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Steven J. Pearlman, MD, FACS Dual Board Certified in Facial Plastic Surgery

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Facelift

Enhance Your Natural Beauty

Facelift surgery improves signs of aging to restore a more youthful and refreshed facial appearance. Facelift techniques can correct sagging facial tissue, such as jowls along the jawline, drooping skin under the chin (“turkey neck”), descending cheeks, and deep creases from the outer nostrils to the corners of the mouth (nasolabial folds). This procedure achieves a natural, beautifully revitalized version of yourself.

The Benefits of a Facelift From Dr. Pearlman

Restore Your Confidence

Facelift patients often experience increased confidence and no longer shy away from making appearances because after the procedure they look more attractive and refreshed.

Natural-Looking Results

Dr. Pearlman uses advanced facelift techniques to provide results that appear completely natural so that people will notice your rejuvenated appearance without the evidence of surgery. The days of looking “pulled” are over.

Feel Younger

As the old saying goes, “When you look good, you feel good.” A facelift provides the youthful, rested appearance that will help you feel as good as you look.

Multiple Options

Dr. Pearlman offers different types of facelifts to suit the individual needs of his patients (more on these below). Facelift surgery can also be combined with a variety of other procedures for complete facial rejuvenation.

How do I know when I’m ready for a Facelift?

If your face has sagging and other significant signs of aging, it might be time for a facelift. Place your hands along the middle part of your jaw with your index fingers pointing upward and thumbs under the jaw, and pull gently toward your ears. If you like the result, then you may be a candidate for a facelift.

You might be ready for a facelift if:

  • Your face makes you look older than you are or older than you feel.
  • You desire to enhance your appearance for yourself rather than pressure from someone else.
  • You are in good mental and physical health.
I’m Ready for a Facelift

Types of Facelifts

The mini-facelift, also known as a “short flap” facelift, rejuvenates the lower face for patients with minimal sagging that causes early jowls and excess skin in the lower face and neck. This procedure utilizes “short flap” incisions that begin just above the ears, go down and around the inside of the small rectangular “tragus” at the opening of the ears, and end just behind the earlobes. The underlying muscular system, called the SMAS, in the lower face is tightened as needed for an uplifted and smoother facial contour. The mini-facelift is best for younger patients who do not have heavy jowls or significant facial aging.

  • Provides more youthful contours in the lower face and neck
  • Resulting scars are almost undetectable once healed

The mid-face lift specifically rejuvenates the cheeks for patients with localized sagging in this area. Incisions are made behind the hairline at the temples and inside the mouth. The tissues in the cheeks are elevated to eliminate sagging and creases in the mid-face, such as deep nasolabial folds, and this lift even improves the lower eyelids. This procedure is ideal for patients who do not have excess sagging in the neck and jowls.

  • Provides improved definition and more attractive cheek contours
  • Can be added to the facelift procedure when the cheeks require distinct correction

The deep plane facelift rejuvenates the neck and cheek areas using the same incision as the short-flap facelift plus a hidden extension into the hairline behind the ears. The muscle and fibrous tissue are separated from the underlying layers of the face and neck and lifted along with the skin. Heavy cheeks and sagging in the neck are improved as these tissues are repositioned upward and back toward the ears. This has been recognized by many experts to yield the most natural, longest-lasting facelift results.

  • Provides long-lasting, natural-looking results
  • Rejuvenates facial sagging while improving skin laxity

Neck liposuction can be combined with a facelift for patients with excess fat beneath the chin and noticeable bands in the neck. A small incision under the chin is used to remove the fat and improve the appearance of neck bands.

Patients who have early jowls but are not quite ready for a facelift might consider nonsurgical Ultherapy® treatment to lift and tone loose or sagging skin. There are many people who want some lifting but are not ready for surgery, either mentally, financially or logistically. Ultherapy® uses safe, effective ultrasound energy to stimulate the support layers of the skin and provides natural, noticeable results. This procedure is great for younger patients who want to “stay ahead of the game” as well as those looking to prolong the effects of previous cosmetic surgery.

  • Non-invasive procedure with little to no downtime
  • Specifically targets the deep foundation below the skin without cutting or disrupting the surface of the skin

Actual Patients of Dr. Pearlman

Before & After Photos )

FAQs

Answers to frequently asked questions about the procedure

Q: What is a mini-lift and am I candidate?

Every surgeon has a different definition for a mini-lift. For me, its a short-incision facelift that does not extend into the hairline behind the ear. The muscle called the SMAS is lifted and pulled back for strength and longevity. For patients who have heavier faces, large jowls, or very floppy necks, a Deep Plane facelift will yield a better and longer lasting result. Yet the incision is barely more visible than the mini-lift.

Q: How long will my facelift last?

This is a tricky question. A facelift will last the rest of your life; that is if you have a twin, you will look years younger. In 10 years from now you will still look younger. For the real answer: in your 50's figure the results lasting around 10 years before you return to the same look. This will last approximately 8 years in your 60’s and 6 years in the 70's.

Q: I don't want to look pulled, Will a facelift look natural?

The key to a natural appearing facelift is to pull tight on the muscle under the skin called the SMAS. Then the skin can be gently laid down and trimmed without tension. Patients who look "pulled" either had a skin-only facelift, too many facelifts or the muscle and skin were pulled in the wrong vector. It's important to drape down the SMAS and skin along natural tension lines for a natural look.

Q: How long is the recovery from a facelift?

After a mini-lift, patients can often return to work or their normal routine in about a week and a half. This goes up to two weeks for a Deep Plane facelift. However, for important functions such as your daughter's wedding, I suggest at least two to three months or more for full recovery.

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