“I love restoring the youthfulness to the face in a very natural way and making patients feel great about how they look without looking overdone.”-Dr. Admire
In 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. Facelifts counteract these signs of aging by tightening muscle, removing fat, and trimming excess skin, giving your face a fresher, youthful look. After surgery, some patients look 10-15 years younger.
Facelifts, technically known as rhytidectomies (literally, “removal of wrinkles”), rejuvenate the mid- to lower face and neck. Facelifts are most effective for patients who want to correct:
- Midface sagging
- Deep creases under the eyes
- Deep creases between the nose and mouth (nasolabial folds)
- Jowls due to loss of muscle tone
- Sagging areas of fat
- Loose skin and fat under the chin and jaw
Facelifts can produce a dramatic improvement in appearance for patients with the problems mentioned above. However, facelifts do not stop the aging process; in time, signs of aging will gradually appear once again.
Further, facelifts will not rejuvenate the brow, eyelids, nose, and some of the midface. Patients who want to improve these areas may consider combining a facelift with a brow lift or eyelid surgery (blepharoplasty).
Injectable soft-tissue fillers, facial implants and skin resurfacing can also enhance the effects of a facelift.
At age should I consider a facelift?
There is no set age or profile for those who should consider a facelift.
- Healthy individuals who do not have medical conditions that impair healing
- Individuals with a positive outlook and realistic expectation
Where are the facelift scars placed and are they noticeable?
Each surgeon’s techniques including placement of the scars are different.
Depending on the degree of change you’d like to see, your facelift choices include a traditional facelift or a limited incision facelift.
A traditional facelift incision often begins in the hairline at the temples, continues around the ear and ends in the lower scalp. Fat may be sculpted or redistributed from the face, jowls and neck and underlying tissue is repositioned, commonly the deeper layers of the face and the muscles are also lifted. Skin is redraped over the uplifted contours and excess skin is trimmed away.
A second incision under the chin may be necessary to further improve an aging neck or to remove fat. Sutures or skin adhesives close the incisions
A short scar or Mini- facelift is an alternative to a traditional facelift and uses shorter incisions at the temples, continuing around the ear. “Mini-lifts” are usually reserved for patients with less skin relaxation, as the results are less rejuvenating than a full facelift.
What should I expect during a facelift consultation?
During your facelift consultation be prepared to discuss:
- Your surgical goals
- Medical conditions, drug allergies and medical treatments
- Current medications, vitamins, herbal supplements, alcohol, tobacco and drug use
- Previous surgeries
Your surgeon will also:
- Evaluate your general health status and any pre-existing health conditions or risk factors
- Discuss your facelift options
- Examine and measure your face
- Take photographs
- Recommend a course of treatment
- Discuss likely outcomes of a facelift and any risks or potential complications
- Discuss the type of anesthesia that will be used
What is the recovery process like?
Following completion of a facelift, a bandage might be placed around your face to minimize swelling and bruising. Small tubes may be present to draw off any excess blood or fluid.
You will be given specific instructions on how to care for the surgical site and drains, medications to apply or take orally, specific concerns to look for at the surgical site or in your general health and when to follow up with your plastic surgeon.
Be sure to ask your plastic surgeon specific questions about what you can expect during your recovery period.
- Where will I be taken after my surgery is complete?
- What medication will I be given or prescribed after surgery?
- Will I have dressings/bandages after surgery?
- When will they be removed?
- When will the stitches be removed?
- When can I wash my face and wear make-up?
- When can I resume normal activity and exercise?
- When can I color my hair or get a haircut?
While most people are presentable to the public within 10-14 days, it will take 2-3 months for the face to feel “back to normal” in terms of texture, sensibility and loss of tightness.
Continuing daily sun protection and a healthy lifestyle will help extend the results of your facelift.
As swelling and bruising subside, the visible improvements of a facelift appear. Your final result should not only provide a more youthful and rested appearance, but also help you feel more confident about yourself.
Although good results are expected, there can be no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure and another surgery may be necessary.
Follow your physician’s instructions to ensure the success of your surgery.
Are the results permanent?
We can’t stop the aging process. However, a good facelift should last 10-15 years. Some patients that develop a little skin laxity in the neck or jowls in 5-10 years can usually get that treated with a Mini-lift and not need a full facelift again.