most normal daily activities by the 2 week mark. Dr. Kassir usually removes any sutures at day 7, and some patients are able to resume exercise by day 10. You will be ready to show off your rejuvenated face at public events (weddings, reunions, birthdays, etc) by 2-3 weeks.

Is it safe to have a Deep plane Facelift at age 55?

The average age of a Deep plane Facelift in NJ and NY is 52-55. Depending on your need you may only require a SMAS lift, or you may even get away with the patented K-Lift™ procedure. You can undergo a Facelift under local anesthesia preferably, or alternatively IV sedation or general anesthesia. If you have any medical problem you should discuss them with your surgeon.

What is QuickLift?

As I have said many times before, there is no marketing substitution for a facelift for which the recovery time is approximately 10-14 days. Any facial lift surgery performed by a non-certified surgeon is risky and probably should not be done for patients serious about the outcome.

How soon after a Facelift do the sutures come out?

We usually take the sutures out about 1 week after the Facelift procedure.

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.

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.

Can I use hirudoid cream on my lumps post-facelift?

Before applying any topical ointment to the skin following a facelift, especially so soon, I would consult with my doctor. There is usually no benefit in applying things blindly.

Can I have a facelift at age 45?

At age 45 it is not an unusual for someone to have a facelift. Whether an individual is needs to have one 45 depends on their particular face. At age 45 volume loss, and particularly skin laxity may have begun to set in. At age 45 you may still be a candidate for less invasive procedures using fillers. Please consult with an experienced surgeon.

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.

How can I treat seroma scars post-facelift?

Seroma scars can be treated with cortisone injections, but may need to be properly aspirated to avoid any long-term damage. It is probably best to consult with the surgeon and avoid making hasty decisions.

What do I do about residual jowling post-facelift?

It is strange for patients who have a lower facelift to still have problems with jowling, especially since this procedure is geared specifically for this problem. The most likely route, as of now, is further lifting, but keep in mind that bone structure, fat, chin shape, etc. may have played a role in creating these residual jowls.

How can I deal with a hollow tear trough?

Patients dealing with a hollow tear trough area should consider fillers like Restylane as a first line of treatment.

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.

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Dr. Ramtin Kassir © 2017

Top Plastic Surgeon in NJ | Plastic Surgery NJ

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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.