Face Lift St. Petersburg

beautiful face

Face lift is a procedure done to eliminate or reduce laxity of skin in the face.  While the goal is to have tighter skin, a face lift typically includes tightening of the SMAS (submuscular aponeurotic system), which is the layer on the face that is deep to the skin and contains facial muscles and nerves.  Without tightening the SMAS, the face lift will not last long.  By tightening the SMAS, the underlying foundation of the face is improved in a way that filler and Botox cannot.  Jowls are the result of sagging SMAS and skin along the jawline.  This is because as volume in the midface diminishes, the skin is no longer supported allowing gravity to take over.  By tightening the SMAS and skin during a facelift, it’s like tightening the belt and suspenders eliminating the jowl.

Many surgeons have coined names like Short Scar Facelift, Lifestyle Lift, Quicklift, and Refresher Lift.  These are all variations of facelifts under different names to give the impression that there is fundamentally something different or proprietary.  Honestly, it’s a brilliant marketing ploy.  Ultimately, the facelift any given patient would benefit from should be based on a unique physical examination and not a marketing ploy.

What to Expect

Facelifts are traditionally done under general anesthesia.  Dr. Christopher Newman prefers facelifts under Total IV sedation (TIVS), because it eliminates the need for a breathing tube during the surgery which can get in the way at times.  It also can lead to sore throat after surgery and coughing when removing the tube at the end of surgery.  By using TIVS, the surgery can be completed with a gentle less invasive form of anesthesia while still having the safety and monitoring of a Board-Certified Anesthesiologist during the procedure.

Incision placement during face lift is very important.  Patients don’t want their scars obviously visible and that’s why Dr. Newman places the incisions inconspicuously along the hairline and behind the tragus of the ear.  If extensive neck surgery is required, an additional incision will be placed under the chin where it cannot be readily seen.  If the neck of a face lift patient requires extensive tightening, a drain may be placed which is typically removed 24 hours later.  Most of the sutures are absorbable to avoid the need to remove a lot of stitches during the post-operative visit.  A compression strap is typically worn for the first week and activity is restricted to avoid exercise or increasing blood pressure.  Most patients can return to work within a few days to a week.

Fat grafting to the face can be done to both rejuvenate and fill deficits associated with aging.  This requires small volume liposuction of the abdomen, processing of the fat removed, and careful injection of the fat into the deficient areas of the face.