Many patients presenting for facelift and necklift surgery often say that when they look in the mirror, they a see an old and aged reflection, but feel young and refreshed on the inside. To quote the usual patient, “I feel like I’m still thirty years old on the inside, but I look in the mirror and see my mother!” This is true of most patients – while we continue to age physically, most of us still feel young and vibrant on the inside. And it’s not only women that feel this way – many men undergo facelift surgery for the same reason.
A facelift, or rhytidectomy, is a surgical procedure designed to lift the soft tissues back to where they belong, thus improving cheek and jawline contour. It may also help to smooth and firm the skin, providing a fresh, youthful appearance. Additionally, fat injections may be used to improve the volume of the face.
A neck lift removes excess fat, skin, bands, and restores a smooth, refined appearance to the neck. It can also improve the appearance of the neck by creating more definition of the angle of the jaw. Neck rejuvenation may involve only liposuction, or may be more involved and require tightening of the muscles and removal of skin. The vast majority of the time, a necklift is combined with a facelift, or at least a lower facelift, to improve the overall appearance of the neck and jawline. This will be discussed with you during your surgical consultation.
The ultimate goal of aesthetic facial surgery is to give you a natural and refreshed facial appearance. The tissues of your face, including your jowls, cheeks, and neck will be “lifted” and restored to a more youthful position. In addition, your neck will be sculpted if necessary to restore its youthful look. Lifting the tissues will also restore critical volume to your face, and you may also have additional procedures to enhance this as well. This can all be done using well-hidden incisions that should not be noticeable over time, even if you wear your hair up or have short hair.
The goal of facelift and necklift surgery is to avoid an “overpulled’ or “overdone” look that makes your face appeared “stretched” and unnatural. Dr. Warner uses the latest techniques to achieve an exceptional result and to avoid an overdone look. Using these advanced techniques, you can be assured that you will look natural. Following surgery, the majority of our patients hear comments like, “Where did you get your hair done?” or “Where did you go on vacation – you look great!” Others will notice your refreshed appearance, but will not be able to tell that you had surgery to achieve your new look. Other additional procedures can be used to enhance your facial appearance as well, including Botox® injections, filler injections, and facial resurfacing.
The standard procedure for a facelift involves making small incisions hidden along a normal crease in front of the ear and just inside the hairline, continuing to the backside of the ear. Tissue and fat deposits are separated, the skin is tightened and excess tissue is removed. If the neckline requires attention, an additional incision may be made under the chin. Very fine stitches are used to close the incisions and to reduce any chance of visible scarring. Fat injections can also be done at the same time to improve the volume of the face, thus helping to achieve a more youthful appearance.
There are several different facelift techniques that can be employed. Dr. Warner will discuss the options with you during your consultation and help you decide what is right for you.
General or local with sedation
Length of surgery
2 to 4 hours
Length of stay
Outpatient (home the same day) or 1 overnight stay in the hospital (your surgeon will discuss a specific plan with you during your consultation).