Facelift

Ageless Impressions – Plastic Surgery Institute has been specializing in facelifts, cheek lifts, and other facial plastic surgeries for years. The expertise and dedication of board-certified plastic surgeon Mark Richards, M.D. 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, education, 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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What Is a Facelift?

A facelift involves repositioning the multiple deeper layers of the lower half of the face and neck to restore the facial shape and definition combined 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 half of the face.

Why a Facelift?

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 bulges become prominent 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 reverse the signs of aging. A facelift can be performed in conjunction with a cheek lift to help rejuvenate the mid facial and lower eyelid contours.

Ageless Impressions in Bethesda is well-known internationally for Dr. Richards’ aesthetic facial surgeries, yielding age-defying, and natural facelift results. Patients are urged to contact our facial plastic surgery practice for a consultation.

Common Misconceptions About Facelift Surgery

The purpose of a facelift is not to improve skin texture or superficial skin 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 and contour shape. 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 dermal fillers, microneedling, 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 third, 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 often lasering to smooth the lower eyelids. The upper third issues are addressed a brow lift and/or blepharoplasty for aesthetic rejuvenation. Prospective patients for a face lift should contact our facial surgery expert, Dr. Richards, about combining some of these 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.

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. Our facelifts tend to produce long term, natural results. Patient comfort and satisfaction are our primary concerns.

Who Are 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 both are good candidates for a facelift, although the ideal placement of incisions will vary between the genders due to differences in hairstyles and hairline. Most people who opt for a facelift are between the ages of forty-five and seventy-five, 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 options.

Male CandidateFemale CandidateGood Candidates:Men and Women typically between forty-five and seventy-five.

What Are the Potential Risks of Facelift Surgery?

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 mild residual swelling may persist for up to 12 months following facelift surgery, though the vast majority of the swelling is nearly always gone by two months or less. As bruising and swelling decrease, the improvements achieved by a facelift become more obvious. Although numbness is normal while the face is swollen, permanent loss of sensation over any significant sized area is rare.

Many patients are concerned with scarring and wound healing. Most facelift patients’ scars fade dramatically over time. By placing incisions within the hairline and natural curves of the ears, so as to be undetectable in most situations. Smoking and nicotine from vaping interferes with proper healing and greatly increases the likelihood of complication and scarring.

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

How Is Facelift Surgery Performed?

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 lifted so that the deep layers of the sagging neck muscles can be tightened and repositioned. Fat may be contoured or removed as well. Before the incisions are closed, excess loose skin is trimmed away and the skin is draped in a natural, youthful position.

What Is Recovery from a Facelift Like?

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, provide comfort, 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.

How Long Does a Facelift Last?

Dr. Richards uses state-of-the-art surgical techniques to lift and rejuvenate the face. By addressing the muscles and underlying tissues, he can achieve natural-looking results that last longer than if he lifted the skin alone. While this process can “turn back time,” in a manner of speaking, the procedure cannot stop the aging process entirely. With great skincare and healthy habits, you should be able to enjoy the results for well over a decade. Additionally, your face may always retain a more youthful appearance than your age, especially with the regular support of non-surgical treatments. We will advise you on the optimal long-term plan during your initial consultation.

Are Facelift Scars Noticeable?

The location of the incisions are selected not only for the ability to provide optimal results but also to keep the scars as inconspicuous as possible. Most patients will heal very well and the average person will not notice the incision marks. To further support wound healing, we offer laser skin resurfacing to soften and smooth the appearance of any surgical marks. We will discuss this option with you if you are concerned about how your scars could look. You should also let us know if you are prone to hypertrophic or keloid scars, so we can take this into consideration when planning your procedure.

How Much Does a Facelift Cost?

The price of facelift surgery, according to the most recent statistics from the American Society of Plastic Surgeons, is $7,448. This number reflects the cost of the surgeon’s fee alone, and does not include the fees associated with anesthesiology and the hospital facility. When you have your initial consultation, our medical team will review your treatment plan and discuss the anticipated cost for the entirety of your cosmetic program. We believe this gives you all of the pertinent information and allows you to make the best decision for you. We recommend always asking what a plastic surgery quote includes, as many practices do not follow this policy. Furthermore, we accept a wide range of payment options. We also work with a few select plastic surgery financing companies for patients interested in paying over time rather than in one lump sum. We can provide details at your first appointment.

Is a Non-Surgical Facelift Possible?

While only a proper surgical operation can achieve the long-lasting effects of a facelift, for patients who are not yet ready for this procedure or who prefer a non-surgical approach, there are options available. Dr. Richards performs a Liquid Facelift treatment, which uses skin treatments and cosmetic injectables to address creases, volume loss, and other common signs of facial aging with typically excellent results. Each Liquid Facelift is customized to suit the needs and goals of the individual. If this method better suits your characteristics and desired technique, we will review the process with you at your consultation.

Schedule a Facelift Consultation

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

or Call Us: 301.468.3458
Dr. Richards

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