A facelift is the most comprehensive approach to treating facial wrinkles and sagging caused by aging. The surgery varies in range from minimally invasive ‘lunchtime lifts’ to more extensive, sophisticated surgery. A facelift removes excess skin, tightens underlying tissues and muscle and redrapes skin on the face and neck. It can correct midface sagging, marionette lines, jowls and a double chin, maintaining its reputation as the ‘gold standard’ for facial rejuvenation. Every year, thousands of people undergo successful facelift surgery and are pleased with the results.

When to Consider a Facelift

  • If you feel that your face does not reflect your youthful spirit and energy level
  • If you determine that your facial sagging and excess skin is a social or career obstacle
  • If you show signs of facial aging but still have some skin elasticity
  • One day you look in the mirror and realize that time, gravity, sun exposure and heredity have taken a toll and you simply do not look like yourself any more.

Are you a good candidate for a facelift?

The following are some common facial characteristics that make you an appropriate candidate for a facelift:

  • Sagging skin in your midface and/or jawline
  • Deep creases extending from your nose to the corners of your mouth (nasolabial folds)
  • Lines extending from each corner of your mouth down your chin (marionette lines)
  • Facial fat (volume) that has fallen or is displaced
  • Sagging and loss of muscle tone in the lower face, resulting in jowls
  • A double chin, resulting from loose skin and excess fatty deposits under the chin and jaw
  • Creased and sagging skin in your neck

If you are in good general health, have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure.

How is a facelift procedure performed

Most facelift techniques focus on the lower facial areas, such as the jawline, jowls and cheeks. A facelift can also focus on the midface or the forehead. In some techniques, deeper facial tissues may be repositioned or tightened to restore a more youthful contour. In other techniques, removal or addition of fat or other soft-tissue fillers may be necessary to achieve the best results. Today, many different techniques exist with outcomes that can be consistently reliable, safe, and durable. Your incisions will depend on the area of the face that is targeted and the amount of change you want.

Once the incisions are made, various degrees of ‘undermining’ of your skin is performed, and the deeper layers of your face are lifted. Undermining separates the overlying skin of the face and neck from the muscles and tissues deep to the skin. This frees or loosens facial and neck skin so it can be redraped at the end of the procedure, making sure skin is smooth.

Then, your surgeon will raise the skin from the temples, cheeks, and neck, and lift and reposition the underlying connective tissue, removing excess fat and skin. If this procedure is performed in conjunction with a neck lift, the surgeon will draw the neck muscles together, stitching them together at the midline to form a strong sling of muscles that supports the entire neck and jaw. Your surgeon may also include liposuction of the neck and jowls. Facial implants may be added to increase cheek or chin volume.

Finally, your surgeon redrapes the skin over the new underlying structure and closes the incisions with stitches and/or small metal clips. Where needed, drainage tubes may be inserted. A padded, supportive dressing is usually applied.

The goal of your aesthetic plastic surgeon and the entire staff is to help you achieve the most beautiful and natural-looking results, and to make your surgical experience as easy and comfortable as possible.

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