Dr. Sanders is a talented Los Angeles cosmetic surgeon who has helped numerous facelift patients achieve more youthful and refreshed appearances. In the paragraphs below he describes the facelift procedure and how he focuses on providing beautiful and natural results.
How Can a Facelift Help You?
A facelift provides a way to refresh your appearance and regain a youthful countenance, all with results that appear completely natural. Dr. Sanders and his team perform facelifts for men and women who feel as though their features are out of proportion and need to be brought into greater harmony. A facelift is also an excellent option for those who have lost some skin elasticity due simply to time, resulting in loose jowls, wrinkles, or fine lines. Through a facelift, Dr. Sanders’ patients can reverse some of the visible signs of age and once again look like younger versions of themselves.
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The size and location of the surgical incisions, as well as certain other details of the procedure, vary based on the type of facelift being performed:
In a full facelift procedure, an incision is made inside the front edge of the ear and extends under the sideburn and up into the temple area. Another incision is also made behind the ear, extending into the hair. A third incision is made beneath the chin. During the procedure, fat is removed and redistributed and the underlying layers of tissue and muscles of the face are lifted. The skin is then redraped over the area, and the excess skin is trimmed and sutured into place.
A full necklift procedure is the same as a full facelift, except that the incision does not extend up to the temple area, and addresses the jawline and neck areas only. This procedure is perfect for patients who wish to address only these areas and leave the cheeks alone.
In a cheeklift procedure, the cheek and jowl areas are lifted, but the incision does not extend into the hair behind the ear, nor is there an incision made beneath the chin, leaving the neck alone. Many younger patients find that this addresses their areas of concern. This procedure is ideal for patients who have sagging skin in the cheek and/or jowl area, but do not have excess skin or band lines on the neck.
A limited necklift addresses the jawline and neck, but is intended for those patients without a great deal of loose skin or muscle in the neck region. The skin of the front of the neck is not lifted to achieve access to the muscle. Instead, that muscle in the front of the neck is tightened from the side, which also allows for skin tightening. The advantage is that the limited necklift procedure can be done under local anesthesia, no drains are required and no overnight stay in a recovery center is necessary. One very popular type of limited necklift is called a MACS-Lift.
A limited, or mini-facelift combines a limited necklift with a cheeklift in that it improves the cheek and jawline area, with only a moderate change to the neck and no incision beneath the chin. This type of facelift is perfect for patients who want smoother, lifted skin around the cheek and jawline but whose neck requires minimal improvement. One popular type of mini-facelift is termed an Extended MACS-Lift.
Good Candidates for Facelift
A good candidate for facelift surgery generally has:
Have Good Overall Health:
Before a facelift procedure, Dr. Sanders will take a brief medical history, ensuring that the patient does not have any illnesses or medical conditions that would impede their ability to heal properly. Ensuring patient safety is always the top priority, and facelifts are only recommended for those in good general physical health.
Have Loose Skin of the Face and Neck; Drooping Fat and Muscle:
With time, the skin tends to lose some of its elasticity, meaning it is not quite as tight as it may have been when you were younger. This can lead to some unwanted cosmetic effects, including loose folds of skin along the face and neck. For those who have this saggy or droopy appearance, a facelift may be the perfect solution.
Have Good Skin Condition:
Facelifts are generally recommended for those whose skin is healthy and clear overall. There are a number of reasons for this, but the main one is that skin disorders may actually increase the risk of visible scarring. Dr. Sanders will generally encourage patients to have underlying skin disorders addressed before moving forward with a facelift procedure.
Have Realistic Expectations:
The best facelift procedures offer substantial but also subtle results, not making it overly obvious to everyone you come into contact with that you had “work” done. However, to achieve a high level of satisfaction, patients must have the right expectations about their facelift results. Dr. Sanders will review these expectations with patients before their procedure.
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Before & After Photos
A facelift can bring harmony to your features, restore some of your skin’s tightness, and help you look like a younger version of yourself. For evidence of how great a difference a facelift can make, take just a moment to browse these before and after images, featuring some of Dr. Sanders’ actual patients.
The “Natural” Facelift
We all suffer from the consequences of age. But today, more women and men are discovering that by repositioning drooping fat, removing excess fat, tightening underlying muscles and re-draping skin, they can receive rejuvenating effects. For some, a facelift procedure may provide the solution. But how do you avoid a “plastic,” pulled look that lets the world know you’ve had a procedure? The skill and artistry of Dr. Sanders can enable patients to appear years younger and recapture their youth with an improvement that appears natural. To do this, he offers more than one type of facelift to his Los Angeles and Encino patients.
Skin Resurfacing at the Time of the Facial Lift
Many patients have aging skin as well as drooping skin, muscle or fat. Laser skin resurfacing is frequently done at the same time as the facial lift with a laser or chemical peel. It can be done in small areas, such as the lips and eyelids, or over the entire face. After seven days, healing is usually completed to the point that makeup covers the treated area beautifully.
How Much Does a Facelift Cost?
The price of a facelift varies based on the needs and aesthetic desires of the patient. During your consultation with Dr. Sanders, he will provide you with a price estimate that is based on these individual factors. At that time, you may also wish to ask Dr. Sanders about the financing options that he offers, which create an affordable monthly payment method with low to zero interest. To schedule a consultation with Dr. Sanders for a facelift in LA and Encino, contact his office at (818) 981-3333.
Is there an age limit for facelift surgery?
Age is less important than the health of the candidate. Generally, patients in their 40s and 50s tend to be healthier with fewer medical issues than those in their 60s and 70s. However, as long as the patient is in good health and not struggling with chronic medical issues, age is not a serious consideration.
Is facelift surgery painful?
The operation itself is not painful, as anesthesia is administered for patient comfort. After surgery, some patients have mild discomfort in the head and neck that disappears within a day or so. Oral medication can help soothe the pain.
Are there any alternatives to facelift surgery?
Botox injections are another way to reduce wrinkles around the forehead and the outer corners of the eye, but the results are temporary. Laser skin resurfacing treatments can subtly reduce wrinkles and tighten the skin to minimize drooping, but the results are not as transformative as facelift results. Ulthera and Thermage are sometimes used to achieve non-surgical skin tightening, but the results are quite limited.
Does facelift surgery leave noticeable scarring?
Any surgical incision leaves a scar, but Dr. Sanders is careful to place the incisions in the natural creases of the skin and in the hairline to prevent noticeable scarring. Most of Dr. Sanders’ facelift scars are so inconspicuous that even a hairdresser cannot detect them.
What Is the Best Way to Maintain Facelift Results?
After patients have a facelift at Dr. Sanders’ San Fernando Valley office, there are a few steps they can take to maintain their excellent result. These include:
- Staying out of the sun. If patients must go out into the sun, they should wear sunscreen, sunglasses, and a wide-brimmed hat. Try to avoid the hours of greatest sunlight intensity, from two hours before until two hours after midday.
- Quitting smoking, as this causes premature skin aging and also impairs recovery after surgery.
- Maintaining a stable weight, as gaining or losing weight can stretch out the skin and reduce elasticity.
- Staying hydrated and maintaining a healthy diet, as this helps to flush away toxins and provide the skin with the vitamins and antioxidants it needs.
- Using moisturizers and Retinoic Acid products to keep skin healthy and rejuvenated. Light chemical peels and microneedling also help with maintenance of skin quality.
- Use neuromodulators such as Botox to diminish wrinkle production around the forehead and eyes, as well as fillers like Juvederm to both produce a modest lift of the cheeks and to fill in areas of lost volume.
The use of skin tightening treatments such as radiofrequency-based Skinfinity or Thermage, or ultrasound-based treatments such as Ulthera.
Are Facelift Results Permanent?
With proper maintenance and care, facelift results will last for years. Furthermore, a patient who has a facelift will always look better than they would look if they never had a facelift. That being said, the natural progression of aging will cause sagging skin or wrinkles to return over time. This doesn’t mean the facelift is wearing off or needs to be redone; rather, it just means that the patient’s face is aging normally and may benefit from a touchup lift.
To further answer this question, patients should consider the results of a study that looked at facelift patients 5.5 years after their procedure. According to patient reviews, over 75% were still happy with the results of their facelift, meaning a facelift usually provides years of improved aesthetics.
Will My Face Continue to Sag After a Facelift?
As mentioned above, a facelift can help set back the clock for many patients when it comes to their appearance. However, it cannot stop the clock from moving forward, which means wrinkles and sagging skin will start to return at some point in time after a facelift procedure. Dr. Sanders does his best to combat this natural aging by using a technique that tightens the tissue deep to the cheek skin called the SMAS. Unlike skin, which will eventually stretch and sag if tightened with sutures, the SMAS is able to remain taut and firm. Because the skin is attached to the SMAS, the skin will also remain taut for longer. That being said, if the skin does start to sag, a retightening of the SMAS and skin is possible and can provide great results for patients.
What’s the Difference Between Male and Female Facelifts?
Both men and women can benefit from a facelift. Men have many of the same aging concerns as women and want to prevent themselves from looking old or worn before their time. Because of this, there are more similarities than differences between male and female procedures because they share a similar goal – namely, to restore to the patient the look they had years before. Both will focus on helping patients avoid the overly stretched “wind tunnel” appearance by using deep-tissue sutures and avoiding a backward pull on the cheek skin. Additionally, Dr. Sanders will hide scars in skin creases and along the edge of the front of the ear. Alternatively, men will sometimes have a very well-defined crease in front of the ear that they may prefer as their incision location.
As for other differences, a male facelift may focus more on restoring or creating a chiseled jawline, whereas women are often more focused on high cheekbones. Men may also want to maintain their sideburns whereas women are not as concerned with this feature.
Dr. Sanders will explore all of these, as well as other options, with the patient before surgery so as to customize their results in accordance with their wishes.
Recovering from Facelift Surgery
Recovery time for a facelift surgery is usually 10-14 days, based on the type of facelift performed and your rate of healing. After a full facelift and full necklift procedure, you will generally have small drainage tubes behind each ear for a few days. After any type of facelift, there will be some bruising and swelling on the face, which should subside within the first two weeks. After 10-14 days, you may resume normal activities, including driving and light exercise. Most patients look quite normal by then.
Many patients choose to enhance their facelift with facial implants, fat injections or dermal fillers. Which should you choose?
Facelift surgery and facial implants solve two different aesthetic problems, though they may also be used together depending on the patient’s needs. Facelift surgery alone will lift drooping fat, remove excess fat and tighten loose muscle and loose skin. In some cases, nothing further is required. In other cases, the addition of implants/fat/injectables to the cheek or jawline will restore a more youthful look. This may be done with or without facelift surgery, depending on the patient’s needs and desires. In the consultation, these issues can be discussed in detail as they pertain to the case at hand.
Contact our office in the Los Angeles area to schedule a consultation. Call us at (818) 981-3333.
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