Remove Wrinkles, Jowls, and Sagging with a Facelift
Signs of aging most often appear first on the face. Midface sagging, marionette lines, jowls, and a double chin can all make you look older. A facelift, also known as a rhytidectomy, is the most comprehensive and definitive way of treating wrinkles and facial sagging associated with aging and is performed regularly by the plastic surgeons at Hill Country Plastic Surgery. This is considered the gold standard in the treatment of facial aging.
In San Antonio, fellowship-trained plastic surgeons Dr. Scott Farber and Dr. Amita Shah are industry leaders highly experienced in facial plastic surgery, with years of extensive and intense training. Dr. Farber specializes in facial aesthetic surgery, drawing on his extensive experience and training to restore contours that look both youthful and natural. Their philosophy is not to just create a lifted neck and jowls, but also recontour the face so you look like a beautiful, younger version of yourself.
They recognize that each and every face requires an individualized approach to restore the appearance of youth and use a wide variety and combination of techniques to achieve this goal. In the end, you will have the most natural-looking results that celebrate your true beauty.
Because facelift surgery can create such dramatic results, it is important to work only with a plastic surgeon who has experience with the specific procedure and who has a thorough knowledge and understanding of facial anatomy.
Dr. Farber and Dr. Shah can also perform a revision facelift and/or neck lift in the San Antonio to address issues you may be experiencing from a previous procedure. They generally work with patients seeking revisions a year or longer after their initial surgery.
The extent of a facelift can vary from a “mini” facelift, to a more extensive neck lift and facelift. A facelift removes excess skin, tightens the underlying facial tissue, and elegantly redrapes the skin of the face and neck, restoring a youthful facial contour, jawline, and neck. There is some downtime associated with a facelift, and it will not create a “new” you, it will simply restore a more youthful appearance. Sometimes, a facelift will need to be redone in 10-15 years, and that is patient dependent.
Some patients are not ready for surgery and prefer nonsurgical treatments, such as dermal fillers, tightening radiofrequency, and BOTOX®, which provide a shorter-term, less dramatic rejuvenation. With these non-invasive options, you can expect to achieve about 30 percent of what you would get with a facelift.
How is a Facelift Performed?
Both Dr. Farber and Dr. Shah work with each of their patients to create a customized treatment plan that will allow achievement of the best results. The goal of a facelift is to tighten the underlying tissue but not overtighten the skin, leading to beautiful, natural-looking results and avoiding the “pulled” look. A facelift will have a lasting, powerful effect on the contour of the neck and jawline, restoring your appearance to that of 10-15 years younger.
For a full facelift, the incision is placed behind the hairline and in the natural crease around and behind the ear. For a mini facelift, the incisions are more limited and are behind the ear with some extension into the crease under the ear, depending on how much skin needs to be removed. For a lower facelift/necklift, the incisions start behind the ear, backwards along the hairline, and may extend in the natural crease in front of the ear as necessary to remove skin.
These incisions allow your plastic surgeon to remove any excess skin and fat, as well as to strategically reposition facial tissues in order to restore youthful volume. The remaining skin is lifted and sutured in place over the restored contour for a firmer facial appearance, redefining the jawline and reducing wrinkles and sagging.
What is a Mini Facelift?
A mini facelift is a less-invasive surgical option than a full facelift that is designed to address sagging skin on the lower face and jowls. By using smaller incisions, a mini facelift tightens and raises the tissues of the jawline and lower face. Depending on your needs, it can sometimes be performed under light sedation and local anesthetic. The mini facelift is less invasive and less expensive than a full facelift and requires 7 to 14 days for recovery, as opposed to two weeks of downtime. If the area bothering you is your neck, then a neck lift or mini facelift would be a better choice. Dr. Farber and Dr. Shah will review all of the options with you and create a surgical plan tailored specifically for you.
What Things Can be Done to Enhance my Facelift?
Facelifts are often combined with fat transfer to the cheeks, jawline, chin, or lips to volumize or augment these structures, giving your face a more natural, balanced appearance. A fat transfer refers to the process of taking fat from your abdomen or other problem areas and injecting purified fat tissue into another area of your body. The goal of the procedure is to improve the fullness of the cheeks, nasolabial folds, jawline, or lower eye area, giving extra volume to the facial structure. This procedure may also be combined with a laser or chemical peel skin resurfacing to treat the fine lines and wrinkles around the mouth.
The jawline, chin and neck areas can be targeted by liposuction to remove fatty deposits and create a more contoured and enhanced appearance. It can be done in conjunction with laser or traditional facelift procedures.
What to Expect During Your Consultation Visit
During the initial consultation with your surgeon at Hill Country Plastic Surgery, we will discuss your concerns and goals before recommending treatment options that are tailored specifically to your needs. Prior to your consultation, we recommend that you review the procedures on our website so you are familiar with the terms we will be using during our discussion.
Once we identify your concerns and surgical goals, we will discuss all of the treatment options that are available to you. Every patient is unique and we will develop a tailored surgical plan that addresses your specific goals. In addition, we will thoroughly review your medical history, surgical history, medications, allergies, family medical history, and other important details. It is very important that we obtain accurate information in all of these areas as it may impact the outcome of your surgery.
While discussing different treatment options, we will perform a physical exam and take measurements that are necessary for planning for your surgery. Pre-operative (before surgery) photos will be taken either at your initial consultation, or during your pre-operative visit.
After your consultation, you will receive access to your notes on the patient portal in addition to information about your specific surgery. If you have not activated your patient portal, this can be done at your appointment by asking any of our staff to assist you. If you have questions after your appointment, you can contact our office or message us through the patient portal. Some patients will require medical clearance from their primary care physician or a specialist or additional tests before undergoing surgery.
Once you have determined that you would like to have surgery and have completed any clearances and tests that were requested, contact our office at (210) 658-3555 to schedule a pre-operative appointment with one of our surgeons.
What level of discomfort should I expect after my facelift?
Most of our patients experience little to no pain the day after surgery. In the operating room, they receive a local anesthetic that helps control pain during the day of surgery. We provide specialized aftercare instructions to reduce swelling and discomfort. Our team will also recommend supplements to help reduce swelling and bruising after surgery.
What is the expected recovery after a facelift?
Recovery time after a facelift is about 2 weeks. During the first week, patients may experience some swelling and bruising. During the second week, patients may begin to go out in public. After the second week, patients may resume typical day-to-day activities. Our two-week protocol optimizes the recovery period, making recovery last about the same length as for most nonsurgical options!
It is important to note that recovery time varies from patient to patient, depending on medical conditions, extent of surgery, and other factors. After a facelift, patients are advised to keep their head elevated while sleeping, apply a cold compress when needed, and avoid exercise and other strenuous activity.
How much does a facelift cost?
The cost of a facelift varies from patient to patient. All faces are different, and some need more correction than others. It is recommended that you come in to see the surgeons at Hill Country Plastic Surgery to get your customized facelift consultation.