What is Facelift Surgery?

Facelift surgery lifts and firms sagging facial tissues to restore a more naturally youthful facial appearance. It is often said that having a facelift works to “turn back the clock,” helping a patient look like a younger version of him or herself. By removing excess, sagging skin, smoothing deep folds, and lifting and tightening the deep facial tissues, a facelift surgery can help a patient look not just younger, but simply “better.”

Why Have a Facelift?

As we age, skin begins to lose elasticity, and facial tissues lose volume. Eventually, this results in “jowls” on the lower face, deep wrinkles, and loose skin on the neck. While this is a natural part of growing older, patients who are bothered by these signs of aging may find a facelift to be a good solution. If any of the following describe you, a facelift is an option to consider:

  • You feel self-conscious about the way your face & neck look due to sagging skin
  • You wear turtlenecks and scarves not because you want to, but because you want to hide your aging neck
  • When you see your reflection, you feel that your face makes you look much older than you feel
  • You feel that an aging appearance is negatively affecting your career or personal relationships

Following a facelift, patients frequently experience an upsurge in self-confidence, as their appearance better portrays their healthy, energetic vibe.

A facelift can help your look better reflect your energetic self.

A facelift can give you a look that better reflects your vibrant self.

Choosing a Cosmetic Surgeon

Facelift surgery is a complex procedure that requires extensive knowledge in facial anatomy, a very specific skill set of surgical techniques, and a highly-developed eye for aesthetic detail. Not all physicians who practice cosmetic surgery receive training in facelift surgery in their residency training, so it’s important to do your homework before choosing a facelift surgeon.

When consulting with potential cosmetic surgeons, ask about their specific training and experience in facial cosmetic surgery. Also, find out how many facelift procedures each has performed, and be sure to look at plenty of before and after photos during your consultation—this will help you get a feel for a cosmetic surgeon’s aesthetic style. Men considering facelift surgery should make sure a cosmetic surgeon has experience performing facelifts for male patients; the anatomy of the male face is unique from a woman’s and requires a knowledgable approach.

Choosing a board certified cosmetic surgeon ensures that your surgeon is specifically trained and experienced in cosmetic surgery, including facelift techniques, and that your procedure will be performed in an accredited surgical facility. Get helpful tips on choosing a cosmetic surgeon.

Types of Facelifts

Facelift surgery is individualized to a patient’s needs, and a cosmetic surgeon will tailor his or her techniques accordingly.

Mini-Facelift

Patients who exhibit a mild degree of jowling and sagging skin are often good candidates for a mini-facelift. This is a less invasive technique that allows a cosmetic surgeon to tighten deep facial tissues through shorter incisions, typically located along the hairline above each ear and/or in the natural creases surrounding the ear. Through these incisions, structural tissues around the cheeks are lifted and tightened to correct jowling, refine the jawline, and rejuvenate a “tired” appearance.

Depending on the case, a mini-facelift may be performed using local anesthesia with sedation or general anesthesia; your cosmetic surgeon will recommend the best option for your individual needs. A mini-facelift can help you address unwelcome signs of aging before they become too pronounced, postponing the need for more extensive surgery for many years.

Standard Facelift

A standard or “traditional” facelift will more fully address moderate to advanced aging around the mid-face and neck. While the surgery is more extensive than those for a mini-facelift, and thus more recovery time is required, the results are more dramatic. Through incisions located just behind the hairline, starting near the temples, and around the front of the ear, hidden in the natural folds, a cosmetic surgeon can reposition the deeper tissues beneath the skin and remove excess skin to smooth creases, eliminate jowling and sagging skin under the chin, and restore a naturally youthful contour to the face and neck.

How Does Facelift Surgery Work?

The exact technique a cosmetic surgeon uses during a facelift depends on a number of factors, including a patient’s anatomy and personal goals, the extent of the facelift (mini vs. standard), and whether or not another procedure is being performed at the same time. Facelifts are typically performed using general anesthesia, although local anesthesia with sedation may be used in certain less extensive procedures.

After making the initial incisions, the skin is separated from the underlying connective tissue and muscles. This allows the cosmetic surgeon to reposition the deeper facial tissues, get rid of the jowls and create a firmer foundation for the skin. Then, excess skin is removed, and the remaining skin is gently laid back over the newly rejuvenated facial tissues, giving the face a smoother, more youthful contour without over-tightening the skin.

Can a Facelift Improve My Eyelids Too?

It’s not uncommon to hear the word “facelift” used when referring to any type of facial rejuvenation surgery, and understandably, a lot of people think that a facelift involves operating on the entire face—eyes, brow, cheeks and chin. That’s understandable; after all, your eyes and forehead are part of your face too. However, a facelift on its own only addresses the lower two thirds of the face – the cheeks and jawline.

Why is this the case? It is largely due to differences in anatomy. The skin, muscles and other tissues along the brow and surrounding the eyelids are very distinct, and cosmetic surgery to each of these areas requires an entirely different set of techniques than those used during a facelift.

It is common for patients to choose to have an eyelid lift, brow lift or neck contouring at the same time as a facelift, but in these cases, a cosmetic surgeon will actually be performing two different procedures in one single operation. Likewise, patients who only want to address aging around the eyes or neck can typically achieve their goals with only an eyelid lift or neck lift, and not a facelift.

Life After a Facelift

A facelift is a complex procedure requiring exceptional surgical skill, but the recovery process is surprisingly quick for most patients. Patients typically return to normal daily activities after about 2 weeks (strenuous exercise will need to wait about 4 weeks) following a standard facelift, and these time frames are normally even shorter after a mini facelift. As every patient heals a little differently, your cosmetic surgeon will give you detailed instructions for aftercare and returning to activity.

One of the primary concerns patients have following a facelift is how soon they will look presentable after their procedures, and understandably so – unlike a breast or body procedure, for example, you cannot easily cover the area with clothing. Bruising and swelling are normal after a facelift, and will be at their peak about 2 days after surgery. After that, bruising and swelling will gradually get better, and should be difficult to notice after about 10 to 14 days. Even so, many patients feel comfortable going out in public about a week or so after their procedures. Your cosmetic surgeon can advise you about when it is safe to wear camouflage makeup.

As you ease back into your routine after a facelift, it’s especially important to keep your face protected from the sun. You will be more vulnerable to sunburn for several weeks after surgery, plus staying out of the sun will help scars heal as inconspicuously as possible. Wear a wide-brimmed hat and apply sunscreen regularly.

How Will Facelift Results Look Over the Long Term?

When performed by an experienced, board certified cosmetic surgeon, a facelift is designed to achieve results that not only look natural now, but will also age naturally with you. While nothing can stop the normal aging process, after a facelift you should always look years younger than you would have without the surgery.

However, there are certain things you can do to keep your results looking their best. Maintaining a healthy, stable weight is important as significant weight fluctuations can cause skin to stretch out again. You should also adopt a consistent, quality skin care regimen to keep your skin healthy and protected from unnecessary aging.

When performed by a qualified cosmetic surgeon, facelift surgery is a safe procedure and an excellent way to rejuvenate your appearance. The best way to decide if a facelift is right for you is to consult with a board certified cosmetic surgeon. You can use our ABCS Find-a-Surgeon tool to find cosmetic surgeons in your area.