We have been performing facelifts for over 25 years and are pleased to say we have continued to “tweak” our technique to get better results all the time. Despite the explosion of non-invasive procedures in our practice as well as nationwide, including Botox, fillers, laser treatments, chemical peels, and others, there still many patients who simply have excess skin and sagging features that are not adequately corrected by these treatments. The facelift remains an excellent and often times the only way to correct these kind of problems.
While we are big fans of short scar facelifts (see our section on this website on the Refresh Lift) sometimes these types of lifts cannot adequately correct excessive skin, particularly in the neck. Although a traditional facelift is a more extensive procedure than the short scar lift, the amount of improvement which can be achieved in patients with significant skin excess is greater.
In general, patients with mild to moderate skin excess and sagging in the face and neck are better candidates for a short scar lift while those with greater degrees of skin laxity, especially in the neck, require a full facelift. We can help you determine which would be better for you at the time of your consultation.
One type is not “better” than the other. However, one type may be better for you than the other. It is important to select the right operation that fits your problem and your needs.
Your First Visit
At your initial consultation, we will evaluate your face, review your photographs, and discuss ways we can achieve the look you want. In addition to a facelift, we may discuss other procedures such as upper and lower lid blepharoplasty, injectable fillers, fat transfer, Botox, skin procedures, etc. that could improve the overall result you see with your facelift. We will review the procedure, showing photographs and diagrams of how it is performed, and come up with an operative plan that suits your needs. Of course, we will ask you about your overall health history and medications to make sure we can do the operation safely. If you have certain medical conditions we may need to contact your primary physician prior to surgery for medical clearance.
The procedure is performed in the operating room at the Lawrence Surgery Center under either a general anesthetic or local anesthesia with sedation. It typically takes around four hours but may take longer if other procedures are added (blepharoplasty, etc.). After the procedure, you are placed in a head wrap type dressing that will remain in place until the following day when we exchange it for a lighter dressing. Patients usually stay at the surgery center for 1-2 hours after surgery and then are discharged home. Pain afterward is mild to moderate and is controlled by oral pain medication.