As a specialist in cosmetic surgery, facelifts are one of Dr. Goldberg's favorite surgeries because we truly love watching the glow return to a patient's eye after facelift surgery.
Over time, gravity, sun exposure, and the stresses of daily life take their toll on our faces and necks. Deep creases appear beside the mouth, the jaw line slackens and becomes jowly, and the neck develops loose folds and fat deposits.
In cosmetic surgery, face lift procedures counteract these signs of aging by tightening muscle, removing fat, and removing excess skin, giving your face a fresher, youthful look. After surgery, some patients look 10-15 years younger
Additional post-face lift surgery may be needed, such as chemical or laser resurfacing, along with Botox and filler injections to help treat laugh lines, wrinkles or furrows that are not relieved by the face lift procedure.
Fat grafting is often combined with a face lift surgery to help re-contour the face and to help rejuvenate the skin through adipose derived stem cells. This will be discussed in your consultation. Rest assured, we have done hundreds of cosmetic surgery face lifts, and know how to create the most attractive result for your particular needs.
Good candidates for a cosmetic surgery facelift
A face and/or neck lift is needed when injectable fillers no longer give the results that you seek. Generally, this is after the age of 40, but younger patients with a pronounced aging pattern may elect to have this procedure earlier in life.
If you are physically healthy, psychologically stable, and have realistic expectations, you will be a good candidate. Depending upon your age and needs, either a mid-face or a full face lift will be recommended.
The best potential facelift surgery patients are those who:
- Wish to improve jowls and sagging skin near the jawline
- Have some remaining elasticity of the skin
- Are generally healthy
- Do not smoke
- Have realistic expectations
- Are considering a facelift surgery for personal reasons, not because someone else is pressuring them to do so
During your free consultation, Dr. Dana Goldberg will discuss whether a facelift surgery is right for you.
Different choices for a cosmetic surgery facelift
You have undoubtedly heard of a variety of face lift surgery options. There’s the weekend lift, the 3-day face lift, the mid-face, the mini, the deep plane, the SMAS and the one that’s on the TV commercials.
To the average person, these options are very confusing. Our surgeons are extensively trained in time-proven techniques of face lifting. Your goal in a face lift surgery is not to find the lowest price, but to get the best result-after all, your face is visible to the world every single day and, more importantly, visible to you every day.
A very inexpensive face lift surgery may be inexpensive because it is performed by someone with little experience and/or only tightens the skin, which looks good for about a year and then aging quickly returns to the facial structures which were not tightened underneath the skin. This is not the kind of result you want.
Our surgeons will guide you to the most effective result, keeping recovery time and expenses to as reasonable a minimum as possible considering your particular aging pattern.
How the face lift surgery is performed
Face lift surgery is performed under IV sedation (twilight) or general anesthesia in our Jupiter AAASF accredited in-office surgery suite on an outpatient basis.
During a cosmetic surgery facelift, incisions are made in the temple area and around the back of the ears to facilitate lifting and reattaching the underlying tissues. The cheek pad will be lifted and the neck will be addressed to clean up the jowl area. Great care is taken to avoid visible scars, so the suturing is done around and behind the ears in women and in front of the ear for men to avoid having hair growing in the ear, since a man’s beard area may be moved upward and backward during the face lift surgery.
Recovery from a facelift
For a full cosmetic surgery face lift procedure, recovery time ranges from about 7-14 days and slightly longer if additional procedures were done. You will experience some swelling and bruising, which may extend into the eyes, causing you to look as though you have black eyes.
A dressing is used for 1-2 days and a neck strap may be used afterwards as well. This can be relieved with pain medication and ice packs. Most patients are back to full activity within three weeks.
You’ll come back into the office within the first few days for your first postoperative visit at which time any non-absorbable sutures will be removed as well as any drains or packing, depending on your rate of healing.
After your rhytidectomy, Dr. Goldberg will wrap the incisions in bandages and may place drainage tubes in the area. The tubes will be taken out the next day, when your hair will be carefully washed. If surgical clips are used to hold the incisions closed, they will be removed one week after the facelift along with your stitches.
At first, you may experience swelling, numbness, bruising, and a feeling of tightness or tension in the face and neck. Your face may look uneven or distorted, and your facial muscles may feel stiff. Most of these usually resolve 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 patients return to work by the third week. Camouflage cosmetics can be used to minimize the appearance of bruising. You should be gentle with your skin and hair as you recover. Men may need to shave behind the neck and ears where areas of beard-growing skin have moved.
How long will my facelift surgery results last?
Results of a cosmetic surgery facelift do not last forever. You may want to have another procedure in five or ten years. But in another sense, the effects are permanent, years later, your face will continue to look better than if you had never had a facelift surgery.
Risks of a facelift
Possible complications of facelift surgery include: bleeding, infection, bruising, uneven swelling or discoloration, allergic reaction to the anesthesia, skin blistering (usually only seen in smokers), and temporary or permanent loss of sensation in the face. Your doctor will discuss the risks and benefits of a facelift surgery with you before your surgery.