Aging of the face is a process that involves many factors, the two primary being the downward pull of gravity and the loss of fullness (fatty tissue) in the face.
While gravity causes jowls to form, due to sagging in the jawline, it also causes the neck to droop to produce something called “turkey neck”. Alternatively, the loss of fatty tissue can accentuate the “smile lines” and cause hollow appearance under the cheeks and around the eyes.
Each person is different in how he or she ages and the approach for each patient needs to be individualized for the best results. Given some of the less expensive treatments, like creams, ointments, and other non-surgical procedures, might not actually result in the improvements you're looking for, the best option is often a surgical procedure.
Dr. Miller and Dr. Heller trained under some of the top facial plastic surgeons in the country. They have brought their time-tested methods to Allure Plastic Surgery. To learn more, please book a free consultation at our office in NYC by calling (212) 661-2563 today.
Is A Facelift The Right Choice For You?
When it comes to facelift surgery those who are looking for a reliable plastic surgeon should consider a few important criteria before choosing a doctor. Seek out doctors who are willing to share their knowledge with you so that you’re a well-informed consumer. Understanding your options and the benefits of various approaches is an important part of the decision-making process when it comes to facelift surgery.
Work with a plastic surgeon who will help you make the right choice when it comes to what you have done and the manner in which you proceed. It is essential when choosing the doctor for your facelift that you work with someone who will treat you as an individual, customizing your surgery and providing you with the best options to achieve the results you desire.
To do that, the doctor must understand your primary concerns and desired results. With that as a starting point, the surgeon can work with you, explaining every aspect of the process, what to expect and offering a specific plan to address any and all issues.
While most facelifts utilize one of two primary methods, the full facelift and short scar procedures, your surgeon will likely be aware of other techniques that could be used to procedure the appearance you're looking for.
Dr. Miller and Dr. Heller will analyze your face during your consultation, and, together with your input, they will determine the best plan for your facial rejuvenation or facelift.
We use computer imaging to help you understand what a particular procedure might do for you. While a facelift procedure like the ones performed in our Manhattan and Staten Island offices attempt to re-create what you looked like 10 years ago as naturally as possible, it's extremely important that our patients have realistic expectations about the procedure and its outcomes.
The Facelift Procedure
Facial surgery is performed in our accredited surgery suite under either IV sedation or general anesthesia. Every effort is made to make the procedure undetectable.
The incision is started in the hairline and when it comes down toward the ear, it goes inside the ear a little bit. This allows there to be no incision seen on the cheek. As it goes behind the ear, the incision stays in the crease and gently courses back into the hairline so it is hidden.
After the skin is lifted, the muscle and fatty tissue is significantly tightened. In the middle of the neck, excess fat is removed and the muscles are tightly sutured together. This treats the band that many patients have in their neck. Then, the excess skin is trimmed, while putting NO tension on the skin.
Since there is no tension, the resulting incision lines should practically disappear. Also, since the skin is not pulled tight, our patients do not get that “wind-blown” appearance. When the surgery is complete, patients are discharged home the same day.
Multiple facelift procedures are available, including:
- Deep plane facelift versus SMAS facelift
- Mini-facelift, S-lift or weekend facelift
Deep Plane Facelift vs. SMAS Facelift
The same incisions are used for the deep plane facelift and the SMAS facelift. Dr. Miller and Dr. Heller are specialists in deep plane face lifting.
The deep plane facelift lifts tissue in a deeper plane before tightening, while the SMAS lift simply tightens without additional lifting. Therefore, the deep plane facelift gives consistently better results that are longer lasting, especially in patients with heavy jowls and neck. Recovery is the same, and if done correctly, has no greater risk than the SMAS facelift.
Additionally, the deep plane lift is safer for patients who smoke, although it is preferable for all patients who smoke to quit smoking 30 days before a procedure.
Mini-Facelift (Also Called an S-Lift or Weekend Facelift)
Mini-facelifts are only useful in a small percentage of the population. These procedures typically use shorter incisions, are done under local anesthesia, and have less recovery time than other types of facelifts performed in our New York offices. The skin is lifted a short distance, the deeper tissue is tightened, the excess skin is trimmed and the incision is closed. This procedure is useful in patients with minimal jowling and neck sagging.
A necklift, as its name implies, focuses only on the neck. This procedure would be done for a patient who has a heavy neck but no jowling. The incisions are not as long as a full facelift and recovery is shorter. Excess fat is removed from the central neck, and the muscle is tightened in the middle. The neck muscle is also tightened from behind, so a tight sling is created, allowing the neck to look much more youthful.
Different procedures can be done to lift the cheeks. Long stitches are placed under the skin of the face, neck, and eyebrow to lift sagging tissues. This produces a refreshed appearance without major surgery or anesthesia. The cheeklift procedure has been performed for several years and a nice, long-term improvement has been noted.
Threadlift procedures can easily be performed with fat injections, upper eyelid surgery, or chemical peels, all under local anesthesia, to provide a nice rejuvenation.
Recovery from a Facelift
After surgery, patients will develop swelling and bruising, but the discomfort is usually minimal. Cold compresses will help the swelling, which will start to improve after a couple of days. Usually in 7-10 days, the patient is doing well and can go back to work.
Since the incisions are carefully hidden, it should be difficult for anyone to notice you had surgery performed. Other people may think you had a relaxing vacation or that you changed your hair. Strenuous activity should be avoided for 2-3 weeks.
Combining Facelift with Other Procedures
The facelift procedure can be done by itself or in conjunction with other procedures. For example:
- Fat injections are often done at the same time to improve the smile lines and creases between the nose and lips. This improves the loss of fullness that occurs with facial aging.
- A cheeklift can raise the sagging cheeks at the same time as a facelift.
- Eyelid surgery and brow-lifting can also be done to completely rejuvenate your face. Let’s look at some examples:
This patient only wanted improvement of the neck and jawline. Her face is still fairly full, so it doesn’t need fat injection, and she was still happy with her eyes. We performed a facelift, and you can easily see the nice improvement of the jawline and neck.
This patient not only desired improvement in the neck and jawline, but also the folds between the nose and lips and the heaviness around the eyes. For her, we performed a facelift plus fat injection, which gave her an excellent result.
As you can see from the pictures above, the goal of a facelift is to rejuvenate your appearance in a natural way, not make you look like a different person. Ideally, you will still look like yourself - just better.
Please view some more facelift before-and-after pictures and contact Dr. Miller and Dr. Heller’s office for your free facelift consultation by calling (212) 661-2563 or completing our online contact form.