The skin of your face and neck lose elasticity as you age. Underlying muscles also lose tone. This is magnified through sun exposure, weight gain or loss, gravity, smoking and stress. These factors may act together and accentuate the appearance of your wrinkles, creating a tired look.
A facelift-necklift helps improve your most visible signs of aging through removal and redistributing of excess fatty deposits, tightening underlying muscles and removing sagging skin. The standard facelift addresses the lower 1/3 of your face and your upper neck.
Variants include the mini and extended facelift-necklift procedures. Procedure choice depends on your needs and must be discussed with your Cosmetic Surgeon. Cosmetic Surgeons have recognized the three dimensional nature of the facial structures and often combine this procedure with others to restore volume and address cosmetic concerns to your facial and neck areas.
Often other facial procedures are performed at the same time including a forehead lift, eyelid lift (blepharoplasty), chin and cheek implants, nose reshaping (rhinoplasty), liposculpture, chemical peel, laser resurfacing and lipotransfer (fat transfer).
Who is a Candidate
- Women and men with jowl formation (the lower cheeks and jaw line are saggy).
- Women and men with a poorly defined jaw line.
- Women and men with wrinkled, saggy and fatty necks.
- A sharper and better defined jaw line.
- Improved neck and chin angle.
- A less tired look with more youthful appearance.
- This does not treat the lines around the mouth and will not improve skin surface irregularities, wrinkles and discolorations.
- A face lift is usually performed in an accredited office facility, outpatient surgical facility or in the hospital.
- It may be performed under local anesthesia with or without oral sedation, conscious sedation, and general anesthesia.
- The Cosmetic Surgeon usually makes incisions in front and behind the ear.
- Sutures and/or staples are used for closure followed by placement of an elastic dressing around the face and neck.
Recuperation and Healing
- Recovery may be at home with a responsible adult, in a recovery facility or overnight in the hospital.
- A compression garment will be worn around the lower face and neck for approximately one week.
- Bruising and swelling are normal and may take several weeks to resolve.
- Stiffness in the neck and some soreness with swallowing and eating is common.
- Sutures and staples are removed within two weeks.
- Drains, if used, are usually removed 1-3 days after the procedure.
- Make-up can be applied over the skin immediately but not over the incisions for 2-3 weeks.
- Chemical peels, laser resurfacing and microdermabrasion to improve the skin’s appearance and texture.
- BOTOX® and facial fillers.
- Lipotransfer (fat transfer) or implant insertion to restore lost facial volume.
- Eyelid and forehead rejuvenation.
- Rhinoplasty (nose reshaping).
The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation with your Cosmetic Surgeon. Minor complications that do not affect the outcome occur occasionally. Major complications are rare.