Our Summary

This article discusses a detailed facelift procedure that involves loosening four key ligaments in the face and neck. Once these ligaments are loosened, a layer of tissue is repositioned to add volume to the middle of the face and the angle of the jaw. The article also discusses important things to consider when performing this surgery. In the neck, the focus is on extending a certain part of the neck muscle, loosening the neck ligaments, creating a support structure for a gland under the jaw, defining the lower jawline, and reducing the need for surgery on the neck.

FAQs

  1. What are the four key ligaments that are loosened during a facelift procedure?
  2. What considerations are discussed in the article about performing a facelift surgery?
  3. How does the procedure focus on improving the appearance of the neck?

Doctor’s Tip

A helpful tip a doctor might tell a patient about a facelift is to carefully follow post-operative instructions to ensure proper healing and optimal results. This may include avoiding strenuous activity, keeping the head elevated while sleeping, avoiding sun exposure, and taking prescribed medications as directed. It is also important to attend follow-up appointments with the surgeon to monitor progress and address any concerns. Additionally, maintaining a healthy lifestyle with a balanced diet and regular exercise can help prolong the results of the facelift.

Suitable For

Patients who are typically recommended for a facelift are those who are experiencing signs of aging in the face and neck, such as sagging skin, deep wrinkles, and loss of volume. This procedure is often recommended for patients who are in good overall health and have realistic expectations about the outcome of the surgery. It is important for patients to have a consultation with a board-certified plastic surgeon to determine if they are a good candidate for a facelift and to discuss their goals and concerns.

Facelift surgery is not recommended for patients who have certain medical conditions that could increase the risk of complications, such as uncontrolled high blood pressure, diabetes, or a history of smoking. Additionally, patients who have unrealistic expectations about the outcome of the surgery or who are not willing to follow post-operative instructions may not be good candidates for a facelift.

Overall, the best candidates for a facelift are those who are looking to improve the visible signs of aging in their face and neck and who are committed to following their surgeon’s recommendations for a successful recovery. It is important for patients to thoroughly research and discuss their options with a qualified plastic surgeon before undergoing any cosmetic surgery procedure.

Timeline

Before the facelift:

  • Initial consultation with a plastic surgeon to discuss goals and expectations
  • Pre-operative evaluation to assess overall health and suitability for surgery
  • Discussion and planning of the specific techniques to be used during the procedure
  • Pre-operative instructions including cessation of certain medications and preparation for recovery

During the facelift:

  • Anesthesia is administered to ensure the patient is comfortable and pain-free
  • Incisions are made, typically around the hairline and/or behind the ears
  • The underlying tissue and muscles are tightened and repositioned
  • Excess skin is removed to create a smoother, more youthful appearance
  • The incisions are closed and bandages are applied

After the facelift:

  • Recovery period of about 1-2 weeks during which swelling and bruising may be present
  • Follow-up appointments with the plastic surgeon to monitor healing progress
  • Gradual return to normal activities and exercise routines
  • Long-term care including sun protection, a healthy lifestyle, and maintenance treatments as needed

Overall, a facelift can provide significant improvement in the appearance of aging facial features and help patients achieve a more refreshed and rejuvenated look. It is important for patients to carefully follow post-operative instructions and maintain a good skincare routine to optimize the results of their facelift surgery.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with a facelift procedure?

  2. How long is the recovery time after a facelift surgery?

  3. Will I need to follow a specific post-operative care routine?

  4. How long will the results of the facelift last?

  5. Are there any non-surgical alternatives to a facelift that I can consider?

  6. Can I see before and after photos of previous facelift patients you have treated?

  7. What type of anesthesia will be used during the facelift procedure?

  8. How many facelift surgeries have you performed, and what is your success rate?

  9. What can I do to prepare for a facelift surgery to ensure optimal results?

  10. How much will the facelift procedure cost, and does insurance typically cover any portion of the cost?

Reference

Authors: Jacono A, Bryant LM. Journal: Clin Plast Surg. 2018 Oct;45(4):527-554. doi: 10.1016/j.cps.2018.06.007. PMID: 30268241