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THE PROCEDURE

Anesthesia

Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. We will recommend the best choice for you.

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

HOW WE DO IT: TUTORIAL

A facelift typically takes about 2-2.5 hours to perform, depending on several surgical and patient variables. There are four basic steps to any type of facelift, small or large.

Step 1 – Incisions

A traditional facelift incision begins in the hairline at the temples, continues in front of the ear and around the back of the ear and ends in the hair of the scalp. The incision is like a seam in clothing. It is impossible to remove the extra skin without an incision. The more skin that needs to be removed, the longer the length of the incision that needs to be made. Incisions normally heal extremely well and are nearly invisible.

Added step: If the neck is a problem or concern, sometimes a small incision is placed under the chin to remove fat and tighten loose muscle bands.

Step 2 – Undermining, or loosening the skin

Next, the surgeon gently loosens the skin from the underlying muscle (SMAS). The degree of loosening depends on the age of the face and excessiveness of skin. More loosening is required for excessive skin.

Added step: Fat may be sculpted away from the neck and jowls, and fat might be transferred to cheeks or tear troughs.

Step 3 – Tightening the Muscle (SMAS)

The muscle layer can be tightened several ways, including:

  • Plication: folding, or pleating the muscle layer with sutures
  • Purse string plication: tightening the muscle layer with suture loops
  • Undermining: lifting the muscle layer up as a second layer, then removing the excess and closing it with sutures.

Some surgeons skip this step, which is called a “simple facelift” or “skin-only” facelift.

Step 4 – Closing

This is the final tailoring step, where the skin is re-draped over the uplifted contours, excess skin is trimmed away, and the incisions are meticulously closed with removable sutures. We use removable sutures to improve the healing process and minimize scarring. No drains are needed.

LEARN MORE

BEFORE AND AFTER




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