The face is the most unique, recognizable part of the human body. It is the most important physical attribute we have that is capable of conveying our emotion. The well known saying “a look is worth a thousand words” summarizes the importance of our facial appearance in expressing our thoughts and emotions.
As we age the soft tissue in the face will often sag causing us to look tired, angry, or concerned. This is caused by several factors. Intrinsically, the skin looses elasticity, muscle atrophies, bone becomes thinner, and natural facial fat shrinks. Extrinsically, sun exposure, smoking, gravity, diet, and genetics can contribute to an undesirable appearance of the face as we age.
The facelift procedure is designed to lift the jowls and eliminate the banding in the neck. A facelift is more than trimming skin. A quality, lasting facelift entails tightening the muscle underneath the skin and anchoring it in its natural position. This results in a clean, defined jawline and a natural, yet dramatically more youthful appearance. Dr. Miller accomplishes this by using incisions that are hidden and avoids the stigma of an artificial “operated” face.
Dr. Miller will tailor the procedure to meet the unique needs of each patient. During the consultation, he will give each patient a comprehensive analysis and develop a plan to meet their specific objectives.
A good candidate for this procedure includes anyone who has evidence of jowling, sagging cheeks, excess neck fat and skin, and deep facial wrinkles. There is no specific or optimal age to get a facelift.
The procedure takes about 2-3 hours and entails meticulously camouflaged incisions, anchoring of the SMAS layer, tightening of the platysma muscle in the neck, and removal of excess skin. The surgery can be performed in our state-of-the-art procedural suite or, if the patient requests general anesthesia, it can be done at an accredited surgery center.
Patients are sent home the night of recovery and are given a set of informative post-operative instructions. Patients do have the option to stay at an accredited recovery facility if they choose. Swelling and bruising usually resolve within 2-3 weeks. Patients are advised to take between 7-10 days off of work and avoid strenuous exercise for 3-4 weeks.
A compression garment is recommended and is worn around the neck and face for one week and then at night for 2-3 weeks. The more often the patient wears the garment, the faster the patient will heal. Post-operative pain is usually managed effectively with oral pain medication and thorough instructions will be provided to the patient regarding medications. The patient will follow up on post-op day 1 for a routine check and on post-op day 7 for removal of sutures.
Facelifts are often combined with other procedures including…