Facial wrinkling and sagging skin – they happen to the best of us. Fortunately, Dr. Lichten can perform face lift surgery in Columbus, Ohio to create a comprehensive improvement in the appearance of your mid to lower face region, including the cheeks and jaw line. A face lift creates a tightened and rejuvenated facial contour, restoring a more youthful look.
The face lift offers improvement in the removal of wrinkles and facial folds, oftentimes smoothing the lines that form between the nose and mouth and lifting sagging mid-face skin. A face lift also may eliminate or reduce large jowls that can occur with age, significantly strengthening the appearance of the jaw line.
Our patients often choose to combine their face lift with other facial procedures such as brow lift and eyelid surgery. In addition to facial rejuvenation, many people also consider body contouring procedures such as liposuction to get their looks back on track.
As gravity takes its toll, it causes sagging skin in the jowls, in the neck and around the mouth. In addition, as we age, we lose volume in our cheeks and midface, creating a more hollowed-out, or even gaunt, look.
Fortunately, Dr. Lichten can perform face lift surgery in Columbus, Ohio to create a comprehensive improvement in the appearance of your mid to lower face region, including the cheeks and jaw line. A face lift creates a tightened and rejuvenated facial contour, restoring a more youthful look.
The face lift offers improvement in the removal of wrinkles and facial folds, oftentimes smoothing the lines that form between the nose and mouth and lifting sagging mid-face skin. A face lift also may eliminate or reduce large jowls which, significantly strengthens the appearance of the jaw line. Face lifts can also address extra fat or separated muscles in the neck.
Our patients often choose to combine their face lift with other facial procedures such as brow lift and eyelid surgery, Fraxel repair and Tripollar Apollo and liposuction of the chin or Kybella injections.
Most important thing in the process is choosing the right surgeon for you. You should be able to talk honestly and feel comfortable. If you get a consultant talking to you about the procedure and only talk to the surgeon for 2 minutes, you should run. The patients who get the best results are the ones who trust their surgeon, communicate effectively throughout the whole process and follow their pre and post-operative instructions.
During a facelift, or “rhytidectomy,” I remove extra skin from the cheeks, jowls and neck and tighten the underlying muscles. I make incisions around the ear in the hairline and sometimes under chin. If there is extra fat under the chin or in the jowls, I will often combine a facelift with a liposuction procedure during the same surgery. I can also do a fat transfer to add volume back into cheeks to create younger, more rounded cheek appearance. Facelifts are done as an outpatient procedure, which means you will go home the same day. I usually perform facelifts under general anesthesia.
I will see you back in the office the day after your surgery to change your dressing, remove your drain and give you a more comfortable compression garment.
The end result is a more refreshed, youthful appearance that still looks like you.
How is facelift different than other surgeries? Why is it so important to pick the right surgeon?
I work hard so that my facelift patients typically look like younger, more refreshed versions of themselves. Because the structure of each person’s face is different, facelifts require a different type of artistry than body surgeries.
No two facelifts are the same. Facelifts are actually a combination of techniques to lift the skin and underlying muscles and to restore volume, so there is no quick, right answer for everyone. You should consult with a board certified plastic surgeon who will customize and tailor the right procedure or combination of procedures for you. There is no quick one-size-fits-all with facelifts. Some patients need a more vertical lift while others need to be pulled back more, while still others need rejuvenation of the midface. With all facelifts, the goal is to restore facial harmony and balance
With all of the innovations like facial fillers and non-surgical options like Fraxel repair, TriPollar Apollo and Kybella, why should I get surgery?
With all the advances in technology in the last ten years, my patients have more options than ever to prolong surgery. The fact is, however, that you still can’t get surgical results without surgery.
Also, I often use the Fraxel re:pair during a facelift surgery, because a facelift will address the underlying structures of the face and neck, and can tighten the skin, it does not affect the tone and texture of facial skin. Combining Fraxel re:pair with a facelift tackles both issues at the same time, creating fresh new skin with fewer wrinkles and a tighter look.
The TriPollar Apollo is a great option for patients who are not ready for surgery – either financially or from a recovery perspective. It can tone and tighten the face and neck and many of my patients are very happy with those results. It is good tool for some patients, enabling them to prolong surgery.
Facial fillers like Juvéderm and Restylane are great at what they do, but they do not treat the same issues that a facelift corrects. Fillers add volume to the face, which does result in tighter skin, but they cannot lift sagging jowls or firm the loose skin on your neck. Also, fillers tend to last for about a year, while facelift results can be ten times that long.
Finally, Kybella is wonderful for treating excess fat under the chin, but it cannot tighten the skin, nor does it affect the face itself. Kybella is strictly used under the chin.
How long will a facelift last?
A good facelift will turn back the clock ten years. Of course, however, you will start aging again immediately after the surgery. There are a lot of factors that go into keeping your facelift results as long as possible. As always, the sun, aging and pollution will all continue to take their toll on facial skin, even after surgery.
Good skin care and, of course, sunscreen, will maximize your results. We will educate you on the best ways to keep your face looking beautiful.
Where are the scars?
For women, I can typically hide facelift scars above and behind the ears in the hairline. Because men usually have less or no hair on their heads, but more facial hair, I will place men’s facelift scars in the most inconspicuous place possible. I will place other scars in the crease behind the ears. There will also be scars that appear as fine lines in front of the ear and one under the chin.
I hear so many different names for facelift procedures, what do they all mean?
Facelifts, more than any other plastic surgery procedure, have lots of different names for different techniques. There are all sorts of names, like SMAS, MACS, Short Scar, Neck lift, Skin Only, Sandwich, Deep Plane, Endoscopic lifts. The bottom line, is that all these techniques are aimed at achieving the same goal of facial rejuvenation. Dr. Lichten will look at you and figure out what combination of these techniques is best for you.
The variety of techniques and the personalization required for facelifts makes it crucial that you have a qualified physician perform your surgery. Make sure you have a board certified plastic surgeon who is familiar with each of the techniques and can determine which is best for your particular needs and goals.
Is a facelift the procedure I really want? Do I want a necklift, eyelid or brow lift instead?
The term “facelift” is actually technically incorrect. You will see the biggest impact of a facelift on the lower portion of your face and your neck. Most people define the “face” as going from the forehead all the way down to the chin. A facelift, however, starts below the eyes and extends down to the neck. My facelift patients see the biggest improvement in the angle of their chins to their necks, a tightening of their jowls and a reduction of extra skin on their necks.
If you are looking to improve your eyes or forehead, you actually want either a blepharoplasty (eyelid lift) or a brow lift. In addition, crows feet and lines around the mouth can be effectively managed with Botox and facial fillers like Juvéderm and Restylane.
A necklift is actually the most similar to a facelift. The location of the incisions is similar. The biggest change is that in a neck lift, I do minimal work on the cheeks and jowls, focusing primarily on the neck.
I keep seeing ads for “one day recovery” facelifts or face lifts with special names indicating that they will work faster and better. What is the deal?
If you see a “facelift” on TV that is being advertised by someone other than a Board Certified Plastic Surgeon, you should be very cautious. I have found that those procedures tend to fall in to one of two categories – either they are (a) a lot of money for very little result; or (b) a fancy name for the same procedure that surgeons have been using for years. I don’t perform these procedures because I think that my patients get more value and better results with a standard facelift.
What can I do to reduce the risks of having a facelift and improve my chances of getting the best result?
During your preop appointment, we will give you a list of medications to avoid before and after surgery to reduce the risks of bleeding and bruising. In addition, I ask all of my surgery patients to stop smoking for four weeks before and four weeks after surgery. This is particularly important for my facelift patients. Smoking and exposure to cigarette smoke can constrict the blood vessels in the skin, which can cause scarring.
After surgery, you will need to keep your head elevated for several days. This will help to reduce bleeding, swelling and bruising. In addition, you will need to move around so you can reduce the risks of developing blood clots in your legs.
I’m worried that I will look like those celebrities who are pulled way too tight and look like they are permanently in a wind tunnel.
Most board certified plastic surgeons have moved on from the old, outdated facelift technique where they pulled facial skin overly tight. Today’s facelift techniques focus more on the contours of the face by removing fat and tightening muscles, with less emphasis on removing skin. These new techniques result in more natural look.
I felt totally at ease. Everyone was so nice and friendly that it was as if I had known them for a while…Probably the nicest staff I’ve ever dealt with.