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Ageless Impressions – Plastic Surgery Institute has been specializing in facelift and facial plastic surgery for years. The expertise and dedication of Dr. Mark Richards and his professional staff have led to the satisfaction of many facial plastic surgery patients. In addition to exceptional results, we are dedicated to patient comfort and understanding. Please read about the face lift procedures below to better understand your facelift options. If you are seeking a face lift, please contact our office today.

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*Individual Results May Vary

Why a Facelift?

A facelift involves repositioning the multiple layers of the lower face to restore the facial shape and definition with a gentle tightening of the skin. Restoration of the neck is normally performed at the same time to provide a unified look to the lower face.

The face communicates emotion, expression, and personality. With time, however, facial skin and features begin to show the effects of gravity, stress, and sun exposure. Lines and wrinkles set in. Skin sags and loosens. Fatty deposits form around the eyes and jowls. A person’s energy and creativity may be masked by a generally fatigued, unhappy look. A facelift can be an excellent way to conceal the signs of aging. A facelift can be performed in conjunction with a cheek lift to help rejuvenate facial contour.

Ageless Impressions in Bethesda specializes in facial plastic surgery, yielding age-defying, and natural facelift results. Patients are urged to contact our facial plastic surgery practice for a consultation.

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Common Misconceptions About Facelift Surgery

The purpose of a facelift is not to improve skin texture or smooth out wrinkles. Simply stretching out the skin to rid it of lines looks unnatural and alters facial features by stretching and flattening them. Instead, a facelift is meant to tighten the underlying tissues in order to restore facial structures. Some trimming and tightening of the skin does occur in facelift, but the effect is intended to be subtle and natural looking. For improvement in skin texture, procedures such as dermabrasion, injectable fillers, or chemical peel can be combined with a facelift (or used in isolation).

In addition, a facelift is not meant to treat all areas of the face. The nose, for example, is altered with a different procedure called rhinoplasty. Similarly, the eyes and forehead are best served with procedures designed specifically for them. Dr. Richards evaluates your face as if it is divided in thirds (upper eyelids and above are the top third, lower lids and cheeks are the middle, and the corner of the mouth through the neck are the bottom). Facelift is mostly only beneficial for the bottom third. The middle section requires a cheek lift and the upper a brow lift or blepharoplasty for maximum rejuvenation. Prospective patients for a face lift should contact our facial plastic surgery expert, Dr. Richards, about combining some of these facial plastic surgery procedures.

There are also a number of fears about scarring, an “operated” look, and the risks involved with facelift surgery. While any surgical procedure entails risks, a facelift is generally considered to be a safe procedure. In terms of aesthetic complications, new techniques have made it easier to limit and hide scars and to produce natural-looking results.

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Understanding Facial Rejuvenation

The term “facelift” is sometimes applied to several different surgical techniques. It is important that you clearly express your goals and ask any questions you may have before deciding to undergo facelift plastic surgery. Dr. Richards performs a face lift by operating on the deep structures of the face, alleviating tissue and lifting the muscles. Other surgeons may offer a type of facelift that focuses only on tightening the skin. Unfortunately, this latter version of facelift can distort facial features and its results tend to diminish quickly with time. At our facelift and facial plastic surgery facility, long term, natural results and patient comfort and satisfaction are our primary concerns.

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Good Candidates for Facelift Surgery

Good candidates for facelift surgery are in good overall health but have begun to experience some drooping of facial fat, muscles, and skin. They may also have jowls or loose skin in the neck area. Deep folds in the face or a double chin may be factors as well.

Men and women may both be good candidates for a facelift, although the ideal placement of incisions may vary between the genders due to differences in skin thickness and hairline. Most people who opt for a facelift are between the ages of forty and seventy, but older patients can be good candidates as well. Consult with Mark Richards, M.D. to see if facelift surgery is right for you. He can also help patients decide if they have better facial plastic surgery and face lift options.

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The. Best. And I’m super picky. A girlfriend of mine had a lot of work done by Dr. Richards about 15 years ago. I never forgot what an artist he was. She looked fabulous. I still interviewed several cosmetic surgeons in the Washington, DC area. I researched specialties and read tons of reviews for almost two years. I was petrified to go under the knife, but it wasn’t fun anymore to put on makeup in the mornings. I was self-aware enough to know that no kind of elective surgery was going to ‘make me happier’ or change my life, but I truly needed a morale boost. I decided on Dr. Richards. It’s been one year and three months and I am beyond thrilled. I had my upper eyelids done, under eye lipo, cheek lift, lower face lift, and neck lift. It was probably a lot to have done at one time, but I’m a busy professional. I was back at work in less than two weeks. I’d love to show you my before and after photos. You can find me on FB and simply message me. Dr. Richards and his staff gave me the utmost tender-loving care. I would go back to him again in a second if I wanted to have any additional procedures done. I cannot sing Dr. Richards praises enough. He cares. He is a genius. With all the work I had done there are so many little things that could’ve gone wrong. There is not one thing wrong with any of the procedures I had done. I wake up every morning, look in the mirror, and hope Dr. Richards knows how much I appreciate his talent and efforts. I look AMAZING.

Kathy Bowlin

February 03, 2016


Facelift Risks

Although facelift is generally considered to be a safe procedure, all surgery carries some inherent risks. Choosing an experienced facelift surgeon like Dr. Richards can help to lower your risk of complication.

Swelling and bruising are expected consequences of facial plastic surgery. Some residual swelling may persist for up to 12 months following facelift surgery. As bruising and swelling decrease, the improvements achieved by a facelift will become more obvious. Although numbness is normal while the face is swollen, permanent loss of sensation over any significant area is rare.

Many patients are concerned with scarring and wound healing. Most facelift patients’ scars fade over time (although they do not disappear). By placing incisions within the hairline and natural curves of the ears, most scars can be hidden. Smoking interferes with proper healing and increases the likelihood of scarring.

Associated with all types of surgery are the possibility of infection, bleeding, and a reaction to the anesthesia. These risks are uncommon. Following Dr. Richard’s pre- and post-operative instructions will help to lower your risk of complication.

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Facelift Surgery

Facelift surgery can take up to five hours, depending on the individual case. Incisions are usually placed along the hairline and around the curves of the ears. Another incision is made under the chin. The skin is then pulled back so that the deep layers of the sagging neck muscles can be tightened and repositioned. Fat may be removed as well. Before the incisions are closed, excess loose skin is trimmed away and the skin is draped in a natural, youthful position.

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Recovering from Facelift Surgery

After facelift surgery, stitches will be left in place for up to two weeks. Small drainage tubes may be used for a few days to avoid fluid build-up. In addition, a special compression bandage is often used to protect the incisions and reduce swelling following surgery.
Most patients can return to work approximately two weeks after undergoing facelift surgery. The worst of the swelling and bruising should have subsided by this time, but improvement continues for up to 12 months following surgery.

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If you are interested in face lift surgery, contact us at Ageless Impressions – Plastic Surgery Institute today!