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Face Lift: Neck Lift: Alexander Cosmetic Surgery San Diego, California (CA)
OVERVIEW QUICKLIFT™ FACE/NECK LIFT EYELID SURGERY BROW LIFT SMOOTHER SKIN FILLERS SKIN CANCER
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PREPARING FOR SURGERY

Who Is a Candidate?

There is no perfect age to have a facelift, no ideal window of opportunity. Some patients prefer to address problems early to maintain a younger look, while others prefer to wait until aging is more noticeable in order to get more out of the procedure. Patients who find themselves looking in the mirror, pulling up their face to see a younger, improved appearance are usually ready for the procedure.

Because every case is unique, the only way to accurately determine which procedure is best for you is to consult with Dr. Alexander.

A facelift may be a good option for you if:

  • You are physically healthy
  • You don’t smoke
  • You have a positive outlook and realistic expectations in mind for the improvement of your appearance
  • Feel like you look much older than you feel
  • Have significant looseness in the jawline and neck
  • Have deep lines around the corners of the mouth

For more information about our face lift or neck lift procedure, please contact us online or call us at We look forward to helping you look your best.

PREPARING FOR SURGERY

Prior to surgery, we will have you:

  • Take certain medications or adjust your current medications
  • Avoid taking aspirin, anti-inflammatory drugs, and herbal supplements as they can increase bleeding
  • Stop smoking well in advance of surgery

During a preoperative appointment, usually 1-2 weeks before surgery, we will:

  • Get lab testing or a medical evaluation
  • Tell you what to do on the night before and morning of surgery
  • Discuss the use of anesthesia during your procedure
  • Explain post-operative care and follow-up as well as what help you will need after the procedure

INFORMED CONSENT

Pain from a facelift is usually minimal. Patients usually experience tightness in the cheeks and neck and some soreness in the jaw for the first few days while eating or opening the mouth. Pain pills are provided but are usually not required after a couple of days. It is uncommon for patients complain of pain.

The decision to have a facelift is extremely personal, and you will have to decide if the benefits will achieve your goals and if the risks are acceptable. In general, the overall risks are very small for Facelift surgery.

We will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo including the risks.

Risks include:

  • Scars. Facelift scars vary from person to person, but QuickLift™ incisions heal extremely well and are usually very difficult to see
  • Hematoma (collection of blood under skin)
  • Slow healing
  • Bruising and swelling
  • Temporary numbness
  • Possibility of revisional surgery

It’s very important to ask Dr. Alexander questions about your facelift procedure. It is natural to feel some anxiety, whether it’s excitement for your anticipated new look or a bit of preoperative stress. Don’t be shy about discussing these feelings with us.

COST

Cost is always an important consideration in elective surgery. However, when choosing a plastic surgeon for a facelift, remember that the surgeon’s experience and your comfort are just as important as the final cost.

A quote will be provided to you after your consult with Dr. Alexander. We offer patient financing plans, so be sure to ask.

Cost may include:

  • Surgeon’s fee
  • Operating room and supplies
  • Prescriptions for medication
  • Medical tests
  • Anesthesia fees

IMPORTANT TERMS TO KNOW

  • Anesthesia—General: The patient is asleep, requiring that the airway be protected either by a standard breathing tube or by a laryngeal mask (LMA), an inflatable mask that is placed in the back of the throat but not down the trachea. An anesthesiologist releases gases through the airway which put the patient asleep. Drugs may also be given through the IV.
  • Anesthesia—Local: The surgical area is numbed up with an injection, but the patient is awake. Sometimes a patient will be given an oral medication, like Valium, to help with relaxation.
  • Anesthesia— Sedation (Twilight): The patient is made sleepy with medications given through an IV. The level of sedation can be adjusted, from barely sleepy to very sleepy. Sometimes sedation is given by the surgeon, but most of the time it is administered by an M.D. Anesthesiologist.
  • Hematoma: An unwanted collection of blood under the skin.
  • Hypertrophic Scar: A hyperactive, usually temporary scarring process that causes a scar to be raised and red; sometimes called a “baby keloid.” More common on the chest, trunk, and shoulders and in patients with a pigmented Very uncommon on the face and neck.
  • Jowls: Soft bulges that sag along the jaw line, usually caused by loss of muscle tone in the lower face.
  • Mesolabial Fold (Marionette Lines): The crease that extends from the corner of the mouth down the side of the chin.
  • Nasolabial Fold: The crease that extends from the side of the nose to the corner of the mouth.
  • SMAS: The Superficial Muscular Aponeurotic System, the superficial layer of muscles in the face just below the skin and subcutaneous fat.
  • Tear Trough: A groove below the lower eyelids extending from the nose across the upper cheek.
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