Facelift or Rhytidectomy is a procedure that consists of tightening the skin of the face and the underlying tissues called the SMAS aka Superficial Muscular Aponeurotic System. The procedure can be limited to the neck or involve the entire lower 1/3 to 1/2 of the face. There are multiple variations of this procedure. Terms such as mini facelift, or short scar facelift are essentially interchangeable. The goal is to achieve a tighter facial appearance and youth.
Facelifts may be performed in different planes
- Subcutaneous Plane: Under the skin and fat layer
- Deep Plane: Under the SMAS layer
- Subperiosteal Plane: Under the periosteum of the bone
Facelift Surgery has a powerful impact on changing the appearance of the neck, jowl and lower 1/3 of the face. It can restore the normal youthful facial proportions in these areas dramatically. As we age or with weight loss the face essentially descends. The fat pads in the face descend. Ligaments that attach the soft tissue to the underlying facial skeleton weaken and sagging occurs. The skin also thins and losses its elasticity. Sometimes platysmal banding can also be seen in the neck in addition to loose skin. The facelift or neck lift procedure can rejuvenate the descent by re-suspension of the underlying soft tissue and removal of excess skin in one procedure.
Loss of volume also occurs with age. This volume loss occurs can be seen easily in the cheeks and lips. This is a separate issue and needs to be restored. This can be accomplished with fillers or fat transfer procedures. Restoring the volume is part of facial rejuvenation and should be evaluated as part of the facelift consultation.
Facelift vs Necklift
Facelift: Wider area of skin elevation down in the neck and upwards towards the cheek
Necklift: Skin elevation down in the neck may involve tightening the muscles in the midline neck aka plastyma muscles through a separate incision under the chin
Facelift with Fat Transfer
Fat can be taken from other areas of the body such as the abdomen or thighs. This fat is then processed and injected into the areas needed. Common areas of fat transfer are the nasolabial folds and cheek area and lips.
Great candidates are those with excess skin in the neck and lower face. They should be healthy and nonsmokers. Smoking should be completely stopped prior to the procedure and after the procedure for over one month. High blood pressure should be controlled at all times prior to the procedure and after the procedure.
Facelift and Necklift Cost
Cost of the procedure is based on 1. Anesthesia Fees 2. Facility Fees and 3. Surgeon Fees.
Range is highly variable between $8000 to $13000 USD for all combined charges. Prices may vary based on length of time and complexity of the case. Pricing includes all follow up appointments and care. There are no hidden fees.
Postoperative Recovery after Facelift or Necklift Surgery
Recovery is generally well tolerated. Sutures are removed after 1 week. Showering can be started after 2 days. Vaseline is placed over the incisions as a dressing. Drains may be placed in certain patients and are usually removed after 24 hours. Patients may return to work within 2 weeks. If there are any questions during the postoperative course we encourage patients to call immediately. Follow ups are close initially and will be spaced out farther with time.
Facelift or Necklift Complications
- Wound breakdown
- Loss of skin
- Facial nerve injury
- Altered sensation to the area
- Contour irregularity
With any surgical procedure complications can occur, but are generally low. We encourage that you ask about complications during your visit with Dr. Parikh. Dr. Parikh will ensure that your safety is first and discuss any concern in great detail that is tailored to your specific medical history.