Understanding the Facelift


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 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 and creating a more favorable angle under the chin.

Most patients do not wish to be pulled to tight.  They wish to have a natural look and look freshened and healthier without looking like they have had a facelift or looking is so they look likely just had an operation.  Dr. Jacobsen does his best to give you a natural look without pulling it too much.

Most patients 1st question is what is their downtime?  The downtime is particularly different depending on what your daily life is like.  If you have to give a talk to a large room with people you probably will need to her 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 her comfortable either at home are near workplace 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 painful at all people tend to do more after the surgery than they should.  Dr. Jacobsen and his staff warns patient’s 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 facelift 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.

All the sutures are used by Dr. Jacobsen are dissolvable.  Drains are really 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.  But she do not have to wait until you are very old and look very all do for you can have a facelift.

Younger patients are having facelift now in their 40s and 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?

A 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 WONT 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.

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.

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!

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
2400 East Arizona
​Biltmore Circle, Ste 2450
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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