Learn More About Facelift Surgery
You will hear an assortment of impressive and confusing facelift terms such as endoscopic, deep plane, subperiosteally, subcutaneous, and SMAS. These are all different approaches to ultimately achieving a more youthful appearance without the stigma of an operated look. A well-trained and experienced surgeon can obtain excellent results using many different techniques. Plastic surgery is an art form and Dr. Shienbaum uses his talent and artistic sense to achieve a natural, long-lasting result.
“Mini facelift” refers to a limited facelift procedure that affords a smaller incision and shorter scar, less undermining, shorter recovery time, and the use of local sedative anesthesia. Dr. Shienbaum offers the mini facelift for younger, thinner patients, with minimal signs of aging, limited skin sag, and adequate bony structure. It is especially suited for the individual interested in a shorter downtime and a quicker recovery.
A special facelift procedure sometimes referred to as a MACs (or a Minimal Access Cranial Suspension-lift) facelift is perfect for an active lifestyle. It utilizes an inconspicuous incision along the hairline and the natural creases both in front and around the earlobe. Often another small incision is placed under the chin. The loose tissues and muscles are then tightened, excess fat is removed, and the skin of the face and neck is re-draped to achieve a more natural look and youthful appearance.
This type of facelift utilizes tightening of the fascia of the face to tighten and smooth the jawline, remove jowls, fill the upper midface, and rejuvenate a sagging neck. A well performed SMAS lift should be identical to a so-called Deep Plane lift.
This involves the injection of platelet-rich plasma beneath the skin of the face. It may temporarily cause swelling and some plumping and smoothing of skin wrinkles, but it will not tighten sagging, loose skin or correct prominent muscular bands. It is definitely not a facelift and the procedure is not FDA approved.
This is a procedure to tighten and realign the muscles and skin of the neck. This so-called platysmaplasty recreates the natural neck contour by removing offending muscle bands, defining the jawline, and re-draping the loose, sagging skin. Sometimes called a cervicoplasty, it improves the contour and depth of the neck for an enhanced, more youthful appearance.
Generally, the earlier one starts caring about their facial changes, the better the results. Waiting until the skin has aged, wrinkled, and thinned out does not allow for the most long-lasting treatment outcomes. Younger individuals in their 40s and 50s frequently start with mini facelifts or other minimally-invasive skin tightening techniques. Ultimately, the timing of your facelift will be based on your personal appearance, genetic makeup, lifestyle, and dietary choices– not your chronological age.
We welcome you to a complimentary, initial consultation. During this initial consultation, you will visit with our professional staff, and Dr. Shienbaum will offer his evaluation and recommendations on the procedure most appropriate for you. The staff will provide you with the opportunity to view photos and videos of previous patients, so that you may better comprehend prior results.
Stop all aspirin products and anti-inflammatories including Motrin (ibuprofen), Aleve (naproxen), Vitamins, Diet Supplements, and Herbal medications, which can thin the blood, increase bruising, and cause anesthesia issues.
Have someone available to assist you on the first day or two after your procedure and have extra pillows to lift your head position. Have a ready supply of drinks, toiletries, and any prescription meds, and consider having your hair colored and cut 2 weeks prior to your surgery.
Just how soon you can return to work and be out in public depends on many factors, including the skill of the surgeon and the extent of correction required. Any additional procedures including chemical peels, laser, fat injection, brow lifts, or blepharoplasties will, of course, extend the recovery process. Although individuals vary in their healing ability, one can usually look presentable enough appear in public in 1 – 2 weeks.
Avoid excessive lifting or straining, as this can increase blood pressure and cause bleeding. However, you are encouraged to walk and move around as this prevents blood clots by maintaining your circulation. Sleep with your head propped up, unflexed, and above your heart, as this decreases swelling. Avoid going out in public for several days and have a favorite concealer available. Anticipate that boredom and inactivity will lead to some degree of depression until you begin to appreciate the actual improvement in your appearance.
A well-performed facelift by an experienced plastic surgeon should be long-lasting. This is especially true if your skin quality is good and has not been damaged by excessive sun exposure, heavy smoking, or extreme changes in weight. Having tight, smooth, and moist skin with minimal laxity usually provides the essentials for a long-lasting facial rejuvenation. As you continue to age, touchups will inevitably be required. With minimal maintenance, you should enjoy your facelift result for many years to come.
The cost of a facelift in Tampa Florida may range from $3500 to over ten thousand dollars. Remember that no two facelifts are exactly alike. Is it only a modest skin tightening? Or are the underlying loose muscles and fascia addressed? Will your deep cheek creases and hanging jowls be corrected? Will your jawline be totally smooth? Will your hollowed-out eyes and sagging cheek skin be restored? Will your drooping neck and obtrusive neck muscle bands be eliminated? And does your facelift include eyelids, a brow or forehead lift, or lasers or chemical peels? Understand exactly what your surgeon plans to correct. You want the best facelift in Tampa Bay– not the least expensive.
Before and after photos are the most frequently viewed pages on a plastic surgery website. They can tell you much about your surgeon’s artistic sense and surgical abilities. The quality of the photography and consistency of results are extremely important. Look for identical positioning, uniform lighting, and similar backgrounds. These photographic features demonstrate that your surgeon is well organized, meticulous and cares about details– qualities that you want and expect in the operating room.
The mini facelift is a predominantly a tightening procedure with modest improvement to the underlying musculature. It is not intended to correct heavy jowls, prominent neck bands, sagging cheeks, or a hollow midface. Dr. Shienbaum corrects these deeper deformities with additional procedures that elevate and tighten the underlying structures. A thorough and complete evaluation is necessary to see if a mini facelift is for you.
The surgical elevation of skin flaps will invariably produce temporary numbing over the cheek and neck region. This is due to the tiny nerve fibers which are unavoidably lifted from the underlying musculature. The superficial sensory nerve endings will typically regenerate in several weeks’ time. Often a patchy, irregular return of sensation is noted, which may be accompanied by some increased tingling or mild burning. These are all signals that the nerves are returning to their previous areas.
Virtually all of Dr. Shienbaum’s facelifts are performed with a combination of local anesthetic and IV sedation. This allows for your own spontaneous breathing and a rapid recovery without the need for intubation. An anesthesiologist or anesthetist is always present.
Yes. Dr. Shienbaum performs all his facelifts under IV sedation, which allows his patients to be relaxed and comfortable throughout the entire procedure. This avoids a sore throat and cough from intubation and allows for full visualization and assessment of the critical facial musculature. This has been Dr. Shienbaum’s preferred facelift technique for over thirty years.
Following your surgery, there will more than likely be remaining areas of swelling, lumpiness, or firmness. Gentle massaging will help dissipate and smooth these areas. Often lymphatic massage and ultrasonic treatments will speed resolution of any stubborn areas. Always check with your surgeon first.
Discolored and wrinkled Florida skin will typically require more than a traditional facelift. Sun-damaged and leathery skin cannot be erased by simply pulling the skin tight. These etched-in lines usually require some form of a laser, chemical, or dermabrasion treatment. Dr. Shienbaum has seen fat transfers to the facial hollows cheek and orbital depressions show remarkable improvement in the skin’s texture and appearance. Fat transfers are now an essential part of virtually all his facelift procedures. They cannot achieve the dramatic changes that are seen without a thorough, well-performed facelift procedure.
“Rhytidectomy” is the medical term for a facelift and it literally means “removal of wrinkles” (rhytids ). Both are surgical procedures to improve visible signs of aging in the face and neck. At Brandon Plastic Surgery, we offer the popular small incision facelift procedure. This minimally-invasive technique allows removal of redundant skin, excess fat, and tightening of the loose tissue of the neck and jowls. As a result, you are afforded natural results with minimal downtime. Your facelift can be performed either alone or with other procedures to rejuvenate your brow, eyelids, or nose.
The degree of edema that usually occurs after a facelift depends on a variety of factors, including the techniques used, the skin quality, and healing characteristics. Swelling is predominantly due to the disruption of the normal lymphatic channels and venous return. Generally, most of the swelling is gone in several weeks. The majority of Dr. Shienbaum’s patients can be back in public within 7 – 14 days.
The incisions are placed in the natural skin folds around the ear, which are minimally visible. The skin is then elevated, and the fat and muscles of the face are repositioned. This allows Dr. Shienbaum to achieve a natural look rather than a windswept or pulled back look. The ideal facelift incision will rest inconspicuously in the natural skin creases, which will allow them to slowly disappear over time.
Bruising following a facelift, or any other surgery varies considerably and depends on multiple factors. It may range from simple skin staining of supple skin to frank bleeding with tense, painful skin. The bruising will typically resolve in several weeks and may descend slowly below the neck due to gravity. The range of colors from yellow to green to purple is due to the changing breakdown products of the blood. Components Arnica and Bromelain are naturally-derived supplements thought to decrease the swelling and bruising following surgery.
Liposuction can be used successfully for fat deposits in the jowls and neck, but only if there is tight skin with no associated laxity. No amount or type of Liposuction can fully tighten and re-drape loose, saggy skin in the midface and jowl regions, or skin folds of the neck. In fact, excessive Liposuction in these areas can cause hollows and skin irregularities, which can be difficult to correct.
Secondary facelifts for retightening due to aging are quite common. Individuals age at different rates and it is impossible to predict when one will need a revision. Sun damage, smoking, emotional stress, and excessive skin elasticity will all affect the permanency of your results.
A typical facelift will address the neck, jowls, cheeks, midface and any needed fat injections. A blepharoplasty for the eyelids, brow or forehead lifts or skin treatments including chemical peels and laser are typically not included and are quoted separately.
There are many additional procedures that Dr. Shienbaum offers his facelift patients. These include eyelid surgery, brow lifts, laser skin resurfacing, chemical peels, and fat transfers to correct cheek hollows and facial atrophy. Other popular enhancements include lip augmentation, chin implants, cheekbone highlighting, neck tightening, and earlobe reduction. These ancillary procedures are often as vital as the facelift itself. They enable Dr. Shienbaum to offer a more harmonious and complete facial rejuvenation. In experienced hands, the result is often more than the sum of the parts.
Smokers have an increased risk of facelift surgeries causing bruising, swelling. bleeding, scarring, and skin necrosis. Nicotine, tar and carbon dioxide can all cause permanent disfigurement. This is true of all forms of nicotine including gums, patches, and E-cigarettes.
The term “liquid facelift” refers to the injection of various fillers and agents to improve the appearance and contour of the skin. These consist of a variety of compounds including Juvederm, Restylane, Radiesse, Botox, and Natural Fat. The results are usually immediate and will last from several months to two years. Because it is less invasive and requires minimal downtime, it is a valuable alternative to a surgical facelift.
Is a “lunchtime” or “weekend” facelift possible? A quick and simple 30-minute facelift may sound too good to be true– and usually is. While marketed with dramatic promises, these are often only short-lived skin tightening procedures. Minimal surgery usually provides minimal results and cannot compare to a thorough and well-performed facelift procedure. There are no shortcuts to achieving a long-lasting and natural result. The experience, expertise and individual effort of your plastic surgeon are of utmost importance. Make certain your plastic surgeon personally evaluates and explains your procedure in detail and be wary of promises of maximal results with minimal effort.
The best age for a facelift varies. For most patients, the best age for a facelift is some time between ages 40 to 60, when wrinkles and folds begin to appear on the lower face and neck.