Facelift

63-year-old lady who underwent a moderately extensive rejuvenation process for her face and neck. As can be seen in the preoperative pictures, the patient was suffering from significant brow ptosis, periorbital wrinkles, underdevelopment and atrophy of her upper and lower lips and face and neck skin laxity. The patient underwent a coronal browlift to tighten her forehead and correct her sagging brows. The facelift included a skin and SMAS dissection and platysmal tightening of her neck. As can be seen on the lateral postop pictures, her excess jowl, neck and midface skin are now repositioned to a more youthful appearance. In addition, upper and lower lip advancement was done to enhance the shape and volume of her lips. It shortens the distance of skin between her nose and upper lip.

This is a relatively early three month postoperative picture and although the incision lines are barely noticeable, they will continue to improve with time. Finally, corner of the lip lifts were done to help improve the downturned outer edges of her lip. Her lips could not have been enhanced by any other procedure except for this skin cutting lip lift advancement. Purely utilizing a volume or graft injection to her lips would not have been beneficial since the patient had virtually no red lip show to begin with. It is still obvious on the patient of the somewhat aging appearance of her skin, especially in the perioral/upper and lower lip area where she has deep vertical creases. Facelifting cannot improve this. These areas will be approached with a chemical or laser peel at a later date. However, this cannot be safely done until six months of healing has occurred from the time of the facelifting procedure.

Cheek and neck lift performed on 55-year-old female who now appears more refreshed with diminished hollowness to lower cheeks and increased tightness of laxed skin. Neurotoxin was injected three weeks after the face lift to the forehead region allowing for more sculptured and elegantly peaked eyebrows. A small amount of neurotoxin was also placed around lips to allow for more vibrant and youthful appearance. Postoperative appearance further enhanced with proper make-up application and hair styling. Side profile and oblique views again demonstrate her now lifted cheeks and smoother jaw and neckline.

Three month post-op result of facelift, lower eyelid rejuvenation and neurotoxin to forehead. Notice practically invisible scars around eyes and ears. Neck, jaw line and cheeks significantly tighter and more youthful. Patient will be returning soon for CO2 laser treatment to help further improve skin texture and wrinkles especially evident around her mouth.

Three week post-op view of coronal hairline brow lift, hidden scar facelift and neck tuck. Also note small graft placed at top of nose to add pleasing contour to forehead nose junction.

Interesting patient that demonstrataes long term effects of a facelift. Pre-op pictures on left demonstrate patient now 12 years after undergoing her first facelift, as seen above. The patient now is 64-years-old and has undergone a second facelift along with an upper and lower eyelid blepharoplasty/tightening. Excellent results can be seen on the right side photographs with her two-month post-operative views.

Patient in mid-sixties who underwent forehead, cheek and neck lift. Note improvement, especially in jaw line, neck and cheek. Midface lifting is planned later for further contouring in her sagging lower eyelid area.

Three month post-op view of patient with extremely redundant facial and neck skin who underwent cheek and neck lifting. Note dramatic improvement in neck and jaw contour. Cheeks also lifted into higher and more youthful position.