Understanding the Facelift


Dr. Jacobsen recognizes there are many options when it comes to receiving a facelift in Phoenix. One’s face is possibly the most personal and precious part of their body, and as such the facelift is a delicate procedure to be allowing a facial plastic surgeon in Phoenix to perform. Dr. Jacobsen feels very privileged and honored for every patient that lets him care for their facelift and sculpt the face that they have always wanted. Although the title of best cosmetic surgeon in Phoenix is subjective, Dr. Jacobsen can assure you that you will have one of the best experiences in Phoenix facial plastic surgery.

When it comes to Phoenix facelift doctors, Dr. Jacobsen strives to provide top-tier service before, during and after the procedure. Some surgeons claim in their advertising that they teach other surgeons how to perform facelifts or other cosmetic surgery in Phoenix to elevate their advertised facelift skills as a marketing technique. Dr. Jacobsen instead uses that time to further his own techniques, instead of teaching something that can always be improved on. Dr. Jacobsen will personally assure you that you will have an excellent and safe surgical procedure for your facelift followed by care by his staff, and fastidious follow-up 7 days a week. Dr. Jacobsen will be there for you, and will answer your calls, emails and your text messages after your surgery. When it comes to Phoenix facial plastic surgery, Dr. Jacobsen knows that with his excellent surgical skills and wonderful postoperative service you will not only get the facelift you’ve always wanted, but also the best facelift Phoenix experience.

Facelift surgery must be done very carefully. The surgery requires delicate surgical skills and careful attention to detail. Each patient wishes to have certain parts of the face tightened to give a more youthful look or healthier look and a more awake and alert look. Generally, the incisions are in front of the ear hidden in a vertical fold in this position and then following the back of the ear, and then down the scalp at the hairline, and behind the ear as well.  These incisions are often easily hidden into the normal lines of the face.

Through these incisions, the face can be lifted. Lifting the neck and creating a better contour to the neck and the angle under the chin tightening this area as well as the lower and middle portion of the face.  Skin is removed that allows the face and neck to be tightened.  Often an incision is required under the chin to assist in tightening the neck, creating a more favorable angle under the chin.

Most patients wish to have a natural look, and do not wish to be pulled tight too much. Leaving a freshened and healthier appearance without looking like they have had a facelift or recent operation.  Dr. Jacobsen does his best to give you a natural look without pulling it too much.

The number 1 question patients ask is what is their downtime?  The downtime is particularly different depending on what your daily life is like.  If you have a conference or have to give a talk to a large room with people you probably will need to have 3 weeks of recovery to allow the swelling to go to an adequately to feel comfortable speaking in front of people.  However, if you are working at a desk and are comfortable you likely can return to work in a week.

There often is swelling that needs to be cared for, and only time will bring this down.  Most the swelling is largely gone after the 1st week and then continues to go down over the next 2 weeks.  Because the facelift really is not noticeably painful, people tend to do more after the surgery than they should.  Dr. Jacobsen and his staff warn patients to minimize physical activity and to avoid lifting and straining and bending over or loading the dishwasher or opening heavy doors or carrying heavy bags.  This causes swelling to persist.  If you do too much you will have persistent swelling.

 

The most common problem with facelifts are bruising.  Dr. Jacobsen applies a compressive garment on your face to that is worn for the 1st 48 hours that minimize the chance of bleeding or bruising.  Dr. Jacobsen does everything in his skills set with gentle surgical skills to avoid bruising, but typically, people do get some minor bruising here and there.  Avoiding lifting and straining and sleeping with the head of bed up and wearing the garment really minimizes the bruising a great deal.

 

Facelift operations are very well tolerated by women. It is nearly painless. It is one of the most painless operations and cosmetic surgery. It would seem as though the operation would be quite painful, because of the incision and the sensitivity around the face and neck. However, most women feel very little pain but more of a sensation of tightness. It is very important after the operation to avoid lifting or straining.

The incisions are finally closed with very fine suture material. Usually Dr. Jacobsen uses 7-0 Vicryl absorbable suture material. The suture material is dissolvable and usually falls out on its own after about 2 weeks.  The incisions are sealed with a fine layer of DermaBond a cyanoacrylate that is most like superglue but is flexible and is sterile.  This seals the incision and prevents bleeding and allows you to shower after the surgery immediately.  The incisions after the surgery required no creams or ointments or any specific care other than keeping them clean and dry with antibacterial soap and water.  You may shower directly after the incision as well.  It is best to treat the facial incisions after surgery with ice taking care not to freeze the skin with direct icing but using indirect icing with frozen peas in thin Ziploc bags or masks that can be obtained at the pharmacy that are filled with gel that can be frozen and interchange throughout the first day or 2 after surgery.  After the first 24 or 48 hours ice or cold packs will no longer help alleviate swelling. In the first day this can be very comforting and prevent additional bruising and minimize the swelling. The best way to minimize the swelling however is to avoid lifting and straining after the operation.  Even minor bending over to load the dishwasher can often allow your face to fill up with blood and feel congested and cause you to bruise or bleed.  It is best not to bend over or to lift and to allow your family to help you with car doors and heavy doors wherever you are.  He should sleep with her head of bed elevated at least 30° with an extra pillow which helps a great deal as well.  Your blood pressure should be maintained in a normal range as well.  Bruising always goes away with time and is always disappointing when patient skin bruising around your face and neck. It always goes away with time, but it is best to avoid this is much as possible with your own postoperative care. In a leading city of plastic surgery, techniques used in Phoenix facial plastic surgery are regarded as some of the best. If you’re considering a facelift Phoenix experience, please feel free to contact Dr. Jacobsen’s office with any questions or to schedule an appointment!

 

Dr. Jacobson rarely uses drains.

Normally for a full facelift the patient stays overnight in the surgery center recovery care center so that we can control your blood pressure and any pain issues that you may have as well as insure that you are well hydrated and without any nausea so that you can recover smoothly. Often, patients feel perfect throughout the day after the surgery and wonder whether why they stayed overnight. Usually patients feel great because the nursing staff there under Dr. Jacobsen’s direction and take great care to make sure that you are as comfortable as possible.

Dr. Jacobsen prescribes a facial garment that is compressive that is worn under the chin and over the cheeks for the first few days to minimize any bleeding and to minimize any swelling. This is a comfortable elastic device that can be taken on and off after the surgery.

Patients often wish to have only their neck or only their face done without the other.  It should be kept in mind however whenever the neck is lifted that the lower part of the face has to be lifted a little bit with it otherwise there is a transition zone between the neck and the face that causes folds, so a neck lift has to be tapered up onto the face.  Inversely, if the face is done, the lower face has to be tapered by lifting a portion of the upper neck as well otherwise there is another transition zone between the face and the neck that causes folds so a facelift has to be tapered down onto the upper portion of the neck.

Commonly the chin is somewhat saggy.  Chin is sag can create the loss of the sharp angle and definition of the underside of the chin with the neck.  During the facelift this area is rejuvenated by making a small incision under the chin directly in the fold under the chin that all adults have. In this way this incision is hidden. This incision can be used to remove some of the fat under the chin and to tighten the muscles under the chin as well. This gives a much sharper angle to the chin and to the neck. As a result, there are often incisions in front of the ear behind the ear and under the chin as well.

It should be noted that for men many times a facelift is a bit more complicated.  Because of the bearded skin there is more likelihood of bleeding and bruising postoperatively.  The blood supply to the bearded hair bearing skin of the face and neck in men is much more profound and thicker.  This can be managed and a facelift in a man is safe however it requires very careful surgery and very careful postoperative care. This can change the border of the hair bearing skin as it pulls the hair bearing skin laterally towards the ear slightly and up towards posterior neck as well. Sometimes male patients will have to shave just a little bit differently to accommodate the facelift.

 

Some Key Notes

  • All the sutures are used by Dr. Jacobsen are dissolvable.  Drains are rarely used.  All the incisions have surgical sterile glue placed on the incisions, so you may take a shower the same day after surgery.
  • Facelift surgery must be done under a light general anesthesia and SurgiCenter.  He will need to have a physical by your family doctor electrocardiogram and blood work done ahead of time.
  • Patients are often concerned that they may need another facelift in the future.  This is possible.  The likelihood of needing an additional facelift in the future is dependent on many factors including the nature of your skin, your activity, smoking, and other risk factors.  You do not have to wait until you are very old and look very old before you can have a facelift.
  • Younger patients are now having facelifts in their 40s. Even having a small mini facelift to help freshen their face with minimal scarring.  The mini facelift has a very short downtime.

 

WHAT IS A FACELIFT?

facelift, or rhytidectomy, is a surgical procedure that improves visible signs of aging in the face and neck, such as:

 

  • Sagging in the middle of your face
  • Deep creases below the lower eyelids
  • Deep creases along the nose extending to the corner of the mouth
  • Fat that has fallen or has disappeared
  • Loss of skin tone in the lower face that creates jowls
  • Loose skin and excess fatty deposits under the chin and jaw can give even a person of normal weight the appearance of a double chin

 

The loss of youthful contours in the face can be due to a variety of factors, including heredity, gravity, environmental conditions, and stress.

Rejuvenation procedures typically performed in conjunction with a facelift are brow lift, to correct a sagging or deeply furrowed brow, and eyelid surgery to rejuvenate aging eyes.

 

WHAT A FACELIFT WON’T DO

As a restorative surgery, a facelift does not change your fundamental appearance and cannot stop the aging process. A facelift can only be performed surgically; non-surgical rejuvenation treatments cannot achieve the same results, but may help delay the time at which a facelift becomes appropriate and complement the results of surgery.

 

Phoenix facelift doctors are some of the most renowned in the world. If you considering a facelift in Phoenix or are interested in learning more, please feel free to contact our office to learn more.

 

Facelift procedure steps

A facelift procedure includes the following steps:

 

STEP 1: ANESTHESIA

Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

A variety of other procedures can further enhance the outcome of a facelift. They include:

 

STEP 2: THE INCISION

Depending on the degree of change you’d like to see, your facelift choices include a traditional facelift, limited incision facelift or a neck lift.

A traditional facelift incision often begins in the hairline at the temples, continues around the ear and ends in the lower scalp. Fat may be sculpted or redistributed from the face, jowls and neck, and underlying tissue is repositioned, commonly the deeper layers of the face and the muscles are also lifted. Skin is redraped over the uplifted contours and excess skin is trimmed away.

A second incision under the chin may be necessary to further improve an aging neck. Sutures or skin adhesives close the incisions.

Traditional Facelift

An alternative to a traditional facelift uses shorter incisions at the temples, continuing around the ear and possibly within the lower eyelids or under the upper lip.

Limited Incision – Mini Facelift

Sagging jowls, loose neck skin and fat accumulation under the chin may be corrected with a neck lift. The neck lift incision often begins in front of the ear lobe and wraps around behind the ear ending in the lower scalp.

Neck Lift

STEP 3: CLOSING THE INCISIONS

Once healed, the incision lines from a facelift are well concealed within the hairline and in the natural contours of the face and ear.

 

Affordable Facelift Phoenix – Facelift Pricing

Total All-Inclusive Fees $  9,630
Dr Js Surgical Fees $  6,000
Garment $ 70
Payment to Dr Jacobsen $ 6,070
Estimated Anesthesia Fee $ ~1,000
Payment to St Joe’s SurgiCenter – Overnight $ ~2,560
Total Payments $ 9,630

Note: This is a pre-examination estimate that is appropriate for most patients wishing this service.  The fees may change slightly based on your personal needs.

Dr J and his staff look forward to understanding the details of your unique case, desires and aspirations, and to providing you with realistic, safe and attainable results that leave you looking beautiful, and truly feeling like yourself. Take the first step toward your healing or rejuvenating procedure with Dr J by filling out our contact form to request a consultation, or to inquire about any of the services we offer. We look forward to treating you!


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  • review rating 5  Hi Dr. J ., Tracy, Ashley, Kimberly and Susan- I came back to your surgical practice as I was very pleased with previous results. I find again a very caring atmosphere and staff and I am excitedly anticipating future results of your excellent technical expertise. Waiting to hear from you regarding the rest of the repair work yet to be done. Happy New Year and Happy Blessings to all of you! Thanks so much, Lisa Bishop

    thumb Lisa Bishop
    1/06/2018
  • review rating 5  I'm having a hard time with this because, I can't say enough good things about this office! Dr. Jacobsen is an amazing surgeon. He is always available, for any questions or concern. His staff go way beyond any other office I have seen. They are more than helpful with insurance, appointments, or any issue or questions. The office is both beautiful, and comfy. Like I said can't say enough.

    thumb J Basom
    1/25/2018
  • review rating 5  My experience with Dr Jacobsen, MD has been a stunningly positive experience. Is he a highly skilled surgeon? Yes, without a doubt and I would not hesitate to seek his help with any problem whatsoever. He is an excellent communicator and answers any and all questions and concerns so that I knew what was going to happen and what to look forward to. His staff is excellent as well. Dr Jacobsen has put together a highly professional team across the board. Bob N. 2/28/18

    thumb Ive Nuffet
    3/01/2018
  • review rating 5  I couldn't be happier with my procedure. Dr. J has the most kind and relaxing manner and he is the ultimate professional. I had a fatty tumor on my forehead that he removed, as well as breast reconstruction. The breast reconstruction was overdue as I had breast cancer with multiple lumpectomies, biopsies and radiation. It left the tissue hard and my old implant like a rock. He was able to correct all of the problems and I'm much happier with my appearance. Although you may find it odd at first that you can't get anyone by phone their response time is amazing. I emailed the office on a Sunday afternoon that I had a problem and within ten minutes (no exaggeration) I had a text back that a prescription had been called in to my pharmacy. I've had procedures with other doctors around the Valley and never had an experience more pleasant, nor one which I was happier with the results.

    thumb Leslie Keller
    10/16/2017
  • review rating 5  Dr. William Jacobsen and his entire staff are all very educated, professional and extremely responsive to any questions or concerns. They set up very real expectations for me after taking the time to help me understand what was hoped to be achieved. I have been treated with the highest respect and kindness. Dr. Jacobsen has an extraordinary bedside manner and met my needs and expectations in every way! With future facial and cranial reconstructive surgery to be performed, I am confident in facing the future with the care and golden hands of Dr. William Jacobsen.

    thumb SANDIYA McClendon
    2/03/2018
  • review rating 5  Very upper class. Beautiful surroundings, beautiful people. Very tranquil. Highly recommend.

    thumb Donna Koverly
    3/16/2018
  • review rating 5  My experience with Dr Jacobsen, MD has been a unbelievable first time experience for my procedure. He is a extremely skilled surgeon that that I would highly recommend. He is professional, compassionate, knowledgeable and has excellent bedside manners. Do not hesitate to set up a free consultation, your will never regret it. Jim K. 4/15/18

    thumb Jim Kleeman
    4/17/2018
  • review rating 5  I've had four visits with Dr. Jacobsen over the past 2.5 years, the first after the removal of 1/3 of my bottom lip from skin cancer, and the last for a biopsy of possible skin cancer on my nose. Each time, he has treated me with kindness and respect, and also had a level of confidence that made me feel relaxed with whatever he thought best for the particular problem. Thus far, the results have proven him correct. He has quickly become my go-to for any problem or condition that may create a cosmetic "issue". His office and staff make you feel welcomed and comfortable, and he promptly and generously responds to questions or concerns by email. One visit and you'll find these things out yourself.

    thumb Jay Phillips
    4/18/2018
  • review rating 5  I had skin cancer removed from my forehead for the first time and my dermatologist's office scheduled an appointment with Dr. Jacobsen on my behalf. Not only was the staff accommodating but they actually got another patient to reschedule so that they could fit me in to close up the (rather large!) wound. I still had no idea what was going on, what everything was going to look like, how much it was going to cost, etc and I was under a considerable amount of stress. Every staff member I interacted with put me more and more at ease; they're more worried about you as a person than they are about you as a payment. Dr. Jacobsen is very kind and so concerned about the wellbeing and comfort of his patients. I was in very good hands. I am now going through round two and I am back in his hands -- and couldn't feel more secure. The pictures shared are from my first procedure -- about 2 weeks apart. The scar has disappeared even more and is nearly unnoticeable even without a light layer of makeup (as in the after photo)

    thumb Kristen Costanza
    6/15/2018
  • review rating 5  Dr. Jacobsen and his team are beyond exeptional! From the moment you walk in you are treated with care and professionalism. Very very impressed! Thank you Absolutely recommend!!!

    thumb ester zav
    7/25/2018

Get started today!

Dr J and his staff are committed to providing you with exceptional and compassionate care. On behalf of our entire team, we invite you to request a consultation to talk to Dr J about your goals, expectations and aspirations. We can’t wait to find out how our 20-plus years of experience in cosmetic and functional plastic surgery can help change your life, and make you a happier, healthier person.

Dr. William Jacobsen
Plastic Surgery
2525 East Arizona
​Biltmore Circle, Ste C236
Phoenix, AZ  85016

Phone: 602-212-0100
Fax: 602.279.1701
info@drjsoffice.com

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Dr J considers every surgery an opportunity to express his vision with his patients, and believes in natural, beautiful results that leave you feeling confident and beautiful, but most importantly, feeling like yourself. From extremely rare and complex surgical cases, to cosmetic surgery, Dr J has the experience, compassion and understanding to help you achieve your surgical goals.

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