This is a procedure in plastic surgery where attention to detail means everything. The stereotypical “pulled or surgical look” can and certainly should be avoided. The ultimate in facial rejuvenation—the facelift—repositions and tightens skin and structures of the face and neck.
A full facelift involves tightening of the neck and jowls, as well as a lifting and repositioning of the cheek. This generally includes liposuction or direct fat excision of the neck and jowl region, as well as tightening of the platysma muscle (responsible for loose bands in the neck). Hollow cheeks or deep creases may be addressed using fat grafts at the time of facelifts. Candidates for a facelift include patients with heaviness below the cheek prominence and above the jowls.
The neck lift is an alternative among patients with prominent neck aging or “turkey gobbler neck,” who may not be concerned about the jowls or cheek regions. The excess neck skin and fat can be removed with an incision under the chin and behind the ears.
Fat grafting or fat transfer at the time of facelift surgery has become a popular choice for our patients. While a facelift will tighten skin and remove or reposition drooping tissues, many patients also have volume loss in areas such as the temples, the area below the eyes, and the cheeks. By replacing lost fat in these regions a very youthful and natural look is achieved.
The incisions for a facelift are hidden in the crease in front of the ears and behind the ears into the hairline. When healing is complete, these incisions are usually very difficult to see. The deep layer or superficial musculoaponeurotic system (SMAS for short) is tightened and re-suspended, restoring a refreshed, youthful appearance, without stretching the overlying skin.
“I look at my “before” photos and can’t believe I waited so long. Now I can finally wear dresses without a bra, and I’m proud of how I look in a bikini.”
- Natalie T.