Once wrinkles and skin sagging have reached moderate to severe, it may be necessary to seek out surgery procedures to reverse skin aging. Also known as a rhytidectomy (literally, wrinkle excision), a facelift is a surgical procedure to turn back the hands of time. If you are interested in learning more please feel free to visit us at Omaha Face Plastic Surgery & Medspa. Visit our practice in Omaha, NE, or contact us today to schedule your consultation!
What is a Facelift?
As we age, our skin and deeper muscular tissue lose their elasticity and native youthful position. A facelift is an outpatient surgical procedure designed to elevate and tighten these facial and neck tissues that have fallen and loosened over time. There are many variations of facelifting ranging from minimal incision lifts for minor changes, to more extensive neck and face lifting for more dramatic results. Some of the most common issues addressed with facelifting include:
- Platysmal banding (neck muscle bands)
- Submental fat and skin laxity (turkey neck)
- Jowling, or excess skin along the jawline
- Deep nasolabial folds (smile lines)
Who is a Candidate?
Patients who may benefit from a facelift include those concerned about aging changes of the mid to lower face and neck, excess skin, or sunken cheeks. There are numerous factors to be considered when thinking about the correct procedure for you, including skin type, neck and facial bone structure, as well as fat distribution within the neck and face.
Patients must be able to come off blood-thinning medications for 2 weeks, and healthy enough for a general anesthetic, although some variations of this procedure can be done under lighter sedation. This procedure is not restricted to those who are 50-60 or older, it is a good procedure for anyone interested in treating wrinkles in a dramatic way.
What Does a Facelift Involve?
Facelift surgery is best tailored to meet each individual patient’s needs. There are several types including but not limited to:
- Mini facelift is best suited for patients who need minor lifting. It helps elevate and tighten the cheek. Involves a small incision hidden around the ear. This technique has shorter recovery, but is not suited for making changes to the jawline or lower neck.
- Deep plane (extended) facelift is an expanded lift that has the ability to treat the jawline, neck, and sunken cheeks in one procedure. The incision is hidden around the ear and hairline. Both the skin and deeper tissues are elevated and tightened in a more youthful position. When addressing the neck and submental region, conservative liposuction is done to obtain a better contour.
- Neck Lift is a similar approach to a standard facelift, but with minimal dissection into the facial tissues. This procedure is designed to establish a smooth contour of the neck muscles and tighten the skin simultaneously.
- Midface lift is often done through a lower blepharoplasty incision. It is done to get a more vertical lift to the cheek. It is generally best suited for patients with a low cheek fat pad, and who would also benefit from lower eyelid skin and fat pad correction at the same time.
In addition to the multiple variations on facelifting, adjunctive procedures are often combined with this procedure to maximize results. Facial fat grafting, laser resurfacing, and submental liposuction are some examples of procedures often used to augment facelifting results.
Deep Plane Facelift
In the past, facelift procedures were stereotyped as pulling the skin back to give the individual an extremely unnatural appearance. Recent advances in the technique used for this procedure have given rise to the now popular deep plane facelift. This procedure focuses more on adjusting the muscles and fat in order to rejuvenate and revitalize, and less on pulling the skin back.
The results from a deep plane facelift generally last much longer than outdated facelift methods of the past. This is due to the fact that the superficial muscular aponeurotic system (SMAS) is affected during the procedure, not just the naturally elastic skin.
What is Recovery Like?
Recovery time is different for every patient, and also differs depending on the extent of surgery.
A mini-lift (for younger patients) has around one week of downtime, with minimal swelling and bruising. A deeper facelift for patients with more advanced aging changes may have some swelling and bruising for longer. Follow-up is frequent early on to make sure that you recover optimally from your surgery. The sutures come out at one week. Pain and discomfort are usually quite tolerable after this procedure.
Why Choose Dr. Harbison?
When you choose Dr. Harbison for your facelift procedure, you are choosing a double board-certified plastic surgeon. Not only is he certified as a facial plastic surgeon, but also as a head and neck surgeon. He has extensive expertise in performing facelift procedures. The most common procedure for him to perform is the deep plane lift.
At Omaha Face Plastic Surgery & Medspa, you can experience the knowledge and care of Dr. Harbison and our exceptional surgical team.
If a facelift procedure interests you, you can find out whether you are a candidate by visiting Omaha Face Plastic Surgery & Medspa in Omaha, NE. Contact us today to schedule your consultation with Dr. Harbison!