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.
Facelift patients often experience increased confidence and no longer shy away from making appearances because after the procedure they look more attractive and refreshed.
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.
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.
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.
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:
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.
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.
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.
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.
Answers to frequently asked questions about the procedure
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.
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.
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.
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.