What is a Facelift Surgery?
Face-lift surgery can improve many signs of aging in the lower third of the face and neck including loose or sagging skin, jowls, neck bands, and lines and wrinkles. During the procedure, excess fat is removed, the underlying muscles are tightened, and the skin is re-draped. The result is a more youthful and rejuvenated appearance.
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 face-lift. 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 face-lift 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 face-lift 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, many patients will also receive facial liposuction in conjunction with the face-lift.
The Facelift Procedure
Face-lift 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, runs in front of and behind the ear, and ends 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 face-lift 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 face-lift, 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 face-lift. 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 face-lift, though rigorous activities and sun exposure will be prohibited for several weeks.
*Each patient is unique and individual results may vary.
- Facelift Under Local Anesthesia
- Twins: Smokers vs. Non-Smokers (Skin Aging)
- Does the midface lift involve less incisions and scarring than a full facelift?
- If I get a mid-face lift, will this stop me from getting a facelift later on?
A – A face-lift, also known as rhytidectomy, is a plastic surgery procedure designed to improve the appearance of the lower third of the face and neck in order to restore a more youthful and rejuvenated look. The face-lift can treat sagging skin, jowls, neck bands, and lines and wrinkles by removing excess fat, tightening underlying muscles, and re-draping the skin.
A – The face-lift is designed to treat the lower third of the face and neck and will not affect the appearance of the eyelids or the forehead and brow position.
A – If you are looking to improve sagging skin and wrinkles of the lower face, along with jowls and neck bands, and are physically healthy and realistic in your expectations, then a face-lift may be right for you. Dr. Donath is happy to meet with you for a consultation to help you decide if the face-lift can best address your needs.
A – During the consultation for a face-lift, Dr. Donath will meet with you to examine your face, discuss your goals, and take a thorough medical history. He will weigh other factors like skin type, ethnicity, individual healing, bone structure and skin elasticity to help determine if the face-lift is right for you. Dr. Donath will explain the technique, the anesthesia, the surgical facility, the risks, and the costs, and he will address any questions or concerns that you may have. He may recommend additional procedures, such as facial liposuction or skin resurfacing, if they may help to achieve your desired look.
A – The face-lift may be performed with a combination of anesthetics which may include mild sedatives, local anesthesia, and mild intravenous anesthesia. General anesthesia is sometimes used instead.
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Q – How is the surgery for a facelift performed?
A – Dr. Donath begins the face-lift surgery by making incisions which begin at the temples in the hairline and run in front of and behind each ear, ending in the lower scalp in the back of the ear. An additional small incision may be made beneath the chin if the neck needs work. Once the incisions are made, underlying muscle and connective tissue are repositioned and tightened, excess fat may be removed, and excess skin is trimmed. Fine sutures or metal clips are then used to close the incisions.
Q – How long is the surgical time for a facelift?
A – The face-lift may take an average of two to four hours to perform.
Q – Where are the face-lift incisions made?
A – The incisions for the face-lift typically being in the hairline at the temples and the extension in front of and behind the ear, ending in the lower scalp. For patients requiring work on the neck, a small incision may also be made under the chin. The incision is usually adjusted in male patients to accommodate the natural beard lines.
Q – Will I have scars after my face-lift?
A – The incisions made for the face-lift are typically located in such a way so that the resulting scars are well-concealed within the natural skin creases and the hairline.
Q – Does the face-lift involve much pain?
A – There is typically minimal after the face-lift, though medication can be prescribed to help with any discomfort that you may experience.
Q – What is the recovery from a face-lift like?
A – Patients can expect some amount of swelling and bruising after the face-lift, and some numbness of the skin may occur as well. There is usually minimal pain, though medication will likely be prescribed. Dressings and drainage tubes, if used, are typically removed within one to two days after surgery. Prior to surgery, patients should arrange for a friend or family member to assist them during the recovery period.
Excellent doctor and results. Let me start by saying I am an internal medicine MD in Cincinnati. I've had patients ask me who I would see to get a facelift. Answer "no one in Cincinnati". With large dark bags under my eyes and my daughters upcoming wedding, I decided to find a surgeon in Ohio. Dr Donath's name kept popping up. And to my surprise, in Cincinnati. I researched. Excellent.
Q – When will I be able to resume work after my face-lift?
A – Work and most other normal activities can usually be resumed within about two weeks after the facelift surgery.
Q – When will the stitches be removed after my face-lift procedure?
A – Stitches and staples are usually removed after about five to ten days.
About Dr. Donath
Welcome to the practice of Dr. Alexander S. Donath, a renowned facial plastic surgeon who has gained an international reputation for excellence in facial cosmetic surgical and non-surgical procedures. Dr. Donath is honored to be invited regularly to present his techniques at international conferences in aesthetic surgery and has patients fly in from all parts of the U.S. and many foreign countries. Dr. Donath has also earned the respect of fellow physicians, having been nominated as a Top Doctor in Cincinnati Magazine and by Castle Connolly for many consecutive years, is a national trainer of other physicians for both Galderma and Allergan, and is a frequent guest on multiple media outlets to present the public with the most recent facial aesthetic techniques.
Dr. Donath is an internationally renowned facial plastic surgeon, speaking and training other Physicians all over the world. Some of which include: Rio, Dubai, London, Nashville, Barcelona, Vietnam, Lisbon, and Bangkok.