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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 Facial Microcurrents do the same thing as a facelift?

Using a microcurrent on the facial structure involves sending a gentle electric stimulation to trigger a skin enhancement reaction from the body’s natural cells. This current mirrors the body’s current, making it extremely imperceptible at the gross level. Research shows that, after twenty days of treatment with microcurrent technology, collagen production increases by about 14%, elastin by 48%, and blood circulation by 38%.
Research has suggested that electrical stimulation of cells intensifies healing by the body and may, over time, contribute to a moderately youthful appearance. However, the best results can only be achieved with a full SMAS or deep plane facelift. These intensive surgeries alter the muscular contours of the face and offer MUCH more long-term enhancements than facial microcurrent stimulation. If you want serious results that will last several years a facelift is the best option

Facelift Costs

The total cost of a Facelift is made up of several components, including: surgeon’s fees anesthesia fees, facility fees, and other variable costs. Some of the average costs for these components are listed below:
· Upfront surgery cost – $6,000 to $25,000
· Anesthesia – $1,300 to $3,600
· Facility/hospital fees – $1200 to $5,000
· Surgeon’s fee – $7,000 to $25,000
The other variable costs include blood tests, X-rays, a physical exam, prescription medications, bandages/elastics, and many more costs.
In addition, the previously outlined costs range depending on several variables. One major variable is geographic location. For example, Urban areas like New York City or Los Angeles, have highly capable, experienced, and reputable plastic surgeons, and tend to have high overhead costs (money spent on maintenance, rent, wages, etc.). This often translates into higher surgery costs for patients. Another important variable is the type of facelift, since by their very nature some facelifts such as the SMAS facelift or the deep plane facelift are more expensive in comparison to their lesser counterparts like the K-lift® (nonsurgical face-lift).

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.

How long do the results of a facelift last?

The first thing to remember is that people continue to age even after a facelift. How long the influence of the facelift last differs from from person to person, and varies based on which type of facelift was performed. SMAS and deep-plane facelifts, which adjust the underlying muscular contours of the face, lead to changes in the structure of the face and are thus longer-lasting than lesser examples like the S-Lift which only deal with the surface skin and surrounding tissues. SMAS and deep-plane facelifts last up to 10-12 years, whereas smaller scale surgeries last around 5 to 8 years. Also important is the patient. Typically, patients who can maintain higher bone densities and have a tendency to maintain taut skin have a higher chance of maintaining the results of their facelift for a longer period of time.

What is the “One-Stitch Lift”?

“One-stitch lift” may refer to a procedure where a surgeon uses one stitch to suspend the midface. This procedure should not be considered a true facelift. The term may also be a substitute name for a procedure called the Thread Lift. This procedure takes one to two hours under a local anesthetic (some patients opt for IV sedation for the sake of comfort) and its main purpose is to elevate and reposition loose skin on the brow, face, and neck with a less invasive type of surgery. This involves tiny threads being inserted under the skin which are then passed into the area of operation with a special needle. The threads grab onto the soft tissue/muscle of the area, allowing the entire structure to be lifted as a whole. Over time the thread becomes fixed in the skin, holding the results of the surgery in place. The benefit is that this procedure does not require a great deal of actual stitching, but the results are often very minimal and are certainly not worthy to be called an “facelift”.

Mini-Face Lift vs. Mid-Face Lift vs. Traditional Facelift

These three procedures are considered true facelifts. The difference between them is the areas of the head and neck that they address.

Mini-Face lift: used more frequently in younger patients, and consists of a small incision behind the ear and only adjusts the skin, leaving the underlying muscular structures intact.

Mid-Face lift: addresses the mid-face (triangle formed on either side of the face from the corners of the eye to the corner of the mouth), specifically around the cheek area (saggy cheeks, etc). The incision is made in the hairline and the fatty layers of the skin are repositioned over the cheekbones.
Traditional facelift: most extensive and involves an incision near the hairline which extends behind the ear. The muscular layers are repositioned, tightened and excess skin is cut and the remaining skin is pulled and sutured. This surgery is more frequently used for those with excessive neck fat and it corrects skin laxity in the lower face.

What is the Swelling and Numbness after a facelift like?

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

What are the alternatives for Firming my Neck and Chin without a Facelift?

The alternative options range from energy devices, to non-surgical procedures. Energy devices include radiofrequency (RF), and ultherapy or ultrasound therapy, devices which stimulate the skin to tighten up. Non surgical procedures include Dr. Kassir’s trademarked procedure known as the K-Lift® which involves using adjustable sutures under the skin to tighten up the neck and lower face.
One of the proven methods known to be very effective for firming the neck and chin is the SMAS facelift (traditional facelift). It is probably the best option for those with jowls and significant skin laxity. This surgical procedure pulls up the SMAS layer of muscles just under the skin.

Is 40 Too Young for a Facelift?

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

How do I minimize bruising after a facelift? Should I be worried that I’m swollen and it’s been only 3 days?

Bruising after a facelift can be an unsettling problem for some patients. There a ways to significantly preemptively reduce bruising and swelling which include proper surgical technique and the use of fibrin sealants or fibrin glue or tissue glue. It can be expected that the worst of the bruising will be seen around 3 days post-operation and will gradually disappear over a six week period. Therefore, patients should not be alarmed if they have still have some bruising apparent after the three week mark. If you have a hematoma (small pocket of slowly resorbed blood in the tissues) then it may contribute to your bruising and may extended the normal healing process.

What can I expect in the way of bruising after a facelift?

Typically bruising is at its peak 3 days after surgery, and will gradually disappear over a 6 week period. If you develop a hematoma it may extend the normal healing process a little bit, but in the end you will look great. Keep in mind that you will look worse before you look better.

What is the difference between a Deep Plane Facelift and a SMAS Lift?

The two procedures start out the same by working on the SMAS layer (superficial musculoaponeurotic system), but the Deep Plane Facelift goes even deeper than that. The Deep Plane Facelift leads to longer lasting results and works more effectively on the midface.

What are the most effective ways to lift sagging jowls?

The most common best way to lift jowls is to use a traditional facelift. Another great way to lift sagging jowls is a Minimal Access Cranial Suspension (MACS) Lift. The MACS lift is minimally invasive and works by lifting skin vertically directed to a point in front of the ear.

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

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

How 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.

What is a weekend facelift?

These are a group of less invasive procedures that have much shorter recovery time, which allows most people to recover over 1 weekend. One example is the mini lift where incisions are made behind ear and only skin is pulled to adjust the contours of the face. These quick procedures are categorically less effective than the more traditional facelifts, such as the SMAS which adjusts muscle layers, and are thus not appropriate for every face.

What is a deep plane facelift?

A Deep Plane Facelift is a more intensive version of the classic SMAS Facelift. The Deep Plane Facelift involves cutting and repositioning skin and removing parts of the SMAS layer. The way in which the SMAS layer is manipulated leads to more significant changes in the midface than a SMAS Facelift. The Deep Plane Facelift also last longer, and tends to require less revision surgeries years down the road.

How can I choose between a Mini Facelift and Full Facelift?

A Mini facelift is for a patient who have minimal jowling and skin laxity. A full facelift such as the SMAS facelift is for patients with more significant jowls and skin laxity. Mini Facelift patients tend have younger faces than full facelift patients

How do I know if I need liposuction of the neck and jowls after a Facelift?

How do I know if I need liposuction of the neck and jowls after a Facelift?
The distinction must be made whether the neck folds and jowls are caused by having excess fat or just loose skin. Jowls and neck folds caused by skin laxity can be made worse by using liposuction.

What are the basics of facelift surgery?

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

What non surgical options can are available for jowling?

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

What is a Liquid Facelift?

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

How much bandaging will be used after my facelift?

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

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

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

What can I do about a previous “ugly” MACS surgery?

The difficulty with MACS procedures is that since it is performed with vertical suspension, the surgeon must be very experienced for the results to be correct. You should come into the office for a consultation to see what type of revision surgery would work best for you.

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

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

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.

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 a Mini facelift and what is the recovery like?

A Mini Facelift is done by first creating an incision behind the earlobe and then pulling the skin of the face towards that point. A Mini Facelift does not address underlying muscle issues such as the SMAS group. A Mini Facelift recovery time is about 2 weeks, and the results last for about 1 year.

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.

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.

What is the best option for Marionette Lines and Jowls?

Without a doubt the best option for Marionette Lines and Jowls is a SMAS Facelift. Injectable fillers such as restylane, perlane, radiesse can provide temporary relief of Marionette lines, and a Mini Lift may improve jowls.

What is a Laser Facelift?

A Laser Facelift is a bit of a misnomer since, the procedure does little to actually adjust the contours of the face. A Laser Facelift works by sending the right amount of energy to predictably burn certain layers of skin. These layers grow back in an environment of increase collagen and thus give a more youthful appearance. Laser Facelifts should be used in adjunct to traditional facelifts to resurface or rejuvenate the skin’s appearance.

What is recovery from a lower facelift like?

Recovery from a lower facelift is take about 2 to 3 weeks. The majority of the swelling goes down in the first 2 to 3 days, and the bruising takes about 2 to 3 weeks to resolve completely. When you first go home remember the “ it will get worse before it gets better”.

What are Non-surgical facelifts?

Non-surgical facelifts are not truly facelifts in the traditional sense of the term. They are generally less effective alternative to undergoing a surgical procedure, which depending on the patient may be sufficient to address the problem. These include the Thermage procedure, laser resurfacing, and volume replacements such as fillers and fat. It is important to remember the Non-surgical facelifts are only temporary measures.

What can I do if I have uneven scarring after a facelift?

You should be examined by a certified facial plastic surgeon who will be able to perform a scar revision surgery for you. There are suturing techniques that can be used to help prevent this from happening.

What is the difference between SMAS Facelift under local sedation vs IV sedation?

For a surgeon the results of results of the surgery are not affected by the type of sedation used. IV sedation is used for the sake of the patients comfort, since some patients may be very nervous with someone operating over them. Local sedation is just as effective for blocking all the pain, and only leaves patients feeling pulling and pushing sensations.. Local sedation has the added benefit of not requiring an anesthesiologist.

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.

Can I have another facelift 7 years after my first?

It is certainly possible and safe to have another facelift only 7 years later, however it may not be necessary to go that far. You may only need to have a Mini Facelift or use injectable fillers (perlane, restylane, radiesse) to supplement the Facelift as you continue to age.

What should I be looking for in Before & After photos?

In before and after Photo’s you should focus on whether the person still has the same facial structure that defines them. Then look to see if the person looks like a more refreshed and youthful version of themselves.

Should I be thinking about a Facelift at age 32?

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

Can I a have True Facelift after having a Thread Facelift?

The fact is that Thread Facelifts only yield temporary results, and tend to be overpriced for the results they give. Clinically there shouldn’t be any reason why a patient can’t have Traditional Facelift (SMAS, deep plane, etc) after a Thread Facelift.

Can I wear my earrings soon after having a Facelift?

It is recommended that patients do not wear any kind of facial jewelry for at least 4 weeks after undergoing a Facelift. The tension from earrings may worsen the scarring and stretch out the earlobes

How long can I expect a Facelift to last?

Patients can expect that a Traditional Facelift will typically hold good results for up to 10 years. Exactly how long a Facelift lasts depends partially on the patient in terms of health, smoking status and genetics.

Where will the scars for my Facelift be?

A good surgeon practices placing their incisions in the least visible places, and at the same time allows for the right amount of tension to have smooth scar formation. Most Facelifts have scars behind the ears, but the MACS Facelift has them directly in front of the ear.

Can I use Fat Augmentation to rejuvenate my face?

Fat Augmentation or Fat Transfer, cannot replace a Facelift in the appropriately aged face, however it can be used as supplement. Fat Augmentation is used to add volume to the face in areas that are naturally fatty in the young.

How can I reduce Swelling and Lumps after a Facelift?

Firstly patients should consult their surgeon so that they can make a clinical judgment about the swelling and lumps. To help the reduce lumps and swelling, it may be helpful to soak with warm water and massage the area, however this will not help resolve hematomas. Hematomas that appear soon after surgery should be drained. The most effective tool to reduce swelling and lumps is allowing time for the body to heal on its own.

Do I need General Anesthesia for my facelift?

Statiscally general anesthesia is for the majority of Facelift procedures done in America, however it has no direct bearing on the results of the Facelift. General anesthesia primary functions to eliminate of patient anxiety during a procedure so that they can tolerate the operation. Surgeons using Local anesthesia take just as many precautions to minimize the risk of surgery, and can achieve the same results. We prefer twilight anesthesia, referred to as IV sedation, which is much like the anesthesia for colonoscopies.

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

Why do I have uneven cheeks after my facelift?

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

How can I prepare for the swelling after a Facelift?

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

How will smoking affect my Facelift?

Anyone who is actively smoking a few weeks before their Facelift or smokes with several month of their Facelift, increases their risk for permanent scarring and noticeably dead skin. Smokers should quit 1 month before undergoing a Facelift. The chemicals in smoke alter the blood vessels of the face (and the rest of the body), and result in constriction.

Should I have fillers before or after a lower Facelift?

As we age we first lose volume in the face, and then the skin starts to become lax. If you are at the stage where you have loose skin in the form of jowls, bags and neck folds, then you should be thinking about having a facelift. Facelifts address laxity, and fillers address volume loss. We address both problems simultaneously by doing some sort of volume replacement (Fat Transfer, Restylane, Perlane, Radiesse) before, during, or after a facelift.

How long will my face feel tight after a Facelift?

The amount and duration of tightness you feel will depend on the type of facelift procedure and the surgeon’s style. More invasive Facelifts that suture muscle layers will feel more tight than others. The first 2 weeks are the tightest, and by 2 to 3 months the feeling of tightness will be virtually gone.

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 have a chin implant after already having a lower facelift?

Yes. The lower Facelift scar under your chin can be used as an entry point to place the chin implant.

Why did my jowls return after my lower Facelift/Necklift?

A lower Facelift/Necklift is a procedure that does well for tightening the neck and only minimally addresses jowls. A full Facelift is superior in that it addresses the neck, jowls, and face by pulling the contiguous muscle layer upwards.

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.

Does losing weight help before having a Facelift?

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

Can a facelift correct droopy eyes?

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

Can I have a 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 should I prepare for a Facelift?

To prepare for a Facelift, 2 weeks before surgery you should avoid taking prescription and OTC medications that increase bleeding risks such as aspirin, and advil. To decrease the amount of swelling after surgery, you should avoid salty foods which can increase water retention.

How soon after fillers can I have a facelift?

You should advise and consult the surgeon who will do your facelift for a definite answer, but generally speaking you should wait at least 2 months after fillers before doing anything to the face. The time frame your surgeon gives you will depend on where the fillers were placed.

When should I have a fat transfer/grafting in relation to a Facelift?

Ideally the best time to do a fat transfer/grafting is during a Facelift operation. A Fat Transfer/grafting along with a facelift allows the surgeon to have a good sense of the final look of your face.

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.

What is the cost of a lower facelift?

A lower facelift can cost anywhere between $7,500 and $15,000, depending on on the location, surgeon and other fees such as anesthesia. You should focus on finding a good surgeon with proven results and ignore any minor differences in prices.

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.

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.

How soon after a Facelift do the sutures come out?

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

How long is the downtime for a Mini Facelift ?

Downtime of a Mini Facelift is around 7-10 days, but we recommend that you plan for 2 weeks to be comfortable.

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.

What Can I do about the laxity under my eyes?

Two good options to address laxity under the eyes while avoiding changing eye lid shape are the Lower Lid Lift, and Cheek Lift. The Lower Lid lift is a procedure that removes excess skin, and the Cheek Lift actually lifts cheek tissue. You can also address it with injectable fillers (Perlane, Restylane, Radiesse), energy devices (Ulthera, Thermage, Radiofrequency) and lasers (CO2 laser resurfacing like Fraxel).

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.

My lower Face is droopy after a Facelift?

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

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

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

What should I do if I have facial spasms after a facelift?

You should consult your surgeon, but generally these facial spasms after a Facelift are nothing to worry about and are only temporary. Spasms after a facelift are a caused by swelling and bruising that temporarily pinches the nerves of the face.

How will I age after a Facelift?

A Facelift does not alter the rate of aging, it simply reverts your face back to an earlier time. After a Facelift aging will continue, meaning that 20 years later you will look older, and may desire another facelift.

What are the risks of Deep Plane Facelifts?

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

What are these sensations and aching that I am having Years after a facelift?

These sensations and aches are likely an uncommon complication of any type of surgery where skin is cut, and is the result of the way you body healed and scarred over the skin nerves that were cut. You should consult your surgeon since the possible use of permanent sutures may be another cause.

Can facial exercises help with an Asymmetrical face after a prior facelift?

Unfortunately with significant facial asymmetry you may need reconstructive surgery to undo the botched work of the prior surgeries.

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.

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