Rhytidectomy, more commonly known as a facelift, is a rejuvenation procedure designed to reduce many signs of aging and restore a more youthful appearance to the face. A facelift involves restorative surgery that is designed to reduce sagging, loose skin, and deep creases while restoring tightness and muscle tone. Neck lift techniques are commonly incorporated into a facelift to achieve more comprehensive rejuvenation along the jawline, below the chin, and along the neck. During a neck lift, excess fat is removed, musculature is tightened, and the skin is lifted to create a more youthful-looking neck to complement the facelift. If an individual desires additional enhancement, a brow lift or eyelid surgery may also be performed.
To learn more about facelift and neck lift surgery, please explore the informative sections below or contact our practice:
Those who wish to undergo facelift surgery should be in good physical and psychological health. The patient’s skin should also still have some elasticity in their skin for best results. As with any form of surgery, prospective patients need to discuss any current or past medical problems of medications, including those are are purchased over the counter, with Dr. Pinsky prior to any recommendations for a facelift procedure.
It is important for those who are considering facelift procedures to have realistic expectations of what can be achieved through the use of facelift surgery. It is important for prospective patients to understand that this procedure cannot drastically change a person’s appearance and it doesn’t stop the process of aging. It can, however, bring back and restore a more youthful appearance to the face and neck.
Those who wish to undergo a facelift procedure should be non-smokers. Smoking increases surgical risks and interferes with the healing process. Smoking affects blood vessels and blood flow in the face, delaying healing and often resulting in damage to skin tissue. Those who smoke need to quit and be smoke free for at least six weeks prior to any cosmetic surgery.
At Pinsky Plastic Surgery we offer a wide range of facial rejuvenation treatments that can correct visible signs of aging with natural-looking results. Although a full facelift combined with neck lift techniques can deliver the maximum degree of rejuvenation for the bottom two-thirds of the face and the neck, there are less invasive treatments that Dr. Pinsky performs for patients who either want non-surgical options or are not good facelift candidates, including:
During your consultation, Dr. Pinsky can discuss which treatment or combinations of treatments can be performed as an alternative to facelift surgery. There are a variety of ways to address the cosmetic concerns you have and Dr. Pinsky will help you navigate the state-of-the-art options that are available to you.
A facelift surgical procedure takes on average between 2 to 6 hours, depending on personal circumstances and the desired results. Although this procedure is frequently done on an outpatient basis with just a few hours needed for recovery and observation, many patients will be required to stay overnight. This should be discussed with Dr. Pinsky prior to the facelift surgery so that advance preparations can be made if necessary.
Two weeks before the surgery, stop taking over the counter pain relievers that can thin the blood, such as aspirin and ibuprofen. It is also important to quit taking any other over the counter preparations and supplements, such as vitamins and herbs. Also avoid alcohol during this time period. All of these mentioned products can increase the risk of bleeding during and after surgery. They also can increase bruising and interfere with proper blood clotting during the healing process.
Drink plenty of water before and after the facelift surgery to remove toxins and promote healing. Limit salt in the diet before and after the surgery to reduce the risk of inflammation and swelling. The day before surgery, a liquid diet is recommended.
Unlike facelifts of the past, modern treatment involves more than just tightening of the skin in the face and neck. During a facelift procedure, muscles and connective tissue can be manipulated for a firmer, more youthful appearance. Fatty deposits may be repositioned or removed with liposuction. Excessive skin is cut away and removed for more natural looking results.
The facelift surgery may be performed in a hospital, clinic, or at our plastic surgeon Mark Pinsky, MD’s office. Anesthesia will be used during the procedure. The type of anesthesia administered will be discussed prior to the surgery and may vary depending on a variety of factors. Typically, general anesthesia or twilight anesthesia will be used, depending on what is available, patient preference, and Dr. Pinsky’s recommendations. Vital signs will be monitored closely during the surgical procedure so that any medical issues can be handled appropriately if needed.
Dr. Pinsky will follow natural creases as much as possible to conceal and minimize the appearance of any scars. A facelift procedure involves cutting the skin, beginning in front of and above the ear at the temple area. The incision will then continue around and behind the ear and down toward the hairline near the neck. A second incision is made for Dr. Pinsky to properly access necessary muscles and connective tissue in the neck area.
The skin, muscles, and connective tissues are then manipulated to achieve a tighter look with more youthful contours. Fat tissue may also be repositioned or it may be removed through the use of liposuction, depending on the desired results. Excess skin is then cut away, the skin positioned appropriately, and the incisions sutured. Small drainage tubes may be inserted to help with removal of accumulated fluids. Bandages will be applied to the face and the patient will be moved to a recovery area.
Pain medications will be prescribed to help alleviate any discomfort. Swelling is most commonly experienced within the first 24 to 48 hours following the procedure and can be alleviated by elevating the head. Use ice packs only if recommended by Dr. Pinsky. Bruising may last up to 2 weeks. Numbness following surgery is common and should resolve itself within a few months.
Drainage tubes and bandages will be removed by Dr. Pinsky at one of many follow up appointments that will be necessary in the first few weeks. The sutures should be ready for removal within the first two weeks. Once the drainage tubes and bandages are removed, there might be uneven swelling, puffiness, and discoloration in the face and neck. In most cases, facial concealer and make up may be worn after the first week.
*Follow Dr. Pinsky’s recommendations on activities and return to work instructions. It may take several months for all swelling to diminish and final results to be noticeable.
*Individual Results May Vary
Dr. Pinsky is always mindful of keeping facelift incisions as hidden as possible to minimize the potential for visible scarring. Incisions are typically concealed within the hairline, behind the ear, and beneath the chin (if a neck lift is being performed). Throughout the healing process it is important to refrain from smoking (to promote optimal blood-flow and healing) and care for your incisions as outlined in your post-operative instructions. Keeping the incisions clean and dressed, as well as taking your antibiotics as prescribed, helps prevent infections (which can affect the appearance of scars) from developing. As healing of the incisions progresses, redness gradually fades and scar tissue texture should flatten. Scarring should heal within six months to a year following a facelift; however, this estimate can vary. When scars are completely healed they are typically undetectable without a close examination and trained eye. For patients who are concerned about the appearance of scars, we do offer laser skin resurfacing and RF microneedling treatments, which can be effective in reducing the prominence of scar tissue; however, the majority of our facelift patients do not find this kind of scar reduction treatment to be necessary.
The average price for a full facelift at Pinsky Plastic Surgery typically falls between $9,000 and $14,000. Although this price range is accurate, it is still important to come in to Pinsky Plastic Surgery for a personal facelift consultation to determine an exact price quotation for your customized facial rejuvenation treatment plan. In order to calculate the cost for facelift surgery, Dr. Pinsky must consider a variety of important factors that can affect the overall cost of a patient’s treatment plan, including:
At the end of your consultation you will be presented with a detailed cost quote for your proposed treatment. A knowledgeable member of our office team can discuss the payment options we accept (cash, check, and major credit cards) and explain the plastic surgery financing options that are available to you. We have partnered with patient financing companies —CareCredit® and Alphaeon™ Credit—which are trusted third-party lenders, to offer qualified applicants the opportunity to take advantage of no/low-interest loans and flexible payment plans that can make paying for treatment more affordable and convenient. Affording the facial rejuvenation surgery you want may be more budget-friendly than you imagined! We encourage you to contact Pinsky Plastic Surgery today to learn more about our pricing and how to overcome financial obstacles standing in the way of your cosmetic goals.
For more information about facelift surgery options and other facial plastic surgery procedures that can help you achieve the youthful appearance you desire, we welcome you to contact our practice to schedule a personal consultation with our experienced plastic surgeon—Mark Pinsky, MD!
Schedule a consult and enjoy 10% off any injection or 20% off any Aesthetician service.