Neck and Face Lift

Reversing the aging process for a more youthful look

Neck and face lift surgery can be performed under local anesthesia with some oral sedation. Aging, increased sun exposure, stress, and the effects of gravity can lead to unwanted changes on people’s faces. Deep creases can be apparent and form between the nose and the mouth. The jaw line may weaken and begin to grow slack. Patients may also spot folds and fat deposits on their face.

 

Male Before Face and Neck Lift Procedure Photo
Male After Face and Neck Lift Procedure Photo
Female Before Face and Neck Lift Procedure Photo
Female After Face and Neck Lift Procedure Photo

Before (left) and After (right) Photos of Male and Female Patients Who Underwent a Face and Neck Lift Procedure Performed by Dr. Malcolm Lesavoy, Beverly Hills Board Certified Plastic Surgeon.

A face and neck lift, medically known as rhytidectomy, is a surgical procedure designed to rejuvenate the appearance of the face and neck by reducing visible signs of aging. The surgery involves removing excess skin, tightening underlying tissues, and repositioning the skin on the face and neck. The result is a smoother, more youthful contour, with reduced sagging, wrinkles, and jowls.

Top 5 Things to Consider If You Are Contemplating a Face and Neck Lift:

1. Goals and Expectations:
It’s crucial to have a clear understanding of what a face and neck lift can achieve. The procedure aims to restore a more youthful appearance by addressing sagging skin, deep creases, and loose neck skin. However, it won’t eliminate all facial wrinkles or improve skin quality. For those concerns, additional treatments like fillers, Botox, or laser resurfacing might be recommended.

2. Surgeon’s Expertise and Experience:
The outcome of a face and neck lift heavily relies on the surgeon’s skill. Ensure you choose a board-certified plastic surgeon with extensive experience in face and neck lift procedures. Reviewing their before-and-after photos, patient testimonials, and understanding their approach can provide insight into their expertise.

3. Scarring:
While modern techniques aim to minimize visible scarring, some scars are inevitable with a face and neck lift. Typically, incisions are made along the hairline or within natural creases to conceal them. Discuss with your surgeon about the expected scarring, its location, and any treatments that can help reduce their appearance.

4. Recovery Period:
Recovery from a face and neck lift can vary but generally requires two to three weeks of downtime. Swelling, bruising, and discomfort are common post-operative effects. It’s essential to understand the recovery process, follow post-operative care instructions, and schedule follow-up visits with your surgeon to ensure smooth healing.

5. Longevity of Results:
A face and neck lift provides long-lasting results, but it doesn’t halt the natural aging process. Over time, the skin will continue to age, and some relaxation may occur. However, patients will often still look younger than if they had never had the surgery. Discuss with your surgeon about the expected longevity of the results and any potential maintenance treatments or procedures.

Neck & Face Lift Gallery

Neck and face lift surgery can be performed under local anesthesia with some oral sedation. Aging, increased sun exposure, stress, and the effects of gravity can lead to unwanted changes on people’s faces. Deep creases can be apparent and form between the nose and the mouth. The jaw line may weaken and begin to grow slack. Patients may also spot folds and fat deposits on their face.

lower scalp

Incisions usually begin above the hairline at the temples, follow the natural line in front of the ear, curve behind the earlobe into the crease behind the ear, and into or along the lower scalp.

scalp

During the procedure, facial, neck tissue and muscle may be separated; fat may be trimmed or suctioned and underlying muscle may be tightened.

In general, Dr. Lesavoy separates the skin from the fat and muscle below. Fat may be trimmed or suctioned from around the neck and chin to improve the contour. Dr. Lesavoy will then tighten the underlying muscle and membrane, pull the skin back, and remove the excess. Stitches will secure the layers of tissue and close the incisions; metal clips may be used on the scalp.

swelling
After the deep tissues are tightened, the excess skin is pulled up and back, then trimmed and sutured into place. Following surgery, a small, thin tube may be temporarily placed under the skin behind your ear to drain any blood that might collect there. Dr. Lesavoy may also wrap your head loosely in bandages to minimize bruising and swelling.

If you’re considering a facelift, this information will give you a basic understanding of the facelift procedure – when it can help, how it’s performed, and what results you can expect. It can’t answer all of your questions, since a lot depends on the individual patient and the surgeon. Please ask Dr. Lesavoy about anything you don’t understand.

If you wish to reverse the aging process with a facelift, Dr. Lesavoy can be your cosmetic surgeon. It can benefit your appearance in numerous ways. For more information on what you can expect for the procedure, please call our office to schedule a consultation.

lower scalp
Incisions usually begin above the hairline at the temples, follow the natural line in front of the ear, curve behind the earlobe into the crease behind the ear, and into or along the lower scalp.
scalp
During the procedure, facial, neck tissue and muscle may be separated; fat may be trimmed or suctioned and underlying muscle may be tightened.

In general, Dr. Lesavoy separates the skin from the fat and muscle below. Fat may be trimmed or suctioned from around the neck and chin to improve the contour. Dr. Lesavoy will then tighten the underlying muscle and membrane, pull the skin back, and remove the excess. Stitches will secure the layers of tissue and close the incisions; metal clips may be used on the scalp.

swelling
After the deep tissues are tightened, the excess skin is pulled up and back, then trimmed and sutured into place. Following surgery, a small, thin tube may be temporarily placed under the skin behind your ear to drain any blood that might collect there. Dr. Lesavoy may also wrap your head loosely in bandages to minimize bruising and swelling.

If you’re considering a facelift, this information will give you a basic understanding of the facelift procedure – when it can help, how it’s performed, and what results you can expect. It can’t answer all of your questions, since a lot depends on the individual patient and the surgeon. Please ask Dr. Lesavoy about anything you don’t understand.

If you wish to reverse the aging process with a facelift, Dr. Lesavoy can be your cosmetic surgeon. It can benefit your appearance in numerous ways. For more information on what you can expect for the procedure, please call our office to schedule a consultation.

PLANNING FOR EYELID SURGERY
The initial consultation with Dr. Lesavoy is very important. Dr. Lesavoy will need your complete medical history, so check your own records ahead of time and be ready to provide this information. Be sure to inform Dr. Lesavoy if you have any allergies; if you’re taking any vitamins, medications (prescription or over-the-counter), or other drugs; and if you smoke.

In this consultation, Dr. Lesavoy or a nurse will test your vision and assess your tear production. You should also provide any relevant information from your ophthalmologist or the record of your most recent eye exam. If you wear glasses or contact lenses, be sure to bring them along.

You and Dr. Lesavoy will carefully discuss your goals and expectations for this surgery. You’ll need to discuss whether to do upper and lower eyelids or both, whether skin as well as fat will be removed, and whether any additional procedures are appropriate.

Dr. Lesavoy will explain the techniques and anesthesia he will use, the type of facility where the surgery will be performed, and the risks and costs involved. (Note: Most insurance policies don’t cover eyelid surgery, unless you can prove that drooping upper lids interfere with your vision. Check with your insurer.) Don’t hesitate to ask Dr. Lesavoy any questions you may have, especially those regarding your expectations and concerns about the results.

UNCERTAINTY AND RISK WITH EYELID SURGERY
When eyelid surgery is performed by a qualified plastic surgeon such as Dr. Lesavoy, complications are infrequent and usually minor. Nevertheless, there is always a possibility of complications, including infection or a reaction to the anesthesia. You can reduce your risks by closely following Dr. Lesavoy’s instructions both before and after surgery.

The minor complications that occasionally follow blepharoplasty include double or blurred vision for a few days; temporary swelling at the corner of the eyelids; and a slight asymmetry in healing or scarring. Tiny whiteheads may appear after your stitches are taken out; Dr. Lesavoy can remove them easily with a very fine needle.

Following surgery, some patients may have difficulty closing their eyes when they sleep; in rare cases, this condition may be permanent. Another very rare complication is ectropion, a pulling down of the lower lids. In this case, further surgery may be required.

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