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Facelift

Pull Back the Years of Aging and Reveal a Younger You

Some say that aging has caused them to have a harsh, mournful and tired look that doesn’t match the way they feel inside. Others have specific complaints about being “too jowly,” having a loosely hanging “turkey neck,” or sagging cheeks. With a facelift, patients can achieve a much younger, more rejuvenated appearance.

What is a Facelift?

The facelift is a surgical procedure, used to address volume loss and sagging in the mid-lower face caused by the aging process. By tightening the tissue in this area and removing excess skin, patients can achieve a more youthful appearance with better-defined cheek bones with smoothed wrinkles.

Who Chooses the Procedure?

Although once sought mainly by older women, facelifts now are sought by an increasing number of men. Today, men constitute about 9 percent of all facelift patients. Many seek the procedure with the hope that their new, refreshed look will give them a competitive edge in the workplace. Many younger patients seek the procedure in order to maintain their young appearance. They know it is easier to stay looking young than to try to reverse the signs of aging later. Many older patients, including those in their late 70’s and 80’s, also seek facelifts and have achieved excellent results.

Customizing Your Procedure

Patients should keep in mind that facelifts are highly individualized and the experience others had may differ dramatically from what they experience. Whether they seek a “mini facelift” or a full-fledged facelift combined with a forehead/brow lift, rhinoplasty or eyelid surgery, today’s patients can benefit from the vast improvements that have been made in the facelift procedure over the past decade. Dr. Berman will help patients choose the techniques that are best from their concerns.

How is the Facelift Performed?

Plastic surgeons have learned that the key to a successful, long-lasting facelift lies deep beneath the skin in the layers of muscular tissue. Your plastic surgeon will pay particular attention to the SMAS (Superficial Muscular Aponeurotic System), the muscular membrane that supports the facial skin, and to the platysma, which is the thin sheet of muscle that extends from your collarbone up the neck to your lower lip. During the facelift, these membranous layers of muscle will be lifted and tightened. The overlying facial skin is then re-draped over this new smoother “base,” the skin is tightened, trimmed and the incision closed.

One of Dr. Berman’s goals is to ensure that the resulting scars are as inconspicuous as possible. Most will be hidden by your hair or concealed by natural facial contours. Dr. Berman may choose to hide part of the incision just inside the tragus, the fleshly protrusion of cartilage that guards the ear opening, rather than making the cut in front of the ear.

What to Expect During Recovery

After the facelift procedure, patients will have some required downtime and recovery. 1-2 weeks of rest at home can be expected and patients should arrange for this time off work. Some swellings, bruising, and discomfort can be expected during this time. Discomfort can be managed with pain medication prescribed by Dr. Berman and the use of an ice pack.

After two weeks, patients should start to feel better and more presentable. While a normal routine and work can be resumed, strenuous activity and exercise should be avoided for several more weeks. Dr. Berman will provide specific activity restrictions and aftercare instructions that should be followed closely to ensure a successful recovery process.

Your Facelift Results

After a facelift procedure, patients report looking many years younger. The results are significant, but still natural-looking so it will not be obvious that work was done. Some swelling can linger for several months after the procedure process, so it is important to be patient with the healing process. The results of a surgical facelift are long-lasting and will age naturally along with the rest of the body.

Frequently Asked Questions about Facelifts

How long is recovery from a facelift?

Recovery from a facelift varies from person to person, but most individuals can expect to return to normal activities within 2 to 4 weeks. The initial phase of recovery involves swelling, bruising, and mild discomfort, which typically improve significantly over the first couple of weeks. By this time, many people feel comfortable returning to non-strenuous work and social activities. It's important to note that while the majority of swelling and bruising dissipate within the first few weeks, subtle improvements can continue for several months.

How do I prepare for a facelift?

Lab test, stop smoking, avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding and bruising.

How do you reduce swelling after a facelift?

To effectively reduce swelling, it is important to keep your head elevated at all times, even while sleeping. This helps drain fluids and reduces the accumulation of swelling in the facial area. Applying cold compresses gently on the affected areas within the first 48-72 hours can significantly help minimize swelling and discomfort. Staying hydrated is equally important, as it helps flush out toxins and supports the healing process.

How painful is a facelift?

A facelift can result in varying levels of pain depending on several factors such as the individual's pain tolerance, the extent of the procedure, and the surgical techniques used. Generally, patients may experience mild to moderate discomfort post-surgery, often described as a feeling of tightness or pressure rather than sharp pain. This discomfort is typically well-managed with prescribed pain medication and tends to diminish significantly within the first week.

Is a facelift permanent?

While the results of a facelift can be long-lasting, they are not considered permanent. Aging continues at its natural pace post-surgery, and factors such as genetics, lifestyle, sun exposure, and skin type can influence how long the results last. Typically, the effects of a facelift last around 10 years. Maintaining a healthy lifestyle, using sunscreen, and following a skincare regimen can help prolong the effects of the surgery.

How long after a facelift can I exercise?

After undergoing a facelift, it's essential to allow your body ample time to heal before resuming physical activities. Generally, patients are advised to wait approximately 4 to 6 weeks before engaging in strenuous exercises. During the initial weeks after the procedure, focus on light activities such as walking, which can aid in circulation and prevent complications. Following the recommended recovery period, most individuals can gradually reintroduce exercise routines, starting with low-impact exercises and incrementally increasing intensity based on their comfort and healing progress.

How long does facelift last?

10-15 years, but every patient varies.

How many times can you get a facelift?

The number of times a person can get a facelift mainly depends on individual factors such as their skin elasticity, overall health, the surgical technique used, and personal goals. Generally, there is no rigid limit to the number of facelifts a person can undergo. Some individuals opt for a second or even third facelift over the years to maintain or enhance their appearance as they age. It's essential to consider that each surgery carries its own risks and recovery process, so careful planning and realistic expectations are crucial when considering multiple procedures.

What can I expect from a facelift?

During a facelift, excess skin is removed, and underlying tissues and muscles are tightened to reduce wrinkles and sagging, particularly around the cheeks and jawline. This procedure can effectively address issues such as deep creases between the nose and mouth, sagging skin, and excess fat in the neck area, offering a rejuvenated and more youthful appearance.

How do you take care of your face after a facelift?

After a facelift, proper facial care is vital to ensure a smooth recovery and long-lasting results. Begin by following all aftercare instructions provided by Dr. Berman, which typically include guidelines on cleansing and moisturizing your face. It's important to use a gentle, non-irritating cleanser to keep the area clean without causing irritation or damage to the healing skin. Applying a quality moisturizer can help maintain skin hydration. Protecting your skin from the sun is also crucial. Use a broad-spectrum sunscreen with a high SPF to prevent discoloration and scarring.

What is the difference between a deep plane and SMAS facelift?

A deep plane facelift goes beneath the superficial muscular aponeurotic system (SMAS) layer, enabling the surgeon to reposition deeper facial tissues for a more natural and longer-lasting lift. The deep plane approach often results in more comprehensive rejuvenation, addressing sagging in the mid-face, jawline, and neck. In contrast, a SMAS facelift focuses on manipulating the SMAS layer itself, which can soften nasolabial folds and improve facial contours, although it might not offer the same substantial changes as the deep plane method.

When should you get a facelift?

Considering a facelift is a personal decision that varies based on individual circumstances, and there isn't a specific age at which it's right for everyone. Generally, people in their 40s to 60s, who have visible signs of aging such as sagging skin, deep creases, or jowls, are the primary candidates for a facelift. Factors influencing this decision may include the extent of aging, genetics, skin type, and overall health.

Your Consultation in Boca Raton

To learn more about the facelift procedure and to start customizing your treatment plan, contact our office. We can schedule your consultation with Dr. Berman so you can be on your way to a younger you.

Board Certified Plastic Surgeon at  | Website

Dr. Jonathan Ross Berman is a Boca Raton plastic surgeon who has been certified by both the American Board of Plastic Surgery and the American Board of Otolaryngology / Head and Neck Surgery with over 30 years of service experience specializing in Breast Augmentation, Rhinoplasty, Face Lift, Liposuction, and many other types of plastic surgery in Boca Raton, FL.

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