Facelift and Neck Lift
What is a Facelift?
Before and After Facelift Photos
Do I Need a Facelift?
Individuals who are looking to improve the appearance of loose skin, jowls and lines and wrinkles along the lower third of the face and neck may be good candidates for a facelift. As with all types of surgery, it's important that patients be in good health and be realistic in their expectations of the outcome. Patients should also understand the limitations of surgery. The facelift cannot stop the aging process or turn back the clock, but it can improve the overall facial appearance and help you to look your best. During your consultation, Dr. Donath will help you to decide if a facelift is right for you. He will consider such factors as skin type, ethnicity, individual healing, bone structure and skin elasticity when determining if you are an appropriate candidate. If necessary, he may recommend additional procedures to help you achieve your desired look. For instance, may patients will also receive facial liposuction in conjunction with the facelift.
The Facelift Procedure
Facelift surgery may be performed with a combination of mild sedatives, local anesthesia and mild intravenous anesthesia. In some cases, general anesthesia may be used instead. Dr. Donath will begin the surgery by making the incision which typically begins above the hairline at the temples and runs in front of and behind the ear, ending behind the earlobe in the lower scalp. If the neck requires work, an additional small incision may be made beneath the chin. For male patients, the incision will be located in such a way to accommodate the natural beard lines. Working through the incisions, the underlying muscle and connective tissue will be repositioned and tightened, some fat may be removed, and the excess skin will be trimmed. The incisions will then be closed with fine sutures or metal clips and a dressing may be applied. While surgical times will vary, the facelift may take anywhere from two to four hours to complete.
Dressings applied after surgery are usually removed within one to two days along with the drainage tubes if used. Pain is generally minimal after the facelift, but medication will likely be prescribed. Some swelling and bruising can be expected and patients may also experience some numbness of the skin. Prior to surgery, patients should arrange for family or friends to assist them during their recovery. Stitches and staples are typically removed within five to ten days after the facelift. The resulting scars are usually well-concealed within the hairline and natural skin creases and they will continue to fade with time. Most patients are able to return to work within about two weeks after their facelift, though rigorous activities and sun exposure will be prohibited for several weeks.