Face Lift & Neck Lift


Face lift and neck lift surgeries help counteract the problems associated with aging, sun exposure and daily stresses of life by removing fat from the neck and tightening skin and muscles, giving your face and neck a rejuvenated, youthful look. During face lift surgery we combine the modern SMAS technique (deep tightening of the facial muscles) and the classic extended flap technique to produce the most natural-looking results. The procedure can be combined with a browlift, eyelid surgery or Laser Skin Resurfacing for more harmonious results.

In most cases, a face lift or neck lift procedure involves the removal of excess skin and tightening or reshaping of the skin and muscle tissues. The underlying muscle may be tightened with the skin, or separately. After the tightening or removal of excess skin, the skin is re-draped and sutured or stapled in place.

Are You A Candidate For A Face And Neck Lift?

So much of who we are is defined by the face we show the world. If you’re unhappy with your face it can affect your self-confidence, which can have an impact on every aspect of your life. A face lift or neck lift can improve your appearance and help you regain lost confidence.

The best candidates for face lift surgery have:

  • Skin Elasticity. Since face lift surgery stretches the skin, elasticity (flexibility) is important to achieving natural-looking results. The more supple your skin, the better results you can expect.
  • Well-Defined Bone Structure. Good bones help support the work performed by our board-certified physicians.
  • Good Overall Health. A healthy body adapts to surgery better and makes recovery easier. Good candidates for face or neck lift surgery have no major medical conditions and will be sure to follow the doctor’s orders for recovery.
  • Loose Skin. Excess or loose skin is one of the primary reasons patients opt for a facelift. This extra skin can be trimmed, tightened and pulled to help remove wrinkles and sagging.


Different Types Of A Face Lift

Face Lift Before and AfterThere are many types of face lift surgery options and which one is right for you will depend on your facial condition. Factors such as incision type, number of tissue layers required for treatment and the facial area all affect the type of face lift a patient will require. Our board certified doctors have a deep understanding of and experience in performing face lifts, and can explain the best option for you during your initial consultation at our Beverly Hills office.

Face lift types include:

  • Deep Plane Lift or Composite Lift,
  • SMAS Lift,
  • Subperiosteal Lift,
  • Skin Lift,
  • Mid Facelift,
  • Feather lift, and
  • Thread Lift

In general the most dramatic and effective face lift surgery is either the Deep Plane or SMAS techniques.

  • Deep Plane Face Lift – For patients who wish to see a dramatic and natural change, the Deep Plane Face Lift provides the longest facial rejuvenation results. This procedure treats the underlying tissue layers and muscles in the mid facial region where they are lifted and repositioned. This results in improvements in the jaw line and nasolabial folds. The Deep Plane Lift puts less tension on the facial skin itself. Incisions, which are carefully hidden, 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. If a neck lift is needed, a small incision may also be made under the chin. In most cases, scars will fade with time and should be scarcely visible.
  • SMAS Face Lift – The SMAS (superficial musculoponeurotic system) is a thin layer of soft tissue on the face that contributes to facial expression. Over time, the SMAS can become lax and sag, contributing to jowls and deepening of the nasolabial folds. The more common SMAS face lift repositions skin and the underlying muscle of the cheek to correct jowls and skin laxity. The SMAS Lift will provide a less “pulled” look and longer lasting results than a skin-only facelift. An Extended SMAS Lift goes even further towards the nose to help correct lines around the nose and the mouth. This is the same surgery as the SMAS facelift but with an Extended SMAS Lift, the SMAS is separated from the underlying structures more extensively towards the nose and upper lip. This can increase the amount of improvement that is possible in the center of the face, especially the nasolabial area.
  • Mid-Face Lift – For patients who experience skin fold in the nasolabial area (soft tissue from around the cheekbones), sagging cheeks, and or facial skin laxity, the Mid Face Lift is an ideal procedure. The benefits of a Mid Facelift include the improvement of nose-to-mouth lines and the roundedness over the cheekbones, restoring a more youthful appearance. The procedure often requires small incisions along the hairline and inside the mouth so that the fatty tissues in the affected areas can be lifted and repositioned. As a result, scars are practically nonexistent.

What To Expect After Your Facelift Surgery

Facelift patients normally undergo general anesthesia. Time in surgery is approximately 90 to 120 minutes. In some cases, drainage tubes are left in place under certain areas of the skin for several days to reduce post-surgical swelling. Smoking reduces blood flow to areas of the facial skin, so you shouldn’t smoke a month before and a month after surgery. Stopping smoking entirely will help the healing process. Immediately after surgery a large fluffy dressing is usually applied. Typically within one day after surgery it is removed and may be replaced with an elastic wrap. There is normally some discomfort following facelift surgery, which can be managed with medications. Some bruising may persist for two or three weeks, however by the third week you will look and feel much better.

Contact our office to set up your initital consultation. During our meeting we will discuss your expectations and which procedures will best help you achieve the results you want.