A facelift is the most powerful facial rejuvenation procedure and can address multiple signs of aging on your cheeks, lower face, jawline, and neck.
From minimally invasive techniques to more comprehensive surgery, different facelift procedures can rewind the clock on your face and reverse the effects of time.
We offer our patients customised facelift procedures at our plastic surgery facilities in Dallas, Texas. Read on to learn more about the different types of facelifts and how each one can help you get back your younger looks.
Facelift surgery, or a rhytidectomy, is a cosmetic procedure that improves the visible signs of aging in the face and neck.
As you get older, your face loses volume, and the facial tissue migrates downwards. That can result in looseness in the neck, sagging of the jowls, and fallen cheeks.
A facelift is designed to address those cosmetic concerns and restore a more youthful and natural look to the face and neck.
Here are some of the many benefits of getting a facelift that may make you consider getting one:
The natural aging process can cause various changes in the appearance of your face and neck. Facelift procedures target several facial aging signs, such as deep wrinkles and creases, loose skin, and excess fat, and give your face and neck a more youthful look.
A facelift allows us to reposition the facial tissues and tighten the neck muscles. Afterward, the skin is re-draped over the face firmly to smooth out any wrinkles or creases, and excess skin is trimmed. That allows us to reduce facial sagging and restore a smooth appearance to the face.
A facelift procedure can help eliminate the extra skin and excess fat around your neck that can make you look heavier than you are.
We can address loose skin that hangs down from your jawline (jowls) during your facelift. This cosmetic procedure allows us to create a stronger, more defined jawline and recontour the neck.
You can pair your facelift with other cosmetic procedures, such as eyelid surgery (blepharoplasty) or a brow lift. Combining those cosmetic procedures with a facelift helps improve the appearance of your entire face with only one recovery period.
The exact size and location of a facelift scar will differ depending on the type of facelift and your own healing. However, most facelift incisions are concealed along the hairline or behind the ear. The portion of the scar in front of the ear almost always heals as a thin, pale line. It’s usually hard to see without close inspection.
A facelift gives you a natural, refreshed look and takes years off your face. We’ve modified our facelift techniques to avoid the overly tightened face appearance that makes it look like you’ve had work done.
You don’t need to be older than 50 to get a facelift. Anyone with signs of skin and tissue sagging in the face can benefit from a facelift procedure. We perform many facelifts on women in their forties (and occasionally in their thirties.)
Robert Schwartz Plastic Surgery, we customize each facelift for that patient’s needs because:
We always want to choose the right combination of procedures to achieve the best results in the least invasive way possible. Here are some options:
The SMAS (Superficial muscular aponeurotic system) is the most commonly performed facelift and offers a combination of effective rejuvenation, long-lasting results, and relatively short downtime.
The acronym “SMAS" stands for the superficial musculoaponeurotic system, which is the layer of tissue that lies beneath your facial fat. Though you can’t actually tighten your facial muscles, your surgeon can tighten the SMAS layer, which covers the muscles. Doing this indirectly tightens the muscles by moving them to a higher, more youthful position.
The SMAS facelift is effective for reducing jowls, smoothing the jawline and tightening the neck.
A mini facelift also called a short-scar facelift or a “lunchtime lift,” is a cosmetic surgery procedure that is used to improve the appearance of the face. Unlike a traditional facelift, which involves making incisions in the hairline and around the ears, a mini facelift only requires incisions directly in front of the ears. This results in less scarring and faster healing time. The advantages of a mini facelift compared to a traditional one:
Though the short incision allows for faster healing, it limits the surgeon’s ability to remove excess skin and tighten the deeper facial layers. It works best for younger facelift patients (think forties) and those looking for more subtle corrections. If you’re looking for more dramatic changes, then you may want to consider a full facelift instead.
You can think of the quick lift as the middle ground between a mini lift and a full facelift. Like the mini facelift, it can be performed through a short incision. But, when we do the quick lift, we lift a little more cheek skin. This allows us to tighten the cheek skin a little bit better. It also allows us more access to internally lift the facial fat and muscles.
The quick lift is unique in that it uses a single permanent internal stitch to tighten all of the deep tissue in the cheek and the neck. This innovative technique has almost all the lifting power of a full facelift while being less invasive.
A minimal access cranial suspension (MACS) or short-scar facelift is a relatively straightforward facelift technique. This technique can work well for patients with only mild facial aging and limited sagging in the neck area. The technique is similar to the Quicklift, but with the MACS, we use three dissolving stitches to lift and tighten the internal tissues of the cheek and upper neck.
The advantages of a MACS facelift:
The MACS facelift will not remove skin from the neck and isn’t a good choice if you have significant neck laxity.
The deep plane facelift, also known as the high-SMAS facelift, and the vertical facelift, uses the SMAS, in a slightly different way to lift the facial tissues. Here, the skin, fat, and SMAS are lifted as a unit, and the SMAS is cut transversely high in the cheek. This modification allows the surgeon to tighten the SMAS in a nearly vertical direction. This can produce a more natural and longer-lasting facelift result but will also cause more swelling and require a longer recovery.
One of the first signs of facial aging is the loss of fullness over our cheekbones. When we are younger, our cheekbones are padded with fat and muscle. As early as our 30s, this pad starts to slip downwards into the lower cheeks. The area below the eyes looks hollow, and the lower cheeks look heavy. These problems can be fixed with a midface lift.
The surgeon first releases all of the cheek tissue off of the underlying bones. This is done through small incisions in the mouth and behind the hairline in your forehead so there are no visible scars from a midface lift.
Once freed, the cheek tissue is lifted to a more youthful position and suspended with an internal suture. Since this repositioning happens at a level just above the bone, the midface lift is the deepest of deep-plane facelifts.
Among the benefits of the midface lift are:
These non-surgical facial rejuvenations is can help reduce facial aging and delay the need for surgery.
These procedures have a more limited range of benefits and more modest results. For each of these will discuss their benefits and limitations.
Given the sheer number of different facelift techniques, it should be obvious that no one of them is the perfect facelift for everyone. We view each of these techniques, instead, as an individual component – basically, a module. We mix and match these various modules for you depending on what you need.
How do we determine what you need? These are the factors that go into it:
How do you know if you’re a good candidate for this type of procedure? Here are four things to consider.
We perform facelifts on an outpatient basis, and our patients go home the same day. Most can take care of themselves within one to two days.
Contrary to popular belief, facelifts are not usually particularly painful. Most of our patients do not require narcotics during their recovery.
What limits most patients' return to activity is their appearance – facelifts almost always produce bruising and swelling, which, depending on which technique is used can be significant. Here are some guidelines for what you can expect:
You’ll likely see about 75% of your final facelift result after about one month. After two months, your facelift will be 90% healed. Complete healing along with the fading of your scars takes 6 to 12 months.
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Dr. Schwartz of Robert Schwartz Plastic Surgery reviews the types of anesthesia that may be used during a facelift procedure.Read article
Dr. Schwartz discusses the case for a QuickLift or mini facelift.Read article
Dr. Schwartz discusses why he believes patients are getting cheek augmentation when most women who get them really need something else.Read article
Dr. Robert Schwartz is the founder and director of Robert Schwartz Plastic Surgery in Dallas, TX. He is certified by the American board of Plastic Surgery and member of the American Society of Plastic Surgeons. He graduated from the David Geffen School of Medicine at UCLA in Los Angeles, CA and has been in practice for over 20 years. Dr. Schwartz is gifted with a keen eye and the unique skill to visualize you at your best, and he will execute that vision throughout every phase of your treatment to consistmently deliver stunning results. This is what makes him a world-class plastic surgeon.
Several factors go into determining the final price of a facelift, including the surgeon’s experience, the length and complexity of the procedure, and whether you need any additional treatments. Our mini-facelifts start at around $11,000. Full facelifts typically range from $15,000-20,000. More comprehensive facial rejuvenation packages (adding procedures like a midface lift, browlift, and eyelids) start at about $22,000.
During your consultation, we’ll be able to tell you exactly how much your facelift procedure is going to cost. You can also take a look at the estimated pricings of our facial procedures by clicking on this link: Plastic Surgery Pricing & Cost in Dallas | Dr. Robert Schwartz
A facelift is a surgical procedure to improve the appearance of the lower face and the neck. There are a number of ways to perform a facelift but all involve some combination of techniques to tighten and move the skin and deeper tissues upwards and backwards. This reverses the gradual descent of these tissues that occurs as we age.
It's a good idea to minimize talking for 3-4 days after a facelift. The facial motion will occasionally lead to small blood clots under the skin (hematomas) at the corners of the mouth.
Women and men who have begun to notice the signs of facial sagging are candidates for a facelift. The typical signs include jowls along the jaw line and loose skin in the neck. The creases that run from the nostrils to the corners of the mouth (nasolabial folds) may deepen. More subtle is a gradual change in the shape of the face. This occurs as the tissue pads that cover the cheekbones slowly slip downward into the lower cheeks. The cheekbones appear bonier and less prominent while the lower face looks heavier and tired. Over time the face appears less angular and more squared and flattened.
The age at which these changes occur will vary depending on your skin type, bone structure, health, weight, and other factors. In most people they will start to show sometime in their forties. Facelifts are typically performed in men and women in their forties and fifties though we have treated patients from the early thirties to the late seventies.
Facelifts are cosmetic procedures. It would be very unusual for an insurer to cover this procedure.
The exact location of our facelift scars will vary somewhat from patient to patient depending on the individual anatomy and the specific techniques we use. Most commonly, the main scar hugs the front of the ear, curves underneath the earlobe, runs upward immediately behind the ear, and then crosses into the hairline where it travels for a variable distance. Scars in these locations tend to heal well in most patients and are often difficult to discern.
We frequently recontour the cheeks using a midface resuspension. The scars for this procedure are located inside the mouth and behind the hairline on the temples.
Most patients will show signs of aging in multiple areas of the face. It is not uncommon for us to perform a combination of procedures that may include:
- Midface lift
- Browlift or endoscopic browlift
- Eyelid surgery
- Fat injections
- Face and/or neck liposuction
- Skin resurfacing
Though everyone’s response to pain is different, most patients do not find facelifts particularly painful. The discomfort is usually short-lived and well-controlled with oral pain medications.
Most types of exercise can be restarted four weeks after a facelift. Performing physically strenuous activities earlier than this can impair healing.
Most patients can resume driving one week after a facelift.
When can I return to work after a facelift? Facelifts rarely produce much postoperative pain and most patients will feel well enough to return to work in several days. Appearance is usually the limiting factor governing return to work. All facelifts produce some degree of swelling and bruising. Depending on the techniques used, most patients will appear reasonably normal 2-3 weeks after surgery. When you feel comfortable returning to work will depend on the nature of your job and your personal comfort level.
Your facelift will be performed under general anesthesia (i.e. you will be asleep). We use only board-certified physician anesthesiologists.
We perform our facelifts at a JCAHO-certified ambulatory surgery center.
With most facelifts, the skin and/or deeper facial tissue are tightened by pulling them backward toward the ears. Though these techniques are effective, the required tension tends to flatten the cheeks and can produce an unnatural appearance if overdone.
Instead of tightening the cheeks, we internally lift them in a more vertical direction. This restores a more youthful volume and shape without creating a tight, stretched appearance.
*Individual results are not guaranteed and may vary from person to person.
Dallas, TX plastic surgeon Dr. Robert Schwartz provides a full variety of facial cosmetic procedures. One of our most popular surgeries is a facelift. This concentrates on specific sections of the face, addressing loose skin to create a younger and softer appearance. Depending on your unique concerns, a facelift can focus on the eyes, the cheeks and mid-face, the bottom portion including the jowls, mouth, and neck, and more for an all-over youthful look. The specific facelift method will
depend on the patient's goals, the condition of the skin, the amount of laxity present, age, lifestyle, and other influences. Some men and women are candidates for a full facelift, while others may only want a mid-face lift with moderate lifting. Our skilled surgeon has a complete understanding of the complex anatomy of a facelift surgery. The goal is to create a natural-looking result that's soft and beautiful. Call Robert Schwartz Plastic Surgery in Dallas, TX to schedule your facelift consultation today.
Candidates for a facelift wish to correct visible lines and facial wrinkles whether it be on the entire face or just the upper, mid, or lower sections. Facelift surgery can address many aspects depending on your unique needs. It is important to understand that age does not necessarily dictate the appropriate time to have a facelift. There are so many factors and concerns to warrant this procedure, along with numerous lift methods depending on what is being corrected.
The facelift chosen will vary for patients who are 35 years old versus those in their 60s and 70s. Skin elasticity is one of the most important factors in the planning process. Facelift patients should be in good physical health, sustain from smoking, and also have realistic expectations. Prior to surgery, we will blend nonsurgical treatment options to find out if you can benefit from nonsurgical procedures, such as fillers.
Depending on your individual needs, there are a number of facelifts available. Some facelifts rejuvenate the upper portion of the face, while others focus on the middle and lower. Furthermore, some procedures are slightly more invasive and intricate than others. It is also common for some patients to have a brow lift, forehead lift, or fillers/BOTOX to enhance results. A few of the more common facelift methods include:
During a mini facelift, a small incision is made around the ears to lift and tighten the skin, which affects the mid to lower face. This method creates subtle improvements that look natural.
Using a similar technique to the mini lift, the mid-facelift (cheeks) focuses on the sagging near the cheekbones and the upper jaw. This lift works nicely for those who seek improvement to the lower two-thirds of the face, including the jowls.
Considered the gold standard, the full facelift generally uses an incision along the hairline that extends down to the temples, reaching the base of the ears. The underlying facial tissues and muscles are gently pulled and tightened to produce a lifted look, which helps reduce excessive lines and wrinkles.
The traditional facelift is reserved for men and women of advanced age. With this lift, many facial rejuvenation methods may be combined, including upper or lower blepharoplasty to enhance the eyes or a neck lift for the lower region.
This particular facelift addresses the neck and chin, and in many cases, the jowls. Nonsurgical methods, such as laser skin tightening or Kybella, can also be used for chin reduction and a softer, tighter neck.
Regardless of the facelift method you have, the ultimate goal is to create a natural and beautiful outcome. The majority of facelift surgeries are performed with general anesthesia. The timeframe of the treatment depends on the level of invasiveness and if other treatments were combined.
After surgery, there will be swelling and puffiness, some moderate soreness, and discomfort, which can be quelled with pain prescription medication. Most patients look and feel normal after 2 – 4 weeks. You will see a softer, more youthful appearance. In all, the face will be slightly lifted and rejuvenated. Read more about scars and facelift!
Dr. Robert Schwartz is the founder and director of Robert Schwartz Plastic Surgery in Dallas, TX. He is certified by the American board of Plastic Surgery and member of the American Society of Plastic Surgeons. He graduated from the David Geffen School of Medicine at UCLA in Los Angeles, CA and has been in practice for over 20 years. Dr. Schwartz is gifted with a keen eye and the unique skill to visualize you at your best, and he will execute that vision throughout every phase of your treatment to consistently deliver stunning results. This is what makes him a world-class plastic surgeon.
Facelift surgery can take years off your face and give you a fresh look. Today, there are many options for surgery based on your personal needs and goals. This treatment will help you walk gracefully through each passing year looking natural. To learn more, we invite you to call our office to set up your private consultation.