Am I a good candidate for a Full Facelift?

The best facelift patient is in good health, a non-smoker, and is able to avoid blood thinning medications for two weeks before surgery. He or she is unhappy with the sagging skin of the face and neck, which leads to a tired, aged appearance.

How does a Full Facelift differ from a Midface lift?

A Full Facelift is really designed to improve the lower 1/3 of the face, and the neck. A midface lift, in contrast, will elevate the soft tissues of the cheeks. These two procedures can be combined in selected patients who have flattened cheeks as well as jowls and neck sagging.

I only want my neck improved. Is this possible without a Full Facelift?

Yes, in some patients the neck can be tightened without a Full Facelift. This procedure, a “neck lift”, usually involves making just the incision below the chin, and tightening the underlying muscle layer in the middle. Liposuction of the neck may also be used.

My eyes look tired also. What can be done for them?

A facelift does not improve the appearance of the eyes, but this can be easily accomplished with a procedure called a blepharoplasty. This procedure involves removing excess tissue of the eyelids to create a younger and refreshed look. You may also want to consider a brow lift, to raise the eyebrows to a more youthful position.

I also would like to improve the deep crease from my nose to the corner of my mouth. Will a Full Facelift help this?

This crease is called the “nasolabial fold”, and it is usually not improved significantly by a facelift. The nasolabial fold is best treated by injections of fillers under it, or by performing a midface lift which elevates the soft tissue of the cheek.

Can I have other procedures done at the same time as a Full Facelift?

You can, and often patients decide to have their eyes, brows, and/or midface improved at the same time. Doing multiple procedures on the same day does not lengthen the recovery time, and it allows the patient to accomplish many goals with one surgery.

Am I a good candidate for a mini-facelift?

Only a complete evaluation in our office can help you answer this question. In general, a mini-facelift (or limited incision facelift) give a limited improvement compared to Full Facelifts, and this improvement may not last as long. However, mini-facelifts entail shorter recovery times, are less expensive, and still lead to an impressive aesthetic improvement.

Are “before and after” pictures helpful?

They are, and our doctors will show you many. However, the best prediction for the outcome will be determined during your consultation, as your doctor examines your face carefully.

Do you use computers to change my pre-operative photos?

Yes, we do, and we use the latest software available to provide realistic projections. Keep in mind that these “morphed” images are not guarantees of an actual result, but will help you as you plan your procedure.

Do I need to see my own doctor before a Full Facelift?

All patients require basic lab tests, and in some cases additional medical information may be required prior to surgery and specific requirements will be covered in detail by Dr. Orloff.

Where does the surgery take place?

Procedures are done in Dr. Orloff’s state of the art, fully accredited Surgery Center

What kind of anesthetic will be used?

For almost all cases, a deep sedation will be used, which means you will be completely asleep and pain-free during the entire procedure. No breathing tube will be needed in these cases. Some other patients, having shorter procedures, can have lighter sedation. However, everyone will be completely comfortable during the procedure.

Can I wake up in the middle of surgery?

No. If you are having a deep sedation, Dr. Blanka Orloff –A Board Certified Anesthesiologist will be dedicated to providing anesthesia during the entire procedure.

How long does the procedure take?

A Full Facelift take about four hours to complete.

How much pain will I have after surgery?

Full Facelifts do not generate excessive pain during recovery. You will mainly experience a sensation of tightness in your skin, which comes from swelling. Discomfort is well controlled with medications, which we will prescribe.

What are the risks of a Full Facelift surgery?

Adverse events are rare. During your consultation with Dr. Orloff, you will be able to discuss all risks and complications.

Will I have scars?

The scars of a Full Facelift are well hidden, and are usually only noticeable by the patient.

How much time off should I take from work and exercising?

You should plan to take one to two weeks off of work, so swelling and bruising can resolve. Exercise should be avoided for about three weeks after surgery.

Will I ever need another Full Facelift?

Your face will always look younger and more refreshed after surgery, but it will continue to age. After a Full facelift, some patients may want a revision surgery, usually ten or more years later.