A face lift rejuvenates the face and neck by lifting wrinkled and sagging skin, sculpting drooping fat deposits and tightening deeper tissues (muscles and fascia) which are loose. These are the natural changes of aging, coupled with our heredity. The main areas of focus for face lifting are the jowls, the jawline, and the middle neck area. The lift redrapes the skin of the lower face, softening the creases and improving the jawline. Incisions are near the ears and into the hairline. They are placed in natural creases to conceal any scars.
The deep fascia of the face, called the "SMAS", is used to provide the pull in the facelifts I do, so as to avoid a tight pulled look. This lift is solid and more long lasting. I do not try to remove every line from the face, but to have my patients look better but recognizable as themselves. Remember that a perfectly smooth face (which might look well in a photograph) may appear like a mask in real life. A face needs expression and vitality; therefore my goal in doing a face lift is to have you look better but not different. I have many subtle variations in my face lift technique, modifying and customizing the procedure according to each patient's needs. Most importantly, I listen to you, determine what concerns you when you look in the mirror, draw my own conclusions, and formulate a concise plan for your surgery.
The "Weekend Face Lift"
The name of this procedure is not entirely accurate, since one cannot have surgery on Friday and return to work Monday with no traces! In reality, this is a lesser alternative to the standard face lift, and eliminates the incisions in front of the ears. The procedure is done through small incisions under the chin and behind the ears, and the main effect is to improve the neck. A suspension suture is used as needed to improve the neck. The lower jowls can be improved by a micro-liposuction as part of the procedure, but the cheeks are not lifted. Recovery is much shorter than for a face lift, about 3 to 7 days. This is best for patients with early aging changes, usually 35 to 48 years old.