Facelift and Necklift

The art of rhytidectomy, or a facelift, is more than simply lifting or pulling. Essential to facial rejuvenation during a rhytidectomy (facelift) is the skillful isolation, handling, and suspension of the deeper facial tissues. Oklahoma City facial plastic surgeon Scott Shadfar, MD allows the underlying structural anatomy to show through by sliding the tissues into the previous position they once occupied before time and gravity intervened.

The Technique

Rhytidectomy, more commonly referred to as a Facelift, is performed under deep sedation or a general anesthetic in an operating room. This allows Dr. Shadfar the ability to access the deeper tissues through small incisions around the ears and sometimes a single small incision under the chin if the neck muscles need tightening as well (neck lift) while keeping patients completely comfortable. Using a modified deep plane extended SMAS rhytidectomy, Dr. Shadfar can resuspend the muscular and fascial tissues that have descended over time, while in a separate plane redrape the skin in a natural position, avoiding any excess tension or an unnatural, over pulled, or “wind swept” result.

The Recovery

This is an outpatient procedure, and once the procedure is complete patients can go home with a light compressive head wrap that is worn for 24 hours. The following morning patients will return to have the dressing removed by our staff, and for Dr. Shadfar to examine the operative site. We will demonstrate how to clean the incisions around the ears. The sutures will remain in place for one week. Patients can expect swelling and bruising around the site of the surgery, which both resolve after the first week. Makeup and skin care regimens can be restarted on day 10. Patients usually have minimal downtime of 1 – 2 weeks before returning to work, and we ask those patients traveling from out of town to stay for routine checks during this time period.

 

Frequently Asked Questions

What signs of aging can be treated?

Facelift surgery can be used to minimize the appearance of moderate to significant lines, wrinkles, folds, and creases in the lower two-thirds of the face. In addition, it can tighten lax, sagging skin and loose musculature of the face and neck responsible for jowling and/or noticeable neck bands.

What age is best for a facelift and/or necklift?

There is no definitive age that is regarded as “ideal” for facelift and/or necklift surgery. Instead, candidacy is determined based on factors such as the severity of one’s aging concerns, the quality of their skin, and the type of results they are hoping to achieve.

Will my face have a “pulled” look after the procedure?

Dr. Shadfar takes great care to achieve exceptionally natural-looking facelift and necklift results. During the procedure, he employs a special approach that enables him to lift facial and muscular tissues in one plane while carefully redraping the skin in a separate plane. This helps to prevent any excess pulling or tension that often results in a “wind-swept” look.

Will the incisions be noticeable?

Incisions used to perform a facelift are made discreetly around the ears (and beneath the chin if a neck lift is needed). These incisions are small in both length and width, and they are carefully planned to ensure they remain as inconspicuous as possible, even when interacting with people at close distances. As part of his aim to achieve natural-appearing results, Dr. Shadfar strives to keep any evidence of surgery to a minimum.

Will there be a lot of pain?

Dr. Shadfar conducts facelift surgery under deep sedation or general anesthesia to make sure patients remain as comfortable as possible during treatment. After the procedure, any discomfort experienced is generally described as “mild” and can usually be easily controlled with medication, if necessary.

How long does it take for results to appear?

Initial results are typically apparent immediately after the procedure, though the full effect of facelift surgery will become increasingly noticeable as swelling gradually subsides over time.

How long do results last?

Facelift surgery results tend to last an average of approximately ten to twelve years before a touch-up treatment (often non-surgical) may be desired; however, this can vary based on skin quality, lifestyle choices, and numerous other factors. The key fact to remember is this: when a facelift is performed skillfully and correctly, patients will still look younger in ten years than they would if they had never undergone treatment in the first place.