plastic surgery nyc

FAQs

What can rhinoplasty do for me?

Rhinoplasty can reshape, reduce or augment the nose, remove a hump, narrow nostril width, change the angle between the nose and the mouth, or correct injury, birth defects, or other problems that affect breathing.

How long does the procedure take?

Rhinoplasty is usually an outpatient procedure performed under either local or general anesthesia and lasts one to two hours unless more extensive work needs to be done.

Can I wear glasses after nasal surgery?

Contact lenses can be worn immediately but glasses will have to be taped to your forehead or propped on your cheeks for up to seven weeks.

What is Laser Skin Resurfacing?

Also known as "laser peel," laser skin resurfacing removes the uppermost, damaged layers of skin with a carbon dioxide laser beam.

What does the procedure treat?

Laser peels can treat wrinkles, sun damage, uneven pigmentation, fine lines around the mouth and the eyes, and facial scars.

What problems can a facelift correct?

facelift can reduce signs of aging (wrinkles, lines, sagging skin, drooping brow) by removing excess fat, tightening the underlying muscles, and redraping the skin around the neck and face.

Can facelifts be combined with other procedures?

Facelifts can be done alone or in conjunction with a forehead lift, eyelid surgery, or nose reshaping.

I've heard that the best candidates for facelifts are in their 40s and 50s. Are older patients eligible?

Most facelift patients are in their 40s-60s, but facelifts can be done successfully on people in their 70s or 80s as well.

Will my scars be visible?

Scars are usually hidden by the hair or the natural creases of your face and ears. In addition, they will fade as time passes and should be scarcely visible.

What can a browlift do for me?

Browlifts can revitalize drooping or lined foreheads by tightening skin and muscles above the eyes, smoothing wrinkles and raising the eyebrows, helping you to look less angry, sad or tired.

What will I look like after surgery?

Try standing in front of a mirror and placing the palms of your hands to the sides of your eyes above the eyebrows. Then pull the skin back from the eyes, raising the forehead. This is approximately how the procedure will make you look.

What's the difference between traditional and endoscopic methods?

The main difference lies in the type of incision made. In a traditional browlift the surgeon makes a coronal (headphone-shaped) incision behind the hairline, stretching between the ears and across the top of the forehead. In a minimally invasive endoscopic browlift the surgeon makes three to five short incisions (less than an inch long) behind the hairline. The endoscope -- a slim instrument with a camera on the end -- is placed in one incision so the surgeon can see beneath the skin, while he or she lifts the skin and adjusts muscles through the other incisions.

What are the advantages of blepharoplasty (eyelid surgery)?

By removing excess fat, skin and muscle from the upper and lower eyelids, eyelid surgery can rejuvenate puffy, sagging or tired-looking eyes. It is typically a cosmetic procedure but can also improve vision by lifting droopy eyelids out of the patient's field of vision.

Will I have visible scars?

Incisions are made along the eyelids in inconspicuous places (in the creases of the upper lids, and just below the lashes on the lower lids) to minimize scar visibility. If no skin needs to be removed during surgery, the surgeon will likely perform a transconjunctival blepharoplasty, where the incision is made inside the lower eyelid and there are no visible scars.

How soon after surgery can I wear my contact lenses?

Contact lenses may not be worn for two weeks. Glasses may be worn immediately.

Why should I consider chin surgery (mentoplasty)?

Patients undergoing nose or neck surgery may consider chin surgery in order to maintain an attractive facial proportion.

Is it possible to change the tip or completely reshape the nose during a rhinoplasty?

Going into a rhinoplasty, a patient must be aware that there is only so much a surgeon can actually do. In other words, we cannot completely reshape a nose into a form which it is not, but we CAN modify its existing structure. A droopy tip, for example, can easily be fixed.

Can I get a Kim Kardashian style nose for myself?

As stated in other similar questions, a surgeon can only work with what he or she has, meaning that we cannot reshape a nose completely into something that is not. However, giving a surgeon pictures of your ideal nose during your consultation is helpful for us to understand what changes you would like to be made (elevated tip, etc.).

Can I afford a rhinoplasty on a modest salary?

This is probably a question that is best answered by your personal surgeon. The costs of a rhinoplasty is driven by three main factors: operating room time, the surgeon’s individual fee for the operation, and the anaesthesia/individual equipment used. Many offices will have financing options that make these procedures surprisingly affordable.

How long does rhinoplasty recovery typically take?

The final shape of the nose following a rhinoplasty does not truly finalize until after a year following the procedure. When the cast is removed after about a week, swelling will be readily apparent, but this will eventually subside enough within 10-14 days after the procedure for patients to be “restaurant-ready” (recovered enough to go out in public). 75-80% of your results will be mostly apparent after 3-4 weeks.

How can I tell if my nose is actually broken or just crooked?

It can be difficult to tell if a nose is truly broken, other than very obvious signs like a major deviation to one side or severe flattening or depression of the nose. However, if the concern arises after a nasal trauma, patients may have a broken nose if the trauma was followed by a bloody nose. This is an indication of tearing of the periosteum (supplies blood to the nose), which usually occurs when nasal bone fractures.

How long does swelling take to subside post-rhinoplasty?

Swelling is variable from patient to patient depending on factors like age, smoking habits, etc. However, as a general rule, 2-3 weeks is the benchmark for when most of the swelling subsides, at which point the remaining swelling will only be visible to the patient and his/her surgeon. The remaining swelling will gradually dissipate in the next 6-12 months.

How long should I not drink alcohol prior to surgery?

As a benchmark, try to avoid anything that increases the risk of excessive bleeding during surgery starting 1-2 weeks prior to surgery. This includes alcohol, herbal supplements, fish oil, and non-steroidal anti-inflammatory medicines like ibuprofen

 

How is a tip rhinoplasty different from a typical rhinoplasty?

A tip rhinoplasty, as the name suggests, is only dedicated to the reshaping (usually elevation or depression), rotation, or other modification of the tip. In this procedure, the nasal bones are not tampered with, leading to quicker recovery times. However, this option is usually limited to select patients because, often, rhinoplasties often need to engage the bridge of the nose.

Can I reduce the size of my nose non-surgically?

Unfortunately, this is highly unlikely. Non-surgical nasal modifications, by their nature, use fillers to make certain areas bigger in relation to others, so surgery is the only option to reduce nose size.

What are non-surgical options which mimic rhinoplasty procedures?

Unfortunately, there are not any non-surgical options which get as much mileage as an actual rhinoplasty. However, for certain cases, injectable fillers like Restylane can be used to smooth out rough edges (ex. Fill areas around the bump on a bridge to make the bump seem less conspicuous) for lesser cost. These might be helpful for people with overly scooped noses (ski slope noses), noses with small humps, etc (in other words, people who need areas filled, rather than reduced).

What are non-surgical options which mimic rhinoplasty procedures?

Unfortunately, there are not any non-surgical options which get as much mileage as an actual rhinoplasty. However, for certain cases, injectable fillers like Restylane can be used to smooth out rough edges (ex. Fill areas around the bump on a bridge to make the bump seem less conspicuous) for lesser cost. These might be helpful for people with overly scooped noses (ski slope noses), noses with small humps, etc (in other words, people who need areas filled, rather than reduced).

How long can I wait post-op to fly or exercise?

Two weeks post-op is generally the benchmark to begin exercising again, but ease into your regular exercise regimen and don’t go heavy with the exercise until three weeks post-op. Flying can generally be done a week after the procedure.

How can a patient limit bruising post-op?

Although bruising post-op is generally a consequence of the surgeon’s actions, patients can help reduce bruising by avoiding anti-inflammatory medications like ibuprofen at least 1-2 weeks prior to surgery, applying ice to the surgery site for the first two days after surgery, and keeping their head elevated.

I have a crooked nose after rhinoplasty. Should I be concerned?

It is recommended that patients not worry about the results of a rhinoplasty until about 3-4 weeks post-op, at which point the majority of the swelling which may skew the appearance of the results will subside. Check again at this point and consult with your surgeon if you are still unhappy.

What’s the ideal age for a rhinoplasty?

This is a variable benchmark that depends on the physical maturity of the patient’s nose (operating on a still-developing nose can impede nasal growth), the emotional maturity of the patient, etc. But, generally speaking, after 15-17 for women and 16-18 for men is the ideal.

Can a deviated tip be corrected without rhinoplasty (ex. Grafts, etc.)?

Yes, this can be done. It is rare, but grafts can be applied to the tip area to help with deviation, especially one that is caused by nasal trauma (punch to the face, etc.). Fillers may also help if you are for non-surgical solutions.

Is the removal of splints following a rhinoplasty painful?

Nowadays, when the packing used for rhinoplasties is less than it used to be, the removal of splints should not cause any major discomfort for the patient.

Can rhinoplasty correct a wide nose without touching the nostrils?

The alar base (the middle part of the nose) can definitely be corrected in a rhinoplasty without any impact on the nostrils.

Can rhinoplasty scar tissue be corrected/fixed?

While slight scarring is common for rhinoplasty procedures, unsightly scarring in the sites of external incisions, etc. is relatively rare and may warrant aggressive treatments like kenalog (steroid) injections. However, a consultation may be needed for this.

Can a bulbous nose be fixed with a rhinoplasty?

A rhinoplasty can absolutely help correct a bulbous nose. However, it is important that patients when considering this procedure find a board-certified plastic surgeon whose before-and-after pictures online are to their liking.

My nose is upturned after surgery, almost unnaturally. Will it come down?

the tip should come down within 2-3 weeks after surgery. It is also possible that the upturn may be caused by swelling which is perfectly normal post-op and should come down within the same period of time

Can a small hump in the nose be fixed through closed rhinoplasty?

Closed rhinoplasty, which does not involve incisions on the columella (the bottom part of the nose), can absolutely be used to correct a small hump in the nose. However, there is really no significant difference between an open and closed rhinoplasty other than the incisions on the columella in the open version of the procedure.

How is a bulbous nose corrected?

Bulbous noses are most often corrected via an open rhinoplasty where the soft tissues of the nose are elevated to expose the lower lateral cartilage underneath and narrowing them.

I have small, hard bumps on my nose post-op. Is this normal?

Generally, hard bumps on the nose post-op are the results of swelling due to the instruments used in osteotomies (controlled breaks in the nose made to correct the nasal deformities). Patients should consult with their surgeons upon seeing these bumps, just in case they are the results of other issues, but should generally not be concerned

How do facial microcurrents work in 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 is shown to mirror the body’s current, making it extremely imperceptible at the gross level. Research has shown that, after twenty days of treatment with microcurrent technology, collagen production increased by about 14%, elastin by 48%, and blood circulation by 38%.

It is doubtful, however, whether this research holds any water in reality. Granted, electrical stimulation of cells has been suggested by research to intensify healing by the body and may, over time, contribute to a moderately youthful appearance. However, nothing can compare to the effect of a full SMAS or deep plane facelift. These involve intensive surgeries which alter the muscular contours of the face and offer MUCH more long-term possibilities than simple microcurrent procedures. If you are serious about acquiring and maintaining a youthful appearance for several years, stick with the facelift.

What is the cost of a facelift?

Generally, facelift costs entail a variety of factors, inclduing surgeon’s fees, anesthesia fees, facility fees, and other variable costs. Some of the average costs for these factors are listed below:

  • Upfront surgery cost---$6,000 to $25,000
  • Anesthesia---$1,300-$2,500
  • Facility/hospital fees---$1000 to $3,000
  • Surgeon’s fee --- $7,000-$25,000

Yet, in addition to these costs, other costs may be associated with this surgery. These include the cost of blood test, X-rays, a physical exam, prescription medications, bandages/elastics, and many more costs. In addition,  many of these costs could have a great range, depending on several variables. One is geographic location. Urban areas, for example, like New York City or Los Angeles, are known for having capable, experienced, and reputable plastic surgeons, yet they are also known for high overhead costs (money spent on maintenance, rent, wages, etc.). Often, this translates into higher surgery costs for the patient. Also important is the type of facelift, as some variants of the facelift, including the SMAS facelift or the deep plane facelift, are almost always more expensive than lesser counterparts like the S-lift (AKA the short scar lift). Below is a list of facelifts and their potential costs:

  • Deep Plane Facelift---$12,000-$15,000
  • SMAS Lift---$5,000-$12,000
  • S-Lift---$6,000-$10,000
  • Endscopic Facelift---$6,000-$10,000
  • Midface or Cheek Lift---$6,000-$10,000
  • Stem Cell Facelift---$5,500 to $15,000
  • Thread Lift (Feather/Aptos Lift)---$2,000 to $3,000

How long is recovery post-facelift?

The process of healing from a facelift varies from patient to patient. However, normal daily movements (ex. Work) and activities out of the house can normally be resumed after about two weeks. Take care, however, with this. It will be a while before you are totally ready. Any high-profile event (wedding, reunion, etc) should not be undertaken (Unless you’re comfortable) until at least a month after surgery, ideally even three months.

Can electrical stimulation produce firmer facial muscles?

The theory of this is that individual muscle cells will be stimulated if the current used is similar to the body’s natural current. The question of whether they can be made firmer is probably misdirected, however. Electrical stimulation is useful in maintaining muscle growth and preventing nerve injury. Yet, it has not been proven that they can have a role in creating firmer muscles.

How long does a facelift's results last?

The lasting influence of a facelift is indeed one that can be different from person to person, depending on different variables. First, the type of facelift is always important. SMAS and deep-plane facelifts, which involve altering the muscular contours of the face and, in effect, the structure of the face are definitely more 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 12 to 15 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.

Is the one-hour facelift effective?

There is no way that any “facelift” that can be done in one hour can offer the results of a traditional, normally 3-4 hour SMAS facelift. Especially given the existence of so-called miracle surgeries like the Y-Lift and how effective they actually end up being, it is difficult to believe that a facelift done in one hour could be that effective. Even the smallest mini-facelifts (SLifts, etc.) normally take 1.5 to 2 hours. Therefore, if this surgery exists (which I highly doubt), I doubt it’s even very effective.

Is the one-stitch facelift an real facelift?

If this procedure is called a facelift, it should not be considered a true one. Most likely, it is a substitute name given for a procedure known as the Thread Lift. The basic procedure of the thread lift is performed for approximately one to two hours under a local anesthetic (some patients choose IV sedation as well 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. It involves tiny threads being inserted under the skin which are then passed into the area of operation with a special needle. These threads, with the use of the needle, are then used to grab onto this soft tissue/muscle of the area, allowing the entire structure to be lifted as a whole. Following this procedure, the thread becomes fixed in the skin, holding the results of the surgery in place. Of course, this procedure does not generate a great deal of actual stitching, but the results are often very minimal and definitely not worthy to be called an actual facelift. 

Explain the differences between a Facelift vs. Mini Face-Lift vs. Midface Lift

All three of these procedures are considered true facelifts. The only variance between them, however, is the scale on which they are performed and the areas they specifically address. A mini-face lift, more frequently used for younger patients, consists of a small incision made behind the ear and only adjusts the skin, leaving the underlying muscular structures intact. This procedure is more frequently used for younger patients and is generally less invasive. A mid-face lift addresses the problems of the middle face, specifically around the cheek area (saggy cheeks, etc). Here, the incision is made in the hairline and the fatty layers of the skin are repositioned over the cheekbones. The traditional facelift, however, is more extensive and involves an incision near the hairline which extends behind the ear. During this procedure, 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. 

How does swelling and numbless last post-facelift?

Both of these are perfectly normal post-procedure and vary with the type of facelift performed. Generally speaking, numbness can last for almost a year, gradually dissipating with each month. Swelling is extensive for the first three days but gradually begins to disappear over a period of several weeks.

Do I neeed a facelift to correct drooping skin on my neck?

I believe that an SMAS lift is probably the best option for you at this point. Not very many procedures address the problems of the lower neck and chin area and these same problems can usually be corrected most effectively with an SMAS facelift (traditional facelift). This is especially true because such a lift is one of the only ways to effectively correct skin laxity.

Is 40 Too Young for a Facelift?

Most likely not. I believe that, when you imagine a facelift, you picture a major operation that is only reserved for patients over the age of 60 in which deep incisions have to be made into the muscular structure of the face in order to adjust the outward look of the face. This is not the case. In fact, even though you may be young for a full facelift, you could easily qualify as an ideal candidate for a mid-facelift. This facelift is ideal for those who have lost definition in the eye area and whose cheeks are beginning to sag. This procedure readjusts the fat layer in the middle of the face and places it over the cheekbones to create a fuller look in that area. The total effects are expected to last about 5 to 6 years. Perhaps this is the option that you are looking for.

How does bruising work after a facelift?

After a facelift, bruising is always a problem for patients. Bruising is at its worst after about 3 days post-operation and gradually begins to disappear over a period of six weeks. Therefore, you should definitely not be alarmed if the bruising is still apparent after three weeks even in that state. After all, the hematoma definitely must have contributed to your bruising and may have extended the normal healing process. The only answer, as to what you should do, is just wait. Remember that you are going to look worse before you look better and just go ahead with that frame of mind.

What's the difference between a SMAS facelift and a deep-plane facelift?

The deep plane facelift is very similar to the SMAS Lift in that both expose the SMAS (superficial musculoaponeurotic system) layer beneath the skin. However, the difference in the deep plane facelift versus the SMAS Lift is that the deep plane facelift ventures beneath the SMAS layer of the skin, hence the name. The result of this is that patients with major facial deficiencies essentially have corrections on the deepest contours of their face, leaving much more durable and long-lasting results.

What's the most effective way to lift jowls?

Jowls are a common sign of aging and are often best corrected with a facelift. One particular option could be, rather than using a traditional facelift which tends to pull the skin horizontally, to use a Minimal Access Cranial Suspension (MACS) Lift which lifts the skin VERTICALLY after an incision is made in the anterior (front) part of the ear. This procedure is much less invasive than a typical facelift and often creates a smoother, less obvious appearance.

Stem Cell Facelifts: Hype or New Trend in Facial Rejuvenation?

With various plastic surgeons throughout the country attempting to “revolutionize” the surgery world with “miracle cures”, it is difficult to tell which procedures actually work and which ones don’t. Stem cell facelifts, which rely on stem cells found in fat from the thighs, buttocks, and lower body area which supposedly “revitalize” local cells, show moderate promise in that some patients have noticed a marked improvement in their skin and soft facial tissues. However, nothing has shown, so far, that this procedure is any better for improving appearance than other fat augmentation procedures. Again, it is a new form which has to be looked into, but caution is probably the best option right now.

What is the longevity of MACS and PSP facelifts?

The results of these surgeries typically last around 10-12 years, with the MACS surgery having relatively minimal facial scarring. However, it is important to remember that the face does not stay frozen. After all, in both surgeries, the muscular contours of the face are realigned to a more youthful position. Yet, over time, the muscles become weaker and the skin begins to sag, and the extent of this process depends on the person’s genetics, environmental pressures, etc.

Are there shorter-term facelifts with, for instance, one weekend recovery times?

There are several, less invasive facelifts other than the traditional SMAS lift and the deep plane facelifts which often have lesser recovery times. One example of this would be the mini/S facelift in which an incision is made behind the ear and the skin is merely pulled (none of the SMAS layers are affected particularly much). However, if the objective is to rid yourself of jowls underneath the neck, this surgery probably would not make too much sense.

Why is the deep plane facelift used as opposed to other facelifts?

The deep plane facelift is mostly conducted on patients with heavier jowls and is more of a lower-face oriented procedure.  It provides much more concrete and long-lasting results when compared to the SMAS Lift and is performed for those reasons.

When should I do a full facelift vs a mini facelift?

If you are looking to get rid of sagging jowls, this cannot be done with a simple mini facelift. A mini facelift is for younger patients who have minimal jowling and minor laxity in the neck, whereas a facelift is more oriented for patients who have major jowls and for whom neck fat is a major problem

Would liposuction work as opposed to a facelift to correct the same problems?

If the problem is simply fat as opposed to laxity (looseness in the neck), liposuction would work in helping to take out the fat. However, jowls and neck folds caused by skin laxity as opposed to actual fat deposits cannot be corrected (and can actually worsened) with a liposuction.

How does a facelift work?

The way a facelift surgery basically works is that an incision is made along the hairline around the earlobe and behind the ear, the skin is pulled back and cut if in excess, and the incision is closed with sutures/surgical clips. However, every facelift is different; surgical time can take anywhere between 2.5 to 5 hours and recovery can take from 2 to 3 weeks at the minimum, depending on the invasiveness of the lift.

What are some non-surgical alternatives to facelifts?

Generally, besides having a lifelong regimen dedicated to healthy skin, the only true way to treat jowling in the neck is through an invasive facelift surgery. Liquid facelifts involve a filler which is used to address wrinkles, lines, and volume loss but is ineffective in addressing the jowling which many need to address. 

Is the liquid facelift effective?

The liquid facelift is not a true facelift in the sense that it involves no actual incisions and pulling of the skin. Rather, it is a procedure which seeks to plump various areas of the face with the injection of large amounts of fillers. Honestly, similar to fat injection, the benefit is very temporary and, if you are looking for long-lasting benefits, it is not the option for you.

Are bandages used post-facelift?

Bandages are generally not used in a facelift. Rather, garments are wrapped around the head for up to a day before being removed.

Can I do a facelift out of state instead of going to my normal surgeon?

Finding a good plastic surgeon in these times is very difficult. Therefore, it is probably best that “if it ain’t broke, don’t fix it”. However, post-surgery, arrangements will have to be made for you to stay in a hotel in order to recuperate for at least a week if not more (ideally two weeks).

Are there any problems with the MACS Facelift?

The problem with the MACs Facelift is that, though it is done in a vertical manner and causes the results to become natural looking, it must be done in a very precise way for the results to look good. It seems as if you need a revision surgery with a more experienced plastic surgeon who knows the various nuances of different types of surgeries.

Can facelifts be done without surgery?

Unfortunately, in the case of a facelift, only the real thing can guarantee real-looking results. Fillers are probably not the best option in this case if you want to improve the look of the face as a whole and, while enhancing facelift work, they cannot replace a facelift. If you want REAL change, a facelift is the way to go.

What is the cost of a neck and jowl facelift?

The cost of a facelift vary widely depending on the experience of the surgeon and especially by the area in which the surgery is being performed. Usually, these types of surgeries go for around $10,000 to $25,000, but again, if the best results are desired, go for surgeons who, albeit being expensive, have more experience.

Is there a limit to how many facelifts a person can have?

Theoretically, a facelift can be performed as many times as needed to satisfy the patient.  It is important that the facial structure and skin contours remain relatively unchanged, which is difficult to do after multiple procedures. Therefore, a person can honestly have as many as they want, but a comprehensive plan should be made by the patient’s plastic surgeon for the best results.

Are facelift "creams" effective?

Facelift creams often just have moisturizers which help to bring water into the tissues and help plump the skin. It is honestly the same with any standard cream or lotion, or even minor procedure with fillers. Any actual, concrete change in the face can only be done with a facelift of some kind or, at the very least, with fillers, laser resurfacing, etc.

What does a mini facelift do?

Mini facelifts, like many facelifts, are done under local anesthesia and are performed by creating an incision in the back of the ear towards the earlobe. They, however, merely address the skin, rather than the underlying muscle tissue (SMAS layer of the skin), meaning that the results typically last for a maximum of about a year (the usual recovery time is about 2 weeks). 

Why do I have ridges on my cheeks after 9 Months post-facelift?

It is strange to have these ridges after this long of a period after surgery. It seems as if there was a skin flap which is stuck under the SMAS layer, but consult with your plastic surgeon before making any arrangements.

Can I do an ultrasound facelift and get the same results as a regular facelift?

Honestly, the only way to get true results for people with laxity in the skin is through a facelift or procedure of some sort. Ultrasound facelifts, which deliver energy beneath the skin to stimulate collagen cells, usually do their “best” work on the brows, neck, and chin, and, even then, the results are fairly minimal. Volume loss due to age is also left unaddressed with these procedures.

What's the best age for a facelift?

There is no set age at which a facelift can be done, but the recommended age is, at minimum, when the patient is in their early to mid-40s. During this time, skin laxity (jowls and neck sagging) start to become a problem and can usually be addressed ONLY with a proper facelift procedure. 

What can be done to address marionette lines and jowls?

To be frank, only a true FULL, SMAS facelift can be used to fully address these issues. A mini facelift could provide some relief for the jowls, but the marionette lines can only be truly erased by altering the contours of the face (fillers are only temporary for these types of situations).

Is a laser lift just as effective as a facelift?

Sometimes, the only way to achieve true results is through the hands of experience. Such is the case in facelift/facial rejuvenation surgery. Laser lifts, if used, do little to alter the contours of the face and are very temporary in terms of their results. Therefore, at best, they can be used to enhance a facelift, but not to replace one.

I look terrible after my facelift. Why?

The first two weeks after a facelift can only be described with the saying that “It will be worse before it becomes better”. Usually, however, any swelling and the resulting deficiencies in appearance resulting from this (mouth lines, etc.) should resolve and smooth themselves out before long. Try not to worry and consult with your plastic surgeon if need be.

How is the recovery following a facelift?

Patients generally look better within two to three weeks post-procedure, though some bruising and swelling should be expected. Swelling dissipates over the course of 2 days and bruising will also fade within 2 to 3 weeks.

What is your opinion of non-surgical facelifts?

The only “facelifts” which truly works and deserve to be called this are actual, invasive, surgical procedures. Other methods, including the Thermage procedure, volume replacements (fats, fillers, etc.), and laser resurfacing, are only effective temporarily and do not even come close (perhaps only 30%) to the results of a true surgical facelift.

Is uneven scarring post-facelift a problem?

It seems as if scar revision surgery may need to be done especially if the scarring is uneven. Most facelifts usually do not have this outcome and it sounds like additional follow-up may be necessary.

Should I do SMAS under Oral Sedation or Deep Plane under IV Sedation

To be honest, as a surgeon, anesthesia/sedation is only used for patient comfort and rarely affects the outcome of the surgery, meaning that it can be disregarded as a factor. SMAS surgeries involve lifting the muscles and tissue underneath the skin and attaching it to the upper skin using sutures. The recovery time for this procedure is, at a minimum, from two to three weeks, and usually yields very long-lasting (10-12 years) results. The deep plane facelift involves cutting under the SMAS layer and is even more invasive, altering the contours of the face greatly and yielding much more long-term results.

Is there any difference between the thread lift and a facelift?

A thread lift DEFINITELY does not yield the same results as a traditional facelift. The results look generally the same, but usually dissipate within two weeks. It is definitely not worth it if true, long-lasting results are desired.

Does a sagging face always require a facelift?

Usually, a facelift is reserved for patients who have excessive jowling and demonstrate laxity of the skin. I would also recommend fillers or other temporary methods (rest, improving diet, etc.) because a facelift may not be necessary.

Can I get a facelift 7 years after my first one?

Though it is safe to have another facelift seven years or so after the first one, a full facelift would not be necessary again. The best procedure to consider would probably be a mini facelift or, even better, fillers, simply as a way of decreasing possible surgical risks especially at that age.

What is the difference between LifeStyle Lift vs Mini Lift

The Lifestyle lift is an hour long procedure which does very little to address the sagging of the skin and produces very temporary results. The mini facelift is a true, albeit minor, facelift which involves an incision near the earlobe and the pulling of the skin to create a younger look.

What should I look for in a facelift before and after photo gallery?

What you mainly want to look for in a before and after photo is that the face of the patient overall stayed the same, meaning that the facial structure, for the most part, was left relatively untouched. If the patient is more rested looking (looks like a younger version of themselves), that indicates a good plastic surgeon.

Should I get a facelift at age 32?

Patients often confuse loss of volume in the face for skin laxity and believe that only a facelift will help address these problems. It seems that adding volume to the cheek areas (fillers or fat grafting) or adding cheek implants would probably be the best option as a way of plumping the cheeks and giving a younger, yet still masculine look.

How long does a MACs/PIPs lift last?

Typically, MACs and PSP facelifts tend to give results for approximately 10-12 years. Plan accordingly, however, in case revision surgery is needed.

Can less invasive procedures correct problems typically fixed by a facelift?

If the problem of the patient revolves around facial contours/structure, it is very unlikely that fillers or other minimal procedures will truly address the problem. It sounds as if the best treatment would be for an ELITE surgeon to conduct a full facelift procedure, alter the contours of the face, and redrape the skin. Unfortunately, it will have to be invasive.

Can I have a facelift following a threadlift?

Threadlifts, to be quite frank, are very temporary and, for the price paid for them, yield very minimal results. There should be no problem with having a facelift after these procedures.

When can I start wearing earrings post-facelift?

It would probably be best to avoid earring or wearing facial jewelry for about 4 weeks. Tensions in and around the ear, where the primary incisions are made, could exacerbate the scarring and cause stretching of the earlobe.

I still see wrinkles and jowls post-facelift. What should I do?

It seems as if a revision surgery is needed in your case. Talk to an experienced surgeon who is willing to provide an additional SMAS facelift, this time done right.

Why do I have an indentation on my face post-facelift?

Usually, this is not a typical symptom of a post-facelift face. Perhaps this may have been the result of another procedure such as a brow lift or forehead lift.

Where is the scarring in a facelift?

Generally, elite surgeons will place incisions where it is least possible to detect them while at the same time allowing for the skin to be naturally taut. Typically, however, the most effective incisions are those placed behind the ear or, in the case of a MACS facelift, directly in front of the ear. Discuss this with your plastic surgeon to help with the results.

Is fat augmentation considered part of a facelift?

Fat transfer/augmentation does not constitute a facelift, but rather enhances the look of a facelift. It is used to increase volume in the face lost through age and is usually added to naturally fatty areas like the cheek or temple.

What is the basic procedure in a deep-plane facelift?

Another, more invasive and perhaps more lasting variant of the SMAS facelift is the deep plane facelift, considered by many surgeons to be “the gold standard of facelifts”. It was developed mainly as a variation of standard facelifts as a more effective and intensive way of correcting age-related facial changes in the structure of the middle face. This procedure not only involves separating the skin from the facial structure (bones), but also involves removing parts of the SMAS (superficial musculoaponeurotic system) layer. This layer, found underneath the skin, surrounds the muscles of facial expression (e.g. muscles used for frowning, smiling, etc.). Overall, it has been found to be a far more long-lasting procedure than most other facelifts, including SMAS facelifts and other variants of it, and one which requires little revisions in years after the surgery has been done.

How can I reduce swelling and lumps post-facelift?

In this case, one would want to consult this with their plastic surgeon. However, usually, warm soaking and massage of the area can be beneficial unless the area is the result of blood clotting/hematoma. Honestly, the best procedure would be time, waiting for the procedure to take care of itself.

Can jowling be corrected with the Lifestyle Lift?

In any case, usually, jowling is best corrected with a facelift. The Lifestyle Lift, typically performed in about an hour, simply does not go deep enough for my liking to correct skin laxity (looseness) and is weak for such problems. Though it is definitely going to be more expensive and invasive, the Facelift will be the procedure that yields the best results.

What is the anesthesia used during a facelift?

To be frank, anesthesia is typically used to make the patient feel comfortable. It usually has very little effect on the actual outcome of the procedure, though local anesthesia is used for the majority of facelifts. Depending on your anxiety level when it comes to anesthesia and the extensiveness of the surgery (many facelifts do not require general anesthesia), either local or general anesthesia can be used with little problems.

What are these lumps post-facelift?

Usually, lumps are significant collections of blood under the skin which should be drained if present in the first few days after surgery. If present several weeks after surgery, these lumps can be smoothed out and massaged in order to speed the recovery process.

Can skin laxity be addressed with fat transfer?

Unfortunately, as I stated many times before on this website, fat transfers and other minimal procedures simply do not do a great deal to address the problem of skin laxity. Though they have shorter recovery times and less invasiveness, these procedures typically do not yield long-lasting results. If you want true results for skin laxity, a full facelift is the way to go.

I have uneven cheeks post-facelift. Why?

It seems as if, during the procedure, you either have an issue with fat grafting or from the facelift itself. Early problems with unevenness typically result from the facelift and could be the result of swelling and scarring (usually not too big of an issue). Later unevenness, however, could be from the fat grafting, meaning that an additional facelift or perhaps carefully added fat transfers might be needed.

How is swelling post-facelift?

Usually, swelling is at its worst within 2 to 3 weeks post-op. After that, for at least 3 to 4 months, it gradually dissipates. Patients, in order to quicken the rate at which swelling disappears, can avoid salt (prior to and after surgery), sleep with their heads elevated, etc. Otherwise, however, the only true agent of healing is time in this case.

When should I stop smoking prior to a facelift?

For any facelift procedure to be performed, smokers MUST quit smoking for at least a few weeks prior to procedure and for at least several months post-op. Actively smoking patients increase their risks for permanent scarring and noticeably dead skin and are advised, therefore, to kick the habit as soon as possible.

Fillers vs a lower facelift: What's better?

Generally, aging causes skin to become more lax, creating sagging and other nuisances in the skin (jowls, bags, etc.). Usually, the best option for correcting these minor problems is a lower facelift, as fillers do little to address skin laxity and instead focus more on volume loss. Fillers can be used, however, to enhance the lower facelift procedure.

Is tightness following a facelift normal?

Tightness should generally be expected post-op especially for more invasive, long-lasting procedures where muscle tissues are tightened with sutures. Usually, it tends to dissipate within 2 weeks and is gone at a maximum of 2 or 3 months.

Can I ice my face post-facelift?

Swelling is quite normal post-op, especially in the first two weeks after surgery, and can be combated by raising the head during sleep, etc. Ice can be helpful in the first couple of days, but make sure not to do too much damage to the skin and accidentally cause the creation of dead skin cells.

Can I get a chin implant during a facelift?

Because of the presence of the submental scar after the lower facelift, perhaps there would never be a better time to receive a chin implant. This can easily be done at this time.

I still have jowls after my lower facelift. Why?

Generally, the best solution for jowls is the full facelift which tightens the muscles beneath the face and lifts loose skin upward. The lower facelift, on the other hand, is more of a moderate procedure which addresses issues of the neck rather than the jowls themselves.

Why do I have trouble blinking post-facelift?

This is a problem as weakness in the cheek and lid muscles post-operation indicate nerve damage in a facial nerve. Consult with an experienced plastic surgeon as soon as possible to schedule an additional surgery in order to correct this problem.

Should I lose weight before my facelift?

Often, the problems which lead patients to undergo a face lift  are skin laxity and volume loss, things that can be exacerbated by losing further weight. Fat deposits, contrary to popular belief, are useful in the face because they add structure and heighten the position of the skin. To be frank, gaining weight and adding fat to the facial area may be the best option.

Is there a facelift for the mid-face area?

Generally, a facelift is reserved for patients who have severe laxity in the skin and whose problems cannot be addressed through other means. However, for some patients, I might recommend minor fillers and fat injections for the “tired” areas around the eyes, etc. Consult with your plastic surgeon, however, before making your final decision.

Can a facelift fix droopy eyelids?

In general, droopy eyes have little to do with actual skin laxity (which require facelifts), but rather with sagging of the eyelids, etc. The best option in this case would probably be eyelid surgery or a brow lift.

Can I get a facelift at 45?

Often, it is not the age of the patient but the symptoms which the surgeon considers when deciding on a facelift. Such a procedure could be beneficial, but fillers and fat augmentation could also give you similar results with less invasiveness. You must decide with your plastic surgeon which route you want to take.

What are things I should do/avoid prior to a facelift?

Things to avoid prior to facelift include OTC medicines which can induce and prolong bleeding (aspirin, Motrin, etc.) and should be stopped at least 2 weeks prior to surgery. Avoiding salt is also a good idea as it causes the retention of water and significantly more swelling post-op, and weight loss/gain prior to surgery (if needed) should be controlled with a steady diet.

Is there problems with doing more than one facelift?

There technically isn’t a set limit on facelift procedures. Yet, it is important that, with each facial procedure, the facial structure and skin contours remain relatively unchanged. Unfortunately, as more procedures are done, it becomes more difficult to maintain the facial structure without some damage. Also important are genetic and environmental factors like smoking, genetics, and sun exposure.

How are mini facelift procedures less invasive than full facelifts?

The way a facelift usually works is that the skin, rather than being pulled, is redraped after the muscles under the face (SMAS layer) are altered in a more youthful manner. Only minor facelift procedures like the mini facelift touch ONLY the skin and, for that reason, are much less invasive and cost less.

Can facelifts be done following filler treatment?

This is probably best answered by an experienced surgeon who specializes in facelifts. Usually, two months are allowed to pass before anything is done to the area around the face. 

When should I do fat transfer in relation to my facelift?

Depending on the case, it is probably best to do the fat grafting concurrently with the facelift in order to save cost, but also allow the surgeon to have a greater holistic picture of the final facial structure. Typically, after a facelift, there are several areas which appear almost drained of fat  and require volume restoration, making fat augmentation an ideal option.

What is the longevity of the stem cell lift?

This question is difficult to answer in that there have been little significant studies to prove that stem cell lifts provide any more results than a simple fat augmentation procedure. I personally would recommend different options, even though the stem cell life may seem cheaper and easier, because it may not give you the results you desire.

What is the cost of a lower facelift?

As with many facelifts, the cost of a lower facelift varies depending on the surgeon’s geographic location, experience, and several other factors. An elite surgeon with good credentials would typically charge between $8,000 and $25,000, but usually provides the best results with this seemingly exorbitant cost (again, don’t let price guide your medical and psychological health decisions).

What is the basic outline of a facelift?

A facelift is typically performed by repositioning the tissue and fascia layers under the skin known as the SMAS layer and fixing them in place with sutures. Though the skin is pulled, it is not pulled extensively, as direct tension to the skin could create a “windblown” look which is characteristic of badly performed facelift operations.

What are differences in men's and women's facelifts?

Men can have facelifts, but the procedure and the results are typically very different. Generally, men have stronger support under the skin, larger faces, more vascular skin, etc. and it takes a great amount of time to care for them than women. Also important is that men, with their vascular skin, tend to bleed more and, with shorter hair, have more visible scars following the incision. 

Ultra Sound Facelift vs Fraxel Repair Laser Treatment

Again, there is truly not a procedure out there which yields the results of a true facelift. Ultrasound works by delivering energy deep into the skin to stimulate collagen cells and is used for addressing the lifting of the skin on the brows, neck, and chin. Generally, it does not address volume loss and only tighten the skin to a limited degree. Fraxel on the other hand is good for rejuvenating the surface of the skin and is used more for finer lines and skin tightening (surface features).

What is the silhouette lift?

The silhouette lift is a variant of the thread lift which uses barbed sutures to lift and hold the skin in a suspended position. Unfortunately, with its expense, it provides very minimal improvement and I would not recommend it.

Are lingering sutures a problem?

Usually, lingering sutures are normal and do not dissolve until 3-6 weeks have gone by (some are even known to stay for up to 6 months). In general, they don’t present much of a problem and should be ignored if possible.

What is the downtime for a mini facelift?

Usually, the downtime occurs for about 7-10 days, but 2 weeks are recommended for surgery recovery.

Is lumps and pain 1-year post-facelift bad?

At this point, I would consult your surgeon if you have lumps or pain. It is not normal for this long of a period after surgery.

How long after a facelift can I have oral sex?

Generally, it should be avoided for up to two weeks after surgery. The post-op patient’s blood pressure could increase and exacerbate possible swelling.

I had a vampire-style facelift. What should I do to correct it?

The best option right now would probably be to use fillers or fat augmentation as a way of volumizing areas which are in need of plumping (ex. Cheeks and temples).

How should I address laxity under the eye?

In this case, the best option would probably be the lower lid lift or the cheek lift, both of which avoid the eye area while also tightening or removing excess skin. 

Can a sagging neck be corrected with a mini facelift?

Mini lifts are typically used for patients with slight jowling and minimal slackness in the neck. Typically, these procedures do very little for the actual neck area and last at most 5 years. If you want true results when it comes to addressing skin laxity, the lower facelift is the way to go for lesser complications after surgery.

How is swelling following a vampire facelift?

Usually, following this procedure, swelling lasts for about 2 to 3 days and the results will last for approximately three months. One has to keep in mind, however, this procedure is not the same as a typical facelift procedure.

I have sagging which is unusual for my age. Is a facelift necessary?

It seems as if, in your case, genetics had a major role in determining the laxity of your skin. Facelifts are probably not necessary for you especially at your age. But, I would recommend fillers/fat injections as well as possible Botox injections to combat the sagging which you are dealing with.

What is done after the facelift garments are taken off?

Typically, after the facial dressing/bandages come off, a wrap can be worn for 2 to 3 days.

There may be nerve damage post-facelift. What should I do?

It is rare that nerves like the facial nerve or the greater auricular nerve are damaged during or after surgery. The nerves can either be cut through (in which case, damage must be acknowledged and corrected immediately by the surgeon) or they can stretched or swollen (seems to be the case here) and may require the use of steroids to stimulate the area. I would wait several months however before going back to the operating room.

Should I have a mini facelift or a blepharoplasty?

Both surgeries can be done concurrently, but, with different doctors being used, it seems that blepharoplasty (eyelid surgery) would be easier as the recovery is much shorter and simple. In addition, it could have a potential impact on how the mini facelift is done in relation to the brow/eyelid area.

Can special glues stop bruising?

The evidence suggesting that glue can stop bruising is weak and, if true, it can only be used for initial swelling and bruising. Otherwise, I would not count on them to make up for inexperienced technique or to change the ultimate result.

Can I have a Lower Blepharoplasty concurrently with Mid-Face Lift

Though this surgery can depend on your individual facial anatomy, I see little problem with doing these concurrently if you want true results. However, either of these can be substituted with a facelift or brow lift for truly ideal results. Unfortunately, there are several risks such as lower eyelid skin bunching or more wrinkles associated with combining these two.

What are the logistics of mini facelifts (costs,etc.)?

A very popular procedure, mini facelifts typically cost between $6,000 and $8,000 and are done with local anesthesia.

When are fillers used as opposed to having facelifts done?

Many patients choose to have fillers as opposed to surgery when desiring short term results, if they are younger and are not ready for the full facelift, or are apprehensive about actual surgery. Also important is that facelifts are brought in to address the problem of skin laxity whereas fillers are more specialized for dealing with volume loss due to age.

Why am I having spasms post-facelift?

Patients dealing with spasms several weeks after facelift are advised not to worry as swelling and bruising in the face often pinches nerves, causing spastic movements.

Are sinuses affected during facelifts?

If done even slightly correctly, facelifts, which involve tightening the facial muscles and redraping skin on the face, should not affect the sinuses whatsoever. Also, eyelift surgeries typically involve the fat above and below the eyelids and usually do not even touch the eyeball during surgery. 

Can I have a deep plane facelift at age 31?

A deep plane facelift is definitely not in the cards for younger patients, especially if they have no problems with the jaw or neck area. Saggy cheeks and nasolabial folds are probably best treated with a mid-facelift specifically targeted for these problems.

Why are there under-eye bumps 6 months post-facelift?

Consulting your surgeon would probably be the best option as bumps under the eyes could be indicative of blood clotting or cysts from sutures.

Why are there ridges on my cheeks post-facelift?

Usually, patients, especially those several weeks after their procedure, will have scarring on various parts of the face. Therefore, it is important not to worry or expect immediate results. Some suggestions could be the ultrasound technique, but I would not go with the steroid injection either. Consult with your surgeon about your options. 

Does a facelift interfere with the aging process?

Aging should be completely normal post-face lift. Again, it is a procedure designed to turn back the aging clock rather than alter it. Secondary facelifts may be necessary after a decade or so, depending on the invasiveness of the first facelift.

When should implants or fillers be used versus a facelift?

For patients who have flatter cheeks and a weaker chin, cheek implants or augmentation would probably be the best avenue for a better look as a way of balancing the lower face. More volume could also be placed in the cheek area with hyaluronic acid fillers (Restylane, etc.).

Are there complications from deep plane surgery?

The problems associated with deep plane facelifts include motor and sensory nerve damage (extremely rare and avoidable if surgeon has good knowledge of facial anatomy), hematoma/blood clotting, and infection (avoidable with application of antibiotic ointment).

I still have odd sensations and aches 3 years post-facelift. Why?

Similar to patients with a phantom limb, it seems as if you are not used to the new you. This is common in many patients who have had surgery and are still becoming accustomed to scarring, etc.

Are there more risks in a facelift vs a mini facelift?

A mini facelift is intended for patients who have slight jowling and minimal slackness in the neck (younger patients first seeing effects of aging), whereas a traditional facelift is associated with heavy jowls along the neck. Usually, if the surgeon is experienced, there should be very minimal risk in both procedures.

Is there heavy scarring in a facelift?

Usually, even in a particularly invasive facelift, scars are only present behind the earlobe and around the crease of the earlobe

Will facial exercises help an asymmetrical face post-facelift?

Facial exercises are probably not going to help with the distortion. It seems as if you need a reconstructive surgery to address a botched job.

Can a patient in their 20s do a facelift?

It is highly irregular for a patient of your age having a facelift. A facelift is only necessary for patients looking to address the sagging of skin and muscles due to laxity of these constituents and, for young patients, this is rare except in the case of a tumor, extreme weight loss (causing the loss of structure in the face, etc.). 

Is scarring really that bad post-facelift?

Scarring can vary based on the experience and skill of the surgeon, so it is probably best to consult further with your surgeon or another trusted individual at the very least. However, facelifts will generally only require a scar behind the ear up to the earlobe which can be covered by the hairline for the most part

Can midface lifts be done endoscopically?

Generally, midface lifts are NOT done endoscopically and are usually quite open. Open technique allows for easier removal of skin and the strengthening of the underlying SMAS layer. There are procedures which conduct midface lifts less invasively, but they are not as effective as open technique

How can I settle on a good surgeon?

Again, the decision for surgeons is generally up to you. When it comes to cost, though plastic surgeries is usually on a “you get what you paid for” basis, don’t let it be your sole factor in decision-making. Keep in mind that location, anesthesia, overhead costs, etc. all play a part, as does the skill and individual technique of the surgeon. Take care to make sure that your surgeon is board-certified and has satisfactory before-and-after photo galleries of your individual surgical procedure.

Can I use hirudoid cream on post-facelift lumps?

Before applying any topical ointment to the skin following a facelift, especially so soon, I would consult with my doctor. There is usually no benefit in applying things blindly.

What sort of certifications should I look for in a surgeon prior to a facelift?

When doing a plastic surgery, it is probably for the best that the surgeon be certified by the American Board of Plastic Surgery. Even for mini-lifts, which are not considered as invasive as facelifts, a great deal of experience and training is needed for good patient satisfaction.

Can I get a facelift at 19?

At age 19, there should be no reason to be thinking about a facelift of any kind. Many nonsurgical treatments (e.g. fillers, fat augmentation, implants, etc.) are available and should be used more frequently as potential first lines of treatment.

I have unusual temple wounds post-facelift. Is that normal?

Temple wounds are somewhat uncommon following a facial procedure. The best option at this point would probably be to wait it out and see how the wounds scar/develop and, as always, consult with the surgeon.

When is a good time to get a facelift?

It is important to recognize that the timing of a facelift is again related mainly to the physical stage of a patient, rather than the patients themselves, and are controlled by genetics and environmental factors. Even though you may be young for a full facelift, you could easily qualify as an ideal candidate for a mid-facelift. This facelift is ideal for those who have lost definition in the eye area and who are beginning to show the signs of sagging. 

People keep telling me to find an "experienced" surgeon prior to a facelift. What does that mean?

Often, it is better to not get bogged down with numbers when it comes to surgeries. Examining before and after photos and deciding whether you are completely satisfied (COMPLETELY is emphasized here) is probably the best option when it comes to opting for surgery.

I have asymmetrical healing one month after my MACs facelift. Is that normal?

It is normal, in a facelift, to experience asymmetrical healing. This is usually caused by ingrown hair or sutures and should not be that great of a concern. Besides, one month after surgery is probably the worst that a patient will ever look post-surgery, so hang in there and be patient.

Should I look for a DO or MD doctor when looking for a facelift surgeon?

Again, it does not truly matter what sort of degree the doctor has. If he is adequately trained and has a good reputation combined with the experience which you are looking for, the surgery should go smoothly regardless.

Can I address jowl issues with fillers?

Patients often become confused with jowls and believe that the main issue with them is lack of structural fat within them. However, this is not the case, with the usual problem being skin laxity. Fillers, because of this, cannot really be used for addressing jowls because they merely add volume where volume is needed (cheeks, lips, etc.). Adding them to the jowls will not only do very little, but may worsen the symptoms.

Will I get flattened cheeks following a SMAS facelift?

Typically, an SMAS facelift will reposition the cheek muscles in a more youthful position and will usually elevate the cheek fat to augment the area. Therefore, it is advisable not to be worried about “cheek damage” in this case.

Will nerve damage be a concern in doing multiple facelifts?

To be honest, any experienced and capable surgeon should not be afraid of doing nerve damage, etc. simply because of their knowledge in the field. However, the problem with you may be that fat grafting or augmentation is needed to plump various areas without the use of a facelift.

Are there non-surgical alternatives to facelifts for patients in their late 30s or early 40s?

At your age, it is probably inadvisable to look at surgery as the first line of treatment especially because skin laxity is usually not a great problem in the late 30s and early 40s. Other non-invasive options exist such as neuromodulators, fillers, laser-based procedures, and soft tissue tighteners.

Is the ultrasound facelift worth it?

The problem with ultrasound facelift is that it has been given far too much hype in the media. Granted, its role in stimulating collagen cells may cause the skin to tighten somewhat but it does not address volume loss and skin laxity, two of the most common symptoms of aging. Again, better to not let price be your guide when it comes to facial procedures.

Will incision sites show post-facelift?

Usually, different surgeons will choose different incision techniques based on experience and the need to hide incisions in the natural crease lines. Again, the key is to make the surgery less obvious and the surgeon will usually best know how to do that.

Can a midface lift help with the eyes as well?

Though the midface lift does help address sagginess in the cheeks, it can help tighten skin under the eyelid. However, for true results, removing the lower eye skin in a skin pinch procedure under local anesthesia might be more advantageous.

Should I still have jowl issues after a SMAS lift?

Generally, for such invasive procedures, it may be too early to make a truly accurate call as to the effectiveness of the surgery. For now, try looking at before and after photos, trying to maintain clear, rational expectations for yourself. However, SMAS lifts specifically target the jowls, meaning that you may need revision surgery.

Can a facelift or liposuction help with a disproportionate face?

For people with disproportionate faces, the problem often lies in the underlying fat structure of the face for which a facelift and a liposuction can do greater damage. I would consult with your plastic surgeon about your individual options.

How are the incisions made in a facelift?

Generally, when doing a facelift, the incision made occurs behind the ear and curves along the shape of the ear to the earlobe, simply for the purpose of effectively redraping the skin and hiding as best as possible any evidence that a procedure has been done. 

Why is my smile weak five years after my facelift?

This may not be the answer which you wish to hear, but, after five years post-op, I see very little changing in terms of facial structure. It is possible that, although rare, you may have had minor nerve damage, but, again, it is best to consult with a facial nerve expert to be absolutely sure.

How can smoking affect facelift results?

Again, because of the nature of chemicals in cigarettes in adjusting the vascular nature of the blood vessels of the face, smokers have a higher risk for post-operative complications. Smoking constricts blood vessel, reducing blood flow to the skin and increasing the risk of the development of dead skin, etc. It would be well advised for patients NOT to smoke for several weeks before and after surgery.

What is a good timing for a facelift surgery?

For some patients who are not quite ready for a major, invasive procedure, fillers and Botox might be good as temporary solutions. Especially for younger patients in their early forties, liposuction could also help with jowling and presents a lower cost option when compared to surgery. Perhaps consulting with your surgeon is the best option for you at this point.

Are there any supplements which I could take prior to a facelift?

Before a facelift, some of the best options could be to use Retin-A before and after surgery. Examples include using Obagi.

Can I address lower eye problems via a midface lift?

Yes. A midface lift can be performed through the mouth as a way of providing support and increasing the volume of the hollow cheek area. This can most often be done through an upper lid incision.

Is there cheek pad repositioning during a facelift?

Again, not all facelifts are the same. Some procedures including the SMAS facelift involve the repositioning of the cheek (buccal) fat pad and often involve the partial removal of it as well.

How can I avoid the "wind-tunnel" look in a facelift?

If the doctor with whom you are doing the surgery is competent and has a good reputation, there is little to worry about in terms of the “windswept” look. In the SMAS lift especially, it is important that the SMAS layer and the skin are concurrently pulled in the same general proportion, thus enhancing the natural look of the surgery.

What should I do about the drooping corners of my mouth?

For patients dealing with drooping mouths (specifically at the corners of the mouth), probably the best procedure would be to use fillers like Restylane and Juvederm Ultra. For greater marionettes lines, however, fillers would not work well and a full facelift would probably the best option.

I have bilateral numbness post-facelift. Is that a problem?

Depending on where the initial incision was made, it is normal to experience numbness in the skin and to also have flaky, dry skin as well. Numbness around the ears is, to conclude, perfectly normal. However, numbness WITHIN the ear is a problem and usually indicates nerve damage which can be risky during any anticipated neck lift option.

How many stitches are used in a facelift?

Usually, after a traditional SMAS lift, 40-50 stitches are used to cover the residual scars located close to the incision site at the hairline, in front and behind the ears. These stitches are removed at the fourth day after the surgery to avoid railroad track scars along the incision line.

Why am I still swollen and lumpy three weeks post-facelift?

For many patients, the two to three week mark indicates the worst effects of the surgery. At this point, patients can expect to be quite swollen and have lumps which probably indicate minor blood collections that will heal over time. Massaging these lumps can help, but overall, time is the best cure.

Can you outline what an endoscopic facelift entails?

A technique that is far less mainstream than traditional or minor surgical facelifts, an endoscopic lift is a minor facelift in which a small endoscope is inserted through the hairline through three or more small incisions that are less than one inch long. These cameras then transmit small video images to a larger TV screen, thus guiding the surgeon through the repositioning of surface tissues. This particular operation is usually done on an outpatient basis using local anesthesia or intravenous sedation.

What is a ribbon lift?

The ribbon lift is a procedure similar to a thread lift but uses a different device, a collar with spikes of one side. The device is inserted into the platysma muscle and used to pull it back, a procedure which helps with neck lifts, but does nothing for jowls and cheeks. It is a good temporary procedure if done correctly.

Can malar bags be fixed with a midface lift?

A midface lift is known for its role in addressing the cheek area and addresses sagginess. However, more often, surgeons will use fillers like Restylane or Juvederm to address problems in this area because of their low risk and, in general, greater effectiveness.

What is a featherlift?

A featherlift was a procedure used several years ago which worked similar to a thread lift. Barbed sutures were inserted under the skin to lift it up as a whole. The only problem was that, as tissue is tightened, it expands, thus defeating the purpose of the procedure in general.

Can I avoid bruising entirely post-facelift?

Unfortunately, bruising after a facelift is something which is greatly inevitable. However, medicines taken to reduce blood pressure and help with the bruising, using drains, preoperative care, etc. can all be used to at least minimize the bruising present.

Why do celebrities have a reputation for having bad facelifts?

The simple reason for this is that celebrity surgeons simply show very little technique and are often better at public relations than actual operations. As with “normal” people, celebrities who do their research and find the best plastic surgeons often look perfectly normal.

How long do SmartLift results last?

Again, due to the low invasiveness of this procedure, there is a much shorter longevity for these procedures when compared to other procedures. Often, a mini facelift can be substituted with fillers, Botox, and other skin care methods that would be less invasive and probably more effective.

Why do I still have numbness and lumpiness 3 weeks post-op?

Healing after a surgery, especially after 2 to 3 weeks, is always tough and numbness and swelling are to be expected. Usually, however, after this nightmare period is over, nerves gradually begin to recover and feeling begins to return to the face soon after. Lumpiness could be from minor blood collections which are again very normal and can be massaged if the patient is particularly anxious. As I have stated many times before, time is the greatest healer when it comes to plastic surgery procedures.

Can I do a Lifestyle Lift to address jowl problems?

For patients with jowls, the best option would probably be a comprehensively planned facelift. The Lifestyle Lift, to be frank, does not cut it when it comes to the jowl area especially when the surgery takes only an hour or so to do (it does not venture deep enough into the SMAS layer, etc.).

How should I plan a facelift procedure as a 56 year old woman?

The most important part of a facelift procedure is planning on what the patient wants. Choosing the best surgeon is often the best idea for not only finding the best option, but also of understand what to expect from surgery. Doing your research is the only way to become truly happy with your results.

Can Acculift be just as effective as fillers?

I remain quite distrustful of these gimmick procedures, especially when they claim to replace the need for fillers and face lifting procedures. Until scientific evidence is provided which shows that these procedures actually have a better effect, I would stick with tradition.

I still have swelling after a year post-facelift. Is that bad?

Usually, swelling after facelifts are at their worst for about 2 to 3 weeks post-procedure and gradually dissipate through the period of a year. It is unusual to have great swelling after a year, something which might be helped with lymphatic massage.

When should I have my first facelift?

For most people, the first facelift usually occurs between the ages of forty and fifty because of the loss of facial volume from age-related fat loss and by the development of lax skin again due to age. Again, however, it is the physical state of the patient, as opposed to his/her age which actually determine the need for surgery, so consulting with surgeons is probably the best first step in deciding.

Can skin creams come close to helping as much as a facelift does?

Nothing can replace a true, well-done surgery. I would distrust many of these skin cream options which are available out there.

Should I be concerned about scarring post-facelift?

In general, when a surgery is done, the surgeon should try as best as possible to avoid having the patient look like they have had surgery. When a good lift is done, the deeper tissues are pulled slightly and little skin is excised, meaning very thin lines are often needed if done properly. Again, finding a good surgeon who is reliable is probably the best option for you at this point.

How long will my swelling last post-facelift and augmentation?

It does take some time for the swelling to settle down after a mid facelift and fat injections. Look for about three months before you start healing. By then, the swelling will have probably subsided greatly.

Does Acculift work?

I remain quite distrustful of these gimmick procedures, especially when they claim to replace the need for fillers and face lifting procedures. Until scientific evidence is provided which shows that these procedures actually have a better effect, I would stick with tradition.

What is the basic outline for a short scar lift?

Short scar lift/mini facelifts, like many facelifts, are done under local anesthesia and are performed by creating an incision in the back of the ear towards the earlobe. They, however, merely address the skin, rather than the underlying muscle tissue (SMAS layer of the skin), meaning that the results typically last for a maximum of about a year (the usual recovery time is about 2 weeks). 

What are some pros and cons for facelifts?

Pros: Removal of excess skin, lifting of drooping skin along face, jawline, and neck

Cons: Cost, undergoing surgery, recovery time, scars, swelling/bruising, and risks of surgery

What can be done about post-facelift lumps?

For most procedures, it is extremely common to have lumps several weeks after surgeries which are mainly composed of blood collections under the skin. However, if they remain for a long time after surgery, they may develop into hematomas (blood clots) and will require frequent massage for healing.

Are there any side effects of a facelift?

Side effects can include:

Infection

Bleeding

Scarring

Numbness

Hair loss along incision lines

Facial nerve damage (very rare)

Why is there oozing behind my ears following surgery?

Often, patients will find that oozing behind the ears can happen followed by the movement of thread through the skin. These threads are prolene sutures which can easily be removed at the surgeon’s office.

I have persistent long-term pain post-facelift. Why?

The problem in your case could be dysesthesia which occurs when nerve pains do not go away shortly after surgery with massage, etc. Some potential methods of treatment could be massage. However, if nerve pain persists, patients may want to consult neurologists or pain specialists.

Are there risks of keloid/hypertrophic scars following a facelift?

Though surgeons are generally trained to minimize scars as much as possible, scars will be present. Surgeons will usually attempt to place incisions in areas that are hidden or in areas where it may look like natural wrinkles (ex. Hairline, behind the ear), but, particularly in Hispanic or African-American patients, there is an increased risk of “hypertrophic” or “keloid” scars.

How can I determine whether to have a deep plane facelift as opposed to a suture suspension?

To be honest, there is not one set procedure which offers the best results; preferable procedures vary from patient to patient. Only by getting to know your surgeon and having him/her examine you thoroughly will give him/her the best idea of how to approach the surgery.

How can I address lower cheek fat loss without surgery?

Lower cheek fat loss is probably best addressed without the use of invasive procedures especially if recovery time is a concern. Fat grafting could be an option, but again there is the possibility of major downtime and more procedures needed to be done in the future. Probably the best option would be to fill the cheeks with Perlane or other fillers to address volume problems.

I'm experiencing a great deal of tightness post-facelift. Is that something I should worry about?

Patients are expected to feel a great deal of tightness post-op and swelling combined with blood clots are perfectly normal (they also exacerbate the tightness as well). It is probably best, if patients are worried about tightness, to wait for time to improve these conditions.

Can I have Botox or fillers done concurrently with my facelift?

This is probably a question needed to be asked for individual surgeons themselves. Botox being in place during a facelift should not be a problem; neither should fillers. However, in the case of fillers, have your doctor customize the surgical procedure for maximum results.

If I have sagging facial structures in my 20s, do I need a facelift?

For younger patients, I would recommend having deep layer fat compartment augmentation simply as a method of restoring structure and weight to the face, mainly because skin laxity is usually not a problem for people in their 20s and 30s. If skin laxity is a problem, however, further facelift options may be needed.

I have lupus and fibromyalgia. Can I go ahead with a facelift or not?

Especially with adverse conditions like lupus and fibromyalgia, it would be wise to discuss specific instructions and concerns with your surgeon. The disease should be maintained and under control before the surgery is performed.

Endotine Periorbital Lifts: Approve or Disapprove?

Endotine, for me, does not have a useful role in facial rejuvenation.  It is a foreign body and creates unnecessary scarring and inflammation.  The best option would be to consult with a plastic surgeon trained in problems of facial aesthetic surgery.  

Is the trampoline neck lift a good option?

The choice of a facelift depends on the patient’s skin laxity and submental fat present. A minilift allows for minimal jowl addressing and the tightening of the neckline, but smart lipo may not be as long-lasting as a minilift. 

How should I handle myself post-facelift?

As soon as movement is possible, try to walk frequently (3-4 times per day) in an effort to boost circulation and avoid the development of deep venous thrombosis (potentially fatal blood clots in the veins of the leg). It is also important to avoid lifting heavy objects until approved by your surgeon and avoid steam rooms and saunas as well as niacin-containing medicines (and possibly foods) for a while due to their tendency to cause facial flushing. Also avoid consuming alcohol or aspirin-like products (e.g. Ibuprofen) without the surgeon’s approval. 

Also, expect to return to work within two weeks. Any major events should be within one to four months of surgery.

In an effort to avoid swelling, it is advisable for patients to sleep with their heads elevated, either by sleeping on two pillows or using a wedge-shaped foam pillow. Keeping the head still during sleep is important as well so as not to pull on delicate sutures on the face. Sleeping on a recliner would most likely be the best option to avoid patients rolling over and disrupting facial changes.

Can I use steroid injections for swelling?

Steroid injections can be useful in areas of excess incisional inflammation, but should only be used when acute and subacute inflammation have subsided. Steroid injections while helping to break down swelled tissue have no control and often break down normal tissue as well, further complicating the situation.

What can I do about a bottom-heavy face?

Possible procedures include:

Suction of the neck and jaw line to remove your submental fat pocket and define your neck/face junction

A short scar face lift with neck liposuction

Can you compare and contrast among SMAS lifts, MACs lifts, and short scar lifts?

All three of these procedures are considered true facelifts. The only variance between them, however, is the scale on which they are performed and the areas they specifically address. A mini-face lift, more frequently used for younger patients, consists of a small incision made behind the ear and only adjusts the skin, leaving the underlying muscular structures intact. This procedure is more frequently used for younger patients and is generally less invasive. In an attempt to avoid the windswept look (AKA the windtunnel face) which is a potential side effect of normal facelift, the MACS lift relies on the vertical lifting of the skin, creating a more natural, less apparent look. Surgeons often describe it as a variation of a normal “short-scar” or “S” Lift because of this. The operation of the MACS lift involves the creation of a small incision within the hairline in front of the ear. The traditional facelift, however, is more extensive and involves an incision near the hairline which extends behind the ear. During this procedure, 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 longevity of a deep plane facelift?

The usual longevity of this particular surgery varies with genetics and environmental factors, etc, but usually goes for about 10-15 years.

How can I treat an asymmetrical mouth?

Asymetric mouth can be treated with a lip lift, augmentation, upper lip lift, DAO muscle fiber division, etc.

What should I expect in regards to bruising post-facelift?

Bruising, if hematomas are not present, usually fade within a 2 to 4 week period and can be treated with Arnica tablets as well.

When can I color my hair post-facelift?

The best option at this point would probably be to wait several weeks post-op until all the wounds have healed before coloring the hair. This point usually occurs within three to five weeks, so consult with your surgeon about your option.

Why do I have black eyes 2 months post-facelift?

It is somewhat unusual for patients to have black eyes after 2 months, even with genetics, medications, and all other factors considered. Problems with drainage post-procedure may be to blame, but exercise and massaging (warmth as well) could also be used to help treat these various conditions.

Are there any good alternatives to lidocaine during a facelift?

The most common alternative to lidocaine in many practices is Marcaine, but general anesthesia accompanied with epinephrine to deal with bleeding control could be a potentially good option in general

Endotine Midface Lift: Corrective or Preventative?

In general, it is a bad idea to perform surgery for "preventative" reasons. Surgery should be done only when an actual problem is present, not to prevent one from developing. It would probably be best for younger patients to use hyaluronic acid fillers, sometimes in and around the nasolabial folds.

Can a younger patient get a Midface Lift for their cheeks?

For younger patients, it is inadvisable usually for them to get mid facial lift unless absolutely necessary. A better option to address volume loss around the nasolabial folds would be to use facial fillers.

What is the recovery time for a facelift?

Facelifts, depending on the time, have a maximum recovery time for anywhere from 2 to 4 weeks during which bruising and swelling are at their worst.

Are there any post-facelift issues which I should be aware of?

With sutures being used to tighten muscles in and around the face, it is normal to experience tightness especially where the incision was made. Itchiness should also be expected for a bout a year and swelling should be anticipated for up to 6 months post-op.

Are there any good non-invasive procedures for sagging cheeks?

Other non-invasive procedures for cheeks include endoscopy. A technique that is far less mainstream than traditional or minor surgical facelifts, an endoscopic lift is a minor facelift in which a small endoscope is inserted through the hairline through three or more small incisions that are less than one inch long. These cameras then transmit small video images to a larger TV screen, thus guiding the surgeon through the repositioning of surface tissues. This particular operation is usually done on an outpatient basis using local anesthesia or intravenous sedation.

Are there any OTC scar treatment medications post-facelift?

There are no OTC medicines available to treat scars, but several treatments including laser and Neosporin application have been shown to.

Thoughts on endoscopic face lift vs midface lift?

Endoscopic facelifts, though not being as mainstream as open surgery, are minimally invasive procedures which presents many advantages to younger people who are not in need of a major surgery. It has a very limited effect on the neck and jowl region, but allows patients to have a lower risk of potential nerve damage and is very effective in dealing with minor facial deformities such as cheek sagging. It cannot, however, be used to perform neck lifts or major operations which would normally require a facelift procedure. Therefore, for people who are in need of a facelift but do not require or want the invasiveness of open surgery, endoscopic surgery is a good option. 

Can face drooping be corrected with microcurrents?

Again, like many other methods of so-called “treatment”, I remain rather dubious of microcurrents. Granted, they give you some improvement, but major facial drooping can only be corrected with facelift surgery.

When do I FULLY recover from a facelift?

Swelling after a facelift should be resolved within four to six months and bruising should recover much earlier, within a matter of weeks. Again, recovery is rather variable from patient to patient and surgeons should be consulted.

What do I do about an altered earlobe position as a result of facelift surgery?

Changes in earlobe position (known as Pixie or Spock Ear) can be caused when the skin around the ear becomes overtrimmed after which the tension in the skin pulls down the earlobe. Usually, a revision facelift may be needed.

How much would a facial feminization surgery cost?

The surgery of achieving a balanced, feminine face usually involves a facelift, forehead/brow lift, and lip augmentation using Restylane and other features. Again, like other procedures, the cost is highly variable but usually lingers at around $50,000.

Does fractional lasering help with mini lifts?

The main purpose of a fractional laser is to help improve fine lines and texture by stimulating the collagen layer of the skin. However, the question is whether it does its job. Scientific evidence saying this has been rather shallow and it’s difficult to prove whether this actually does anything significant. I would stay away from it and stick with tradition.

What is the difference between the deep plane facelifts and other facelifts?

The procedure for a deep plane facelift is very much like the procedure for a SMAS Lift, yet carries the steps of the SMAS Lift much further. In this surgical operation, small incisions are made along the hairline in an effort to reposition facial muscles and upper fatty tissue layers. These incisions are then extended downward along natural creases along the face and proceed along the edges of the ears ending behind the earlobes. After this is done, the skin is separated, leaving the SMAS layer behind. Going further, the surgeon then ventures underneath the SMAS layer (into the “deep plane” layer), cutting attachments and repositioning certain areas in order to create a more tension-free, vibrant look in the face. Finally, after the necessary SMAS portions are appropriately repositioned, excess skin is removed and the edges are sutured. Again, this procedure is a much more invasive version of the SMAS Facelift and is known to be more effective in correcting nasolabial folds (“laugh lines”).

When will I be work-ready after a facelift?

Generally, patients who have very limited bruising can return to work in two weeks, three weeks if they are in the public eye. Make-up can be worn after this time, even if eyelid/brow surgery has been performed. Swelling may take a while to subside (few weeks or so).

Can a MACs lift help the under-eye area?

Unfortunately, patients who wish to improve the look of their eyes along with their facial contours should consider an Extended MACS facelift in which the lower eyelid skin is trimmed as the cheek tissue is uplifted. The regular MACS lift, unfortunately, will do very little for the under eye area.

How much longer is the recovery time for a deep plane lift versus a SMAS lift?

Generally, because of the deeper invasiveness of the deep plane lift, the deep plane lift has a slightly greater recovery time (about a week longer than that of the SMAS Lift). However, each surgeon has different policies concerning surgery and recovery time, so it is best to consult with your doctor if you have specific questions.

Why am I experiencing heavy tingling post-op?

Tingling in the cheeks is quite common after a facelift and will usually last for about 2-3 years as the nerves try to reattach and supply the skin with sensory information. Usually, it is not too great of an issue and the symptoms tend to dissipate over time.

When will my facelift scars heal?

When it comes to facelift scars, the initial redness of these wounds will begin to heal after about 3 months or so, and wound appearance continues to improve for 6-12 months. Again, it is usually the surgeon’s duty to assure that the scars are as inconspicuous as possible and the patient can also apply makeup after 1 week to help with the camouflage.

What does a ribbon lift cost?

Again, over the years, the ribbon facelift has gone down in popularity simply based on the overwhelmingly high cost to benefit ratio. I personally would not recommend this procedure, but, if dead set on this particular technique, average costs hover $3500 to $5,000.

Can young patients get facelifts?

For younger patients wishing to change their inherent facial structure, the facelift would probably not be the option to go for. Instead, non-invasive methods, like fillers, would be a far superior first line of treatment. Consulting with their specific plastic surgeons and obtaining a detailed exam and treatment plan would be the best option at this point.

Is it normal to have hair loss post-facelift?

Facelifts generally do not cause the loss of hair. However, if a facelift is performed concurrently with another upper-face procedure like a browlift, this may have been the cause for hair loss. General anesthesia used during surgery has also been known to cause hair loss.

What are your thoughts on the Serdev suture mid-face lift?

The Serdev Suture style has been acknowledged for having minimal invasiveness to the face, lack of scars, and a quick recovery time. However, Dr. Serdev has been known for using unique sutures and instruments which are not widely available in the United States such as specially designed needles and sutures. Before patients fly over to Bulgaria, however, they must recognize that the procedure is a very short-term solution as the sutures dissolve over a short number of years, but that the procedure is good for people who do not want an invasive procedure.

What can be done with an endoscopic facelift?

Endscopic facelifts are a minimally invasive procedure and the results generally show this. It has a very limited effect on the neck and jowl region, but allows patients to have a lower risk of potential nerve damage and is very effective in dealing with minor facial deformities such as cheek sagging. It cannot, however, be used to perform neck lifts or major operations which would normally require a facelift procedure.

What should I look for to determine if a facelift is right for me?

Again, as I have told my patients several times, it is the physical state of the patient’s face, rather than the age of the patient, which determines the timing of a facelift. If the patient has problems with jowling, marionette lines, deepening nasolabial folds, and excess neck skin (all issues related to skin laxity), a facelift may be the best option.

Is the acupuncture face lift effective?

Like many other non-traditional procedures, it is doubtful whether the acupuncture face lift actually does its job in terms of promoting a more youthful appearance. I would advocate avoiding new-fangled therapies and sticking with tradition.

What are your thoughts on Biltmore plastic surgery?

In the world of plastic surgery, there exists many forms of facelifts, many of them branded for specific causes. This technique is not one that is well known in plastic surgery and would probably be better investigated with several consultations.

Can a facelift tighten skin pores?

The main objective of a facelift is not to address surface skin (epidermal) issues, but rather to correct deeper layer issues and alter facial contours. Therefore, if patients are looking to correct acne scarring, pores, or other issues on the skin itself, the facelift option should be avoided and substituted with laser resurfacing or full face dermabrasion.

Are there any issues associated with having a facelift while bald?

Again, there is no real issue with bald patients having facelift surgeries. The problem lies in placing the incisions where it is least conspicuous. In many cases, the incisions are placed normally (behind the ear and around the structure of the ear) and will usually be noticeable for about 3-4 months as they turn from red to a natural fleshy color. Patients can help the process along by using makeup 1 week post-op. 

What is the timetable for suture removal post-facelift?

Generally, sutures are removed very gradually, with some removed after one week in front of and behind the ears and others located behind and above the ears removed after two weeks.

Do I need a lower facelift?

For patients wishing to improve mouth shape/orientation and sagging around the lower face, a facelift would probably not be an ideal first line of treatment. Fillers would probably be a better option, and further consultations can be done with the plastic surgeon if the patient is unsatisfied.

Can I control the amount of scarring I will undergo post-facelift?

The amount of scarring which a patient will undergo depends on the genetics of the individual, the surgeon’s placement of incisions and his/her skill, and the tension placed on the skin. There is no definite procedure which provides the least scarring, yet smaller, less invasive procedures (in accordance with popular belief) often have less scarring than other more invasive ones (deep plane, SMAS, etc.).

Can an uneven face be corrected with a facelift?

Generally, facial asymmetry is best corrected with the use of fillers and fat grafting. Yet, consulting with the plastic surgeon may provide a more specific and personal method of treatment for individual cases.

What can be done about chin scarring post-neck lift?

Chin scarring is generally the hardest and most irritating scar and usually takes up to three months to heal. Usually, in order to speed up this process of healing, pressure is put on the incision using a foam pad secured with a bandage which is worn for 6 hours a day.

How much will facility and anesthesia factor into the cost of a facelift?

Depending on the surgeon, geography, overhead costs, etc., the price for facility and anesthesia fees will vary. Patients should spend significant time researching their surgeons in order to provide a rough estimate of the costs. Generally, urban areas will have higher facility costs and more extensive anesthesia (general) will be more expensive than local or IV sedation.

Why is nicotine bad prior to and after surgeries?

Doctors will recommend that a patient quit smoking prior to and after the surgery because nicotine causes the constriction of blood vessels which can result in scarring and dead skin cells.

I may have damage to my greater auricular nerve after my facelift. Is this permanent?

Compression or injury to the greater auricular nerve during a face lift or neck lift will result in numbness to the ear lobe and a small area of the neck just below the earlobe. To be frank, this nerve is purely sensory and cannot be treated if damaged, except naturally. Usually, it will heal after 12 months.

I just had jaw reduction surgery. What should I do about the loose skin which resulted there?

Especially for patients who have had jaw reduction surgery, poorly attached skin can be a problem especially as the plastyma muscle and the submental fat pad under the chin are moved down. To correct this, a procedure will be needed to reduce submental fat pads near the platysma (liposuction, etc.) and tighten the platysma muscle.

What are some problems with AccuLift?

With the Acculift procedure, small fibers are used to deliver laser energy around the jowls, neck, and mouth. It is supposed to have little downtime and other benefits, but, to be honest, all it does is remove fat and slightly tighten the skin in areas where MORE fat is needed or where a traditional facelift would be better.

Did my facelift cause darkening of the skin post-op?

In cases of darkening of the skin following surgery, the usual causes lie with laser treatment. To alleviate these symptoms, hydroquinone products could be used carefully or Restylane filler could be used in the dark circles.

I have red lines around the sutures post-facelift. Is that bad?

Usually, if the scars are thin and flat, but have a red, rather fleshy color, they are still maturing and will continue to mature for up to 90 days. People in the short-term recovery phase of the surgery should be patient and allow the scars to heal naturally. However, if the red lines become raised or thick, they could be hypertrophic scars and one should see their surgeon if this occurs.

Is ClearLift surgery effective for loose skin on the neck?

The ClearLift procedure makes use of a Q-switched laser which mainly treats loose skin at the surface after a series of treatments and is usually best reserved for patients with thick skin. Yet, usually, this procedure is best used for skin wrinkling rather than facial structure issues, especially for older patients. For addressing the issue of severe jowling and fat below the neckline, there is again no substitute for a comprehensive neck lift.

When can I resume flying after a facelift?

Typically, surgeons will recommend that a patient ideally stays for about 2 weeks before flying in order to decrease blood pressure spikes and to ensure that all stitches are removed without possible infection.

Can I conduct ultrasound to treat scarring from facelifts?

Generally, it is unusual for patients to experience deep scarring after three weeks of surgery. What patients believe are “scars” may actually be small fluid collections or old blood under the skin. While ultrasound may be useful for bumps post-op, it is probably best to consult with a plastic surgeon as to using it for facelift scarring.

Can facelifts and cheek implants be done at age 20?

At 20 years old, it is difficult to imagine that a patient would be an ideal candidate for a facelift and cheek implants. However, they could be easily eligible for nonsurgical options like fillers or skin care treatments and even lifestyle changes like exercise and dietary restrictions. Consulting with plastic surgeons and dermatologists will probably be the best, most conservative approach.

How can I deal with volume loss following a facelift?

Patients desiring a more “baby face” look following a Facelift will probably want to use volume fillers like Scuptra Esthetic or perhaps utilize fat grafting and fillers depending on what is desired. Consult with the plastic surgeon to find the best options for your individual case.

Do facelifts cover the eyes and neck?

Facelifts generally do not include the eyes and neck and instead encompasses the reposition and tightening of facial tissue around the cheeks and the very upper neck. Necklifts and blepharoplasties (eyelid surgeries) are considered entirely separate procedures.

Is it too late for patients to get facelifts in their 70s?

The only issue with age and timing for facelift is whether the patient is healthy. It is perfectly normal to have a facelift at that age, yet the surgeon must make sure to understand that the skin and deeper facial tissues may be thinner at this age compared to patients in their 50s and 60s.

What can I do about a disproportionately fat face?

Generally, patients who are too young for a facelift but demand facial contouring can achieve what they need through consultations with their plastic surgeons. Unless carefully examined, it is difficult to recommend specific treatments, but some include fat removal, tissue lifting and redraping, etc. Either way, consultation is probably the best option for these patients.

Should I lose weight before a facelift?

It is important for young people to keep a healthy amount of fat in their face simply for the purposes of structure and support. For this reason, if weight is lost significantly, the skin may become lax due to lack of support. It is best for younger patients to wait until the weight becomes stable before addressing skin laxity, meaning that a facelift is probably not needed and can substituted with fat grafting or even with time (skin will naturally tighten).

What can I do about protruding sutures post-facelift?

It is common for sutures to protrude after facelift, but it is important for them to be removed as soon as possible. Depending on the type of suture, it may be necessary to make incisions in order to remove the suture and avoid the possibility of infection.

Can I get a composite facelift?

It is strange to think that composite facelifting has sort of gone by the wayside, as they say, but I would have to disagree with people who state that there is only one way to address certain problems in a patient. Depending on the plastic surgeon and the patient’s preferences, there are many techniques which could be used to solve the same problem. Therefore, it is important for patients to find the best plastic surgeon for them and find the right procedure for their specific needs.

I am dissatisfied with my S-lift. Should I have a revision surgery?

Again, it is important, when considering revision surgery, for patients to display before and after photos and have the surgeon examine them. Consultation, if the patient is dissatisfied, is the best option.

How can I correct early sagging in the jowls?

Patients who are in their early forties should not look for a particularly invasive procedure. Personal recommendations for correcting early signs of jowling would be procedures like the S-Lift or mini jowl lift which address the SMAS layer but not drastically.

How can I correct jowls without having a lot of scarring?

Generally, jowling is best corrected with a full facelift. However, the scars, depending on the skill of the surgeon to make them inconspicuous, are usually not as noticeable as patients may believe and can be hidden by the earlobe and hairline.

Can I get a facelift at 24?

At age 24, except in special cases, facelifts are usually out of the question and are far too invasive. Some options for addressing these problems could be through the use of filler and fat injections to add volume to the face and laser treatment for facial resurfacing.

What are your recommendations for good facelift surgeons in Southern Florida?

The ASPS website has a physician locator feature that will provide a list of qualified surgeons. It is probably best to consult with several surgeons in order to find the one that best meets your needs.

Why do I have nasolabial folds after my mid-face lift?

The procedure known as the mid facelift does not wholly target nasolabial folds and instead is reserved mainly for repositioning the malar fat pad and midface area. The best options to help with these folds are injectable fillers or fat grafting.

What anesthesia can I use during a facelift?

To be frank, the purpose of anesthesia is strictly for patient comfort. Facelifts can use general anesthesia, local anesthesia, or IV sedation, but it is probably safer and more comfortable to use general anesthesia.

Will my sutures be absorbed post-facelift?

The placement of sutures and the types of sutures used depend mainly on the surgeon’s preference. Generally speaking, though dissolvable sutures aid in the conspicuousness of the surgery, they are known for being absorbed too quickly before lending any support to the structure of the new face. If patients are particularly worried, they could use permanent sutures to ensure that the sutures hold long enough for the doctors to remove them if need be.

When will swelling go down after my MACS facelift?

As long as patients are not suffering from a hematoma (consulting with surgeons is especially important), major swelling should not last longer than around a week. After this point, it gradually dissipates.

I don't like my post-facelift look. Anything I can do?

After the operation, it is important for patients to give themselves times to heal. Swelling and bruising will be rampant for the first couple of weeks and the patient should expect to look worse before things begin improving. If any concerns are present, consulting with their plastic surgeon could help, but is usually unnecessary.

Why do I have neck sagging at 9 weeks post-facelift?

Generally, after 9 weeks, much of the swelling has begun to subside and skin on the neck begins to loosen. However, patients should generally not worry as the collagen and scar tissue tends to then contract once more over the course of 6 months to a year. As in many cases, patients who are anxious should schedule a consultation.

I have lumps on my neck post-facelift. Why?

The most likely reason for the existence of lumps post-operation is usually residual sutures which hold the platysma and other muscles in place or minor collections of blood. 

What are some drawbacks with the MACS facelift?

The problem with the extended MACS facelift is that, though it is a vertical facelift and the results look more natural than most others, it does not address lax skin on the neck and definitely does not target fat and banding around the platysma muscle.

What can I do about post-facelift keloid scarring?

It is important for patients to recognize and be able to differentiate between keloids and hypertrophic scars. Both of these are very uncommon after surgery, but are found more on dark-skinned individuals and are best treated with cortisone injections.

Is my post-facelift palsy permanent?

Unfortunately, facelifts have their share of risks associated with them, among them the chance that nerves may be damaged. Consulting with a neurologist is probably the best option to understand the extent of the damage. Following this, weak areas (eyes, etc.) can be supported and electrical stimulation could also be an option, but generally, there is very little that can be done.

Are there non-invasive procedures for the chin and neck?

To be frank, there are very little procedures, besides the facelift, which can be done for patients demanding significant improvement in the neck area. Certain procedures like liposuction or laser/ultrasound treatment can be somewhat useful, but are very short-term and offer little when compared to a face/neck lift.

When does facial tightening stop post-facelift?

Generally, after a period of several weeks, facial tightening begins to fade unless sutures were placed poorly in which case the surgeon must be found as soon as possible to avoid infection.

How can I avoid keloid scarring post-facelift?

Patients prone to keloid scarring should have no problem undergoing a facelift as what most patients see as keloids are simply hypertrophic scars (thick, itchy raised scars) which can easily treated by the surgeon. However, the surgeon which whom you are working may want to consider alternative incisions methods to combat the possibility of major scarring.

What are mini facelifts and modified facelifts?

With all the names out there for various facelifts, it is difficult to understand what is what at some points. A minifacelift generally will remove excessive skin and pull the remaining skin to the side for a more youthful look, whereas a modified facelift may orient itself towards the neck more for greater and more long-lasting results.

I have swelling and keep touching my earlobes post-facelift. What's wrong?

Patients should remember that swelling following facelift surgery is extremely common, but should also take care not to touch the areas around the earlobes too greatly because results may be altered tremendously. If pulled earlobes are a major concern, patients should talk with their surgeon immediately.

Are revision facelifts common?

Generally, in the hands of an experienced facial surgeon, the need for revision is relatively low (about 1 to 6 percent), but the risk for revision increases if the patient is overweight, has a generally heavy neck, smokes, etc. Talk with your surgeon to best understand the options which you have.

What can I do about residual jowling post-lower facelift?

It is strange for patients who have a lower facelift to still have problems with jowling, especially since this procedure is geared specifically for this problem. The most likely route, as of now, is further lifting, but keep in mind that bone structure, fat, chin shape, etc. may have played a role in creating these residual jowls.

How long will my cheek discoloration post-facelift last?

Bruising is generally very common for the first two weeks following surgery, but some patients may develop hemosiderin staining which is similar to bruising and may last for about a year. Again, for bruising, time is often the best factor for healing, but makeup can be worn for camouflage purposes.

Why do I have cheek asymmetry post-facelift?

When addressing cheek asymmetry, it is important to understand that time must be taken for the face to heal fully (several months or so) before a decision can be made. Infections, hematomas, and seromas can all cause fat on the cheeks to dissipate unevenly, yet, early on, the only good options are to consult with your surgeon.

What is the Arasys Perfector Facelift?

As a surgeon, I try to avoid facelift technique which are branded and have official names to them. For most patients, sticking with tradition is probably the best avenue for surgical success.

Should I use the Face Bra or Face Lift Compression Garment?

There are many so-called “miracle” products on the market right now which claim to be able to substitute for facelifts and other surgical procedures. However, again, I would remain wary of these devices and would stick with traditional methods that have been proven to work.

Is a facelift really that much better than a Lifestyle Lift?

In plastic surgery, it is probably the best idea NOT to let price be the sole guide for going through with certain surgeries and to remember that you often get what you pay for. The Lifestyle Lift is generally a modified version of the S-Lift which offers very little benefits for its rather high cost. A facelift, on the other hand, costing from anywhere between $5,000 to $25,000, is a procedure proven to yield significant results and is the one I would advocate to many of my patients (depending on need, of course).

What can I do pre-op to prepare for a facelift?

As soon as the date is set for surgery, it is important for patients to arrange for a ride home from surgery and also to clear their schedule for up to 2 weeks post-op. Smokers should quit several weeks before and continue not to smoke for several weeks after surgery and, unless approved by the doctor, any medications and herbal medicines should be avoided.

What can be done for the excess skin between my eyes post-blepharoplasty?

This is somewhat difficult considering that the thin skin closest to the nose is very difficult to incise without creating an obvious scar. If this is a particularly bothersome issue, consult with your surgeon about your options.

How long does swelling last post-facelift?

Patients must remain patient when it comes to swelling. Though the worst of the swelling generally subsides after 2 weeks, patients should expect moderate swelling for 4 to 12 weeks and even later post-op. The best thing to do is to avoid strenuous activity and bending excessively.

What can be done about swelling along my glands post-facelift?

For many patients, simple Botox and Dysport treatments can be used to treat swollen glands, but the surgeon should be consulted prior to deciding upon this option. Removal of the gland is generally not recommended and a conservative approach is advocated.

Are problems with smiling post-facelift permanent?

Though it is a concern if a patient is having trouble smiling post-surgery, it is usually not a sign of permanent nerve damage, but rather a sign of stretching and swelling of the nerves. Generally, though it takes a while, muscle movement should begin to increase as the nerves begin to reorganize and reattach.

What should I do about my leaking parotid gland post-facelift?

The conservative approach to dealing with a leaking parotid gland would be pressure dressing, the avoidance of spicy and sour foods (which promote excessive salivation), and anti-cholinergic medications.

What should I expect from my facelift?

The purpose of a facelift is to reverse a patient’s biological clock by elevating and repositioning muscles and tissues in their face. Sagging skin should be greatly resolved due to trimming and repositioning and general volume deficiencies can be fixed with fat injections or fillers. In general, the patient should not expect overwhelming changes in their facial structure.

What are the facial surgery options for a 65-year old woman?

Generally, at the age of 65, jowling and significant fat deposits in the neck are the main problems and they can be corrected with a lower facelift under local anesthesia. Nasolabial folds can also be a problem and can be helped with the use of fat grafting and fillers. Be sure to consult with individual plastic surgeons about the best options, but these are generally the main ideas I would bring forth.

Does the age of my surgeon matter in a facelift?

Determining whether a surgeon is still capable of good surgical technique often lies with examining recent before and after photos of patients and seeing whether he or she demonstrates the technique which they once did. Again, a facelift is a very challenging procedure and should be taken seriously.

What is Face Tite?

The Face Tite procedure involves radiofrequency treatments for the tightening of facial skin and is a procedure which has only recently become available. These types of treatments are useful in tightening surface skin as opposed to making any significant changes in the deeper tissues, but are noted for their minimal downtime and short procedure time.

Can facelifts fix acne scarring?

Generally, a facelift can be used to treat acne scarring in and around the cheeks and is usually best combined with fat augmentation in these areas. Yet, it is important to remember that a facelift is not geared SPECIFICALLY towards the treatment of surface features like scarring and should not be expected to fully resolve these issues.

Are there non-surgical facelifts?

Truly, there is no such thing as a non-surgical facelift. Non-surgical options exist for facial rejuvenation techniques like injectable fillers, fat grafting, etc, but these are typically reserved for younger patients who are just beginning to show the signs of facial aging.

Does it matter what stitches are used post-facelift?

It does not matter what type of sutures are used on a facelift. Where the incision is placed initially is important in the healing process. Also important is the tension placed on the skin. Wide scars are usually found when too much tension is placed on the skin. Finally, it is important that the sutures are removed very early to prevent railroad tracking on the incision. 

Can I get a facelift in my 40s?

Good candidates for facelifts are those with sagging cheeks, jowl formation, and severe skin laxity. Volume loss, which is the problem that many people in their forties have as opposed to skin laxity, is best addressed by injectable fillers or fat grafting. Consult with your surgeon about the best option for you.

What is the cost of a male facelift in Florida?

Again, like many surgical procedures, the costs of facelift vary depending on the surgeon’s skill and training, location of the procedure (urban areas have higher overhead costs), and other factors. It is important to research which procedures are the best for you, but generally expect to spend between $5,000 and around $15,000, depending on the invasiveness and effectiveness of the procedure.

I'm very dissatisfied post-facelift. Anything I can do?

Generally, patients have to remember that the healing process takes a great deal of time when it comes to facelifts and that they must keep their expectations optimistic, but also realistic. If patients have concerns, they are probably best addressed by their doctors or surgeons and are best done with multiple consultations.

Can liposuction fix jowls?

Liposuction should only be used when skin laxity is not a problem and only fat is the issue. However, liposuction used when jowls and lax skin are the problem is not ideal and could cause nerve injury to the areas around the mouth. Consulting with a surgeon is probably the best option for people concerned about this problem.

Can a facelift fix malar bags and sagging skin in younger patients?

Generally, younger patients are discouraged from pursuing a full-on, invasive facelift surgery. Many patients who have malar bags are discouraged to get facelifts and should instead opt for small cheek implants to enhance the fullness of these areas and give structure (thus fixing the problem of the sagging skin).

Is there a connection between Caci Treatment and mercury leakage from dental fillings?

There has been no conclusive study to prove that caci treatment is significantly linked to releasing a great amount of mercury from dental amalgams in the teeth. Often, patients will describe a metallic taste in the mouth which is caused by the electronic current of the treatment. Any concerns, however, should be voiced with the dentist of the patient. 

How can I hide facelift scars?

The main areas for men to hide facelift scars would be in front of the ear and behind the ear. Sideburns could be especially helpful in hiding more prominent scars and the hairline should help with the less conspicuous ones. Makeup can also be used to hide the redness of the incisions after about one week.

What are these ripples on my face post-facelift?

It is unusual for patients to demonstrate ripples, especially months after a facelift. This may be caused by residual swelling, but more importantly, may be the result of underlying scar tissue. If the problem continues for about half a year, it is probably best to consult with the surgeon. Until then, patients are encouraged to massage the area.

Why do I have hard swelling and bruising post-facelift?

Swelling and bruising are extremely common for up to 4 weeks after surgery. Generally, some patients will experience lumps and bruising which are accumulations of blood under the skin which have acquired collagen buildup. Sometimes, in these cases, steroid injections can help along with pressure dressings.

I have tingling with my cheeks and sagging in my skin post-op. Why?

For many patients, tingling in the cheeks post-op is a very common thing. As nerves reattach themselves to the skin, tingling, burning, and sharp pain sensations may happen, but do not last for a great deal of time. Jowling, however, could be a potential problem, but is usually caused by swelling and should not be a concern until 6 months post-op.

How are stitches disguised during a facelift?

Most surgeons hide the stitches in as inconspicuous of a place as possible. Often, the stitches are hidden in the hairline and along the curve of the earlobe, which is very helpful for women with long hair. Men, on the other hand, could extend their hair through sideburns, etc. in order to disguise the stitches.

What can I do about these divots in my cheeks post-facelift?

Patients, after a couple of weeks since the surgery, should not be concerned too greatly with any “irregularities” they may see as lumps, bumps, etc are usually pretty common after a facelift. Again, patience is the key for many people.

Am I too old for a facelift?

Again, for patients, it is never age, but the physical nature and state of the face which determine the timing for a facelift. As long as the patient is healthy and is able to undergo surgery, any time is perfectly fine for a facelift.

What are some minor procedures that are alternatives to a facelift in my 40s?

For patients in their 40s, the facelift option is usually one that should not be considered as a first line of treatment. Generally, characteristic issues like under eye circles or puffiness under the eyes can be addressed with minor procedures like a blepharoplasty or the trimming of excess skin. 

Can I get a Corset Platysmaplasty in concurrence with my facelift?

Generally, patients who are in need of playsmaplasty are those who have platysmal banding. If such symptoms are not present, the procedure is simply not worth the swelling and recovery time unless an extremely tight neck is desired.

Why do I still see marks from my incisions post-facelift?

Generally, incisions, if done by a skilled plastic surgeon, should be virtually hidden by the hairline, but patients should remember that, often, it is the surgery itself which should matter rather than the incisions. If the outcome is satisfactory, patients will simply have to remain calm and understand that the healing process takes time.

Can I get a facelift at 76?

Again, for patients, it is never age, but the physical nature and state of the face which determine the timing for a facelift. As long as the patient is healthy and is able to undergo surgery, any time is perfectly fine for a facelift.

What are your thoughts on the SmartLift procedure?

It is important, once again, for patients to recognize the unfortunate marketing scams which are occurring in the plastic surgery industry. The Smart Lift technique is not particularly groundbreaking and relies mainly on a laser removing fat through small incisions, the results being limited tightening of the skin. The better and more long-lasting procedures are more highly recommended for the simple reason that they are proven to work for long periods of time.

What is the distinction between licensed surgeons and board-certified surgeons?

Licensed surgeons are simply those with an MD degree, whereas board-certified plastic surgeons have been specifically trained in plastic surgery and have passed rigorous exams by the American Board of Plastic Surgery. These are the surgeons who many people rely on for true results and who have the greatest patient satisfaction in plastic surgery.

Are there risks of doing liposuctions combined with a facelift?

For patients looking to do liposuction and facelifts, surgeons must remember that doing them concurrently could increase the risk of blood clots and other medical problems. Generally, though they can be combined, liposuctions should be done first with the facelift done much later.

What can I do about my swollen cheeks post-facelift?

It is difficult to recommend lines of treatment for various patients with asymmetrical faces following surgery without having pictures or a routine examination. Generally, the best option for such patients is to consult with surgeons specializing in revisional facelift surgery.

What is the distinction between the SMAS lift and the deep tissue suture lift?

Generally, the SMAS Lift which manipulates and repositions the inner contours of the face will yield a much more long-lasting result than the deep tissue suture lift which generally just elevates the tissue without doing much repositioning.

What can I do about jowling post-facelift?

Again, patients who have jowls post-facelift should definitely reconsider their choice of surgeon, especially because the whole purpose of a facelift largely is to improve the appearance of jowls. Consulting 2 or 3 other surgeons and waiting at least 6 months is probably the best option for such patients.

Can I get a facelift in my 30s?

For patients in their early 30s, doctors will tend to recommend lesser, non-invasive routines than a facelift. Such solutions include implants particularly for the jaw areas (e.g. chin-jowl implant) which helps stretch the jaw and reduce jowling as well as submental liposuction to allow for a decrease in neck fat.

I look older after losing weight. Do I need a facelift?

Generally, patients who have suffered weight loss tend to lose essential fat in the face, causing them to believe that they need a facelift. Usually, the method of treatment is much simple, with fat grafting or fillers being used to substitute for fat lost in the face.

What is the downtime for a mini facelift?

Usually, a mini face lift encompasses about 7-10 days (ideally 2 weeks if possible).

Are midface lift revisions extensive?

Contrary to popular belief, younger patients who have had facelifts can easily consult surrounding surgeons for a revision. Sometimes, it is as simple as cutting internal stitches and loosening/trimming more excess skin.

How can a younger patient correct an asymmetric face?

Generally, for patients who have asymmetrical faces, it is often a major concern and one which seems to require major invasive procedures. However, a facelift is probably not recommended for younger patients, and can instead be substituted with less invasive procedures like fat grafting or fillers.

What is undermining?

The technique of undermining is a technique which involves using scissors to cut through tissue underneath the skin in order to access deeper tissues like the SMAS or the platysma. It is usually a technique reserved from major invasive lifts like deep-plane, subperiosteal, and SMAS lifts.

Is there pain after a facelift and, if so, how do I deal with it?

For most patients, some pain is normal after surgery for which pain medications are designed to lessen the pain. Generally, however, pain should be rather low as swelling usually dies down after two weeks or so and bruising fades. Pain medications should generally not be needed until a few days after surgery is done as the skin is pretty numb at that point.

How is recovery post-deep plane facelift?

For an invasive surgery like a deep-plane procedure, the swelling will usually last for several weeks to several months. Patients should expect to out of work for at least 2 weeks and should plan on having someone take care of strenuous activities and tasks where bending is needed.

How long do Lifestyle Lift results last?

For many of these branded techniques, it is difficult to estimate their longevity. After all, the Lifestyle Lift is not a particular type of facelift. Generally, results will last a very small amount of time: as little as one week or so before fading.

What should I do about my unsightly facelift scars?

Patients who have hypetrophic scars should probably have them removed ASAP by their surgeon with steroid injections used concurrently to help.

What can be done about my post-facelift malar bags?

Generally, the development of malar bags under the skin is somewhat common and can be easily alleviated by massaging the cheeks in a circular motion while elevating them upwards. It will take time for these injuries to heal, usually about 8 weeks.

What can younger patients do about nasolabial folds?

Generally, for younger patients, a facelift is not a recommended option, especially for those looking to alleviate nasolabial folding. The best option for these patients includes the use of fillers as a temporary method of treatment.

Why do I have protruding ears post-facelift?

During a facelift, incisions are made behind and often in front of the ears. Patients are encouraged not to worry about swelling which may occur and are encouraged to remain calm in the face of “Dumbo-like” ears.

Should I have fillers or a facelift?

Generally, for younger patients, fillers are probably the best option for softening the initial signs of aging as opposed to face lifts which are reserved for people who show greater signs of aging. However, patients must remember that fillers are more addressed for volume loss whereas facelifts are addressed mainly for skin laxity.

What should I do about escaping internal stitches from a scar?

Internal stitches should generally not escape from a post-surgery scar, but such a thing is possible with the presence of a suture granuloma. This occurs when the suture does not dissolve properly and the body has an inflammatory response to it, causing the suture to make its way to the surface and create minimal training. Consult with your plastic surgeon to avoid any infections and perhaps suggest steroid injections as a possible line of treatment.

What is the difference between buccal fat and cheekpad fat?

Cheekpad fat refers to malar fat which is a superficial, upside down triangle which is often elevated in a midface lift to restore fullness in the upper cheek. Buccal fat is deeper, more herniated and lower and is sometimes removed to reduce roundness in the face.

What is the miracle facelift?

There are many so-called “miracle” products on the market right now which claim to be able to substitute for facelifts and other surgical procedures. However, again, I would remain wary of these devices and would stick with traditional methods that have been proven to work.

Can I get a facelift to fix my neck?

The only case in which facelifts would be required to fix the neck area is if the patient demonstrates laxity in the skin, shown especially by the presence of jowls. Generally, patients who demonstrate this will often do the facelift concurrently with a neck lift for the best possible results.

How can I address signs of aging in my Jowls, Eyes, and Neck?

For people having problems in these areas, the best option would probably be a traditional SMAS facelift combined with a neck lift and a forehead lift. Deep plane facelifts will also be useful and may be more effective for the jowl areas. The eyes could also be corrected with blepharoplasty.

Can I use e-cigarettes post-facelift?

The effect of the E-Cigarette is virtually the same as smoking due to the presence of nicotine. Doctors will recommend that a patient quit smoking prior to and after the surgery because nicotine causes the constriction of blood vessels which can result in scarring and dead skin cells.

What are these lumps on my face post-facelift?

Generally, lumps following a facelift indicate the presence of minor collections of blood or hematomas under the skin. Patients could do well to massage these areas and spread out the blood or can go to their surgeon to have these areas aspirated, if absolutely needed.

Are there less expensive facelifts for younger patients?

Facelifts come in a variety of forms depending on the desire for invasiveness and results on the part of the patient. Generally, however, younger patients are not recommended to get a facelift and should instead rely on other, non-surgical methods like fractional laser resurfacing, fillers, and Botox to aid in the youthful rejuvenation of their face.

What should pre-op skin care entail before a facelift?

Some products which are recommended to patients prior to facelift in order to promote collagen growth are Retin-A and a mild glycolic acid. However, before any skin care product is taken, patients should notify their surgeon.

What is the function of Radiesse in regards to a facelift?

Quite often, fillers rather than facelifts are the ideal procedure for solving certain facial problems. Fillers like Radiesse or fat grafting can be used to fill depression, while facelifts can be used in concurrence to treat jowl formation.

Can I get a facelift with laser resurfacing?

I would not recommend a full facelift and a full facial laser peel for the simple reason that there is a higher risk of skin loss from this procedure.

Is there a problem if I have lip issues post-midface lift?

Generally, any procedures done in the middle part of the face involve work around the infra-orbital nerve. Usually, as this nerve is numbed, its ability to move certain parts of the face is hampered, but this should not be a major concern as long as the patient can process sensory information from the lips.

What can I do about skin puckers along incision lines?

Usually, for skin puckers, cortisone lines can be used to help alleviate any problems which may results. If this option is unsuccessful, surgical correction can be done after six months.

What are your opinions on the Silhouette Lift?

Again, like many brand-name surgical improvements, I remain apprehensive about the Silhouette Lift. The procedure is a variant of the thread lift which uses barbed sutures to lift and hold the skin in a suspended position. Unfortunately, with its expense, it provides very minimal improvement and I would not recommend it.

Should I have hearing loss post-facelift?

Patients dealing with hearing loss should immediately consult an ear physician because it is usually caused by fluid or congestion in the ear, ear infections, or other temporary problems. It is important for the patient to have a full evaluation, however, to make sure that conditions are still fine within the ear itself and were not adversely affected by surgery.

Can I use hand-held ultrasound kits post-facelift?

Though it may seem like a convenient idea to have ultrasound gadgets handy for hematomas and other possible complications, it is probably for the best that a patient avoids using them without authorization by the surgeon. However, if permission is given, it should be used rather frequently (2-3 times a week), with patients seeing a change within 10-14 days.

How can I make sure to get the best looks post-facelift?

The most important tool for a patient in finding the right plastic surgeon is to do their research. The way to find a good plastic surgeon is to look at their work (before and after photos), talk to former patients, and to evaluate them after consultations. Again, it is the patient’s face, meaning that the patient has a job in finding the right surgeon for them.

352. Is $60,000 too much for facial surgery?

Plastic surgery is highly variable in terms of cost, so it is best to shop around somewhat and consult other physicians before paying exorbitant rates for treatments that are not truly worth it. Facelifts, while ranging from $5,000 to $25,000, generally do not range that high, but it truly depends on the doctor, the area, and other factors.

What is the thread lift?

A technique which caused quite a buzz in the plastic surgery world several years ago, the thread or feather lift is a minimally invasive technique used to replace open surgery in the lifting of sagging facial skin. A relatively simple procedure, it consists of using tiny suture barbs to act as a hook to gather skin layers upwards, thereby causing the skin to tighten. These barbs are connected to a thread which remains in place after the procedure and solely cooperate with the fibrous tissue to provide a lifting effect to the skin. Though not used quite frequently as a technique by itself, this procedure is often used in combination with other facelifts as a method of support, especially with younger people having facelift surgeries earlier and more frequently.

Can I get the Refresher Lift?

When it comes to plastic surgery, the most important thing to remember is that it must be specific for the patient’s needs. I would suggest researching the technique and deciding whether it is best for you. From the information which is available, it seems as if it has a shorter incision and preserves the hairline, but I would remain wary of these brand-name lifts. 

What can be done about anxiety pre-facelift?

Again, it is very normal to have anxiety for surgery. Ask the doctor, if necessary, for Xanax, ativan, and certain other medications which he could recommend (be careful which medications are taken though) and which can be taken the night before surgery.

What do I have neck bands post-facelift?

The presence of neck bands following a particularly invasive facial surgery is generally not good and probably indicates a neck placation or a platysmal band which was not treated fully. Revision surgery may be needed, but, until then, vigorous massage and warm packs can also be utilized as methods of treatment.

How do I control pain post-facelift?

Pain medications are often helpful in treating pain, but for great swelling and burning pain, other medicines like Neurontin or Lyrica may be needed. Consult with your doctor before taking any potentially harmful medications.

Can sagging on my face be treated non-invasively?

Often, the reason for sagging lies not in skin laxity on the various facial structures, but rather with the absence of facial structure itself. Usually, patients who do not wish to have surgery will find that fillers like Juvederm and Radiesse or even fat injections harvested from the upper thigh are often useful in helping to treat various symptoms, including sagging.

Can my face be disfigured (nerves) post-facelift?

With an experienced surgeon, it is very unlikely that injury to the facial nerve will occur during surgery. Again, many surgeons are certified by the American Board of Plastic Surgery and are often trained to avoid such complications. Therefore, the risk is relatively low (around 1% or so), even if a small cyst is removed. However, if doctors are removing large objects like a tumor, the chance for nerve injury increases, so take care to select a surgeon with great medical skill.

What is the Silhouette Soft procedure?

This treatment procedure seems like another variant of the long abandoned threadlift and is probably not worth the time or the effort (not to mention the cost) of going through with surgery. If patients are serious about creating facial changes, it probably cannot be done with procedures that seem “to good to be true”.

Should I massage after a Facelift?

Sometimes, scars are best left alone in order for the healing process to increase in speed, particularly weeks out from a procedure. Consult with your physician about the best possible options.

Can I reduce facial scars via a facelift?

Patients looking to reduce facial scars should definitely not look into facelifts as a primary method of treatment, particularly if they are young. Fat grafting, neck liposuction, even fillers, etc. may be better methods of treatment.

Should I use oral sedation with local anesthesia or IV sedation during Upper Eyelid and Lower Facelift Surgery?

Oral sedation works with good local anesthesia of the area being operated on. IV sedation does increase the risk slightly but will improve your overall comfort during the procedure. 

Can facelifts help a sagging chin?

What is generally found with a lower facelift is that it addresses the lower two thirds of the face, causing the jawline to become sharper and the angle of the jaw to become more acute. Sagging chins, on the other hand, are more caused by a lack of projection (AKA loose skin and fat), or, in other words, the absence of structure. The best method of treatment, in this case, is to do a chin implant since the problem is not skin laxity.

Can I do Sculptra after a facelift?

For patients willing to plump their cheeks and rid themselves of tear troughs, a Sculptra procedure can be done post-surgery once the swelling has disappeared (6 months or so post-procedure). This is in order for the patient to have more symmetry in the face prior to Sculptra procedure.

Can I get facelifts with an oculoplastic surgeon?

Especially for larger procedures like a SMAS or deep plane facelift, it is probably best advised that the patient exclusively sees a board certified plastic surgeon. Many oculoplastic surgeons are very skilled in procedures around the eyes, however, so they remain an option for these areas.

Why do I look so bad post-facelift?

The key saying with post-facelift patients is that “You look worse before you look better”. Patients will often find themselves questioning when the swelling and bruising will end and will usually look for immediate gratification post-surgery. The important part post-procedure is simply patience.

Why do I have issues in my tragus post-op?

Generally, ears that have been pulled forward have had an incision made within the part of the ear known as the tragus. Usually, this is done to hide the obviousness of facelift scarring, but can pull the entire tragus forward.

How can I sort through the recommendations offered by my surgical consultations?

Often, when discussing surgeries, different surgeons will recommend different procedures for the same problems. The best way for patients to find the best options for them would be to look at many before and after photos for each procedure to find what they want.

Is there an issue with weight loss/gain close to a facelift?

Patients, when having a facelift procedure done, should attempt to keep their weight stable, meaning that any substantial weight loss/dieting should be done prior to surgery. However, patients who lose weight after a facelift will generally have the same benefits, as do patients who use standard fillers like Juvederm or Restylane.

Can I lose weight post-facelift?

Patients who are looking to keep the results of a facelift intact are generally not advised to lose a significant amount of weight as loss of fat in the face can reduce facial structure and may cause the return of skin laxity post-facelift. If weight loss is desired, patients should go about it slowly, evaluating themselves after every 10 lbs or so lost.

Can I simply have eyelid surgery without a facelift?

Patients who have under eye surgery are generally not expected to have a facelift done to simply “even” out the face. Of course, it can be done with fantastic results, yet it is not always necessary.

What are the benefits of a Threadlift versus a regular facelift?

The consensus on threadlifts for most plastic surgeons is that the results look fantastic, but only last a week or two. Therefore, it is generally not worth the money to have it substitute a solid, long-lasting facelift.

Can I have a revision MACS lift after a SMAS facelift?

Generally, post-facelift patients, if unhappy with their results, should look additional revision surgery as a last resort. Most of the time, especially for areas like the cheeks, fillers and fat grafting can be substituted for a facelift and are usually more effective.

What can I do about my swelling parotid gland post-facelift?

Patients may, after having a facelift surgery, experience swelling of the parotid gland which must be reduced. Generally, the use of Botox or the scopolamine patch can be used to improve the area, but must be done in the hands of an experienced surgeon to negate the possibility of infection.

Is tumescent fluid the same thing as anesthesia?

Tumescent fluid is a combination of local numbing medicine (lidocaine,etc.) coupled with adrenaline (epinephrine) used in order to constrict blood vessels and reduce bleeding. Generally, it is not used as the sole source of anesthesia but is used in conjunction with sedation or other forms of local anesthesia.

Is post-facelift ptosis (drooping) permanent?

Ptosis of the eye is usually related to complications with the facial nerve after surgery. Generally, this heals strongly without long term issues, but the patient should take care to keep the eye moist and possibly tape it.

Do facelifts require overnight stays?

Facelift procedures generally do not require an overnight stay unless there are complications with the anesthesia post-surgery.

Any thoughts on the Refresher Lift?

Like I tell many of my patients, I would be careful of these marketing names for certain procedures. Usually, these procedures are very low-key and do minimal work while costing patients more money than necessary.

How can I pay for a facelift?

The cost of a facelift can vary depending on the surgeon’s skill and especially location. Generally, patients will find the money through credit or will have credit from before, but it is best that, if your finances are not up to it, facial surgery may not be the option for you.

Can I have breast lifts done concurrently with a facelift?

Generally, the concern with double procedures is the question of making the anesthesia last without complications for the patient. Patients willing to undergo a breast lift in conjunction with a face lift can generally have it done with additional cost benefits.

Can I do a MACS lift and Fraxel treatment concurrently?

The MACS Lift, a treatment used for sagging facial tissues, muscles, and jowls, can indeed be done with the Fraxel treatment, which repairs aging skin. Both procedures are relatively non-invasive and can be done in conjunction.

Why are facelifts more vertical than horizontal?

Most facelifts today are conducted in a vertical manner in order to enhance the “natural” look of the patient and avoid the windswept look of past surgeries gone wrong. Some surgeries like the MACS Lift or the SMAS are much more vertical, but the patient should discuss options with their doctor.

When are surgical marks made during a facelift?

Marks are usually made when the patient is upright or awake unless adjustments are called for when they are unconscious.

What should I consider in deciding surgeons for facelifts?

Generally, the best way to determine where to undergo a facelift is to evaluate the surgeon’s experience, training, and their before and after photos. Patients should choose the doctor who they are most comfortable with.

What is this red bump post-facelift?

Often, patients will experience a suture granuloma which is an attempt by the body to rid itself of undissolved sutures through the dissemination of pus. This is a very normal bodily reaction post-surgery, but the surgeon should take a look at it in an effort to avoid an infection.

Can I have a facelift if I have lidocaine allergies?

Generally, for patients who have allergies to lidocaine, the best option would be to switch from local to general anesthesia. This offers the additional benefit of better results without the risk of allergic reactions.

Are the cheeks re-positioned during a facelift?

Procedures like the mini facelift or marketed facelifts generally do not interfere with the muscle layers of the skin known as the SMAS (where cheek fat is generally centered), so repositioning of malar fat pads is not a concern here. For deeper procedures, surgeons may reposition them entirely or may trim it, depending on the surgeon.

How do I know whether I need a facelift or fillers/fat grafting?

Facelifts are generally the option for patients who, rather than dealing with a lack of actual structure in the face (due to fat loss, etc.), are dealing with greater problems in skin laxity. This often presents itself in the form of saggy jowls as well. Patients, however, who are simply losing fat in the face due to age can be easily “cured” with the use of fillers and fat grafting.

Is my hairline altered during a brow lift?

The extent of hairline alteration during surgery honestly depends with the surgeon. Generally, incisions made in front of the hairline will not change it, but those made within the scalp (performed in conjunction with skin removal) may cause the recession of the hairline slightly.

Can hematomas form weeks post-facelift?

Especially for patients who are several weeks post-surgery, it is unlikely that hematomas could form. If they do, however, aggressive massage is not recommended as it may increase the risk of inflammation. Gentle fingertip massage and simple patience may be the best option.

Can I get a facelift without altering my neck?

Patients looking for a minimally invasive procedure which does little to alter the neck should look for the option of a mini facelift which has smaller incisions and is less obvious.

Is a mini-facelift less risky than a full facelift?

Again, for surgeries like the mini face lift, there is less invasiveness and, therefore, less risk. The trade-off, however, is the lack of long-lasting results which one would find in a facelift. However, the procedure varies from surgeon to surgeon so patients should consult with their individual surgeons.

Are facelift scars noticeable?

Surgeons who are experienced in facelift surgery will try to place scars in the least conspicuous spaces possible while also avoiding skin tension. Patients looking to have an additional facelift can easily have the old scars removed in conjunction with the procedure.

How can I fix issues with jowls, festoons and nasolabial folds?

Though photos are usually a better tool for determining the nature of a recommended procedure, patients who are dealing with these symptoms will often require a neck and midface SMAS elevation in order to address muscle laxity in the lower jaw area and also have fat transfer to treat the nasolabial folds.

Who is the ideal surgeon for a facelift?

The best option, generally, for facelift surgery is to have it done by a board certified plastic surgeon or, even better, a board certified facial plastic surgeon.

Should I get a plastic Surgeon or an otolaryngologist for my facelift?

Generally, plastic surgeons are trained in general surgery followed by more in-depth training of actual plastic surgery whereas ENT training starts with general surgery and is followed to be ENT training (which includes facial and neck reconstructive surgery). Again, it is best to find the reputation of the doctor in terms of facial surgery and examine before and after photos to evaluate their work. 

Should I use an Aquacool mask post-facelift for swelling?

Short term swelling can easily be treated with a cool compress or cooling mask, but could be easily substituted with ice, frozen peas, etc.

Can I eat fish oil post-facelift?

Fish oil and other medications should probably be avoided weeks before and after surgery. The surgeon will provide an indication as to which medicines should be avoided.

What should I do about fat dissipation on my face?

Patients who undergo skin depression and hollow cheeks may need to undergo facial surgery if said symptoms last for several weeks or months. However, such conditions can also be alleviated by fat or filler injections or the release of a possible suture. Discuss options with your surgeon.

What incisions should I expect during a facelift?

Surgeons and patients should make sure, prior to surgery, that they are both comfortable with the performance of various incisions near the hairline. For most full facelift procedures, the incision is made around the back surface of the ear and is hidden by the auricle of the ear and the hairline itself.

What are my facial rejuvenation options during my 50s?

Generally, patients at this age are dealing with excess jowling for which the best procedure is a facelift due to the tightening of the SMAS layer (longer lasting effects). However, patients looking for less invasive procedures can also benefit from a mini facelift complimented with injections of fat/fillers.

What is the One-Step facelift?

Again, many of the marketed facelift procedures generally consist of mini facelifts which do very little for the money paid for them. Patients who are serious about facelift procedures would probably benefit the most from a full facelift.

What does a midface lift entail?

Like many facial surgeries, the midface lift varies from surgeon to surgeon in terms of technique. Some surgeons prescribe endoscopic lift marked by the use of a camera used to lift tissue, whereas others may prescribe thread-lifting with the use of small barbed sutures. However, others will recommend a lower eyelid incision which, though carrying the risk of possible temporary ptosis, yields longer lasting results.

Does a facelift lead to less healthy skin?

Unlike facelifts of the past, facelifts today generally rely more on addressing lost volume than actually pulling the skin. Furthermore, patients who have had facelifts generally have better skin due to the use of skin care systems, microdermabrasions, weight control, exercise, etc. Again, however, it depends on the surgeon and the type of facelift performed.

Are there risks of a midface lift performed with an orbital facelift?

Following the use of midface lift and orbital facelifts, patients may need to remain wary of Ectropions, which is the pulling down of the lower eyelid following the implantation of these devices. It should be treated as soon as possible to avoid any further damage to the eyes.

What is this warm lump on my face post-facelift?

Generally, patients dealing with major lumps post-surgery are dealing with hematomas where cells break up, releasing salts and drawing fluid to create more swelling. Needle aspiration of the area is usually required to test for infection.

Can I lose weight around the time of my facelift?

Patients who are looking to avoid droopiness in the face are recommended NOT to lose weight as it could cause the loss of existing fat structures in the face necessary to hold up the skin. Generally, younger patients looking to lessen droopiness in the face could look at the options of chin implants or neck liposuction, but should start with dieting and exercising if weight loss is desired.

How can I reduce my nasolabial folds and other issuse?

For nasolabial fold problems, probably the best procedure to perform is the injection of fillers performed in conjunction with a mild pre-auricular facelift OR, if the patient is up to it, a cheek lift and a midface lift.

Is a tight feeling normal post-facelift?

Generally, patients, following a facelift procedure, should experience a degree of tightness in the face. However, it should not be long term and follow-up care with the surgeon should be taken at ALL costs if symptoms persist for a great deal of time.

Are my post-facelift mouth movement issues permanent?

Patients who are weak in the lips and mouth post-surgery may have experienced damage to the buccal branches of the facial nerve caused by dissection during Mid facelift surgery. Recovery is generally possible, however, but a professional evaluation by a neurologist may be needed to determine the extent of damage.

Is swelling normal after an endotine face lift?

For patients several weeks post-op, it is perfectly normal to experience swelling. Consultation with the surgeon and looking out for infections are probably the best routes for these patients

Can I get implants for my post-facelift malar bags?

Generally, patients who are finding malar bags on their cheekbones should not look for implants as a source of treatment. Usually, malar bags were probably present before surgery and cannot be treated easily.

Are there any inexpensive, good surgeons for a facelift?

In the world of plastic surgery, it is important to remember that price is relative. You can probably find a surgeon that will do a great job that fits your budget. It all depends on what you think is inexpensive. However, the patient should remember that often, you get what you paid for, so it is important NOT to let price be a guiding factor.

Can I do Botox post-facelift?

Botox can usually be done concurrently with facelifts as long as they do not include the brow or forehead area. However, if said areas are affected, it is best to wait 2-4 weeks after browlift surgery to consider Botox.

What can I do about my droopy face?

Generally, without pictures, it is difficult to prescribe treatment to patients. Younger patients who have “droopy” faces can probably benefit with fillers or voluminizers, but consultation with the surgeon is probably the best option.

Are AccuLift results long-lasting?

Procedures like the Acculift and other branded facelifts should not expect great change, as the procedures consists of opening the skin and allowing the laser to minimally tighten skin. Again, this procedures can only last for approximately 6-12 months before results wear off.

Can I travel abroad or far away for facelift surgery?

If patients are more comfortable traveling for surgery, this can be done. However, they should arrange for a ride and a stay at a nearby hotel post-surgery.

Are there any facelift tips that you can give me, as a patient?

The best way to avoid complications during and post-surgery is by making sure that all questions are answered. Be frank and open with your surgeon and ask anything which could be troubling. Also, quitting smoking and following other orders by your surgeon is also important.

Can I use Lifestyle Lift to correct a botched facelift?

Lifestyle Lift, being a branded facelift, is probably not the best option for patients wishing to undergo revision surgery. It puts patients at a higher risk of being dissatisfied and requiring more procedures short-term, and is far less advanced than many surgeries of today.

How can I address asymmetrical sagging?

Post-op, many patients will find that sagging can be asymmetrical. However, this is not due to the skin laxity which required the facelift, but more so because of fat/volume loss in the cheeks. This can easily be corrected with fat grafting or fillers.

How should I conduct myself after facial fat grafting?

Patients who have underwent facial fat grafting should keep their head elevated for2-3 weeks post-op and should generally avoid movement and pressure around the area affected.

I have lumps, tightness AND scarring post-facelift. What's wrong?

Patients experiencing lumps in the face may be experienced small, localized hematomas which can be easily treated with massage and ultrasound. Tightness is somewhat normal after surgery and is a sign of sensation returning to the deep SMAS layers of the skin. Finally, thick scarring can be resolved with Kenalog injections unless the surgeon feels that they are unnecessary (in which case the patient would have to wait for them to heal).

What can I do about facial sagging as a teenager?

Young adults are somewhat limited in facial rejuvenation options. The best options at that age would probably be maintaining good hydration, no sun tanning of the face, and good medical skin care.

Do I need a facelift to combat my bad habit of rubbing my face (I'm a young adult)?

Even for patients who have a bad habit of rubbing their face, facelift is probably not needed at this age. The best options for these patients would be to stop rubbing the face vigorously and maintain a good system of skin care protection.

What is a youthful face and how can I achieve it?

In today’s society, a youthful face mainly consists of having bright well shaped eyes and a defined jawline. Patients looking to achieve these features can generally find them with chin implants, mini neck lifts, and an upper eyelid lift, but facelifts should generally be avoided as a first resort (especially if the patient is younger).

Why do I still have jowls post-facelift?

For patients who have jowls remaining after a facelift, it is probably best to realize that the deeper layers of the face and neck (SMAS, etc.) were left relatively unaffected causing the development and the remaining of saggy jowls. Microliposuction or fractional resurfacing could be used to treat these symptoms.

Should I be concerned about asymmetrical post-facelift swelling?

Swelling post-facelift lasts for as long as 6 months (sometimes longer), but usually begins to dissipate after three months. Up to this point, patients should not worry about asymmetrical swelling, but should take care not to sleep on their sides as this could have long-term consequences for this swelling.

What is this hard mass on my face post-facelift?

Patients after having a face or neck lift may have to deal with fluid collections near the incision sites which have to be drained with aspirations. If salivary output is a concern (indication of parotid gland problems), Botox or antisialogogues may be needed.

Can I have a facelift concurrently with a liposuction?

Though it may appear to be a good and cost-effective idea to have both procedures done at the same time it is probably best for patients to avoid doing so, simply because of the risk of infection and thrombosis. However, again, it all depends on the health of the patient and their ability to recuperate after these procedures.

What is the SMAS layer?

The main area affected during a facelift is the SMAS layer which is a layer of fascia under the skin which is tightened during the procedure as a way of avoiding direct tension of the overlying fat and skin.

Is there a problem with younger patients getting facelifts?

Younger patients who are serious about having a facelift should probably have a consultation with a qualified surgeon to see if that is the only option for them. Facelifts are most commonly used for facial aging due to the drooping of midfacial tissues or for patient who have very little volume in the face. However, younger patients are more encouraged to maintain proper nutrition and have less invasive procedures like cheek implants, etc.

Can facelifts speed up the aging process?

The extent to which aging increases/decreases post-facelift depends on the way the surgery was performed. Generally, if performed adequately, the surgery should not cause any changes in skin texture or blood supply to the skin, meaning that aging should not be affected generally.

What are these dimple-like lumps on my face post-facelift?

Patients post-surgery will often deal with swelling which could progress into the development of fluid collections and even hematomas. If lumps develop, it is probably best for the surgeon to examine the patient to determine the nature of these lumps.

How does a facelift alter aging?

The point of a facelift is not to alter the aging clock, but simply to reverse it temporarily. A facelift, if done correctly, should be followed by normal aging without any facial distortion.

Is post-facelift numbness on my facelift permanent?

Numbness following trauma to the skin is a very normal part of healing and should normally heal after a year, but complete feeling is not guaranteed. Again, it depends on the actual extent of the incision, with superficial incisions having a higher chance of full recovery.

Is there a lot of pain associated with a facelift?

Generally, facelifts, though associated with tightness in the skin and possible swelling and bruising of the skin, are relatively pain-free compared to many other procedures. Patients will often benefit from facelifts combined with other procedures like blepharoplasties or filler/fat injections.

Should I get a surgeon from MY ethnic background for my facelift?

Surgeons who are educated in plastic surgery will often be quite in tune to the various ethnic backgrounds of their patients and will recommend the best options they can for all patients. Therefore, finding a good surgeon, regardless of their background, is probably the best option for any patient.

What can be done about the following symptoms: Drooping Lower Face without a droopy jaw and chin?

For patients with a good chin and neck area, facelifts are generally not necessary and symptoms can usually be resolved with the use of fillers or even a mini jowl and neck lift. If necessary, a mid-face lift can also be performed in conjunction with a cheek augmentation.

How can younger patients address facial structure problems without major surgery?

Often, patients who desire surgery can often find the answers to their facial structure problems through less invasive methods like fillers or laser treatment or even simple procedures like liposuction to reduce jowling. Again, consulting with the surgeon is probably the best option. 

How can I resolve deep nasolabial folding?

Patients who have very little success with fillers and fat grafting generally experience better results with a lower and mid-face or cheek lift in a way that would help the tissue falling over the corners of the mouth to be elevated. Botox in the mouth could also help with the “frown” look.

How do I avoid facelift mishaps?

The most important part of considering a facelift is deciding whether it is even necessary. Many patients who are younger often look at facelifts as the only option for facial structure issues and often skip over more effective solutions like fillers, etc. Again, consulting with your surgeon as to your particular facial problems is the best way to avoid looking “freakish” or unnatural following surgery.

How are PSP facelifts classified?

PSP Facelifts are considered regular facelifts because the procedure involves the tightening of the platysma and SMAS muscle and tissue layers.

What are long-term results for a major facelift surgery?

Especially for deeper procedures like a SMAS or deep-plane facelift, one can definitely expect a more youthful appearance when all is said or done. However, the face at this point is not set in stone, but will continue to age normally, meaning that additional follow-up surgeries may be needed.

Are lumps and swelling normal post-facelift?

Several weeks after a facelift, it is normal for patients to have lumps and swelling as the body tries to heal following surgery. It is important, however, if these lumps persist after several months to have them evaluated for fluid collections or hematomas.

Do I need revision surgery for swelling and lax skin post-facelift?

Patients who are still dealing with skin laxity post-op especially after a period of many weeks are usually in need of a revision facelift surgery. Excess fluid present in the neck could also be a problem and could be easily drained and the skin could be redraped behind the ears.

Why can't I blink after my facelift?

Patients having trouble with the eyelids or lips following surgery may have sustained temporary damage to the facial nerve. It is important that, for the time being, the patient makes a sustained effort to keep the eye lubricated and consult with a specialized neurologist in order to pinpoint the extent of possible nerve damage.

Can I have a facelift in my 80s?

The only issue with age and timing for facelift is whether the patient is healthy. It is fine to have a facelift at that age, yet the surgeon must make sure to understand that the skin and deeper facial tissues may be thinner at this age compared to patients in their 50s and 60s. Patients who have pacemakers must have them demagnetized though and must make sure that their blood pressure is healthy prior to surgery.

What can be done about my scarring post-facelift?

It is normal to have raised scars in and around the tragus area, but it is probably best to consult with the surgeon in order to avoid any possible infection especially since red scars are more common around the earlobe and behind the ear. Cortisone shots can be used in addition to treat scarring.

How do I decide the best doctor for my facelift?

Patients looking to find the best doctor to treat them should generally look for ones who are board certified in plastic surgery or facial plastic surgery. Evaluating before and after photos and evaluating if they are a good fit for you is another thing which a patient can do prior to undergoing surgery.

How does the ribbon lift work?

The ribbon lift is a procedure similar to a thread lift but uses a different device, a collar with spikes of one side. The device is inserted into the platysma muscle and used to pull it back, a procedure which helps with neck lifts, but does nothing for jowls and cheeks. Personally, I believe that it is a good temporary procedure if done correctly but should be avoided if patients are SERIOUS about permanent facial rejuvenation techniques.

What can be done about saggy jowls post-facelift?

Patients dealing with saggy jowls post-op are probably best inclined to have a revision, double lift procedure especially if they have severe skin laxity or have wide, heavy faces (usually the case with males). A second, revision surgery will help to alleviate many of the symptoms of aging characteristic found after the first lift.

Should I still have tightness around my ears 8 months post-facelift?

Generally, tightness can be seen as a good sign, indicating that nerve activity in formerly numb areas is beginning to recover. It is usually caused by the removal of skin during surgery but also by the contraction of scarring, all of which are good signs.

Can I have buccal fat pad removal in my 20s?

Generally, patients who are younger will not require major procedures like buccal fat removal or facelifts and should instead, if serious about having a procedure done, consult with their surgeon about more minor procedures. 

Should I drain my swelling post-facelift?

Swelling for up to a month after surgery is extremely common and is probably the worst stage of swelling post-op. Patients at this stage should definitely be patient about swelling and should follow-up with their surgeon if there are any potential concerns.

What can I do about this raised scar in front of my ear?

Raised red scars after facelifts should probably be treated with steroid injections, but the surgeon should be careful with these in order to avoid skin vessel changes and the death of surface skin tissue. Laser treatments could also be an option.

Will my beard growth be hindered post-facelift?

Normally, surgeons will ask that men shave as much as possible before surgery. Generally, as hair growth returns, beard growth should remain relatively normal.

Do I need any pre-op facial treatments before going into a facelift?

Patients looking to get a facelift should generally not require any pre-op work (peels, etc.) to be done, but , after 6 weeks to 3 months post-op, they can consider non surgical facial treatments.

How can I take care of sagging eyelids?

The treatment for saggy eyes can generally consist of a combination of browlift combined with blepharoplasty, fat/filler injections, fat grafting, and possibly ultherapy. Keeping a good skin care regimen is also quite useful.

How can I choose a surgeon for a deeper facelift?

Patients looking for deeper facelifts should make sure that they find someone who they can clearly trust to do good work with their face. It is important for patients considering a procedure to do their homework on it, looking at before and after photos, consulting with several surgeons, etc. to determine whether it is indeed the procedure for them.

Are there benefits of a facelift in one's 20s?

The most important part of considering a facelift is deciding whether it is even necessary. Many patients who are younger often look at facelifts as the only option for facial structure issues and often skip over more effective solutions like fillers, etc. Again, consulting with your surgeon as to your particular facial problems is the best way to avoid looking “freakish” or unnatural following surgery.

Can I look natural with fillers and a facelift?

In my opinion, anything is possible in the hands of an experienced plastic surgeon, especially concerning fillers and facelifts. A physician who is experienced and has a good reputation in his/her field and whose before and after patient photos are stellar is probably the best way for patients to achieve a “natural” result without the look of plastic surgery.

Is swelling 2-3 week post-facelift normal?

Patients experiencing unusual swelling may be at risk for developing hematomas post-op. These growths need to be aspirated as soon as possible unless the body can naturally resolve on its own. IF these symptoms persist, it is important to consult your surgeon.

How can hematoma bumps and lumps be treated?

Generally, for any suspicious lumps and bumps, patients are expected to consult with their plastic surgeon post-op. They can also use their own techniques including massaging, but actual aspiration of the lump if necessary should fall to the surgeon.

Why can't I hear post-facelift?

The feeling of blocked ears is somewhat common as the incisions made in the ear area tend to swell. It is important for patients to check for wax, residual cotton from the surgery, or dried blood in the ears to avoid any complications in the future.

Can melasma be treated with a facelift?

A facelift is not a prescribed treatment for melasma which is probably better treated with skin cares lines like Obagi or other agents like retin-A and hydroquinone. 

What can be done about irritation from Endotine (facial itching, etc.) devices post-midface lift?

Patients who have had a midface lift may have problems with Endotine devices irritating sensory nerves, thereby causing itching. Usually, these are dissolvable within a year or so, but patients are often annoyed with the device.

Is 76 too old for AccuLift?

To be honest, if a patient is serious about a facelift procedure especially at the age of 76, it is probably best to go for the more long-lasting, more invasive procedures. The Acculift procedure does very little actually tightening the skin and has been shown to reduce volume and fat, making it almost useless for MANY patients.

How can I fix early signs of jowling in my 20s?

For patients having early signs of aging, a range of options exist. Some of these are non-invasive like Ultherapy or Thermage which tighten facial tissues and others are more invasive like fat grafting and redistribution. Facelifts are definitely not an option. Consulting with the plastic surgeon is a good start for these patients.

What is the Laser Scalpel procedure?

I remain quite distrustful of these gimmick procedures, especially when they claim to replace the need for fillers and face lifting procedures. Until scientific evidence is provided which shows that these procedures actually have a better effect, I would stick with tradition.

Are there any treatments I could do prior to my facelift to help with results?

Certainly, patients are not required to have any treatments prior to their facelift, but many have found that treatments with Retin-A or Obagi have been helpful in allowing them to maintain the results of surgery. This treatment is very cost-effective, so patients looking for the best results with little cost should probably consider it.

How can I combat aging at 30?

Many patients reaching big birthdays will often feel the need to have major surgeries done to combat aging especially if they have been ill for several months. I would not recommend invasive surgery right now, but instead advocate a healthy lifestyle, perhaps supplemented with non-invasive procedures like facials, light laser treatment, Botox, or fillers.

What can be done about a saggy face in my 40s?

Certainly, patients in their late 40s should not be considering a facelift as a first line of treatment. Generally, a good start would be to have a “mini” necklift done and avoid a facelift due to the possibility of making the jaw too feminine (not to mention the scars which develop). Facial skin resurfacing and Botox could also be good, non-invasive options as well.

Will I be able to negotiate fees with my surgeon?

Even during a bad economy, surgeons will most likely NOT be inclined to “negotiate” especially because many of them reduce their fees in response to a declining economy. In general, patients should not let price be a guide in choosing their surgeon and should only go to the best surgeons available when they have the funds for it. I always say that redoing a bad job is much more expensive than doing it right the first time.

Can staples be removed to alleviate tightness in the face post-facelift?

Generally, tightness in the face is more related to returning nerve sensation and tension on the skin post-op. Therefore, removing staples would probably do very little in terms of alleviating tightness in the face.

Why do I still have tightness and lumps 9 months post-facelift?

Tightness several months after a facelift is a hallmark of persistent edema or tissue swelling which cannot be resolved through medical means but only through time. Patients with these symptoms may want to cut down on sodium level or explore the options of manual lymphatic draianage or endermologie. 

How can I resolve post-facelift ear canal issues?

Any issues with the ear canal are probably be resolved with an appointment with the plastic surgeon. Swelling and bruising around the ear is perfectly normal in these situations and should not be a major issue for the patients.

How are fat injections added to the lower eyes?

Fat injections should generally be added along the tear trough, which is the deep grove along the bone of the lower eyelid.

Is this puffy, loose skin post-facelift permanent?

Generally, as I tell my patients, the first couple of weeks following surgery are the worst in terms of appearance as the swelling and bruising are beginning to come in full force. It is probably best to wait before considering options like volume injections or laser resurfacing around the mouth.

How does drainage work post-facelift?

Generally, surgeons will need to include drains after performing a major facelift as a way of speeding up healing by preventing fluid accumulation. Drains are usually left in for a day post-op and are carefully removed by the surgeon.

Can neck banding be resolved with a facelift?

Banding in the neck can generally be treated quite adequately with a facelift. Most likely, patients would require a lower facelift designed to tighten the neck muscles and to redrape the skin.

Are blood tests recommended pre-facelift?

Prior to a surgery, a surgeon must be positive that their patient is healthy enough for an operation. If he/she feels that a patient’s past health problems deem a blood test necessary, then a blood test will usually be recommended.

Can I have dermal fillers pre-facelift?

If patients wish to have fillers added prior to surgery, the best initial option would be to first consult with their surgeon. However, inserting fillers prior to surgery will distort the anatomy of the face and will probably not address areas which could be hollowed-out post-op. Generally, it makes more sense to have fat/filler injections done during or after surgery.

How does skin reattachment work during a facelift?

During a facelift procedure, it is not truly the skin itself which is altered, but the SMAS layer under it. The SMAS layer is tightened and reattached to the underlying tissue by the use of sutures, after which the skin is trimmed and reattached using stitches. Soon after, the body produces new collagen which causes the skin to adhere better to the underlying tissue.

Does balding occur post-facelift?

When associated with surgery or stress, hair loss is usually caused by a condition known as alopecia areata which is completely reversible. Waiting a couple of months post-op is the best option for patients.

How does sagging occur years post-facelift?

Generally, the results of a brow and facelift are expected to last for about 5-10 years, but can vary due to the patient’s health and lifestyle (smoking, exercise, etc.). However, after the surgery, the patient will continue to age normally and should not have any distortions with the aging process.

How long do post-facelift edemas last?

Generally, edemas and other swelling lasts for approximately 6 months post-op, but, if it is a concern for patient, it is probably best to have a consultation with the plastic surgeon.

What are more cost-effective facelifts?

Many patients with minimal jowling and slight neck skin excess will do great with a mini facelift provided that the procedure takes care of the SMAS. If patients have excess jowling and neck skin then a traditional facelift is probably in order. Again, price should probably not be the guide and patients should do their research when selecting a surgeon and procedure.

How does smoking affect a facelift?

Doctors will recommend that a patient quit smoking prior to and after the surgery because nicotine causes the constriction of blood vessels which can result in scarring and dead skin cells.

Why do I have indentation post-facelift?

Indentation following a facelift may be the result of fluid or residual laxity but it is difficult to truly pinpoint without the benefit of a full surgical exam. If the issue remains unresolved for months, fat grafting may be the best option to correct any deficiencies.

Are 40 year old males good candidates for facelifts?

Generally, younger patients should look for more skin-tightening procedures rather than facial contouring ones. I would recommend Ulthera therapy or having minor procedures like fillers or even a blepharoplasty as a way to reduce a tired look.

What do I do about my sagging salivary glands?

For patients having issues in these areas, time is probably the best factor for healing and for determining if additional treatment is necessary. Especially for the sagging submandibular glands, I would wait about 9 months or so before making any major decisions.

How can I treat post-facelift nerve damage?

Again, after having a facelift, it is very uncommon for patients to sustain nerve damage. Generally, nerve damage recovers over a long period of time, but may be contributed to synkinesis which can be treated through Botox injections. 

Can I have a facelift with my heart condition?

It is probably best for surgeons to avoid taking any unnecessary risks when doing surgery. People with coronary heart disease are probably not good candidates for full facelift procedures but may, depending on cardiologist-led examinations, be eligible for cosmetic surgery.

Can I get a facelift post-Sculptra treatment?

Generally, because having Sculptura treatments can distort the face, it is difficult for surgeons to have a true vision of the patient’s face after they have had these treatments. Therefore, though there should not be a health-related issue, I would not recommend having a facelift until Sculptura treatments are stopped.

Can drinking liquid collagen help with wrinkles?

Though collagen does help with addressing skin elasticity and does form an essential part of the skin’s framework, it would probably be digested by enzymes in the stomach and would not help greatly with wrinkles.

Can facial asymmetry be corrected via facelift?

Generally, what patients see as asymmetry is usually not, meaning that full examination of a patient is needed to determine if treatment is needed (usually by a Board Certified Plastic Surgeon). Waiting 9 to 12 months before considering surgery is probably best. In the meantime, I would consider volume replacement with fillers or fat grafting.

Is a facelift safe if I have a thyroid cyst?

Patients who have thyroid issues should probably consider talking to their doctors (ENT/head and neck surgeon) about this first about having a biopsy, since these lesions can be cancerous. However, consulting with a surgeon and further evaluation after this would be needed to determine if a facelift is safe.

Can I have a facelift if I had a pulmonary embolism in the past?

Most of the time, facelifts are done with the use of IV sedation anesthesia which carries little risk compared to general anesthesia. Patients with a pulmonary embolism in the past would probably prefer this option as breathing is entirely controlled by the patient.

How can I address my parotid fistula post-facelift?

The best treatment for this would probably be the use of a Scopalamine patch and having a patient keep a very bland diet until saliva output decreases. Again, however, this problem is usually very temporary and the patient should remain calm.

Dr. Ramtin Kassir © 2017

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Disclaimer: this site only provides information about cosmetic surgery and this information is not meant to be taken as medical advice. For more information about plastic surgery, contact Dr. Kassir.