As we age, the skin on our face becomes looser, manifesting itself in unflattering ways: sagging jowls, neckline, and cheeks. Such features combine to make us look older and tired.
A facelift can help turn back these effects of time and rejuvenate your appearance. Through removal of excess skin and fat, as well as tightening of the facial and neck muscles and tissues, the procedure can bring new life to the lower two-thirds of your face.
This procedure has evolved significantly in recent years. No longer do patients emerge from the surgery with a “windblown” look. Advancements in facelift techniques allow the surgeon to give you a more youthful and natural appearance.
Who Should Consider a Facelift?
Facelifts are generally performed in people over the age of 40 who want long-term improvement to the contour of their neck and lower face. The results of facelifts usually last 7 to 10 years or longer.
Different facelift techniques can be considered depending on a patient’s age, skin and tissue type and the degree of facial laxity.
The facelift procedure addresses conditions of the lower face and neck and can be extended to include the midface/cheek area of the face. It is sometimes combined with a forehead lift or surgery of the eyelids
What the procedure involves
Facelifts can be performed in the office setting with local anesthesia combined with a mild oral sedative. They may also be performed in the operating room with general anesthesia.
Dr. Goldman has expertise in several variations of the facelift procedure, which are often combined with neck liposuction and binding of the neck muscles to improve contouring. Decisions about which type of procedure to perform are based on the patient’s goals and Dr. Goldman’s assessment of what will provide the best results.
The incision typically begins in the hairline behind the temples and then continues around the ears and into the hairline in the neck area. After releasing the skin, Dr. Goldman repositions and tightens the underlying layers of facial tissue and musculature, giving a more youthful appearance. The facial skin is then gently draped over the top, preventing an unnatural or windblown look.
Dr. Goldman then trims excess skin and closes the incision with fine sutures and/or metal clips. A dressing is then applied.
Discoloration or bruising may remain for up to two weeks, although minor swelling may continue for a few months. You may be required to use cold compresses to keep swelling and bruising down, and to keep your head elevated for several days after surgery.
Most patients can return to work within two weeks.
Any sutures and staples are removed within five to 10 days of surgery, and dressings that the surgeon may have applied will be removed within a day or two.
Scars are usually not noticeable. They are easily disguised by natural skin creases and, whenever possible, camouflaged within the hairline.
Dr. Goldman offers oral anti-inflammatory medications and prescription strength anti-bruising creams prior to the procedure to help minimize the swelling and bruising after the procedure.