Facelift surgery has been revolutionized in the last 10 years with the advent of adjunctive, non-surgical technology and volumizing techniques, such as fat grafting, skin resurfacing with various peels and lasers, and micro-needling. By combining these other techniques and technology now available that focus on improving the quality of the skin with truly age reversing results allows the surgeon to perform more minimalist facelifts that can often be done with much smaller incisions, less invasive techniques, less scarring, safer and much more natural results.
WHO IS A CANDIDATE
Facial aging begins as early as your 30s with noticeable volume loss beginning around the orbit, the Temple, nasal folds, lips and jawline. Dr. Sarikhani firmly believes that volume replacement in these areas with fat grafting or metabolically active fillers such as Sculptra are the best initial treatments. These are office procedures, performed under local and give the patient a better understanding of the importance of volume loss with age and how reversing this loss truly gives a very youthful, natural and long-lasting appearance.
Facelifts range from “mini” to “standard” to “extended SMAS” depending on location and extent of both skin and muscle laxity. The operation is done on an outpatient basis under local anesthesia with sedation, or under general anesthesia. Incisions are made within the hairline (or along the hair margin) above the ear, extending down around the lobe, and ending in the hairline behind the ear. The deep muscle layers of the face and neck are tightened, the facial skin is redraped and lifted, and the excess skin is removed. This will create a more youthful jawline and a better contour due to the removal of loose skin and excess fat but without an operated look.
Usually one or two nights in the outpatient recovery are required. The patient goes home with head and neck wrapped in dressings or elastic garment, which can be worn for the first few days to prevent swelling. Minimal initial discomfort is easily controlled with oral medication. Sutures are removed within 5-7 days. Bruising and swelling decrease to “socially acceptable” levels in 10-20 days. The final result is evident in 4-6 weeks or sooner with continued improvement for several months.