Lower Facelift and Necklift (In office procedure)

If You're Considering a Lower facelift. . .

As we age and following over expose to the sun, our skin and the fat over our face tends to sag. This affects more over the mid face (cheek area) and results in nasolabial folds (laugh lines form the side of the nose to the lips). Some develop jowls and in others the neck tends to sag. The fat in the midface tends to drop vertically down and this results in a deflated face. Rhytidectomy or a face lift cannot reverse the effects of aging but it can certainly can turn the clock back so that you look a decade younger.

All facelifts are not equal and in the past it has been associated with stigmata of a tight and stretched face. It was as if women with facelifts could be recognized a mile away in a party. Well, the good news is that things have changed. Facelifts are now done very differently. The downtime is reduced to a week and surgeons are doing less to achieve more. A facelift by Dr. Rane has minimal to near invisible incisions after surgery. The predominant correction of sagging is vertically up so that your face looks full and not stretched. The before and after photos below will show you how a natural face can be created without the typical facelift look. It is as if a decade has been taken away from your face. Their face is not changed it is just more youthful and rejuvenated.

All Surgery Carries Some Uncertainty and Risk

When a lower facelift and necklift is performed by Dr. Rane, complications are infrequent and usually minor. You will have swelling over your face which will take 7-10 days to subside. You can rarely develop a hematoma or collection of blood. If it does you may require an additional surgery to remove the blood clots. Smoking can impair healing and this can result in some areas not healing. It is therefore very important to stop smoking prior to surgery to reduce complications. Rarely you may have some asymmetry of face temporarily due to the swelling. This will subside.

Where Your Surgery Will Be Performed

A lower facelift and necklift will be performed in my office under local anesthesia and some oral sedation . . .

Types of Anesthesia

Your facelift will be performed under local anesthesia and oral sedation.

The Surgery

A lower facelift usually takes three hours or somewhat longer if you're having more than one procedure done.

The incision is placed in the cartilage of your ear along a natural shadow line. The remaining incision is placed behind your ear so that it is barely visible. The skin and fat are then lifted and your fascia is then tightened. This allows the mini facelift to last much longer than a typical S Lift. A small incision is placed in an area underneath your chin and the youthful contour of the neck is obtained by performing a corset plastysmoplasty. This unique technique allows plication (gathering) of the sling of muscles of the neck so that the vertical bands that you have, will disappear. The vertical direction of the mini facelift correction results in a very natural appearing face following the surgery. The fat is also trimmed and excess loose skin is then removed. All the sutures are placed under the skin and do not need to be removed. A small drain is left at the end of the surgery to allow the blood to be drained. The drain is removed in a few days after the surgery.

After Your Surgery

There will be some swelling on your face after the surgery. The swelling can be reduced by application of ice and sleeping in the upright position. Mini facelift is not very painful and you will receive pain medications to reduce your discomfort. If you have persistent pain, please call me so I can check out whether you have a hematoma or not. There may some asymmetry of the face as there may be more swelling on one side than the other. The skin over the face may be numb for a very few weeks to a month or so.

Your drainage tube will be removed two to three days after surgery. The swelling and bruising will subside in a week to 10 days, so please be patient.

Getting Back to Normal

You will be up and about the next day or so. Take it easy and give some time for your face to heal. It may take seven to ten days for the swelling to subside completely and you will be able to visit your friends and attend social functions at that time. You can walk briskly in two weeks and you perform aerobic exercises in four to six weeks. You can apply make up on your face in a week to 10 days to camouflage your bruises if you have any.

Your New Look

As your swelling on your face subsides you will start seeing the results of the surgery. You will see that your face outline will be more defined and your face and neck will appear youthful. You will look in the mirror and thank yourself for doing this to yourself.

SmartLipo and Lower facelift and necklift combination

Combination of SmartLipo™ and a mini facelift gives you the best combination to achieve a youthful face and neck.

  • Performed under local anesthesia in my office
  • SmartLipo™ allows laser to remove fat under your neck
  • Lower facelift restores the deeper tissues to give you a more youthful contour of the neck
  • Significantly reduced bruising and swelling
  • Supports your active lifestyle
  • Results last much longer than fillers or SmartLipo™ when used alone