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Aging of the face and neck is an inevitable reality of life. From unsightly wrinkles, displaced or unwanted neck fat, sagging jowls, loose and crepey neck skin, baggy eyelids, and deflated cheeks, these changes can become overwhelming for any person. Office-based procedures, such as laser treatments and “skin tightening” technologies, can tip the scale in your favor but are limited in their ability to reverse the effects of time. In reality, for anyone over forty, a facelift (rhytidectomy) and neck lift are the only definitive treatment options.
I emphasize a natural restoration through a less invasive approach. The outcomes are tailored to your unique features, and technology-based treatments are front and center. It is a “less is more” approach that ensures a subtle, but rejuvenating, change. Best of all, results are long lasting and the closest we come to the modern day fountain of youth
In the past decade, there has been an abundance of new techniques, technologies, and treatments introduced for face and neck enhancement, making the path to rejuvenation even more confusing. To bring clarity to this process, I create a comprehensive treatment plan for every patient that includes the newest technologies and treatment options. This unique roadmap takes into account the different aspects of your lifestyle, anatomy, health history, and expectations, while ensuring to maintain your natural beauty. Overall, it is a fully-integrated program that provides the most desirable outcome with the least amount of surgical intervention and downtime.
For mild jowling, loose neck skin, and fine wrinkles. Results provide subtle rejuvenation and prevention of more severe aging in the future.
Solution: Mini facelift
For moderate jowling, loose skin in all areas of the face and neck, and moderate wrinkles. Results are natural and age appropriate.
Solution: Full Facelift And Neck Lift
For severe wrinkles and sagging skin due to aging or substantial weight loss. Results are natural looking yet more dramatic.
Solution: Extended Facelift And Neck Lift
While a mini-facelift gives you the most subtle results, I always promote a more balanced and natural approach, even with dramatic transformations.
I take pride in offering an alternative to the windblown, pulled and unnatural results of the past. By taking into account your unique shape and form and by creating a surgical plan that addresses the underlying foundation of your face (SMAS and platysma layer) rather than aggressive skin tightening, the results are consistent and natural. I also emphasize combination procedures that include technology-based treatments and volume restoration. Overall, the results give a subtle rejuvenating effect that is unparalleled by any non-surgical procedure.
The desire for a younger-looking appearance is not limited to those who have experienced the aging process over several decades.
Patients who have experienced a significant amount of weight loss often have a premature loss of facial volume and sagging skin of the face and neck. For these patients, I help restore lost facial volume with VASERlipo™ harvested fat transfer procedures and reverse signs of accelerated aging with less-invasive face and neck lift surgeries.
Aging, genetic predisposition and chronic sun damage are the primary causes of fine lines, wrinkles, and an overall aged appearance of the face and neck.
In conjunction with most of my facelift and neck lift procedures, I include fractionated ablative or non-ablative laser treatments to improve overall skin texture, tone and tightness. Additionally, I can maintain the skin-tightening effects of surgery long term with more powerful non-invasive technologies such as Pellevé®.
Subcutaneous fat deposits in the face, especially in the cheeks, are essential to a youthful appearance.
Over time, they can become displaced and migrate to a lower position, worsening the appearance of the eyelids, mouth, jawline, and neck. In my practice, I use a face or neck lift procedure to reposition these fat deposits into a more youthful position. Furthermore, I also include VASERlipo™ harvested fat transfer procedures, Smartlipo™ of the neck and jawline, and a blepharoplasty with fat repositioning to ensure a more desirable contour.
Wrinkles of the lower face, chin, and neck are primarily caused by poor skin elasticity, repetitive movement, and the natural aging process.
A face and neck lift will target these unsightly wrinkles by tightening the foundation of the face and neck (SMAS and Platysma) while removing any excess skin in a subtle fashion. Any leftover wrinkles, usually around the mouth, are addressed with fractionated ablative or non-ablative laser treatments. Alternative non-ablative treatments, such as Pellevé, can help maintain long-term results.
The length of recovery after a face and neck lift will depend on the extent and combination of procedures involved with your surgery.
Less invasive procedures will obviously yield a shorter recovery time. Swelling and bruising are expected but manageable. Within two weeks of these procedures, most patients are comfortable being visible in public and resuming moderate exercise. My office further reduces recovery time up to 30 percent with a comprehensive post-surgical treatment protocol that includes homeopathic medication and LED light therapy.
The visibility of scars after surgery is the most common concern for patients undergoing a face and neck lift.
To minimize the visibility of scars, I utilize a less-invasive approach that strategically places the incisions around the ear and hairline. Specifically, a retrotragal incision (behind the tragus) ensures you will have no visible scars on the front portion of the ear. Furthermore, avoiding over aggressive removal of skin allows the surgical incisions to heal without tension. This approach, combined with post-operative laser and scar treatments, ensures that the scars are nearly imperceptible after completion of healing. Overall, the residual scars are well hidden, allowing for any haircut or style.
The cost of facelift surgery will vary depending on the extent of the procedure and the amount of supplementary treatments involved in your customized plan.
Patients should note that the cost for a facelift will also vary significantly depending on the geographic area where the procedure is performed.
My patients are often surprised that pain medication is rarely required for more than one week following a face and neck lift
The expected post-operative swelling and bruising will lead to some discomfort but almost always subsides within three to five days. Oral pain medication, both prescription and over the counter, will easily control any discomfort following surgery. Surgical drains can also cause discomfort, but I remove them within 12 to 24 hours of surgery.
The best candidates for a face and neck lift are men and women who have sagging skin and wrinkles in the lower face or neck. These patients are often unhappy with their appearance, many times looking angry or tired even though they are happy and full of energy. Age is not a concerning factor as long as the patient is in good health. All patients considering this procedure should be non-smokers and have realistic expectations regarding the amount of change that can be achieved.
While a face and neck lift procedure will not stop the progressive signs of aging, it will reset the clock. Results in most cases are long lasting, especially if the patient does not smoke, wears sunscreen daily, and sticks with a medically directed skin care treatment plan. Once the initial recovery period is complete, the results will typically last for 10 to 15 years.
I perform all my face and neck lift procedures with local anesthesia and/or intravenous sedation. General anesthesia is not required, thus improving the speed and ease of recovery. I also specialize in awake, lifting procedures. I perform these less-invasive procedures in my office surgery suite, which is beneficial to my patients from a cost and recovery standpoint.
Unlike less-invasive procedures, such as the short incision (mini) facelift, surgical drains are often necessary for more extensive face and neck lifts (See “Total Transformation” above). I remove these drains between 12 to 24 hours after surgery, and the use of long-acting local anesthesia minimizes discomfort from the drain site. I place surgical drains on a case-by-case basis. Don’t be mislead by claims of a drain-less facelift; this has more to do with marketing and less to do with actual procedures.
During the past decade, there has been significant progress made in the field of aesthetic surgery of the face and neck, which is in large part due to improvements in technology and an increased emphasis on minimally-invasive procedures. The most obvious is a trend toward shorter incisions and the inclusion of full-face fractionated laser treatments and autologous fat-grafting procedures. Although some surgeons understandably stick to the “tried and true” surgeries of the past, the paradigm has clearly shifted. Patients now actively seek less-invasive procedures and the added benefits of combination treatments. In my practice, 90 percent of my facelift procedures utilize shorter incisions and/or a combination of treatments, including newer procedures like the SmartLift that integrates Smartlipo™ technology.
When performed correctly, a facelift should not make you look “different”. These procedures are meant to enhance your natural beauty and restore the youthfulness you have lost over time without changing your appearance. This is essential for any successful facial aesthetic procedure, and it is the primary emphasis for my practice.
Rarely is a single procedure or treatment able to provide optimal improvement to the appearance of the face and neck. For most patients, a customized treatment plan using a combination of procedures and treatments is necessary. The treatment plan will address each patient’s unique desires and appearance while avoiding a “one size fits all” approach and an unwanted operated appearance.
A face and neck lift primarily addresses the problems in the lower third of the face (below the nose) and the neck (below the chin). Depending on the extent of a facelift, fine lines around the eyes can be improved but will not be completely removed. For eyelid problems, a blepharoplasty is necessary to correct drooping upper eyelid skin and bags under the eyes. For heavy eyebrows, a forehead lift will dramatically reduce wrinkles across the forehead and elevate droopy eyebrows.
Complications following a face/neck lift are rare. With an occurrence rate of less than five percent in the United States, a hematoma is the most common significant complication that can occur after surgery. A hematoma is a pooling of blood under the skin that can develop from a broken blood vessel related to surgery. This complication can be avoided by controlling blood pressure both during and after surgery. Nerve damage is also a primary concern among patients. The majority of the time, nerve damage is temporary and depending on the extent of damage, can take anywhere from one day to a year for the nerve to repair itself. Other more uncommon risks include infection, skin loss, scarring, and asymmetry.
There are no current devices that can accomplish the necessary skin and soft tissue tightening that is achieved with a less-invasive face and neck lift. I do believe that these technologies will arise, but they are many years down the road. Of all the wrinkle-erasing procedures and treatments available, facelift surgery will provide the best possible results. In the meantime, we are bridging the gap with procedures like the SmartLift, which combine less-invasive lifting procedures with the newest technology-based treatments.
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