Facial rejuvenation with fat grafts, eyelid surgery, and facelift exposed the natural beauty of this patient. These photos were taken 7 months after her procedure.
Facial rejuvenation for this woman restored her to a healthier, happier appearance. This is her result 5 months after surgery.
This photo sequence shows the dramatic effect on overall appearance of the skin and neck on this patient as well as an area of delayed healing two weeks after surgery later resolved at 6 months.
This is a 9 month post operative result of a patient who underwent complete surgical facial rejuvenation with face, neck, and eyelid lifts, combined with fat injections. This natural result is courtesy of a special surgical approach which maintains and enhances a person’s natural bone structure and beauty. Great care is taken to restore fullness with fat grafting without creating a tell tale over done appearance. This combination of procedures has a very visible impact on skin quality, which only improves over time.
FACE LIFT INFORMATION
Facelift surgery is one of the most misunderstood and yet one of the most rewarding of all aesthetic procedures. There is a big difference between a good and a bad facelift result. The problem is that only the bad results stand out, leading people to the wrong conclusion that all facelifts look bad. In reality, only bad facelifts are noticeable…unnatural-looking. Misplaced scars, unbalanced facial features, recessed hairlines, unnatural skin folds all stand out and are noticeably artificial to even the most casual observer. You need to make sure that what you think is beautiful and natural looking is also what your surgeon thinks is beautiful and natural looking. In facial rejuvenation, the devil is in the details, and a natural appearance can only be achieved with the right balance and combination of services. Typically, fat grafting, skin rejuvenation, fillers, eyelid surgery might be indicated according to the specific needs of the patient. This is not the time to think about gimmicks or quick fixes.
AM I A CANDIDATE FOR FACE LIFT SURGERY?
A face lift is an excellent operation for correcting loose, sagging, and or wrinkled skin from the cheek area to the chin. Usually a neck lift will be added to the face lift depending on the person’s needs. Loose skin is typically caused by aging, sun exposure and is often seen after significant weight loss. If you are healthy and a non-smoker, it is a safe, gratifying procedure. From a medical standpoint, ensuring that your blood pressure is under excellent control and that you are off all blood thinning medications and herb supplements is the key to proper medical preparation for a facelift.
WHERE ARE THE SCARS?
Scars in a facelift are designed to be hidden along or in the hair line and around the ear. Sometimes additional procedures for the neck will require a small scar hidden in the crease below the chin. You should expect scars from a face lift to be entirely hidden and or inconspicuous. The quality of the scar is improved by avoiding removal of too much tissue, and by using precise, gentle technique. For people with minimal sagging and loose tissue in the neck, a procedure known as a short-scar technique can be used. This technique avoids all incisions by the hair behind the ear, which is especially advantageous for people with visible hair lines or who prefer to wear their hair up. For most people, the neck ages more quickly than the face, so careful treatment of the neck is usually indicated for my facial rejuvenation patients.
WHAT IS THE RECOVERY?
You can recover either at home or in our excellent recovery facility (Michelle’s Retreat). Each person responds differently to surgery, however recovery generally reflects the extent and length of a procedure. Drains and bandages are removed the day after surgery. Swelling is worst in the first 24 to 48 hours after surgery, with noticeable improvement starting at about 3 days afterwards. Bruising is variable, but most often noticed around the lower eyelids, neck and collar bone area. Many people feel comfortable to be seen in public after the first week or two at which time the scars should be quite unapparent. Continued improvements in swelling, sensation, softening of the skin and muscles, and return of more natural facial movement will be noticed over the course of several weeks to months.
WHAT ARE THE POSSIBLE COMPLICATIONS?
In healthy persons of all ages, complications from face lift surgery should be rare. In my opinion, the worst complication of face lift surgery is an un-natural, pulled, or operated-on appearance. With good technique in the hands of a well-trained, meticulous surgeon, the face should only appear lifted or freshened, not tight. Nerve injuries should be exceedingly rare or unheard of in the experience of your surgeon, but temporary weakening, or accentuation of asymmetries of facial movement can be seen. It is important to review all facial asymmetry with your surgeon prior to your operation. A long list of ways to care for you face and neck will be provided after the surgery, so that you can be reassured and know how to respond to any specific questions or concerns you may have. Healing for most people is not a problem with this surgery. If you have certain medical conditions, or if you are a smoker, your risk of problems related to surgery may be too high. These will be discussed at the time of your consultation.
WHAT DO MINI-FACE LIFT, SWIFT, LIFESTYLE, STRING, LIQUID LIFT, STEM CELL LIFT HAVE IN COMMON?
All these terms are seen frequently in marketing campaigns by various practitioners, who are very often not board certified plastic surgeon specialists in face lift surgery. Physicians and dentists who have received cosmetic training through unapproved or corparate-sponsored pathways tend to be very active in advertising and making claims that are not necessarily proven or soemtimes safe. Truth in advertising legislation has been recently passed, but is not typically enforced. The cable lift and skin only lifts have been rejected by many leaders in the field of aesthetic plastic surgery because they do not offer significant, or natural appearing results and can lead to worse scarring because all the tension is placed on the superficial skin layers or undue risk to nerves. Stem cell lift is not a lift at all but rather a filling procedure that may or may not improve circulation and health to the facial tissues Heavy use of advertising and marketing is typically a warning sign for your surgeon. It is likely that they recieved training by pathways outside the American Board of Plastic Surgery. Certification can be checked at https://www.certificationmatters.org/is-your-doctor-board-certified/search-now.aspx.
CAN I JUST HAVE A NECK LIFT?
If the problems with your neck are more from heredity and excess fatty tissue, you might be a good candidate for neck only surgery. In people with sagging associated with aging, the lift procedure is needed to rennovate the neck and jaw line in a natural way. This makes the acess from the lower face neccessary. I am happy to perform neck only surgery for patients with very full necks or necks with loose tissue. It is important to understand that the jawline and jowls or loose tissue of the lower face is really only addressed with a facelift combined with a neck lift procedure. Some patients who have undergone facelift surgery in the past may want to refresh the tightening of their neck only.