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About Facelift

by Ramtin Kassir, M.D., F.A.C.S. | Learn More About Dr. Kassir

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

Are these dimples on my skin post-facelift normal?

Patients post-surgery will often deal with swelling which could progress into the development of fluid collections and even hematomas. If lumps develop, it is probably best for the surgeon to examine the patient to determine the nature of these lumps.

Can a breast lift be done in concert with a facelift?

Generally, the concern with double procedures is the question of making the anesthesia last without complications for the patient. Patients willing to undergo a breast lift in conjunction with a face lift can generally have it done with additional cost benefits.

Is blood work required pre-facelift?

Prior to a surgery, a surgeon must be positive that their patient is healthy enough for an operation. If he/she feels that a patient’s past health problems deem a blood test necessary, then a blood test will usually be recommended.

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).

Can a younger patient address cheek issues via a midface lift?

For younger patients, it is inadvisable usually for them to get mid facial lift unless absolutely necessary. A better option to address volume loss around the nasolabial folds would be to use facial fillers.

What should I do about jowling and platysmal retraction post-facelift?

Patients experiencing jowling post-op may definitely require a facelift in order to lift the SMAS and a liposuction of the neck to improve platysmal retraction.

What is the miracle facelift?

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.

Should I be worried about apparent scarring post-facelift?

Usually, different surgeons will choose different incision techniques based on experience and the need to hide incisions in the natural crease lines. Again, the key is to make the surgery less obvious and the surgeon will usually best know how to do that.

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.

What are good solutions for younger patients, other than facelifts?

For younger patients wishing to change their inherent facial structure, the facelift would probably not be the option to go for. Instead, non-invasive methods, like fillers, would be a far superior first line of treatment. Consulting with their specific plastic surgeons and obtaining a detailed exam and treatment plan would be the best option at this point.

Can I lose weight after a facelift?

Patients who are looking to keep the results of a facelift intact are generally not advised to lose a significant amount of weight as loss of fat in the face can reduce facial structure and may cause the return of skin laxity post-facelift. If weight loss is desired, patients should go about it slowly, evaluating themselves after every 10 lbs or so lost.

When does muscle weakness recover post-facelift?

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

How can I deal with perioral mounds?

Patients who have “mounds” when smiling usually have a problem with volume loss related to diminished subcutaneous fat. Fillers and perhaps Botox are the best lines of treatment for these conditions.

Does a Serdev Suture Lift work for younger patients?

For younger patients, regardless of the marketing technique used, I would not recommend getting a facelift. Patients who are young are probably better off with injectables or even smaller scale techniques like threadlifting.

Can suturing be done along the hairline behind the head?

It is common for sutures to be placed in this location because it allows for trimming of neck tissue to be easily hidden within the hairline.

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.

Will my midface lift affect my eye size?

Patients undergoing a subperiosteal midface lift combined with orbital rim implants may have a problem in that the eyes, if small in the beginning, may look even smaller. In this case, the incision for the facelift is made through the eyelid which changes the angle of the corner of the eye and the apparent height and width of the eye.

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.

Why are fat transfers not effective for me?

Fat transfers and many other minimally invasive procedures tend not to address the issue of skin laxity. Fat transfers can correct volume loss issues seen in younger patients. To address skin laxity problems patients need to consider undergoing a Facelift procedure

How can I correct facial asymmetry?

Patients dealing with asymmetry would most likely benefit from fillers or fat grafting.

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.

How can I deal with tightness and lumps almost a year post-facelift?

Tightness several months after a facelift is a hallmark of persistent edema or tissue swelling which cannot be resolved through medical means but only through time. Patients with these symptoms may want to cut down on sodium level or explore the options of manual lymphatic drainage or endermologie.

Are raised sideburns a concern post-facelift?

Generally, most facelift operations are made to have scars that look as inconspicuous as possible. Scars, in an effort to avoid raised sideburns, may be placed horizontally along the top of the ear.

Any good tips for patients undergoing facelifts?

The best way to avoid complications during and post-surgery is by making sure that all questions are answered. Be frank and open with your surgeon and ask anything which could be troubling. Also, quitting smoking and following other orders by your surgeon is also important.

Can I lose weight pre-facelift?

It is important for young people to keep a healthy amount of fat in their face simply for the purposes of structure and support. For this reason, if weight is lost significantly, the skin may become lax due to lack of support. It is best for younger patients to wait until the weight becomes stable before addressing skin laxity, meaning that a facelift is probably not needed and can substituted with fat grafting or even with time (skin will naturally tighten).

How can I improve my eye and cheek area?

Patients looking to improve the periorbital and cheek area should look into the cheek augmentation option via fat grafting. Jowling can also be fixed temporarily with chin implantations.

Why are my ears protruding so much post-facelift?

During a facelift, incisions are made behind and often in front of the ears. Patients are encouraged not to worry about swelling which may occur and are encouraged to remain calm in the face of “Dumbo-like” ears.

Do I need a deep plane facelift?

Often, when patients have ineffective surgeries done in the past, they feel the need to do more invasive procedures to achieve the results which they want. However, very often, the problem lies not in the procedure, but the surgeon. Find a good plastic surgeon with the credentials to perform the surgery which is right for you.

Did I get unsatisfactory results from my MACS Lift?

What patients must remember is that MACS Facelift only yield good results on a certain handful of patients. It is a surgery which produces fullness in the cheek area, but may require a lower eyelid lift in order to reduce bunching from the underlying tissue. However, patients should wait several months before making any judgement calls.

When does healing take place after a facelift?

Full healing does not take place until about 6-12 months, but patients will generally be ready for public events after around 3 weeks. Again, it is important for the sake of the patient that he/she quit smoking and other habits which could inhibit or, at least, prolong healing.

Is this a hypertrophic or keloid scar?

It is important for post-op patients to make the distinction between a hypertrophic scar and a keloid scar. A hypertrophic scar is a thickened scar which stays within the boundaries of the original incision whereas a keloid scar spreads out from the incision and have a mushroom-like appearance. Patients who have demonstrated keloid scarring should most likely see their surgeons.

What is LazerLift?

Again, laser treatments are usually brought in to tighten skin not actually adjust the skin in a great way. I would remain wary of such “gimmick” procedures.

Can a facelift address asymmetrical faces?

Again, I would not recommend opting for a facelift surgery at your age even with the symptoms you are describe (marionette lines, etc.). For people with disproportionate faces, the problem often lies in the underlying fat structure of the face for which a facelift and a liposuction can do greater damage. I would consult with your plastic surgeon about your individual options.

How long should I wear a Face Tensor after a Facelift?

A Face Tensor can be put on after the sterile bandages have been taken off, and can be worn for 2 to 3 days. The tensor provides support to the face and helps reduce swelling.

How effective is a Ultrasound facelift?

Ultrasound facelifts send energy through the skin to stimulate cells to produce collagen. This adds some amount of volume to the skin and tightens. Ultrasound facelifts such as Ultherapy are not as effective as traditional Facelift. With multiple sessions Ultrasound facelifts can yield some decent results in areas such as the brow, neck, and chin.

Does a midface lift help with aging?

In general, if patients are concerned about facial aging, the best way to address their concerns is through a full facelift. The mid facelift, while providing temporary relief in the cheek areas, does very little for the aging process.

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.

Can I do a facelift under one doctor and a blepharoplasty under another?

If patients want to do two surgeries concurrently with different doctors, it could be possible. However, this could be somewhat unnecessary as many board-certified plastic surgeons are fully capable of performing blepharoplasty incisions when doing facelifts anyway. Therefore, if the plastic surgeon is fully qualified, it may just be easier to have him/her do the surgery alone.

What is the SMAS layer?

The main area affected during a facelift is the SMAS layer which is a layer of fascia under the skin which is tightened during the procedure as a way of avoiding direct tension of the overlying fat and skin.

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.

When can I get a second opinion on my facelift?

Patients should probably wait for a minimum of six months post-op before having a second opinion on their facelift simply because the skin needs time to heal and re-establish blood supply. Unless there are major problems (e.g. infection, major pain, etc.), this is probably the ideal time frame.

My doctor is giving me a half-priced facelift. Should I do it?

As with most surgeries, it is probably best to remain wary of “discount” facelifts. Unless the doctor is a Board Certified Plastic Surgeon, it is not a good idea to undergo surgery.

What should I do about the blood blisters on my face post-facelift?

Post-surgery, it is extremely uncommon to find blood blisters on the face. Consulting with a plastic surgeon who performed the procedure is probably the best option at this point.

Can I get a Corset Platysmaplasty in concurrence with a facelift?

Generally, patients who are in need of playsmaplasty are those who have platysmal banding. If such symptoms are not present, the procedure is simply not worth the swelling and recovery time unless an extremely tight neck is desired.

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.

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.

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 I have microcurrent treatments post-facelift?

To be honest, I see no real benefit OR harm in having microcurrent procedures done because they only affect muscle rather than the fibrous tissue layer (SMAS) which was affected during the facelift. I have always been wary of these microcurrent treatments as stimulating muscle repeatedly could cause further wrinkling of the skin.

What can I do about my face in my 30s?

For patients in their early 30s, doctors will tend to recommend lesser, non-invasive routines than a facelift. Such solutions include implants particularly for the jaw areas (e.g. chin-jowl implant) which helps stretch the jaw and reduce jowling as well as submental liposuction to allow for a decrease in neck fat.

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.

Is scarring visible post-facelift?

Though surgeons are generally trained to minimize scars as much as possible, scars will be present. Surgeons will usually attempt to place incisions in areas that are hidden or in areas where it may look like natural wrinkles (ex. Hairline, behind the ear), but, particularly in Hispanic or African-American patients, there is an increased risk of “hypertrophic” or “keloid” scars.

Can a 45 Year Old Get a Facelift?

Again, it is the patient’s physical facial state which determines the correct time for a facial procedure. Generally, patients looking to do facelifts early (in their 40s, etc.) will definitely need to come back after 10-15 years, meaning that doctors usually do not recommend facelifts at such a young age.

Do I have loose skin from weight fluctuations?

Generally speaking, younger patients tend to be somewhat critical of themselves and tend to see signs of aging where there actually are none. Surgery is probably not the best option for these patients and can be better substituted by liposuction or Excilis treatments.

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.

What is the best age to do a Facelift?

There isn’t really any best age to do a facelift, but it is recommended that the earliest a patient should have a facelift is early 40’s. After age 40 jowls and neck sagging start to become problem, at which point only a Facelift can give effective long lasting results.

I think my doctor made a mistake during my facelift. What can I do?

Generally, patients following facelifts will have certain areas of concern like scars and nerve weakness. These issues tend to resolve themselves over time, but patients must remain calm and remember that the healing process is gradual.

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.

Why am I having difficulties post-Acculift?

Patients having difficulty with their face post-Acculift may be experiencing difficulties with the injectables and fillers used during the procedure. Consult with the surgeon to find what problems you are having.

Is asymmetrical swelling post-facelift normal?

Swelling post-facelift lasts for as long as 6 months (sometimes longer), but usually begins to dissipate after three months. Up to this point, patients should not worry about asymmetrical swelling, but should take care not to sleep on their sides as this could have long-term consequences for this swelling.

Can I use Aquacool face masks to address post-facelift swelling?

Short term swelling can easily be treated with a cool compress or cooling mask, but could be easily substituted with ice, frozen peas, etc.

What are these lumps on my neck post-facelift?

The most likely reason for the existence of lumps post-operation is usually residual sutures which hold the platysma and other muscles in place or minor collections of blood.

Why do I have facial and scalp itching post-Endotine lift?

Patients who have had a midface lift may have problems with Endotine devices irritating sensory nerves, thereby causing itching. Usually, these are dissolvable within a year or so, but patients are often annoyed with the device because of the symptoms which you describe.

Why didn't my facelift target my marionette lines?

Generally, marionette lines are not really the target area for a facelift and are much better suited for treatment by fillers or fat injections.

Can facelifts be done post-fillers?

Facelifts and fillers tend to work hand-in-hand very well. Though many people would opt to have facelift procedures done BEFORE fillers are added, doing the reverse is perfectly acceptable.

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.

Why is my neck sagging 9 weeks post-op?

Generally, after 9 weeks, much of the swelling has begun to subside and skin on the neck begins to loosen. However, patients should generally not worry as the collagen and scar tissue tends to then contract once more over the course of 6 months to a year. As in many cases, patients who are anxious should schedule a consultation.

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.

Do facial exercises help with asymmetry?

Try all you want, but, unfortunately, facial exercises have not been proven to have any effect on improving facial asymmetry.

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.

What are less expensive options than a facelift?

Facelifts come in a variety of forms depending on the desire for invasiveness and results on the part of the patient. Generally, however, younger patients are not recommended to get a facelift and should instead rely on other, non-surgical methods like fractional laser resurfacing, fillers, and Botox to aid in the youthful rejuvenation of their face.

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.

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.

How many stitches are needed in a facelift?

Usually, after a traditional SMAS lift, 40-50 stitches are used to cover the residual scars located close to the incision site at the hairline, in front and behind the ears. These stitches are removed at the fourth day after the surgery to avoid railroad track scars along the incision line.

How can younger patients look more youthful?

In today’s society, a youthful face mainly consists of having bright well shaped eyes and a defined jawline. Patients looking to achieve these features can generally find them with chin implants, mini neck lifts, and an upper eyelid lift, but facelifts should generally be avoided (especially if the patient is younger).

Was my tongue and palate injured during my facelift?

Irritation of the palate area post-op is most likely the result of intubation during surgery or an oral airway. Usually, irritation tends to resolve itself out within a few weeks, but a surgeon should consult with you.

Why do my nasolabial folds look bigger post-Endotine lift?

Unfortunately, patients looking to correct nasolabial folds and other problems in this area, the endotine lift is probably not the best option. Revision surgery can certainly be done, but only by a board-certified plastic surgeon (if the patient wants the best results).

Can I get a facelift at 59?

Most patients even at this age do not require a full facelift, but are often more eligible for procedures like a mini facelift or laser and chemical peel simply to treat skin laxity around the jawline. These procedures all performed under local anesthesia can give long-term results.

What does it mean If I have blinking difficulties after a Facelift?

This may an indication that some damage has happened to a part of the Facial Nerve during your Facelift. You should consult an experienced plastic surgeon who can assess and treat you with surgery if necessary.

Is the age of a surgeon important for a facelift?

Determining whether a surgeon is still capable of good surgical technique often lies with examining recent before and after photos of patients and seeing whether he or she demonstrates the technique which they once did. Again, a facelift is a very challenging procedure and should be taken seriously.

Can I get a liposuction AND facelift for my double chin?

The double chin is probably best corrected with liposuction and the facelift can be done later for further improvement.

How can I correct deep nasolabial folding?

Patients who have very little success with fillers and fat grafting generally experience better results with a lower and mid-face or cheek lift in a way that would help the tissue falling over the corners of the mouth to be elevated. Botox in the mouth could also help with the “frown” look.

What are the complications that could potentially ensue from a facelift?

The degree of complications following surgery usually has a direct correlation with the skill of the surgeon. Again, most complications are minor and relate to fluid present in the skin or small irregularities, but they can be major if they include nerve damage, etc. Asking these questions with the plastic surgeon is probably the best option.

Are there non-surgical ways for facial rejuvenation?

Patients who are not comfortable with facelift surgery may consider fillers as a way to simply restore volume without actually lifting the face. This may be best discussed with your plastic surgeon.

Is the facelift procedure different for a patient with sleep apnea?

Patients who have severe sleep apnea and require a CPAP machine should be monitored 24 hours in a hospital following the facelift to avoid a severe apnea episode.

I have banding almost a year 6 months post-op. Why?

Generally, by this time, the face should be relatively healed. Muscle tightness may persist for several months, but banding calls for an additional consultation.

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.

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.

What is the polydiaxanone suture?

The PDS is a reabsorbable monofilament suture which is slowly broken down in the body and retains tensile strength for months after a surgery. It is commonly used as a method of fixating repositioned deep tissues.

What are some fixation techniques in a facelift?

Two different types of fixation during a facelift are imbrication and plication. Imbrication consists of dissection underneath the SMAS and the suturing of the SMAS flap to the fascial layers (under tension) to achieve a lift. Plication involves folding over the SMAS.

Is Valium helpful post-facelift?

Valium is an anti-anxiety medication which allows the patient to rest for the immediate post-op period. It is good for patients looking to avoid hematomas which are usually attributed to strenuous activity in this post-op period (rise in heart rate and blood pressure). Consult with your surgeon, however, for long-term use.

What is the difference between Men and Women having Facelift?

Facelifts for men are typically more challenging than for women. Men tend to have more vascular and more supported skin, as well as larger faces than women. This means Facelifts for men take more time, and that men bleed more than women.

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.

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.

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.

What are these ridges on my cheeks several months post-facelift?

Several months post-op, it is unusual to have swelling around the incision site. Such symptoms could be the mark of an edema or possible fluid, but may be an underpulled skin flap. Again, a more face-to-face exam is probably necessary.

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.

Is nerve damage a risk during a facelift?

Board-certified plastic surgeons must undergo rigorous training and must be extremely familiar with the anatomy of the face to earn this high level of certification. Therefore, if you selected a capable surgeon, you are probably in good hands and need not worry about nerve damage.

Why do Celebrities Have Such Bad Facial Surgeries?

The simple reason for this is that celebrity surgeons simply show very little technique and are often better at public relations than actual operations. As with “normal” people, celebrities who do their research and find the best plastic surgeons often look perfectly normal.

What is the cost of a rhinoplasty?

The costs of a rhinoplasty is driven by three main factors: operating room time, the surgeon’s individual fee for the operation, and the anaesthesia/individual equipment used. First time rhinoplasties will typically hover around $6,000-$7,000, while revisions may be several thousand higher. However, financing options will probably exist in your surgeon’s office that will make the surgery more affordable.

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 do I do about swollen cheeks post-facelift?

It is difficult to recommend lines of treatment for various patients with asymmetrical faces following surgery without having pictures or a routine examination. Generally, the best option for such patients is to consult with surgeons specializing in revisional facelift surgery.

What can I do if I'm dissatisfied post-facelift?

Generally, patients have to remember that the healing process takes a great deal of time when it comes to facelifts and that they must keep their expectations optimistic, but also realistic. If patients have concerns, they are probably best addressed by their doctors or surgeons and are best done with multiple consultations.

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.

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.

How can I treat my asymmetric mouth?

Asymetric mouth can be treated with a lip lift, augmentation, upper lip lift, DAO muscle fiber division, etc.

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.

Can I do Acculift for fat reduction on the face?

Personally, I would not recommend having liposuction procedures done on the face especially for younger patients as they are difficult to repair if done incorrectly.

What is the pros vs cons of an extended MACS facelift?

The problem with the extended MACS facelift is that, though it is a vertical facelift and the results look more natural than most others, it does not address lax skin on the neck and definitely does not target fat and banding around the platysma muscle.

Do facelifts lead to unhealthier skin?

Unlike facelifts of the past, facelifts today generally rely more on addressing lost volume than actually pulling the skin. Furthermore, patients who have had facelifts generally have better skin due to the use of skin care systems, microdermabrasions, weight control, exercise, etc. Again, however, it depends on the surgeon and the type of facelift performed.

Does a facelift in the 40s require one in the 50s?

Generally, the earlier a facelift is done, the more better and long-lasting the results are. However, patients must be careful to only have a facelift if the signs are there (e.g. sagging skin, facial/skin laxity, etc.) and avoid having it too earlier.

Can a MACS facelift help improve the undereye area?

Unfortunately, patients who wish to improve the look of their eyes along with their facial contours should consider an Extended MACS facelift in which the lower eyelid skin is trimmed as the cheek tissue is uplifted. The regular MACS lift, unfortunately, will do very little for the under eye area.

When can I do Obagi treatment post-facelift?

Generally, patients should wait about 6 weeks or so (consult with your surgeon on the specifics about this) before any Obagi or facial rejuvenation treatment is considered. The Blue Peel treatment tends not to be that deep, but still caution is the best course.

Can I use Ice to help with swelling after a facelift?

Patients should expect the most swelling the first few days after a Facelift and a significant decrease over the first 2 weeks. Ice can help reduce the swelling, but using it too much can damage the skin.

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).

Are there non-surgical facelifts?

Truly, there is no such thing as a non-surgical facelift. Non-surgical options exist for facial rejuvenation techniques like injectable fillers, fat grafting, etc, but these are typically reserved for younger patients who are just beginning to show the signs of facial aging.

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.

Where did these undereye bags come from?

Bags under eyes post-op is likely caused by either herniated fat or by fluids brought about by swelling. Having a second opinion is probably the option for concerned patients.

What are staples used for in a facelift?

Generally, surgeons reserve staples for anything in the scalp area especially for incisions along the hairline because they provide excellent eversion and do not compromise blood supply (thereby reducing hair loss).

Why do I have bruising and bunching of the skin post-MACS Lift?

Bruising following a MACS Lift may be completely normal, but could also be the result of hyperpigmentation which can be treated with hydroquinone or glycolic peels. Bunching of the skin, however, must be treated surgically with a redraping of the skin.

Will my sideburns be permanently affected by my procedure?

Patients dealing with scarring along the sideburns can easily have their issues resolved as this may be caused by tension on the suture line or by infection/healing issues on the incision site. Usually, traumatized follicles take about 6-9 months before they start regrowing.

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.

How can I address nasolabial folding, jowling and festoons?

Though photos are usually a better tool for determining the nature of a recommended procedure, patients who are dealing with these symptoms will often require a neck and midface SMAS elevation in order to address muscle laxity in the lower jaw area and also have fat transfer to treat the nasolabial folds.

Why can't I blink post-facelift?

Generally, patients being unable to blink can anticipate that some sort of nerve damage has been done. Waiting a little for potential recovery, however, is the best option, but patients at this time must take care to keep their eyes moist to avoid corneal damage.

How much does anesthesia and facility fees cost during a facelift?

Depending on the surgeon, geography, overhead costs, etc., the price for facility and anesthesia fees will vary. Patients should spend significant time researching their surgeons in order to provide a rough estimate of the costs. Generally, urban areas will have higher facility costs and more extensive anesthesia (general) will be more expensive than local or IV sedation.

Can wrinkles be treated with laser resurfacing?

For superficial wrinkles on the face post-op (since facelifts actually do little to address wrinkling), laser resurfacing is definitely a good option.

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