Some of the most visible signs of aging first appear on the face. Although the changes appear gradually, there may come a day when you look in the mirror and decide that the face you see doesn’t reflect the way you feel about yourself. If you’d like to look as good as you feel, a facelift smoothes the loose skin on your face and neck, tightens underlying tissues and removes excess fat. As a result, your face will appear firmer and fresher.
You’ll find basic information about facelifts on this page. However, the best way to get complete answers to specific questions that relate to your individual needs is to make an appointment with Dr. Core, a certified plastic surgeon.
Facelifts in Alabama are most commonly performed on patients in the 40-60 age range. However, the procedure can produce good results in people in their 60’s, 70’s and 80’s as well. You may be a good candidate for a facelift if you have one or more of the following conditions:
- Loss of a well-defined jaw line
- Deep wrinkles in the cheeks and sagging skin near the cheekbones
- Loose skin, wrinkles or excess fatty tissue in the neck
- A deep line that runs from the corner of your nose to the corner of your mouth
When having a facelift the incisions are made along your hairline from the temple down around the ear lobe and to the back of the neck. This enables the removal of the excess sagging skin that creates lines and creases that distort the natural lines of your face. When tightening your skin, the surgeon must ensure that it’s smooth, but not over-corrected. The right amount of tension is critical, and that’s why you must choose a surgeon who specializes in face lifts.
Next, the fatty tissue that makes your face look heavy, jowly and baggy is removed with liposuction. Then the underlying muscle is tightened to restore a younger shape to your face.
The incisions are closed along natural skin lines and bandages are then applied. These dressings will be removed in a few days. Swelling and bruising usually subsides in seven to ten days.
“Dr. Core is fantastic. I am in a business where I see a great deal of plastic surgery and honestly, I see a great deal of bad work. I have seen Dr. Core’s work and it’s beautiful and natural. I have had necessary surgery and then simple cosmetic surgery and he is astounding! I can’t rate him high enough.”
Types of Facelifts
Facial rejuvenation has come a long way since its beginning almost a century ago. Amazingly, most of the significant changes in facial rejuvenation surgery actually has occurred within the last ten years. The recent trend is toward a less invasive but still effective facial rejuvenation. An important point to remember is that facial rejuvenation surgery is a highly individualized process such as that no particular procedure is applicable to all patients. Some patients with heavy neck fullness and jowling will require a more extensive procedure in order to have a pleasing and long-lasting result whereas other patients who have minimal jowling and slight excess skin of the neck can undergo a much less invasive procedure. However, patients should be very careful to be sure they understand what is hype and what is reality. In reality there is no non-invasive methodology that can equal the results of a surgical facial rejuvenation procedure in the hands of an experienced facial aesthetic surgeon.
The term mini lift has come into popularity over the last 5-6 years and there are a variety of procedures that are in the mini lift category. Other terms patients may hear apply to this type procedure would be C-lift, S-lift, life style lift, and MACS lift. The common denominator of all these procedures is that they are less invasive with less undermining into the central part of the face and the rejuvenation process is based on the tightening of the underneath layer of the face called the SMAS. In Dr. Core’s procedures the incision is always a post tragul incision, which means that there is no scar in front of the ear and the incision extends behind the tragus or the small tab that you can feel just in front of your ear canal. By placing the incision behind this tragus, then the incision becomes completely camouflaged and very difficult to see even with the hair up. The incision in this location is the same for any facial rejuvenation procedure whether it be a mini lift or a standard facelift. The part of the incision that goes behind the ear however may be shorter or longer depending on the length of the lift, the amount of skin that needs to be taken out of the neck. A mini lift takes approximately two hours to complete and is under general anesthesia. The patient is usually required to spend the night at the hospital and recovery usually takes approximately one week. However, if this recovery is more from a social standpoint for swelling and bruising, whereas in terms of physical activity, the patient will actually feel quite good the following day. Return to social activities is possible in one week in many cases and certainly not outside two weeks. Immediately after surgery the patient needs to keep their head up for 4-5 days in order to minimize swelling. The patient is seen on the first post-operative day and dressings will be removed. When the patient goes home there will be no drains and no dressings. An instruction sheet for home care will be included with the patient and will include directions on hair washing and care of the incisions. The patient should refrain from driving for several days since there will be some tightening in the neck area, which can put on stress when turning the head to see outside the vehicle. The patient should also avoid tilting the neck downwards significantly after the procedure for 4-5 days.
Sub SMAS Facelift
Dr. Core’s most effective procedure for facial rejuvenation in patients who have a moderate to extensive amount of relaxed skin and jowling of the lower face is called a sub SMAS facelift. This term refers to the technique of identifying the layer in the face that is underneath the skin called the SMAS (submuscular aponeurotic system). This is the dense layer of tissue between the skin and the muscles of the face which literally holds the face in place. The secret to a natural looking facelift is not to pull on the skin but to place the lift and tension on the SMAS, which results in a natural appearance post-operatively. This is the technique which eliminates the “wind tunnel” look and also provides a longer lasting result.
Contact Core Plastic Surgery
If you are considering facelift surgery in Alabama and would like more information, or to schedule a consultation with Dr. Core, please contact our practice today.