This article is for informational purposes only.
Depending on the surgeon of choice as each technique when doing the famous traditional facelift is quite different and varies from patient to patient. I ask this question and many others on realselfdotcom where you can ask medical questions. So let’s get started on a traditional facelift.
Q. What is a traditional facelift?
A. Hi, non smiling photos of your face from the front and side would help in the evaluation. I have performed facelifts for over 30 years and have performed many minimally, invasive type facelifts. Traditional facelifts have long incisions that begin in the temporal hairline, around the entire front of the ear, inside the crease behind the ear and then continue inside the posterior hairline. This type of facelift is very invasive with extensive tissue undermining that has a recovery time of months. I have performed many of these facelifts however in today’s busy lifestyle, very few seem interested in this extensive recovery, bruising, swelling and downtime. The vast majority, of my facelift patients choose the minimally, invasive SMAS type facelift as described below.
Following the beauty principles outlined in my book on face and body beauty, women look the most feminine, youthful and attractive with heart shaped faces. Heart shaped faces have cheeks that are full and round in the front. Cheek augmentation with a dermal filler or using cheek implants for a permanent enhancement will create full, round cheeks that will feminize the entire face.
If the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin. Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face. I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick and highly effective.
If you have “jowls” these are sagging facial tissues and an indication for some form of a SMAS facelift. The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last). The excess skin is then removed and the facelift incisions closed. My most popular facelift is the minimally invasive, short incision facelift that has all the benefits of more invasive facelifts (traditional, mid-face, deep plane, cheek lift and subperiosteal facelifts) but with these added benefits:
- very small incisions
- minimal tissue dissection = less bruising and swelling = rapid recovery
- can be performed in 90 minutes or less, with or without general anesthesia
- no incisions within the hair = no hair loss
- excess fat can be removed
- excess skin removed
- cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants
- most patients fly back home to parts all over the world in as little as 3 days post-op
I combine facial shaping with every facelift procedure. When jowls are present, these should be done in concert and not alone or separately in order to create a naturally, more attractive face.
Dr. Francis R. Palmer, III MD
Q. What is the recovery time for a traditional facelift?
A. Your instructions will vary from surgeon to surgeon, so it’s important to discuss your surgeon’s specific instructions to maximize your recovery. I generally tell patients that they must avoid turning the head or stretching the neck for 2 weeks. When you turn, move the shoulders and head as one unit or as though you had a “stiff neck.” This is important to prevent stretching the
Dr. Parker A. Velargo, MD
Q. How soon can a person return to normal activity after a traditional facelift?
A. Recovery following a facelift can vary, and the level of recommended activity will also vary with each surgeon. Typically, it will take 1-2 weeks for the immediate bruising and swelling to resolve although subtle changes will continue for several weeks to months. I advise my patient that they should be able to drive within 1-2 weeks and can return to a sedentary job by 10-14 days.
Dr. Anureet K. Bajaj, MD
Q. What are the pros and cons of a liquid facelift?
A. The face ages in three ways: Sags and bags, Lines and Hollows, Tone and Texture. When we are young our face is like an inverted triangle, with the fullest part being from the forehead to the bottom of the nose. As we age, the triangle flips upside down with our upper face being the most narrow. A “liquid facelift” is achieved with injectables like Voluma, Radiesse, and Juvederm plus
Dr. Mark Anton, MD FACS
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