A face lift can create a truly beautiful and refreshed look to your face:
A Face lift result like the one in the before and after face lift photo above requires skill, experience, and finesse on the part of your plastic surgeon.
The important components of a beautiful Face lift result are:
- A smooth, firm neck and jaw line
- A full elevated cheek high on the cheek bone
- A normal appearing ear lobe
- Hidden facelift scars
- A normal “unoperated” appearance
- Looking “like you” just younger
The Face lift is one of the most enjoyable surgeries that I do. After 25 years in practice I usually achieve the result you want and it is a joy for me to share your happiness and enthusiasm for your new refreshed look.
The Face lift requires experience and skill and is a complex procedure which requires both artistry and a clear understanding and shared image of the final look you hope to achieve.
When we meet I will talk with you and ask you to explain to me the specific facial rejuvenation goals you hope to achieve with the Boston Facelift. I will examine you and tell you my findings and describe the areas where I think improvement can be made. I will demonstrate on your face the appearance that I believe the face lift will create on your face.
I will then recommend the facelift procedure I feel is best for you. I will discuss the procedure, your recovery, and expectations and answer your questions. Photos of your face will be taken. You will be given an estimate or quote of the cost of the procedure. Financing plans are available.
The Face lift procedure
I perform different types of Face lifts designed to meet your specific needs for your unique face.
A Full face lift elevates and firms the entire face and neck, including the lateral brow, the cheek, the jaw line and the neck. A neck lift just tightens the neck and lower jaw. A midface lift or cheek lift tightens the cheeks and nasal labial folds. An upper face lift or brow lift elevates the outside of the eyebrow and the upper face.
A mini face lift is a less extensive full face lift which is appropriate for people who have minimal facial laxity and need only minor facial tightening or tuck. The mini lift is usually appropriate for younger people in their 30’s and 40’s, or those lucky people in their 50’s and up who have very little facial laxity.
A good Bston face lift result requires tightening of both the skin and the deeper facial tissues which also sag with age. I tighten the deep layers of the face, the SMAS face lift, which tightens the deeper muscle like layer of the face. This is necessary to achieve a good result that lasts. Minor lifts that are advertised as being quick, easy and with no down time usually only involve skin removal and they do not last, often only a few months. A well done SMAS lift should last years.
Face lift Vectors
A very important concept in face lifting is the Vector. The vector is the direction of pull required to lift the face to a younger more attractive look. The appropriate face lift vector is unique to your face and the face lift must tighten your face along the appropriate vector if you are going to achieve the result you want.
When you see a person who has had a face lift and has the surprised look, or looks too tight, unnatural or like a “weasel”, it usually means that their surgeon did not tighten the face along the appropriate vector.
I always examine your face, determine the best most natural vector for your face and draw the vectors on your face before I make my lines to mark my planned Boston facelift procedure. This helps to assure a natural looking face lift result.
No one wants scars on their face and everyone is concerned about face lift scars.
Usually facelift scars are not visible to those around you. 75% of the face lift scars are behind the ear or in the hairline and people do not see them unless they closely inspect you and look for them. Yes your hairdresser will know, but he/she is likely the only one other than your partner.
The 25 % of the scar that is in a visible location is also hidden. This scar is placed into the fold in front of your ear. It is usually not visible and is easily covered by your make up.
In my opinion, the worst sign of a bad face lift by an inexperienced surgeon is the “spock ear” or “elf ear” deformity. This occurs when the ear lobe is fused to the cheek and pulled down to where it looks like the ear is attached to the angle of the jaw.
I have developed a very specific technique for creating a normal looking ear lobe following a face lift-check my photos; you will not see the “spock ear”.
The pre operative visit is the time when we will sit down and clearly define your face lift goals. We will discuss what you hope to achieve and what I believe I can achieve with your face lift. I will try to give you an honest image of what you can expect for a result.
You will also undergo a history and physical exam to make certain that you are healthy and have no medication allergies or contraindications to surgery. An EKG (electrocardiogram) may be done if you have a history of heart problems or have reached a certain age. You will also be given prescriptions for post operative medications. You also will be asked to read and sign surgical consent forms which outline the risks, potential complications, limitations and expectations of face lift surgery.
A full SMAS face and neck lift usually takes me about 90 minutes to 2 hours. If I am doing an eyelid rejuvenation or 4 lid blepharoplasty at the same operation, as is often the case, then the surgery can take 3 hours. Mini lifts, neck lifts and cheek lifts usually take only an hour.
You are asleep during the surgery. I have very experienced superb anesthesiologists who will be taking care of you. Safety is our first concern. We use modern, very safe anesthesiology techniques, and take precautions to avoid nausea after surgery.
Following your surgery you will go to the recovery room where a nurse will take care of you and make sure you are comfortable.
Some patients prefer the comfort of an overnight stay in the hospital. In this case I will examine you the next morning, remove two tiny drains from behind your ear, remove your bandage, have you shower and comb out your hair, and then discharge you. When you go home a small scarf placed over your head and a pair of sunglasses will usually hide the fact that you have had surgery.
For those of you who want to go home the same day after surgery, you will spend about 2 hours in the recovery room with a nurse taking care of you. As soon as you are comfortable, able to drink and eat a bland food such as crackers or cookies, and able to go to the bathroom, you will be discharged. The nurse will escort you by wheel chair to your car.
We require that someone bring you to the surgery center and take you home, and that you have someone staying with you the first night after your surgery.
Post op- What to expect
My patients do not usually complain of pain following a face lift. Your face and neck will feel tight, which means that I have done my job correctly. After a few days the tight sensation will go away as the facial tissues relax. If you have had a blepharoplasty for eyelid rejuvenation you will have ice packs on your eyes to reduce swelling and bruising.
I place a bandage around your face which comes off the next day and you may shower and wash your hair on the first day after surgery. I usually place a tiny drain behind each ear which is removed the first day after surgery.
Bruising on the face is unusual; bruising when it does occur is usually on the neck and upper chest and is usually minimal and easily covered with make up.
Usually after 1 to 2 weeks you will be comfortable being seen in public and will be back to most normal activity. I ask you to wait 3 weeks before heavy weight lifting or aggressive work outs.
I have you take an herbal supplement called Arnica Montana before and after surgery which helps reduce bruising. I also have excellent mineral cover up make up to cover any visible bruising.
A Consultation with Dr Seckel
I can tell you a great deal more about face lift and how it would work for you if I see you in person. Call me or contact me by email. If you would like to email me your photos I can email you my thoughts about how I think a Face lift would work for you. For more information on face lift read my blogs on face lift.
I look forward to meeting you.