Facelift FAQ

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Full Facelift

Who is good candidate for a Facelift?

The best candidate for a facelift is a person whose face and neck have begun to sag, but whose skin still has some elasticity. A good candidate will also be in good health and have a strong bone structure that can support the altered muscles and skin. Patients are usually anywhere between the ages of 40 and 75.

How is a Facelift procedure done?

Patients can choose to have either deep sedation (twilight anesthesia) or general anesthesia for the procedure. The surgery begins with meticulously placed incisions hidden along the hairline and behind the hear ear. Excess skin along the cheek and neck is meticulously removed. The face and neck are then recontoured to achieve a more youthful appearance.

What is the recovery like for a Facelift?

During the first few days after the procedure, patients should sleep with their head slightly elevated at a 30 degree angle to minimize swelling in the face and neck. Following the surgery, patients see Dr. Weiss several times so he can check for unwanted bleeding and then to remove the sutures.

Patients will experience various degrees of swelling and bruising during the first seven to ten days after surgery. They are usually able to return to work within seven to ten days after the facelift, or sooner if they are not bothered by the bandages.

Are there any other treatments that are typically done with or in addition to a Facelift?

The facelift procedure is typically accompanied with other procedures such as a neck lift, brow lift, eyelid surgery, or a laser treatment. A neck lift raises the loose skin from the jawline to the lower part of the neck. Although a facelift does not include lifting of the eyebrows or eyelids, it can be accomplished by having an eyelift or brow lift done at the same time. Upper or lower eyelid surgery is the most common procedure performed with facelift. This procedure typically enhances the results of the facelift.

Depending on skin type and depth of treatment, laser can enhance facelift results and can diminish the appearance of wrinkles, scars (such as acne scars), and discoloration while it smooths and tightens the surface of one’s skin.

Mini Facelift

Who is a good candidate for a Mini Facelift?

Any man or woman in good health who is bothered by loose, sagging skin in the lower face and neck is a good candidate for a mini facelift. The procedure is intended to target early jowling, lower face aging and excess sagging along the neckline. The mini facelift is ideal for patients who do not wish to undergo a more extensive lower facelift or for those who do not yet have advanced signs of aging. A mini-facelift may also be a good option for patients who have undergone full facelift surgery but are in need of a “touch-up.”

How is a Mini Facelift done?

Generally performed under local anesthesia, Dr. Weiss repositions the muscle and fatty tissue in the cheeks and refines the skin around the neck and jawline. The lower face and upper neck skin is then lifted in layers and repositioned into a more youthful contour. The incisions are hidden in the hair and within the creases around the ear. The surgery typically takes three to four hours to complete.

What is the Mini Facelift recovery like?

Most of Dr. Weiss’ patients who have a mini facelift are able to return to work and to other everyday activities within a week, and often sooner for patients not bothered by the bandages. As a comparison, most full facelift patients require between 10 and 14 days for a complete recuperation.

What other procedures are typically combined with a Mini Facelift?

Since the mini facelift targets only the lower face and upper neck, Dr. Weiss frequently combines a mini facelift with neck or brow lifts, as well as with other, less invasive maintenance treatments such as Botox. As with other combined procedures, recovery time is longer for those patients who have more facial procedures done at the same time.

Mid Facelift

Who is a good candidate for a Mid Facelift?

The best candidates for the mid-facelift are those patients who have unwanted drooping in their mid-face, flat cheeks and/or a hallow look under the eyes. Mid facelift candidates typically complain of their mid-face appearing tired and aged. Patients considering cheek augmentation may also be candidates for a mid-facelift.

How is a Mid Facelift procedure done?

With general anesthesia, Dr. Weiss makes an incision from the hairline, along the natural fold of the ear and behind. He then repositions and lifts the sagging facial fat pad to a more youthful position using special sutures. After the skin is tightened, any excess is removed.

What is Mid Facelift recovery like?

While swelling and bruising may occur for up to several weeks after the mid facelift surgery, patients are able to return to work within seven to ten days. Following the surgery, patients should sleep with the head slightly elevated at a 30 degree angle and apply ice to minimize swelling. A mid-face lift addresses a specific area of the face with less trauma and faster recovery times than a full facelift. Patients will have moderate discomfort and bruising for up to two weeks.

What other procedures are typically combined with the Mid Facelift?

Since the mid facelift does not address concerns with the forehead and around the eyes, mid facelifts are often performed in conjunction with other surgical procedures, such as a blepharoplasty (eyelid surgery) or a brow lift. Combining procedures can lead to more dramatic results, rejuvenating the cheekbone area and also brightening the eyes. Botox is also often performed in combination with a mid facelift to correct concerns with forehead wrinkles and crow’s feet.

Local Anesthesia Facelift

Who is a good candidate for a Local Anesthesia Facelift?

Good Candidates for local anesthesia facelifts include those patients who want to avoid the risks of general anesthesia and IV sedation, are able to lay flat on one’s back during the duration of the procedure, and have no history of claustrophobia or extreme anxiousness.

How is a Local Anesthesia procedure done?

A facelift without the use of general anesthesia is quite easy to perform. Using a series of local nerve blocks and gentle infiltration, Dr. Weiss can quickly and easily numb the entire face. While some patients choose to take a nap during the procedure, others prefer to stay awake and chat or listen to music.

What is the Local Anesthesia recovery like?

Undergoing a procedure under local anesthesia without the use of a general anesthetic reduces recovery time significantly. Also, without the vasodilation caused by many general anesthetics, local anesthesia facelift patients tend to bruise less and have much less swelling following the surgery. Patients are also able to return to normal routines much more quickly, often immediately. Patients also appreciate the fact that local anesthesia procedures are less costly.