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Facelift Information - Face Lift Photos
 
As we age, our facial skin loosens and wrinkles, and the muscles of the neck may weaken as well. Anything that will cause the skin to lose elasticity will hasten the process, including sun exposure, weight fluctuations and heredity. A facelift can address these problems by firming and tightening the skin of the face and neck all in one step. It is most effective for the lower face (jowls and neck). A double chin can be improved at the same time by a surgical procedure called supplemental lipectomy. To effect a more complete facial rejuvenation, facelifts are frequently done in conjunction with other procedures such as upper eyelid blepharoplasty and lower eyelid blepharoplasty. Your surgeon may also recommend injections of collagen or Botox for deep creases in your forehead or frown lines between your eyebrows.

Contrary to popular opinion, the texture of the skin will not be changed by a facelift. Acne scars, age spots, fine lines and smoker’s creases will soon return to their original texture, no matter how tight the skin is pulled. A facelift will not give someone beautiful skin unless they have beautiful skin to begin with. However, skin treatments such as laser resurfacing or chemical resurfacing can be used in combination with a facelift to improve the texture of the skins and smooth skin wrinkles.

If you're considering a facelift, the following information will provide you with a good introduction to the procedure. For more detailed information about how this procedure may help you, we recommend that you consult a board-certified facial surgeon with experience in facelift surgery.
Facelift Information - Face Lift Photos Photo Gallery
Facelift Information - Face Lift Photos Video Gallery
 
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What are some of the most common benefits of this surgery?
While this procedure cannot stop the aging process, it can often make a person appear to be a decade younger than their actual age. Facelifts are the fifth most commonly performed plastic surgery procedures in the United States.
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What will happen at the initial consultation?
During the consultation, you and your surgeon will discuss the changes that you would like to make in your appearance. He/she will explain the different options available to you, the procedure itself, and its risks and limitations. He/she will also explain the kind of anesthesia required, surgical facility, and costs.

Your surgeon will begin with a complete medical history and examine.

Be sure to ask all the questions you have about the surgery, and ask to see photos of the doctor’s recent patients, before and after surgery. Also ask for, and follow up on, patient references. Learning everything you can about your options, risks and benefits is the key to making an informed decision. See Questions to ask your doctor below.
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How is a facelift performed?
The incision for your facelift usually begins in the hair near the temple and continues in front of the ear, around the ear lobe, behind the ear and into the hair. The muscles and sagging tissue are tightened, excess skin is removed, and the remaining skin is repositioned to create a more youthful look. The surgeon will close the incision with stitches, or with metal clips on the scalp. If the neck needs lifting, a small incision may be made under the chin.
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How long does the surgery take?
A facelift takes an average of two to three hours and can be performed using either a local or general anesthesia. Preferences will be discussed with your cosmetic surgeon during your consultation. Facelift surgery generally requires a few hours to perform, depending upon the complexity of the condition and the desired results.
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Will I need to stay in a hospital?
A facelift can be done in the hospital or in an office surgical suite, depending on your preferences as well as your surgeon’s. It may be performed under local anesthesia with light sedation, local anesthesia and deep sedation, or general anesthesia. The longer the procedure is expected to take, the more likely that general anesthesia will be recommended. You may be allowed to return home within a few hours of the surgery, and spend the night in the comfort of your own home, or it may be necessary to spend the night in the hospital so your recovery process can be monitored by a medical staff.
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How much pain is there?
Minimal facelifts can be performed quickly and with little risk, but the degree of correction achieved by these lifts is also less. More extensive techniques can give better correction of the aging changes in the face, but at the cost of greater operating time, more risk, longer swelling, slower recovery, and greater cost. Make sure that you discuss your goals, budget, and risk tolerance with your surgeon to decide on the plan that is best for you.
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What is the recovery period like?
Patients usually feel and look okay surprisingly quickly after a facelift. Despite the fact that it is a large operation, there is usually very little pain. Swelling disappears within a few days, and bruises are usually gone by two weeks. Patients generally feel a sense of tightness and numbness that should gradually return to normal within several weeks. It is important to follow a careful plan on return to strenuous activity, in order to avoid tension on the wound (which could lead to worse scarring).

The scars will remain pink for a few months before maturing to less visible white scars, which can be hidden with makeup. Furthermore, the scars are often hidden within your hair and in the normal creases of your skin.
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What is the long-term outcome like for most people?
After recovery, patients can expect a more rested and often youthful appearance. Although a face lift can last for many years, patients continue to age. Therefore, it is impossible to predict how long it might be before an individual would consider a second lift. Some believe that a facelift also helps prevent the skin from sagging again by holding it tighter to the face.

The results of a facelift are different for each person. The people who look best after a facelift are those who looked the best before the procedure. Some people have one facelift in a lifetime, while others have a second surgery 7 - 15 years later.
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Ideal candidate:
In general, the best candidates for facelift are:
  • People with good facial skin elasticity
  • In good physical health
  • Psychologically stable
  • Non-smokers
  • Wanting to improve the appearance of their face and neck
  • Well informed in regard to the procedure’s outcome
  • Having realistic expectations
The above is only a partial list of the criteria that your surgeon will consider in determining whether or not this procedure is appropriate for you. Be sure to ask your surgeon if he / she considers you an ideal candidate for lower eyelid blepharoplasty.
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Alternatives:
The goal of a facelift is to make you look better. For some people, this involves trying to reverse some of the changes that occur with aging, for others it may involve changing a fatty neck or other problem that they have had their whole adult life.
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Risks and limitations:
A facelift is a surgical procedure, subject to all of the usual problems that accompany surgery. Bleeding from the cut tissues, leading to bruising and possible accumulations of blood under the skin, are unavoidable in any surgery. It is a tribute to the great skill of today's surgeons that these problems are usually kept to a minimum. Infection can also occur any time the skin is cut, but again this is uncommon.

In order to minimize these risks, it is important that you follow all of your surgeon’s instructions, both before and after surgery.

Keep in mind that a facelift may improve but not eliminate the wrinkles and lines on your face. Your surgeon may recommend chemical or laser resurfacing to help smooth the laugh lines between your nose and the corners of your mouth, the small vertical wrinkles around your lips, or fine wrinkles over your entire face. Your surgeon may also recommend injections of collagen or Botox for deep creases in your forehead or frown lines between your eyebrows. Signs of aging around the eyes, such as excess folds of eyelid skin, pockets of fat below the eyes and fine wrinkling of the eyelid skin can be improved with upper eyelid blepharoplasty or lower eyelid blepharoplasty (eyelid surgeries) which can be performed at the same time as the facelift.
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Appropriate age:
A person should have a facelift when they feel that they are ready for it, and could enjoy the benefits it might offer them. For a person with fat deposits on the sides of the face, or on the neck, that could be as early as the twenties. For others, it could be in the eighties.
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Costs:
The national average of 2007 surgeon for facelift cost was $5,031 (Source: American Society of Plastic Surgeons). Regional averages: New England states: $6,500 Middle Atlantic states: $6,000 North Central states: $4,856 South Central states: $5,722 and Mountain/Pacific states: $5,282. Facelift prices do not include anesthesia, operating room facility, hospital stay, and other related expenses
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Questions to ask your doctor:
  1. Are the desired results I described realistic?
  2. Where is the surgery performed? How long will the procedure take?
  3. Would a mini-facelift or neck lift work as well or better than a full facelift in my situation?
  4. Are there other procedures that I should consider to enhance the affects of a facelift?
  5. What kind of anesthesia is used?
  6. How much does it cost?
  7. What is your experience in performing this procedure? (How long has he/she performed this procedure, and how many he/she has performed in the past year?)
  8. What percentage of patients have had significant complications? (The physician should disclose this information to you.)
  9. Will you repeat or correct procedures if it does not meet agreed upon goals? And if the procedure must be repeated / corrected, will I be charged again? (The physician should provide you with his/her policy on this issue.)
  10. May I see "before and after" photos of recent patients? The physician should provide many photos of recent patients.
  11. May I have the names and contact information for several recent blepharoplasty patients? (Follow up to get first-hand information on the procedure and the surgeon.)
  12. Could I observe the exact procedure I am considering before I decide to have the surgery? (Either on videotape or ask to view one in real life.)
  13. What should I expect post-operatively, in terms of soreness, what to watch for, medication, bathing, and level of activity?
  14. Who will be assisting during the surgery? What are their qualifications? (Does the plastic surgeon perform the entire surgery?)
  15. Have you ever had your malpractice insurance coverage denied, revoked, suspended?
  16. Do you offer patient financing?
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Be sure to:
  • Tell your doctor about any allergies you have (to foods, drugs, environmental elements)
  • Tell your doctor if you have any serious medical condition(s).
  • Tell your doctor about all medications you are taking (both prescription and non-prescription)
  • Carefully follow any instructions your surgeon gives you regarding eating and drinking, smoking, and vitamins.
  • Avoid aspirin and aspirin-containing medicines for two weeks prior to surgery.
  • Arrange for someone to drive you home after surgery.
The information on this web site is only intended as an introduction to this procedure and should not be used to determine whether you will have the procedure performed nor as a guarantee of the result. The best method of determining your options is to consult qualified surgeons who are able to answer specific questions related to your situation.
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How do I finance this procedure?
Did you know that 29% of all Americans have considered having an elective procedure? Of those, 60% would schedule a procedure immediately if financing was available. With iEnchance's patient financing options, money no longer has to be the barrier between you and your new image. By filling out our on-line application you can qualify for a loan in as little as 30 seconds.
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Related Articles
Please review the following articles for more information on this procedure.
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Facelift Related Videos
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Facts:

*Top 5 Surgical Cosmetic Procedures in 2008:

1. Breast Augmentation: 356,000
2. Liposuction: 341,000
3. Blepharoplasty: 195,000
4. Rhinoplasty: 152,000
5. Abdominoplasty: 147,000

*Top 5 Non-Surgical Cosmetic Procedures in 2008:

1. Botox: 2,464,000
2. Laser Hair Removal: 1,281,000
3. Juvederm/Restylane: 1,263,000
4. Chemical Peel: 592,000
5. Laser Skin Resurfacing: 571,000

* Data collected from the American Society of Plastic Surgeons (ASPS)
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