The facelift procedure varies significantly depending on the patient’s concerns. The modern facelift does not depend on simple skin tightening. Much of the effectiveness is generated by rebalancing deeper supporting structures of the face and neck to provide a more significant and natural improvement.
If only a modest rejuvenation is sought, then a “mini” or MACS facelift may be helpful. The more complete facelift is performed hiding the incisions in the hair and natural creases around the ear. The visible stitches are removed in 4 days and the hidden stitches are removed in 7 days. Usually a small incision is tucked beneath the chin if the neck fat and muscle have to be corrected. Although fat is often removed from the neck, it is very common to have fat (borrowed from the abdomen) grafted to the areas of the face that hollow out with aging. Other procedures such as blepharoplasty or forehead lifting can be carried out at the same time.
Pain is only modest, although a sense of firmness is noted where significant tightening of the loose neck muscles is carried out.
Although some patients feel comfortable returning to work in 10 days with makeup, others may want to wait 2-3 weeks before returning to their social activities. We suggest a “vacation” where you return looking remarkably refreshed.